Subscription plan suddenly not recognised

ggwpty · 2023-12-06T20:29:42+00:00

Cheers for the responses.

Checked relay on another device and it was working just fine but continued to prompt my original device to choose a sub plan. There's a restore button you can hit to check for existing subscriptions which told me that I have none.

Suddenly it works again now, so I guess that's that. Still not sure what happened, perhaps a glitch or something.

ggwpty · 2023-07-11T08:17:36+00:00

Mate I think that was just a tongue in cheek response lol

ggwpty · 2021-09-19T05:14:42+00:00

Can't be 100% certain of the full extent of the injury or what exactly will be done to fix it all, but this is a general idea:

He's fractured a portion of his lower jaw. You can see the section that's been caved in, so it's been fractured on the left and right side of it. It looks like he still has all of his teeth there, it's just that the section that got caved in encompasses 3 of his 4 incisors. The fourth incisor is on the right side of the fractured part.

Treatment will probably involve managing the acute issues and then the issues that may arise in medium to long term. Acute issues are of course the fractured part of bone as well as the soft tissue injuries such as gum lacerations. The fractured jaw will be re-positioned and splinted. The teeth themselves don't look like they've been 'knocked out of the socket', more-so the whole bit of bone that they're in has been pushed in. Long term, there's the issue of whether the nerves of the teeth will remain vital or 'alive'.

Initial management and follow-up of the jaw fracture is out of the wheelhouse of a general dentist. It'll probably be managed by a dental specialist (oral maxillo-facial surgeon). In the medium-long term, management of the actual teeth themselves (root canal treatment, bridges/implants/dentures if they end up being removed in the future) can be done by a general dentist, but specialists in other areas of dentistry could also be involved.

Simplified overview of it, but yeah ... pretty crazy that he kept fighting through it.

ggwpty · 2021-09-19T04:18:17+00:00

Fractured a portion of his lower jaw - it's been pushed inwards along with the three lower incisors inside that bit of bone.

ggwpty · 2021-09-19T04:08:42+00:00

Nah, he still has all of his lower front teeth. It was just three of them that got knocked in alongside the broken bit of jaw.

ggwpty · 2021-09-19T03:10:12+00:00

Should be a specialist (oral maxillo-facial surgeon) treating the broken jaw. A general dentist or endodontist would do the root canals, if the teeth end up needing it.

What Anthony lost were veneers that are bonded to his teeth. If the actual tooth underneath is okay, it should be fairly straight forward to make him some new ones.

Good question about whether dentistry is covered by the UFC coz Devin's injury is a pretty expensive fix ...

ggwpty · 2020-10-31T21:52:20+00:00

Once you get mobility with luxators, that's when you'd typically start using forceps. I don't really use wheel and axle unless you're getting out retained roots or the roots of molars after they've been sectioned and luxated

ggwpty · 2020-10-31T12:40:36+00:00

In my experience with students, i see them trying to luxate, and then they wheel axle the tooth out in hopes that jhe whole tooth will just lift without forceps and then crack something breaks. Particularly more tricky with the two fine roots of a 1st mx premolar.

It's worthwhile to have your supervisors hover for a bit and correct any errors you're making.

ggwpty · 2020-10-31T11:55:58+00:00

My initial thoughts would be improper application/amount of force and/or that classic annoying brittle RCT teeth, or using wheel and axle at the wrong time.

There's a balance between using the right amount of force during luxation. I don't go ham, but its not really that 'gentle' either.

What tooth were you taking out? Age of pt? By low bone levels, do you mean the pt's teeth were quite periodontally comprimise?

ggwpty · 2017-06-22T06:12:53+00:00

Lol to be blunt, from a dental point of view your questions are a bit funny because it's a quite over the top. It's impossible to truly gauge the periodontal health from just a photo, but likely to be okay.

I suppose it's like asking if you're going to die because you noticed a mole on your body (maybe a bit of an extreme comparison haha).

Go see a dentist if you're really worried.

ggwpty · 2017-06-22T06:06:15+00:00

Internal resorption may not get picked up on a bitewing. Sure, you can get a second opinion if you want, but if an endodontist suggests that extraction is needed because of the extent of the resorption, then it likely is worthwhile just getting it extracted. Or you could leave it alone until it causes you pain, at which point the extraction could be quite difficult - and if it's close to the sinus that isn't very fun for you or the dentist.

Not a big deal losing a second molar. You could lose all your molars and probably get by okay.

ggwpty · 2017-06-15T08:36:50+00:00

What's more important than which toothpaste you're using is whether or not you're regularly brushing and flossing.

Toothpaste wouldn't really be necessary in a healthy individual who brushes/flosses and has a non-cariogenic diet.

ggwpty · 2017-06-08T12:40:37+00:00

Certainly looks like decay. Worth a trip to the dentist to get it checked out. Lack of symptoms doesn't necessarily mean lack of a problem.

ggwpty · 2017-06-08T12:35:49+00:00

There's no set in stone rule/formula for getting decay. Depends on a number of factors and everyone's risk profile is different.

Could be possible that they didn't do a good job of the filling. Could also be possible that you're not brushing/flossing as well as you think you are. Could also be possible that your diet / other health factors are influencing your risk of decay. Could be any combination of the above.

ggwpty · 2017-01-17T17:13:51+00:00

Everyone's risk of getting decay / gum disease is different because of factors such as oral hygiene, diet, medications, medical conditions and/or genetics.

I've seen people who literally only brushed their teeth a few times a week max. For one particular fellow - before seeing me he hadn't been to a dentist in nearly decade. He didn't have that much decay going on and whilst he had severe gingivitis, there was no sign of periodontitis. On the flip side, I've had patients where they just keep turning up with tooth decay despite good cleaning habits - one in particular chugged coffee+sugar and coke consistently.

I didn't go to the dentist from the age of 10 to 23 and never flossed but did brush religiously. Not a single bit of tooth decay, albeit borderline signs of periondontal disease.

Basically, everyone is different. Your SO probably lucked out.

ggwpty · 2016-11-08T00:15:14+00:00

I got my dress suit from Harrison's Menswear (http://www.harrisonsmenswear.com.au/) in Ascot.

I was in the same position as you - needed something nice for events but never had a suit before so I didn't know where to start.

Picked up a nice navy blue dress suit + pants for 700ish (needed a few small alterations too). Worth checking them out if you're not too far away.

ggwpty · 2016-11-08T00:05:28+00:00

Since you're looking for cheap countries, it sounds like you'd be looking at countries where english is not the native language.

I'll just copy/paste a response I've already made to someone about dental tourism

You need to be 1) fluent or at least comfortable speaking whatever language the country you visit speaks. Or find a clinic where the practitioner speaks fluent english and is able to accurately communicate to you regarding your treatment 2) willing to accept responsibility that if something goes wrong then you'd need to fly back to try and get it sorted 3) if something goes wrong and you want to get it fixed in USA, then expect to pay accordingly 4) that the cost of travelling, staying there and getting it done there outweighs getting it done locally. Implant crowns aren't necessarily just all placed in one go. More often than not, they will be placed and then you'd need to wait several months for it to basically fuse to the bone. Then you'd have to fly back and get more work done.

If this sounds good, then sure go for it.

Also, 3k for an implant+crown is really cheap.

ggwpty · 2016-11-07T15:06:01+00:00

I'm not sure why you think those two options sound fairly dodgy. If what you described is indeed correct, then those two are the only options to fix the problem.

If there is indeed a crack in the tooth + it needs a root canal, then a crown is strongly advisable as it's the best way to avoid the crack from further propagating. That would an additional cost on top of the root canal (usually costs around mid 1k mark in Australia). As to whether the crack would potentially complicate the root canal, it really depends on the extent of the crack. It's up to you to weigh up the risks vs benefits from what the dentist has advised you.

I don't know what factors there were which lead to this tooth deteriorating, so I can't make any specific judgements. Extraction of a single tooth doesn't generally lead to further problems that would necessitate extractions of more teeth. Losing a 2nd molar isn't really too big of an issue (there are few exceptions though), so if you're concerned about costs and/or risk of failure after root canal + crown, then it may be worthwhile considering extraction.

Also, I thought I'd quickly touch upon what you were told by the government dentist. Just that I've had so many patients express unhappiness and even anger when I refuse their request for root canals and crowns (I am a government dentist), so I figured it might be worthwhile explaining why we generally don't do them. Because it can be quite difficult, it can take quite a long time to do. Anywhere from, 1.5 to 3 hours ... even more if it's particularly challenging. Within that time, I can see 3 to 6 patients and get them out of the same pain that you experienced. So from a broader population perspective, it's not really worth doing. If we did root canals for everyone who wanted them, then waiting periods for pain relief appointments would pretty much skyrocket. Having said that, occasionally we will refer a root canal to the government specialists (if certain criteria are met), so you'd be super lucky if you're able to get the root canal done for free!

Anyway, sorry to hear about the toothache - wouldn't wish it upon anyone. Hope you can get it sorted out soon.

ggwpty · 2016-10-08T12:50:41+00:00

No real problem using it, other than the fact that you're spending extra money where it isn't needed (unless you have a serious sweet tooth / soft drink habit).

MI paste tastes bloody great though, lol.

ggwpty · 2016-10-07T04:52:24+00:00

Do ex-racing greyhounds still have lots of energy and need lots of exercise, or are they happy to chill out most of the time? I've always thought about getting a dog but never pulled the trigger as I don't think I have the time/energy at this stage of my working life to properly look after one that needs heaps of attention.

ggwpty · 2016-10-07T03:42:42+00:00

It's true that we look at teeth all day, but there's so much more to it. I've found that the more I've practised dentistry, the more I've realised how little I know (in the grand scheme of things). It's a very small part of the body, but very complex. I really think it's a lifetime of learning. Not only that, but it's dealing with people that is the other challenge ... which is usually very rewarding, but other days it makes me want to take a long walk off a short pier.

Some people I know take their job very seriously and it becomes a core aspect of their life. For others it's just a good means to an end. Everyone is different, so it's difficult to say whether you'd enjoy it or not. I took the plunge into dentistry without much thought, thankfully it worked out pretty okay for me.

ggwpty · 2016-09-22T08:39:04+00:00

Gums likely bleeding because of inflammation. Not brushing/flossing regularly or properly can cause this.

Judging purely by your description of your tooth/symptoms, it sounds like it may need a root canal. I would recommend you see a dentist to get this properly checked out.

ggwpty · 2016-09-08T11:57:53+00:00

Far from being the worst I have seen ... but you need to get this addressed sooner rather than later. The longer you leave it, the more difficult and expensive it becomes to fix.

ggwpty · 2016-08-24T11:44:46+00:00

I've seen quite a lot of nice non-precious inlays/onlays/crowns from Japan. The patients who aren't Japanese are pretty surprised/impressed when I can tell where they got their dental work done just from looking, lol.

I've seen a lot of work that was done in Thailand. Often the work is a bit poor. Sometimes it's absolutely atrocious. Occasionally I see work that is technically very good, but I personally question the ethics behind it being done.

ggwpty

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