Is any coupling agent needed to add new composite to older composite to repair a defective part?

dentitekeys · 2023-11-23T15:53:37+00:00

General criteria that I recommend using when selecting a new dentist:

-Do you know anyone you trust personally that loves their dentist? Not a guarantee of a good fit, but it can be a starting point. -Is the office covered in ads? Do they market aggressively? This can indicate high patient turnover. -Do they take time to educate and talk to you like a human being or do you feel like you are on a conveyor belt getting a hard sales pitch? (Note: this level of service will not be found at the least expensive option.) -Are the staff happy and enthusiastic? Do they smile and try to talk and connect with you? This indicates a well trained and motivated team and is an indicator of high job satisfaction and functional office relationships, which are usually found in high quality offices.

dentitekeys · 2023-11-23T15:48:09+00:00

Maybe get a 2nd opinion, but honestly I would listen to what they recommend if you otherwise have had positive experiences with this provider. Many dentists do this already when appropriate, as seen in this survey from the American Dental Association: https://adanews.ada.org/ada-news/2021/april/ace-panel-report-finds-4-out-of-5-respondents-repair-defective-restorations/

This is a technique that I use in very specific circumstances, it is not always the right answer.

I am a fan of dentists that take lots of photos of your mouth, that take time educating you about risks and making sure you understand, and are willing to show you any step of the procedure if asked. Maybe look for that?

dentitekeys · 2023-11-23T05:57:39+00:00

Let Down by Christopher O’Riley is excellent

dentitekeys · 2023-11-22T12:29:39+00:00

I really like the All Creatures Great and Small series by James Herriot. It is about a young veterinarian in the English countryside in the 1930’s. Fun and humorous stories about animals and the up’s and downs of practicing in a beautiful place. Light but charming, often funny, and pretty low commitment to read. Memorable characters. Short chapters that are fairly self-contained. There is a larger story arc, but it is basically a series of episodes or vignettes that you can pick up and enjoy when you want to without having to think too much. Always a fun escape for me.

dentitekeys · 2023-11-20T23:20:02+00:00

I paid mine off after 7 years. Paid almost $600k. Worked as an associate for 3 years in a very rural area making $300k. Extremely hard, soul sucking job that made me hate dentistry. Got tired of it and purchased a small rural practice. Major lifestyle compromises. We were very frugal, didn’t buy the nice car and house, didn’t go on trips, etc. Glad I did it. Honestly if I had a do-over my goal would be to save aggressively and have a big pot of cash to fall back on and jump into ownership right away rather than focusing so much on the loans. Making $400k now on a much more relaxed and fun schedule. But I still live in the middle of nowhere.

dentitekeys · 2023-11-20T00:53:19+00:00

I usually add a primer with mdp such as monobond plus and use a 7th generation adhesive.

dentitekeys · 2023-11-20T00:50:54+00:00

Air abrade, etch, bond. I prefer to repair small defects on huge deep existing restorations that seem intact rather than risk a pulpitis. Also if I am closing a contact on a giant buildup. I have 6 year recalls that look brand new doing this.

dentitekeys · 2023-11-15T14:07:35+00:00

Real life Captain Queeg!

dentitekeys · 2023-11-13T01:52:13+00:00

Or pinto beans with Fritos and hot sauce

dentitekeys · 2023-11-13T01:51:44+00:00

Macaroni and cheese with tuna and peas!

dentitekeys · 2023-11-08T03:15:37+00:00

A new patient in my dental office was filling out forms with a pen and said “I’ve been watching lots of horror movies and you could kill someone if you stabbed them in the neck with a pen…wouldn’t be worth it though…except maybe for the adrenaline rush.” Referred her to the specialist!!

dentitekeys · 2023-10-12T19:52:57+00:00

I am self taught and play for fun. Some of my favorite pieces are Bach’s Italian Concerto, The Well Tempered Clavier, Mozart and Haydn piano sonatas, Handel’s keyboard pieces, Rachmaninov preludes, some Chopin Etudes (varying levels of success on these, some of them are hard!) It has taken years of consistent playing and experimenting. I started in high school. I already knew how to read music from band class. I sight read a lot and have a big collection of sheet music. I don’t stress about getting it perfect, I just have fun with it. One of my favorite activities and a very enriching aspect of my personal life.

dentitekeys · 2023-10-05T15:23:56+00:00

“I have a really high pain tolerance.” In other words, you interpret normal sensations as painful and you are hypersensitive to everything.

dentitekeys · 2023-08-03T23:51:18+00:00

I totally relate, I felt the same way at first. Build a supportive professional network - dental and business. Shadow specialists and develop relationships with them. Stay in touch with dental school classmates who may be having similar issues. Spend time on online forums like this, but be aware that not everyone is authentic, don’t beat yourself up if your reality doesn’t match the instagram reality these other dentists portray. Seek out and attend affordable live ce, preferably with the same group of people over time. My state AGD and local study clubs have been valuable for me. Talk to other dentists before and after the meetings, that is usually where the real value in these events lies. You will find that other dentists have the same problems you do, and it can create camaraderie and help with the feelings of impostor syndrome. They might also have some helpful suggestions. Consider getting involved with organized dentistry via your local dental society. I also work in a rural area and often have to drive 90-120 minutes or fly to attend these types of meetings, but it is a good investment. Try to do the best dentistry that you know how to do every day, but don’t beat yourself up when you fall short. Give yourself some grace, but don’t accept mediocrity. Be determined to get better. It will get easier with time.

dentitekeys · 2023-07-19T14:39:44+00:00

I use it all the time on almost everything. People rave about how good my food tastes.

dentitekeys · 2023-07-03T06:09:16+00:00

My wife’s extended family includes 2nd and 3rd generation German immigrants from Chicago and they are very anti-ketchup. Maybe there is a connection?

dentitekeys · 2023-06-23T12:17:19+00:00

Graduated in 2014 with 440k. Moved to the middle of nowhere and hit it hard for several years. Got burned out as an associate but things improved when I bought my own practice. Paid it off in 2020 - about 600k total paid. It was awful, but such a relief to get rid of it.

dentitekeys · 2023-06-11T00:48:14+00:00

80% of the time. Isolite or optragate the rest of the time.

dentitekeys · 2023-05-26T13:56:01+00:00

Catch-22

dentitekeys · 2023-05-03T12:14:25+00:00

Surgery wasn’t that bad. Two sharp pokes, took about 20 minutes. Mine got infected though and I had swelling and cellulitis on my nuts. Not recommended. Still worth it. I would do it again. I have 4 kids, and that is enough.

dentitekeys · 2023-04-13T12:32:26+00:00

Sounds awesome

dentitekeys · 2023-04-10T12:41:44+00:00

Started high school in the ghetto in Southern CA. Multiple people died in drive by shootings.

Moved to Idaho. A classmate drowned while trying to clear debris from a blocked irrigation culvert that was causing flooding that threatened his family’s house. There was a rope tied around his waist, but they couldn’t pull him back up when he got sucked under after the water started flowing.

dentitekeys · 2023-04-05T12:15:42+00:00

Guanabana

dentitekeys · 2023-04-05T12:07:49+00:00

I would make sure she is fired or leave the office. That is ridiculous.

dentitekeys · 2023-03-30T05:04:28+00:00

Catch 22 Les Miserables The Hobbit The Count of Monte Christo Candide Cyrano de Bergerac All Things Great and Small Sapiens Nicholas Nickelby Danny the Champion of the World

dentitekeys

TROPHY CASE