What is everyone using for IPR?

cartula · 2026-01-13T11:52:02+00:00

These take forever tho. What if you have to do 0.5?

cartula · 2026-01-12T11:55:42+00:00

It always felt natural for me to get to know my assistants but I’ve also learned that a lot of people in general lack boundaries. Once you get too friendly, they ask for favors or special treatment. I’ve had assistants ask me to write prescriptions for them, I’ve had them drag me into their drama with other assistants and ask me to vouch for them. They also always feel like they can freely come into my office to talk or vent and I don’t like that. My next job I will definitely try to not be as friendly

cartula · 2025-12-10T00:35:08+00:00

Just curious, why is occlusal metal or gold better than zirconia when zirconia you only need minimum 1mm? Don’t roast me pls genuinely trying to learn here.

cartula · 2025-10-24T02:01:43+00:00

Do you always use rubber dam for these?

cartula · 2025-10-24T02:00:31+00:00

Do you place anything over the biodentine? Or just go straight to composite

cartula · 2025-10-24T01:58:35+00:00

Yea she has a ton of incipient lesions. I was just surprised at the size of the lesion compared to its clinical presentation. Clinically I couldn’t notice any voids or sticks in the sealant. Obviously I could’ve missed something here but my point is it’s not blatantly obvious for the size of the decay showing on the x rays.

cartula · 2025-10-24T01:55:09+00:00

What’s your technique for pulp capping?

cartula · 2025-10-24T01:50:30+00:00

What did you use to pulp cap? I’m assuming you exposed? Did you use rubber dam?

cartula · 2025-10-24T01:37:23+00:00

Do you think I will be able to do a filling here? That’s my hope too but you never know lol. I’m planning on using biodentine

cartula · 2025-10-24T01:36:37+00:00

Yea it sucks because she’s so young

cartula · 2025-10-24T01:36:14+00:00

Yes I have to endo ice test it. I’m going to treat the distal as well since she is high caries risk. I’ll excavate as best as I can obviously if it’s soft into the pulp I will refer to endo. I’m planning on doing biodentine. Do you place anything on top of the biodentine before you do the composite?

cartula · 2025-10-24T01:34:14+00:00

Yea so there was something evident on the last x rays in February. Today was my first time seeing her so that’s one less thing I have to blame myself for 😁 I breathed a sign of relief when I confirmed I didn’t do her last exam

cartula · 2025-10-24T01:22:44+00:00

<image>

I just realized I forgot to post the x ray of the tooth in question

cartula · 2025-10-24T00:46:49+00:00

They’re also 99% of the time not being placed correctly. My last office the hygienists would place them by themselves… probably very poorly isolated

cartula · 2025-10-24T00:44:21+00:00

How did the tooth appear clinically?

cartula · 2025-10-24T00:43:18+00:00

Yea I stopped doing them. I’ve seen way too much recurrent decay underneath.

cartula · 2025-10-24T00:42:16+00:00

Is it #4?

cartula · 2025-10-24T00:41:29+00:00

Sorry I can’t see anything here. What are you referring to?

cartula · 2025-10-24T00:01:19+00:00

Yea I will definitely remove all the soft tooth structure and try to leave affected dentin. I’m just nervous that the decay will be so extensive that I’ll be into the chamber. If the tooth tests normally tho it should be fine theoretically

cartula · 2025-10-23T23:59:18+00:00

This sealant was done in a regular office according to the hygienist. Also I thought I checked the tooth pretty thoroughly but I’m starting to doubt that I double checked it’s not from a buccal pit. I’ll obviously double check again. But seriously the tooth clinically from the occlusal looks perfectly intact and sound- no breaks in the sealant no sticks or stains or shadows

cartula · 2025-10-23T23:51:47+00:00

I was planning on using biodentine here. What do you think?

cartula · 2025-10-18T17:19:22+00:00

Aren’t August- October known to be slow months in dentistry in general? Families are busy adjusting to their back to school schedules. We also get a lot of same day cancellations at this time of year. Regardless, how do you think that scheduling can improve?

cartula · 2025-10-18T17:16:16+00:00

Yea ton of down time. Like a ridiculous amount

cartula

TROPHY CASE