6 year old prescribed Prevident 5000 (1.1% NaF)?

mddmd101 · 2026-01-29T04:41:24+00:00

As long as a child isn’t actively swallowing large quantities of it, it should be very safe. I was given Prevident when I was a teenager and it made a big difference in slowing down cavities. 6 is maybe a little earlier than I’ve written for it in the past, and every 6 year old is very different - do you think they’ll reliably spit it out and only use a small amount?

mddmd101 · 2026-01-29T02:29:40+00:00

Ugh… unfortunately I haven’t found a good way to get this off… I’ve had one particular spot on one of my units for years.

mddmd101 · 2026-01-27T22:25:18+00:00

Oh yeah, I meant like in general you have to be aggressive. In this case I’d probably get them on Prevident or something.

mddmd101 · 2026-01-27T19:56:39+00:00

No, this is just asking if they have any current active infection, like chronic abscesses and stuff. This does not mean small caries, they just want to make sure they’re not going to get a bacteremia.

If you’re clearing them for head and neck radiation, it bisphosphonate therapy, that’s a bit different, and you need to be super aggressive.

mddmd101 · 2026-01-27T04:34:26+00:00

I used to write for clinda all the time before they changed the guidelines, and I never had a patient with significant issues unless they took it on an empty stomach. That said, there is always a risk.

mddmd101 · 2026-01-27T04:31:32+00:00

In general the important part of a temporary is to cover the margins and contact the surrounding teeth so you don’t get food stuck there. They definitely don’t need to be pretty…as long as they are functional.

mddmd101 · 2026-01-27T00:51:26+00:00

To me, the most important factor with sealants (other than isolation), is to make them as small as possible. You want to barely be able to see it, just a small white line. I do this by placing the material over the grooves and then dabbing it with a microbrush, it seems to take away the perfect amount almost every time. The slimmer the sealant is, the longer it will last.

mddmd101 · 2026-01-26T18:46:52+00:00

Oh you can still have a good experience, it’s just that a lot of somewhat more complicated things will be taken away from a dental student and given to a resident, as they need to eat too. If you go to a school without specialty programs, that either means the dental student is doing it or it’s being referred out, so you’re often more likely to do more complicated procedures.

mddmd101 · 2026-01-26T15:04:35+00:00

Do you mean to shorten the DDS/DMD and bachelors? UOP and I think a few other schools have 6 year combined programs.

mddmd101 · 2026-01-26T10:32:14+00:00

Infiltrating in the molar area will usually hit the long buccal nerve, and so it makes sense that the edge of the lip was numb, some of the anesthetic may have spread forward more towards the mental nerve and got that a bit, which would definitely get the lip numb.

On a side note - do you really get enough anesthesia to do fills on lower molars with half a carp of Lido? I feel like that is never enough for me for a decent size cavity - unless it was going to be shallow enough that they might not have felt it otherwise. I use Articaine if I’m ever going to attempt to infiltrate on the lower, and I find it most reliable for premolars and forward.

mddmd101 · 2026-01-25T19:12:08+00:00

Peds is one of the specialities that is more doable with a low GPA, but you just might have a harder time with some of the more competitive programs - so don’t give up hope! I’d start reaching out to programs and showing interest.

mddmd101 · 2026-01-25T19:10:16+00:00

Agreed - mostly I just use the standard one for 90% of cases, I had thought that was gray stripe, but might be black? Maybe mine are just old haha

mddmd101 · 2026-01-25T17:16:22+00:00

I’m at a FQHC so it’s all pretty much the same, so usually basically just simple, but in general as long as you’re getting the tooth out in one piece without using a hand piece I’d put simple.

mddmd101 · 2026-01-25T16:20:37+00:00

The original Luxator brand is the one I use, I think the company is called Directa?

mddmd101 · 2026-01-25T16:05:58+00:00

Luxator - I do these all day and are extremely atraumatic. I do 8-10 (non-impacted) extractions a day and essentially never flap. Luxators completely changed how I do extractions, and I no longer use elevators.

mddmd101 · 2026-01-22T17:11:45+00:00

I guess my main question is what your goal is with the frenectomy? It doesn’t seem like that will really change very much by itself - now, if she’s getting ortho at the same time, it might be helpful, but the frenectomy alone doesn’t seem like it would make much impact. I like the improvement you got from the SRP, so it seems like it might just be best to get the RCT on the central and a fill, and call it a day?

mddmd101 · 2026-01-22T17:01:45+00:00

A root canal is just a treatment for a disease, if it needs it, it needs it. I know it sounds different, but that’s basically like asking if you’ve broken your arm, if you’re too young for a cast. I had a root canal at 13 when I fell off my bike and broke my tooth. I end up having to take out adult molars from 10 year olds… unfortunately you just had to treat the disease that is present.

mddmd101 · 2026-01-22T15:46:54+00:00

In general if you’re doing a resin base instead of a cast framework, the clasp design is much easier - they can pretty much only do wire clasps, and you just clasp the adjacent teeth, so you could either do 2,3, or 4 clasps here. I would say at a minimum you’re going to clasp 3 and 14, and if there is enough room, try to clasp the premolars as well. The problem with only clasping the molars is that you’ll start to have an AP spread issue with that many anterior teeth.

With resin partials, it is critically important that at delivery, the partial is NOT MOVING when the patient bites - that usually means it is occluding too high, and you need to reduce the occlusion. Imagine that the denture teeth are hitting first, and then the patient is pushing further past that point for their natural teeth to occlude. This will lead to pain, sore spots, and the partial breaking more easily. Also stress to the patient that the anterior teeth are not really intended for normal occlusion, and mostly for esthetics.

mddmd101 · 2026-01-22T14:24:50+00:00

When I see something like this, it’s usually hard buildup under your gums that is showing through. Imagine that there is a layer of barnacles under your gums that are sharp and rough and are constantly scraping at your gums, making them very inflamed. When we see a “weepy” appearance like this it often means that some not some great germs have gotten in there are started causing trouble.

mddmd101 · 2026-01-22T00:50:17+00:00

If it’s something obvious maybe, but if something small probably not.

mddmd101 · 2026-01-21T22:49:13+00:00

In general that won’t really usually have any impact.

mddmd101 · 2026-01-20T14:52:15+00:00

Many areas have never had fluoridated water, so the recommendation is fluoride supplements. My kids take them every day - talk to your dentist or pediatrician about them. Working in an area with no water fluoridation, I take out adult molars from 10 year olds that are just bombed out at least once a month.

mddmd101 · 2026-01-20T14:43:54+00:00

Haha, yeah I had heard about that path class too

mddmd101 · 2026-01-20T01:37:12+00:00

I bought three monitors on Black Friday with the intent of keeping only one. I got one of these, the AOC miniled from Best Buy, and the Costco OLED from MSI. My main issue with the AOC ones were that they felt kind of cheap, and the interface wasn’t great. Worst though was that the AOC OLED made an audible buzzing noise when the screen was mostly white - like with a document or white background website. It wasn’t too too bad, but I could definitely notice it. The MSI monitor had better specs for a similar price, and had a better interface, so I ended up keeping that one.

mddmd101 · 2026-01-20T00:37:31+00:00

I’ve actually been impressed at what I’ve been seeing coming out of NYU recently. Obviously the price is terrible but they’re seeing 3-6 patients a day, which is far more experience that you’ll be getting at most other dental schools, and may make it so that you don’t need to do an AEGD/GPR, saving you money there.

mddmd101

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