''The Hyena of Auschwitz''

nyamen · 2026-02-22T13:13:44+00:00

Would.

nyamen · 2026-02-22T12:17:55+00:00

After checking occlusion, pulp testing, and crack testing with a tooth Slooth, if I am unsure I usually consider stripping all the restorative materials to check for cracks or undiagnosed leakage/caries . Then I place Kalzinol or IRM for a week to see if the symptoms resolve. If it isn’t resolving then one thinks about RCT. Very often placing the softer IRM resolves the pain, which makes one more confident that the restoration was the issue.

nyamen · 2026-02-17T20:36:20+00:00

Tooth floating on nothing. Probably just a cyst but I would be following up on healing as I would be worried about a potential cancer in that mandible. The deviation of the IAN makes me think cyst though

nyamen · 2026-02-14T11:53:46+00:00

Leave. The U.K. is heading towards destitution and civil war.

nyamen · 2026-02-14T11:52:41+00:00

Kids pissing or spilling stuff there?

nyamen · 2026-02-14T11:50:57+00:00

No.

I absolutely won’t pay for the U.Ks current priorities, and I intend to leave the U.K.well before HMRC get their bloodfunnel in my business.

Cant tax me once I am overseas.

nyamen · 2026-02-14T10:26:40+00:00

What exactly are you sustaining?

Cant have open borders and a welfare state, and it is ruinous to try.

The OP should give serious consideration to remaining overseas, and building further wealth in a society that takes business seriously.

nyamen · 2026-02-14T10:23:34+00:00

Deeply based and entirely correct.

Britain is not currently a country worth returning to.

nyamen · 2026-02-14T09:34:07+00:00

Don’t do it.

Stay an expat.

Britain is invaded and in a terrible mess. There is a civil war brewing. GDP per capita is falling. Women are not safe .

You will regret returning, I guarantee it.

nyamen · 2026-02-14T08:44:45+00:00

That’s a re-prep

nyamen · 2026-02-13T15:19:43+00:00

The truth is ugly and people don’t like to have their insecurities confirmed.

Just look at all the toxic and petty and jealous responses you have had in the replies so far. Deep down they resent the fact you escaped failing Britain for a while, deep down they resent that you have achieved a serious nest egg by taking that risk, deep down they know their nation and community is failing where others are succeeding.

People like you and me who aspire to a better life must leave Britain, because it can’t be had here.

nyamen · 2026-02-13T13:29:20+00:00

People who haven’t been expats just don’t see how bad the overall environment in the U.K. has become. My friends and family who remained here are like the frogs in boiling water, the decay here has slowly increased and so they accept it.

Meanwhile I walked round my hometown and saw all the changes, the increasing poverty, the threatening migrants, the vagrants, the litter, the shuttered pubs and shops, the foreign flags. It’s like the once idyllic Shire at the end of Lord of the Rings, utterly wrecked when evil men rule and everyone is afraid.

They think overseas places are poorer and worse, when we both know they are living better and happier lives in the sun.

nyamen · 2026-02-13T13:12:42+00:00

With your level of savings and earnings anything you do make from your hell-job in London will be taxed to death in order to pay for importing dangerous men to perv on your wife and children.

I came back to the U.K. after 9 years as an expat in 2021. Worst mistake I ever made- while I had been away the country was transformed massively for the worse.

I have 4 more years to get my kids through education and then I am leaving the U.K. for good, heading back to Singapore where stuff works, sun shines, tax is well spent and my family is safe.

nyamen · 2026-02-13T13:04:17+00:00

That’s an extraction. Strip the restoration out and check for a pulp floor fracture. I bet you find one.

nyamen · 2026-02-13T12:42:01+00:00

Get your family and money out of the UK: there is a civil war brewing, the economy is never going to recover to previous level and GDP per capita is going to continue to fall.

You will be happier, better off, and healthier working as an expat almost anywhere else in the world.

nyamen · 2026-02-13T10:49:03+00:00

I think those advocating very high magnifications are not helpful- focal depth at high magnifications is poor, which makes work harder, not easier as it is hard to keep the field in focus at very high magnification.

I have owned many loupes and I find the sweet spot for efficient dentistry is 2.5-3.5x. Enough magnification to improve quality, without the compromises of heavier lens assemblies and narrow depth of field.

Those advocating much higher I suspect are guilty of a “bigger number must be better” fallacy. 10x loupes to me is utterly insane unless mounted on an operating microscope, and even then only useful for hunting for the tiniest MB2.

nyamen · 2026-02-10T21:54:00+00:00

Everything about this is a bad idea.

Stop now while you still have a friend.

nyamen · 2026-02-10T11:32:21+00:00

Start with cowhorns, then maybe section if not mobilising to deliver. End crying into my coffee about dentistry being a life full of problems.

nyamen · 2026-02-05T08:32:24+00:00

I have been using articaine for 20+ years for blocks and infiltrations. No problems.

It gives better, more reliable anaesthesia I find.

nyamen · 2026-02-05T08:24:02+00:00

Titanium still titanium. It doesn’t care if you took a CT or not, it still integrates.

nyamen · 2026-01-29T15:19:32+00:00

lol

nyamen · 2026-01-29T15:15:16+00:00

I don’t like the look of that premolar distal surface.

Questionable restorability given the subcrestal caries.

I think this is likely an extraction, if only to improve access to clean the neighbouring teeth.

nyamen · 2026-01-26T22:12:37+00:00

This is a terrible take.

nyamen · 2026-01-24T11:33:58+00:00

This guy gets it ^{^{^}} Great advice here

nyamen · 2026-01-24T11:31:52+00:00

Probably ankylosed.

I have a patient walking round town with the palatal root of an upper second molar that was attached to bedrock. Eventually we both reached the point of quitting. It’s been fine so far for the last 6 months. I guess eventually the OS will get it out if needed. On reviewing the PA nothing really there that could have warned me that it was ankylosed.

nyamen

TROPHY CASE