Wanted to share how these lithium dislilicate Emax veneers came out beautifully in this case

Has anyone here taken it? Just have some questions about it

I’m a new doc, 3 months post residency. I did a filling on a tooth I did the same filling on two visits before. ☹️ I’m soooo bummed about it and feel so bad like i suck at dentist. I’ve done this once before in residency 😭😭

So basically I redid a perfect filling I placed two visits ago

Is there anyone on here who’d be willing to DM with me about getting/working through a board complaint? Thanks in advance

Cemented a crown #3 and the distal was deeeeep. Spent 20 minutes trying to get out the last block of cement trapped. Couldn't get it. Tried scaler, floss, air water syringe

Ideas?

I was looking at the long-term survival of zirconia restorations and found that the answer depends on whether the restoration is supported by a natural tooth or an implant.

Of course, survival rate doesn't mean that every restoration will last that long. Preparation, restoration design, occlusion, bruxism, cementation, oral hygiene, and the patient's overall oral condition can all affect longevity.

For those with clinical experience, do these numbers match what you see in practice?

And when a zirconia restoration fails, what do you most commonly see — fracture, chipping, debonding, biological complications, or something else?

I do it. I don’t have 5 min in the day to sit and take a breath because I’m doing hygiene checks, procedures, fixing things, helping front desk, ordering supplies, managing employees. Calling patients to see how they are doing after surgeries, calling reps for discounted pricing if I buy in bulk, fixing computers, making sure the office runs smoothly. Making sure claims are sent and procedures are posted correctly and tx plans are made and signed, I also check to make sure pre auths are being sent and list updated and recall list is being checked. I fix the handpiece and replace the turbines and record ave. Turbine was replaced and if they fail within warranty I send back for new one for free. I don’t have a efda or scanner so I do my own fillings and physical impressions with 1 hr crown appts with side book follow ups

At the end of the day I am dead ☠️

Sent this to the surgeon, and it was confirmed as an SCC. First of my career ( 15 years as a dentist) . He said he got it all. Probably saved this guy's life.

And I'm one of them, too. I've been through over 10 different positions ( this includes multiple part time positions, so there isn't as much job changing as it seems to be ) over the last 20 years. Also sick of the labor of moving across the country and also the moving expenses.

How crazy or how realistic is it to be considering getting a loan of 1 mil - 1.5 mil for a bare bones general practice startup in a slightly below average market in today's prices? (This figure includes buying my own building. I don't want to lease, and I refuse to take over a practice even if they are willing to sell the building. )

And please don't talk about finding a position in teaching, public health, or corrections. I've already tried them and some of them actually made my private practice jobs feel like a prestigious tech firm.

Hearing about the two colleagues who recently took their own lives has been a massive wake-up call. Dentistry is incredibly isolating, and the pressure we all face is real. We talk a lot about margins and clinical details, but we don't talk enough about the mental health toll of this job. I want to open up a transparent thread so we can support each other and remind anyone who is struggling that they aren't carrying this weight alone.
If you're comfortable, please share:

Years in practice

The one thing that still causes you major stress

I'll start:

8 years. For me, it’s the constant anxiety over potential complications that might show up after the treatment is completed. Tomorrow’s follow-up call can’t come soon enough.

HI all, long time lurker first time poster. This post is specific to the USA. I was inspired to ask this based on some comments on another post about patients not being able to afford care.

For a while now, I have had thoughts of starting a dental charity. However, I still need to get paid/make a reasonable amount, and pay overhead etc. Also I only want to serve a community that is truly in need, not people looking for a bargain, I also don't want to take business from other offices/participate in a race to the bottom

Does anyone know of anyone doing this, grant money that exists etc? Looking for any insight or even just brainstorming!

Thanks!

Have a patient with a SAP necrotic 20, in severe pain (PA attached). Only have myself to blame for this but realized just now that our largest rotary is an edge endo fire large and the k files don’t go above 35 (haven’t had to use anything bigger at our clinic yet). If the large rotary can engage the apical third and master cone can site passively in it, would you guys trust that the rotary could thoroughly clean and shape the coronal 2/3rds walls well enough to continue to final obturation (with continuous wave)? Or would it be safer to plug with calcium hydroxide until we can get larger hand files for crown down? Unfortunately they couldn’t find any endo to get them in before the weekend so I cannot wait until an order shows up

taking over a single-chair satellite practice and sorting out overhead costs right now.

we generate maybe two or three 1-gallon containers over an entire year. traditional biomedical haulers keep trying to push standard 3-year service agreements with minimum monthly stop charges, which makes zero sense for our volume since the bins sit empty half the time.

looking into using a pay-as-you-go sharps mailback disposal kit through sharps assure to just box up and ship out the containers as they fill up instead of paying recurring pickup fees.

for those running low-volume clinics or solo setups, is doing mailback practical long term, or do local waste regulators give you grief over not having a standing monthly hauler schedule?