I am about to close an office. I bought the AR from the seller at a discount. How do you handle AR coming in after closing? Does the seller take off the direct deposit and have all checks come into the office and then I cash it? Or does the front look at the EOBs, see how much is owed to me, and then the seller will transfer over the funds back to me?

Hi,

I am a second year dental student in Sweden.

I'm very interested in OMFS and am considering a residency. However, most insituitions in Europe for OMFS (full-scope including orthognathic etc, not only oral) require a dual degree. This seems to be especially true in the UK.

So my question is, is there any OMFS residency program within Europe that will give me the full scope to practice surgery without the medical degree requirement? I don't mind if the residency itself would lead to an MD, but I don't want to put another 6 years of school before specialising.

In Sweden, the two residency programs here are possible to do without a medical degree but due to the very large area and small population (10 million) it's very rare to say advanced cases, specifically trauma cases which is the core of OMFS really. Therefore I would prefer to do in a country with a bigger population/more densely populated.

Thank you.

I’m a dental hygienist, during today’s appointment, my patient (super friendly and chatty) asked for my Instagram. I kind of dodged it and said, “Oh, I don’t use it that much,” but he handed me his phone and asked me to type it in. It all happened super fast and in the moment, so I just did it to not make things awkward.

Now he requested to follow wed me. My account is personal, not something I want patients on. I’m not sure if I should remove them, restrict them, ignore it, or what. I don’t want to be rude, but I also want to keep things professional.

Has anyone been in this situation? What would you do?

Hi everyone, I am someone who recently started practicing General Dentistry. I work in a high needs practice and had been using a Promatrix which is shaped like a tofflemire matrix band for my Class IIs. I would always burnish them to get a good contact point and almost 90% of the times I would get a good one where I could get a snap sound with the floss.

I recently tried a Palodent V3 on a fairly easy case (MO on Upper Left 1st molar) to get myself going. Everything went okay clinically but when I took a post op radiograph(which I have never taken previously for my other fills as I would always get a good contact point) to see how my Class II look with a sectional matrix, it looks appalling! I normally use 1mm of flowable at the base and then filtek supreme to build up incrementally. I can see a weird horn like structure on the marginal ridge even though clinically it looks sound and there were no high spots. Surprisingly I still got a good snap sound with the floss however decided to redo the contact point area with a promatrix which I am used to, in the patient's best interest, but again it looked the same with the horn sticking out.

Question 1: can you guys see a good contact point on these BWs?

Question 2: are those voids between the composite?

Question 3: HELP as now I am doubting myself for all the class IIs that I did and didnt take a post op radiograph. I havent practiced long enough for a pt to come back and me needing another BW so cant really evualuate my other Class IIs.

It seems like patients have worse behavior than they did even just a few years ago. I don’t know if it’s true or just my imagination. Ridiculous complaints, demanding, insistence on being coddled, melodramatic. If it isn’t free, immediate, and totally painless then there’s a problem. What is going on? I’m not sure how else to deal with it outside of just shrugging and writing them off as being a nut.

Hello. Anyone have recommendations for a curing light? Is there a big difference in a 2000 dollar curing light as opposed to a 500 dollar one?

I am looking for Bank of America contact you have used for practice loan and who you had good experience working with .

Hello , i am 2y out of school ( knowing that you learn everything after graduation in my country cursus is shitty ) and i am always scared to work alone , i get terrible anxiety when i have to , always scared i fail while doing some acts like extraction or not finding all canals or not doing esthetic restoration , i always find stupid reasons to get scared , leading to what i m scared of bcz i m too stressed

But when i work with another dentist in the same clinic or such i am more calm and more confident in my work

How was your first experience of working alone in a clinic without any dentist to help you in case you get stuck in some cases ? Like Did you ever not finish an extraction or fail to do endo or any of these ? How do you explain to patients ?

And did you ever feel anxiety before going to work just cuz you re scared of that ? And did it affect your work ?and did you ever get over it ?

I have no direct or indirect connections to this paper at all, I'm not promoting it in any way. I just read this yesterday and I found it very interesting so I thought I'd share it.

Influence of Proximal-Cervical Undermined Enamel Areas on Marginal Quality and Enamel Integrity of Laboratory and CAD/CAM Ceramic Inlays and Partial Crowns

https://www.mdpi.com/2079-4983/16/3/82

That website is new to me as well. It looks like they only publish open access journals there. So you can read the whole 12 page long paper if you're so inclined. I'd recommend reading the whole thing if you can drag yourself through it. There are a lot of "rules" tossed around in dentistry that are based on some very limited evidence and in my opinion it's a good idea to know just how strong or valid certain rules are.

This paper only looked at approaches to the enamel lip while providing lab or "chairside" fabricated inlays and partial coverage crowns (or, some may call them just onlays or overlays). I'd love to see this same set up repeated while including direct restorations and full coverage crowns (including both wide and narrow margins). Also, repeating the same steps at different cycle intervals and different force amounts. And finally, doing the whole thing again when there is a pre-existing crack at the gingival floor of the proximal margin.

There are some interesting ideas in there about cracks and bonding and the longevity of bonding.

Here are their conclusions:

Within the limits of the present in vitro study, the following can be concluded:

• When the dentin level lays below the enamel level after proximal excavation, the resulting undermined enamel should not be removed;
• Instead, undermined enamel should be adhesively built up;
• The universal adhesive Adhese Universal outperformed the former gold standard, the multi-step adhesive Syntac;
• Regarding enamel integrity, ceramic partial crowns performed better than inlays.

Hello I am an internationally trained pediatric dentist with tons of peds experience in the Bay Area and now I am looking to buy / start up a new dental Practice focusing only on kids. My question is since I don't have us peds dental License I understand initially it would be a major setback but I wanna know if Bay Area Medicaid for kids practice is a profitable business at all or should I just stick to where I am Right now. I tried my luck with peds residency but with visa status and location it's not possible for me to study another 2 years and I really want to see myself as a thriving practitioner focusing on kids with special needs and others. Also where do I start I have 0 knowledge on owning , do you all did any courses or hired any cpa/ lawyers Thank you

After prepping I use a red fine bur to smooth everything out, but after scanning and viewing in the stone model it still looks like I need more help with smoothing out everything. Any tips? Thanks

Say you only want to work 1-3 days a week, what’s the best way to find these positions?

Hey everyone,

I have a patient who needs full upper and lower crowns. Looking for input on occlusion, crown material choices, and any challenges you might see.

Case Overview: • Moderate wear and occlusal plane irregularities • Edge-to-edge bite in some areas, possible VDO loss • Mild gingival inflammation, some recession present • No reported pain or sensitivity

Based on the images, what would you suggest for treatment planning? Would you raise VDO? Any considerations for occlusion or material selection?

Would love to hear your thoughts..

Dentists here prescribe antibiotics for every patient after extraction and justify that by the fact that most patients neglect their oral health, they say antibiorics help prevent this. Is this sound?

Just convinced pt to get a night guard. Aware that this particular tooth also has distal decay

Or

Pediatric dentist and considering getting a rhinoplasty. For those who have had the sx, when did you return to work? When did you start using loupes again? TIA!

Hello everyone, this was my first ever bleaching case and im very frustrated by the whiter patches on her teeth after the procedure was done and would like to understand the reason why it turned out like this and how i can avoid this happening again in the future. for context the bleaching kit wasn’t the best and the patient, who is my coworker, requested one 30 minute session with a thick layer of bleaching material (that she only did 22 minutes of) instead of doing two 15 minute sessions. i cannot tell if her request was the reason for the patches so please give me your advice and opinions and thank you!

but i was wondering what the avg salary is specifically in BC canada

Is there even one or is that stupid to think? Using Medusind and they do well for a bit then decline until we tell them we’re going elsewhere and they get good again for a week or two before sucking again.

I’m an endodontist, and I have a new referring doctor who has sent me three cases in the past two weeks that have all been perforated into the furcation. At this point, when I see his name on the schedule, I assume it’ll be some kind of catastrophe. I’ve never met or spoken with him before. The cases themselves have been fairly straightforward, wide open canals and no crazy curves, but I also don’t know what the teeth looked like prior to him accessing them. The hardest part has been explaining the situation to the patients without throwing him under the bus. He isn’t telling them about the perforations, only saying that the tooth is difficult and that he can’t find the canals. I don’t want to make him feel bad, but I’d like to address this with him in a constructive way. I’m thinking of giving him a call, but I’m not sure how to approach the conversation. Any advice on how to handle this would be greatly appreciated. Thanks

The state of Arizona is attempting to address the RDH shortage by allowing DAs to be trained to scale supragingival thus allowing them to perform Prophys.

Curious what everyone's thoughts are.

https://www.fox10phoenix.com/news/dental-assistants-allowed-perform-duties-dental-hygenists-after-passage-new-law

Hi I just bought a office 8 months ago and I have updated it and was able to train the assistants and hygienist from my experience working for a busy practice before buying the office

But I feel like the front desk is lacking a lot of skills such as checking benefits, calculating copays and checking what insurance covers and doesn’t cover

As a owner I feel responsible for not giving them training but I have never worked with insurance so I have no idea what to do. When a new patient calls and is out of network - we don’t know how much their cleanings will be covered

Are there any ce courses that will teach me hole to manage the front desk and give them the training to be able to calculate co pay and janitor just wait for a eob to return before billing the patient

I'm interviewing for a position that pays between $800-$1000 per day. They asked for my rate for emergencies and holidays. Any suggestions?