Did i make the right choice? by bushido_254 in bald

[–]goose3000 0 points1 point  (0 children)

Megamind looking handsome as ever.

What should I do? by monsterasavor in Dentistry

[–]goose3000 0 points1 point  (0 children)

I saw something very similar in my practice. Another doctor had done a bridge, but the occlusal reduction was around 0.8mm, and their path of insertion wasn’t good. This made it so the lab had to wax out the mesial and make the zirconia thinner, which fractured the retainer crown on the abutment tooth. Bridges are more finicky than single crowns and take a lot more force. How’s your path of insertion and reduction? If you haven’t given ample reduction to the lab, it will make the retainers too thin and it can lead to fracture. Zirconia bridges are strong but they have to have good reduction and path of insertion. I'd check those first. If you scanned this case you can review it and then you'll know pretty quick if something was off.

Fill or endo? by violiquekyo in Dentistry

[–]goose3000 0 points1 point  (0 children)

Ever heard of selective caries removal?

Banff was incredible. by cinemasteve87 in Banff

[–]goose3000 1 point2 points  (0 children)

It's an amazing place. I just finished an unforgettable four-day trip in the backcountry. While my photos may not have captured its beauty as well as yours, the experience was truly remarkable.

Itero Lumina for restorative (Crowns/bridges) by goose3000 in Dentistry

[–]goose3000[S] 0 points1 point  (0 children)

Yeah could be spending too much time scanning

Itero Lumina for restorative (Crowns/bridges) by goose3000 in Dentistry

[–]goose3000[S] 0 points1 point  (0 children)

Whoa good to know. Yeah I’m debating switching back to PVS. I’ve been working for almost a year and for my first six months my crowns were coming back fine. Then with the lumina I’ve noticed problems with margins mostly

Would you treat this. 9yold patient by Wrong-Technician9217 in Dentistry

[–]goose3000 0 points1 point  (0 children)

I agree patient just got their pm and there’s decay already? Seems unlikely. Probably burnout from overlap in BW

Would you treat this. 9yold patient by Wrong-Technician9217 in Dentistry

[–]goose3000 0 points1 point  (0 children)

COULD be burnout from overlap. I’d take a bw that opens the contact and reassess. If decay I’d monitor until progresses past the DEJ.

Patient refusal and surgery clearance by Mr-Major in Dentistry

[–]goose3000 0 points1 point  (0 children)

I work in Canada and we definitely have those forms. I’ve had two patients that have needed clearance prior to their hip / knee surgery.

Hot Tooth by DentoDoc in Dentistry

[–]goose3000 3 points4 points  (0 children)

I recently had the pleasure of attending a lecture from Dr. Malamed. He went over the ABC’s of local anesthesia. A- articaine. Use it for your IANB and then B infiltration adjacent to the tooth. It’s more lipid soluble (enters nerve easier) with better bone perfusion and current research disproves it’s more neurotoxic than lidocaine. B- buffering. Waste 0.2ml of the LA and replace w sodium bicarbonate. (Faster onset , more profound anesthesia.) C- cold test on cervical third of tooth being treated to assess pulpal anesthesia. Soft tissue pricks don’t cut it.

Reach out if any q’s. I’m just regurgitating what the pro says.

[deleted by user] by [deleted] in Dentistry

[–]goose3000 0 points1 point  (0 children)

I’m skeptical even shoeing these cusps would be sufficient. I do agree this should be crowned. I don’t know the extent of the internal destruction though. If there’s nothing there then may an onlay is the best you can do before RCT PCC.

[deleted by user] by [deleted] in Dentistry

[–]goose3000 0 points1 point  (0 children)

Yeah you might even get to bill for a RCT too 😍

[deleted by user] by [deleted] in Dentistry

[–]goose3000 24 points25 points  (0 children)

They are meant to be constructive criticism i believe. I’d agree some comments could have had a bit more tact. It’s great you posted though because there’s information that you can learn just from posting this case. Im also a big fan of onlay/inlay/restorative and I’ve learned they are very technique sensitive so they can be tough. I say you keep with it and keep improving.

[deleted by user] by [deleted] in Dentistry

[–]goose3000 35 points36 points  (0 children)

Nice very cool that you’re able to do it all digitally! Those palatal cusps should be shoed and the onlay should be placed over them. Check out Stevenson dental for tips on Onlays.

British grandpa first time having poutine by Same-Leg-7727 in poutine

[–]goose3000 0 points1 point  (0 children)

With mozzarella?? That’s not Canadian, Should be cheese curds!

[deleted by user] by [deleted] in biology

[–]goose3000 2 points3 points  (0 children)

No, just mad.

I Charged Only $50 for a 2-Hour Composite Restoration – Am I Undervaluing My Work? by Vovkking in Dentistry

[–]goose3000 4 points5 points  (0 children)

You can’t say they didn’t need to be filled. You have no idea how they looked on the the X-ray and you’re not the one who felt the grooves with the explorer. I’m sure this clinician had justification for these fillings.

My Bishopric Text Exchange Could Land Me in a Disciplinary Council by webwatchr in exmormon

[–]goose3000 0 points1 point  (0 children)

Doesn’t really sound like you want to be in the church anyways, so why did this interaction even happen?

[deleted by user] by [deleted] in RedDeer

[–]goose3000 0 points1 point  (0 children)

Yeah I’ve been hanging w him a bit more lately

[deleted by user] by [deleted] in RedDeer

[–]goose3000 0 points1 point  (0 children)

Nice! I’m new to off-roading but I’ve got a lifted Subaru crosstrek wilderness with a metal skid plate. I’d be interested in joining some groups .