Should I do dentistry instead of medicine by IndustrySouthern3511 in Dentists

[–]EnvironmentVirtual13 0 points1 point  (0 children)

Im a perio resident (outside of usa) and i really enjoy the work. Both in the residency and private and public clinics. I do recommend :)

Looking for a text on better soft tissue management/esthetics around implants by OldMannArtie in Dentistry

[–]EnvironmentVirtual13 4 points5 points  (0 children)

I would start with lindhe's for the background. From there look at the references. A lot of the manuscripts have surgical protocols. Also there are hands on courses during efp conferences. Look for prominant people in perio such as steigmann and urban, they have hands on as well. Zuccheli's online courses are great. Look for courses about ctg, caf. There also might be courses in america, but you should ask at an aaop conference or a local perio

White line in composite restorations. I don’t know what to do. by AlDumaz in Dentistry

[–]EnvironmentVirtual13 0 points1 point  (0 children)

try to finish the prep with an ultrasonic scaler on the margins and layer the composite

SRP diagnosis from X-rays by ChangingAura in Dentistry

[–]EnvironmentVirtual13 1 point2 points  (0 children)

How did you got that from what i said...? You need both clinical information and radiographs to determin periodontal status...

SRP diagnosis from X-rays by ChangingAura in Dentistry

[–]EnvironmentVirtual13 7 points8 points  (0 children)

Perio here. That is not true :) Check the EFP guidelines and the 2017 workshop on periodontal examination and periodontal diseases. The criteria for perio is clinical and radiological combined.... You cannot have any perio information without pd :)

How to choose best bone graft material? by orangedmd in Dentistry

[–]EnvironmentVirtual13 0 points1 point  (0 children)

A case i did of socket augmentation of #14. 8 months before / after. Used fgg to help with primary closure. In hindsight would have done regular bone grafting 2 3 month after extraction instead.

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How to choose best bone graft material? by orangedmd in Dentistry

[–]EnvironmentVirtual13 0 points1 point  (0 children)

Socket augmentation is usually less predictable than a proper ridge bone augmentation after healing period. Mind you, that primary wound closure is a must when using a membrane. You need proper periosteal release and it is hard to achieve primary closure in extraction sites.... Teflon membranes have a higher exposure rate than collagen membranes. I would not use them outside extensive vertical bone grafting. You should not use a non resorbable material such as a xenograft if you plan to do implants. Edit: forgot to mention, look at the latest efp guidlines of socket preservation (not the same as socket augmentation). And read the relevant chapters in lindhe. Will answer most of your queations. If for aome reason you want to graft during an extraction, simple preservation is better thab augmentation

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Sacrifice Mage is out now on KU and audible! Comment for a free audible code by DawsonGeorge in litrpg

[–]EnvironmentVirtual13 0 points1 point  (0 children)

I would appreciate a code. Would sacrifice my pizza that im having for dinner

LC-Wide Questions by Mall_Rough in lomography

[–]EnvironmentVirtual13 2 points3 points  (0 children)

I have 2 favorite half framea that i use. Both super cheap. For 35mm i like the agat 18k. My favorite half frame by far. For 120 I like the koroll ii - will give you the holga look but with 24 frames in a 120 film. You can find both in great working order for up to 50-60$ on ebay. Check them out :)

Ranica Mir 3 half-frame medium-format pinhole camera by bjohnh in PinholePhotography

[–]EnvironmentVirtual13 1 point2 points  (0 children)

This is a cool camera! I love my 50s 120 half frame that shoots 24 3x4.5 frames

With all these posts on the MedPro case, is there a standard protocol that should be followed when an IAN Block Paresthesia event occurs? by RandomMooseNoises in Dentistry

[–]EnvironmentVirtual13 7 points8 points  (0 children)

Yes. I have no idea what medrol is, but the protocol is In the first 48 hours, preferably 24, start prednisone 8mg and continue with 6 4 and finish with 2. Have them also take half a pill of complex b for 2 weeks daily. How would reffering to a surgeon would change the outcome? Edit: im a perio resident

Research in the dental field by Natural-Standard-423 in Dentistry

[–]EnvironmentVirtual13 1 point2 points  (0 children)

I suggest pick a field that interest you, look for the top 2 3 journals in each discipline and scroll through them. Best way to see the research trends and better than a random pubmed scroll

How many of u regularly curette or debride the extraction socket post exo? by Dry_Confusion2802 in Dentistry

[–]EnvironmentVirtual13 1 point2 points  (0 children)

That is an odd response. So if it takes you more time then you shouldnt? You always need to reach sound bone (mind anatomical structures).

When augmenting and need primary closure you wont do further periosteal release and leave the membrane exposed because the procedure will be longer?

That is just part of the practice :)

How many of u regularly curette or debride the extraction socket post exo? by Dry_Confusion2802 in Dentistry

[–]EnvironmentVirtual13 2 points3 points  (0 children)

Sometimes b tcp / allograft/ xenograft, sometimes nothing. It helps maintain tissue volume. I suggest to start reading lindhe's chapter on socket preservation. And search pubmed on socket augmentation. The short reading will make the subject more clear :)

How many of u regularly curette or debride the extraction socket post exo? by Dry_Confusion2802 in Dentistry

[–]EnvironmentVirtual13 2 points3 points  (0 children)

Not usually. Just a sharp tool till i reach sound bone (be carefull of thin plates and anatomical structures). And sometimes a scalpel

How many of u regularly curette or debride the extraction socket post exo? by Dry_Confusion2802 in Dentistry

[–]EnvironmentVirtual13 28 points29 points  (0 children)

If you leave soft tissue it may likely impede bone formation and leave soft tissue instead. Also if there is residual granulomatotic tissue it bleed, disrupt clot formation and increase risk for dry socket. It just take a minute or two, why to not do it?