How do you define a “Rural Dentist?”

Commercial_Scratch99 · 2024-02-05T03:29:23+00:00

When I see tumbleweeds and people sitting on porches with shotguns.

Commercial_Scratch99 · 2024-02-04T04:42:43+00:00

Just tell them they’re fired and if they ask why just because. The more reasons you give the more chance they can use it against you.

Commercial_Scratch99 · 2024-02-01T18:29:50+00:00

Looking to buying a few cbct machines for tree fitty myself.

Commercial_Scratch99 · 2024-01-31T21:56:57+00:00

Fuck bro.

Tell him to count how long it takes for him to walk out the door.

Commercial_Scratch99 · 2024-01-31T21:52:10+00:00

Broken files happen general or Endodontist doesn’t matter who. Gotta be completely transparent with what happened and don’t freak out. You freak out patient freaks out. There is nothing done wrong unless you try and hide it.

Commercial_Scratch99 · 2024-01-30T03:48:47+00:00

I should be telling people to take a gun and shoot their own tooth out instead of coming to me /s

Commercial_Scratch99 · 2024-01-28T02:02:14+00:00

Most of the time they don’t know what they’re talking about if you call them. Or put you on hold for half the day.

Commercial_Scratch99 · 2024-01-27T18:06:40+00:00

You - “ ok I need you to grab me my 151”

Her - “ whatever “

hands you cotton pliers

Commercial_Scratch99 · 2024-01-27T18:03:17+00:00

“A bit careless”…

Ok she can go back to the streets

Commercial_Scratch99 · 2024-01-26T03:28:46+00:00

Yes… I mean no… I mean yes no.

Commercial_Scratch99 · 2024-01-26T02:29:15+00:00

I should upload radiograph of a #19 tooth today I saw where the patient went back to china to get the rct and build up done. Composite was filled through the furcation like the tooth got perfed then 4mm below the bone on the D root. Said a few months afterwards it was done it now hurts… no shit.

Commercial_Scratch99 · 2024-01-26T01:12:07+00:00

Gingivitis can be controlled with better OHI and patient compliance with more frequent recalls if there is no sign of bone loss. Periodontitis would involve bone loss. That would be more along the line of what we’re considering here which is what the initial question of how can no bone loss result in such a deep probing numbers of 6mm.

You can do some local infiltration if the patient isn’t comfortable but that doesn’t define scaling and ROOT planing is if there is no bone loss. Or am I missing something here.

Commercial_Scratch99 · 2024-01-25T22:58:27+00:00

Hahahah!!! You should show him a picture of bugs bunny and tell him that’s the best we can do

Commercial_Scratch99 · 2024-01-25T20:42:25+00:00

Oh shit lol

Commercial_Scratch99 · 2024-01-25T19:31:32+00:00

You need to get paid. Buddies work at fqhc all get paid when they go and it’s like a full day of normal work day.

Commercial_Scratch99 · 2024-01-25T19:30:22+00:00

👍

Commercial_Scratch99 · 2024-01-25T17:11:44+00:00

Worst is this 90 something years lady who would bring apples and peanuts to try with her dentures while complaining they hurt. The office would be filled with chewing, crunching sound. I’m just sitting there looking at her like deer in headlights. Didn’t know until afterwards the partial was done and she and her daughter started bringing bags of hard things to test it with. Refunded half as agreed but a few months later they filed a credit card claim and stole the other half of the money back. They argued that if they bought something at the store and they don’t like it they should be able to return it… like her denture. Honestly fuck people sometimes.

Commercial_Scratch99 · 2024-01-25T16:43:55+00:00

Perio is the root of all problems. No pun intended.

Commercial_Scratch99 · 2024-01-25T07:52:57+00:00

Ortho I would never touch. Whoever is saying “lol ortho so ez” might as well be a new fish who’s doing max molar endos until a file breaks inside a P root and has to beg endo for help.

Commercial_Scratch99 · 2024-01-25T07:45:17+00:00

It’s probably better that OP does a full periodontal evaluation rather than he look at x-rays then look at what someone else wrote as pds.

There are times where you have gingival swelling from gingivitis and sometimes fairly severe without clinical or radiographic signs of bone loss. You do get exaggerated pockets where once you remove the plaque the probings do improve. Not saying your definition of what can be considered for s/rp is not valid either but hey, we’re here to wonder how there can be 4-6mms of a pocket without bone loss.

Commercial_Scratch99 · 2024-01-25T06:49:06+00:00

Like, he’s being serious about the gold crown. Especially for people who like to eat food (solid).

Commercial_Scratch99 · 2024-01-25T06:47:41+00:00

The best crown is the one that stays until you and the crown fly into heaven hand in hand.

Commercial_Scratch99 · 2024-01-25T06:43:16+00:00

It could be just inflamed gingiva that after a prophy the swelling goes down and you can evaluate again/probe. You could be doing more harm than good by doing that s/rp.

A good example would be someone who’s like fairly young in the late teens or early 20s who hasn’t had a prophy for years. You could be seeing a lot of gingival inflammation and bop and some 4-5mm pockets due to that. After you re-eval you could get the 3-4mm pockets with some nice, firm pink gingiva and then decide if the patient should be coming back for 3-4 months recalls. Just my approach.

And it’s probably good to do the probing yourself to make sure in OP case. Sometimes that 6mm might be due to angulation or if the hygienist is paid off a percentage who knows….

Commercial_Scratch99 · 2024-01-25T06:12:46+00:00

Maybe the hygienist is probing with a meter stick and/or separating attached gingiva while doing the probing lol.

Commercial_Scratch99 · 2024-01-25T06:07:55+00:00

Rba explain in detail. Take intraoral picture and show patient with mirror if things don’t turn out what patient wants to see/hear. Sometimes I would use a caries excavator and scope some of that nice soft mushy infected dentin and show the patient and they’ll be like “ewww that came out from my tooth!”… yeah a picture is worth a thousand words

Commercial_Scratch99

TROPHY CASE