Hi Jaz I just bought the carestream intra oral camera So when I put the sleeve on the photos are blurry. Am I being a complete retard? I can’t find any part of the clear plastic that would be a non blurry plastic
Thank you,doc. It's a very helpful video to find the best camera-on-loupe And there is now a new choice of camera：admetec Flamingo extra light (only 19g) but low resolution(1080p/30fps) Doc, I wonder what you think about this new-coming camera
@@protrusive thanks a lot, Doc! I will check whether the other sellers have the same product as the one you showed. Any tips to find the same intraoral camera and not fail in the attempt? 😅 Thanks a lot in advance!
1) can you confirm: so the first time you inject was that below the MGJ or above? 2) do you do this technique for 2nd molars? I find it a lot more challenging for 2nd molars as I feel like I hit bone immediately at my buccal infiltration and will often see anesthetic just leaking out of as opposed to actually going inside the tissue. where exactly do you inject the needle for 2nd molars (relative to MGJ please) to minimize this happening? Thanks doc!
6:15 , how to tell if two canals converge. A way I like to check is to use two 10-files. Place one to apex. Take the other one, connect to an apex locator, and put in the second canal. If it's short of the apex, but the apex locator is beeping like it's at the apex, it means they converge (even though the "short" file is clearly not at the apex, it is touching the 1st file, which completes the circuit). The reason I like that method is I can now measure the "short" file to see exactly how long that canal is before it converges. Just subscribed to your channel. It's fantastic knowledge!
Very disingenuous to say youre a specialist when youre not. Its a fixed and removable mclindent which is not a specialist degree more like a post graduate diploma hence not a prosthodontist
I’ve heard one Dr who said, so that the composite doesn’t stick to the instrument you may add a little bit of the bonding agent onto the tip of that instrument. Is it true ?
think of the material science and physics behind this - we want our material to be as monoblock as possible. By introducing a weak component between every layer, we are weakening our restoration. This is not standard or recommended practice (although this is advised by some Dentists, I can assure you it's not a good idea - I encourage you to make up your own mind on whether you would want this protocol for your own tooth)
After viewing this video,I became more confident in my extractions and my fear of sectioning went out the door. Life is so much better with no more second guessing myself and no anxiety 😅
How would you approach reasoning through my anecdotal experience that I'm currently going through, problem solving: long story short, I have severe and uneven-odd wear on left and right side (more wear front right, more wear back left lower left vs. their opposites), and an initial orthotic by one dentist that used canine guidance was my preference - as it allowed resistance and stretching out and engaging more tissues at once [including simultaneously in my head and neck] by pressure being able to be applied consistently-constantly as part of a pattern of applied pressure, and without a break in that pressure - while being able to also get an extra stress by engaging the opposite muscles to create an adversarial quality of countering forces. That dentist however diverted from their out-of-date training and are 3D printing their own orthotics - that one which broke during eating, which it shouldn't have done - to maintain the space between lower jaw. Longer story short, I am now going to a new dentist who uses similar orthotic process - sends the 3D model to print the orthotics with a stronger material that won't break during eating - however unlike the first dentist, his philosophy is he doesn't believe in canine guidance; so I'm torn now as to whether I should find someone who 1) uses proper strength orthotic material, and 2) who also believes in canine guidance so they'll do a full mouth reconstruction once my proper bite is understood with canine guidance in place. I think there is something important about holistic systems, like how the full circuit, uninterrupted pressure as part of a jaw's autonomous reflexes, could easily be undervalued. Help! Any thoughts? From my experience so far struggling to find dentists with adequate training, I still haven't found one who seems to have a full understanding of biomechanics or how pain works in the body; an incidental finding from a relatively recent CBCT scan done is that I had bilateral Eagle's syndrome, of which I had surgeries for ~6 weeks ago, and where my neck pain is down ~80% - along with other systemic problems-symptoms also reduced some now that my vagus nerves, in particular, aren't being constantly compressed - and exponentially-dramatically worsened with turning my head. And now I'll admit I haven't watched your video yet - was at top of the Google search I did for "why do some dentists believe in canine guidance and others don't?" [2nd result, 1st RU-vid link for me] - and now I'll see if I can gain any useful insights that may help guide me! P.S. The wear pattern was due to a combination of high school football injuries, and then not knowing any better - nor that I was grinding - for over a year period in my late teens/early 20s I was put in 4mg of benzodiazepine per day, and so I ground my teeth down considerably during this time without realizing it - of course compromising-progressing my situation considerably worse; the up to 2 Litres of pop/cola per day as a mid-teen while I was an avid late night gamer didn't help with the enamel wear either.
Hi Jaz, are you still recommeding Incidental handpeices? We've had a lot of breakdowns and two instances of severe lip burns from overheating handpieces. I believe our maintenace is good
Hi Greg - I am an advocate of Chris O Connor - he's a super knowledgeable and helpful guy. I have not purchased his handpieces as I have had my own for several years before he started to sell his. For what it's worth, I am using NSK. I have also experienced this issue with an NSK handpiece (speed increasing) and I had an incident where I burned the patient's lip (I talked about it on a podcast episode and how I managed this). The reason for this was the bearings were worn and needed replacing. I would DEFO reach out to Chris? Seeing as I have experienced this just once and you have had a few instances, something does not add up here
Hi Greg, we appreciate you have had a bad experience with our handpieces and that you are upset. What you should know is we try our very best to service, repair and educate dentists to get the most out of our handpiece products. We believe they are a good product and that our offer is excellent value. They remain popular after several years on the market. Of course they are not perfect but If you can find a brand of handpieces that never breakdown (especially 1:5’s) then stick with those. Our experience is they all have issues and need regular maintainance. Regarding lip burns we would remind any dental professional that It is the dentists responsibility to check that handpieces are running properly every time they use them and by running them for a short period before use and inspecting. Also at no time during operation should a handpiece ever touch the soft tissue of the patient. Even a perfectly functioning 1:5 handpiece will heat up over a period of use and is very dangerous to run in contact with the soft tissues.
Have you tried the Flamingo by Admetec? I use their ergo loupes and they are fantastic but their video cam is expensive. If anyone has tried it let me know.
It's crazy how little actual clinical experience so many dental schools graduate their alumni with.. I gradded having only done 1 live endo and 1 bridge!
This really resonated with me. I graduated the same time as Aidan, am also not good at multitasking, have a passion for exodontia and am in the process of specializing. There's no clear path to an oral surgery career in my country, you're either in the GD or MaxFac pipeline, anything in between you have to figure out for yourself. If he can make it, perhaps so can I and I find that very encouraging. You talk about taking extra time for passion cases. I really struggle with this, because according to studies, the duration of extractions is correlated with the likelihood of post-op pain and complications. Also, a long extraction is unpleasant for the patient, probably moreso than a long restorative appointment. So there's always that guilty feeling when taking on tougher cases, because it would probably be in the patient's best interest to refer them to a specialist. Do you have any advice regarding this?
I think you certainly have a point and you are right. Then again booking a lot of time out in your agenda doesn’t mean the procedure will take ages. First and foremost it puts your mind in a state of calm because you know you have time and there is no pressure of dissappointing other patients by being late. Because working under stress can seriously affect your skills negatively temporarily. So you can also see it like this, it is in the patient’s best interest to have you in a state of calm where you can perform your best. And also it is the best interest interest of our whole patient population that we practice to become perfect so yeah that means there is a point were you are sub par, but you’re intentions are set on becoming great for your whole patient population. So putting the needs of the whole before any individual needs (off course shadowed by a mentor to keep it safe)
Thanks Doc. Please allow me to explain my comments as that's not how I meant it :) My main passion is Restorative Dentistry - to have the extra time here is a huge blessing. When it comes to extractions, I do not suggest taking longer to take a tooth out. As you mentioned, it is in the patient's best interest for it to be an efficient extraction. What I meant here is that sometimes when you're not sure if the extraction will challenge you / you have a doubt about if you will be able to remove it, by having extra diary time can allow you to feel less pressure and if you need to seek help for this case, the time is already there. I understand what you mean about feeling guilty so the way to mitigate this is to A. take on cases just beyond the edge of your comfort zone (not miles away!) and ensure you're in an environment where there is a mentor and you have pre-warned that that you may need their assistance if things do not go to plan. Thanks for the comment and wishing you the best!
Hi Jaz, great content! I have a doubt, will not the greater curve give a very straight profile on the proximals? That is my main reason why i like sectionals because patient will complaint of food stuck on back to back restorations with very straight profiles as it is kind of like a black triangle. Hope to hear from you soon. Cheers.
Hi thanks for your question. My reply seems to have disappeared. I have been working this way for 6 years we now complaints of food packing. So long as I have a good seal, anatomical contact areas and rounded marginal ridges, patients and I are very pleased with the results. If having a round emergence contour is a deal breaker for you, I suggest using the Brass Greater Curve bands which do not bounce back like steel. As a result you an burnish any contour you desire.
Hey Jay, I love the podcast you shared as always. However, I do have a few questions in regards to the Greater Curve technique and I hope you can answer them. When doing multiple restorations, e.g. tooth #16mo, 15mod, 14do, 1) how do you prevent the composite resin restorations from bonding to one another while 'opening the contact point'? do you require the use of teflon? 2) Do you then consume one band for each restoration you do? can they be reused multiple times like the Tofflemire? since the cost of greater curve isn't cheap.
Hi thanks for your question. Few points, it is a very weak bond due to the small surface area in contact. We then simply insert a flat instrument between the teeth and twist, this separates said weak bond. We then use forceps to rotate the band out cleanly. This process does not give any issues and produces very tight contacts.
