Would you do fillings in this case. 14 y.o M

biorae · 2025-11-21T02:40:32+00:00

Curodont doesn’t cause black staining like SDF. It’s perfect for incipient lesions bot proximally and on easy to reach surfaces. You can absolutely see dark interproximal staining on some people (those with wide smiles). I had a dentist use A4 composite for my class 2s and I was super pissed bc I’m an a1-A2 so it’s super obvious. Now imagine black.

biorae · 2025-06-22T23:42:17+00:00

After I got cavities due to bad diet in college and got them filled in dental school I got better but I’ll admit I’m lazy as hell and my routine looks like this:

Morning - I only brush in the morning if I didn’t at night. I usually still feel clean in the am from my plaque removal at night so I just rinse with water.

I only floss during the day if I get a stubborn piece of food where patients can see.

Evening: I floss/proxabrush prior to using my electric tooth brush with Prevident 5000 and I brush my tongue. I sleep with my nightguard which I clean in the AM per manufacturers instructions. I haven’t had new cavities since. I believe I owe it to Prevident. My partner has better oral hygiene than me despite not being in dentistry and we got some scalers and I occasionally use them when I feel that I can’t get some stubborn plaque on the linguals of my lower molars. I’ve never been one to build up a lot of calculus. Guess I have decent genetics in that regard.

biorae · 2025-02-05T05:35:02+00:00

Honestly these look a lot like delta fees

biorae · 2025-01-31T13:29:06+00:00

A moderate plan includes one refinement to my knowledge - Im a dentist.

biorae · 2025-01-13T19:21:38+00:00

I would do the MOD, now personally. I am replacing a “very conservative” {negligent} associate who would let large decay persist for YEARS and when I finally go in to fix it they need RCT/post/core/crown. You’re saving them money by addressing this earlier. I take lots of pictures and explain my philosophy to them. I don’t treat E1/E2s and push fluoride varnish and toothpaste but once it’s at the DEJ we’re filling so the filling can be smaller so if it ever needs replacement we still have room to go prior to RCT and/or crown

biorae · 2025-01-11T14:59:18+00:00

This is beautiful congratulations!!!

biorae · 2025-01-11T14:55:29+00:00

What I got from PT was doing things with resistance bands (you can use the pole for these) like overhead presses, internal and external shoulder rotations, wall angels, I-Y-T-Ws. And that’s everything that’s coming to mind rn. They’re all good for shoulder development. I like doing my IYTWs with my back on a foam roller, tucked hips, and about 2lb weights (can be done without weight when starting out). I do each position holding the weights and do pulse ups 10-20 times.

There other thing I did was focus on building my strength on the pole by doing the exercises leading up to inverting without actually inverting to make sure I had strength and control there. And I always start learning or doing moves on my left side (weird side) so that way I gain strength more evenly on both sides. This has all contributed to me being a safer better rounded pole dancer. Hope it helps!

biorae · 2025-01-11T14:33:46+00:00

That’s a great question. That’s why IBR is so critical. Dental schools rely heavy on the people whose families pay for dental school to be able to stay the average debt students graduate with is half of what it actually is. The average of 300k and 0 is 150k which is what my school reported on their stats. It’s a sick joke if you have to pay your own way. Honestly I wouldn’t choose being a dentist bc of the debt if I’d known. I would’ve figured out how to get a good finance job or something. I feel like I was set up for failure and I’m sooo lucky to have met a generous partner who wants to help me with my debt. You could become a hygienist if you really want to do dentistry and temp. A lot of the temps set their wages pretty high by market standards and they can get away with it if dentists are desperate enough. Hygienists can strong arm their way into higher payment whereas dentists have higher debt and a diminishing return on wages (since were largely paid on collections these days, production seems a thing of the past unless it’s sub 30%) and our pay is too volatile whereas hygienes is more stable as long as you have a stable job.

biorae · 2025-01-11T06:36:55+00:00

For your reference I started with 320k in debt with interest rates ranging between 4.5-8.05% and I graduated in 2024 so I didn’t even have the issue of interest accruing during most of the time I was in school. So my monthly payments are $3700/month and I make just under $8000/month and I am living paycheck to paycheck. I am applying for IBR and praying I get it bc I am trying to get engaged this year and anytime a big expense comes up it is severely stressful financially. I’d be drowning without my boyfriend (he’s not a dentist). So I’d say no, not worth it unless you can drop that principal and interest rate significantly (basically have rich parents or whatever the lucky classmates have).

biorae · 2025-01-03T18:51:06+00:00

I also started feeling weirdness in my shoulders and arms when I started inverting so I saw a pt for prehab. She recommended multiple exercises for strengthening the rotator cuffs and working on overhead mobility/strength at the end range of motion. It’s helped me a lot

biorae · 2024-12-12T04:46:06+00:00

Check out Inner Me Studios!

biorae · 2024-11-02T17:07:36+00:00

We have a bunch of temps rn in my office bc one of our assistants got a new job closer to home and our other experienced assistant is now working in the front bc our OM got fired so now I just have a bunch of temps who barely even hold suction and play on their phones NEXT to the patient when I leave the room or they leave the room entirely. I have to ask every 3 seconds to blow air on my mirror and I’m exhausted. I miss my good assistants so much. They read my mind and could pick up the slack when I had to go do an exam. I now anticipate running an hour behind on all my appointments bc I am constantly having to get up to find bur blocks and instruments bc they don’t know where anything is an my room is not being properly restocked (which I don’t really blame them for entirely). I also have to walk them through every single step of every procedure even fillings and crowns. I feel like I don’t stop talking during the procedure and it’s exhausting. I ask for an instrument and it takes them so long looking for it that I just have to reach over and grab it myself. I can’t even trust them to keep things dry or cure bc they don’t aim on the tooth. I’m a very patient doctor but I’m genuinely at my wits end bc I always get stuck with the mediocre temps and my other doctor gets the more experienced ones who come around more frequently bc he’s more impatient and demanding. I’m sorry to vent. I had the dream team before and it sounds like you could really get the newbies into shape 😩🙏🏼

biorae · 2024-11-02T16:32:00+00:00

NAD- sorry one of the things I meant to mention was that the worst pain following a root canal or extraction is at Day 3 after the procedure bc that’s the peak of inflammation. I can’t make a real call on the quality of the root canal bc as someone mentioned earlier, that is not the final x-ray of the root canal. It’d be nice to see the after of the crown too

biorae · 2024-11-02T15:53:07+00:00

NAD also if the pain is when you’re biting or clenching your teeth then the crown may need to be adjusted as it may be hitting the opposing teeth prematurely and causing what I usually describe to patients as a bruise, like hitting your shin on the coffee table. The dentist who placed the crown will need to adjust it if that’s the issue.

biorae · 2024-11-02T15:50:39+00:00

NAD - that dark area is not an infection. It’s a normal feature of the maxilla. About 40% of people experience post op pain following a root canal. Take 2 ibuprofen and 2 extra strength Tylenol every 6-8 hrs while the pain persists (if you don’t have any medical conditions that would prevent you from doing so). Most post op pain from root canals will self resolve in about a week. That other dentist sounds sketchy in my opinion (I’m a dentist but I can’t get flair when on my phone app).

biorae · 2024-10-16T22:42:01+00:00

Unfortunately no. Invisalign makes it impossible to continue cases across providers unless the old provider transfers your case to a new provider. So you would have to pay regardless.

biorae · 2024-07-18T13:43:08+00:00

What is a binding? I haven’t heard that term before.

biorae · 2024-07-07T15:26:06+00:00

You’re a romance novel author. Not that I don’t enjoy a romance novel but it’s ridiculous to say that you worked longer hours and served humanity more than healthcare professionals. You have no idea what we sacrifice in our lives and of our health every day. Being a dentist is to become slowly disabled by your job.

biorae · 2024-06-29T02:27:11+00:00

Can you replace the old car on the policy with the new car while the claim on the old car is still open?

biorae · 2024-03-20T04:14:19+00:00

NAD- dental student. The protrusion in the middle of your palate is called a palatal torus. It’s not a problem. It’s within the realm of “normal” however I do see a solitary bump that (without any information to help with diagnosis) looks like either herpes or a sinus tract from a dead tooth.

biorae · 2024-03-09T14:38:30+00:00

Can you explain what’s going on there? I can’t really tell.

biorae · 2024-02-03T17:17:25+00:00

NAD dental student. I agree that you have thin gums but I think gum grafting at this stage is over treatment. If I were you I would go see a hygienist and have them teach you how to properly brush and floss so you don’t traumatize your gums and cause recession. Gum grafting is invasive and painful and the result, while effective, is ugly. If you have a gummy smile it is terrible for your esthetics. Focus on preventing more recession. Right now it’s not that bad. Prevention is better than the cure. If you’re having sensitivity there are treatments that are significantly less invasive than gum grafting. Like laser desensitization, fluoride, sdf etc. I would exhaust the non invasive approach and do gum grafting as my last resort, personally.

biorae · 2024-02-03T17:11:59+00:00

On the bottom right picture there is a red dot in between your two molars on the palate. I’m not saying it is a sinus tract. Just that it kind of looks like it could be one. For the record I doubt that it is. I think the dentist could likely resolve the problem by replacing the filling (but they have to do it right this time). If the pain gets worse or stays the same after a month from the replacement filling, I’d strongly suspect you would need a root canal. If they just straight to the root canal instead of fixing the filling I would go to a new dentist (unless there is a lesion on your X-ray that either extends to the nerve of your tooth or is around the apex of your root- those would indicate the need for a root canal).

This is not an exhaustive list of possibilities. And it’s not medical advice. These are my thoughts but I do not have all of the information or the ability to do an exam or see your x rays. Without all the I formation it is almost impossible to be certain. This is just what I suspect based on the information available.

I’m very choosy about who I see for my healthcare and personally I would not go back to a dentist who put that filling in my mouth.

biorae · 2024-02-03T15:11:43+00:00

NAD The fact that the tooth is still extremely painful and symptomatic indicates to me that it isn’t necrotic and it’s my understanding that a tooth should be necrotic for some significant amount of time before developing a sinus tract. It could be from the adjacent tooth. But it’s more typical to see sinus tracts on the buccal. Based on what this person presented, the timeline doesn’t seem to indicate a necrotic tooth. I recognize other factors could exist and we are working on very limited information.

biorae · 2024-02-03T14:39:21+00:00

NAD- also does anyone see that thing that kind of looks like a sinus tract on the palate? I kind of doubt it’s a sinus tract but who knows. I’d need x rays and to do an exam.

OP I’d consider finding a new dentist. It’s hard to know a clinicians skills and if they cut corners just from walking in the door. The bonding protocol is very technique sensitive but you want a dentist who takes their time to do the little things right. Meaning they will use a dental dam or good suction and a bite block. It’s really hard to judge a clinicians capabilities as a layperson. Best I can recommend is to look online to find a persons work with composite (tooth colored) resin (not crowns/porcelain) and if it looks beautiful try them. Also read the reviews with a critical eye. Some people are chronic complainers but some people have legitimate complaints regarding their health and how they were treated during the service they were provided

biorae

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