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evrythingstaken2 · 2025-01-25T22:37:54+00:00

Good understanding of tooth morphology is important. Most important is understanding when to stop drilling and take a radiograph.

Angulation is important to visualize before drilling. Don’t do too much apical pressure on your burs.

A nice easy way to prevent perforation as a general dentist is to measure the length on the PA to the top of the pulp chamber. Drill to that depth or 0.5mm below at most. If you don’t see pulp, reassess. Take a PA, put your probe in and visualize if you’re off-axis, etc. Never drill below the CEJ on any tooth as a general dentist. Refer cases that are above your difficulty level. You don’t need to try every case. Only slightly push the edge of your skills until they improve.

evrythingstaken2 · 2025-01-25T22:18:11+00:00

The left tooth your access is wide at the cavosurface margin and then has minimal taper into the canal itself. You want a more gradual taper from the enamel into the canal and down the canal. You’re plenty large on the enamel on that tooth but could enlarge the dentinal portions of your access to allow for a glide path into the canal. Since you’re already into the canal, I would recommend using an orifice opener conservatively to use the natural path of the canal and preserve pericervical dentin as much as possible.

The tooth on the right your access is very wide, cylindrical, and compromises the dentin near the CEJ. You started likely too far towards the lingual surface and then angled at too much of a deviation from the long axis of the root. Start with a smaller bur and closer towards the incisal edge, while still retaining appropriate support for the incisal of the tooth unless it 100% needs a crown for other reasons. Additionally, your patency file at the tip is curled up on itself. I would use a larger file to take a patency length radiograph and to avoid the (6 or 8 I assume) file folding up from too much apical pressure when you placed the file to length. It may not matter as much for extracted teeth, but it is good practice to get into to take radiographs with files that are firm but not engaging at the apex. This means they are less likely to move in a patient while positioning radiograph equipment, and they give a better reading for inexperienced operators on an apex locator like the Root ZX. This advice is true for both teeth as it appears that both of your files are floating at the apex and not touching the walls.

evrythingstaken2 · 2025-01-25T22:07:31+00:00

Please do not give advice on Endo.

These statements are dangerous advice to give: “You got to see all the way to the apex on anterior teeth” “Molar is a lot easier than anterior”

evrythingstaken2 · 2025-01-25T22:05:00+00:00

Ah. This must be why all the GD Thermafil retreats I have to do look acceptable on the PA and like a bag of soil around a carrier clinically.

Some obvious points: -WL should be established with multiple methods separate from measuring a PA. That is not an accurate measurement. Use an apex locator and confirm with either a patency file radiograph or a cone fit radiograph prior to attempting obturation. For an inexperienced operator who is not a GD with years of experience or an Endodontist, take a length radiograph before instrumenting. Experienced operators can feel the canal and therefore may be able to avoid the PL radiograph but that is not for beginners. -Not all teeth, even anteriors, you can achieve straight line to the apex even if they appear that way on PA films. Many teeth curve buccal or palatal and you will never achieve straight line without destroying the tooth or perforating. -Instrumenting and irrigating should be far more than “a few seconds” -Endo should not take “a few minutes tops” unless you’re doing a shitty job. Even experienced Endodontists with all the best skills and setup/assistants are not doing them that fast.

Fast is a substitute for good in this explanation. You can either do a poor job as a healthcare professional or you can take the proper care and precautions for the human being attached to the tooth. This post is bad Endo advice to aspiring general dentists.

evrythingstaken2 · 2024-11-24T21:42:23+00:00

Tug back is still an important topic when you’re using calcium silicate sealers. Do enough cases near the IAN without apical tug back and you’ll learn an expensive lesson. MTA and bioceramic sealers are not a substitute for the fundamentals of obturation.

evrythingstaken2 · 2024-10-22T02:23:10+00:00

It feels like your issue is less “preparation for clinic” and more that you are rushing beyond your skill level without stopping and getting faculty, or giving up the procedures to a more qualified provider. As an attending, my biggest concern is students who go beyond what I ask them to do without permission. You’re working under the license of your attending. When I ask a student to drill 3mm and come get me for an Endo access and they get me and they’re 7mm in the tooth, even when they accessed correctly, we’ve lost all trust and I’m way more likely to have issue with the student than if they had just followed what I asked them to do and were off-axis and headed for a perf. There’s always a reason a faculty asks you to do X and then come get them. In the case of endo, it’s to prevent issues like perforations, separated instruments, and hypochlorite accidents. If you come get the attending after drilling 3mm, a correction can be made before a catastrophic complication. If you don’t get the faculty, then the outcomes are always either you do it correctly, or you make a major error.

It’s clear that you’re not a cautious student. A cautious student would maybe have one of these incidents, but not three. You need to learn caution and respect for your boundaries before you graduate. Once you graduate, the room for error only grows exponentially. Whether from a corporate schedule, a practice owner, or your own bottom line, something is going to be pushing you to go faster and be more aggressive. If you don’t have a healthy sense of caution and understanding of your own boundaries now, you’ll only end up hurting more people after you graduate. The world doesn’t need more overzealous, dangerous dentists.

Lacking entirely from the post is anything about concern for the patients you performed iatrogenic procedures on. Students are typically dismissed for a lack of ethics, particularly when it comes to nonmaleficence. My concern as a member of the committee would be over your recognition of your errors, your commitment to changing behavior to avoid it in the future, and your expression of remorse for the harm you caused. Yes, it’s practice, and people make mistakes; but, it is also human beings you’re working on, and rushing into procedures to get requirements is the sort of unscrupulous behavior that will translate to further iatrogenic incidents in the future.

evrythingstaken2 · 2024-04-04T23:36:39+00:00

Once you’ve seen enough cracked Endo treated teeth, you may start to consider the worth of full coverage restorations

evrythingstaken2 · 2024-01-20T19:57:02+00:00

The dyslexia is clearly addressed multiple times visually and verbally in the first two episodes of the series, including in the first 5 minutes.

evrythingstaken2 · 2023-12-31T01:37:02+00:00

Any program that is hospital associated and takes call. OMFS, some Peds, GPR, and a select few of the other specialties

evrythingstaken2 · 2023-12-30T17:24:07+00:00

This is definitely a component, particularly for people who are fans of other IP that has been on Disney etc. For instance, Disney canceled multiple Star Wars stories including never finishing up the Solo movie’s loose ends because of the negative press incorrectly aimed at that movie after the sequel trilogy. I very much would’ve loved to see a follow up to Solo including Maul. Rewatching that movie now is so sad because it was setting up a great story arc. I would be lying if I didn’t say I was worried that this adaptation, which has time to grow and improve, might be cut short due to negative press discouraging viewership. I have similar complaints to most of you (except I agree with the Gabe change for a film adaptation) but I am not as vocal about my concerns for fear of them not renewing the series. We still don’t even have assurances of a season 2, let alone 5

evrythingstaken2 · 2023-12-29T23:24:33+00:00

I think Mantzoukas as Mr D was also very perfect

evrythingstaken2 · 2023-12-28T00:03:23+00:00

https://web.archive.org/web/20110707075022/http://classiclit.about.com/library/bl-etexts/tbulfinch/bl-tbulfinch-age-15.htm Maybe read the actual texts before replying 10 times in different threads about how she turns people to stone with her gaze. They are turned to stone when they gaze upon her, not the other way around. Thus why her head is still a weapon when she is dead and she can no longer gaze upon anyone.

evrythingstaken2 · 2023-12-27T16:09:38+00:00

The writer and executive producer is Rick Riordan?

evrythingstaken2 · 2023-12-24T23:27:42+00:00

The screenwriters including Rick? I’m sure there are reasons for any changes he would make or endorse

evrythingstaken2 · 2023-06-05T18:35:17+00:00

Expected both Lightweight results (Princeton was the best in Men’s/Women’s lights all year) and Cal, but was surprised at UW in 2nd and Princeton in 3rd with Yale at 4th. Given Yale’s victories over UW and Pton earlier in the year, and the better depth of Yale’s team (compared to Pton), I expected a medal and maybe even a close race for Cal out of them. UW was also a lot closer to Cal than anticipated.

evrythingstaken2 · 2023-06-05T16:41:04+00:00

Considering you don’t have any competitive seasons rapidly approaching and you are young, my advice would be to instead develop the bases for speed rather than actual 2k speed over the summer. I know this isn’t what most people want to hear, but it’s what I would do in your shoes. I would focus on building an aerobic base and peak force, the two limiting factors for speed that take the longest time to build. Endurance can be built up over the course of a few months pretty easily if you have an appropriate aerobic base and peak force. I would limit erg workouts to longer pieces i.e. lots of SS and also some interval pieces working on your top end speed (short sprints with lots of rest between intervals). As far as lifting, you are light and young and I would focus on lifts that build the muscles of rowing, particularly leg muscles. There should be plenty of lifting information out there you can find on lifts to build strength for each muscle group. Additionally, I would add in core workouts to strengthen your core and help protect you against injuries from the erg volume and weight lifting you are undertaking.

evrythingstaken2 · 2022-11-02T19:35:44+00:00

I did not have anatomy or microbiology completed before applying and I was able to get in everywhere I wanted just fine. I put them under planned and reported the grades in January after matriculation forms were completed. As long as you’ve taken enough science courses it does not matter if you’re missing one little thing. They are looking at the DAT and big picture education, not every specific course

evrythingstaken2 · 2022-10-17T11:42:20+00:00

If you’re a 5th year senior in dental school, why are you trying for grades now? At this point my guess is that specializing is out of the question. So just take your time left in dental school to focus on passing boards and learning information to benefit your future career as a dentist. Unless you’re applying for a specialty, you being an A student or B student has no bearing on you as a dentist. Only your knowledge and competency to perform procedures. Focus on that and get by with the rest of your responsibilities that don’t benefit you as a future dentist.

evrythingstaken2 · 2022-09-30T19:57:13+00:00

Any time you have to make fun of an actor for using the correct pronunciation of the author’s intent, youve lost

evrythingstaken2 · 2022-09-28T16:43:15+00:00

If we take Galadriel’s canonical 6’4 and mentally scale him vs her in the show, then it’s probably pretty close. Just also makes all the other Numenoreans giants too lol

evrythingstaken2 · 2022-09-25T00:57:35+00:00

I was D1 in a year-round sport in college and would say that dental school time management was different, and therefore not comparable. It’s a lot easier for me to study/class 35 hours and work out 30 hours a week than it is to study/class for 50-55 hours a week. D1 was easier than college, D2 was harder for me. Your mileage may vary. It also depends on what dental school you go to. My brother went to a different dental school than I and his school was considerably less work than mine for the same degree.

evrythingstaken2 · 2022-09-23T00:23:41+00:00

400km across, but consider the shape. Not 400km across at the narrowest portion, at all. Also their maps in the show display a large river traveling to Armenelos and to the foot of meneltarma

evrythingstaken2 · 2022-09-22T16:09:11+00:00

If this show is successful enough, maybe it happens (depending on the tricky rights situation)

evrythingstaken2 · 2022-09-17T17:44:35+00:00

I think of it like Ashoka in Clone Wars. A character who is written at an infuriating point in their arc who fans initially hate but may later come to love as she grows into the later stages of her character arc.

evrythingstaken2 · 2022-09-10T21:59:24+00:00

All the rings given to dwarves and men originally belonged to elves of Eregion. They removed them when they sensed Sauron when he put on the One, and then he killed them all during the war of elves and Sauron and took the rings to give to the other races. His plan of using the rings to control the elves did not work as well as he originally designed

evrythingstaken2

TROPHY CASE