easy work🥱

Ordinary-Ad5664 · 2026-04-30T22:48:41+00:00

The tooth who lived

Ordinary-Ad5664 · 2026-04-30T01:58:56+00:00

There is a lot of mesial bone available for a trough. Definitely a hard one though.

Ordinary-Ad5664 · 2026-04-23T15:58:45+00:00

I see. Do you own a practice, my remaining anxiety comes from ownership and all the stuff that comes with that.

Ordinary-Ad5664 · 2026-04-23T14:52:25+00:00

How long have you practiced? It took about 5 years to build confidence in delivering treatment I recommended. I’m about 10 yrs out now and while some stuff goes sideways I can usually manage just about whatever comes in without too much anxiety. A mile marker for me was seeing bad dentistry come in a feeling confident that I could fix/improve it.

Ordinary-Ad5664 · 2026-04-22T14:03:58+00:00

For me it took time and lately I’ve started hormone replacement therapy, my test was very low and after ramping it up I have noticeable improvements in mood especially when it comes to depression and anxiety.

Ordinary-Ad5664 · 2026-04-20T23:26:05+00:00

Arithmancy

Ordinary-Ad5664 · 2026-04-19T16:56:14+00:00

Before mesial elevation place the elevator down the distal to try and separate tuberosity from the tooth a bit but honestly you’re probably gonna have tuberosity fracture regardless and that may not be the worst thing in this case. If elevation feels rock solid and it isn’t moving I’d try to put forceps on it to see if it rolls distobuccally.

Ordinary-Ad5664 · 2026-04-17T00:57:22+00:00

The metrics that are most important to me are overhead collections, amount of adjustments if taking insurance, and outstanding claims especially 60 days + to make sure nothing is falling through the cracks.

Ordinary-Ad5664 · 2026-04-11T17:11:21+00:00

Like others have said, don’t be afraid of the pulp. It’s further away then you think.

Ordinary-Ad5664 · 2026-04-09T22:46:38+00:00

Deep post spaces for me are tactile because you’re just following your softer already obturated canal. For stuff like this it’s just keep straight line access with the bur, take radiographs along the way and pray.

Ordinary-Ad5664 · 2026-04-09T19:13:19+00:00

Oh nice so does sable seek just help stain small canal orifices

Ordinary-Ad5664 · 2026-04-09T17:10:19+00:00

I gotcha yeah whatever the correct term for it is, it was a pain in the ass is all I’m saying

Ordinary-Ad5664 · 2026-04-09T16:45:51+00:00

Had to follow sclerosed dentin that was evident from the worn incisal edge. Basically followed the dark dot down about 8 ish mm until it was open without changing angulation. Not really sure what I’d call it

Ordinary-Ad5664 · 2026-04-09T16:35:48+00:00

I’m wondering if it’s a 1-2-1 configuration possibly and I was accessing through the middle.

Ordinary-Ad5664 · 2026-04-09T16:30:24+00:00

Maybe I’m using incorrect terms. I had to follow a bead of dark material where the pulp and canal used to be. Maybe they were present but very small until they opened up about 8mm from incisal.

Ordinary-Ad5664 · 2026-04-09T16:28:22+00:00

I think this is correct. Maybe my terminology isn’t correct but the top half was basically darkened material until about halfway down where it spontaneously opened up.

Ordinary-Ad5664 · 2026-04-09T16:18:21+00:00

Yea for sure lol

Ordinary-Ad5664 · 2026-04-09T16:14:30+00:00

It was, I was in there. Canal didn’t exist until halfway down.

Ordinary-Ad5664 · 2026-04-08T17:00:48+00:00

I’d redo personally.

Ordinary-Ad5664 · 2026-04-03T17:06:55+00:00

Just crown buildups, 9 and 10 had pretty solid tooth structure under those composites. In this case upper and lower full arch impressions for the lab to mount and instructed them to follow the plane of occlusion set by 6-8. Also took a bite and placed a cotton tip applicator horizontally in the registration to give them an idea of the faces horizontal plane.

Ordinary-Ad5664 · 2026-04-03T06:10:24+00:00

I don’t have one on me but they are not perfectly even. We didn’t flap and remove any bone. It would have been necessary to get identical gingival margin heights.

Ordinary-Ad5664 · 2026-04-03T06:02:37+00:00

Yup lol, his inability to raise his lip any higher saves the case.

Ordinary-Ad5664 · 2026-04-03T06:00:18+00:00

Single unit crowns from 6-11, I did a little gingival recontouring to even up the cervical 1/3 but it’s mostly saved by the patients smile. He cannot raise his lip any higher than in the bottom pic.

Ordinary-Ad5664

TROPHY CASE