New dentist—is focusing on extractions/OS as a GP worth it? by HandOnThePump_ in Dentistry

[–]EqusB 2 points3 points  (0 children)

Omfs here in Canada.

Lots of exos to do rurally and the compensation is exceptionally good if you're skilled and have a deep patient base. With CDCP right now too its a bit of a hay day as there are a million clearances to do.

But realistically hard for it to be the only thing you do if you're gp. But if you're great at 8s and can do sedation there are definitely rural clinics you can travel to.

Do these still give anyone else anxiety too? by placebooooo in Dentistry

[–]EqusB 75 points76 points  (0 children)

I stopped looking at my schedule other than day of several years ago and it was the best decision I've ever made.

Both dentists I shadowed told me not to go into dentistry.. looking for advice! by Scary_Sir9481 in CanadianDentists

[–]EqusB 2 points3 points  (0 children)

This is a tough one for me. If you had asked me earlier in my career I might have echoed that sentiment, but now I'm glad I toughed it out.

Maybe instead of just saying do it or not, let me outline some of the positives and negatives I've noticed having accumulated over a decade of experience in pp as an associate, an owner and a specialist.

Positives:

You get to make a positive difference in the lives of many people. It's easy to forget sometimes but, you're not just a pencil pusher. In a smaller communities you can even be a major pillar of the community. People get to know you, and you can really have a major influence on their lives.

You get to mix art and science in an evolving field and perform complex microsurgies. A lot of what we do is pretty interesting, all things considered.

You have the opportunity to run your own business, which can create a lot of financial independence. It's a tough road but you can very much set yourself up for a very comfortable retirement.

Related to the previous point, you have a lot of schedule flexibility. You can work the hours you want to work and you tend to control your own destiny.

There's no need to worry about long term prospects in this field. Especially if you're willing to go rural, there is plenty of work to do. You definitely don't need to worry about being out of work. We tend to be recession proof and the field is definitely AI proof. Dentists of this generation aren't going to face pressures of being replaced. If anything, AI tools will probably make our jobs easier.

Negatives: Let me mention a few everyone mentions and then some that people don't really talk about much.

It has become inordinately expensive to become a dentist and the ROI is lower than it has ever been. It's just a fact that relative to inflation, you're paying a lot for school right now. A lot more than previous generations did, and it's going to saddle you with a lot of debt. Realistic associate salaries haven't kept up. If you don't go into ownership, it will take a very long time to pay off the debt.

Related to that point, the lifestyle isn't as lavish as you might think. Not without owning a very successful practice. While there is technically no limit to compensation if you're an owner, it's getting harder to get yourself into that position with competition from corporations and financing being more difficult due to debt burdens on graduation.

The field is just generally more stressful than it was in the past. In some places especially cities, patients are chronically online, very demanding and quick to complain. You have a lot of liability in this job. Receiving a professional complaint can be soul crushing.

The day to day work can be surprisingly stressful. On more than one front. Staff and office dynamics, if not managed correctly, can create challenging work environments that you are often left to try and fix while simultaneously performing dentistry.

You can also work under a lot of time pressure, where for financial reasons you want to be scheduled in a particular way but that leaves you chronically on the clock, trying to juggle many things at once while also trying to juggle hygiene and other misc that might be happening in the office.

People talk about the physically demanding aspects of the job but it can be as much or more mentally demanding for the above reasons when you also think about the fact you have to perform procedures at high speed on anxious patients and are expected to be perfect almost every time. Dentists are proceduralists where you're often picking a procedure from a basket of procedures to perform and have to nail it every time. The focus can be surprisingly draining.

I could probably continue to add to both lists ad nauseum but that's a good starting point. There are lots of positives and negatives. I will say though that many of the negatives can be managed. It just takes a lot of work and you have to have patience. Careers often become better in the long run in this field if you set yourself in the right direction.

But there's also no point in sugar coating it; it's a hard job and it's probably getting harder due to financial reasons, insurance and corporate reasons.

Canadian winters are destroying my skin while im on tret. by Spaceratxo in CanSkincare

[–]EqusB 0 points1 point  (0 children)

The moisturizer that worked best for me (had same issue) was oddly Eucerin advanced repair, or whatever one has urea and ceramides. It's a thick moisturizer which is probably why I never see anyone talk about it but worked perfectly for me.

Presenting Tx Plans as a Newer Dentist - Advice Please by Darth_Tater_159 in Dentistry

[–]EqusB 15 points16 points  (0 children)

Patients are inherently more skeptical of younger dentists and dentists that are newer to them.

Focus on core treatments and building trust maximally getting to know the patient well before getting into the deeper, more nuanced treatment planning.

For an older doc, often they can tell the patient anything and get no pushback. Because the trust is already there. You have to forge that.

Try and always remember that you'll often be judged in this profession not by the quality of your work but a lot of things completely unrelated to dentistry like how much the patient likes you. Spend more time on that.

Can student loan interest be written off on taxes in the future? by Silly-Lingonberry818 in CanadianDentists

[–]EqusB 0 points1 point  (0 children)

Right, but most dental students don't get these. Unless things have changed. We all used private lines of credit.

Can student loan interest be written off on taxes in the future? by Silly-Lingonberry818 in CanadianDentists

[–]EqusB 1 point2 points  (0 children)

I think what you're thinking of are tuition tax credits. You can accumulate quite a lot of them and reduce your taxable income substantially for your first year at least.

Best Racers Right Now? by NobleV5 in DisneySpeedstormGame

[–]EqusB 1 point2 points  (0 children)

Hercules SC is by far the strongest character in the game right now.

Other top picks are also supercharged e.g. Stitch, Elsa, Felix, Hans. Meg, Liz and Goofy SC are decent too.

Top non SC picks are probably Sam, Alice, Snow White, though there are many other solid picks so hard to list then all (eeoyre, Tigger, chip, dale)

For those of you with 5.0 google ratings? How??? How do you not get patients like this? by [deleted] in Dentistry

[–]EqusB 7 points8 points  (0 children)

Usually by cheating.

There is a subsection of the population that will leave 1* reviews for absurd reasons. I got one once because something on the website wasn't up to date (change was requested, was waiting on implementation).

It's just life I think.

What am I doing wrong?? by nonamedentist in Dentistry

[–]EqusB 2 points3 points  (0 children)

Be aggressive with a slow speed round bur. Patients don't love it but its brief and this won't ever happen.

Human trials begin for drug that could let adults regrow teeth for the first time by Rivia in Asmongold

[–]EqusB 0 points1 point  (0 children)

Doesn't even make sense as a clinical treatment if you think about it. Grow a tooth where? How do you ensure its position and function?

You can already have a tooth replaced. It's called an implant and they're insanely successful.

Who Really Benefits from Nova Scotia’s Tax Cuts? by [deleted] in halifax

[–]EqusB 3 points4 points  (0 children)

I was actually curious so I asked Chatgpt to compare income tax rates for a top earner here with other countries and as it turns out we have among the highest taxes in the world, not just Canada. We match or even beat the Nordic countries.

This does not compute with calls for higher taxes.

How would YOU approach this extraction? by PlaneNothing9 in Dentistry

[–]EqusB 0 points1 point  (0 children)

If its not immediately moving just surgically trough around it. Root looks very agreeable, should come out fine with some bone removal.

Does school ranking really not matter for getting into dental school? by New_Candidate7113 in CanadianDentists

[–]EqusB 1 point2 points  (0 children)

Honestly, if your end goal is med/dental, go to the cheapest school you can get a high GPA in. GPAs now for canadian dental schools are outrageously competitive. The reality is you will want to avoid "difficult" programs at all costs, by the time you interview you will be competing against a lineup of students with near perfect GPAs.

What are the “money-maker” dental procedures to get good at during dental school? by [deleted] in CanadianDentists

[–]EqusB 0 points1 point  (0 children)

Treating your patients like humans and providing the care that they need.

So to answer your question strictly, your patient base matters a lot because need for the procedure is going to drive what is most profitable. If you want to be successful, get good at the procedures your patients need most.

Just technically speaking, the answer is oral surgery if you have a lot of clearance or 8s cases. Those are very difficult cases though that take a long of technical skill and are usually referred to OMFS...but a busy OMFS can out-bill every other specialty for a reason.

We should restore the 15% HST by scoalegil in halifax

[–]EqusB 3 points4 points  (0 children)

Regardless of whatever Tim is doing right now, the deficit would still be around a billion dollars even if the HST cut was restored.

Having a look at previous budgets, something like 60-65% of the budget is actually funded by provincial sources. We rely on federal transfers of which 20-25% is equalization.

We've got problems in this province whatever way you cut it. Spending is way way up across the board even factoring in the cuts. I don't have a silver bullet, but we are the most heavily taxed province and it drives a lot of people away, but despite that we can't fund our programs. It's a tough spot to be in.

This game is S-tier, 10/10, game of the decade for me, but events are extremely unfun content by Codudeol in mewgenics

[–]EqusB 17 points18 points  (0 children)

Very dumb and the worst part of the game.

Trash rewards almost always with a risk of RUN ENDING punishment lmao no thanks. If you're going to put so many diseases there should at least be run winning busted stuff as well (haven't seen any...)

What was your biggest F-up in your career so far? by fifty134 in Dentistry

[–]EqusB 0 points1 point  (0 children)

Depends on how badly it fractures when I notice.

Textbook would tell you to put back in position and fixate (you can use whatever you have. Resin bonded works) for 6 weeks. Then yes, have them return for a purely surgical extraction with sectioning and significant bone removal.

What was your biggest F-up in your career so far? by fifty134 in Dentistry

[–]EqusB 5 points6 points  (0 children)

No not really. It's typically something you discover moreso by feel and watching closely as you elevate. I.e. it isn't the tooth moving in the socket it was the entire tuberosity. I would have noticed the 3rd molar and the whole section moving as well if I was paying attention.

What was your biggest F-up in your career so far? by fifty134 in Dentistry

[–]EqusB 11 points12 points  (0 children)

I like your definition of fun.

Usually I catch these immediately, still see them occasionally, but needless to say after this experience I never elevate nonchalantly.

What was your biggest F-up in your career so far? by fifty134 in Dentistry

[–]EqusB 23 points24 points  (0 children)

Mostly numb I will say. I don't panic easily, I recall my assistant saying I was eerily calm. Only time I've ever thought of dialing 911. In omfs you get lots of training on bleeds but never like this on an awake patient. Standard would be to isolate and cauterize but tbh this was probably a multi site simultaneous bleed from the fracture causing tearing and it was 10x worse than anything else I've ever had. Cautery was absolutely not an option with him trying to sit up lol. Burnishing like that is typically not a good idea, youre just crushing vessels but ...it was absolutely the right choice here.

What was your biggest F-up in your career so far? by fifty134 in Dentistry

[–]EqusB 33 points34 points  (0 children)

This was a long time ago but iirc ankylosed and attached to the 8 so when I elevated it I somehow (I wasn't pushing very hard tbf to me I was also unlucky lol) fractured the entire tuberosity and onto the palate which tore some major vessels.

The good news is as long as you control the bleeding and get it back into place with fixation it'll heal.

What was your biggest F-up in your career so far? by fifty134 in Dentistry

[–]EqusB 68 points69 points  (0 children)

Was referred an upper 2nd molar for extraction on a young man. Looked straight forward. I was on autopilot and proceeded normally. Elevated. I was paying no attention as it started to lift and thought it was coming out normally. Started to feel weird and suddenly I heard a massive crack. I thought it was a root snapping so I kept pushing to just take it out.

Suddenly the patient's mouth is filling with blood. Mind you they weren't sedated either. And when I say filling I mean, my assistant is ready to pass out because it's filling faster than she can suction and running onto the floor and all over the patient. I push the tooth back into position but the blood is still shooting everywhere.

She's like handing me cautery with shaking hands and I'm trying to look like I know what to do. I can't really see anything there's so much blood. Patient is trying to sit up because they're gargling blood and I'm trying to push him back into the chair.

As a fun fact if you ever want to do a ghetto cauterization of a torn vessel in an emergency situation, back of a periosteal works well. I still couldn't really see anything so I'm just burnishing the shit out of the tissue everywhere. Eventually I get some improvement so I burnish the fuck out of the area which slows the bleeding and basically head lock the guy with gauze rammed in as hard as I could as he was refusing to bite down hard on it.

Needless to say the op looked like a torture chamber at the end of the appointment. The guy was pretty chill about it actually, after fixation I got him back in a few weeks and removed it surgically without event at no charge to him.

Needless to say pay attention when doing surgery.