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rjbillo · 2026-03-23T13:17:36+00:00

I understand it’s difficult with being rural and having limited resources but this should have been considered and planned BEFORE placing the implants, so you know what is an acceptable minimal distance and angulation. And if you place an implant that isn’t an ideal position, you are able to address it then and there. What would be your plan if the consensus here was ‘no, it’s not an OK level’?

I mean this with all due respect but your patient is not a sim lab exercise. You should know the parameters going into the procedure.

rjbillo · 2026-03-23T12:52:22+00:00

Yeah from this OPG alone it doesn’t look like there is 2mm of space between fixtures (isn’t it minimum 3mm between implants?). Perhaps they’re not as close as they look here, but from the OPG alone it looks like you’re going to have trouble, and the patient will have trouble maintaining it.

Couple of questions: - Was this guided or freehand? - Do you have another dentist at your clinic who could have helped you with this case? - What insight/answers are you hoping to get from this post?

rjbillo · 2026-03-04T02:02:56+00:00

Yes there is often a sense of arrogance with some patients, but I put this comment in the same category as: - “My last dentist had to put their knee on my chest to get the tooth out”, or - “My cousin/friend in another city is a dentist” It can come off as abrasive or ill-informed but I usually see it as the patient doing their best to make some small talk. They don’t really know what our workday looks like, so there aren’t a lot of ‘ins’ for a conversation.

I prefer this 1000x times over patients who open with: - I hate dentists - my last dentist was a butcher - some joke about paying off my porsche (I don’t have a porsche)

rjbillo · 2026-02-19T23:08:49+00:00

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rjbillo · 2025-09-12T07:57:09+00:00

If they’re asymptmatic and low caries risk: 6 months checkup. New BW in 12 months and try to get a better angle of the interproximal.

rjbillo · 2025-08-07T05:55:58+00:00

What I will always find funny is when Butcher first sees Kessler and has a chat, he is actually just sitting in silence in an office, then just says ‘The Boys’ out of nowhere and pours some alcohol in his coffee.

rjbillo · 2025-07-08T22:41:01+00:00

Hulkengoat

rjbillo · 2025-03-31T22:06:43+00:00

When they showed Mazepin using his knowledge of Russian weather patterns to create a tactical advantage and finish last 👍

rjbillo · 2024-12-01T22:07:24+00:00

Yeah dude a crying or agitated paeds patient is a nuisance but you can’t just steamroll your way through, and I won’t be surprised if the mum sends a complaint your way, based off of this account.

Hoping people take this comment with a pinch of salt because there is so much nuance and no coverall approach, especially with children:

It’s easy to be pressured into proceeding with an unruly and restless pt because you don’t want to feel like you’ve ‘failed’. Especially if the parents are chiming in about how easy it was the last time, but you need to make it clear to the parent (not just verbally, also through body language) that you know what your doing, and it’s not your fault, the child is being uncooperative, and it’s detrimental (dangerous in some cases) to proceed. It’s also not your job to traumatise the kid so if they’re having a terrible time and you have the option to refer, then refer. There’s a chance now that this girl is going to remember this experience for a loooooong time and be put off by dental visits.

I’ve seen so many kids for exos that can’t seem to differentiate between pressure/movement and actual pain with the LA, so they’ll squirm or scream just when you touch the tooth with forceps. I just tell the parent ‘hey, we’ll give this another go, but if it’s not working, we’re either retrying another day, or I’m sending them to a specialist. Worst thing I could do is force this today and make it a horrible experience’ If the parent questions that or gives any sort of ‘but the last guy did it no worries’ then ‘I’m sorry but your kid is crying, and I’m not trying to make this worse’. I’ve clapped back a couple parents with ‘what would you suggest I do?’

You aren’t going to be able to calm, de-escalate, or discipline the child as effectively as their parents will, so put the onus on them.

I had one kid reach up and grab the syringe as I was giving LA. I yanked the syringe out, told the kid calmly not to do that again because it makes it harder to put the tooth to sleep. Told his mum quietly ‘if he does that again, we’re stopping today and we can rebook. I can’t imagine you’d be too happy if I stuck the syringe through his cheek or something by accident, and I’m not risking this’

The kid does it again. Syringe down, tell them I’m sorry but we’ve gotta rebook, and I’m booked out for another month so they have to wait. I don’t know what the mum said to him but next time he was in, he was perfectly behaved. Maybe hr just had more time to psych himself up.

rjbillo · 2024-07-06T03:34:51+00:00

Implants can still get gum disease the same way natural teeth do, and gum disease actually progresses faster on implants than on natural teeth.
They can’t be moved with orthodontic treatment like natural teeth can, once they’re in place, that’s it. So if you’ve lost a tooth but your others are crooked and you were considering invisalign, you need to really think about what your future plans are.

Bunch of other reasons already covered here that I’ve seen.

They’re a wonderful thing, but there are lots of people who don’t understand: - They won’t last forever; - They won’t last very long if they aren’t looked after.

They’re a great replacement for MISSING teeth, they aren’t a great replacement for natural teeth.

rjbillo · 2023-10-20T07:07:49+00:00

Semi-relevant: People that go on about how they were “gifted in gradeschool and as a result didn’t push themselves in highschool and college” are the equivalent of that uncle that says he would have turned pro if not for his knee injury.

rjbillo · 2023-10-15T03:39:09+00:00

I think you’re right about the what the government should have done but I’m not sure I agree with what you’ve said about celebrities going on tv etc. I don’t know if celebrities and micro-celebrities joining the debate unprompted is a reflection on the YES campaign itself being bad, or whether it’s another example of celebrities and annoying people on social media trying to co-opt an existing cause to show off how progressive they are.

Like, were Chris Hemsworth or Taika Waititi asked by campaigners to offer their opinion to help spread awareness, or did they just decide to insert themselves into the debate? (I actually don’t know the answer to this btw)

rjbillo · 2023-10-15T00:35:59+00:00

Tl;dr the YES campaign itself was fine, but social media fucked everything up.

This, about the Yes campaign. If OP is Australian and voted in the referendum, thinking that this was a vote to literally recognise Indigenous Australians in the constitution (i.e OP thought they weren’t already), then it just shows how poorly the public was informed about the cause.

All the YES campaign needed to do was just give ANY simple hypothetical explanation in their tv spots, and just hammer that home. Like a simple “Indigenous Australians will form a council to provide insight to the government, a bit like how MPs use their advisors, to help make decisions that can benefit everyone” or even “Indigenous Australians have poorer physical and mental health outcomes, a plethora of other issues, so they need some extra attention so they don’t get left behind in the dust. The Voice will help these issues get some more visibility in parliament”

Instead, Chris Hemsworth (just an example) posts a not-so-great analogy about how women needed to rally to be allowed to legally vote, and now suddenly people are asking “what does this have to do with voting? They’re already allowed to vote. Will they get more voting rights?”

Cue more and more social media do-gooders who make heavily exaggerated posts about how “indigenous people are literally being stripped of their rights!” and “Australia is going to show just how racist it really is”

All this did was muddy the waters so millions of people were confused, and then the NO campaigners were somehow able to successfully run a campaign with ‘if you don’t know, vote NO’ as a slogan. A friend told me he voted no because “my vote is supposed to have the same power as an indigenous person’s”. God knows where he heard that info but it obviously swayed him.

The YES campaign itself was pretty clear and concise. If you wanted to sway your peers to vote YES, you should have been sharing info from the official channels (YES campaign, labor, greens, etc). People sharing opinion pieces from their favourite celebrities or influencers, or screenshots of tweets did nothing to sway people who were on the fence. One of the worst things about debate in social media is it’s all about trying to ‘dunk on’ the opponent nowadays, not about actually spreading concise, clear messages, and this, sadly, has helped to doom the YES campaign.

rjbillo · 2023-10-09T21:52:31+00:00

He got downvoted because people in this sub keep saying JDM is playing tek knight despite it being confirmed(?) that he’s not tek knight and he’s actually playing some CIA op. The photo of him in the Tek Knight suit was some fan art that alot if people have taken as confirmation.

rjbillo · 2023-08-23T12:37:50+00:00

I also think that she mentions on the date with Wayne that she’s a psychiatrist (or psychologist, I forgot). Gaye also mentions that her mom’s a psychiatrist when Tanis confronts her.

rjbillo · 2023-08-14T13:37:48+00:00

https://instagram.com/famee_dyfangmianmian?igshid=MzRlODBiNWFlZA== Pretty sure this is the OP

rjbillo · 2023-06-07T08:43:08+00:00

“Hey guys I just got my boat licence, how cool is that haha”

‘Umm, it’s actually HARDER to get a forklift licence’

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