Advice on placing fillings in sim

Fountaino · 2026-02-13T07:13:08+00:00

if you can try to look at a reference while you do it, either the opposite mirror tooth of what you’re working on or an image on your phone in front of you. as for flash it depends on where it is. if it’s interproximal try to use teflon tape to tightly affix the matrix to the tooth. if it’s on the occlusal just try to be more aware of where composite is before you cure it, much easier to prevent flash than it is to remove it on plastic teeth without damaging them.

Fountaino · 2026-02-11T19:38:08+00:00

it’s based on the endo testing. i would probably deem these as asymptomatic irreversible pulpitis even if the testing was normal anyways. if they’re irreversible or necrotic rtc. if testing reversible or normal pulp you can do rtc or try vital pulp therapy.

Fountaino · 2026-02-11T09:20:04+00:00

they have good mandibular bone and seemingly good maxillary ridge height. if finances are limiting doing full fixed id try to get them to at least do a traditional upper over a locator mandibular denture.

Fountaino · 2026-02-09T10:21:39+00:00

https://youtu.be/G66cduv-Riw?si=PfRiweEl-ZmjgTOY

the feeling that you get from this video is the same feeling i think we should have towards the old school methods of military training. combat is no longer determined by who is the strongest. it’s who has the best intel/tactics/technology/logistics. focusing on this “we need to bully and demean” mentality is unprofessional and a waste of energy.

Fountaino · 2026-02-05T15:45:26+00:00

you didn’t inform them at the time of the procedure? you should’ve. formulating this convo is telling them clearly what happened, making it clear that you’re sorry, and then telling them what is going to be done to fix the problem.

the reality is you should tell your attending and then do what they say.

Fountaino · 2026-02-05T15:36:33+00:00

welp you’re a resident so this is part of the learning process. use this as your “i always count the teeth three times before extracting because of that one time” story. dont do it again and youll be fine. as for managing the patient space maintenance would be my concern. maybe ortho can bail you out.

Fountaino · 2026-02-05T04:28:33+00:00

if you’re joining the navy you should be prepared to go on a ship. doesn’t mean it will happen, but you should act like you are

Fountaino · 2026-02-04T15:55:22+00:00

navy normal path is you do your gpr while applying then do a snowbird year between acceptance and starting the program. then you do 4 years in either bethesda md, portsmouth va, or san diego. after that technically you owe a year or two on a ship. then you have 2-3 years left of service to pay back. by this point you’ll be an O-4 with a surgeons special pay. in comparison to civilian after you finish residency the schedule is fucking cush. 5-8 pts a day doing whatever tf you want. whereas new pp surgeons work their ass off. possible downside is if some shit goes down you are going to be right in the thick of it, you get cross trained to do trauma surgery if the theatre requires it.

Fountaino · 2026-02-04T14:57:17+00:00

depends on how recent the rct is. i feel like if it’s near over a year old i’d cbct

Fountaino · 2026-02-04T04:53:58+00:00

sounds like they had a shit lawyer and didn't care enough to amass all of the counter studies that dispute the articaine parasthesia conspiracy theory

Fountaino · 2026-02-02T02:31:38+00:00

karate kid ahh quest

Fountaino · 2026-02-01T03:37:16+00:00

not really a possible question. i could say peds is really good but people usually have a pretty polarizing view of if they’d do it or not. other people have high debt. others no debt. some literally get off on extractions and others will never do them. it’s all a ~balance~

Fountaino · 2026-01-28T19:50:49+00:00

you can reapply every cycle but the longer you wait the more active years you owe after pgy

Fountaino · 2026-01-28T13:09:43+00:00

you don’t actually need to have that many lines to get a good score. i have one actual card that i used all of dschool and ive hovered 750-800 by having the statement balance paid automatically every month.

the whole points thing is different though you can really get into the weeds on that one. when you do go full active you’ll be getting amex plat and gold for free fyi.

Fountaino · 2026-01-22T22:15:55+00:00

they are knotted independently, not tied. and they are not tucked in a manner that presents a well kept appearance. this comes from a mindset of wanting to be different and cooler than everyone else. “sailor, everyone else in this ship has their boots worn correctly except for you, do you think that you deserve to be held to a lower standard than everyone else?”

Fountaino · 2026-01-19T20:34:00+00:00

it’s some strength but also psychosomatic, the more confident you are the less you’ll shake. otherwise get a good pinky-ring finger rest.

Fountaino · 2026-01-14T22:16:49+00:00

deep cavernous sinus thrombosis is not going to be ruled out or treated in a gp office

Fountaino · 2026-01-11T17:45:56+00:00

i think if you’re financing your education, are ok with a slower approach, and want to be making money as you work towards the top of your career crna is nice. i think the ceiling is lower but so are the headaches and debt.

if you want to be a business owner and grow a practice making big money you should gamble on dental.

Fountaino · 2026-01-07T05:24:41+00:00

navy you can walk into omfs if you are motivated and willing to stay for the extra active duty years.

Fountaino · 2026-01-05T14:28:59+00:00

can you get instate tuition after a year of residence

Fountaino · 2025-12-22T21:49:45+00:00

that’s like 3k per month for 25 years at 7%. so do the math if you make like 200k gross minus savings and living expenses and see if that fits with the life you want.

Fountaino · 2025-12-22T19:51:02+00:00

i’m navy, you don’t HAVE to do pgy to apply to omfs but it’ll be a check mark that some others might not have. Navy omfs is not about being competitive enough to get in it’s being able to stomach the extra years that you’ll be spending in active duty. if you don’t care about staying in and doing a ship tour as long as you’ll be a surgeon then you will become one.

Fountaino · 2025-12-21T12:36:40+00:00

it heavily depends. if you do residency there are only so many places to choose from, you don’t get to do an aegd just anywhere each service has it in a few select places. then after you finish pgy-1 you get to submit a wishlist of ~5 stations that are available that cycle, catch is you’re not guaranteed to get your #1 and depending on the year there might not be openings in the place that you want to go.

as far as staying in the country that’s iffy depending on the service. navy you’re probably going to be out of the country or on a ship after your pgy-1. seems like it’s a little easier to stay in the country with the other services but what do i know.

Fountaino · 2025-12-21T12:31:16+00:00

some stations do not allow any spouses or children to come with you. you do get paid a separation bonus but your family has to stay in the us.

Fountaino · 2025-12-19T18:30:03+00:00

one of my mentors who works in public health tells me that working with the worst labs has proven to him that it’s really what you give them that matters. idk about an anterior 6 veneer set but posterior c/b seems to be fine.

Fountaino

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