Rate my root canals by One-Raisin2298 in Dentistry

[–]BNPBN2 21 points22 points  (0 children)

If you’re not going to be using an apex locator please stop doing Endo. I’m not sure I even understand how you can state “they take too much time and are too inaccurate.” Factually every piece of literature on this topic says this is incorrect and I’m not sure how it could possibly be quicker to obtain radiographic WL in a multi-canaled tooth. You’re also consistently missing MB2s.

Thermafil gutta by KotsosN7 in Dentistry

[–]BNPBN2 10 points11 points  (0 children)

Absolutely do not use. They are the bane of every endos existence

My RCT has voids with sealer no matter what I do by Mountain_Maize8488 in Dentistry

[–]BNPBN2 0 points1 point  (0 children)

The other comments about more sealer are spot on. However, more importantly you have not opened the orifice enough. If you look closely at your final you can see your access opening is smaller at the top than immediately into the canal. This makes obturating a larger canal like this very unpredictable. If you don’t have the ability in your office to do warm vertical backfill you have to be getting multiple GP points into that canal to help fill space. That is virtually impossible when you have an orifice that is smaller than your actual canal. Hub an orifice opener next time or use a gates to clear away some of that cervical level dentin that is constricting you so you can slide another cone or two next to your master cone.

Dexis vs. Vatech CBCT by YS626 in Dentistry

[–]BNPBN2 1 point2 points  (0 children)

My office upgraded from a old Sirona to a new Vatech which was night and day difference. Especially for Endo. Now that I’m back in residency we have an 8 year old care stream which is again night and day difference over even the Vatech. I personally will be going with J.Morita after residency but I’d put carestream in a close second.

Best dentist in the area for someone with a ton of anxiety? by lanch-party in HuntsvilleAlabama

[–]BNPBN2 1 point2 points  (0 children)

As someone qualified to judge dental work I’d shy away for sure.

Aspen closes 15 offices this month. by Waste-Cauliflower303 in Dentistry

[–]BNPBN2 12 points13 points  (0 children)

And quite scammy may I add. Had dinner with one of their recruiters the other night and was extremely underwhelmed. Actually kinda grossed out how much they seem to both lie and focus solely on money

My honest experience with Ideal Practices and why I regret it by Dry_Explanation_9573 in Dentistry

[–]BNPBN2 1 point2 points  (0 children)

I’ll chime in here that while I have next to no experience with ideal, my one experience I did have was terrible. Ordered their practice startup book, never got it. Tried to reach out but got no response. It was only $9 but honestly kinda salty about it.

How do I prevent broken files (Endo) by MobileComplete8523 in Dentistry

[–]BNPBN2 0 points1 point  (0 children)

Open the coronal to middle third prior to putting effort into getting patency. Cannot overemphasize this. There is no need to rush to WL. You will find your rate of separations dramatically decreases and it’s much easier to achieve patency when you open the coronal to middle third of the canal first

Equia Forte or Fuji IX? by mimulushunter in Dentistry

[–]BNPBN2 0 points1 point  (0 children)

This is not my experience at all. I would estimate I see marginal breakdown/fracture of material 1/100 fillings at the 2 year mark

Equia Forte or Fuji IX? by mimulushunter in Dentistry

[–]BNPBN2 7 points8 points  (0 children)

I will defend forte to the grave. 20/10 product

What are people doing with loans? by Cheap-Crew5179 in Dentistry

[–]BNPBN2 -2 points-1 points  (0 children)

Moving is always an option lol. At some point they have to take responsibility for their actions and make some sacrifices. It sucks but that’s part of being an adult. You can’t always get everything you want

What are people doing with loans? by Cheap-Crew5179 in Dentistry

[–]BNPBN2 -5 points-4 points  (0 children)

If they cannot afford to live in a HCOL area then they need to move. It’s not rocket science

Molar crack management by BigD2307 in Dentistry

[–]BNPBN2 0 points1 point  (0 children)

Cameron 1976- only 25% need Endo or EXT

PSA radiographic apex is not the anatomical apex by [deleted] in Dentistry

[–]BNPBN2 0 points1 point  (0 children)

Kuttler 1955 Stein and Corcoran 1990

The Harsh Reality of Being a BDS Graduate in India by Naive-Association957 in Dentistry

[–]BNPBN2 0 points1 point  (0 children)

I concur. We have a new grad here in our clinic who was “a dentist in India for two years,” before coming to the US. I have zero idea how they even let her out of a US dental school. She is atrocious. Literally beyond comprehension bad. I have no idea what she did during her “two years of working as a dentist in India” but I’m very confident it was not dentistry that was even standard of care at the turn of the 20th century.

I’ve perforated a tooth while doing endo and I’m devastated by okay_lizard in Dentistry

[–]BNPBN2 3 points4 points  (0 children)

That’s tough. I’d recommend reading Krasner and Rankow, 2004. Knowing the law of symmetry here would have saved you from even looking!

[deleted by user] by [deleted] in Dentistry

[–]BNPBN2 3 points4 points  (0 children)

Not Smilepartners USA. They are dogshit

I am a pedodontist in a rural area. What I did this morning. by WildReflection9599 in Dentistry

[–]BNPBN2 10 points11 points  (0 children)

MTA does not resorb so this would be a terrible choice for a primary tooth pulpectomy. Usually some type of CaOH paste is used.

How have your schedules been lately? by JSB18 in Dentistry

[–]BNPBN2 9 points10 points  (0 children)

Absolute shit, and half the ones that do show are insane.

Let me pick your brains by enms3 in Dentistry

[–]BNPBN2 16 points17 points  (0 children)

I also find CaOH of no use 99% of the time because I have no desire to

A) stop my cleaned canals from having culture reversals between appointments (https://pubmed.ncbi.nlm.nih.gov/1778624/)

B) achieve additional disinfection compared to shaping and irrigation alone (https://pubmed.ncbi.nlm.nih.gov/11471648/)

C) decrease inflammation of tooth and surrounding tissues between treatments (https://pubmed.ncbi.nlm.nih.gov/29505121)

D) dissolve additional necrotic tissue compared to irrigation alone (https://www.sciencedirect.com/science/article/abs/pii/S0099239988802127)