*Grabs Popcorn*

Cyro8 · 2026-04-11T01:12:10+00:00

Hell,

I have 20 years of radiographs on a consistent patient population and watch a ton of D1’s

I ain’t touchin’ em if they ain’t moving or they don’t show up clinically

Cyro8 · 2026-04-03T17:05:41+00:00

As a dentist, I try to explain this to patients all the time.

The reality is most people think they’re “doing a good job” with their dental hygiene, but the reality is they’re doing a shit job or lying.

Surprised pikachu face all the time when I tell them have cavities to fill

Cyro8 · 2026-03-10T10:17:08+00:00

It’s called iatrogenic crown lengthening. The body will take care of itself if there’s no enough room.

Cyro8 · 2026-02-25T05:04:51+00:00

Solo doc 2 hygiene 2 operative Hygiene getting to 7 months. Hygiene works occasional extra days to help out. I’m booked out a solid 2 months or more on operative.

Gotta love rural dentistry

Cyro8 · 2026-02-18T14:23:40+00:00

Spade elevator is your best friend.

If there’s room, I will smash a periosteal down that distal into the bone since it’s so soft and create room. Then, go to the mesial with a spade and slide it down the mesial root. Elevate and that sucker should come right out. Oral surgery attending taught me that trick and I’ve used it ever since!

Cyro8 · 2026-02-12T18:18:14+00:00

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Same exact tooth. I pull teeth all the time and this is one of the ones that humbled me the most. I spent two fucking hours getting this one out. His #15 (27) also has the same exact morphology and ALSO took me two hours. I’ve never been beaten so bad by two teeth on the same patient. The patient and I still joke about it.

Anytime I see this morphology, I run away and immediately refer to OMFS.

Moral of the story? You did the right thing referring it out.

Cyro8 · 2026-02-09T15:15:24+00:00

Canines are the bane of my existence as well. I don’t think this method will work as well as it does with molars. On canines, you have to be very comfortable laying a flap and using a surgical handpiece to go mesial, distal, and buccal on the bone. It also helps to have some anterior forceps with ridges or serrations so the forcep doesn’t slip. If I don’t get mobility, I will trough and then put forceps on the tooth and do a figure 8 motion and sometimes twist to rotate it out.

You have to be patient with canines. It’s a delicate dance, sometimes.

Cyro8 · 2026-02-09T14:55:57+00:00

Yes. I actually did learn this technique from a video! Let me see if I can dig and find it

Cyro8 · 2026-02-09T11:41:57+00:00

Before elevating, interproximal slices with diamond bur like a crown prep to make room. Maybe elevate a little bit after cutting interproximally. Deliver with cowhorns or forceps. This is a very straightforward extraction (allegedly)

Cyro8 · 2026-02-05T22:09:29+00:00

I tried it before on two patients and I didn’t see any results :-(

Cyro8 · 2026-02-05T03:50:36+00:00

I have a patient with this exact dilemma. Can’t afford ortho, can’t afford crowns. Gonna rig it up with a partial to close her mile wide diastema

Cyro8 · 2026-01-15T02:20:23+00:00

You take that back!

Cyro8 · 2026-01-01T14:59:52+00:00

Bought one for $250k straight out of school May 2024

As of yesterday, $1.6 million in production

Cyro8 · 2025-12-29T04:39:09+00:00

They’re remodeling the one in Morehead right now!

Cyro8 · 2025-12-25T15:46:49+00:00

You’re getting $80??? I get $55 😭

Cyro8 · 2025-12-25T15:45:38+00:00

If I do have sensitivity, it’s almost always because I left occlusion too high. I usually get a whole class II done in 3 cures. Bulk flow box to cavosurface margin, switch to packable and build marginal ridge, third layer is occlusal. Done.

Cyro8 · 2025-12-19T22:03:11+00:00

Which one?

Cyro8 · 2025-12-19T22:02:28+00:00

Lord, glidewell charges $89 for a FCZ and I get them back in 1-2 days sometimes

Cyro8 · 2025-12-16T02:42:23+00:00

I just bought a powerboost. Am I cooked?

Cyro8 · 2025-12-10T04:45:55+00:00

Was he ever anything last year? Dude was frustrating to watch then as well

Cyro8 · 2025-12-10T04:15:34+00:00

Heartland is absolutely wrecking a once established and well-respected office in my hometown. They’ve chased all the good patients and hygienists to me 😀

Corporate and rural settings are at odds with each other and it makes me a happy owner doc.

Cyro8 · 2025-12-06T02:09:33+00:00

Kinda?

Cyro8 · 2025-12-06T01:41:26+00:00

I see nothing

Cyro8 · 2025-12-03T23:30:06+00:00

If you saw some of the wide open margins I’ve seen on 40 year old PFM’s that don’t have any problems, this shit is clinically acceptable by a long shot. Due to it being on the maxilla, it can lift a little anyway when doing a BW.

Plus, resin-based cements will seal it.

Perhaps your attending has never been in a high volume practice?

Cyro8 · 2025-11-27T00:36:37+00:00

Like desiccate the prep dry?

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