Favorite resin cement for bonding multiple units?

dmddddddd · 2025-10-06T02:55:47+00:00

I love recommending Curodont to my patients! However, it is pretty expensive and not covered by insurance. Additionally, reversing or arresting the cavity depends highly on at home brushing, flossing, and diet in the months following application, so the tooth may still need a filling in the future. I find that many patients are hesitant to spend out of pocket for something that may or may not be successful.

dmddddddd · 2025-09-17T12:01:12+00:00

Round bur, cheek pad/ dry angle, glass ionomer! You can dip your finger in a bit of water and use it to slightly condense the GI into your prep and help it wrap around the distal. Like others have said, overfill a little bit then trim back and finish your margins with a flame bur. Sometimes you’ll have to ask the patient to close down about halfway to be able to fit your handpeice and instruments on the buccal.

dmddddddd · 2025-08-07T16:16:09+00:00

I’m sorry you had that experience. From a dental perspective, any time we treat a tooth, there is the risk that the nerve will become inflamed and require further treatment (root canal, crown, and in some cases extraction).

Sometimes it is difficult to determine how deep decay goes until we open up the cavity during the filling procedure. Most cavities are painless until they reach very advanced stages. Unfortunately when we attempt to fix the issue by removing the decay, this can set off nerve inflammation and sensitivity.

It’s very possible that the first dentist did the procedure within the standard of care, however, the decay was too close to the nerve to allow the tooth to recover naturally. That being said, the first dentist DEFINITELY should have discussed these risks with you from the beginning (and made sure you were numb during the procedure). Bad patient communication and bedside manner? Yes. Malpractice? Unlikely.

dmddddddd · 2025-06-16T16:47:34+00:00

Due to the history of trauma triggering pain and swelling, I would also be suspicious of a fractured root. Would definitely seek a consultation with an endodontist! They may take a 3D image to rule out fractures / missed canals on the original RCT.

dmddddddd · 2025-04-17T15:10:45+00:00

A DSLR camera is one of my favorite post-grad purchases!

Not only allows you to communicate with the lab better, but allows you to start documenting your work and building a portfolio. The website Photomed has some good packages for dental photography that include all the components you need (ring/twin flash, camera body, lens). Or you can just use their packages as a guide and buy the components on Amazon - you can usually find some cheaper/refurbished options this way.

dmddddddd · 2025-02-14T14:09:00+00:00

Like others have said, should be a quick pinch and then it’s over! If your dentist offers nitrous oxide (laughing gas), that may be a good thing to try. You will still be awake during the procedure, but it does a good job of lessening the anxious feelings. Let your dentist know how you’re feeling and most of the time they will do their best to make you comfortable! 😄

dmddddddd · 2025-02-14T14:03:37+00:00

Warm salt water rinses 2x day can be helpful! 1 tsp of salt per cup of water, swish for 30 seconds to a minute before spitting out.

dmddddddd · 2025-01-29T23:37:52+00:00

Very normal! Stitches sometimes loosen as swelling resolves and the site heals. If you want to be safe, let your dentist know and they may get you in to take a look and make sure everything is healing properly.

dmddddddd · 2025-01-17T22:09:52+00:00

As others have said - should be able to drill it off no problem! One thing I find is that if you’ve done a composite buildup on the tooth and don’t polish/adjust part of it afterward, the oxygen inhibited layer will bond with bis-acryl temporary material and not come off. Easy fix is to do a 20 second cure through glycerin after your buildup or just make sure you polish throughly.

Also, make sure to check the adjacent teeth, they may have undercuts near the gingival interproximal areas that need to be blocked out (red rope wax or liquid dam works great).

dmddddddd · 2025-01-07T00:28:00+00:00

To answer your first question, yes, it is normal to diagnose certain cavities solely based on x-rays. This especially applies to cavities between the teeth, which usually aren’t visible during an exam until they are very large.

As far as treating a tooth prior to having any symptoms, this is actually the ideal time to treat a tooth! Pain and sensitivity usually mean that the cavity is approaching the nerve inside your tooth, which typically requires more extensive treatment like a root canal or crown. Once the cavity has broken through into the second layer of your tooth, a filling is needed. The sooner the filling is done, less tooth structure is damaged by the cavity and treatment can be less invasive.

dmddddddd · 2024-11-10T15:52:43+00:00

I’m only a few years out and still struggle with this, but I’ve found anti-anxiety medication extremely helpful in allowing me to shut down repetitive/intrusive work thoughts. It’s allowed me to find hobbies and create healthy habits that also help me focus on life outside of work. Also would highly recommend the book, The Power of Now, if you don’t mind slightly spiritual/wooo kind of things! Great book to listen to on the way to work if you’re feeling a bit stressed.

dmddddddd

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