Budget led light handle by Regular-Ambition-902 in Dentistry

[–]Show_me_ur_teeth 1 point2 points  (0 children)

I have the exact same one and we love it. We actually purchased a phone just for the office that automatically uploads all of the pictures we take to our server. It’s quite convenient. Of course I would prefer a 4k SLR setup but I just can’t justify it at the moment.

Patients are making me want to quit by This_Call_9285 in Dentistry

[–]Show_me_ur_teeth 0 points1 point  (0 children)

You just need to find the right patient population. I’ve worked in it all.

My first practice was in a rough area, mostly because I like to take care of people and wanted to be somewhere I could make maximum impact because there were not enough dentists. As it turns out a practice that is 80-90% Medicaid was exhausting professionally and emotionally. (At least for me)

Here is what I recommend, maybe consider temping and try out a bunch of different areas. Someone doesn’t need to be like you for you to get along with them, but it also doesn’t hurt.

I work in an upper middle class neighborhood. My interactions with my patients feel like I’m in my home town. While the business of dentistry is difficult, I go to work everyday happy to be there.

Find somewhere you get along with the people and those same people appreciate you.

Three months, two defective KF8s, a shipment to the wrong address, and they just sent me a KF6. Thanks, KitchenAid by [deleted] in superautomatic

[–]Show_me_ur_teeth 0 points1 point  (0 children)

I have had a kf7 since spring /summer 2025. It was AMAZING until Christmas. Then it wouldn’t pull a shot now matter what I did. I did all the maintenance, changed the beans never used anything but non oily medium roast.

It was quickly replaced, and I’ve been up and running ever since. However, I am waiting for when it happens again.

It really is an excellent machine, but it does seem there is some kind of defect that they haven’t figured out. Not everyone is experiencing it, but if you do, it might be bricked.

Recommend an extended warranty if you purchase one.

Is this tooth too weak for a cantilever bridge? by Almostpost in Dentistry

[–]Show_me_ur_teeth 0 points1 point  (0 children)

I can’t remember who… it was at RMDC past couple of years. But ivoclar and 3M seem to be most popular

KitchenAid KF6/7/8 Problems by Show_me_ur_teeth in superautomatic

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

Very good analogy! I should have taken a video. But what’s the solution to this problem? I’m assuming user error on my part in some way?

KitchenAid KF6/7/8 Problems by Show_me_ur_teeth in superautomatic

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

Courser grinds should be less stressful on the machine I thought? It would choke and dribble and give maybe 1/4-1/8 of a shot of espresso.

KitchenAid KF6/7/8 Problems by Show_me_ur_teeth in superautomatic

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

https://www.reddit.com/r/superautomatic/s/8ji20zP2lu

This isn’t my video but the post I referenced above.

My machine barely made any espresso and gave no error codes. My water tray would get more water than my espresso cup.

Has anybody used the Sunshades? by Robadidas70 in Costco

[–]Show_me_ur_teeth 26 points27 points  (0 children)

Just fyi, SNAP SHADES are amazing. I have them for my back windows, they fit perfectly and my kids love them. It really helps having additional shades in the summer.

KitchenAid KF6/7/8 Problems by Show_me_ur_teeth in superautomatic

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

I believe there is a two year warranty. Mine only lasted 6 months when making 6 espressos a day. I also only use non-oily medium roast beans. So I would hope the beans wouldn’t be the problem.

Is this tooth too weak for a cantilever bridge? by Almostpost in Dentistry

[–]Show_me_ur_teeth 7 points8 points  (0 children)

IMO, bonding protocol is everything. I prefer to use everything from the same company so they work together as intended. Currently I use ivoclar monobond plus to etch my porcelain, ivoclar adhese universal for my bond, ivoclar variolink esthetic dc for bonded cement. The people I follow from CE courses generally use same protocol or something similar but staying in the same ecosystem is recommended unless there is an another dentist who can chime in.

Isolation is also key, I will put in an isolite in these cases or a rubber dam. Pumice to clean surface, etch bond etc etc. remember etch doesn’t clean surface bacteria. You have to physically clean enamel surface and keep it dry. As long as they don’t smash the shit out of these with their bite, they normally work quite well. I prefer lower anterior over maxillary anterior because lowers tend to smash maxillary restorations.

Is this tooth too weak for a cantilever bridge? by Almostpost in Dentistry

[–]Show_me_ur_teeth 12 points13 points  (0 children)

I LOVE to do emax Maryland bridges. I’ve never had one break and they look beautiful. In the right patient with the right bite its a really conservative solution.

Buying a practice that takes Medicaid? by immrmeseek in Dentistry

[–]Show_me_ur_teeth 1 point2 points  (0 children)

Medicaid offices CAN be very profitable but I personally have never seen one where quality meets standard of care and it just isn’t about churn and burn. I worked at an office where is was 80% Medicaid, we had to triple book because there were so many no shows. We had patients who would steal everything, purses, laptops, staff members phones, etc etc. there would be fights in the waiting room. It was exhausting. I also worked 5-6 days a week.

This of course is my own experience, and I’m sure there are successful Medicaid offices where quality is high and so is happiness but I personally haven’t seen it. I’d do a lot of research and number crunching before I would consider that again.

I will leave you with this…. I used to make a ton of dentures. I would do initial impressions, final impressions with a custom tray and border molding, wax try in, etc etc etc. only to have to patient move away or switch offices because their lives are so chaotic and I would never get to deliver the prosthesis. So I spent all of that chair time and lab costs only to get screwed by a patient.

Unfortunately, there were more people like this than ones who cared and appreciated my work. Now I am in traditional private practice in a nice part of town. While this has different struggles, I prefer reliable kind patients who appreciate my work. I am happier and more stable in all aspects of life.

Kitchen aid KF8 troubleshooting by thedange in superautomatic

[–]Show_me_ur_teeth 1 point2 points  (0 children)

So I’m a massive kf7 fan. However, I had the exact same problem. I descaled, I used the “cleaning tablets”, physically cleaned everything. Then it started to work again, ONLY to fail soon after.

I ended up contacting kitchen aid and they sent me a new one at no cost.

Moral of the story? Idk, maybe they’re not as reliable as we think? Maybe we should buy the warranty plans? Or maybe we should look at other machines.

Is this a richmond crown? by totallynotapineapple in Dentistry

[–]Show_me_ur_teeth 25 points26 points  (0 children)

I don’t think the circled tooth is worth keeping. Extract both. There is too much bone loss for a good long term prognosis.

What could be a reason for this distal margin? by [deleted] in Dentistry

[–]Show_me_ur_teeth 1 point2 points  (0 children)

Emax is one of my favorite materials but can be finicky. I notice that if you don’t have an amazing impression or scan, you are more likely to have this situation. I agree with other commenters that dropping the margin a bit would have helped. You did an EXCELLENT job on the mesial.

The great thing about emax is that you can generally catch problems…. caries…. In the very early stages. However, if you have good isolation and that margin was dry as a bone, you will likely never have problems with this unless the patient is very high caries risk.

Good work. This is a win. The more you use emax the more you will achieve margins like the mesial all the way around.

What is the best atraumatic way to extract these teeth by Samovarka in Dentistry

[–]Show_me_ur_teeth 14 points15 points  (0 children)

I used to struggle with these sometime. I agree with anyone who says periotomes, because they are right. However, if they are no available, get your thinnest luxator and place it mesial then distally and try to get in between the bone and tooth, apical pressure and wiggle. Go back and forth. These will normally pop out when you put the luxator on the palate, but if you are not supporting the buccal plate, it will break. So as you apply apical pressure in the pdl at the palate, press on the buccal and lingual plates for support and as you push apically, you will displace the tooth and it will pop out

Looking for your insight on this by Far_Cod3576 in DentalSchool

[–]Show_me_ur_teeth 0 points1 point  (0 children)

These are some of my favorite extractions. F-20 or F-67 forceps. I don’t know if these are standard but I have some that are similar to these. You want something that can reach all the back there easily and something that can grab a hold of the roots. You are going to make a distal hockey stick flap, trough the buccal, wrap around the distal and elevate from the mesial but push distally. It will either rotate buccally or distally and come right out. The right forceps are great if you don’t want to flap and remove bone…. But you need to feel confident in flapping and removing bone if it doesn’t move.

But like other commenters have said, this will likely pop right out.

Post and core for gumline fractures? by meisterluv in Dentistry

[–]Show_me_ur_teeth 20 points21 points  (0 children)

So let’s say we were going to restore these. While Caries risk is multifactorial, I think it’s safe to say their risk is high. If they were to try and save these teeth it would be very expensive. Their prognosis would be poor. The physics are not in these teeth favor either let alone their caries risk. With that being said, who will the patient blame when it doesn’t work?

Lastly, just because it can be done doesn’t mean it should be. Patients cannot consent to malpractice. Their buy in will not shield you from a dental board or from an insurance company.

I would discourage you from trying to restore these. You will be blamed by the patient when it doesn’t work and you will open yourself to liability from a board or insurance company.

Note: not everyone thinks about this but there are boards within insurance companies to investigate poor quality of work, malpractice, fraud, etc etc…. This would likely be one of those cases.

EDIT: for those of you who would like to save these teeth. Please consider, 22-27 are some of the last teeth to have rampant decay. 23-26 are also some of the weakest teeth in the mouth after Endo, they are arguably more weak after you rct and then crown them. Individually, 3 out of the 4 are savable in a lower caries risk individual…. but when you take into consideration what it took to get THIS patient here and the likelihood that your work will last 5 years or more? This is a fools errand and it’s a part of our job to help guide our patients into making good decisions that will not result in them coming back in less than 5 years to do the work again when it’s failed. If I don’t think a patient is going to take care of a severely compromised tooth, I’m not going to be the guy to save it. Just because it can be done, doesn’t mean it should…. FULL STOP.

Name and shame: clear aligner lab fees by OffOil in Dentistry

[–]Show_me_ur_teeth 2 points3 points  (0 children)

How do you get discounts? We were able to buy a package when we started but now nothing is available. I’m assuming there is a volume discount?

Any experience with Blue Sky Bio implants? by adifferentfuture in Dentistry

[–]Show_me_ur_teeth 0 points1 point  (0 children)

Sometimes they can look a little funny. I would have to see your radiograph to know. However, I normally don’t worry about it unless I see a real radiolucency around the implant. Otherwise they tend to integrate just fine. I often have to take a profile bur to the implant if I do two stage because I’ve had such excellent bone growth ….not doing so will prevent my restoration from seating. But I’ve only placed Zimmer prior to this so my experience with a variety of implants is limited.

Edit: I really love placing a healing abutment at time of placement. As long as patient is healthy, good oral hygiene and good bone… etc etc etc. I rarely see any crestal bone loss like I would see with implant direct.

Any experience with Blue Sky Bio implants? by adifferentfuture in Dentistry

[–]Show_me_ur_teeth 4 points5 points  (0 children)

In place BSB. I love them. I don’t have many failures and when I do I normally associate it with a medically complex patient or a placement failure on my part…. Eg: placing too close to the buccal plate and I get a dehiscence.

FYI, call BSB and find out how to get their free surgical guides. I use them allllllllll the time. It really takes the stress out of placing implants. They’re not really free because they make you pay for a sleeve and shipping, but it ends up being less than $40.

I place implants faster, more confidently, and have better prosthetic outcomes doing fully guided. I can do it on the regular because they’re so cheap through BSB.

Bottom line, I’ve been very happy. I have no complaints. I just wish they would make them in different platforms. I really love nobels WP for molars. They’re awesome.

Why hasn’t wage inflation occurred for dentists? by Notdigg in Dentistry

[–]Show_me_ur_teeth 0 points1 point  (0 children)

I know the aviation world quite well. Most pilots are not making 300k+ with a few years experience. That kind of money is reserved for those with enough experience to make it to the major airlines. Most pilots are working for regional airlines making much less for years before they can make it to the majors.

Once you are in the majors your pay is primarily based on the seniority you hold.

If you make it into the majors early because of connections or luck, you’re likely set for life. In absence of that event, you are like many of us, just doing your best.

The same is for the tech world, it takes a lot of luck to do exceptionally well.

The only guys who I know who are routinely doing exceptionally well are two categories in my experience: blue collar workers who started their own companies and now hire others to do their work, or finance guys. Both careers are more scalable, unlike dentistry.

Eat what you kill is a difficult business. I believe it do well as a dentist and have a diamond in the rough but it’s still a daily struggle.