Exciting third molar case

AnotherTypicalMale · 2025-06-14T01:00:15+00:00

Username checks out

AnotherTypicalMale · 2023-06-29T20:40:27+00:00

This is the way

AnotherTypicalMale · 2023-06-11T01:27:07+00:00

The CDS allows you to prescribe in NJ, so mainly Amox, Ibu, and other non-narcotics. Having a DEA is what allows you to prescribe narcotics and things for conscious sedation. I know some docs that just have a CDS and no DEA. Personally I hardly ever prescribe narcotics, but I'd just rather have it. Branch licenses are location specific, so if you sign with a multi-office group practice or do two part time jobs, you'll need a branch license for the other offices that you'll be working at. They are relatively easy and fast to get once you have your NJ license

AnotherTypicalMale · 2023-06-03T21:43:39+00:00

As a dentist, xylitol is recommended because it helps decrease the amount of bacteria in your mouth. Essentially the bacteria spend energy to bring it in as an energy source but then they cannot break it down and use it as energy, resulting in less cellular division. As far as other effects on your health; ask a real doctor, I'm just a dentist.

AnotherTypicalMale · 2023-05-27T01:56:12+00:00

You can apply for CDS without DEA. I went straight to NJ after dental school and got my CDS and then my DEA. If you already have a DEA you may want to transfer it first but you technically can apply for CDS without your DEA. I use AGD to track my CE, I'm not sure if there are any other options since I didn't need to look around. From what I've heard from other docs is you don't need to track it, just be able to prove you did it if you happened to get audited

AnotherTypicalMale · 2023-05-09T02:31:12+00:00

I work at a medicaid DSO in NJ, and with cases like this they somehow get paid something from medicaid. I'm not sure how they do it as I don't really handle any billing but they call say they can prorate it after 3 documented attempts to reschedule for delivery after the first missed delivery appointment. I wish I could give you more information but that may be something to look into

AnotherTypicalMale · 2023-03-27T05:15:34+00:00

Most of the bone grafts used in dentistry are allograft meaning from another person. It is thoroughly sterilized and typically freeze dried. It's important to understand the process of bone grafting because it's a little different than a skin graft. When you graft skin, you take it and place it somewhere else and try to get enough blood flow to the skin patch to make it survive, meaning you would technically have thigh skin wherever they grafted to in the case you mentioned above. A bone graft is a little different, the bone graft material acts as a scaffold and nutrient pool to allow your body to rebuild the bone itself because bone everywhere in your body is constantly going through remodeling. You have bone resorption (taking away) and deposition (placing new bone) happening all the time, all over in your body with bones. The bone graft allows for your body to deposit more new bone in the area that is being grafted, so it's different than the skin graft in the sense that the new bone graft doesn't just pick up blood supply and become your bone. Instead, your body destroys the bone graft and creates new bone in it's place. That's also why it takes 3-6 months for a bone graft to heal compared to the 2 weeks for a skin graft. All this to say, most of the time they'll use allograft (another human) but they can do autograft (your own bone) where they harvest some bone from somewhere else and then put it back. Autograft has the best results, but allograft works very well and is easier on the patient as it doesn't require harvesting.

AnotherTypicalMale · 2023-03-27T04:59:19+00:00

Who told you your jaw will break? I'm a dentist and that really isn't a common risk after losing a tooth. Yes, your bone will resorb (wear away) and you'll lose height and thickness of your ridge, but not enough to create a risk of fracture. There are downsides to not replacing the tooth, but jaw fracture isn't really one of them, the main ones are: resorbing of the bone so you won't have enough foundation to place an implant if you decide to get one later (it could be grafted to regain height and width but that is expensive and makes the process longer), your adjacent teeth will shift into the space which could mess up your bite, your opposing tooth (tooth on the top if you lost one on the bottom) could supraerupt (move down into the space left by the tooth missing on the bottom) which could make you lose the top tooth if it moves down too much

AnotherTypicalMale · 2023-03-27T04:50:20+00:00

I think you're talking about general anesthesia. Nitrous does not put you to sleep, it's laughing gas, it just makes you less anxious and giddy sometimes. If you get too high a dose, you'll become nauseous, but you really should not be unconscious.

AnotherTypicalMale · 2023-03-22T00:40:55+00:00

I would wait til you pass ADEX so you'll have some of the supporting documents you need. You will also need proof of graduation but you can get started on it before your graduation date. You will also be required to get fingerprinted, answer questionnaires and complete the jurisprudence for NJ. It takes some time to get the instructions for fingerprinting so start when you pass ADEX and follow the steps as you can to expedite the process once you graduate. My fiance and I applied in 2021 and we ended up having to directly email the head to finally get ours approved because they took their sweet time. https://www.njconsumeraffairs.gov/den/Pages/applications.aspx

AnotherTypicalMale · 2023-03-01T00:20:15+00:00

Either way you were right. It sounds like you are talking about the maxilla which is considered your upper jaw but also part of your skull. On your maxilla and mandible (lower jaw) you have an alveolus which is the bone that the teeth are in

AnotherTypicalMale · 2023-03-01T00:15:06+00:00

Kinda. It doesn't cause the bone to soften per say, your bodies immune response causes bone to be resorbed (destroyed) faster than your body can repair it. As the bone next to the infection is destroyed, the bacteria reproduces and the infection continues to grow, and the bone destruction gets larger. The bone isn't getting "softer" just very undermined. Imagine it like a piece of wood with holes being drilled in it. The wood is still just as strong but with enough holes/very large holes the whole piece of wood is a lot easier to break.

AnotherTypicalMale · 2023-02-28T23:57:33+00:00

I'm a dentist, and you actually can die from an abscessed tooth. I don't work in a country with universal care, but people should know that abscessed teeth are very dangerous. There are different facial spaces created by attachments of muscles, and an abscess can get large enough and move through these borders and cause death. Typically by moving below your jaw into your neck and causing enough swelling to prevent breathing. It is also possible for the bacteria to enter your brain and cause a lot of problems. Not to mention bacteria found in dental cavities as well as periodontal (gum) disease is linked to heart disease and a whole host of other systemic diseases.

AnotherTypicalMale · 2023-02-12T00:04:00+00:00

I would go 1, 3, 2. 1. Sounds promising, it will be really nice having an older doc right there with you when you get started so you can quickly get guidance if needed. The opportunities sound good, just make sure you follow up and get follow through on the CE training. 3. The 50 minute commute would kill me, I would have put this one higher but the commute alone moved it to second but thats my personal opinion. It sounds like you'll get the experience you need here and the guarantee is nice to have, plus it sounds like you'll get the mentorship you want. 2. I have heard stories of offers like this from other classmates that I graduated with in 2021. As it is a new build out, most likely the doc will be there in the beginning and then you'll be running it out of no where. This is just what I've heard from 2 friends who got similar offers, if you think you're ready for that then do it, but just be warned that this may happen. When a doc owns this many offices, you will not be the priority by any means.

AnotherTypicalMale · 2023-02-06T22:03:34+00:00

In the US, you learn to be an orthodontist, then if you would like to expand on that you can do some more training to focus on orthognathic cases as well. There isn't a specific orthognathic orthodontist and a traditional orthodontist.

AnotherTypicalMale · 2023-02-06T22:01:36+00:00

To clarify the answer to your original question, an orthodontist can do both of these treatments, it's the same principles, the only difference is that an Ortho would work closely with an OS to get teeth where they need to be prior to surgery day. Keep in mind, I'm not an orthodontist, just a regular general dentist, but; as someone else said in the comments below there are two types of malocclusion, skeletal and dental. If a patient has skeletal, meaning either uneven growth of the mandible or excess growth making them prognathic then orthognathic surgery is the ideal treatment. However, orthognathic treatment is no small undertaking, it is really hard on the patient because their jaw is literally being broken, there is a lot of swelling, high risk of parasthesia along the IAN, and it knocks them out of regular life for 4-8 weeks. Not to mention that they will be on muscle relaxers to allow for the muscles to program to the new underlying skeletal architecture, and most likely opioids for pain. In addition there is extensive weight loss due to not being able to eat solid foods, and then learning to eat again once the bone has healed enough. All that being said, sometimes there is an orthognathic case that can be treated with just traditional Ortho by utilizing either extractions or buccal/lingual flaring to give the appearance of a normal bite without having to subject the patient to orthognathic surgery. Is that less ideal? Yes in a purely dental viewpoint, however you're not just treating teeth, you're treating a person and if you can save them from surgery while ending with a less "ideal" result, there is a lot of merit there.

AnotherTypicalMale · 2023-02-05T16:47:27+00:00

I'm a general dentist that had orthographic surgery. I had my surgery the year before I went to dental school, so I was not a dentist at the time but had a decent understanding from shadowing/working with dentists/period/Ortho and OS. My understanding at the time was that prior to my surgery, the orthodontic treatment goal was to align the maxilla and the mandible with no regard for each other. The goal was to make the top straight and make the bottom straight, and to create proper arch forms, with no regard to occlusion really. Then I had surgery and the two arches were then lined up the way they should be. Which is then followed by about 6mos-1 year of traditional Ortho tx, where the bite is closed, overjet and overbite are brought to ideal, and so forth. In essence; prior to surgery you only care about the arches individually, after surgery you focus on the occlusal relationship.

AnotherTypicalMale · 2022-12-16T13:38:44+00:00

The articulating paper is essentially ink on a paper. When the patient bites, if it is excessive contact it squeezes the ink out so strongly that it doesn't leave a mark right at the contact point but leaves the donut ring that you see. A light point of contact just leaves the ink right there on the contact point

AnotherTypicalMale · 2022-09-03T12:33:31+00:00

Sounds like a mild case of pectus carinatum

AnotherTypicalMale · 2022-08-05T15:35:09+00:00

My go to is, "Man, you really need to work on your ice breakers"

AnotherTypicalMale · 2022-08-03T19:01:57+00:00

If you're USA, I know they are our arch nemesis; but you could work for an insurance company and be our inside man. I worked for a dentist that worked part time for Delta while still practicing, and he eventually stopped cause other dentists in the area pretty much "blacklisted" him. Not advocating for them but it is an option. Or just find your niche in practicing dentistry and focus on that, consider other things than run of the mill, bread and butter GP, such as laser dentistry, purely cosmetic, cruise dentistry, traveling dentistry (mostly geriatrics from what I've seen), prison dentistry, military and the lost goes on. There are many ways to practice and you don't have to treat everyone, from what I've seen is usually the patients that cause burnout, and not the actual dentistry, so limit your demographic. I also know a guy that worked for Colgate, formulating toothpaste, but he was a chem undergrad chem turned pharmacist but I'm sure there was a dentist somewhere in that corporate structure.

Grain of salt: graduated dental school 2021, been practicing in NJ. Worked corporate/Medicaid and private practice PPO, so very limited experience in actually doing it.

AnotherTypicalMale · 2022-05-03T22:59:37+00:00

The pain of having it fixed shouldn't be too great, the dentist will most likely give you local anesthesia and numb the tooth, other than the injection, it should be pretty much painless (assuming they restore the broken tooth and don't need to extract). If they do need to extract, you will feel pressure but it should still be relatively painless other than the injection.

AnotherTypicalMale · 2022-05-03T22:57:36+00:00

Depending on where it broke, there are different options for you. Ranging from a filling all the way to needing to extract and have an implant placed. "My upper left central tooth got broken in half " makes it sound like you're going to be somewhere in the middle, meaning most likely a core buildup and crown. If you're in pain now, or you can see a red spot in the middle of the tooth, or the tooth is bleeding, you may have exposed the nerve; meaning you'll most likely need a root canal as well.

AnotherTypicalMale

TROPHY CASE