u/OldMannArtie

First time I've seen it outside of a lecture. I still have no clue how it even happened. 1 of articaine given local to #14. Lady said it happened the last time she had work done in that area, which looks to be an MO on #13. Everything's back to functional for her, but I'm still clueless as to how that even happened.

I've been placing glidewell for the past 5 years, and they're good. Never had a problem or any serious complaints besides them doing what they can to lock you in. I'm just wanting to branch out into a system that offers a little more in terms of how open their system is to different labs and software suites, their education opportunities, and how they appear to be getting themselves future proof, while still offering good bang for the buck.

I know blue sky has a lot of CE available and has their own software suite, but I find myself leaning towards megagen because they also offer a ton of CE, have their own software suite, and are also working on turning their software suite into an augmented reality guided surgery platform, and that seems like something that could save me some serious time.

Any thoughts?

I know the industry standard approach of giant resins until they're into their mid to late teens, and I'm guessing that is where this will end up, but I wouldn't feel great without trying to find some alternatives. 9 year old kid, cavitated buccal lesions on upper laterals with chalky demineralization covering most of the facial. Centrals are essentially chalk but don't have obvious discolored cavitations, but it looks too far gone for something like icon. On an adult all 4 are crowns all day long but that's not happening at this stage of development. Besides regular direct composites the only thing I can think of is 3d print some wax ups and create my own strip crown and injection mould equia into them. I'm sure that would last better and probably look better eventually.

Anyways, what do you guys see as the best approach for something like this?

I didn't even know this thing existed until yesterday. It's a dual spindle wet mill. Looks like the big selling points they're pushing is the pre-sintered multilayer zirconia blocks they make for it and being able to bust one of those out in half the time of what the glidewell mill can do with finer detail, and it's using mill box, so it can use pretty much any material you want.

I've never dealt with vatech or voxel dental, so support and repair is a pretty big concern in my mind.

Anyhoo, anybody have any experience with this?

I had this one today and I am still thinking "what the shit?". New patient exam today. Has upper and lower fixed acrylic on a titanium bar that is falling apart. I treatment plan a new fixed upper and lower and the guy asks me how much it would cost to have a second set made but "reverse them". Turns out reverse them means he wants the same design but an extra set but the maxillary arch made to fit the lower implants and the mandibular arch made to fit the upper inplants. What the shit?

I didn't make any changes to my settings and sitting right now at 6 days off charger and battery is at 38%. For quite a while I've been able to go for 2 weeks with no charging. Any ideas what might have changed?

I'm u currently using a mars 5 ultra for some work items, and it's like 3 times slower than the bespoke resin printers that they make for my field for this purpose. I'm curious as to if I can speed this up to being in the neighborhood of the higher end printers with a different printer.

Question for our OMFS and Periodontists, what are you checking when you are coming across a flap that just refuses to play ball, and what approaches are you finding works for those situations? I had a case today with a lot of scar tissue and even after elevating the periosteum on both sides of the flap, there was a region that just wouldn't let go. I tried inflating it with lidocaine, I tried approaching it from 4 different directions, and I still ended up tearing it.

Basically looking to up my game in regards to flap design, shaping and tissue training around implants, and moving into some easier grafting cases with the end goal of having more control over the gingival esthetics around implants. I am definitely better than I once was, but I am still worlds behind some of the stuff I see coming from the Perio I refer esthetic work to.

Any of you Perio peeps have a textbook they would recommend as a way to start?

I'm using an old icat. Image quality is worse than even the cheapest new CTs but I'm kind of thinking maybe I can eek more life out of it with some sort of ai imagine enhancement. Has anybody tried any such products?

My 600SE is toast. I figured before I just went out and grabbed a 700SE that I'd see if there was anything out there that made more sense.

Can anybody recommend an online course for implant planning CAD work? I use blue sky bio for now and am fine on basic cases with their little implant wizard, but I want to get competent in more complex stuff like soft tissue supported guides, bone reduction guides, multiples, etc.

So I am beginning a case and it will be my first time using trilor. The planned restoration is a trilor bar with milled pmma arch and basic gingiva with EasyGum on 5 implants using zest locator fixed.

My question with this kind of restoration is what should I be presenting in terms of expected performance? I know that the vast majority or problems with fixed acrylics is teeth fracturing off and that milling from a single block will minimize that substantially, but the wear characteristics are still inferior to a good carded tooth. Would it be fair to suggest 3 years? 5? 7? Or am I up in the night thinking it'll be good for anything beyond temporary use?

I saw a limited exam early this year with complaints of multiple teeth hurting. No clinical findings outside of pain when I retracted the cheek and I was able to elicit pain with the classic cotton swab across the cheek and forehead.

I told her there was nothing I could see wrong with her teeth but she should talk to her doctor about potential trigeminal neuralgia. She did and called back saying her doctor said there was nothing wrong with her and to go see a dentist, and she proceeded to cuss me out for wasting her time and money.

And now today, we have a diagnosis of trigeminal neuralgia and a nice apology letter. I still don't want to see you again though, lady. You're mean when you're angry.

Hey guys, I'm looking at getting into doing my own zirconia and need to look at sintering units. I'm not looking for anything too serious. I'm relatively low volume and doubt I'll be running it more than once a day, so regular long cycle processing is probably what I'll be going with.

Specifically I am interested in their "hardware as a service" offer. A versamill ax208d as a all in one monthly fee. I believe it includes support, repairs, replacements if needed, etc. I know it will end up being more expensive but I am new to CAM and having a relationship with an experienced company that is sort of there to help me as I figure things out is tempting, as is not having the buck stop with me as far as repairs goes.

If anyone has experiences with them I would be interested in hearing them.

I've been using blue sky plan and tinkered with atomica ai. They're fine. That being said, I just feel like I want to own a dedicated piece of software that will do the job without dealing with the pay per use or annual licensing fees, and so far I am getting skunked. I can't find a single piece of software that doesn't keep you on that future revenue chain.