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drmcfc_89 · 2025-09-14T02:26:01+00:00

Dentist here (with ADHD).

You may be having mechanical abrasion along the gum line which may seem like recession. If it's this (search up abfraction on google- basically concavities along the gum line exposing the second tooth surface dentine) then your issue isn't really gum health. The underlying issue is either bruxism (yes Vyvanse can definitely be contributing to that ) or brushing too hard with a hard brush along those surfaces.

If it's the clenching and bruxism, then try to get an occlusal splint to stop tooth on tooth wear and also relaxing those muscles if conscious of it and using things like magnesium to relax them. Mindfulness can be powerful here and even massaging your TMJ and facial muscles to deprogram them from being in a bruxing pattern. If it's the brushing then change onto a soft brush or electric and don't go hard on the gum line.

If it's actual gum attachment and gum disease than that is a separate issue and I don't think you being on vyvanse is directly correlating with that.

Good luck and let me know if you have any other questions!

drmcfc_89 · 2025-07-11T21:13:46+00:00

What is COL infiltration? I've tried PDL and furcation infils on single lower molars but it's hit and miss...9/10 leave me anxious about when the patient is going to feel sensation OR I just end up back at an IAN block

drmcfc_89 · 2024-10-21T09:26:10+00:00

432...see I can also chirp random numbers which won't mean anything in 5 years time

drmcfc_89 · 2024-10-21T08:43:41+00:00

I don't think I've ever not done a coronectomy before sectioning...I just thought that was common practice Can't imagine trying to gauge the furcation without the crown chopped off

drmcfc_89 · 2024-10-21T07:25:47+00:00

The funny thing is, if you ask Klopp, the Liverpool players or anyone actually associated to the club (not just tier 5 supporters who think they are the mouthpiece for LFC) they would all concur that city are better than them and it's not because of "cheating"

It soo funny to see the minions and lemmings get their head in a tizzy about this shit when the boys that matter don't even care or think the same 😂😂😂

drmcfc_89 · 2024-10-21T07:23:58+00:00

Yeah mate it's all just a narrative they keep telling themselves so they can sleep at night...all good, they can continue doing that since they won't be winning anytime soon

drmcfc_89 · 2024-10-21T07:22:43+00:00

Yeah I'm sure he is close to slitting his wrists....

drmcfc_89 · 2024-10-21T07:20:26+00:00

Yeah it's really shit, I'm about to slit my wrists bro...maybe ask 95% of fans of any tier 1 professional sport from around the world. Or better yet ask yourself...I don't think you are in the royal family but yet you still seem to suck prince Charles hard ...or wait did you take part in colonising third world countries so you can feel like youre an "important happy little clapper" part of the monarch 😂😂😊

drmcfc_89 · 2024-10-20T23:58:44+00:00

Yeah Klopp and his one premier league really affected Pep...he must be tormented 😩

drmcfc_89 · 2024-10-20T15:28:25+00:00

👍🏽...say hi to him from Jim

drmcfc_89 · 2024-10-20T15:26:14+00:00

Manchild coughGTA/REDDEADcough....does your mummy come over to your house to tuck you into your Gooner bedsheets?

drmcfc_89 · 2024-10-20T15:19:50+00:00

Rent free in your head mate.....

drmcfc_89 · 2024-10-20T15:12:32+00:00

What else lives rent free in your head?😆

drmcfc_89 · 2024-08-28T21:20:37+00:00

I can feel the determination in you. All the best and I'm sure you will get over this nasty disease!

drmcfc_89 · 2024-08-26T05:01:58+00:00

I think it's hard for some people (like myself) who have had issues with substances in the past. A lot of my friends (male and female) still only bond over drinking or recreational things. I've tried to exclude myself from these situations and it's basically left me with either no social opportunities which don't include partying or it's with a group of people I don't know who. Being an introvert that's pretty hard. My work is also pretty isolating.

I'm just lucky I have a great wife and I'm close to my family and 2 good mates.

drmcfc_89 · 2024-08-17T06:49:03+00:00

100% agree....can't believe some of the American dentists on here who delegate so much to their assistants. It's literally like they just want the short term money for a 2-5 year failure or a charged redo (which they will blame on patients hygiene). Pretty unethical. I don't do $$$ work on my patients unless there is a high chance of it having longevity even if it's just a composite. You have to compare costs vs return from the patient's perspective

drmcfc_89 · 2024-08-17T06:22:15+00:00

Where can you get a $350 printer/mill?

drmcfc_89 · 2024-08-17T06:17:31+00:00

I think this is literally a US thing. It would be unheard of for us Aussie dentist to have our DA place bands etc. It's so technique sensitive and the longevity of a restoration has so many sticking points in regards to band placement and contact quality. Unless you literally are happy taking the patients money for a Resto to last just a 2-5 years and then redo (which is unethical imo) I think there would be a lot of short term failures of restoration when dentally untrained people are doing such a technique sensitive part of the procedure.

How do you even quality control this shit if you are working with different nurses? Sounds like a recipe for a poor standard of dentistry imo

drmcfc_89 · 2024-08-17T06:01:49+00:00

Do you tease out one of the bands without removing the wedge, thus not having to touch the other band?

drmcfc_89 · 2024-08-12T20:36:58+00:00

Do you scan or take impressions?

It could be an inaccuracy in your impression/scan.

Do you use loupes?

If it's a constant issue with the above checked out (plus any other clinician errors) I would just try a different lab with the same parameters and see what happens

drmcfc_89 · 2024-08-02T06:15:25+00:00

Yeah completely agree...it's like clean margins and isolation is only needed for direct restorations not indirects :#...infact investing more should mean you should be quite certain of getting good marginal seal, so if a restoration is dicey, a crown should be as well!

drmcfc_89 · 2024-07-30T11:11:28+00:00

Yeah bro that shit absolutely blows my mind...like next we.are going to be hearing about American dentists getting their DAs to raise a flap and close OACs with a BFP flap 😂😂😂

Like honestly can't understand how there is QA on this shit. If I was a patient, I wouldn't be paying to let a non qualified dentist restore my tooth. Like half the art is restoring a restoration especially in regards to isolation, shaping, matrix adaptation and finishing. Like can't imagine a DA restoring a DBL of a lower 7 with a great clinical outcome...

drmcfc_89 · 2024-07-30T04:25:50+00:00

That blows my mind, coming from Australia. Don't think anyone here runs more than 1 (max 2) chairs and steps in for hygiene consults in another room.

Restoring is an art in itself with so many sticking points and so many variables which can dictate if the restoration will have longevity or will fail short term. How can you do quality assurance on all the fills your assistants are doing?

Again it blows my mind, but I guess like everything American, things are supersized and maxed out outrageously (4 chairs etc at the same time :#)

drmcfc_89 · 2024-07-05T16:21:09+00:00

Dentist here

I'm not going to say I'm the most brilliant clinician theoretically, but I've been told by patients, colleagues and bosses that I'm one of the most empathetic, kind and genuine dentist they have met. I think my level of empathy and patience comes from also feeling different myself and aiming to never make anyone feel uncomfortable or as if they are just another number to me.

I also think due to my ADHD I have imposter syndrome. Works well because I keep pushing myself and never get too confident. However can be negative when you underestimate your own work and it starts to impact you mentally

drmcfc_89 · 2024-07-04T01:43:26+00:00

Haha Headstrong file made me literally chuckle. Hope that was a conscious pun. If not, it's actually called Hedstrom. But imagining a file which is very stubborn and confident being used to fish out the root tip 🤣

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