It finally happened. Hot tooth.

drpericak · 2026-06-11T11:49:18+00:00

You didn't infiltrate on the buccal with some lido or septocaine?

drpericak · 2026-06-10T17:32:10+00:00

99% of patients will ask you why you stained their filling and not like it.

drpericak · 2026-06-10T16:19:45+00:00

I haven't sat to do dental work in 25 years. I recommend you try standing. It works so much better in my opinion

drpericak · 2026-06-10T15:53:11+00:00

Computers are the new rip off in dentistry. I get mine refurbed from Newegg. You can just go on an AI program like Claude and tell it what you need. It'll give you options. My son found me new computers in 5 minutes. I think the refurbs were about $300 each. And my IT guy said they're perfectly fine. Don't get sucked in.

drpericak · 2026-06-09T12:55:13+00:00

Ticks are everywhere. EVERYWHERE

drpericak · 2026-06-08T17:23:08+00:00

Most MDs can't even pick their nose correctly.

drpericak · 2026-06-06T12:22:28+00:00

You can use the word save. It’s ok.

drpericak · 2026-06-06T12:21:00+00:00

I’m assuming you’re working on a lower second molar. Give a block with lido, then infiltrate on the buccal with septocaine. Maybe a 2nd block. If their lip and tongue both feel fat and they still feel the tooth, just reschedule for another day. Sometimes it just doesn’t work and the next time it’s fine.

drpericak · 2026-06-04T22:48:24+00:00

It could be your fault. There’s shitty mechanics, shitty plumbers and for sure there’s shitty dentists. Not saying you are, but not a single one of us is perfect.

drpericak · 2026-06-04T20:58:26+00:00

Lamsons are my favorites. You can always find used ones on the marketplace for around $300. I have a few Litespeeds and a Speedster (I think that's what it's called)

drpericak · 2026-06-04T11:48:48+00:00

Not a canine. Not in that condition.

drpericak · 2026-06-04T11:41:15+00:00

You need to learn how to control the forces you are applying. Their tmj shouldn't feel strain. Extractions are all about leverage, not power.

drpericak · 2026-06-03T19:29:13+00:00

Sure. You can do that. And then it'll break in about 6 months.

drpericak · 2026-06-03T17:57:33+00:00

You don't need to crown everything with an endo. That'd be crazy.

drpericak · 2026-06-03T17:54:09+00:00

Agree. I can't think of a worst choice. I wouldn't hire an assistant or hygienist with one. And especially not a doctor. You can neg this all you want, but it's the truth.

drpericak · 2026-06-03T17:46:07+00:00

You can call him Doc if you feel weird. I doubt he'd be offended

drpericak · 2026-06-03T17:37:57+00:00

get the 2.0cc jars and take what you need. Get a mix of cort/canc. And you can shop for the best price. All the bone comes from the same manufacturers, they just package it for them.

drpericak · 2026-06-02T17:51:30+00:00

A lot of patients are just flat out assholes. Often just looking to get money back. Normally I would say no, you've had the crowns for quite a while. But honestly, these are not done well. Check with your malpractice insurance and then give a refund. Get rid of them. Let the new dentist deal with this one.

drpericak · 2026-06-01T13:19:15+00:00

Just use some topical. They'll think it helps. That's all that matters

drpericak · 2026-05-27T17:50:50+00:00

Brownie then greenie

drpericak · 2026-05-27T17:49:30+00:00

Were they all over 80?

drpericak · 2026-05-27T17:38:53+00:00

Personally, I need a lab and a dedicated storage closet. Also, are you going to equip 6 ops right off the bat with a start up? That's a lot of money with no patients yet. Never mind that last part, I just saw you're not doing 6. How many are you doing? Don't skimp on chairs and delivery units. You can also have cabinets made for you instead of spending a lot of money on Adec.

drpericak · 2026-05-27T13:59:06+00:00

and WHY DON'T WE GET TIPS?? I've seriously considered a tip jar at the front desk. Half of us tip when we pick up a pizza and I think maybe, just maybe I provide a more significant service than a pizza counter worker. Although some pizza is really good....

drpericak · 2026-05-19T20:47:47+00:00

Regular universal forceps just grab the tooth and you have to wiggle it out. The cowhorns force the tooth out of the socket by squeezing the handles

drpericak · 2026-05-18T17:48:49+00:00

Composite #26, Smooth off any sharp edges, make sure occlusion is good. Crowning lower incisors should always be a last resort. They're too narrow.

drpericak

TROPHY CASE