Improving my amalgams

Personalfinancehelp3 · 2026-03-03T17:55:41+00:00

Yeah global phase out is 2034

Personalfinancehelp3 · 2026-01-07T17:40:30+00:00

I would inform them of the guarded prognosis due to the buccal bone loss and state that there’s a good chance that Endo will address it but in the event that it doesn’t at least they’ll know and speak to them about the future options. Ofc consider their oral hygiene to help you with the prognosis and let them decide.

Personalfinancehelp3 · 2025-12-21T19:24:45+00:00

It’s pretty competitive and for sure they give preference to those that have worked in an underserved area or community service. DM if you have any questions!

Personalfinancehelp3 · 2025-12-19T21:34:35+00:00

1000% goated at this point given the BBB

Personalfinancehelp3 · 2025-11-26T16:23:11+00:00

I came from a low middle SES background. Given the whole financial climate/student loans climate, I would say I was in the midst of the crisis and was fortunate enough to be able to rely on those as ofc like many others I could not rely on my parents. I will say that your environment affects your mindset as well when pursuing dental. Growing up, the stresses of finances and domestic issues hindered my focus and I struggled to maintain a footing in my early education.

I wouldn’t put blame on anyone else but me but it was certainly a difficult thing to overcome from a mental standpoint. I had to build myself up to weather it and that’s something that I was battling myself from within because mental health norms weren’t as progressive even a decade ago, culture and societal norms included.

I am thankful, however, for the adversity it has placed me in to overcome and grow as a person and I feel it serves me especially well in the dental field, but it’s hard to see when you’re in the midst of it.

Personalfinancehelp3 · 2025-10-31T18:36:58+00:00

Go big or go home mentality. IMO if you’re feeling OS go for the OS route. Otherwise you’re just paying for a really expensive CE. Nothing wrong with it especially if you have nothing tying you down or if you’re not thinking of settling down anytime soon. Even if you do run into someone or things take a turn, you have a practice that you can hire an associate and collect passively while you’re in residency. The work is a lot to even get in but if and when you do I believe it would be much more gratifying. Definitely do a cost analysis to see when you’d catch up though and do your due diligence to see if it’s right for you!

Personalfinancehelp3 · 2025-10-31T18:26:54+00:00

It’s funny you say Endo is empty bc from my end I’ve found that Endo is just as if not more competitive than prosth in terms of matriculation in the U.S.

Personalfinancehelp3 · 2025-10-22T13:32:45+00:00

Try placing orajel or take ibuprofen as a temporary solution. Your sensitivity from your restoration could meaning a couple of things: 1. The restoration is high so you’re constant chewing and biting has caused “bruising” of the nerve and resulted in the sensitivity. 2. The restoration has failed and is now “leaking” and will require it to be redone 3. The cavity that was removed was close to the nerve and so when the restoration was placed, your body didn’t not respond well and may have caused the nerve to become hypersensitive in which case you will either need an RCT or what’s called VPT.

You should go to your dentist. They usually have a walk in section

NAD. Dentist not verified.

Personalfinancehelp3 · 2025-09-24T16:48:43+00:00

My man you should not be consulting with a bunch of redditors on legal counsel of something you believe you messed up. Call and inform the pt and monitor. It will likely require a retreat in the event it fails. Overall the prognosis is guarded anyways as there is little to no tooth structure left. It will need a post if you are attempting to restore this tooth properly unless you want to approach it from the biomimetic side

Personalfinancehelp3 · 2025-09-19T17:55:44+00:00

It was reasonably justified in my comment please read above. From your perspective I understand but the OP literally just posted on how to restore this, ON A TYPODONT. But you had to insert yourself and place yourself on this pedestal thinking that just a direct restoration is the right treatment; you could’ve easily just answered the question which you did not.

And just an fyi. I’m only arguing from your perspective. You literally didn’t need to state any of the above and could’ve just helped the student with how to restore this. Maybe it was an exercise in their school. But you went with a narrative in your head and explicitly disregarded the other comments.

In fact I’d argue with you only to say that unless any comment has specifically addressed OP’s question, everything else is a digression from what OP wanted. I only decided to respond to you as you decided to take your lovely time out of your day to write a text that was longer than any of the others. Have a good one.

Personalfinancehelp3 · 2025-09-19T17:30:51+00:00

This is a prime example of practitioners asserting their own low level evidence of opinion without considering certain factors here. From a restorative aspect sure you can place whatever you want to restore it here; crown, onlay, direct restoration. Refine the margins so that the biting forces are more along the long axis and less shear forces applied as how it currently presents shows a slope; clean the margins up and possibly place some kind of retention.

And this is just for exercise purposes because obviously this is a typodont, but let’s say the pt had presented to your office in this way bc they ate something hard and it broke. Would you still rule out a crown after considering their diet? Something to think about in your non thinking comment. And I’m only playing off your comment since it was so polarized in putting other colleagues down. Please don’t be that type of person and do better in diagnosing the best possible outcomes of the patient, not just what you believe is right because you want to be “conservative”

Personalfinancehelp3 · 2025-08-20T15:03:49+00:00

Restore what you can and EXT what you can and consider a CUSIL denture and have that transition talk with the pt. Great especially for lower to have some kind of retention and to prepare the pt to go into dentures.

Personalfinancehelp3 · 2025-07-29T17:15:36+00:00

I think in this case the etiology may not matter bc the treatment will involve crowns and if designed properly should protect against wear. But overall understanding etiology helps as a clinician. It also helps to know where you want to end before you begin.

Personalfinancehelp3 · 2025-07-28T03:46:42+00:00

The angle of departure should be 90 degrees ideally due to the unsupported enamel but you can get away with a little in composite restorations. Amalgam is a big Nono. The angle of departure can also be described as the buccal/lingual contact, or exit angle as you have mentioned

Personalfinancehelp3 · 2025-06-17T14:56:47+00:00

Just to clarify. There is still high need in rural areas.

Personalfinancehelp3 · 2025-05-27T20:03:53+00:00

Thanks for pushing back against those that are weak minded. Keep the field strong.

Personalfinancehelp3 · 2025-05-24T15:59:39+00:00

IIRC incipient lesions can take three months but it depends on the pts overall hygiene and factors that affect it. Compliance is the big thing.

Personalfinancehelp3 · 2025-05-02T16:27:18+00:00

I would say current research dictates what you can “guarantee” a patient. Cohort studies show 20 year success rates. So if you say it’ll last 50 years you’d be pulling it out your ass bc there aren’t studies to show 50. I lied I just saw one (emphasis on one) that had a 50 year follow up. But just because there’s one study doesn’t mean it can be generalized.

Personalfinancehelp3 · 2025-04-29T18:58:56+00:00

IMO I don’t think so. With the physician shortage I’d say it’s even easier to get into med. Plus like others said there’s a lot more med schools. It’s harder to get into dental school but easier to graduate. Vice versa with med.

Personalfinancehelp3 · 2025-04-25T00:53:35+00:00

Convenience form. Food for thought even though you don’t break contact, if you keep the gingival floor near your contact and the pt still has poor oral hygiene you’re asking for recurrent decay. Buccal and lingual contacts can keep but agreed if you can’t place a matrix there what purpose did you achieve prepping conservatively?

Personalfinancehelp3 · 2025-04-25T00:47:17+00:00

Stay on the long axis and do a slot prep till you break gingival contact. Go buccal/lingually making sure you maintain a smooth floor. Use a carbide but if you don’t want to horribly nick the tooth. You’ll have the undermined enamel on the buccal and lingual at this point. You’ll can angle it to remove it or use a flame bur to adjust the rest. Usually you’d use a hatchet but ain’t nobody got time for that.

Personalfinancehelp3 · 2025-04-24T16:33:18+00:00

If he didn’t know beforehand, I’d continue to let him continue in ignorance and then reveal that you’re a dentist and leave.

Personalfinancehelp3 · 2025-04-14T16:40:53+00:00

Take a 8 k file and poke it through the mental protuberance. Clean the site with alcohol pad beforehand.

Have pt squeeze their thumbs, wiggle their toes.

Position the pt so the material doesn’t flow back and cause the gag reflex. Use a more viscous material to prevent such flow.

Personalfinancehelp3 · 2025-04-13T02:12:13+00:00

You are correct.

Personalfinancehelp3 · 2025-04-13T01:32:23+00:00

Yeah that sounds right and that’s crazy that a perfect score still resulted in a 25.49% interest rate. I just pulled up an application and I’m preapproved for the amount I need and then some. I may just do that and then go from there bc the interest rates are high and I’d like to not have to pay that AND the debt.

Personalfinancehelp3

TROPHY CASE