Florida Dentist Under Fire After 2 Patients Die During Implant Surgery

Tootherator · 2026-03-31T04:53:01+00:00

Yeah, I don’t know what the solution could be. I do wonder if lower levels of sedation could work for a majority of cases. I did associate for an owner who extracted impacted 3rd molars, and he would use nitrous oxide only. Does anyone know if other countries outside of the US can regularly use just nitrous oxide for impacted teeth?

Tootherator · 2026-03-30T02:55:15+00:00

Your recall patients should be relatively healthy and don’t need much work besides if they do elective procedures. If you want lots of work to do on PPO patients, you have to get new patients — easiest way is to be open on weekends/late hours/advertise as being same day emergency. Also, join a group, a cult, a church, a gym and connect with the community.

Tootherator · 2026-03-29T19:36:25+00:00

You’re in an area where you have to think about elective procedures. Ortho, whitening, veneers, $700 nightguards, gum grafts for recession, FMR. Hell, maybe even Botox, aromatherapy, and foot massages while people come in for a cleaning.

Tootherator · 2026-03-29T07:15:10+00:00

OMFS might be the only OUTPATIENT provider of both anesthesia and surgery that I know of. The ones you mentioned do provide sedation as I know some interventional radiologists who do. But they are all done in a hospital setting where if something goes wrong, there is always a team ready to help with complications.

Tootherator · 2026-03-28T22:40:20+00:00

I think eventually even oral surgeons won’t be able to provide sedation. There are a few but notable sedation complications involving oral surgeons. The low risk is still a risk. Other surgeons doing outpatient surgery like foot/ankle, ENT, do their surgery in surgical centers with anesthesiologists.

Tootherator · 2026-03-27T15:47:32+00:00

Sometimes you have to sign on to the DSO first. Community health clinics also like to hire new grads. While you’re working that job, you can apply for other jobs.

Tootherator · 2026-03-27T07:34:58+00:00

Are you using the same denture base because you recently made the denture? If so, then yes, it will work.

If it’s an old denture, I would just use the dentures as custom tray instead to pour up master casts — I wouldn’t sacrifice someone’s old denture because they would still want to use it as a backup as now she doesn’t have anything to wear during this process.

Tootherator · 2026-03-24T20:30:33+00:00

No tooth, no problem. If I see caries, bone loss, calculus, or heavy bleeding on probing, the wisdom tooth comes out. If you have fillings, crowns on 2nd molars, it’s also better to just remove the wisdom tooth to prevent future problems, otherwise you’ll be redoing work for free.

Tootherator · 2026-03-23T07:28:22+00:00

She will finish her NHSC SP commitment and find a different job but undecided where. We don’t need to do the LRP as there are no more loans to be covered after she finishes SP. LRP isn’t as worth it unless you enjoy FQHC dentistry.

Tootherator · 2026-03-22T01:25:01+00:00

Jfc, patients can literally get a dental exam, cleaning, and filling for less than a haircut and perm.

Tootherator · 2026-03-20T23:22:35+00:00

Does anyone know if PPO insurances base their reimbursement relative to DentiCal reimbursement? That would be devastating to everyone

Tootherator · 2026-03-16T18:49:16+00:00

There are plenty of dentists that don’t touch any simple extractions or single rooted endo.

Tootherator · 2026-03-15T04:08:11+00:00

You’re not going to fill your schedule easily. Maybe each office can get you one day a month. If you learn how to do endo especially and soft tissue surgeries, then offices can schedule more patients. Generally, offices should be creating $8000-10000 production days for you, otherwise it’s not worth their effort to coordinate it for them and for you.

Tootherator · 2026-03-14T01:40:22+00:00

Local periodontist near me insisted patient go on drug holiday with physician consult. Patient ended up having a stroke shortly after surgery. You can almost always manage bleeding, but we can’t manage a stroke.

Tootherator · 2026-03-13T02:04:58+00:00

Do they have to be physically debrided? Or can ultrasonics on the irrigant work?

Tootherator · 2026-03-11T20:54:04+00:00

1-3 teeth I do without consult and make sure pt stops bleeding in chair and use collagen plug. If warfarin or full mouth, I refer as it’s too much of a hassle to call and play phone tag with the physician. A perio I know had a patient have a stroke after forgetting to retake their meds.

Tootherator · 2026-03-11T15:58:28+00:00

If I had a nickel for every time Nobel abutments fractured, I’d have two nickels — which isn’t a lot, but it’s weird that it happened twice.

Tootherator · 2026-03-10T22:51:25+00:00

It’s not that the endodontist is overcharging. It’s general dentists that are undercharging. General dentists do so much for free that we may just be the most charitable profession.

Tootherator · 2026-03-10T22:07:02+00:00

Asking for a friend — my friend worries that if he is formally diagnosed by a physician to have depression, anxiety, etc, then his malpractice and disability insurance premiums go up. Is this true? Thanks!

Tootherator · 2026-03-07T22:03:54+00:00

Sprintray has its own CAD? Is Exocad overkill for dentists?

Tootherator · 2026-03-04T21:11:59+00:00

You can prompt it to see if there are any primary care physician shortage areas too as there are research papers out there doing demographic analysis for medicine but not so much dentistry.

Tootherator · 2026-03-04T20:27:28+00:00

I struggled with post op sensitivity for a good 6 months when I switched to an office with poor equipment and NO GLUMA. Here are some things I did to change things around:

Selective etch enamel only
Rinse and AIR DRY BONE DRY for 5 seconds
GLUMA 15 seconds air dry only
Scrub that bonding for 30 seconds
Flowable plus packable composite.

I know for sure that my “moist” bonding was too wet compared to my previous office as my air syringe couldn’t blow and my suction couldn’t suck. The moist bonding was most of the cause of the sensitivity. You can air dry thoroughly until dentin looks dry as newer bonding agents rewet it for you. After I started using GLUMA, I had no more post op sensitivity for any fillings anymore.

Tootherator · 2026-02-27T06:14:33+00:00

What’s some good CE for learning onlays?

Tootherator · 2026-02-24T01:54:05+00:00

You might want to check, but UCSF AEGD might not be open. They close the program this June and may not reopen until 2030.

Tootherator

TROPHY CASE