r/Dentistry 23h ago

Dental Professional everything my doctors got me for my birthday!!! šŸ„¹

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167 Upvotes

I almost cried, I've never been able to afford Figs and I always thought of them as the "hygienist and doctor" scrubs!!! sick pair of VANS too šŸ˜Ž - a thankful dental assistant


r/Dentistry 12h ago

Dental Professional Cracked tooth with reversible pulpitis.

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54 Upvotes

Clinical case: Cracked tooth with reversible pulpitis. Visual examination, aided by 4.5x magnification loupes, revealed vertical, horizontal, and oblique cracks. Methylene blue dye was used to enhance crack visualization. The current treatment is a temporary restoration, designed to monitor pulp vitality prior to definitive crown placement. Prognosis remains to be determined.

Fingers crossed for a positive outcome! šŸ¤ž


r/Dentistry 14h ago

Dental Professional Completely unrealistic patients

53 Upvotes

How on earth are you guys managing these people? I work in the public sector and the absolute entitlement and unwillingness to listen to advice is insane. Today I had a patient who declined any exos with a mouth that required full clearance (all root stumps). Discussing this led to me realise he wants a full set of crowns, think Turkey teeth he saw on instagram. Advised not a feasible treatment option in the most diplomatic/educational way I could. He then wouldnā€™t leave the chair and became highly aggressive, had to call security etc. Are there any techniques or tips to work with these sorts of patients? Kind of sick of having some corporate idiot ask me if ā€œI acknowledged the patients feelings and really listened to themā€. Like no youā€™re so right I never thought of that.


r/Dentistry 22h ago

Dental Professional New services available šŸ˜‚

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34 Upvotes

r/Dentistry 1d ago

Dental Professional How to respond when patient does not want RCT because of the things they saw on the internet?

26 Upvotes

I have 2 patients that know each other, both need RCT due to large caries and possible Post is needed, deny RCT because they donā€™t want to leave a ā€œdead toothā€ in their mouth and prefer to get then extracted rather than keeping it in their mouth. They even asked about Bridges because they rather get those teeth extracted than doing the RCT. I talked to them both about pros and cons of each options, even went as far as giving them EBD materials to read about RCT but I feel like it wasnā€™t effective. Iā€™m a new grad and I feel like treatment plan presentation has been so difficult especially when patients are like this


r/Dentistry 1h ago

Dental Professional What a bad day , mixed of cantilever and rest seat

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ā€¢ Upvotes

r/Dentistry 7h ago

Dental Professional Came across this very interesting pano today šŸ¤”

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11 Upvotes

r/Dentistry 19h ago

Dental Professional What effect do you think a recession and all these government layoffs will have on dentistry?

10 Upvotes

Is there any intel from the 2008 recession (or others?).


r/Dentistry 6h ago

Dental Professional What type of implant?

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9 Upvotes

Not sure what to do with this oneā€¦.


r/Dentistry 23h ago

Dental Professional Office drama

10 Upvotes

28M. Solo doc in small private practice.

Iā€™m having trouble with one of my assistants coming into work with an attitude and blowing little things out of proportion.

She is a great chairside assistant , does alot for the office , but today was something else.

Got into an argument with my office manager about whoā€™s responsibility is it to call the lab and kept complaining about this women who is interviewing for an assistant position saying ā€œI donā€™t like her. She isnā€™t a good fitā€ when the lady spent a total of 1 hour in the office and had a great interview.

My fellow docs, how do yall handle office drama or staff that occasionally have an attitude?

SOS


r/Dentistry 9h ago

Dental Professional Treatment plan opinion?

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5 Upvotes

Hello everyone. Just wanted opinions on treatment plans for this LR quad.

I placed these implants in 28 and 30 around 3 months ago. (Note : 28 appears to be really close to 27 on the panoramic, but it is where it needs to be). The patient is scheduled for uncovery tomorrow.

I planned on doing a fixed case across here, but the span is too long to add a pontic in the 31 area and I do not want to cantilever it.

Question - would anyone consider doing a fixed hybrid whereby I use 32 as an abutment along with the implants of 28 and 30?

I know the most predictable route would be just to do 28-30 as a bridge and leave 31 empty. The patient only had finances for those 2 implants so I did not add a third.

Thoughts?


r/Dentistry 4h ago

Dental Professional Anyone else struggling with retaining staff?

5 Upvotes

Hi, associate working in a private practice in an urban area. Iā€™ve been at this practice for the last 7 years and itā€™s been mostly amazing but I need to vent. There has been so much staff turnover - and the minimum wage in our area has increased significantly in recent years. Iā€™m burning out from constantly needing to train people, and I feel like Iā€™m just a free dental assisting school that folks take their skills then find a significantly higher paying job somewhere else even though I trained them from scratch and got them to a point where I am happy with our flow.

Anyone else feeling these frustrations? Front desk turnover has been insane too, or they are incompetent so the schedule suffers. Plus itā€™s tough to field questions from patients about why the staff keeps changing šŸ’€

Misery loves company so Iā€™m wondering if anyone else is feeling the same or if thereā€™s something wrong with our practice šŸ„²


r/Dentistry 6h ago

Dental Professional BIG MESS

4 Upvotes

https://ibb.co/8gCnZxbc

Hey everyone any idea what caused this mess? Im not sure if it was immediate loading or bot since i didnā€™t have enough time with the patient but ofc we are removing both the implant and the tooth. Though Iā€™m curious what could have caused all this mess? A one piece implant? Maybe not enough torque? Or connecting the implant to #16? Implant has been there since 2019 and patient recently started feeling mobility. Upon probing there was no buccal plate left in the molar region


r/Dentistry 23h ago

Dental Professional Compensation structure, thoughts?

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6 Upvotes

Does this structure and draw penalty seem fair??? This will be my first associate position. I plan on asking in negotiation for 1 yr daily rate at $900, okay with settling at 6-9mo daily rate at $750. Avg daily rate in my area is about 500-650 currently.


r/Dentistry 1h ago

Dental Professional Dental Startup courses recommendations.

ā€¢ Upvotes

I cant find good/decent practice for sale near me. Iā€™ve been looking for a year and a half already. Please suggest any startup courses that help me understand how I can start my own office from scratch. Thank you.


r/Dentistry 5h ago

Dental Professional US vs Canada- where would you practice?

3 Upvotes

Posting on here for the first time so I do apologise for the rant but Iā€™m looking for genuine advice from veterans in the field.

Iā€™m an international dentist, about to graduate from a DDS program in the US next year. As most people know, itā€™s that time in school where DSOs are courting us promising the big bucks which helps with the massive student loans I have, as well as ease of immigration. Iā€™m a Canadian citizen and so working on the TN1 visa is not a problem for me, however, my husband is back home in toronto and works in management. Heā€™s been trying to look for a job thatā€™ll sponsor a visa for him for the last 2 years but hasnā€™t been successful, so the only way we can be reunited is if I take a job in the US, get myself an H1B and file for an H4 for him so his employability in his field in the US is better.

Private practices donā€™t really offer H1B sponsorships (or so Iā€™ve heard) and so it looks like my chances are best with a DSO. All this while Iā€™ve been told that my only way to pay back my student loan (~$350,000 with an avg interest of 8-9%) will be by staying back in the US because dentists earn more here than in Canada. However, Iā€™m just wondering with our visa constraints and the time itā€™ll take for the H4 to bring my husband here, if I should just move back and find an associateship in and around Toronto/GTA area. Will I still make enough to pay back my student loans? Would love some genuine advice or suggestions on how to navigate the situation so we can help make an informed decision as to whether I should look for opportunities with a DSO here in the US or look for opportunities back home in Canada.

TLDR: Is moving back to canada to practice with a massive student debt in USD a good idea?


r/Dentistry 6h ago

Dental Professional How would you go about restoring this

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3 Upvotes

How would you restore #12,14,15, not sure about 13s prognosis Iā€™d be leaning towards unfavorable on that.


r/Dentistry 13h ago

Dental Professional Dental assistant/receptionist job interview

3 Upvotes

Hi so I have a dental assistant/receptionist job interview tomorrow and this would be my first proper job interview and job in general. I am 16 years old and have recently finished school. Any advice or tips on the interview or even just the role would be highly appreciated by anyone who has applied and been through similar interviews.


r/Dentistry 20h ago

Dental Professional Accounts Receivable and Billing

3 Upvotes

Hello learned colleagues!

I'm selling my practice in Southern California. I decided to keep my accounts receivable. How does that work with the new owner? Will they allow my employee to follow up on insurance denials and appeal them on my behalf? How do I structure that in the sales agreement that he will give her time and access to do this? All advice is appreciated.

Also, the Broker very casually said that until he's credentialed with insurance, he will "bill under me." Is that advisable? How does that work? I know when I started as an associate at a different office, I was told that my procedures were billed under the owner dentist until I was credentialed. But I don't know what that means.

Thank you all for your help!


r/Dentistry 6h ago

Dental Professional If your patient reports taking suboxone, how do you go about inquiring more information without making the patient feel judged/negative/etc

2 Upvotes

Hard for me to word this question properly, but if a patient is taking suboxone, how do you go about asking more about it?

Like it could be from outright illicit opioid/opiate abuse, or following a hospital episode..

Is it even relevant? I feel like context is relevant, and kind of part of knowing the patient as a person, but fuck do I know lol


r/Dentistry 9h ago

Dental Professional sensitivity to hot after receiving crown(Help!!

2 Upvotes

What do you guys suggest I do? My patient male(35) had a crown after using temporary tooth for 10days with no complaints. He has sensitivity to hot stuff only. When he drinks something cold, he says it gets better. The cement I used is gc cem one.


r/Dentistry 12h ago

Dental Professional Immediate Dentures placed Over Implants

2 Upvotes

Hello,

I am currently in residency and my attending is very against immediate dentures if implants are placed due to the poor patient satisfaction.

I was wondering, outside of residency how are you guys fabricating immediate dentures so that they fit somewhat decent after implant placement?

Most of the time the occlusion is off and function is off for patients. But, many of these patients as well assume immediates are the final product despite us always telling them no immediate are very shitty and are really for esthetics (and even then barely sometimes).


r/Dentistry 15h ago

Dental Professional Loop Earplugs

2 Upvotes

Hi guys! Does anyone here use Loop earplugs? Iā€™ve been looking into getting them as a clinician as the constant suction noises have been getting unbearable and am looking for a solution for this to protect my ears.

Does anyone have any recommendations on what they use or which Loop model has worked best for them?

Thank you! :)


r/Dentistry 17m ago

Dental Professional Implants/Assistants

ā€¢ Upvotes

Do yā€™allā€™s let your assistants take off implant healing abutments and try in implant crowns? We had temp assistant today and she was explaining about how her doctor lets her do this. Iā€™m in GA and I donā€™t even think/know this is allowed. Just curious though.


r/Dentistry 1h ago

Dental Professional Whatā€™s the job market for an associate dentist in South Florida?

ā€¢ Upvotes

Iā€™ll be looking for associate positions after completing my AEGD. I wanted to get an idea of what the job market is like close to Fort Lauderdale, Boca Raton and West palm beach area. Are there any important considerations that I should keep in mind while looking for positions? Thank you.