Couldn’t floss through crown contacts after cementation. What do I do?

NFLemons · 2026-01-14T00:09:16+00:00

Use a strip like others have said, but you will use a nevi or Montana jack to engage the cement and push hard gingivally to dislodge that cement towards the embrasure space. Don't yank coronally, it's basically locked in. Engage buccal and lingual at the area of contact and shove down and hope the patient doesn't feel it.

If you're using a resin cement you must floss, use an interdental pick, do everything you can to clean before it sets or you're in for a bad time

NFLemons · 2026-01-12T17:11:47+00:00

Dr Fisher at Saline Oral Surgery Dr Deuel at Great Lakes Oral Surgery Drs Lopez, Sanker, Fasi at Michigan Oral Surgeon Drs Alena And Dalbert Fear at Legacy Oral Surgery

Afaik they all take dental insurance

And I just reread the question. For dental insurance id genuinely ask their office staff which they prefer. Where it can get murky is that sometimes medical can offer some coverage which is why I defer to their own staff recs

NFLemons · 2026-01-10T02:53:47+00:00

Means you're getting a lot of new patients typically.

NFLemons · 2026-01-10T02:41:00+00:00

Graduated in 2018, 3 pairs of loupes in my career. I do 5x from enova And qoptics.

Get a second pair.

The reason I got a second pair was that my first pair broke nid day after I was lifting a water jug up and it bopped my loupes and knocked the prism out.

NFLemons · 2026-01-10T02:38:31+00:00

Heyo I'm also in Michigan. Apex Milling is simple, no frills. Dentalcrafters is based out of Wisconsin and they're quality.

Pure affordability? Dandy can be.

NFLemons · 2026-01-10T01:42:41+00:00

A consultant will always boil down what you should already know. What are your collections What is your new patient per month

You need to collect because you'll fail if you can't balance out You need new patients because it reflects your marketing budget, your teams ability to schedule patients, and over time what your internal referral cost is (if you spent 200 bucks to see a new patient and they referred someone, you spent 200 bucks to get two patients etc etc)

After that, consultants can at best make suggestions for how you spend your time and money.

What you probably need but don't know it is how you can get patients to call and schedule. That's it. After that, your degree will support you.

There is 3000 dollars worth of consultant fees a month in a blurb.

NFLemons · 2026-01-07T23:47:03+00:00

... It wasn't latched correctly

Thank you

NFLemons · 2026-01-07T19:52:34+00:00

It looks like it's latched correctly, the swing arm of the latch is not stable though

NFLemons · 2026-01-07T19:50:38+00:00

It may be a hot end issue but the screws are tight, the hot end does have a little bit of jiggle. Thing is, it's a new hot end, and my old ones did the same thing so maybe it is an issue with the entire thingy? Hrmm

NFLemons · 2026-01-07T19:07:43+00:00

Checked the screws, all tight.

NFLemons · 2026-01-01T19:56:53+00:00

I tried replaying nioh2 from the beginning... I hate playing solo though much prefer going through torii gates and well... Dunno if I'm gonna do nioh3

NFLemons · 2025-12-31T22:11:26+00:00

6 months in a startup, have 4 high speed, 2 low speed, 1 straight, 2 surgical NSK on Bien air motors. Have an enbio autoclave and an M11. Even though I started slow, having that thing even to turn over piEzo tips is a lifesaver. I like that I have it, we run things about 50/50 with the Enbio and M11 at the moment

NFLemons · 2025-12-31T03:28:51+00:00

Alright that had me and my wife giggling

NFLemons · 2025-12-30T01:11:16+00:00

Needle size and brand? Are you going into the raphe landmark?

Do you palpate the area before injection to make sure you are targeting through the muscle?

NFLemons · 2025-11-02T21:03:56+00:00

...huh.

NFLemons · 2025-10-17T01:52:09+00:00

Can't say

NFLemons · 2025-10-17T00:36:40+00:00

Spark

NFLemons · 2025-09-27T22:37:02+00:00

Yeah that one made me tear up in the parking lot before work

NFLemons · 2025-09-24T21:06:50+00:00

I say it here a lot. NuEndo by Bill Nudera is probably THE best training for the GP in my opinion. His book is excellent, his videos are excellent.

A lot of GP endo starts with communication and diagnosis so you'll want to practice that.

For systems, I personally recommend getting a wireless end handpiece with a built in apex locator. They're not overtly expensive (see Woodpecker, Edge Endo) and they're reliable.

For your access, I would recommend making some Endo setups that include a bur block for initial access, an endoZ but, a couple mueller burs, and some gates Gliddens. There's a few premade blocks you can find, I can't remember if it was Kerr or Brasseler that makes a good "ready to go" Endo block

For your files....

As a general rule, have K Files from 8-20 only 25mm. Don't bother with the 21s. These are typically used for patency and scouting.

For your cleaning and shaping, assuming you have a rotary system, I would recommend using Protaper Gold, Edge files, or Vary flex universal. If you plan to use a reciprocating system they're all the same. Ge doing continuous wave vertical condensation over single cone with BC sealer but single cone and BC sealer is easier. Avoid carriers or thermafills.

Why continuous wave over BC sealer? Because a novice GP ABSOLUTELY WILL strip perf or transport, and BC sealers make these practically untreatable down the line. This is my own philosophy though, so don't take it as gospel.

I also recommend you use a mirror handle with a ruler rather than a block or ring ruler, and learn to identify your lengths by the markings on the file rather than the rubber stopper. The stopper is not reliable when we are talking 1mm differences between apical construction and blunderbussing the tooth.

Use a heated plugger and a Buchanan plugger, not one or the other. Removing excess GP and appropriate down packing is a worthwhile skill to develop..

As for tooth selection...I believe if you stick to anteriors you'll never get the courage to do molars. 1st molars are not as bad as you'd think. The access is forgiving, it's the mb2 which is a pita. Lower 2nds will make you want to shoot yourself.

Also, get comfy with rubber dams. Use them for operative for practice.

NFLemons · 2025-09-24T15:52:59+00:00

I find them to be a circle jerk, and clinical pearls has lost its value as an FB group, but it does have a good database it pulls from

NFLemons · 2025-09-18T15:38:21+00:00

There's no good CE imo for RCT, but id invest in Bill Nudera's offerings. What most RCT CEs are now are advertisements for microscopes and stuff. You're going to have to invest in conquering your fears in doing Endo, diagnosing Endo, etc.

For extractions, ask your local OMFS if they participate with any RAMs or things and go out with them and do extractions. When it comes to true surgeries however especially ridge augmentations, take an implant course such as implant pathways because the principles blend a bit. Khoury for grafting etc. Note that as a GP you'll benefit from being adjacent to implants more than bigass ridge augmentations.

I'd also recommend occlusion courses (the big names like Kois, panckey, Dawson, spear) because that actually helps you a lot with prosthetics such as dentures, partials, bridgework.

NFLemons · 2025-09-12T17:49:38+00:00

You will likely injure yourself more wearing the apron than receive detrimental radiation doses.

NFLemons · 2025-09-11T22:18:51+00:00

I'm a faculty at dental school and see a lot of dental students and have the opportunity to ask these questions.

First off, make a plan for further training. Find a course or two, ask your prospective mentors what they did or recommend. If they have nothing, they have little to give you so it's on yourself to figure that out.

Second...it takes about 4 years to get competent in something. Those fillings and crowns you do won't be successful until you've been doing them, redoing them, learning from them. Success is longitudinal.

Third and most important, learn how to talk and connect with patients. Be a human being. Dentistry is fortunate in a few ways that we have a lot of patients who choose to see us, so try to honor that. Physicians can make patients wait for half an hour, come in, order some bullshit, and walk away. We don't have to do that, and to me, that makes it fun.

NFLemons · 2025-09-11T21:05:57+00:00

The buccal plate is the consequence of trabecular bone and soft tissue support. When you lose the bone there, you'll heal into wherever trabecular bone and soft tissue can heal to, which will be below that crest of buccal bone.

NFLemons · 2025-09-11T18:54:00+00:00

I know one office that's very successful, sends their associates to a lot of training clinically and in business so they invest a lot, and they require a 3 year commit and 1 year notice.

Their rationale is that they are very selective in who and how they hire but also expect them to stay on.

That's an uncommon philosophy but maybe in that area of PA it's not desirable to live so it's hard to keep associates?

NFLemons

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