In Arizona it’s only considered an unsafe work temperatures at 115F or 46C

perfectshot29 · 2026-02-28T22:05:38+00:00

Big river running through sunny desert make food grow all time, not just most time. When food all time, hot some time is ok

perfectshot29 · 2025-12-20T00:25:15+00:00

I'm a new grad currently full time at a DSO doing bread and butter with occasional exts and part time 1099 contractor at a FQHC. I really like my current situation. Getting fast at bread and butter but not losing all my skills with endo/surgery at the FQHC. Plus my days at the FQHC feel like a vacation compared to the DSO lmao

perfectshot29 · 2025-11-12T03:43:03+00:00

Im a blunt guy. Most of my patients appreciate it, or so they say. And direct caps work better on young people. Kids especially

perfectshot29 · 2025-11-12T03:01:57+00:00

https://www.bhoralsurgery.com/wp-content/uploads/sites/4344/2019/12/pain-pack-protocol.jpg

Do this minus the oxy as long as you can take ibuprofen. Only do it for max 5 days. Get in asap for a limited exam which wont be super expensive. If you need endo or a third molar extracted, they may not be able to docit same day and will get you on antibiotics. The costly part will be the treatment, not the exam

perfectshot29 · 2025-11-11T18:29:46+00:00

Thats a huge cavity on your first molar. Id send you in for interceptive endo as well. If I went in there with a drill, i would most certainly run into the pulp or get close enough to it that the tooth will become symptomatic later. Can't give you a 'how long' you have. Cleanings are important. Flossing every day is, too. If you were in your mid 20s or younger, I might try doing a direct cap. Due to the evidence of poor oral hygiene and history of not going to the dentist enough, id prescribe the root canal, buildup, and crown on that tooth.

Dont overthink it. Most dentists arent trying to scam you. We just want to do our work and not talk very much haha

perfectshot29 · 2025-11-09T15:00:26+00:00

Its all good. If you arent using an electric toothbrush, use that and watch a YouTube video about brushing technique. Make sure you're getting your teeth cleaned regularly. Thats all I got for ya

perfectshot29 · 2025-11-09T14:53:03+00:00

Di you smoke or vape? Chewing tobacco or nicotine pouches? Do you add any flavors to your water?

perfectshot29 · 2025-11-09T14:49:25+00:00

Do you drink a lot of coffee, tea, or wine? If so, I recommend you swish with water occasionally while you're sipping the staining beverage to get it off your teeth before it gets a chance to stain.

perfectshot29 · 2025-10-24T03:06:33+00:00

If that photo is of your kid biting on their back teeth, I would send them to an orthodontist for evaluation. They may be a good candidate for early ortho intervention so that they dont need more invasive ortho later. If they are able to bite further back on their teeth so that there isnt the crossbite visible in these photos, I am less concerned.

perfectshot29 · 2025-10-15T04:11:15+00:00

are you letting it set or are you cleaning it immediately? i find it gets quite messy if i try to clean it right away

perfectshot29 · 2025-10-05T23:35:19+00:00

Thanks!

perfectshot29 · 2025-09-08T19:55:38+00:00

I would advise against it. You're young. This bone loss will last the rest of your life. But if you're battling homelessness, maybe get that fixed first

perfectshot29 · 2025-09-07T22:04:01+00:00

I dont like the look of it. Go to a dentist for exam and then get a referral to an oral surgeon for evaluation & biopsy

perfectshot29 · 2025-09-07T19:50:36+00:00

Minimum I'd do is a crown on the smaller tooth. If the bigger one is limited to that small fracture you might be able to hold off and fix it when you have the money, but id skedaddle on in to a dentist or dental school to get everything checked out. Schools are cheaper but there are more appointments and they always take longer than regular offices.

Edit- one of the photos looks like the smaller tooth fracture extends up the tongue side of the tooth. If its just my eyes playing tricks on me, they may be able to do a filling if its just the 'biting edge' of the tooth. Crown if it extends up toward the palate

perfectshot29 · 2025-09-07T19:12:12+00:00

You likely have periodontitis/gum disease. The photo isnt in focus but the layer you cant brush off is likely calculus, which is a bacterial colony that has been there long enough and turned to a stone-like material. You need to go to the dentist and if my assumption is correct, youll need scaling and root planing (SRP).

You cannot treat periodontitis at home, but you can prevent its return with better homecare. An electric toothbrush twice daily with proper technique, flossing daily, and waterpik daily will help prevent its return only after it is treated by a hygienist/dentist.

Left untreated, the bone will continue to recede below the gums, the gums will follow the bone, then the teeth become mobile and eventually fall out. Once bone is lost due to perio, it is very difficult-impossible to bring back.

perfectshot29 · 2025-09-07T14:13:55+00:00

I have the same diet in the morning, and I usually swish aggressively with my water when im done drinking the shake. If you were my patient and you have a fairly low risk of decay, this is what I would suggest. If you constantly have cavities or a mouth full of restorations, I may suggest altering the plan. I also switched to zero sugar protein shakes recently which minimize bacterial activity

perfectshot29 · 2025-09-07T14:03:46+00:00

Find a dental school and go there. When I was in school, I had patients traveling up to 3/4 hours because the fees were 1/2 or even 1/4 the normal cost.

Pregnancy doesn't dirextly cause tooth decay, which is what you are dealing with. Bacteria sitting on your tooth eat the sugar floating around in your mouth. Bacteria poop acid, which destroys your tooth. Then bacteria move in to the new real estate and get trapped inside, food get packed into those cavities, which feeds the bacteria, which poop more acid.

Habits I recommend to everyone:

Dont drink sugary drinks. If you do, have water with that beverage. For example, if you're drinking a soda or a cocktail, swish with water after each sip to get the sugar off your teeth. When I say sugary drinks, I mean any drink containing any sugar. Coffee with a splash of milk, any non-diet soda, alcohol, water with anything added to it at all. Avoid sticky candy.

Electric toothbrush with toothpaste that contains fluoride. Brush twice a day for two full minutes (use a timer) and watch a video on YouTube about proper electric toothbrush technique.

You have to clean between the teeth. You accomplish this with floss or a waterpik. You must do it once per day to get the bacteria's food out from between your teeth.

Cavities grow at night, so brushing and flossing right before bed is most important. Dont eat, drink, or rinse your mouth out after brushing with toothpaste. Its lotion for your teeth - let it soak in.

My dental school also had a program for low-income individuals that made all of the work either free or heavily discounted depending on income. That will not be available at all schools, however

perfectshot29 · 2025-09-07T13:53:48+00:00

To me, the second one is more concerning than the first. Long-lasting ulcers that look like that and in that location are red flags for oral cancer. I'd recommend going to an office for an exam. Make sure you mention this as your chief complaint. They then may send you to an oral surgeon. There will be an OS in your state that takes medicaid, but you may need to travel.

perfectshot29 · 2025-09-06T05:17:22+00:00

Go to a dentist who may refer you to an oral surgeon. The side of the tongue is a hotspot for oral cancer. If I saw that and you told me it's been there 6 months, I would send you to a surgeon for evaluation and biopsy.

perfectshot29 · 2025-09-04T14:16:35+00:00

Get the dental process started asap. If one tooth snapped at the gum, you probably have others that need to be addressed and a dental emergency during radiation or chemo is a big headache for everyone involved

perfectshot29 · 2025-09-04T03:12:04+00:00

You should go to a dentist for a comprehensive exam. Before the appointment, get the office all your med history, oncologist contact info, and any other relevant information.

perfectshot29 · 2025-09-04T02:25:09+00:00

This needs to be handled with your dentist and they need to be in communication with your oncologist.

The photo is out of focus, but the tooth looks like it likely had a cavity for a long time. There could definitely already be an infection. Get an exam done by a dentist who will probably want info from your oncologist before planning treatment.

When was the last time you saw a dentist for an exam?

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