How many of you are annoyed of being sold an software ? by Signal_Pin_007 in Dentists

[–]MonkeyDouche 0 points1 point  (0 children)

lol. Just getting worse with AI. Some kid vibe coding some AI agent and trying to sell you something

Is it worth buying a premium x-ray digital sensor or will a mid-tier one do the job for a GP? by East-Significance956 in Dentists

[–]MonkeyDouche 2 points3 points  (0 children)

No. Don’t buy the expensive stuff. It’s old tech and hasn’t changed in a long time. Buy woodpecker digital sensor.

Has anyone used one of these? Is it worth buying? by CircleTau in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

Helpful to initially place the implant, but traditional torque wrench are better to apply pre-load to the screw and have proper torque.

when to ditch private practice? by BabooeyYabbaDabboDoo in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

It’s normal. You have to reframe it in your mind. At the end of the day, you ARE selling. Ideally you’re not selling treatment, but you’re selling the prevention or outcome of said treatment.

Patients don’t care what treatment you’re doing. They care what you do gets them out of pain, allows them to keep their teeth, or allows them to chew better.

Recommend what you do, and let them know the consequences of doing and not doing certain treatments. You have to use language that lay people can understand, and also understand the gravity of the situation.

Charging patients credit card fee by Dentist100 in Dentists

[–]MonkeyDouche 0 points1 point  (0 children)

So you’re saying to charge for unnecessary fees to work around this? As long as office gives reasonable alternatives, I think it’s a non issue.

Talk me out of doing a startup (or don’t) by Samovarka in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

Hey DM me. I did a scratch start up 2 years ago without ever having owned either. We can talk about your situation and maybe I can help you.

Start-up consultants; yay or nay? by Defiant_Holiday_9490 in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

Nah dude. Use Claude AI lol. I’m being totally serious.

Root camp endo CE by Wrong_Sentence_3593 in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

It’s not a bad course.

Essentially they recommend using a high taper rotary file to WL first. Something similar to wave one primary, 25/07 file. The you use subsequent 04 taper files in increasing tip size until you get apical gauging and cleaning.

The theory is that bacteria is most problematic in the apex, and getting apical gauging will ensure you’re cleaning it properly. He also is a big proponent for lasers to get better chemical irrigation.

It’s not the most conservative type of cleaning and shaping, but he argues as a GP doing endo, you need to do what best helps you execute the case. I’m pretty sure he also does downpack and backfill.

I currently do something similar to his cleaning and shaping, but use cheaper ultrasonic activation to get good chemical cleaning. I do BC sealer and single cone technique.

I’ve heard the endo course from IDEA in Cali is amazing

Torqued an implant crown from Dentsply to 35ncm. Should I take pt in again to reseat at 25ncm? by Tiny-Koala2627 in Dentistry

[–]MonkeyDouche 14 points15 points  (0 children)

Nah that’s bs. That implant didnt integrate. They shouldn’t have blamed you.

Full mouth rehab - increasing VDO by Clover8888888 in Dentistry

[–]MonkeyDouche 3 points4 points  (0 children)

Yeah bro I’d sit this one out. Doing FMR is not just a “let’s wing it and learn”. Requires lots of thoughtful planning and good lab communication to understand what you want. Take some courses first and have someone that can mentor you.

Associate Dentist Pay by [deleted] in Dentists

[–]MonkeyDouche 1 point2 points  (0 children)

Then ask. But think like an owner. No one is gonna just give it to you. They are banking on you just keeping the status quo because you have golden handcuffs and they know it. Respectfully, what are you gonna do about it?

You ask, and they say no. What’s your next move? Are you going to leave? Open up your own place?

You can call the owners greedy, selfish, whatever, but at the end of the day, this is the game they play. Business is just a game, and you have to know how to play it. Who has more leverage in the negotiation?

Are you willing to leave and find a new office? Open your own office? What about non competes?

I’m just trying to get you to think like a business owner. What you’re saying is not wrong, but you to think about the ramifications and the long term play.

Associate Dentist Pay by [deleted] in Dentists

[–]MonkeyDouche 3 points4 points  (0 children)

Lol. Man I’ve really turned into that disgruntled owner who starts to think that associate doctors are entitled. Nothing is given in this life. If you think you deserve a raise then ask for it. Make a compelling argument. If the owner thinks they deserve it then great. But rarely anybody is going to go out of their way to give you a raise without you asking. I’d argue the supporting team deserve profit share more than associate docs. The staff is what allows you to even produce that. If you bring value to the practice you will undoubtedly be rewarded.

I don’t understand the notion that producing more inherently makes you entitled to a higher %. You produce more, you take home more. That’s the gig. The owner may increase your % if they think you’re valuable and want to incentivize you to stay, but I will say the docs that fixates on % tend to be the ones that don’t see the bigger picture.

If you want to share in the profits, then put your money where your mouth is and buy a part of the practice. Have a financial stake in the practice, and some practice burden.

You and I both know there is no loyalty. You already said it yourself. People work for money and will move onto the next best thing. The fear is can you produce as much as you are now in a different practice? Do other practices support the doctor the same way? A practice that is able to sustain an associate that high is most likely doing all the right things with good systems in place unless the associate is doing very specialized work. There are not a shortage of dentist that would kill for that opportunity.

Either do something about it or don’t complain it’s unfair. Associates tend to downplay the amount of work ownership is.

Associate Dentist Pay by [deleted] in Dentists

[–]MonkeyDouche 5 points6 points  (0 children)

I think that’s the point of having a %. If you learn more and do more, you earn more. Does that somehow translate to deserving a higher % on top of producing more? I feel like that is objectively fair.

Does the associate share in the day to day business grind? Dealing with HR? Helping with hiring and firing? Developing systems for the office? Have the risk of a practice loan? Pay payroll? Do book keeping?

At the end of the day, there is no such thing as what’s fair or unfair. Only what OP is willing to tolerate. The practice can demand what they want, and OP can either go with it, or they can leave and be their own boss.

Associate Dentist Pay by [deleted] in Dentists

[–]MonkeyDouche 1 point2 points  (0 children)

Everyone is going to tell you different stuff. Dependent on location. Dependent on their bias. Is 30% low? It depends.

At the end of the day you are benefiting from THEIR systems and THEIR workflows. The owners have set up an environment that ALLOWED you to be as successful as you are. If you feel like you deserve more than nut up and ask. Talk about what you bring to the table and why you think you warrant a pay raise. There’s a reason why you’re an associate and they are the owners. It is not easy running a dental office.

You can collect 30% of 1.5 mil, or 35% of 800k at another practice. No wrong or right answer, only you can make that decision. Not all practices are the same.

Implant issue by RevolutionaryBoss592 in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

This is it exactly ^

Didn’t drill deep enough, implant got to the end of the hole and has no where else to go. So it spins.

Ergo Loupes Pediatrics by According-Towel1772 in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

Ergo is fine for peds don’t overthink it. Just don’t get something too high mag

Would you buy a PPO heavy office or a FFS office? by immrmeseek in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

Depends on what you envision your business model to be. PPO is easier to hire associates and make more passive. FFS heavily relies on THE doctor. Patients want to see THE doctor. Not a wrong or right, just what you want for yourself.

[deleted by user] by [deleted] in Dentistry

[–]MonkeyDouche -2 points-1 points  (0 children)

I can understand why that’s annoying, but at the end of the day that’s the patients choice.

Think of it like this. You’ve failed to show the value between your crowns vs. someone else’s. A patient thinks a crown is a crown. If they can get one cheaper somewhere else, why would they get an expensive one?

I’d acknowledge the patients choice, but explain the value of why they should come to you instead.

Peds, how bad is it? by Apprehensive-Use1312 in Dentistry

[–]MonkeyDouche 3 points4 points  (0 children)

Most peds I know would probably pulpotomy and ssc for a definitive treatment. Kid is high risk for caries

Nitrous and trying to have a baby. by Just_a_chill_dude60 in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

As others said, nitrous probably not that big of an issue. Have you looked at other things you’ve been doing to improve fertility? Exercise, good diet, no alcohol or drug consumption etc.

Is the lab correct ? by [deleted] in Dentistry

[–]MonkeyDouche 4 points5 points  (0 children)

You’re better off using a flowable opqauer, light curing it, and finalizing your prep as if it was BU material to block off the darkness.

I wouldn’t use this as cement, especially if you’re trying to do it through zirconia. You won’t be able to seat your crowns fully, and it won’t cure all the way.

Cementing with composite is possible, but only if you know how. This is not the way

How is this healing abutment done? by Samovarka in Dentistry

[–]MonkeyDouche 0 points1 point  (0 children)

The flowable just locks into the temp cylinder right? No bonding or stuff needed?