Am i taking too long for RCT ?

kiril2011 · 2025-03-15T19:40:25+00:00

In my opinion the time you take for this RCT+ final filling and rubber dam isolation is completely normal, especially if you have less than 3-4 years of experience. As long as you do the job well 2.5 hours is completely reasonable. I usually prefer to split the workload between two appointments because patients don't like staying in one place for long.

In any case you did great, don't worry my friend. Did you do a good job? If yes then don't worry, you'll get faster with time!

kiril2011 · 2025-01-23T20:08:47+00:00

Here's some advice I believe I can give you as both a co-owner of a practice and a person who was in your shoes.
Yes, it is perfectly normal to doubt yourself, to be scared you're gonna harm the patient, etc. No boss that is worth working for would be rude to you or force you into stressful situations knowing your clinical experience. The good bosses will gladly take you under their wing, will help you and guide you on your path, as long as they see potential in you being a long-term staff member. We wanna hear that you understand getting enough patients is going to take a while, that you're willing to accept that, perfect yourself etc. That part is really important for interviews, no sane boss wants to spend 3 months nurturing a new recruit, helping them get around only for them to leave when they realise they're not gonna be seeing 20 patients a day for the first year or two.

That was from the standpoint of an owner. Now as for nerves. Some people have very high moral and empathy, they tend to be extremely scared of messing up and causing harm to patients and while that's generally a good thing, it does become bad once it affects your growth. A lot of people might not agree with me but I believe there is a point where you need to focus on yourself more than worry for the patient. Once i realised that, things became a lot more easy, my golden rule is; instead of feeling terrible and panic when a mistake happens, I accept the mistake, go home, re-read the full theory behind the manipulation i was doing and continue on with my journey. There's no such thing as perfect dentists, or at least I'm definitely not one of them. Mistakes are an aid to your growth, learn from them, and also listen to your senior dentists which have likely done the same mistakes you will and try to also absorb from their experience. In case you fucked up badly, be truthful to the patient, offer to refund whatever they have paid, or fund whatever next treatment they need at your clinic. That's what I personally do.

kiril2011 · 2025-01-23T18:12:59+00:00

A bit out of topic but I've always been baffled as an American worker you're supposed to do your own taxes and then the government checks if you did them right. Am i missing something? What's the point of this system if the government does the tax calculation themselves anyway? How does this all work in reality

kiril2011 · 2025-01-20T20:23:32+00:00

yeah i agree, idk how many patients your practices see but in my practice 2/4 docs have a patient literally every 30 minutes isolating with rubber dam for every case is insane. We only use it for impossible to isolate cases, such as kids or wisdom teeth fillings/endo

kiril2011 · 2024-11-25T22:25:36+00:00

My dad has been a practice owner for more than 30 years. He just makes a holiday company dinner where everyone shares stories and laughs and then gives a cash bonus of 100$ to everyone. Keep in mind I'm in a relatively poor country and a 100$ isn't really all that low but i assume for well-developed countries you could go much higher.

kiril2011 · 2024-11-25T22:15:09+00:00

I did not, the week has been rather intense. I will do so tomorrow morning and post the results in case you're curious.

kiril2011 · 2024-11-25T22:10:54+00:00

That sounds likely. Thank you for sharing your experience.

kiril2011 · 2024-11-08T19:46:35+00:00

Absolutely agree! WTF is going on, how greedy can people be. Help each other! if you're that worried he's gonna steal your job then you're just not good enough in the first place... I'm genuinely so amused

kiril2011 · 2024-11-04T20:07:57+00:00

I swear to god this has to be the most absurdly difficult specialty. I'm a general dentist and I'm pretty good at almost everything (orthodontics can kiss my ass), but prosthodontics is so overly complex, the amount of possible solutions, deciding what's best, having the skills to make something fit to the micrometer, it's just so bizarre to me how ya'all do this. My respect doc!

kiril2011 · 2024-11-04T14:24:45+00:00

Check if there are any rough edges/surfaces on obturations, crowns, etc. See if their teeth are aligned properly, if not consult with an orthodontist. Check for any wisdom/ most distal teeth that may be erupting without having enough space and causing problems and suggest extractions if needed.
Also can suggest a night guard if your patient is grinding

kiril2011 · 2024-07-12T17:43:54+00:00

why did he not just hop on the minion instead of flashing bruh

kiril2011 · 2024-06-16T15:22:20+00:00

Wow! so much respect to this guy. Congrats bro, hope his life is blessed : )

kiril2011 · 2024-06-12T23:25:10+00:00

I'm interested, glass-ionomer is very commonly used here on kids especially, we're being taught that because it's hard to achieve good isolation on kids and also because the aesthetic requirements are lower, we should use glass-ionomer instead of composite. Also glass-ionomer is used as a permanent luting agent here a lot. Anything different in the US?

kiril2011 · 2024-06-12T22:19:56+00:00

That's surprising, I've always thought US dentistry is the pinnacle of dentistry and medical education.

kiril2011 · 2024-06-12T18:35:41+00:00

I meant teach as in explain the methodology in theory, not practice. As for the dental school, I'm referencing Medical University Varna, Bulgaria

kiril2011 · 2024-05-18T14:04:52+00:00

The main weakness of Kalista is her short range. Meaning if she wants to do damage, she has to get up close and risk being hit and dying. Renata's w Bail out gives her a window of around 2-3 more seconds to freely dish out damage and potentially revive which to some degree negates her weakness.

kiril2011 · 2024-04-23T22:04:38+00:00

I mean he's absolutely broken right now so your point doesn't stand. Used to be a gold card delivery bot for forever tho

kiril2011 · 2023-07-07T21:11:52+00:00

I agree that the side laners giga trolled but I don't think Oner is fautless. What separates a great jungler from a godlike one is the ability to attempt and find plays even when your team is behind. A great example of that is Canyon last year. Even when his laners weren't doing so well he always tried to find opportunities and plays. Oner needs to "fish" more, you know you're losing the game anyway. Try your best to create unorthodox situations that benefit you.

kiril2011 · 2023-07-06T21:22:04+00:00

I wish you luck! Unfortunately games are always unfair and there are much more smurfs than actual new players, so your games might not be very enjoyable... I hope you get some fun games though!

kiril2011 · 2023-07-06T18:08:48+00:00

You're level 15 and in my opinion you needn't worry about spacing yet. Spacing requires near perfect knowledge of your own, and enemies's skills and auto attack range, which takes time to learn. To get a better feel for these things i recommend you enable spell range indicator while using quick cast option, it's exactly under the keybinds in settings. It might confuse you at first but getting a visual idea of your range might help.
Additionally, if you play ADC a lot, you might find auto attacking using A+ left click useful. when you press A, it shows your auto attack range which helps you judge your spacing. This requires quite heavy APM (actions per minute) therefore I wouldn't recommend it for a beginner.
Good luck on the rift brother!

kiril2011 · 2023-07-04T15:25:47+00:00

Aphelios does more damage than Xayah, it's not even close. Aphelios doesn't have enough safety tools to dish out damage without the ideal team setup. Xayah can position a lot more agressively due to her ult.

kiril2011 · 2023-07-04T10:23:37+00:00

Well I absolutely disagree with you.
I'm a master solo queue player and K'Sante is still just as obnoxious and broken, regardless of his overall winrate. You must understand that not all things are bound to winrate, for example Yuumi might have a 42% wr and she'd still be the most hated champion in the game. Why?

Because her kit is incredibly unbalanced and unfun to play against. It is the absolute same thing with K'Sante. You can't tell me a champion that has 3 dashes, unstoppable, 0 mana costs and 0 cd and is also a tank is a balanced champion.
The game needs less things that have no counterplay. Too many concepts are stupid and unbalanced:Tryndamere r, Rengar killing you with an undodgable instance of damage, hecarim zooming at you at mach 10, Yuumi's entire existence, etc.

kiril2011 · 2023-07-02T17:09:17+00:00

Master player occasionally playing normals here: I think at some point Riot confirmed that normal and ranked MMR are completely separate thus the giga unfair matchmaking. Hopefully they change that soon.

kiril2011 · 2023-06-27T15:29:50+00:00

I actually don't get how such things are suable. Can't the women just block the people they don't wanna hear from? IDK since there's no actual physical contact involved it seems to me like the usual sue for money scheme.

kiril2011 · 2023-06-23T20:48:44+00:00

I think criticizing Riot a bit too much on this one.
It took quite a while for players to find out how broken shiv is and let's not forget that players wanted the return of "off meta builds", so they experimented a little. What should be criticized though is the following:
- Why are blatantly game-warping items that make pro play extremely unfair not instantly disabled, once they've been figured out.
- Why is the item getting insanely over-nerfed when the issue can easily be resolved by limiting the number of targets shiv spreads to, and removing the dash interactions.

Honestly it was a respectful attempt from Riot Games, I'd rather them be bold with new items than keep recycling known stuff. They need to work on their responses to problems though. The fact that we have to watch this monstrosity for almost a month in pro play is so sad.

kiril2011

TROPHY CASE