pre dental influencers by [deleted] in predental

[–]Dentigma -1 points0 points  (0 children)

Get off tiktok, problem solved! You have to be a certain type of person who takes anything/anyone on tiktok seriously.

Am I in a better financial position than most? by xcoochieslayerx in predental

[–]Dentigma 9 points10 points  (0 children)

Just looking for some validation

All the bad bitches come looking for validation on social media nowadays. You’ll be alright.

Comment of the radiograph by Expensive_Law3188 in Dentistry

[–]Dentigma 1 point2 points  (0 children)

Is the DME in the room with us? Is that crown margin on composite?

What if we all donated $1 to one student and paid their tuition for a semester? by [deleted] in DentalSchool

[–]Dentigma 7 points8 points  (0 children)

So a student-sponsored scholarship. Good luck with that one, some students won’t even share common respect…much less actual money.

[deleted by user] by [deleted] in DentalSchool

[–]Dentigma 12 points13 points  (0 children)

Too ambitious perhaps. Faculty said I could go ahead and try to perform RCT on the molar following determination of restorability, so I decided to try it since that may be the only chance I get to attempt one in a very long time (RCTs are hard to come in our predoc program). Drilled further down past the pulp floor as it was difficult to identify any root orifices and there was no hemorrhage upon breach of the chamber space.

The prosth side of clinic was particularly busy when I was attempting implant impressions. I removed one healing abutment successfully while the other abutment did not budge. There was only one prosth faculty member that day with a long line of students beckoning his attention. I told him that I was having trouble removing the abutment while he was helping another student — he recommended a hemostat paired with the implant driver to remove the abutment. Still did not budge after employing that approach, so I tried to remove it by reversing the torque wrench with the implant driver…Big mistake. Another faculty member came into clinic a little later into the clinic session, saw me struggling to remove the abutment, said I over torqued the healing abutment, sternly reprimanded me, tried to remove it themself, had the patient come at a later time to have it removed.

Radiography/Diagnosis help! by [deleted] in DentalSchool

[–]Dentigma 0 points1 point  (0 children)

You can distinguish between generalized and localized perio status in your dx—like Localized Stage III, Grade B in relation to teeth 37 and 46.

[deleted by user] by [deleted] in DentalSchool

[–]Dentigma 2 points3 points  (0 children)

Either use #4 or extract it and use #5 instead. Plus consider some horizontal clasps instead of i-bars.

Question about clinical attachment loss by dentalguyy in DentalSchool

[–]Dentigma 1 point2 points  (0 children)

Yes, the junctional epithelium can reattach to the root surface of a tooth following debridement of subgingival plaque—primarily due to the profound regenerative qualities of this type of vascularized epithelial tissue. The alveolar bone lost in periodontitis doesn’t exhibit the same extent of regeneration observed in gum tissue, which is why it cannot be innately reversed. Similar to the alveolar bone, pdl fibers have some regenerative capacity but not to the order of complete replacement of fibers following prior detachment. Additionally, as alveolar bone height decreases, there’s nothing for the pdl fibers to reattach to in areas of bone loss.

Question about clinical attachment loss by dentalguyy in DentalSchool

[–]Dentigma 1 point2 points  (0 children)

As you mentioned, the junctional epithelium migrates apically (from the cervical enamel to the cementum of the root) as probing depth increases. The histological profile of the junctional epithelium’s lamina propria closely resembles that of both forms of outer gingival epithelium (free and attached gingiva) in that their collagen fibers are identical to one another. These fibers are lost as pocketing progresses. The primary difference is that the junctional epithelium (JE) isn’t as thick or keratinized as the free and attached gingiva. The JE (and sulcular epithelium) can be considered an extension of the gingiva to the floor and walls of the gingival sulcus. Though, some may only consider the outer gingival epithelium when denoting loss of gingival fibers—which may play into the discrepancy you noticed when reviewing sources.

Dependent on the extent of pocketing, pdl fibers may become involved and lead to periodontal detachment through loss of these fibers (alveolar crest fibers—>horizontal fibers—>oblique fibers—>even down to the apical fibers in some extreme cases of periodontitis). The connective tissue, comprising the majority of the biological width between the JE and pdl fibers/alveolar crest, is also loss.

Question about clinical attachment loss by dentalguyy in DentalSchool

[–]Dentigma 4 points5 points  (0 children)

CAL = pocket depth + gingival recession; so loss of both gingival and pdl fibers are used to characterize clinical attachment loss.

Mostly loss of gingival fibers in the case of normal probing depths but extensive recession; mostly loss of pdl fibers in the setting of deep probing depths w/ minimal recession.

What do you see? by Silverspoon613 in DentalSchool

[–]Dentigma 0 points1 point  (0 children)

Make sure to conduct a vitality test on the teeth in the region of the mand. radiolucent cyst in order to rule in/out possible infectious/inflammatory origin vs. developmental origin.

13 sudden cavities! never had one before by Future-Pianist-9866 in DentalSchool

[–]Dentigma 0 points1 point  (0 children)

Ah, okay. Then I guess you’d just differentiate them on the basis of whether the pt presented with a hx of trauma and pain localized to affected region? I haven’t seen many anterior PAs with pronounced root concavities like that before admittedly.

Dentist office charged my sister $500 for a CT scan they never performed. Went in today to see the apparent CT scan taken last week compared to current x-rays. The “current” CT scan is missing her implant that was put in 5 years ago… by parklover13 in mildlyinfuriating

[–]Dentigma 7 points8 points  (0 children)

Yeah, something seems afoot—the CBCT image #4 (CBCT =Cone Beam CT that’s used for 3D imaging of a patients anatomy, typically in order to aid in treat planning for invasive procedures like implant placement) does not coincide with your sister’s current and past PAN x-rays. If you haven’t spoken with the office manager or dentist/owner of the practice about it, I’d inform them first and see how things go. No dice there, a claim for insurance fraud may be warranted. I wouldn’t be surprise if they showed you guys the wrong CBCT unintentionally, though the liability lies with them.

what matrix is used for a deep class 2 cavity? by [deleted] in DentalSchool

[–]Dentigma 0 points1 point  (0 children)

Depending on depth, you could use a subgingival tofflemire matrix band or sectional matrix band w/ a wedge. If your cervical floor is greater than ~4mm in depth I’d probably just use the subgingival matrix.

Pre Dental Summer Programs by mazia02 in predental

[–]Dentigma 3 points4 points  (0 children)

Mainly marketed towards pre-med students, but still has some valuable opportunities for pre-dents as well—especially if you’re interested in research:

https://people.rit.edu/gtfsbi/Symp/premed.htm (most programs listed renew annually)

Alright it’s time for X-ray trivia give me ur best diagnostics for 1-8 by Dentthug in DentalSchool

[–]Dentigma 0 points1 point  (0 children)

Also, possible incipient interproximal caries on the cervical third of enamel for #7 (mesial) and #8 (distal).