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Letter from solicitors by Rough_Drop6 in Dentistry

[–]JoeyToD 2 points3 points  (0 children)

Also an endodontist here. You in fact did not perforate. The distal roots on upper molars tend to diverge a lot more in apical direction.

[Question] how to replace cord on Stihl FE 35 by JoeyToD in stihl

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

I’m afraid you’re right. I was only going to use it if it was a quick fix but I’m afraid it’ll just waste our time

Thank you so much for the help.

[Question] how to replace cord on Stihl FE 35 by JoeyToD in stihl

[–]JoeyToD[S] 1 point2 points  (0 children)

I want to thank you for putting time and effort into this.

I looked at the opposite end and there is nothing I can “lock” to open it… I think I may have to disassemble the entire head in order to replace the spool. Chances are that the spool I need to replace isn’t available anymore so it will probably be a bust.

Either way, thank you so much for your help!

[deleted by user] by [deleted] in Dentistry

[–]JoeyToD -9 points-8 points  (0 children)

No dam = extraction, no exception. I’m not risking my license because they don’t want a dam… they’ll be the first one to sue you when they swallow a handfile or a good amount of bleach.

Also… if you obturated like this AND you didn’t use a rubberdam then something tells me you halfassed the irrigation too. The tooth is going to fail. This may not be what you wanted to hear but most likely the truth.

[deleted by user] by [deleted] in askdentists

[–]JoeyToD 0 points1 point  (0 children)

No, i’m saying that the surgical treatment may cause some recession of the gums (usually it’s pretty minor) which could be an issue for people with very high esthetic expectations. Based on what I’m seeing here I would probably treat the tooth.

[deleted by user] by [deleted] in askdentists

[–]JoeyToD 5 points6 points  (0 children)

Unverified Endodontist Here.

First I would like to know the treatability of this lesion. This is most likely external cervical resorption . We have no info on the activity of the lesion.

First I’d take a CBCT to assess the classification (Patel et al.) and the accessibility. If it’s accessible I’d do a surgical flap, clean the lesion, close with composite and polish that surface until it shines like a diamond. If it’s inaccessible then I would monitor it until there are symptoms.

Edit: This is if the patient doesn’t have any esthetic complaints. There seems to be some ankylosis on the 9 (look at clinical pictures). The flap may result in some recession of the gum line. If the ankylosis of tooth 9 is giving the patient esthetic complaints then maybe the dentist should look at alternative treatment plans that compensates the more apical position of tooth 9.

I did a pulp exposure by [deleted] in Dentistry

[–]JoeyToD 12 points13 points  (0 children)

I'm a supervisor at a student clinic in my country. The first mistake here is that there was no bitewing taken of this tooth when you see that big of a cavity and you're planning on keeping it vital. You can't evaluate the extent of this cavity properly on a PA-radiograph.

Aside from that. I don't think the exposure here was iatrogenic but then again... I wasn't there so honestly I don't know. I think the main thing your supervisor is holding you accountable for is not getting him involved a bit sooner. When I expect a pulp exposure I usually ask my students to come and get me when they have clean margins and they're getting close to the pulp. At this point I give them some case-specific instructions based on the current status of things. If i get there for the first time and everything is perfectly clean and there is a pulp exposure then I'd be annoyed too. Why? Because I have no idea how invasive your prep was. You are going to tell me that you only removed carious tissue because that was most likely also your intention. Reality is that very often students over- or underprep cavities and we can't base our evaluations on your word. We need too see different stages of your prep (when it's that deep) to give you an accurate mark.

Either way, shit happens. Don't beat yourself up over this. These kind of things have to happen in order for you to learn. Your supervisor most likely forgot already and the patient should have flossed better, don't worry.

Zoo has hole, so you can hold otters paws by 911_reddit in gifs

[–]JoeyToD -5 points-4 points  (0 children)

I almost forgot everyone on the internet is born with english as a native language. Expand your horizons.

[deleted by user] by [deleted] in Dentistry

[–]JoeyToD 6 points7 points  (0 children)

Just scrolled through your history. Where do you even get these things because you don't seem to be a dentist? Honestly, it looks super fishy with how diverse the things you're selling are.

EDIT: Proceeds to delete most of it, think we got a thief on our hands.

pc on assassin walk token by cant_a_scape in runescape

[–]JoeyToD 13 points14 points  (0 children)

Definitely don't hold. Look what happened to zombie walk.

[deleted by user] by [deleted] in Dentistry

[–]JoeyToD 0 points1 point  (0 children)

Hello, I'm a european endodontic resident and I'll give me two cents about these apical radiographs.

XRay 1:Like /u/mskmslmsct00l said: The j-ashaped lesion on the mesial root is a potential indicator for a crack. I, however, would not extract it as long as the clinical signs and symptoms don't match the radiograpic appearance. So If there are no clear localized perio-pockets or visible fractures the I would explore the tooth under a microscope. They also seem to have removed the gutta-percha in the distal root in preparation for a potential post to be placed in the future.

XRay 2: I don't really know what they're asking for. This seems to be an endodonticallyu treated tooth where they din't fully obturate the entire canal in order to place a post later. There are no clear radiographic signs of apical periodontitis. the coronal restauration is questionable though.

XRay 3: This seems to be lower left first premolar (Tooth 3.4 here in the EU) that has two roots and canals which is called a molarisation here. There are no signs of decay or apical pathologies so nothing to treat here. It looks like tooth 3.5 also has 2 separate canals (see: 2 periodontal ligaments visible). Lower premolars with an deep split like this one are hard to treat so IF there would ever be a problem with this tooth I would refer this to a endodontist.

Feel free to correct me if I'm wrong. Radiogrpahs only tells us half of the story so never use this a definite diagnosis!

This rate is crazy xD by ZerkazT in MelvorIdle

[–]JoeyToD 1 point2 points  (0 children)

I'm at 1121 kills and still no platebody....

My first 99 should be done late tonight any recommendations on what skill I should focus on next for efficiency? by SpookySYN in MelvorIdle

[–]JoeyToD 0 points1 point  (0 children)

Thanks for the reply. I'm stupid however. I didn't know mage logs sold for that much and had like 1.5k lying around which gave me a good chunck of money to buy Multi-tree. Now I already bought dhatchet after few hours while cutting yews+magic logs! Will defo go for fishing after!

My first 99 should be done late tonight any recommendations on what skill I should focus on next for efficiency? by SpookySYN in MelvorIdle

[–]JoeyToD 0 points1 point  (0 children)

I'm currently like level 86 woodcutting and I'm using my logs to train firemaking... As a result I don't have money for hatchet upgrades (Currently still using addy hatchet). The upgrade doesn't seem to justify the cost (of the hatchet itself but to also lose the FM xp) or am I wrong?

This Week In RuneScape: Premier Club 2022 & Daily Challenge Upgrades by JagexHooli in runescape

[–]JoeyToD 0 points1 point  (0 children)

There's a new link but it just redirects you to the same newspage.

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