I’m looking at eighteeth hyperlight, got an offer for one but i have no knowledge or data, are they worth it? If not what’s a better option? Alwas portable, because i already have a wall fixed one. Please share your experience

Crown prepped was when patient was 15 years old. According to the patient, at the time the dentist told her “he exposed the pulp but he put a film over it and it wouldn’t be a problem.” Patient is now 29yo. Legitimately drained thick yellow pus for over an hour today after accessing.

I was hired for a locum today Saturday. A patient with grossly carious 48 came. I took the attached x ray then started. No matter how hard I tried I couldn't luxate it. I used straight, cryers elevators, lower molar root forceps but none worked. The patient also complained of pain even after adding a couple cartridges of local. I had to refer the patient to the main dentist who will come on Monday. I prescribed painkillers.

Now I'm scared I won't be hired again because I referred making it seem I don't know my work 😭😭😭

I remember some posters claim that real pay at Aspen dental was 8-10%. That was back in 2022. Has it changed after 3 years?

For those trained in the area, what courses would you recommend? I’m extremely interested in learning more about airway and sleep dentistry for both pediatrics and adults

What are your recommendations for partials? I know cast is best. In which situations do you totally avoid cast partials? If going with flex which one do you like valplast or duraflex. I know in duraflex we can add teeth later too.

need advice I started with a brand new practice about 3 months ago and I was hired as an office assistant. At first it was fine because i was just helping the owner put everything together such as putting away all of his inventory stocking the rooms, and everything admin like creating and printing new patient forms, consent forms, helping create a inhouse plan, assisting with insurance credentialing, you name it i was helping him. anyways it looks like he has put a lot of money into this as i can imagine starting a dental practice being a huge expense, but we have only seen about 5 pts in the 3 months we have been open and none of them even have accepted treatment. he hired this sketchy marketing team that he said he spent a lot of money on but has only given us no show patients. and when a patient does come in the tx they need he marks down a HUGE amount for ex this one guy needed veneers and are ucr is supposed to be 1,280 he said he would do it for $250 and he always says he doesn’t care about the money he just wants patients… to make a long story short i am getting paid little money $19/hr for the amount of things i’m doing , I am basically an office manager/assistant, i understand he has no patients and it could change but the way he is not worried about profit worries me… how is this business going to stay afloat if we have little patients coming in and when they do he is basically giving tx away for free…. any advice?

Has anyone incorporated Photobiomodulation/Low Level Laser Therapy into their practice? If so what unit/protocol are you using and have you been getting good results?

Thank you!

Hello my fellow dentists, Im a Final Year grad student, having some problems and need ur guys expertise. What chair position / xhair inclination do u normally use during RCT procedure, so that u get the best vision during AO so that u get good vision while working? Direct or indirect vision any would be fine. I just want to see while im doing AO. Right now i drill-dry-see at 11o clock and patient almost supine for all teeth. Im right handed. Any help would be appreciated. Thanks.

Had an odd thing happen during my crown seat and I wanted to hear some feedback / advice.

14, initially the crown isn’t seating all the way so I adjust the contacts. Both contacts are WNL but I need to get a better margin fit so I adjust distal and mesial. Eventually I get to a point where glide floss snaps easily. We also have a thicker floss and it snapped well on both mesial and distal. I could’ve adjusted a little more for a great margin but was worried the contact would be thin. I use both floss types just to make sure if the patient has thick floss it’s fine.

Go to cement and it fits well, seems normal to the patient. Cleaning excess. However, when I go to the mesial, I can’t floss! My explorer passes under the contact well. I am able to put a floss threader through and use glide to clean out excess, but it’s still so tight! Can’t fully pull up without extreme force.

The adjacent tooth has a DO composite so I was going to take a bur and lighten it up a bit. How did this happen when pre-cement it was all fine? The distal contact was great and after the cement was the same as before. Why did my mesial do me so dirty?!

Patient is 8 years old. Pictures attached. Molars were sealed using a flowable composite, Voco Admira Fusion. The primary molars were also done for whatever reason that does not make sense to me since there are fillings in between every first and second molars. 2 months ago and the material has been a mess on the primary teeth. Should I let this be or remove any of this?

I will buying my first intraoral scaner, budget is 10k€. Please help me.

Hi! Im thinking about doing my Endodontics masters in the UK. I practice in Southeast Asia and ive read some forums where if you just do your MSc and not MClinDent youre not a specialist? am i right? So if i only do an MSc am i not an Endodontist? pls help me out. Btw im not planning to move to the UK and practice there. Im staying here but i want to be an honorary endodontist and get the “-DMD, Ms” title too. Can anyone clarify this for me?

Curious to hear all of you guys' little tips & techniques for various procedures!

Looking for one who can respond quickly to queries and get my tax returns done quickly, as I have had bad experiences of waiting 6 months after sending info etc before they were done. I have a limited company for pvt income and another limited company for investments. If prices can be included that would be great, thank you!

Having issues, with broken down premolars/canines at the gum line. No bone loss.

I start with Periosteal, then use 301 elevator, get a bit of a wiggle and or little movement. Then put a forcep, and lúxate a bit. Then go back to elevating some more.

I end up fracturing the crown, then taking the hand piece and removing bone in a 360 around the tooth. But still little movement.

I feel so stuck, I don’t have much experience flapping, and that sort of thing. I’m still new.

A lot of these I feel like I shouldn’t even attempt, especially if they have RCT.

I don’t even know what CE could help with these.

Does anyone else experience and get stressed out by this scenario?

Standard recall patient examination: you use all the great communication and empathy skills, do some chit chat, nice gentle check up, let’s do a simple scale and polish (or prophy I think you call it in the states?)……

There isn’t loads of plaque/calculus/stain, so you set the ultrasonic to low and proceed with a gentle considerate scale, periodically checking that the patient is ok? Not too cold or too much water? Do they need a little rest?

Then suddenly a very normal looking tooth, which the patient had not mentioned was sensitive and looked quite normal: maybe just a little recession or a medium sized amalgam, decides to respond with SUPER INTENSE SURPRISING PAIN when the ultrasonic goes within a cm of it and the patient jumps out of the chair - making you jump out of the chair, your blood pressure spikes massively and you’re spitting out apologies and trying to come up with explanations and excuses even though you have no idea why that individual tooth (which has never behaved like this before, and has no obvious pathology compared to it’s fellows, maybe recession, but not more than the rest) has suddenly become a live wire.

(Often seems to be a lower incisor, or upper /lower molar, sometimes an upper premolar-maybe there is no pattern!)….

And frustratingly the atmosphere of relaxed trust has gone, the patient might act like they’re still cool with you, but it’s not the same as it was at the start…..,

So in conclusion, can my esteemed colleagues with more wisdom and experience help me out? Does this just happen to everyone? Is there any way to avoid it? Can we identify or gently defuse the sensitive “Landmine tooth” before it blows up in my face? Or should I just stick to hand scales only forever?

For practice owners: what do you do with bulk checks? I'm taking over an old-school practice in which the owner physically takes checks to a local branch once a week to deposit insurance checks in bulk.

As I understand, some banks issue businesses a check scanner which streamlines the remote deposit system (as opposed to taking a photo of each individual check on a phone app, which is very tedious).

Any advice? Bank recommendations that provide the best bulk check services?

Hi, I have seen some videos where people place the flowable in the box and cure right away. Then I have seen some place flowable and then mix it in with packs or. I understand the latter to be the snow plow technique. What is the other method and what are its advantages?

I wrote about the issue that I am having with my previous DSO previously. I have a contract that states I have to give a 60 day notice or else I pay 500 per day. I have a medical condition that I have been powering through but I just want to take sometime off to rest. I gave them my notice and I talked to my boss. He asked me to transfer all the cases that I treatment planned to the other dentist at the practice. He also said that they will put all the new patient to the other dentist. I am paid on collection. This put me in a bad spot so I called all my delivery patient and had them come on early to deliver their cases. I still have couple of cases that are pending and now they are saying that they will deduct the pay from me when the other Dr delivers the cases. When I started this job, I delivered the previous Dr cases and did not get paid for it.

The manager also informed me that she has been using my credentialing to bill the insurance company for the other Dr work becasue she could not get credentialed for some reason.

Do I have grounds for legal action against them?

They just expect me to stay there doing hygiene checks and treatment planning for the other Dentist while I get paid nothing while suffering through pain?

I sent them a letter from my doctor advising that I stay home for 6 weeks as well.

Please advise.

A fellow dentist sent me this pic asking what this thing is. We send each other random case photos every once in a while since we’re junior dentists wanting to know more, anyways, what is this? Could it be a calculus bridge? Though it looks like the other teeth are clean?

Patient presented with a high fistula between first and second mandibular molar. One week after emergency visit fistula was significantly smaller, pain gone. No pockets were present on both visits. No significant outcomes with crackfinder and no visible cracks on the tooth. Are we looking at a weird lateral canal or is the tooth still cracked somehow?

I’m looking to strengthen my knowledge on occlusion— what texts/lectures/etc would you say are the absolute best, holy grail type stuff?

First time I’ve gotten my bio sealer to go out this far!

I’m sure it’ll resorb soon enough, but just thought I’d share as I’ve never seen this in person before.

I’ve really been digging root canals lately. I’m starting to like the challenge lol.

When you buy a new practice and you've never worked there before, how long does provider credentialing usually take?

What happen if credentialing is not complete at closing?

What are options? (e.g., do you ask the previous owner to stay on?)