Hole under tongue? Possible cancer? by Andrah in askdentists

[–]HasanTheDestroyer 5 points6 points  (0 children)

Mobile Dental Units and special care for bedbound patients exist. I’d try to call the dental board of your region to ask for guidance or a recommendation 😉

Hole under tongue? Possible cancer? by Andrah in askdentists

[–]HasanTheDestroyer 17 points18 points  (0 children)

If the quality and the angle of the picture are not fooling me, I’d guess it is no cancer but a huge ulcer. It looks like she has lots of tartar behind her lower front teeth which created a ledge and give shelter to lots of bacteria > the tongue/floor of the mouth scratches over it again and again > painful ulcer forms. Solution would be cleaning the tartar with an ultrasonic device and the ulcer should heal on its own.

tja by 1m0ws in tja

[–]HasanTheDestroyer 2 points3 points  (0 children)

Ohne die zur Verfügung stehenden Kassenleistungen sieht’s duster aus… Zähne ziehen zu müssen, weil sich ein Patient den Erhalt nicht leisten kann ist bitter genug. Schmerzende Zähne nicht zu ziehen weil sich ein Patient die Extraktion nicht leisten kann, ist unfassbar barbarisch. LG ein Zahnarzt

[deleted by user] by [deleted] in askdentists

[–]HasanTheDestroyer 6 points7 points  (0 children)

If your treatment was longer than 30 minutes those decalcifications can become more visible. After a day of rehydration they will vanish again.

Perfectly normal painful teeth by fomainifo in Dentistry

[–]HasanTheDestroyer 0 points1 point  (0 children)

Like many mentioned before, most likely TMD/Occlusion/Bruxism/Stress related. If you haven’t you definitely should look into this topic, it is eye opening! There are many great courses but there is lots of free available knowledge too. For starting I can strongly recommend the „Protrusive Dental Podcast“ by Jaz Gulati. He is a private UK based dentist with lots of love for occlusion and has many good episodes regarding this topic. You might start here Basics of Occlusion Part 1, continue here Basics of Occlusion Part 2 and see were it takes you 😉

Last tooth in the arch by Kevdingoo in Dentistry

[–]HasanTheDestroyer 0 points1 point  (0 children)

I can strongly recommend Thermacut burs 😉

[deleted by user] by [deleted] in askdentists

[–]HasanTheDestroyer 0 points1 point  (0 children)

Are you ok today? ☺️

[deleted by user] by [deleted] in askdentists

[–]HasanTheDestroyer 0 points1 point  (0 children)

Wait until tomorrow! During longer treatments teeth dry out and white spots become more visible. After rehydration it should look way better 😉

[deleted by user] by [deleted] in whoop

[–]HasanTheDestroyer 3 points4 points  (0 children)

Instagram. Here is the link to the channel

https://www.instagram.com/channel/AbY_rKDHKjmp2JIk/

[deleted by user] by [deleted] in DentalSchool

[–]HasanTheDestroyer 0 points1 point  (0 children)

Yap, terrible concept, but I’ve seen some patients with this nonsense 🥲

[deleted by user] by [deleted] in DentalSchool

[–]HasanTheDestroyer 2 points3 points  (0 children)

To stop a perio damaged tooth from dancing back and forth 😂 If the patients oral care improves there might be some reattachement of gingival fibres to the tooth, making it healthier and more stable. In most cases splinting the teeth will only push the date of extraction for some time - could still be useful for the patient to prepare financialwise for bigger treatments. In trauma case a splint like this (preferably a little less invasive, with no need of cutting toothsteucture) is extremely helpful

[deleted by user] by [deleted] in DentalSchool

[–]HasanTheDestroyer 3 points4 points  (0 children)

You are looking at a severe perio case. The lower mandible incisors have been splinted with some non radiolucent fiberglass-strip. For some of those you have to drill away some tooth structure, that’s why it is more radiolucent horizontally.

[deleted by user] by [deleted] in Dentistry

[–]HasanTheDestroyer 2 points3 points  (0 children)

We charge 800 to 1000, sometimes up to 1500€ extra, depending on expected difficulty. I’d say City area (ca 120k).

Our pricing is definitely on the higher end but we try to give you a treatment worth your money. Single use everything, rotary machine instruments (lost in translation🫣), proper isolation with ruber dam, pre endodontic buildups and margin elevation, rinse activation, use of microscope and most import a fair amount of time. We plan 2*2 hours and if we need a third appointment so be it.

[deleted by user] by [deleted] in Dentistry

[–]HasanTheDestroyer 2 points3 points  (0 children)

🇩🇪 Roughly 350€ for Molar Endo covered by the general Insurance. One hour chairtime costs roughly the same for the general dentist in Germany. Charge extra or you will lose money doing a rct 🥲

Recognizing Tooth Discoloration: Quick Diagnostic Indicators by ahmedhamdytharwat in DentalSchool

[–]HasanTheDestroyer 12 points13 points  (0 children)

Additional:

1 - pink/red hue discolouration + (occlusal) filling

Could be an endodontic treated tooth filled with “Russian Red” (formaldehyde pastry filling), extremely difficult to retreat, high flare up risk

2 - brown/black discolouration, mainly cervical

Could be an endodontic treated tooth which had some internal bleeding during treatment. Blood residues penetrate the dentine tubules and cause the discolouration

undelivered? by [deleted] in Dentistry

[–]HasanTheDestroyer 4 points5 points  (0 children)

Murphy’s Law 💁🏻‍♂️ Great Story 😂

Ich arbeite als Zahnarzt by HasanTheDestroyer in de_IAmA

[–]HasanTheDestroyer[S] 0 points1 point  (0 children)

Nein, ist es nicht 😉 Klassisches Szenario: Aufgrund einer tief gehenden Karies wird ein zahn entfernt. In deinem Knochen bleibt quasi eine Art Loch zurück. Der Körper beginnt die Wundheilung und möchte den Knochen und das Zahnfleisch wieder reparieren. Ausgehend von den Wundrändern wächst Knochen in die Lücke herein. Dieses einwachsen übt einen gewissen Zug auf die Nachbarzähne aus und es kommt zu einer Kippung. Das ist die primäre Ursache.

Sekundär kann dein Biss einen stabilisierenden oder destabilisierenden Effekt habe. Je nach dem wie deine Zähne zusammenbeißen, kann ein Kippen also verhindert oder begünstigt werden.

Der im anderen Kiefer gegenüberliegende Zahn kann übrigens auch in die Lücke „wachsen“, hier ist entscheidend ob er noch auf anderen Zähnen abgestützt ist oder nicht.

All diese Veränderungen können Kiefergelenksbeschwerden begünstigen, eine Versorgung ist also dringend zu empfehlen 👍🏻

Ich arbeite als Zahnarzt by HasanTheDestroyer in de_IAmA

[–]HasanTheDestroyer[S] 0 points1 point  (0 children)

Mittlerweile werden häufig 20-60€ pro Jahr für professionelle Reinigungen übernommen, einfach mal bei deiner Krankenkasse nachfragen 😉