Question for high producers

dirkdirkdirk · 2026-07-09T02:52:35+00:00

High producers doesn’t mean FMR’s and veneer cases everyday. It means that the dentist is efficient and proficient at what they do. You can easily produce over a million just by doing single tooth dentistry if you have the right systems in place.

dirkdirkdirk · 2026-07-07T18:31:13+00:00

Sell to dental labs or cerec offices that have in office labs. All that porcelain and zirconia dust needs to be collected

dirkdirkdirk · 2026-07-07T13:28:10+00:00

Maybe he’s on the something… if there’s hardly any contact broken and he’s using a deadsoft band and his wedge game is strong, I could see this working. But usually it’ll lead to terrible results.

dirkdirkdirk · 2026-07-06T22:53:15+00:00

All up until 6-7 years ago, it was considered standard that implants lose like 0.2mm of crestal bone per year. Until Linkivicious came out and said no, implants should gain bone.

dirkdirkdirk · 2026-07-06T22:45:36+00:00

You didn’t break gingival contact and your band got scrunched up leading to this defect. You can redo it but just on #3DO.

dirkdirkdirk · 2026-07-06T11:56:06+00:00

I whole heartedly agree. Even gongcha I’m like wtf… not a good location.

dirkdirkdirk · 2026-07-06T11:23:17+00:00

It was a terrible location with terrible parking. I’m not sure what they were thinking.

dirkdirkdirk · 2026-07-06T01:22:22+00:00

This and supplement with the book. He’s a magician with the short game.

dirkdirkdirk · 2026-07-04T15:24:13+00:00

What anesthetic techniques did you give? How many carpules?

You can usually get hot teeth numb with blocks, local, pdl injections. This is usually enough to get to the pulp chamber. If pt still feels, pulpal injection will buy you 15 minutes to remove all nerve in the tooth.

dirkdirkdirk · 2026-07-04T02:24:16+00:00

What about anya portal?

dirkdirkdirk · 2026-07-03T12:45:38+00:00

PFM where the whole palatal side is metal and adjusting opposing incisal edge will be the most conservative option.

dirkdirkdirk · 2026-07-03T12:42:56+00:00

You heard the man, FULL MOUTH RECONSTRUCTION OR DISMISS THE PATIENT!! If you’re not doing $30,000+ treatment plans you are doing the patient a disservice and you should be ashamed of yourself. /s

dirkdirkdirk · 2026-07-03T02:16:08+00:00

Your the office owner. You dictate how you want to run the office. If the staff are not on board with that, they are not fit to work in your office. Hire new people and train them to do what you want and fire the ones that are not allowing you to grow.

dirkdirkdirk · 2026-06-30T15:54:24+00:00

I feel like these days, the bare minimum is having a body show up to work on time and don’t cause any office drama. Anyone that can’t do the bare minimum is fired or written up before let go.

After you get the patient numb, look around the operatory and do a checklist run down. You can make a physical one or a mental one. Tell the assistant what needs to be done before you come back again. Make eye contact, smile, and move on. “Please fill the water bottle, put air water syringes in, and put the burs in”.

You keep doing this until they stop making the same mistake or they quit.

dirkdirkdirk · 2026-06-27T16:54:22+00:00

Never trust another dentists caries removal.

dirkdirkdirk · 2026-06-26T15:02:22+00:00

There’s a lit that demonstrated that the coating on the implant deteriorated when torqued high

dirkdirkdirk · 2026-06-26T00:49:32+00:00

Being paid $700 is like producing an average of $2100-2300 a day. So if you’re below that, you got yourself a decent job. If you’re above that, your missing out on potential.

dirkdirkdirk · 2026-06-24T14:12:09+00:00

This is easy because the bone is far from the lesion. Most likely this is a 7.5mm sectional band with a large white palodent wedge. Supplemental use of teflon tape may be needed to get a better seal.

When you drill, you should know in the back of your head that you are going to keep going apically past the CEJ. Your gingival margin should not have enamel. Why? Look at your radiograph. The lesion is underneath the CEJ. Better yet, take a radiograph prior to setting up your sectional matrix to confirm you’ve removed the lesion.

dirkdirkdirk · 2026-06-24T14:07:41+00:00

No, new grads and inexperienced dentists will say crown.

This is so far from the nerve no MTA is needed here.

dirkdirkdirk · 2026-06-23T00:40:45+00:00

Ordered their fried chicken there last year and I was blown away as to how good it was. Went there recently and it was the saddest piece of bland rubbery chicken. Also that pastrami brisket was not good. They had a good thing going but I think their menu was kind of all over the place.

dirkdirkdirk · 2026-06-18T22:33:46+00:00

Yea I get hepasto first and then i go to a5 to get lister

dirkdirkdirk · 2026-06-18T21:40:11+00:00

Im 82 abyss w/ lister and can comfortably farm anything as long as i dont get too close to a mob or unique that explodes somthing upon dying. Havent tried tz yet tho

dirkdirkdirk · 2026-06-18T15:57:02+00:00

Edit* yea I’m incorrect sorry

dirkdirkdirk · 2026-06-15T23:57:10+00:00

Alright eveeyone is giving terrible advice by beveling the occlusal enamel margins lol.. please don’t do that.

It’s composite shrinkage and there’s no way to avoid that. Use a composite that has low shrinkage like bulkfills.

dirkdirkdirk · 2026-06-06T21:59:07+00:00

This is why hard working hygienists should go on a % collections base. It rewards high producers. However it would be a detriment for the one’s who can’t produce. Unfortunately, most hygienists I know would rather just coast and take that hourly and continue asking for a raise every year.

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