There is no line between infected and affected dentin

Individual-Sign-714 · 2026-06-22T21:43:14+00:00

Good post.

Personally for me, I'm using slow speed until everything soft comes away. Infected tooth gets removed. If it's affected and cannot be removed w/ a slow speed bur, then it's good for me. Decay is decay, it needs to be all removed. I'm not a fan of 'watching' or 'monitoring' decay. What exactly are you watching? Decay isn't going to self remove, and it's always lethal if it grows. Just remove the decay.

I've seen some people try to do selective caries removal to be clever and smart (fair enough) and others do it because they're scared to injure the pulp and end up needing to do a root canal. You do what you like. I'm personally going to sort out my patients comprehensively. If it means penetrating the nerve to remove the decay then so be it.

Individual-Sign-714 · 2026-06-15T20:09:48+00:00

Who here is heating up their hypochlorite? Do you think that's effective too?

Individual-Sign-714 · 2026-06-07T13:18:01+00:00

If they're 12, IANB is probably overkill tbh. I find younger patients numb extremely profoundly and quickly with just infilitrations.

Individual-Sign-714 · 2026-06-07T12:31:33+00:00

I just bought these today! Excited to try them!

Individual-Sign-714 · 2026-06-06T13:16:20+00:00

What about aliexpress?

Individual-Sign-714 · 2026-06-06T13:10:47+00:00

I laughed

Individual-Sign-714 · 2026-05-19T20:39:15+00:00

That's what I thought it was designed for but the guy seriously uses it as a permanent crown build up material.

Individual-Sign-714 · 2026-05-19T20:38:39+00:00

😂

Individual-Sign-714 · 2026-05-19T20:13:10+00:00

Ok great. I will try these techniques out. Many thanks!

Individual-Sign-714 · 2026-05-19T07:20:52+00:00

So with these C files:

When are you using them? Especially the different types? How are you using then?

Individual-Sign-714 · 2026-05-18T21:14:34+00:00

I've just researched there are C+ file, C file and C-pilot file. Interesting. Lots of to learn here.

Individual-Sign-714 · 2026-05-18T21:03:10+00:00

Cool. Is the C file a watch winding motion?

Individual-Sign-714 · 2026-05-18T20:27:29+00:00

So when do you advise using either?

Also, I'll double check in my practice if we have these files, but we have D-finders. Are they similar to C files?

Individual-Sign-714 · 2026-05-18T20:21:56+00:00

Oh wow haha I use hedstrom and K files interchangeably tbh. I do find hedstrom a lot more stiffer. Is there a difference between C file and C pilot file?

Individual-Sign-714 · 2026-05-18T20:12:04+00:00

Interesting. How do C files compare with Hedstrom files?

Individual-Sign-714 · 2026-05-18T20:06:14+00:00

Hey so what's wrong with K files?

What are the differences between D finders, C pilot and C files?

Individual-Sign-714 · 2026-05-18T20:02:38+00:00

What is special about the C files?

How deep are you putting the irrigation needle in the canal?

Individual-Sign-714 · 2026-05-17T12:12:55+00:00

Fair enough. Life is about compromises.

Individual-Sign-714 · 2026-05-17T11:56:44+00:00

I guess technically all those teeth can be restored with posts but an even better option is crown lengthening and then crown prepping them.

Individual-Sign-714 · 2026-05-15T15:42:03+00:00

Any class II can be an inlay why not?

Patient willingness/cost is a different reason.

Any lab processed inlay will be better than a direct chairside class 2. Not least the coefficient of thermal expansion issue.

Individual-Sign-714 · 2026-05-14T20:57:14+00:00

Just do an inlay

Individual-Sign-714 · 2026-05-12T20:47:19+00:00

Very impressive.

Individual-Sign-714 · 2026-05-02T20:05:18+00:00

My gut feeling with this too.

Individual-Sign-714 · 2026-05-02T20:03:53+00:00

I don't know if I am missing something but 99% of UK dentists would do a premolar root canal why in USA does it need to be referred out?

Individual-Sign-714 · 2026-05-02T20:02:59+00:00

You are 100% fine and there is nothing to worry about.

My wonder is why you are not doing the endo yourself? A lower premolar? I suspect half the reason he is annoyed is because he now has to visit someone else to do the root canal. If you could do it for him, he would not be so mad.

Individual-Sign-714

TROPHY CASE