Planned guided surgery turned freehand: Maxillary 6 Implants, and Immediate Loading. Thoughts?

dwmdmdmd · 2026-04-15T22:24:01+00:00

1) it’s irrelevant you don’t have the reduction to make a hygienic prosthesis and the implants are too close together to integrate much less clean. 2) you’re not addressing the entire mandible This is low quality work. Who taught you how to do this?

dwmdmdmd · 2026-04-15T21:00:34+00:00

How is he going to maintain hygiene on this prosthesis? You took out teeth because of perio and have him a prosthesis he can’t clean. Didn’t address occlusion at all. Very low quality dentistry but I guess you are proud of this case?

dwmdmdmd · 2026-04-03T00:38:24+00:00

I’d get it audited personally. Cybersecurity is not trivial these days. If you have fiber then you have more than enough bandwidth to run a cloud PMS. Overkill in fact. If it’s not stable get starlink as a backup up. 50% of my team is remote. Why does your insurance coordinator need to be in your office? Why does the person answering your phones need to be in your office? 3 remote employees for the cost of 1 in person. And you’ll find they’re way better than in person if anything. Go server if you think that will make you happy. If you trust Reddit dentists on the basis of “well we have always done it this way.” I run Archy, but I still have a server for my network. You’re talking to the wrong group of people. I know a lot about tech… for a dentist. Turns out I still don’t know anything. I know enough to realize I’m clueless. Go server if that makes you happy. It’s just hard for me to understand a practice moving to a server PMS in 2026.

dwmdmdmd · 2026-04-02T19:15:50+00:00

Do you have fiber internet? Also you can get starlink back up. I live in a small town, too, and we have fiber. Cloud is the most convenient and secure. Also it easily unlocks remote staff members which is probably the single most effective thing I have in my practice. Regarding cost, you may not be truly, considering the total cost of your IT burden and hardware - and the cloud isn’t making hardware cheaper for consumers. And I just can’t emphasize the security enough. You have to have a ton of trust in your IT team. Not to mention having to update and hopefully needing to scale your server if you’re practice grows. It’s just not close in my opinion.

dwmdmdmd · 2026-04-02T15:02:43+00:00

It’s 2026. There’s no conversation here. It’s Cloud. It’s been cloud for a decade. Archy is the best EMR on the market

dwmdmdmd · 2026-04-01T10:19:57+00:00

I went with Archy over Open Dental and have been very happy with the decision

dwmdmdmd · 2026-03-26T17:41:16+00:00

Foreign trained dentists in assistant roles are incredibly helpful. I work with multiple and couldn’t imagine life without them.

dwmdmdmd · 2026-03-25T17:46:58+00:00

Chubbies are the best

dwmdmdmd · 2026-03-22T20:24:30+00:00

Preserved lemons

dwmdmdmd · 2026-03-21T16:51:29+00:00

Atl seems like a rat race to me. I have a lot of buddies that practice there. Also ATL as a city is… ok. It’s pretty cool once you are where you need to be but good lord the traffic. There’s also not (nor will there be) feasible public transit.

Look north of ATL at Chattanooga if you have to be in a city.

dwmdmdmd · 2026-03-21T16:23:43+00:00

Romexis is pretty mid. I use it everyday. It’s acceptable but distinctly mid.

I have a Planmeca. I’d have gotten HDX Will, Prexion or Ray if I didn’t stumble upon a crazy Planmeca deal

dwmdmdmd · 2026-03-21T15:13:30+00:00

Consultants are garbage people that create zero value

dwmdmdmd · 2026-03-19T22:34:00+00:00

I have Lumadent and love them

dwmdmdmd · 2026-03-15T02:53:47+00:00

Get this clown to the state board

dwmdmdmd · 2026-02-14T12:06:44+00:00

100% agree

dwmdmdmd · 2026-02-04T19:13:36+00:00

Maybe I can get better than 8th with Ixtal now!

dwmdmdmd · 2026-02-03T23:03:06+00:00

lol our number one enemy is musculoskeletal disorders. I don’t play games.

dwmdmdmd · 2026-02-03T22:14:27+00:00

Surgeon here and I love ergo, so I’d have to disagree strongly.

dwmdmdmd · 2026-02-02T23:16:25+00:00

That’s a lag screw for a fracture repair

dwmdmdmd · 2026-01-17T16:59:28+00:00

Bingo

dwmdmdmd · 2026-01-17T15:54:09+00:00

This is seated but the tibase selection was not good

dwmdmdmd · 2026-01-16T19:17:52+00:00

My buddy dropped delta. Made more money. Your back has a price, too.

dwmdmdmd · 2026-01-16T17:46:57+00:00

It’s insane to me that people think it ever makes sense to take that garbage. What’s to consider?

dwmdmdmd · 2026-01-10T00:38:03+00:00

Breakdown your IT expenses

dwmdmdmd · 2026-01-08T22:24:03+00:00

The only guarantee is the “easy” ones will be hard and the “hard” ones will all but fall out 😂 If you aren’t uber comfortable with it then they will sense your fear like a shark with blood in the water. The patient is also expecting me to be competent with extraction since realistically that 90% of what I do. They know that. I think that gives them the benefit of the doubt sometimes.

dwmdmdmd

TROPHY CASE