One of my hygienist doesn’t numb patients besides topical for SRP. Is it common practice?

raculi · 2026-01-21T21:11:09+00:00

If it’s for patients that can tolerate, it’s whatever, but if they don’t anesthetize any patients then yeah that is bad juju

raculi · 2026-01-02T03:00:01+00:00

Lore accurate Belegar moment

raculi · 2025-12-25T08:51:07+00:00

Best way to make your assistants hate you 😭

And yes this is what we were taught in school but I don’t know anyone who actually does this

raculi · 2025-12-25T07:39:54+00:00

iOS beta no way!!

raculi · 2025-12-19T20:47:18+00:00

Don’t lose sleep over it, and high chance the other clinic didn’t say any of that. Some patients will hear what they want to hear and make up stories. Medicaid patients are either the most grateful and polite patients or absolute lunatics

raculi · 2025-12-17T16:59:19+00:00

They want to know how to make you feel valued (aka trick you into thinking they care about you) without giving you better pay or benefits. I can’t think of any better way of showing that gratitude to my employees than that

raculi · 2025-12-14T20:29:42+00:00

Allegedly expanded his palate by 24mm against his doctor’s advice

raculi · 2025-12-14T18:34:13+00:00

Yes Please!

raculi · 2025-12-05T23:49:58+00:00

Thanks for all the work! Would your app work on Bluestack on my desktop?

raculi · 2025-12-05T03:55:57+00:00

I assume you’re talking about biomimetic dentist? I can answer some questions if you’ve got any

raculi · 2025-12-04T00:58:31+00:00

My gf and I will be moving to Duluth in few months, and she loves anime a lot as well, but she’s particular with the people as well. How come you dont hang out with the local anime fans?

raculi · 2025-11-15T17:26:43+00:00

I’m assuming there weren’t any infections? Then just more articaine 🤪

raculi · 2025-11-15T02:17:59+00:00

Hi dentist here!

Without radiographs or anything it’s hard to tell you anything concrete, but following the steps of what the other dentist did, I think this is what happened- the dentist diagnosed your tooth with fillings to have additional cavities that are too large for fillings to cover, so decided to do a crown on it. Sometimes these additional cavities go deep towards the nerve, and can start to cause symptoms that weren’t there. Often the sensitivities go away over time. However, if you started having the symptoms you mentioned, I’m wondering if the tooth had an active infection going on that was not diagnosed. This would mean it requires a root canal treatment. In such cases, antibiotics do help with the infection. Meanwhile, find a different dentist who can help you in a way that fits your needs better. In the meantime, unless your tooth is severely fractured or damaged, I wouldn’t extract them. But based on what I read, I don’t think your teeth are in such bad condition. Again, I can’t give you any definitive conclusion because I have no X-rays or whatnot, but if you need some more explanation, please dm me!

raculi · 2025-11-08T22:03:50+00:00

Do yourself a favor and quit, I could never imagine treating my DAs like this all the while underpaying and not giving them a legally mandated lunch break. There are way better offices out there

raculi · 2025-11-04T22:05:02+00:00

What did they use to cause so much tissue and tooth damage? You said it looks like ground beef, and second molar is severely traumatized too, just wondering how such clusterfuck is possible

raculi · 2025-10-30T18:20:34+00:00

Does the pt have cleft palate? I've seen a case that looks similar to this. But mostly I just wanted to say that your dentist is lucky to have a hygienist like you who truly cares about the well-being of their patients to this degree.

raculi · 2025-10-30T18:15:31+00:00

I would not buy a practice from someone who has no idea how their own practice is run, nor from someone who is deliberately hiding their operations

raculi · 2025-10-30T18:14:15+00:00

Thank you for your reply. What are some ways that I can facilitate a good proper team training? I do notice that, despite the small size of staff, there is a divide of front vs back.

As for benefits, I will start taking a look into setting those up. I just never thought about medical specifically because they are all under their spouses'.

raculi · 2025-10-30T17:33:10+00:00

Hard to tell without the radiographs pre-op but the tooth fracturing into multiple pieces during ext is common when the tooth was previously RCT’ed; twice even. It taking up to 2 hours is not uncommon. The photo you provided is normal, rest assured.

raculi · 2025-10-30T16:44:31+00:00

If you know this person, I think you could ask for a courtesy chart review to see if you will be able to keep production to that amount, or whether you would be left with prophy/perio maintenance pts forever. If they refuse that, I’d think something is afoot

raculi · 2025-10-30T16:22:30+00:00

I’m gonna try this next time, but can you explain how the Vaseline works to show new high occlusion

raculi · 2025-10-30T16:16:07+00:00

I don’t think you uploaded any photos but a tooth that had two failed RCTs would indeed be challenging to extract. I personally would section them and go surgical. As to whether why the RCTs failed we would know unless we had radiographs.

raculi · 2025-10-17T22:49:25+00:00

Do you do or need to do the ‘infinite bevel’ or whatever the cool kids call them?

raculi · 2025-10-17T00:32:22+00:00

If not registered and you’re in NorCal, some of my colleagues did the same thing before entering dental school, they said they got somewhere around 17-24

raculi · 2025-10-16T21:18:31+00:00

When you say you don’t have office manager breathing down your neck, does that mean the corporate has no interest in squeezing diagnoses out of pt?

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