Author Archives: admin

Multiple PA radiographs on a single patient : Dentistry

I am a dental student. One of our case requirement include periodontal treatment on a patient with generalized periodontitis. So I found a patient who is willing and upon starting the full-mouth periapical, my “juniors” approached me and requested for a collaboration on my case as requirement for their perio subject. Basically, they will do the full-mouth xrays, probing, computations, documentation, and all of the stuff needed (of course, I will help them). After they will report the case in class, they will return all of the diagnostics to me and I will proceed with the actual treatment. I agreed, of course, for this is beneficial for me and them. Fast forward to now, the instructor said she will not be returning the full-mouth PAs, and I should do another set for my clinical case.

A little background, our school’s treatment plan require:

  1. an initial full-mouth PA

  2. Another set (not necessarily full mouth) of multiple PAs deemed necessary by the instructor after scalings and such

  3. Final full mouth PAs after all treatment is done.

If I will push through with what the instructor said, I will be exposing my patient an addition of 20 more PAs. I have searched online and I am getting mixed information. What’s your thought on this? Should I get another patient so as not to expose him to multiple PAs or not? The patient also expressed concerns over radiation.

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Should I get a second opinion?


Hi,

I went to the dentist today due to some pain I'd been having. I assumed it was due to a large hole I have recently discovered in one of my back teeth, but we actually discovered it was my wisdom teeth! Ok no problem. The dentist and his tech each took quick looks at my tooth with the hole in it and decided I needed a root canal. I figured they were right.

Tonight I began researching root canals and was finding things implying that they're a pretty big deal, almost like a last resort. Signs of needing a root canal are discoloration, pain/sensitivity that doesn't go away, infection, etc. … I have none of those issues.. my teeth are sensitive, that one is not any more so. It causes me no pain. No signs of infection. Just a large hole.

Would it be worth trying to find a different dentist to look so I could get their opinion as well? But maybe this dentist really is right? that's why I'm asking you guys. I'm not sure what to do.

Any input is appreciated. Thanks. 🙂

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I brush 2x a day but still have black stuff on my teeth within a month of visiting the dentist. : Dentistry

It seems like every 6 months, I have “apparently harmless” black things on my teeth that always has to be removed. No signs of tooth decay so far (unless my dentist is hiding something). My bottom teeth are fine, but my top teeth, especially the tippy top part, always turns black. Is my brushing method wrong, then? I always have these things for 5 months without any harm (unless again, my dentist is hiding some serious illness from me), so I don’t know if they’re cavities or not. Online doesn’t help, either. It just tells me to brush better but I AM! I’m losing my mind. This has been a problem ever since I was in 6th grade, and now that I’m a senior I need to get to the bottom of this.

If a photo is needed I can take it. It’s 3am now though for me so cya

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Deprogrammer soreness normal? : Dentistry

Please help.

It’s Thursday, 4am, and I picked up an occlusal guard “deprogrammer” on Tuesday (I thought this was just a mouth guard, but I might be wrong). I didn’t have headaches or anything like that before using this. They just said that I clench/grind in my sleep and it was wearing down my teeth, so I agreed to pay nearly 400 bucks for this piece of plastic. Well, it’s causing soreness in my cheekbones and I’m hoping this pain will subside? All I was told was that it might be uncomfortable, but I assumed that as people don’t normally sleep with something in their mouth. I didn’t realize soreness was a possibility.

My main question is: IS soreness a possibility? Is this supposed to be happening? Or is it causing more damage as a result? The thing is, I’m upset about the possibility of having to go back to the dentist. These people had me do x rays day one, and I was supposed to do cleaning same day, but they apologized for being overbooked and had me reschedule a second visit to do the cleaning, then I did the impressions day of cleaning and had to come back about 2 or 3 weeks later to pick up the mouthguard. In the process of all this, they overcharged me twice, but took it off (though I doubt they would have said anything if I hadn’t asked them to). I’m a new patient here and want to have 1 dentist that I like and return to for the sake of my dental health, but I haven’t had a great experience yet. Please tell me that this “deprogrammer” situation isn’t their final nail in the coffin, and it IS doing what it’s supposed to?

PS: Will ibuprofen help???

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Removing abscess from front teeth. Question! : Dentistry

Hello, so I’m going to make an appointment because I have a pretty bad infection on my front tooth from a root canal many years ago. I had to save up money for 2 years before I can make this appointment (yay America!).

The doctor said it will take about 50 minuets. They’ll put me to sleep.

Now the real question is this.

Will there be a lot of blood post op? And a lot of pain?

I’m pretty sensitive to blood taste and it makes me very nauseous.

Also, will being put to sleep for 50 minuets-1 hour cause vomiting after the operation?

Thanks a bunch 🙂

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First retainer is totaled after 4 years, second one makes middle tooth gap show up again : Dentistry

I’ve been doing the invisible braces thing since i was 12-14? Can’t remember. Mom took care of that. After been done with the alignment process, doc gave me up and down retainers to wear every night. Fast forward 4 years after treatment (I’m now 21yrs old), I needed to get a second pair to replace the old ones because of significant cracks.

2 months in wearing the new ones (fit was weird the first week), I start to notice that my center tooth gap is showing again? Is that a thing? It ha started getting really tiring wearing these crap, which nobody asked me about the first time.

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Research for Exs major : Dentistry

Hey guys, I’m in exs 493 which is the research class for my major. We have to write an introduction and methods for a research project and get it IRB approved and then next semester in 494 we will actually do the research. As of right now my plan is to strap a heart rate monitor on the subjects and play three videos: one calm video, one intended to scare, and then a video of dental work being done to someone. My hypothesis is that their heart rate will go up during the dental video due to dental phobia. The other videos are just to prove heart rate doesn’t go up just from any video. After, I will have the subjects take a survey asking about their relationship with their dentist if it is personal or not and stuff like that. I’m predicting those who know there dentists on a very personal level won’t have such increased HR. Also, I’m going to try and monitor brain activity to see what goes off during the videos. Any advice or tweaks?

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