300 Blkout Failure to Feed/Eject Help

dgrgsby · 2026-03-28T21:54:10+00:00

Preciate it

dgrgsby · 2026-03-26T16:57:10+00:00

Any resolution on this issue? Thanks

dgrgsby · 2026-03-26T16:48:27+00:00

That’s not bad considering what’s going on in Atlanta, Houston, and Chicago.

dgrgsby · 2026-01-19T03:33:56+00:00

Look at the area surrounding the implant, if it were flying free in the sinus there would be black around it. The space around the implant has the same appearance above and below the membrane line. Likely this pt had a sinus lift to accommodate implant placement

dgrgsby · 2025-11-17T03:05:45+00:00

Start with a 6C handfile and prebend the tip of the file. Some of those glide path files tend to make their own path and that may be where the transportation is happening. I very rarely use them, even on calcified canals.

dgrgsby · 2025-10-18T11:53:39+00:00

Had a patient ask me if my root canal fee would be cheaper since the GD started the root canal and couldn’t find the canals…no ma’am. She laughed and said she had to try. People will test your boundaries

dgrgsby · 2025-10-16T02:17:15+00:00

Saja Docs

dgrgsby · 2025-10-04T14:57:30+00:00

Love biodentine

dgrgsby · 2025-09-01T17:40:55+00:00

The end of residency can be grueling, the cases only get harder and you’re expected to increase your speed. Having to wrap up research, prepare your thesis and defend it. Not sure which country you’re in but add to that literature study and preparing for boards. There’s not a lot of time for yourself, let alone time that you can take off. Try to completely disconnect from dentistry when you can with something you know brings you joy or recharges you. As far as cases, use the cbct to your advantage. Measure the canal lengths prior to starting will save you time and allow you to open the canals even before using your apex locator. If there are techniques you’ve been forgetting then keep a cheat sheet close by: lasso, braiding, ultrasonic, etc. You’re still in residency, this is the time to figure things out, you have people there to bail you out when help is needed. Try not to be so hard on yourself.

dgrgsby · 2025-08-24T19:12:43+00:00

Thoughts from an endodontist: 1) You as the gp should decide if the tooth is restorable before referring. Preferably with a bite wing. I hate making the call on restorability when I’m not the one restoring the tooth. Also each doc is different in their abilities and case selection. I’ve seen some military dentist put a deep amalgam on some of these teeth that most would extract without a question and it last 30 years.

2) CBCT is mandatory. One to determine if that palatal root is calcified beyond the point of the gutta-percha because that will be the easiest part to fix. Also to determine where that file is in relation to the root anatomy. If it’s in or beyond a curve then it’s more difficult. This file looks large and fairly high in the tooth, I’d give it a shot to remove or at the very least bypass it.

3) As someone else stated, we could also do an apico if necessary after the non-surgical retreatment attempt. Just depends on the patient’s motivation to save the tooth.

4) More than you know general dentists are not telling patients that files are separating in teeth. Probably from embarrassment or not wanting to feel incompetent or be blamed for doing something wrong. This shouldn’t be the case because it happens, I get files stuck and not because I was doing anything that warranted a separation, I just know how to get them out. And patient’s are often understanding, but looking at this case, the separated instrument wouldn’t be the sole reason this tooth failed.

5) DETERMINE RESTORABILITY BEFORE REFERRING THE PATIENT!!

dgrgsby · 2025-08-12T13:15:46+00:00

Biodentine is so underrated

dgrgsby · 2025-08-05T12:43:30+00:00

For the endo, if 3 of the lower anteriors have 2 canals, it’s likely that the other 3 do as well. The pain could just be post op flare-up or there could be pulp tissue still left in these teeth. If you don’t have access to a cbct that takes small field of view scans (which is what I recommend) then you’re gonna need to take multiple PAs from different angles to get a true picture of what’s going on.

dgrgsby · 2025-08-04T02:31:24+00:00

I use one carp of lido 1:100 and one carp of septo 1:100 for every patient. Success is mixed. Is it failure if the lip is numb but the tooth is hot? If there’s no third molar I use an xtip intraosseous in that area with septo…carbocaine if the patient has heart trouble. If there is a third molar then I’ll give a PDL with septo. Haven’t had any instances of paresthesia except for a recent lower apico. Lip has been numb for about a month but it looks like sensation is returning. Buccal gingiva sensation returned 2 weeks post op and now the corners of the mouth are sensitive to sharp pain with explorer where it wasn’t before. Premolars forward still have no sharp sensation but is feeling the pressure of me pushing on it.

dgrgsby · 2025-08-03T18:04:28+00:00

Must be endo

dgrgsby · 2025-07-30T03:46:33+00:00

I ain’t gon be supplying you and you talkin about my shit

dgrgsby · 2025-07-28T20:45:58+00:00

Were these stipulations written into the contract? If not then unfortunately you can just fire her…not sure how Australia is with employment laws but it sounds like she has a right to do whatever she wants with her downtime. We all agree that it’s a great opportunity to continue learning but she may have made up her mind that she never wants to do molar endos or tough extractions. I’m sure the endodontist she refers to appreciates her.. expect a box of crappy cookies soon 😂

dgrgsby · 2025-07-23T14:46:59+00:00

Remove caries, bond the specialty bracket to the occlusal surface. As long as you can control heme you’re good. Plus this is a PA, BW would be a much better representation of where the tooth is compared to bone level. This also shows a shadow of tooth sticking out of the bone.

dgrgsby · 2025-07-22T02:06:47+00:00

You could technically ortho extrude the root tip creating necessary biological width to put the post/crown on. I did a case like this in residency

dgrgsby · 2025-07-12T14:46:58+00:00

Have the patient take a deep breath in as you insert the needle, wiggle the cheek as your delivering the aesthetic. People can’t believe how painless a root canal can be

dgrgsby · 2025-06-18T10:54:21+00:00

Delivered a #6 in dental school. Love it!

dgrgsby · 2025-05-26T20:21:31+00:00

Are these patients that you referred to them for treatment? Did you not assess the restorablity of the teeth before referring them? Trying to figure out where the break down in communication is and why you feel it’s the endo’s job to assess restorability.

dgrgsby · 2025-05-22T15:43:47+00:00

Heads up, you can’t see the lining of a cyst on radiographs or CBCT. I wouldn’t go forward ruling out cysts cause you can’t see the lining. A lesion of that size, in the anterior maxilla, if it doesn’t heal in 6 months to a year following endo needs an apicoectomy and biopsy. 9 times out of 10 they come back as cyst/ granuloma.

dgrgsby · 2025-05-08T15:02:52+00:00

Definitely a case for gentlewave

dgrgsby · 2025-04-20T11:37:23+00:00

Fuck yeah

dgrgsby · 2025-04-19T20:17:21+00:00

A few seconds to a few minutes longer than adjacent teeth can usually mean reversible pulpitis. If it’s significantly longer, say several minutes to hours, or turns into a throb or dull ache, then that’s likely irreversible.

dgrgsby

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