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Old 01-09-2020, 02:36 PM   #1
Peter Gibbons Peter Gibbons is offline
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O.city story of the day.

Patient called last week, said he needed an appointment he'd broken a tooth off, wasn't hurting. Told him we couldn't get him in til today. No worries he said, I'll be fine till then.

Shows up today, happy, no issues, says it's a small chip should be an easy fix. One look in there and this upper premolar has fractured the whole outer cusp off and there is an exposed pulp. I run the explorer around it, touch the nerve and he says he felt that a bit.

Holy hell, dude is tough as shit. That should have been excruciatingly painful.

Numbed him up, took some endo files and started a root canal. Took the nerve out, irrigated it with Sodium Hypochlorite (look that up and get back to me if you want a laugh). Closed it up, will finish it next week, didn't have time today but he'll be out of pain and good to go.
Common household bleach (NaOCl).
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Old 01-09-2020, 02:39 PM   #2
O.city O.city is offline
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Originally Posted by Peter Gibbons View Post
Common household bleach (NaOCl).

via GIPHY



Always say sodium hypochlorite in front of patients. They don't like to hear that we're irrigating their nerve chamber with bleach.

But it'll disinfect like a mofo.
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Old 01-09-2020, 02:42 PM   #3
Peter Gibbons Peter Gibbons is offline
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Professional hazard for me I’m afraid. I manage an R&D team that formulates cleaning products for a living. We do offer a line of disinfectants suitable for medical offices (although not surgical theaters).
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Old 01-09-2020, 03:09 PM   #4
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Professional hazard for me I’m afraid. I manage an R&D team that formulates cleaning products for a living. We do offer a line of disinfectants suitable for medical offices (although not surgical theaters).
What do you make that smells worse than Peridox? Anything?
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Old 01-09-2020, 02:12 PM   #5
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So what you're saying is you did a thing you KNEW should be excruciatingly painful just to see how tough the guy was.

****ing dentists - I always knew you were sadists.
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Old 01-09-2020, 02:13 PM   #6
O.city O.city is offline
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Originally Posted by DJ's left nut View Post
So what you're saying is you did a thing you KNEW should be excruciatingly painful just to see how tough the guy was.

****ing dentists - I always knew you were sadists.
Ha, no that came out wrong. I meant that the broken tooth in the way it broke should have been. Dude has been chilling with an exposed pulp for 5 days. That's nuts.
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Old 01-09-2020, 02:34 PM   #7
DJ's left nut DJ's left nut is offline
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Ha, no that came out wrong. I meant that the broken tooth in the way it broke should have been. Dude has been chilling with an exposed pulp for 5 days. That's nuts.
I don't know what it is, but I'm a complete bitch with teeth/mouth stuff.

Sturdy as hell with other stuff; have had some really good impacts in sporting events where teammates come huddling around expecting me to be rolling about or something but the old man was southern stock so he just told me to shut up and play or stuff like that when I was growing up so when stuff hurts, you just kinda stand there and bleed or pop it back into place.

But when it comes to all that teeth stuff...haaaaate it. Had a cracked tooth that nagged at me for months; started giving me headaches and things like that. The dentist did his x-rays and was like "yeah, we can probably do this easy thing that will hold and you should be okay for quite awhile but may have some occasional discomfort"

"Or?"

"Well we can grind it down past the crack and put a crown on it..."

"And that's largely permanent?"

"Yeah but it's native teeth and I really hate to...."

"Dude, just go get the grinder. I'm done with this shit"

Won't get my wisdom teeth pulled because they're in and they don't hurt. "But they'll get cavities someday..." "Do they have them today? No? Then we're good here..."

I already mentioned that I can just about only tolerate the hypersonic water thing now. If I take a grounder to the lip, I'll spit out some blood and get in my stance. But if I bite the inside of my mouth I'm gonna pout like a little girl for the next week. Those little dot things you get on the tip of your tongue if you eat too much acidic food - might as well have a broken arm for as much as they bother me.

I just do not get it.
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Old 01-09-2020, 08:20 PM   #8
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Originally Posted by DJ's left nut View Post
So what you're saying is you did a thing you KNEW should be excruciatingly painful just to see how tough the guy was.

****ing dentists - I always knew you were sadists.
I had some quality time with my dentist today for the bone grafting I need before I can get my implants. As he’s stitching me up he goes just outside of the numb zone once. It wasn’t super painful but, unlike most everything else he’d done to that point I felt a solid sting and made a little groan just to communicate that to him. Not to complain, just to give him feedback so that he would know and decide if he needed to do something about it -

Him: Did you feel that?

Me: Mmhmm

Him: Well I’m only going there the one time so just suck it up. *laughs*

I “chuckled” along the best I could in my condition because I know from his personality that he was just joking. Well, mostly anyway. I can certainly see how there might be a sadist streak running through him.

Honestly though, this is the second procedure he’s done on me in this process and it has been a dream compared to what I have expected.
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Old 01-09-2020, 02:12 PM   #9
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Someone asked me about this the other day. Here is a "hot" tooth. Irreversible pulpitis, aka, throbbing ass tooth ache. At the 2 minute mark, he opens the pulp up and it starts to bleed.

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Old 01-09-2020, 02:38 PM   #10
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Cracked teeth are the hardest things to deal with. They're hard as shit to I.D sometimes. I had a guy crack a front tooth eating some peanut brittle this past year, severe pain etc. Chased the crack with the drill, it ended up going subcrestal (below the bone) and we ended up having to extract it and have an implant placed.

Cracks ain't nothing to mess with.
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Old 01-09-2020, 03:05 PM   #11
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So, O. City, I've got a good one for ya. So over the weekend, I get a call from a lady I worked on last summer. She was new to the office. She's a phobic patient, hadn't been to see a dentist in 15 years, had shitty dentists in the past, blah blah blah. Anyhow, I use kid gloves and TLC.

She tells me she's broken a tooth. "one you worked on" she says. Tells me "it's the crown you did on the upper left. The last tooth in the back".

I tell her I'll meet her at the office (this is a Saturday btw). She says she can't. I tell her I'll see her Monday morning. She says she can't. I tell her to call Monday morning. She calls, sets up a time to see me Tuesday afternoon. Tuesday around noon, she calls and cancels and reschedules for Wednesday.

She comes in, and tells me that she bit on the hard red and white mint that you get a Chik Filet. "I knew I shouldn't have bit into that, I've never done that" she says. I look at the upper left and there is a piece of tooth missing from the distal (back) of tooth 14, which is not the back tooth. It's a tooth I had done a filling on, but just on the biting surface of the tooth. The crown I did is on the bottome btw. She tells me she thinks its "my work" that failed. I tell her that the mint is pretty darned hard and it would break any tooth. She tells me she isn't gonna pay to fix something I did that failed.
I tell her that even though I think the mint contributed to the problem (it was the problem) that she'd not have to pay because I just felt like taking care of her.
She kept saying "I'm just not prepared to take full responsibility for this" over and over. I finally sat back, took my gloves off, and said "look, if you want to go somewhere else, I'd be thrilled. Really, I'd be super happy. But, since you are here, I'm here, and I'm willing to fix this for no cost, we can either do this right now without wasting any more of my time, or you can leave now. It's up to you" She tells me she wants it fixed. I fix it. Then she proceeds to tell me that she thinks I did something extra so it wouldn't fail this time. WTF? I cleaned it, bonded it, cured it, polished it. Same as I've done ten thousand times. Freaks
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Old 01-09-2020, 03:12 PM   #12
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So, O. City, I've got a good one for ya. So over the weekend, I get a call from a lady I worked on last summer. She was new to the office. She's a phobic patient, hadn't been to see a dentist in 15 years, had shitty dentists in the past, blah blah blah. Anyhow, I use kid gloves and TLC.

She tells me she's broken a tooth. "one you worked on" she says. Tells me "it's the crown you did on the upper left. The last tooth in the back".

I tell her I'll meet her at the office (this is a Saturday btw). She says she can't. I tell her I'll see her Monday morning. She says she can't. I tell her to call Monday morning. She calls, sets up a time to see me Tuesday afternoon. Tuesday around noon, she calls and cancels and reschedules for Wednesday.

She comes in, and tells me that she bit on the hard red and white mint that you get a Chik Filet. "I knew I shouldn't have bit into that, I've never done that" she says. I look at the upper left and there is a piece of tooth missing from the distal (back) of tooth 14, which is not the back tooth. It's a tooth I had done a filling on, but just on the biting surface of the tooth. The crown I did is on the bottome btw. She tells me she thinks its "my work" that failed. I tell her that the mint is pretty darned hard and it would break any tooth. She tells me she isn't gonna pay to fix something I did that failed.
I tell her that even though I think the mint contributed to the problem (it was the problem) that she'd not have to pay because I just felt like taking care of her.
She kept saying "I'm just not prepared to take full responsibility for this" over and over. I finally sat back, took my gloves off, and said "look, if you want to go somewhere else, I'd be thrilled. Really, I'd be super happy. But, since you are here, I'm here, and I'm willing to fix this for no cost, we can either do this right now without wasting any more of my time, or you can leave now. It's up to you" She tells me she wants it fixed. I fix it. Then she proceeds to tell me that she thinks I did something extra so it wouldn't fail this time. WTF? I cleaned it, bonded it, cured it, polished it. Same as I've done ten thousand times. Freaks


That bitch probably didn't even thank you for the death's head moth cocoon you shoved down her throat at no extra charge.
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Old 01-09-2020, 03:36 PM   #13
O.city O.city is offline
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So, O. City, I've got a good one for ya. So over the weekend, I get a call from a lady I worked on last summer. She was new to the office. She's a phobic patient, hadn't been to see a dentist in 15 years, had shitty dentists in the past, blah blah blah. Anyhow, I use kid gloves and TLC.

She tells me she's broken a tooth. "one you worked on" she says. Tells me "it's the crown you did on the upper left. The last tooth in the back".

I tell her I'll meet her at the office (this is a Saturday btw). She says she can't. I tell her I'll see her Monday morning. She says she can't. I tell her to call Monday morning. She calls, sets up a time to see me Tuesday afternoon. Tuesday around noon, she calls and cancels and reschedules for Wednesday.

She comes in, and tells me that she bit on the hard red and white mint that you get a Chik Filet. "I knew I shouldn't have bit into that, I've never done that" she says. I look at the upper left and there is a piece of tooth missing from the distal (back) of tooth 14, which is not the back tooth. It's a tooth I had done a filling on, but just on the biting surface of the tooth. The crown I did is on the bottome btw. She tells me she thinks its "my work" that failed. I tell her that the mint is pretty darned hard and it would break any tooth. She tells me she isn't gonna pay to fix something I did that failed.
I tell her that even though I think the mint contributed to the problem (it was the problem) that she'd not have to pay because I just felt like taking care of her.
She kept saying "I'm just not prepared to take full responsibility for this" over and over. I finally sat back, took my gloves off, and said "look, if you want to go somewhere else, I'd be thrilled. Really, I'd be super happy. But, since you are here, I'm here, and I'm willing to fix this for no cost, we can either do this right now without wasting any more of my time, or you can leave now. It's up to you" She tells me she wants it fixed. I fix it. Then she proceeds to tell me that she thinks I did something extra so it wouldn't fail this time. WTF? I cleaned it, bonded it, cured it, polished it. Same as I've done ten thousand times. Freaks
Had a similar thing happen recently. Wasn't the tooth I worked on, but it needed a new DO, I was doing a crown on the tooth distal to it anyway so I said "just to clear the air i'll replace it free of charge".

She called the next day and asked for a refund on it. A REFUND ON SOMETHING SHE DIND"T EVEN PAY FOR. I mean, she's got balls trying to get money I guess but for ****s sake, people suck.

I had a lady this morning that wanted composite placed on the lingual of #18 under a crown. I told her she's getting amalgam or she's getting an extraction.
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Old 01-09-2020, 03:06 PM   #14
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Oh, and I have another one. We purchased the practice next to us three months ago. Agreed to keep the dentist on as an associate. He died today. So now I'm gonna be busy as hell until I find a new guy.
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Old 01-09-2020, 03:10 PM   #15
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Oh, and I have another one. We purchased the practice next to us three months ago. Agreed to keep the dentist on as an associate. He died today. So now I'm gonna be busy as hell until I find a new guy.
Turned out worse for the other dentist.....
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