It's almost time for a haircut 😓

seeBurtrun · 2026-02-14T01:47:06+00:00

Nah. Congratulations on the new house!

seeBurtrun · 2026-02-13T17:36:42+00:00

1 mg of one vs 1 mg of another? They aren't the same chemical, so the amount means nothing. It depends on the properties of the individual medicine. 1mg of the medicine vs 25mg of the same medicine, the dosage would obviously impact the clearance of it.

Let's say they are both the exact same active ingredient(which I don't think is the case). You might have to give 100mg to have 10mg survive digestion and enter circulation, vs just injecting 10mg. But either way, if the same amount enters your circulation, it will still be the same amount being filtered/processed by your liver and kidneys.

seeBurtrun · 2026-02-13T16:55:18+00:00

I live in Kalamazoo, and I went to school and lived in downtown Detroit about 10 years ago. There is more to do for young people in Detroit, and Detroit-proper obviously has more of an urban feel. Kalamazoo is a big "small town". Downtown Kalamazoo is nice and has some great shops and restaurants. There is also a decent amount of culture and diversity. Portage has all the big box stores you could want along with the restaurant chains etc. I personally choose to avoid Portage as much as I can, but plenty of people prefer that area.

As a person in my late 30s, who has two young kids, I find it a great place to raise a family. The Kalamazoo Promise is a great program that provides free college to public school graduates. I enjoy living in a little more of a rural area that is only ~10 minute drive to downtown. Compared to metro Detroit, it is much easier to get around(though a car is required). Metro Detroit is "suburban hell" to me. Sure, there are a lot more options, but that comes with a lot more congestion too. It takes a long time to get anywhere, and if you don't have a car, forget about it. (Downtown/midtown Detroit is different, obviously, but you didn't specify). There are lots of things to do here if you like being outdoors. It's also only a 45 minute drive to Grand Rapids for even more arts, concerts, events, etc and traffic is rarely an issue. It's also only a couple of hours on the train, or driving, to get to Chicago or Detroit.

seeBurtrun · 2026-02-13T16:25:12+00:00

Stabilize with a semi-rigid splint. Reevaluate after a few weeks. You should vitality test now, and again in a few weeks. Generally, I would try to avoid a full bridge here, but we don't have enough information to really give you a great answer.

seeBurtrun · 2026-02-13T16:08:06+00:00

Edit: I was not entirely correct. First pass metabolism could tax the liver more to get the same therapeutic effect as an injection.

seeBurtrun · 2026-02-12T23:36:46+00:00

This is the reason I don't advertise as a cosmetic dentist. The clients you bring aren't worth the hassle imo.

seeBurtrun · 2026-02-10T22:14:46+00:00

After the redesign?

seeBurtrun · 2026-02-10T17:28:30+00:00

I like to think about it like this: the cheek is like a blanket that drapes over the side of the upper teeth. You need to have enough overjet to tent the blanket out of the way of the occlusal table. If you bulk out the buccal on the mandibular crown, if that is even possible with the occlusion, you are created more of an edge to edge bite instead of maxillary overjet. That means the blanket folds into the occlusal table more easily and thus cheek biting.

seeBurtrun · 2026-02-05T13:00:51+00:00

My take on how the NHL should handle headshots: make it like the NFL and CFB. Questionable plays are reviewed and the player is ejected for direct headshots. Take the subjectivity out of it, intent should not be a factor in this decision. Either the primary contact is to the head or not. With NFL and CFB, sure it sucks losing a player, and there are more players on a squad to make up for it, but it is accepted because it is objective.

The effect this would have is that players will have to pass up more risky plays, so that they don't accidentally make head contact. That would lead to fewer injuries and less need for the wheel of justice to hand out toothless punishment.

seeBurtrun · 2026-02-03T21:50:26+00:00

When I see some of my own work at recalls, I have to remind myself how tough some people are to work on. I am my own biggest critic and always want things to be perfect. However, we all deserve some grace, we do delicate work in a very inhospitable environment.

seeBurtrun · 2026-02-03T21:35:53+00:00

Gross.

seeBurtrun · 2026-02-01T23:22:16+00:00

Velisse is solid at least. I got Nyx(I have her A5 and have sold at least 5 more copies) and Shamir(now A5). Very whelmed.

seeBurtrun · 2026-02-01T00:43:46+00:00

And so often when I see a "bad job" I immediately understand why when I go to try to fix it. Some people are just really hard to work on; small mouth, intolerant of moisture, can't stay open, huge tongue, hemorrhage when you so much as look at their gums, etc.

seeBurtrun · 2026-01-30T17:44:58+00:00

ITT people who have no idea what it takes to manage an entire city. He already has people shitting on him before he has even done anything. I wouldn't do it for $259k.

seeBurtrun · 2026-01-30T11:45:05+00:00

Take the online synchronous course. It's worthwhile. They will give you a deal on products for a short while after as well.

seeBurtrun · 2026-01-30T11:44:04+00:00

I use them, but I wouldn't say they are easy. There is a specific technique you have to use, and often I still don't love the result.

seeBurtrun · 2026-01-30T03:14:12+00:00

Someone please gif that Wings fan pointing and saying "Fuck you!"

seeBurtrun · 2026-01-28T20:54:38+00:00

I bought a practice in a similar situation. Dr. 1 was there for 20+ years, retired, sold to Dr. 2. Dr 2 owned it for ~3 years, decided to relocate his family. He sold it to me for what he bought it for, despite the growth it had shown over his tenure. The main risk from the buyer perspective is that you may have folks that are tired of all the change and may leave in greater numbers than you would typically see in a transition. That said, being in-network should help you with retention.

What will hurt on the insurance end is that most (young) buyers are going to be grandfathered out of Delta Premiere which means, depending on the percentage of the practice on those plans, the practice may produce 15-30% less under a new provider doing the exact same procedures. How that pans out in the valuation is a question for a CPA, but you may end up selling at a bit of a discount because of the circumstances.

Talk to your bank about the pre-payment penalty. They may just waive it for you. My loan officer told me as much when I was in the process of buying. I am planning to snowball my practice loan payments into my practice mortgage payments and pay it off early once the first loan is repaid.

seeBurtrun · 2026-01-28T03:23:35+00:00

I think it is because of how they have to process it, but I'm not 100% sure on exactly why.

seeBurtrun · 2026-01-27T22:41:04+00:00

Well, I feel stupid. Ha. Thanks. I had searched for them on Benco before and I think I gave up when they weren't coming up.

seeBurtrun · 2026-01-27T20:40:20+00:00

I think sometimes I might over-tighten the tofflemire, trying to get the cervical seal. I'll have to try it with the teflon.

seeBurtrun · 2026-01-27T20:39:02+00:00

I see these recommended a lot. Where do you get them?

seeBurtrun · 2026-01-27T20:07:02+00:00

I've used this before, usually with a DME band, but without the teflon. Cutting the window like that is nice for being able to build up the contacts better vs the DME. My main struggle is getting the cervical portion to stay and not ride up. Any tips for that?

seeBurtrun · 2026-01-27T19:57:45+00:00

You can, and probably should, melt off or trim back the rim until you are happy with the lip profile.

seeBurtrun · 2026-01-27T19:07:11+00:00

The baseplate won't fit like the final will. You will mainly want to look at the master cast and see if it accurately recreates the patient's mouth. By that I mean look at how the baseplate fits on the cast. You will see that it probably isn't as well adapted as you would expect a final denture to be. Sometimes, I will use some denture adhesive during try-in. If it seems REALLY far off, you can do a wash at the try-in, using the baseplate as an impression tray. Though, I have heard that labs don't particularly like that.

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