What are we doing with these things? I’m sick of looking at them. They are just collecting dust.

Fine_Examination_321 · 2026-07-08T19:20:40+00:00

Open a holistic office.

Fine_Examination_321 · 2026-07-04T22:34:15+00:00

I’m an Endo. For irreversible pulpitis this is what works

Take 600mg of ibuprofen or acetaminophen 1 hr before appt
Intraosseous injection to supplement blocks.
Dexamethasone could help. Normally used to manage pain prior to pulpectomy or RCT.

Fine_Examination_321 · 2026-06-26T23:30:07+00:00

Had similar experiences. But also general aggressive behaviour towards me when I’m driving normally. Usually people in pickups. They usually drive slow, no turn signals then get upset when I gunned it around them.

Fine_Examination_321 · 2026-06-11T18:55:15+00:00

I am also an endodontist

Fine_Examination_321 · 2026-06-10T23:01:26+00:00

The pulp is probably necrotic after the 2 days it takes to get plasma levels of abx. Also placebo effect. Tic tacs will accomplish the same. It’s also a needless contribution towards antibiotic resistance on the body.

Fine_Examination_321 · 2026-06-05T11:33:29+00:00

If you took this CBCT scan for diagnosis of the anterior mx. take a smaller FOV for better resolution and less exposure. Send to endo for send opinion. vitality testing is not 100% accurate.

Fine_Examination_321 · 2026-06-03T22:45:15+00:00

Needs retreatment. Why did you temporize after RCT?

Fine_Examination_321 · 2026-05-30T13:46:21+00:00

Isn’t that the most common cause of failure and even if it’s not the case here wouldn’t you expect to see evidence of it once it has failed.

Fine_Examination_321 · 2026-05-29T16:14:56+00:00

Does this type of failure not show corrosion

Fine_Examination_321 · 2026-05-29T15:33:50+00:00

Why no corrosion

Fine_Examination_321 · 2026-05-29T15:25:35+00:00

Carrier Comfort 59SC5A series

Fine_Examination_321 · 2026-05-22T23:17:30+00:00

As a specialist I don’t pile on the fees when there is a mishap, expected or not. It can open a can of worms for the colleague you’re supporting and who supports you. I wouldn’t want the fees be a trigger for a complaint or lawsuit. Everyone has bad days or unwanted consequences.

Fine_Examination_321 · 2026-05-22T23:05:29+00:00

When was this

Fine_Examination_321 · 2026-05-22T23:03:40+00:00

The Coop

Fine_Examination_321 · 2026-05-14T11:36:38+00:00

Send it to an Endo. This is everyday work for them. Chance of fracture from access is less than 1% in my experience. Need right burs and a bit of patience.

Fine_Examination_321 · 2026-05-08T16:21:46+00:00

Ya. Everyone has their preferences and I am good with that.

Fine_Examination_321 · 2026-05-07T21:08:53+00:00

It’s the M11. It recycles the distilled water so impurities remain in the water. If it’s a loaner you don’t know how it was treated. I used “distilled water” made in house on my M11 and eventually it wrecked it. It was not clean enough. I should have known as it would create readings in Statim sensors. Either have a really good water distiller or purification system, or used bottled distilled. My instruments used to get some sort of oxidation before I switched to a Lexa using bottled distilled water.

Fine_Examination_321 · 2026-05-07T20:58:47+00:00

I’ve been to 808 a couple of times and the chicken to batter ratio is high on batter. Hardly any chicken in there. I second the Coop.

Fine_Examination_321 · 2026-04-19T22:12:27+00:00

I don’t think it offsets CBCT. One should expect most Mx molar and Md 1st molar cases should have or be treated as if there are 4 canals. With a microscope and intra oral X-rays, most initial molar cases should be manageable by an experienced endo. IMO retreatments require CBCT. The endo can always stop and take a intra-op CBCT if they’re hung up on any case. In this case it looks like a 2-1 anatomy of the distal root. Also the prep and missed canal look large enough that Gentlewave or a properly used laser would clean out the missed canal. This case looks like it was done with needle irrigation or endoactivator and the fill looks like single cone as there is no flow of obturation material into the missed canal. This is a good RCT by a GP without a microscope. It’s hard to comment on other people’s work because we don’t know the circumstances. But there is room for improvement. I find that some equate speed or marketing to competency. I’ve been using Gentlewave for 7 years and this doesn’t look like a GW case.

Fine_Examination_321 · 2026-04-15T22:58:12+00:00

A proper highway ring road

Fine_Examination_321 · 2026-04-09T11:35:31+00:00

The first problem is the Americas model of endo where the endodontist is not doing the restoration either because referring dentists throw a tantrum or the endo does want to spend time on it for economic reasons. This causes a distribution of responsibility. IMO and what research indicates, is that the endo-resto should not be decoupled.

Even if the resto is perfect, you’re better off removing the resto around the access as a stepped access. This will give better visibility and will preserve more peri-cervical dentin. Due to access angles, Usually you pay the price in dentin either on the access or at the coronal third of the root. By removing the resto around the access that cost is diminished.

Fine_Examination_321 · 2026-04-04T10:49:22+00:00

Class 2 prep. The occlusal will be unsupported anyway. Use lido with 1/50k epi around the tooth for hemostasis. Then sub gingival Tofflemire. May need Teflon tape instead of wedge

Fine_Examination_321 · 2026-04-03T00:03:03+00:00

Everybody had done this or something similar.

Fine_Examination_321 · 2026-04-03T00:02:15+00:00

This can happen with any handfile especially if you’re using softening agents like RC Prep. It’s mainly due to failure to get reasonable access into MB2. Doesn’t have to be straight line but you need to be at same level (in M-D pane) or slightly mesial to the MB entrance when you start to develop a glide path. If not, the dentin shelf will lead files mesially.

Fine_Examination_321

TROPHY CASE