At Open and Affordable Dental, our mission is to provide the best possible care that is both convenient and affordable. We consider ourselves the hardest working, most efficient, and most caring dental team. We are constantly improving, striving to create the perfect patient experience and dental office environment.
This is probably my go to for all my dental school clinic videos. Helpful tips, Detailed Instructions, Smooth Flow, and a chill demeanor. If you ever teach a CE, I’ll definitely tuning in.
Yes, wax rims are tough to make profitably in house. The wax always seems to not want to stick to record base. I would love to see how lab makes them so neat looking.
@@openandaffordabledental4586 yeah I’ve always wondered how they achieve that finish glazed look. There’s no way in hell I could ever pull that off lol. I broke my rims before a practical and was told to make it on my own. I couldn’t so I just gorilla glued it and passed lol
@@openandaffordabledental4586 wish we had those at school. I was wondering my school prefers to have me use allowax and the patient in the chair for nearly 1 hr because futzing with wax luted with more wax ruins everything. That’s why I prefer pvs
Problem is we do full mouth fillings and assistants dont know which tooth well start on especially if I get say 5 teeth numb in 2 quadrants and one quadrant numbs quicker, Ill start filling that quadrant, and many times the assistants dont know if we want to start on a smaller tooth or larger, best to have doc do it right before filling. Also if you pre setup, you might be first working on a large molar that needs the band to be its openest, so there are game time decisions that rarely allow for a pre set up band.
I've noticed, I was trying to find a video for my dental assisting class, but I've been showing them to wipe from basically the less contaminated surface to most contaminated.
Debatable, if you look at 10 reliable sources, usually from dental assistant schools or hygiene schools, they either don’t mention an order or have it together. Videos across the Internet are mostly the same. Thanks for the input!
One thing I would have done differently is have the patient close to make sure the patients occlusion is spot on. I’ve seen some colleagues do relines like you, and after the material gets hard, the dentures are not occluding anymore. Reason being that the denture shifted some while the reline was getting hard. ALWAYS! I mean ALWAYS, have the patient close, and see if they are occluding, then remove when it hardens.
I've also had issues earlier in my career, where the patient either doesn't bite down hard enough or bites off, and then the hard reline is too thick or wrong, so I would respectfully say I would almost never trust the patient to bite down, because it has a chance of being wrong. Thanks for the comment. - Dr. Stott
I'm with you on this. I am a denturist. Patient should always bite into occlusion, after you seat it, squeezing material out, but don't seat completely. Make sure you watch to see the mandible is retruded snd relaxed. Verify CR a few times and you are good.
@@SnakeDoctor5104 I would agree, occasionally, and I mean one in 50 times Ill have the pt bite down. The issue is that many times Im trying to remove excess hard reline material from back of mouth and throat. This material used to get extremely hot, so it was imperative to remove excess. They changed their formula and it doesnt get as hot as it used to.
I just completed one right now, and the bigger chance of error is the pt not biting hard enough and them feeling its too thick vs a bite issue. Im voting for doc seating it and holding it in place every time.
This is made mostly for my staff and training new assistants, decided to let the public watch what we do. Not trying to be youtube famous. Thanks for watching.
Thank you for this very good explanation of what a hard reline is and how it is preformed, I've had my dentures for 1 year now and they are very big on my gums now but I'm still able to get them to fit using Prosoft denture reliner but I think within the next 6 months to a year I'll be needing a hard reline and this video shows me everything that I need to know. THANK YOU.😁😁
Great content and very informative as usual doctor. Did you happen to get the extraction procedure on video too? Would love to see your extraction work.
Yes, sooner you use loupes, the more your eyes will become accustomed and will require greater and greater magnification in career. Delay that if possible.
Eyes get accustomed to loupes and require greater and greater magnification during career, delay that as much as possible. If open contacts were so bad, why do down syndrome people have no inter proximal caries? Not trying for open contacts, but if they happen its not the end of the world. How often do they happen, maybe once in 500 teeth.
@@loganduncan501 , millions of opinions out there, this came from my professor last year of dental school, he was in 50s and said he regretted getting into loupes so early. Everyones body is different. Ive corrected a lot of margins from dentists that use loupes. Many doctors get too caught up on perfection, need to be very good every time. But clock is ticking the second pt sits down, need to be efficient and very good.
Can we see a detailed version of this progressive anaesthesia but for the IAN block? Or maybe palatal. Very informative videos. Hoping to see more soon.
@@openandaffordabledental4586 fantastic. I’ll keep my eyes open for the updates. Would love to see your use of dental dams also. You seem to have so many little tricks and tips, I believe I could learn a lot from your videos. Anyways, have a great day 😌
@@Barrychuckle666 Yes, will do a dental dam placement video. Also will upload video on who I am and why I have so many tricks. Youre watching the dentist who has done the most clinical dentistry in the last 10 years. Ive worked 6 12 hour shifts or 72 hours per week for most of my career, so all of these videos come with a TON of clinical tips. Dr Stott
Unfortunately the numbing gel has been proven to just be a placebo and it actually doesnt numb where it needs to numb, which is under the mucosa. This is the best of all worlds and pts feel this less than with topical anesthesia.
Thanks for the demo on Muco hard reline. You are one of only 2 chair side hard reline demo's anywhere online. Can't find the other one any more. I used DSI hard reline. Perfect for bottoms. Got it right first try. DSI is terrible for top dentures. DSI mixes in to a paste/putty. It does not smash out well. You end up with more material inside the denture then you want. Even after hollowing it out to nearly paper thin base. 4 trys and I have something usable, but not great. About 1/8 inch of material on top of pallet didn't smash out. I know because when I smile I see about 1/8 extra gums above the teeth. If I smile big it's an ugly gummy smile. Out of the 4 time, I did try to do better each time. If you wait the full 2 min to place in mouth you have a real problem. You have 20 sec to 1 min to mix, then you have about 30 sec to get it in to the denture and start placing in mouth. You might think it's plenty of time, but it does NOT spread easily. Or evenly. You end up "doin the best you can" and keeping one eye on a timer, you realize you better get to shoving it in mouth or you'll be redoing it again. I pressed it in as hard as I could till it hurt. Still didn't smash out as much as I wanted. I had the denture honed out perfectly so the roof pressed in place would govern the line up of the denture. Occlusion worked out nicely. The back corners never work out right. Losing suction no matter what I do. So... I am going to order some Muco Hard reline and do this again with something that will definitely smash out like it should and not bulk up my denture. Thanks to YOU!! DSI is good if you need to rebuild or extend sides. But if you need minimal material left behind in denture, Muco looks to be the choice. I will pop back in and post update to this comment when done.
Yes, I never quite understood why dentists felt they needed to shell out that gingival anatomy they worked so hard to capture on the 2ndary impression. Also it makes no sense to reduce their VDO by shelling it out. Thanks for the response. Dr Stott
I had to redo mine a few times to get it right. Ended up doing it in stages. There was a lot of extra space to fill in. But it worked out. Their just immediates, but i got them pretty comfortable and good suction.
Have you ever tried doing it without preparation? I asked my dentist to give it a try and so far my equia forte abfraction fillings have lasted longer than a lot of the destructive resin ones I used to get, zero sensitivity too. Also found I really didn't like having it done with the gingival cord, it looks a little nicer close up but then it just ends up causing constant gum inflammation because a tooth brush can't get into it.
Absolutely, I would say the only reason I prep is shiny dentin that needs better micromechanical adhesion, or if there is stain. I avoid preparing with a bur if its small and I could nick the gingiva or if the patient is sensitive. Dr. Stott
Fantastic and informative video. I’d love to see more videos like this. Especially tooth extractions, fillings and anaesthesia techniques like in this one. Keep up the great work.
Can you show us the tips and trick on how to get the open contact on bitewing ? Do you check where the open contact between the teeth first ?can you do show us tips and trick to get open contact ? Can you show us the image you took to see if you get the open contact
The easiest way to get open contacts is to understand the xray sensor and xray source need to be exactly perpendicular to the central grooves or exactly parallel to the embrasures. Make sure you inspect your xray sensor is able to fit exactly parallel to the embrasures, if not you might need to switch to a smaller sensor. You might need to practice with the patient a few times to ensure they aren’t moving it. After you see its exactly parallel only then line up you xray source to the XCP arm. Make sure again the source is exactly parallel to the XCP arm. Couple of observations, if you are in dental school or hygiene school, understand you need to know what perfection is, but you will only need to be very good all the time. No one in real dentistry will expect you to get it right every time. And no patient will allow you to retake an xray 10 times to open a contact. And no doctor that wants to keep their staff will request you to retake Xrays every time they see an overlap. I’ve requested my hygienist to retake their X-rays exactly 0 times in the 8 years we’ve worked together.
