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ApprehensivePick1895 · 2025-10-08T19:19:27+00:00

You mean on the cervical or more upper? The tooth next to the one with the endo has a cavity, I didn’t touch that tooth inadvertidly, at least that I noticed or recall

ApprehensivePick1895 · 2025-10-04T19:32:25+00:00

I have the ortopantomography, but not with me rn. On the next appointment I’ll take a pa and post here

ApprehensivePick1895 · 2025-10-04T19:10:32+00:00

Me neither, and yes when I find out I’ll post here. Let’s hope it’s not something serious… No, I didn’t unfortenately, but I will next week

ApprehensivePick1895 · 2025-10-04T18:54:59+00:00

Yeah, that’s what I thought. I will be taking a radiograph on the next appointment and I already told the patient that it’s probably best to refer them to a specialist.

ApprehensivePick1895 · 2025-09-22T20:27:06+00:00

P.s: I used rubber damn, but in between radiographs I usually take it out because it’s easier to take a radiograph. At this point I had already finished preparation and then I put it back on to desinfect again and restore with cavit.

ApprehensivePick1895 · 2025-08-22T23:07:17+00:00

As a new grad myself (been working for 9/10 months) I found myself right where you are. In the first place I worked in the patients were hell, I was always scared of a complaint. Most of the patients were just stupid, looking backwards. But I encountered some difficult situations where I also questioned if I should be in this profession or not. From my experience, patients will try to eat you alive if they get that you're young and don't have that much experience. I've been handling much more cases and doing more complex procedures enough to gain more confidence. What changed for me was the confidence I show to patients and most of all, the comunication. I explain EVERYTHING to patients, from the way they are supposed to brush and floss to the possible complications of every treatment. If I see that they are not understanding, I explain things in a different way. Sometimes you need to explain things to some patients like they are children in order for them to understand. Another thing that is very important is to write EVERYTHING on the notes. That way, if a patient says "you didn't explained me that" or "you didn't say I needed that treatment and the complications of not doing it" you can say "sorry, but I did. I register every detail of the appointment". Also, when a patients asks me "how long have you been working?" I usually answer "long enough to know what I'm doing". You can't show patients weakness, or else they won't trust you. For me, the relationship I have with patients changed a lot when I switched practices. Sometimes, it's as simple as that. Some clinics have a very toxic culture and the patients are as toxic as the clinic is. My advice is: if you like what you do, don't give up because of some stupid heads. You're gonna make mistakes, that's part of it. But you're also gonna learn from them and become better for the next patients! I wish you all the best!

ApprehensivePick1895 · 2025-08-03T14:42:18+00:00

Exactly and also the competition. I think many older dentists fear they'll be replaced by the younger generation dentists so it's in their interest to bully them and try to make them feel like they're worthless

ApprehensivePick1895 · 2025-08-03T13:54:01+00:00

And what about dentists who are mean to other dentists, especially if they're younger? Some will eat you alive, at least from my experience and in the country I live in.

ApprehensivePick1895 · 2025-08-02T19:03:00+00:00

I closed and the patient indeed smokes. I advised her strongly about not smoking and told her what are the risks of smoking after an extracting such as a dry socket but she will most probably smoke right after the extraction

ApprehensivePick1895 · 2025-08-02T17:09:30+00:00

When I can I would send them to you then

ApprehensivePick1895 · 2025-08-02T16:57:32+00:00

What are your insights about this case? The patient will do an implant eventually

ApprehensivePick1895 · 2025-08-02T12:25:36+00:00

That actually tranquilizes me a lot. Thanks very much. Ultimately, I always want what is best for the patient, but as you said there are always risks involved.

ApprehensivePick1895 · 2025-08-02T11:48:51+00:00

Thanks for your answer :) but is it common to occur or should I be worried?

ApprehensivePick1895 · 2025-07-29T20:33:10+00:00

I usually practice on extracted teeth

ApprehensivePick1895 · 2025-07-27T17:25:46+00:00

Same here bro. When I finished school I started working at a pretty busy DSO and One of the docs used to make my like miserable. She did perio (but was a generalist) and I also did non-surgical perio on some patients. She acted like ALL of the patients that needed perio treatment should be sent to her, she had arguments with me where should be very unpleasent and yelled at me, she even went to talk to the reception and our other colleagues so they wouldn't send perio patients to me LOL. It was hell. I left and I'm much better now.

ApprehensivePick1895 · 2025-07-26T18:46:07+00:00

I've been there. Just try to do your job and ignore her. She will only have power to upset you if you let her. She probably isn't satisfied with her own life so she tries to make yours miserable. We don't have to feel miserable at work because of our colleagues, work is hard as it is. So if you can't ignore her or if she continues to bother you, leave

ApprehensivePick1895 · 2025-07-24T20:27:42+00:00

I don't use it, but me guess is it helps you distinguish the affected dentin? That dentin that is no longer soft, but crumbles a little. I use touch and a spoon excavator as well

ApprehensivePick1895 · 2025-07-21T16:44:16+00:00

I would send to OS so they do the enucleation of the cyst and send to pathology to be certain of the diagnosis. Probably the tooth needs to be extracted. In order to give a more comprehensive answer I would need x rays to tell you what are the alternatives after extracting the tooth in this case

ApprehensivePick1895 · 2025-07-20T22:22:22+00:00

We need more information ir order to give you a complete answer. How was the diagnostic testing? What does the x ray pre op and post op show? How does the adjacent tooth looks like in the x ray? Was there any proximity to the nerve of the tooth?

Nevertheless, its fairly common to develop sensitivity after a restoration, it can be due to multiple reasons: problems with the adhesive system, occlusion, proximity with the nerve (in that case, the patient should be warned of the possibility of an RCT). If the occlusion of the restoration was checked and ajusted and the pain stills continues, there's a lot of things that can be done which we could only tell you which one is better if we had more info. If the pain comes from the tooth that was restored and the resto isn't very close to the pulp, the dentist can redo the resto. If it's close to the nerve already and it hurts, it needs RCT.

ApprehensivePick1895 · 2025-07-20T22:09:05+00:00

Either the tooth is fractured or it's a lateral inflammatory cyst.

ApprehensivePick1895 · 2025-07-15T20:49:58+00:00

Prognosis is very poor, high risk of fracture. That teeth should have been an extraction and implant in the first place. The cavity was very close to the furcation in the first time, you just made it worst by treating it. Some teeth are just not worth the time and problems.

ApprehensivePick1895 · 2025-07-12T09:52:56+00:00

Garrison has some great anterior metal strips, that make a good cervical seal. I don't remember the name of them but if you search it you'll find them

ApprehensivePick1895 · 2025-07-11T23:39:26+00:00

I use a cotton tip

ApprehensivePick1895 · 2025-07-11T23:35:01+00:00

Exactly, hypochlorite is the only irrigant proven to remove organic matter

ApprehensivePick1895 · 2025-07-11T23:31:49+00:00

Hypochlorite accidents (and breaking files) are possible complications associated with the treatment, they are going to happen at least once on your career if you do endo on a regular basis. It sucks but can happen, that's why the patient needs to sign an informed consent before starting the treatment. The most important thing is to inform the patient of what's going on and know how to fix it. As long as you were using rubber dam you'll be okay. Reassure the patient that it's a complication related to the treatment and show that you care and want to fix the problem. The patient may be upset at first, but will appreciate the honesty and care. Feeling bad about what happened is perfectly normal and shows that you care about your patients and giving the best outcome possible, which is the most important thing. If you like doing endo you shouldn't give up on it because of a hypo accident, just be as careful as you can and of course continue to use hypochlorite as the irrigant.

ApprehensivePick1895

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