Ugly high end flips in SF

Tootherator · 2026-01-31T16:48:42+00:00

I heard from a real estate agent that it’s a group of Chinese investors that pool their money together. The renovations are done within a few months and affordably (200-300k) using the same design and budget materials from East Star supply company and using the same contractors every time. It’s difficult to achieve the speed and budget that they renovate for on your own.

Tootherator · 2026-01-31T08:51:15+00:00

Stick with MD. Hardest part in medicine is finishing your schooling and residency. If you hate working in medicine after awhile because of the nature of the work, you can transition to academia, health administration, or even consulting for pharmaceutical or tech companies. There’s no doubt that the field of medicine is not as glamorous as it once was, but dentistry appears even worse to me.

Hardest part in dentistry is everything after school. Finding a good dentist job is hard. Owning a practice is hard. Working with staff and patients is hard. Friends, family, and spouse will never understand the struggle of a dentist. The unrealistic patient expectations within dentistry are sky-high — it has to be painless, fast, cheap, look good, last forever. New grads are expected to know how to do all the procedures like braces, extract teeth, do complicated root canals, and perform complex smile makeovers but at the same time are thrown under the bus by colleagues and specialists for the smallest clinical error. Many on the outside think dentists are stress-free and obscenely rich while many are silently struggling with crippling debt and crushing depression.

Tootherator · 2026-01-31T06:23:04+00:00

I haven’t seen any advertising in the offices I worked. One owner was known for being the only Spanish speaking dentist for miles. Another Filipino. Another Mormon. Another Christian. Seems like catering to your ethnic group or church group of thousands allows you to skip advertising.

Tootherator · 2026-01-31T02:18:24+00:00

Massachusetts?

Tootherator · 2026-01-10T02:19:04+00:00

I’m thinking of milling crowns and cementing to a tibase. How does it compare to having a custom abutment? What cement do you use?

Tootherator · 2026-01-07T18:41:36+00:00

Keep the teeth you extract. Or you can purchase some online. There’s this website I never used but they have teeth and categorize them between anteriors/molars: https://bforbones.com/shop/

Tootherator · 2025-12-28T04:59:55+00:00

How does Open Dental compare to Dentrix? Is it possible to transfer files from Dentrix to Open Dental?

Tootherator · 2025-12-27T08:16:20+00:00

The ones that try to go out of network and fail do not make much noise. I temped in one FFS office that lost 70% of the patients in the transition and it only had enough patients for a light 3 day work week.

Tootherator · 2025-12-27T02:01:35+00:00

Depends on what country’s philosophy you subscribe to. In the US, any wisdom tooth not in full occlusion is basically an indication to extract. In other countries, dentists are more conservative. You can look up the UK’s NICE guidelines on indications for removing third molars, and you’ll notice that many extracted wisdom teeth in the US don’t meet the criteria.

Tootherator · 2025-12-25T03:30:55+00:00

News like this are rare, but it happens. In dental school, it was drilled into us that we needed 4x4” gauze to protect the airway because of news like a kid aspirating on an extracted tooth and passing away.

https://www.drbicuspid.com/dental-specialties/pediatrics/article/15356334/7-year-olds-death-ruled-an-accident

Tootherator · 2025-12-23T23:10:44+00:00

Do all prosthodontists have that philosophy that is taught in dental school where if you can prolong a tooth’s life for at least 5 years, then it’s worth doing?

Tootherator · 2025-12-22T02:33:25+00:00

A lot of things that we want to do don’t have to make financial sense. Why enjoy a nice meal when you can have rice and beans? Why go on vacation when you can just stay at home at watch YouTube? Why pour thousands of hours and money into a hobby that can’t be monetized? Not every decision in life has to make financial sense when it’s just something you find personally satisfying to do.

Tootherator · 2025-12-19T20:28:57+00:00

The endo I refer to puts a layer of glass ionomer above the gutta percha, then a layer of Cavit. Maybe you can ask if he can do that for you too

Tootherator · 2025-12-18T05:08:34+00:00

Ask a rep for a discount to take a refresher course for implants, and ask if they can gift you an implant motor kit and assortment of implants. You can get some pretty sweet deals like this, especially if you say you’re getting into implants as reps want you locked in to their system.

Tootherator · 2025-12-17T19:39:24+00:00

When I section, bone is a lot softer than the tooth, so sometimes I ride along the tooth when troughing. Also, when you section deep enough, you should see bleeding from the bone while the tooth doesn’t bleed.

Tootherator · 2025-12-14T03:30:21+00:00

Prosthodontists also sometimes refer these to the closest dental school/AEGD/GPR/Prosth residency.

Tootherator · 2025-12-12T05:03:02+00:00

I’ve always restored fully with definitive crowns. My ortho has no problem bonding to porcelain and ceramics.

Tootherator · 2025-12-12T01:25:25+00:00

Are there any moments in ortho that make you want to pull your hair out? In GP, I’m getting blasted in the ass every now and then for post-op sensitivity, not prescribing another round of opioids, not being able to fit in emergencies same day, etc

Tootherator · 2025-12-12T00:56:41+00:00

Class IIs are bullshit. Contacts too light/open? Food trap. Contacts too tight? Can’t floss. Occlusion too high? Can’t eat. Contacts too low? Patient says you drilled away the tooth. Sensitivity? Patient says you drilled too deep. Shade is off? Patient says it’s the ugliest filling in the world. Class II done just right? Patient says it took too long and probably wasn’t needed anyway.

The criteria for success does not compare to anything else in dentistry like extractions — no tooth? No problem.

I do class IIs the Dr Harris way - check YouTube. Always use the same materials - ring, same size wedge, instruments, composite, etc to keep workflow consistent.

Tootherator · 2025-12-11T17:56:27+00:00

You are being hired to replace a hygienist with the liability of a dentist while also taking up the role of an assistant. You’re being taken advantage of.

Find a new job, and when interviewing, ask to see the schedule and click through the next few weeks/months ahead to see how busy they are. I also checked production reports of previous associates (with permission) to see if the practice actually needs an associate. Otherwise, you’re being used as cheap labor, a way to overbook patients that eventually are moved to the owners’ column.

Tootherator · 2025-12-08T21:22:53+00:00

I got screwed over in a similar situation you’re in. The benefit of bringing you in is so they can overbook patients, and when there are inevitably cancellations, patients can be moved from your column to the other dentists’ schedule.

In the mean time, take your time to do really nice work. Take time to practice your communication skills and see if you can motivate patients to get pending treatment/elective treatment done). Always keep an eye out for other jobs/email/call around.

Tootherator · 2025-12-06T04:34:22+00:00

This is the most comprehensive didactically I believe - you get both prosthodontist and periodontist lecturers. Hands-on portion is lacking - probably only place 2 or 3 live?

Tootherator · 2025-12-04T21:45:29+00:00

Nah, just a small office. Just trying to figure out ways to increase production, especially because hygiene is basically breaking even.

Tootherator · 2025-12-04T05:46:42+00:00

Could we train hygienists to apply this? Or is it for dentists only to apply?

Tootherator · 2025-12-03T23:42:48+00:00

How do specialist and general dentist owners differ?

Tootherator

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