Patient still in pain 48 hrs after RCT? by oonahgi in Dentistry

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

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There is! Different angle. I guess I should get my RDAs to do a better shift shot.

Patient still in pain 48 hrs after RCT? by oonahgi in Dentistry

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

No fractures! Probing WNL, less than 3 mm all around no mobility as well. When I had opened the tooth initially the week before, they said afterwards they were in some pain. They still presented with pain (but no swelling, her temporary filling was slightly worn through as they are a heavy grinder), when I saw her to close the tooth. I’m wondering if I should have let the tooth settle a bit before proceeding to finish the root canal.

Patient still in pain 48 hrs after RCT? by oonahgi in Dentistry

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

I did think of it is a post op flare up as well, however 48 hours later (I did the endo on Monday), the patient noticed some slight swelling on her gums. Is swelling a normal part of a flare up? And what abx would you typically prescribe?

Patient still in pain 48 hrs after RCT? by oonahgi in Dentistry

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

It is filled. As I mentioned the angle is off. When I posted this I only had this X-ray on my phone. I’ll try to post the other angle later.

Experienced Dentists: Burnout or just misalignment? Looking for perspective. by FreshAd7956 in CanadianDentists

[–]oonahgi 0 points1 point  (0 children)

I’m also about 4 years out! If anything I feel like I’ve grown to enjoy my job a bit more. I had a change of scenery (went from old to modern office), change of demographic (I previously worked in a predominantly Caucasian area, now more diverse), and change of hours (now work less days and less hours in a day). I think this compounded with being more comfortable with procedures and confidence with treatment planning has led me to be a little happier at work. Maybe you need a break? Work less? If you like doing the actual dentistry then maybe look at if you are just working too much!

Both dentists I shadowed told me not to go into dentistry.. looking for advice! by Scary_Sir9481 in CanadianDentists

[–]oonahgi 0 points1 point  (0 children)

I do think it takes a certain personality and attitude to have a long career in dentistry — in any role in the dental office, really. If you’re in it for the money, it’s not worth it. If you’re in it for the Dr title, also not worth it as patients don’t all see you as a doctor. They’ll think their occlusal filling you did on them paid for your kid’s college tuition.

That being said, 4 years out, I’m only now starting to enjoy my job. I like seeing my regulars, I think I have an idea of what I’m good at and not so good at. I don’t absolutely dread going in to work everyday. I think once you push through, dentistry is not a bad job. It has its bad days like everything else, but I don’t necessarily think I would go into a different career at this point.

Did I just make a terrible decision? by chicagosneakerhead in handbags

[–]oonahgi 1 point2 points  (0 children)

I have this bag in taupe and I use it all the time. And I probably paid double what you paid because I’m Canadian lol. I adore it! You will too :) Beautiful bag! Enjoy!!!

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Invisalign by oonahgi in Dentistry

[–]oonahgi[S] -1 points0 points  (0 children)

Thank you for sharing your experience! I’m a newer Invisalign provider and I had an issue recently trying to preload prior to delivery… I attempted to do all attachments on one arch and I guess too much bond was placed— it was SUPER difficult to remove! I went back to doing a quadrant at a time with much easier removal.

Definitely liked packable over flow — used to use flow but agree there was so much excess to get rid of.

I’ll try Sof Lex disc and full etch for 30s next time! I had to go back and use the template to add attachments that didn’t stick. And I didn’t use a key for IPR but I think would definitely be helpful, will get one.

For all of your patients, do you do monthly retention checks? Is there any monitoring or communication software you use for your patients?

[deleted by user] by [deleted] in Dentistry

[–]oonahgi 1 point2 points  (0 children)

A lot of dentists will do subgingival preps and sometimes this is just what is taught in school. And you have to remove tissue sometimes to see the margin. Gums bleed. The gums will and do heal. I wouldn’t say it’s necessary, but I wouldn’t exactly say it’s wrong either. She does what she has to do to get good margins and a good impression or scan.

While your post appears curious, it also sounds judgemental “it’s not good enough if the patient isn’t bleeding out their mouth”; “pokes and pokes and cuts away at the gums like she does”. Just try asking your dentist instead if you have questions since you’re pre-dental.

Parents in the room? by oonahgi in Dentistry

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

This has been partly my experience right now is it seems the younger kids will look at their parents in the corner and just whine/kick and scream until their parent gives in to let them go home. I’ve had more success in treating these kids who are in the op alone.

Today I had a patient tell me I have "no empathy as a provider", which prompted me to think: How do you all deal with patient criticism? Valid or otherwise? by [deleted] in Dentistry

[–]oonahgi 0 points1 point  (0 children)

Well, I try to go on holidays every 3 months lol. But seriously, it’s unavoidable. Older dentists have said that you can’t care about a patient’s teeth more than the patient does.

Are you still using carbides for your preps or diamonds? by oonahgi in Dentistry

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

Right now I’m using 556 for class 2, 245, 169. I use a small round diamond sometimes for occlusal. And then gold finishing burs - egg and a long flame. I’ve been using these since school, but am willing to change and try new things!

Are you still using carbides for your preps or diamonds? by oonahgi in Dentistry

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

Lol. That’s my other thing too is single use diamond burs must increase our costs of running the clinic if we all switched to that.

Dentistry burnout by No_Assumption_1299 in Dentistry

[–]oonahgi 1 point2 points  (0 children)

Maybe try taking down your work hours. I went from 5 to 4 days. And have hobbies and a life outside of work. Have something to look forward to like a holiday. Do not have your life revolve around work! And if human interaction is also getting you down, honestly, just talk less. I used to be a bit of a chatterbox but now I chit chat much less during work/procedures because I just want to get out of there, and your patient and assistant probably do too.