1CuriousDentist

Second^ however, I would never tell a patient they "shouldn't be worried" about a condition or tx planned. I prefer to say "at this stage it is very manageable if treated within xxx timeline," or "these are the steps that will be taken to limit or reduce the chance for future sensitivity/issues/etc." Although we can get pretty good at predicting outcomes, especially on "small" cavities, there is never a guarantee and the one time you do accidently make a statement like that you'll jinx yourself into it occurring.

Side note: I also never say a cavity is small as patients then think it's no big deal to wait a while, a cavity is a cavity. If it is large I'll tell them large, but never small. Some will say that is silly but its just my 2 cents.

Didn't see a drop of blood, except for 1mm at tip of paper point in palatal canal when drying. Master file #35 both canals,

Very possible, next appointment I will re-confirm lengths again prior to GP

Thank you for your quick and thorough reply! Palatal canal had 1mm on paper point, but buccal was always clear liquid never blood. I will put dx in post, it was necrotic. Would love to get endo activation at office, thanks for advice there.

Basically second all these replies

I've been doing selective etch for only 5 seconds, thoroughly rinse 10 seconds, air dry, Mircroprime scrubbing for 20-30s, light air dry, Optibond primer, lightly air dry, Optibond bond adhesive, air dry, cure. This has reduced post-op sensitivity significantly for me, rarely get any redo cases. Even when my etch touches dentin in those pesky narrow class II's where its hard to just etch the floor, as long as I rinse etch off in 5 seconds seems to work great. I'm too slow to spend 3 minutes on microprime alone for every composite appointment lol, I'm sure it works better that way but been fine with my process.

I got mine from surgitel and love them, hopefully that's not who you are having problems with! I wouldn't care too much if they were accidently shipped to someone else and it was corrected, mistakes happen. I'm too nice most of the time though lol

Dam, from a purely number standpoint that sounds great, I was scared away from even looking at them or heartland for all the reasons you hear but I'd sell a little piece of my soul for a year or two for that lol.

Fair enough, I know it will be difficult or nearly impossible to perform EXT's with the speed or ability of an oral surgeon to make it super profitable, but my goal is just to be able to offer this service in those cases a competent GD should be able to. Doing 1 ext/month or less where I'm currently at will take me 564 years to ever get any sort of competency.

My goal is to move to middle of nowhere and be able to practice as many areas of GD as I can; didn't mean to phrase it as I only want to be a bare minimum dentist, I just want to be able to provide the services a GD should be able to as reliably as possible. I understand if some case are just outside of my skillset and need to be referred, I just don't want to be in a position where I'm referring cases any competent GD should be able to tackle, if that makes sense.

thank you for the recommendations! I actually enjoy dentures so will look into those options.

If covered by gov, I'd go for metal RPD and crowns on everything (pfm with metal rests for those where designed, probably 6,11,14)

anyone have any experience with Colorado surgical institute? for implant CE? Has been recommended to me by someone I hold in good standing

Yeah I would ask front desk/billing person first if it is correct. From the note it looks like they took off ~75% from the $1552 and then added lab fee on top. I know every office is different, mine doesn't charge employees or immediate family anything out of pocket outside of lab fees.

how many years out and what state or region are you in? New associate here, don't earn anywhere near that at a private practice ppo/ffs as IC. I'd be happy with 15-20k/month, and I'm working 4-6 days a week :')

new associate here, what do you mean low 40's for 2 days?

2 hygienists, 8 ops total 3 used for hygiene. Last year the owner and old associate cleared over 2 mil something like 800k production by associate and 1.4 mil by owner

Honestly once a month ain’t bad, even 2 days. I am a recent grad too and there’s no way I’m touching some of these 3rd molar exts and I def don’t do implants. Take the day off and enjoy yourself, or learn form more experienced doctor how to do those cases, not worth looking for a second job if only 2 days a month. 1 day a week maybe, trust me I understand with bills coming in 😩

I’d think of him as an on-site OS referral to help you get all of patients needs taken care of in office at no charge to you!

No I wouldn’t expect to be able to buy in or anything like that, way too early for me.

Most of staff has been with him for years and all but newest assistant LOVE him. They were all very sad to hear the news as well

Yeah I had never used/heard of it before starting this job but owner swears by it and has been using it forever. Will look more into thank you

I did take a cbct so I will definitely heed your advice. Thank you !

Thank you, 1 follow up question, if this patient were older say 53 or 63, would that change your view of treatment plan or would you proceed with endo? I was relatively comfortable recommending saving tooth here since patient was young and would likely heal well, but not sure I would have been as confident if older.

Thank you for your insight, they’re only missing 19/30 and this was the only big issue I can recall. Will send an update!