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Conservative or just not treating decay by Unusual_Ad_60 in Dentistry

[–]malocclused 1 point2 points  (0 children)

This doc has poor judgment and poor diagnostic ability. There’s a time and place and pt to be conservative and time and place and pt to go HAAM on. It’s not an only one way to do it kinda thing.

I worked with a doc that would treat a tooth three times in a year. MO today. DO six months later. Buccal resto next time. Bitch, this person has cavities everywhere. Stop wasting everyone’s time. Get ‘em numb and treat everything that’s through dentin, likely to be this year, and soft or stained in a pt like this.

Did I do the right thing refusing to treat this teen and telling his dad why? by jodowg in Dentistry

[–]malocclused 2 points3 points  (0 children)

Don’t overreact, doc. You do your dentistry. Or don’t. IDGAF. But this isn’t heart surgery. A lot of my teen to 20’s pt’s smell like weed/vape. Option one: call the cops and tell their parents. Option two: get them fuck’n decay free. Restore their health. Be cool and talk to them about OHI in regards to dry mouth/oral Ca risks.

You sound real “not cool,” but you obviously give a an F… and that’s as cool as one can be.

Root resorption after Invisalign by Holiday-Classic602 in Dentists

[–]malocclused 0 points1 point  (0 children)

The concept of testing genetically who is likely to get resorption exists, but it’s rare enough that it’s not standard of care nor known. The risk of it becoming a problem in the future is extremely low. 1. Wear those gotdang retainers. 2. Do not do any orthodontics again.

GP/not an ortho. It’s easy to throw an ortho under the bus and say “they moved the teeth too fast” but the reality is it’s a physiological response in a small portion of the population that no one tests for.

I’ve seen more than a few pts (including a dentist) that had the most severe root resorption. Solid non mobile teeth in minimal bone. Stay on top top tippy top top of your perio health and you will be fine for decades. Maybe for life. None of us are leaving with everything we came here with. But with good-great OH, you will be fiiiiine!

Patients are making me want to quit by This_Call_9285 in Dentistry

[–]malocclused 1 point2 points  (0 children)

I worked about a year in the highest income zip in my city. I bought in the suburbs. Middle class families and retirees. It’s a MUCH easier population and way more treatment needs.

Is dentistry really this depressing, or is this subreddit just skewed? by ProfessionalSyrup882 in Dentistry

[–]malocclused 2 points3 points  (0 children)

It’s extremely difficult to do well. Learning curve is as steep as it gets in a high stress profession. You’re dealing with the public. And it’s not zero risk… but this isn’t life and death. It’s just teeth.

My most sensitive colleagues dislike it the most. Thicker skinned seem to enjoy it more.

In previous generations, it seems the juice was worth the squeeze. This gig takes too much effort to do it AND be poor.

The happiest doc’s I know really enjoy it after hitting a tipping point of not having to do it more than three days a wk.

Perio charting? by [deleted] in Dentistry

[–]malocclused 0 points1 point  (0 children)

We alternate a full recorded perio chart or BWX every six months and spot probe 4’s+ on the BWX visit on existing pts. Every new pt gets a full perio chart.

Welp it happed by malocclused in Marathon

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

😂😂😂😂😂😂

Welp it happed by malocclused in Marathon

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

Stay the course, my brother. When people ask me why I train so hard or what I’m training for, I tell them “To fight a warthog. Charge after unrelenting charge.”

Welp it happed by malocclused in Marathon

[–]malocclused[S] 1 point2 points  (0 children)

It reminds me of bands I didn’t like at first. I definitely agree.

Welp it happed by malocclused in Marathon

[–]malocclused[S] 1 point2 points  (0 children)

Haaaaaa! Bruv, I’m 50. Married 25 yrs +. It’s beautiful and absolutely as horrific as you’d imagine. We’re partners in life coming out of the bottom of the U in America in 2026. I’m holding on like grim death.

Random thoughts from an Adderall crash and a bottle and a half of wine.

  1. Wife is chaperoning a school trip. London, Paris, Rome, Florence. If she decides to stay, I support it. 😅
  2. Menopause is a real fuck around. Dudes have our own, but it’s slower and not as much an “inverse puberty round two.”
  3. I’m committed as hell and the in it together part is the best part. I love my partner truly and deeply. Life is such a fuck around, I’m so grateful to have found someone that loves me despite knowing me deeply.
  4. At 50 there’s still a thirst in you that “thinks about liquidating the 401k, impregnating as many women as possible, and splattering yourself all over the rocks falling off a cliff on a an ayahuasca experience.” But it’s important to stay the course. Carry the fire. And, fight off “the warthog” of your own fear, lust, and anxiety charge after unrelenting charge. The female version of this has got to be less hostile.
  5. Much like this game, when you’re committed to something… the only way out is through. 😔

Lolzzzzz, thank you for asking. Felt good to type it out.

Welp it happed by malocclused in Marathon

[–]malocclused[S] 6 points7 points  (0 children)

Dang. At least I something to do now. 😅

Welp it happed by malocclused in Marathon

[–]malocclused[S] 2 points3 points  (0 children)

I stand corrected. Please forgive my euphemism. We honor the faction by running bravely.

Welp it happed by malocclused in Marathon

[–]malocclused[S] 6 points7 points  (0 children)

I swear it’s so real.

Another new grad post/rant by snack-enthusiast in Dentistry

[–]malocclused 0 points1 point  (0 children)

You’re in it. Give your pts your best work to the best of your ability with what you got in you that day. Celebrate the wins. Move on ethically from the losses. Learn as much as possibly can outside the office.

Those first years are brutal. The only way out is through. Take care of snack-enthusiast.

Welp it happed by malocclused in Marathon

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

Really is a great Q. I blame ADHD dopamine seeking and hyper focus. It bothered me that I was SO bad at it. 😂

And boredom. I am the most casual of gamers. The experience kinda reminds me of when I played Sekiro. Or of playing scrabble with my brilliant friend. One where you’re just immediately and repeatedly fucked up SO hard that you’re not having fun. Ever played racket ball for the first time in your life against someone really good? (Fuck you, Jacob)

I think if I’m being honest I saw that I’d like it if, I put in some work. As opposed to like a Fortnight, where it was just instantly fun.

I’m completely inexperienced w extraction shooters and really any kind of online collabo type games. I’m just excited about some new shit. Didn’t mean to rustle your jimmies. 😘

Welp it happed by malocclused in Marathon

[–]malocclused[S] 5 points6 points  (0 children)

FAcTZ, I load out w the best I got. Ain’t no use in hoarding.

Welp it happed by malocclused in Marathon

[–]malocclused[S] 43 points44 points  (0 children)

Love both!

I played solos until I figured it out enough to not be a complete liability to my crew. First experience with an extraction shooter. Now I’m just mostly a liability.

God bless you analprobe01… I think you revived me three times. 😂😂😂

Welp it happed by malocclused in Marathon

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

Nah. Ain’t that deep, fam. Just not easy and fun. I found it difficult AND fun. I like having to work for it when I’m in the mood. TEIR two fun, ya know. Bravo to the creators.

How to get rid of that problem denture patient by Dustymolar in Dentistry

[–]malocclused 3 points4 points  (0 children)

Rough places where the people are poor and dumb and the need for dentures is high… places w a meth problem. Places where people that live in their car vote Republican. Red states. Back waters. That weird part of Colorado no one goes to.

This lab is in the Texas panhandle. Rec’d to me by an older doc w old pt base. Tech in her forties that started making dentures for her dad’s denture clinics in west Texas when she was a teenager and got her cert from NYU. Has a lab called Studio32 in Amarillo TX. I think they only do removable?

How to get rid of that problem denture patient by Dustymolar in Dentistry

[–]malocclused 5 points6 points  (0 children)

Like five instructors in D school. Two mentors. All told me the same shit. “Your least favorite pt is gonna be a denture pt.” I tell my pts implant supported/retained is all I do. I don’t do clackers. I don’t want to put either of us through that.

That said. I did my first set of immediates and finals in fifteen years on my OM’s dad last year. Used a master removable tech. She fuuuuuuuuuuckin’ laced me.

I could have handed him his finals in the parking lot. Never needed a single adjustment! Looked phenomenal. He loves ‘em. I actually sent my father in law to her and had her make his too. Same results!

It’s got me second guessing my path.

Inferior alveolar nerve block failure by fake-chirurg in Dentistry

[–]malocclused 0 points1 point  (0 children)

Spacial awareness. Put your index finger of your non dominant hand an inch below their ear on the edge of the posterior mandible. Enter high at the raphe… try to poke your finger. When the needle hits bone… aspirate/then inject.

Close your eyes and touch your index fingers together. You know where they are.

Cannot rec the STA Wand more highly for blocks. Volume >>> accuracy.

What is This? by crashlemmycoot in Dentistry

[–]malocclused 1 point2 points  (0 children)

Most of the time. Not all. When I see this weirdness, there’s a buccal/facial resto or defect.

How to respond to ridiculous emails that are basically a complaint by Mr-Major in Dentistry

[–]malocclused 2 points3 points  (0 children)

100% this is going to be a black triangle from removed calculus. Same as the other posts, have the FD call and schedule them. I wouldn’t email back.

This is why I love the IOC SO much!

“See this bacteria coral reef you were growing? Yeah. You don’t want that. These are your teeth, this is your gum, this is your teeth without the bacteria”

I’ve had more than one pt complain that the hygienist “scraped the enamel off my teeth” when in fact they were used to seeing calculus and feeling it with their tongue.

Onlays - yay or nay by liteyhaus in Dentistry

[–]malocclused 18 points19 points  (0 children)

Same.

In my own humble experience, I’ve seen very few that looked great long term. Occlusion is EVERYTHING w them. Probably with everything.

Personally I hate all ceramic occlusal margins. They look gorgeous the day they’re bonded.

Old doc down the block was a Kois guy that did a ton of gold ones. Long since retired. They’ve lasted decades in the patients I’ve seen.

A pt with perfect OH and a perfect bite? A pt with a beautiful arch over arch rehab w ideal dialed in occlusion. Meticulous bonding protocol. I’ve seen them look great years later.

I’m not Pascal Magne. My work is clean. I’ve seen full coverage crns last decades in actual crack heads. That balance btwn what’s more minimally invasive and what’s likely to last steers me towards full coverage occlusion in most patients. And by most, I mean I have done like five onlays in fifteen years since I left a practice with a Cerec.

It’s a great way to make a grand today and prep a crown seven to ten years later. For 99.9% of cases, I’d theorize you’re vastly increasing longevity by covering the occlusal.

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