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Message Board (1129)
Message Board
Views: 875 | Replies: 104
posted before, I'm generally very healthy but sickness and injury ALWAYS come along at some point. Rarely, but now and then erasing all gains. (4 rounds with a herniated disc). Fear of reinjury just when I'm starting to regain, reduces my motivation to push, showing down longer than perhaps needed
April 25, 2026
General Health
Message Board
Views: 38 | Replies: 0
clinical procedures, including extractions, root canals, and gum surgeries, even using anesthetics intended strictly for licensed medical use. Authorities allege that some patients suffered lasting damage, including tooth loss, chronic pain, and impaired daily function. The case goes beyond illegal
April 28, 2026
Israel
Message Board
Views: 60 | Replies: 1
the guideline says everyone should get a statin and a prayer. That is not what it says. The official materials repeatedly emphasize healthy diet, exercise, weight control, smoking cessation, and blood pressure management. The guideline also clearly treats metabolic health as part of the same prevention
May 03, 2026
General Health
Message Board
Views: 851 | Replies: 47
. Life is unpredictable, you never know what is going to happen. Divorce, disability, health issues, child issues, natural disaster, etc....making money while you are still healthy an able seems like an easy decisions. Cause yolo!!!!!? I will not be practicing until 68 or 69. My back hurts and I'm
May 05, 2026
Retired and Soon to be Retired Dentist's Forum
Message Board
Views: 17 | Replies: 0
between a simple blister and a mouth problem that needs more attention. What a Blood Blister in the Mouth Is A blood blister is a raised spot filled with blood. It can show up on the inner cheek lip, gums tongue or roof of the mouth. It may appear after a small injury or irritation. Some mouth
April 21, 2026
Emergency Dentistry
Message Board
Views: 1258 | Replies: 71
implant or extraction with socket preservation? Thanks for your help! Antibiotic Prophylaxis Protocol: - Healthy / Standard Risk: Amoxicillin: 2g orally, 1 hour before the procedure. - Moderate to High Risk: Amoxicillin: 2g pre-op, followed by 500mg 3x/day for 3-5 days. Antiseptic Protocol: - Pre-Op
May 01, 2026
Implantology
Message Board
Views: 480 | Replies: 21
never told about cavity skeptical. Large posterior composite, w recurrent distal decay under the gums. Asymptomatic. 6mm probing on distal. I'm concerned if I touch it sensitivity / possible endo. Plan: Replace filling + gingivectomy (conservative) If symptoms RCT + crown Good plan. Gingivectomy
April 28, 2026
Periodontics
Message Board
Views: 261 | Replies: 9
Does it look precancerous? Does it need biopsy? White line, about 4mm long, elevated, hard to touch 56 yo male, it did not appear 6 months ago, located right at the gum line of #31 buccal. He will bring his night guard in 2 weeks to see if it is the margin irrigates it. Thanks Makes sense to check
April 23, 2026
Oral Pathology
Message Board
Views: 875 | Replies: 104
I'm working on a school project on this topic and would love some help. I'm trying to better understand how we think about and measure this versus how it plays out in real life. There's a bunch of research on this - studies show that people often intend to follow through on healthy behaviors
April 11, 2026
General Health
Message Board
Views: 1305 | Replies: 62
. Hopefully, she'll have good values and a solid head on her shoulders by then. Stay healthy, my friend. When we did our renovations, we used Karndean commercial LVT (Luxury Vinyl Tile). I chose EW02 which is a wide plank, hard wood look that matched better with the colors I wanted in the office. I
May 02, 2026
Equipment
Message Board
Views: 519833 | Replies: 24682
and the gums were growing into the tooth Bone graft on the buccal Glidewell HT Implant 3.5 x 11.5mm (my 20th of 2026) My Blood of the Day Sorry no picture I removed this #10 about six months ago and the patient couldn't afford an implant that day, but did do a bone graft he is back now for the implant
April 23, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 164 | Replies: 7
This was from Claude. Which I thought did a great job and would love to hear your input regarding this as a handout to the patients. Oral Hygiene and Diet Protocol for Severe Xerostomia Understanding Dry Mouth Severe xerostomia increases risk of decay, gum disease, and infections. Saliva
April 07, 2026
Cariology
Message Board
Views: 132 | Replies: 7
exposure. Simple endo flares up. Healthy patient crashes. You can do everything right and still get blindsided because biology and real life don't follow scripts. Same lesson here. Decades of experience, planning, and control, and one unpredictable moment changes everything. That mindset, respecting
April 25, 2026
Gabon
Message Board
Views: 69892 | Replies: 5142
is a unique grey area you are manufacturing cover and creating space for bad behaviors, not mitigating them. Unless it is a need, it is a want. Wants are where the selling comes in. Doesn't matter what you are selling - dental practices, pretty veneers, healthy gums, hot dogs, podcasts, etc. There is so
July 16, 2025
Academy of Dental Management Consultants
Message Board
Views: 19 | Replies: 0
Every few months another headline drops that makes it sound like dentistry just discovered the root cause of half of medicine. This time it is gum bacteria and breast cancer. Before that it was heart disease, diabetes, pregnancy outcomes, pneumonia, Alzheimer's, rheumatoid arthritis. Same pattern
March 31, 2026
Periodontics
Message Board
Views: 28 | Replies: 1
left. If you are looking for a molecule doing something, you are not going to find it. But here is where dentists need to pay attention. The risk is not the bottle. The risk is the behavior. The patient who uses a homeopathic rinse for a sore gum and waits three months before coming in. The parent who
April 28, 2026
Spain
Message Board
Views: 463 | Replies: 12
In dental school, I was taught to remove carious dentin with the largest round bur that I could use. How do people practice today? The line between carious dentin and healthy dentin can be vague and I always want to use the best tools to get the job done. For a large amount of caries I use a #8
March 09, 2026
Restorative Dentistry
Message Board
Views: 44 | Replies: 1
. Healthy on a reduced periodontium. Welcome to one of the most common disconnects in modern dentistry. We are watching a real-time clash between what radiographs suggest and what periodontal diagnosis actually requires. And now artificial intelligence is pouring gasoline on that fire. Let's get
April 26, 2026
Periodontics
Message Board
Views: 218 | Replies: 15
at? Those small spaces often reflect: Tooth morphology (triangular crowns don't meet perfectly at the gingiva) Papilla height and tissue contour Alignment changes after orthodontics Reduced inflammation (healthier, tighter tissues) In other words, not every 'triangle' is pathology. The naming
April 30, 2026
Orthodontics
Message Board
Views: 796 | Replies: 30
the gingival bleeding during treatment. Any tips for this? The gums should be healthy to do this type of treatment with minimal bleeding. If you're using the Unica band is similar like he does here, the seal should be perfect and keep out moisture. Can be visualized with maginifcation
June 05, 2025
Cosmetic Dentistry
Message Board
Views: 332 | Replies: 12
I had a patient with a broken tooth #3. I removed the tooth and placed an implant in the septal bone. Palatal extraction socket was exposed so I placed a Osteogen plug topped with collagen plug Pt came in 2 weeks later for follow up. The palatal side was already covered with the gum. It was nice
February 28, 2026
Implantology
Message Board
Views: 17 | Replies: 1
steady traffic and improve trust in your clinic. Content That Builds Trust and Authority Content helps people learn and feel safe before visiting your clinic. Write simple blog posts about common problems like gum pain or cavities. Use easy words so everyone can understand. When people read helpful
March 24, 2026
General Health
Message Board
Views: 571 | Replies: 21
( no bone loss ) that has generalized suprabony pockets that you're trying to get back to a healthy mouth and subsequent D1110. Visit 1 D4342 LRQ D4342 LLQ Visit 2 D4910 full mouth If patient is sensitive and needs to be anesthetized during the D4910 you can bill for: D9210 - Local anesthesia
April 24, 2026
Coding Q&A
Message Board
Views: 1780 | Replies: 90
to the table. patients can get more than enough helpful info on google or chat to keep gums healthy and not get cavities. none of it is rocket science. when was the last time you needed to consult with your PCP or nurse practioner on a diet to lose weight or gain muscle? It's kind of a moot point since
January 19, 2026
Hygiene Discussions
Message Board
Views: 220 | Replies: 7
#3 implant crown seated 3 months ago. Starts bleeding from gum suddenly. No trauma. No food trap. No occlusion issue, not much pain. I removed the crown and noticed the gingival Cuff appeared inflamed. What could be the cause? Thank you! You have to be clearer. What does bleedings form the gums
March 13, 2026
Implantology
Message Board
Views: 41 | Replies: 2
more brittle and might eventually break away as healthier conditions take over in your mouth. That's basically your improved habits paying off. If you're not dealing with pain, bleeding gums, or other weird symptoms when the tartar breaks off, and especially if it happened after visiting your dentist
February 11, 2026
Public Health Dentistry
Message Board
Views: 111 | Replies: 6
Oral Investig . Hasegawa, Y., J. Sakagami, T. Ono, K. Hori, M. Zhang and Y. Maeda (2009). "Circulatory response and autonomic nervous activity during gum chewing." Eur J Oral Sci 117 (4): 470-473. Droste, D. W., W. Berger, E. Schuler and J. K. Krauss (1993). "Middle cerebral artery blood flow velocity in healthy persons during wakefulness and sleep: a transcranial Doppler study." Sleep 16 (7): 603-609.
March 02, 2026
Sleep Apnea / Snoring
Message Board
Views: 164 | Replies: 2
not, the cavity does not care that the label had leaves on it. That is another practical takeaway. Dentists need to separate consumer identity language from disease prevention language. Patients often do not buy toothpaste for chemistry. They buy it for self-story. They want to feel healthier
April 23, 2026
Toothpaste
Message Board
Views: 71 | Replies: 1
explain not have pain is not the same as not having a problem. I show some pictures of teeth that are broken off a the gum line and the person had no pain. I then say something like "this person had no pain, but clearly the tooth is not healthy" and then further elaborate "your tooth is not as far gone
January 22, 2026
Restorative Dentistry
Message Board
Views: 49 | Replies: 1
This implant failed after 6 weeks. Any idea why? Patient is 65 y-o healthy female. Takes hormone replacement therapy and multivitamins. I extracted 19 failed rct. Placed 70/30 min demin allograft under ptfe membrane and waited four months. I placed a straumann blt 4.8x8. Bone felt like type 2
April 16, 2026
Implantology
Message Board
Views: 169 | Replies: 13
to have him bite down on a bite stcik and push the bridge back into the implants. This might require a decent bit of gingivectomy, or a flap even, to expose the implants and remove any chance of interference from the gums. It is messy, but he could regain stability for a while, or longer, especially
March 30, 2026
Implantology
Message Board
Views: 118 | Replies: 1
, host factors, and time. That shift matters. It means your job is not only to ask what the patient takes. Your job is also to ask how inflamed the site is, how healthy the patient is, how much surgery you are planning, and whether you are about to create a biologic mess in bone that already has less
April 18, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 527 | Replies: 14
is the toughest to kick forever. I'm still addicted to it, but I don't smoke. I do wear out my teeth on the gum. My thoughts and prayers go out to your assistant. Wishing her a full and speedy recovery. That's tough. How was it found? Sadly it was found by her physician after she brought it up. I hope
March 28, 2026
Dental Assistants
Message Board
Views: 62 | Replies: 2
6 year old twin girls. These are daughters of my part time rdh. I do not see kids if I can ever help it. So where do they start? The mom is missing 2 premolars and the dad is out of the picture. Otherwise happy healthy kids that just didn't get all their teeth. I know all of her pregnancies were
April 01, 2026
Pediatric Dentistry
Message Board
Views: 70 | Replies: 1
assistant could handle some of this,' it gets attention fast. The OPA (Oral Preventive Assistant) EFDA pilot is not some abstract policy idea. It is a very practical attempt to unclog the hygiene column. Train experienced assistants, limit them to healthy and gingivitis patients, keep everything under
April 10, 2026
Hygiene Discussions
Message Board
Views: 42 | Replies: 3
To all of the die-hards on DT interested in the oral-systemic connection. Just wanted to share that there is a new toothpaste/gum available that was engineered to eradicate P. Gingivalis in the oral cavity -- Halo Gum and Zero Pro Toothpaste from Something Nice Company (founded by Dr. Ben Winters
January 23, 2026
The Oral-Systemic Health Connection
Message Board
Views: 10 | Replies: 0
tooth Gum infections or abscess Lost fillings or crowns In such cases, visiting an emergency dentist near me without delay can help save the tooth. Emergency Dental Treatment Near To You: What to Expect Emergency dental treatment focuses on relieving pain and stabilizing the condition. Treatment may
April 09, 2026
Sensitivity
Message Board
Views: 624 | Replies: 25
and extractions, which account for about half of dental antibiotic prescriptions. Experts quoted in the article emphasize that antibiotics are a finite and precious resource. For most simple extractions in healthy patients, evidence reviews show no benefit from prophylactic antibiotics. For patients who
March 17, 2026
Pharmacology
Message Board
Views: 246 | Replies: 10
overgrowth from getting into the deep part of the prep? or you just remove the gum again at the seating appointment? You get the crown back from the lab and cemented quickly (5-7 days) before the gums have a chance to grow. I always temporize. . Also, we get crowns back in less then a week from Glidewell
April 09, 2026
Prosthodontic Cases
Message Board
Views: 1078 | Replies: 25
are in the way and you can't seat your band properly, don't be scared to do a small gingivectomy. There's many ways, such as electrosurgery, scalpel, diamond burs, but my favorite is using thermacut burs without water. This often gives little bleeding if the gums are reasonably healthy. If the bleeding
December 03, 2025
Restorative Dentistry
Message Board
Views: 7262 | Replies: 416
of people that appreciate you for you. and likewise for the dentist. however erik had pointed out- that it's not healthy to see them as friends. i get some docs do that- but i draw boundaries. it's not healthy to see it that way. Welcome to the internet lol I wonder about that...are patients
April 23, 2026
Retired and Soon to be Retired Dentist's Forum
Message Board
Views: 151 | Replies: 9
months for recalls. If they get infection and/it periimplsntitis- nope. Too many things out of my control. When I deliver the tissue around the implant is healthy, implant is integrated, and I get custom adjustment with screwmented crown. They may smoke, do drugs, go through props of less than ideal
April 22, 2026
Implantology
Message Board
Views: 3586 | Replies: 85
is the benefit of deionized water in a water flosser? Science is weird, amirite. I'm assuming sarcasm because a magnet doesn't do anything to water, it's filtered to deionize... Our office abandoned chlorhexidine over 20 years ago. It was replaced by Dental Herb Co.'s Tooth and Gum Tonic. The CRA newsletter
February 08, 2026
Implantology
Message Board
Views: 10 | Replies: 0
but ambitious. Your mouth contains hundreds of species of bacteria, and when that balance shifts toward harmful organisms, it can drive cavities, gum disease, inflammation, and possibly even broader health issues. The process itself is almost laughably simple. You spit into a tube, send it to a lab
April 09, 2026
Oral Pathology
Message Board
Views: 83 | Replies: 4
and pistachios. OH: Fair- Marginal/generalized plaque with LAC. Gingiva: Normal and healthy. Caries risk: Low. Prophy: Yes. Fluoride: Varnish. OB: 60% OJ: 3 mm Molar Right: ll Molar Left: ll Canine Right: ll Canine Left: ll Midlines: Coincide. Crossbite: None. Habits: None. Ortho status: 1) We will follow
April 14, 2026
Pediatric Dentistry
Message Board
Views: 164 | Replies: 7
This patient reports bleeding gums surrounding crown #13. #12 DO has been filled, pt has underwent SRP, and oral hygiene has much improved. There seems to be lingering papilla hyperplasia. Would the solution for this be gingivoplasty? If so what would you use to perform it? I have a Picasso lite
April 08, 2026
Periodontics
Message Board
Views: 15 | Replies: 0
immunity, and in practical terms, a healthier advantage before the first musket fired. Washington had a unique perspective on the disease because he had survived it himself as a young man in Barbados. That experience left him immune, but it also left him with a healthy respect for how brutal
April 03, 2026
Military Dentistry
Message Board
Views: 260 | Replies: 17
a simplified explanation? How do i determine if this is adatped centric or not? would i need to deprogram? Almost all people have a centric slide from CR to MIP. And MIP is fine to use if its healthy and repeatable and you are not planning to open the VDO. In this case its no longer healthy
April 08, 2026
Prosthodontic Cases
Message Board
Views: 307 | Replies: 6
when people thought your placements were too deep! You gave us the roadmap to healthy implants a decade before anyone else. Thick tissue/deep placement, great connection, abutment designs that leave room for tissue. Another fantastic long term result!!! That is amazing Bill! Thanks for sharing
April 13, 2026
Implantology
Message Board
Views: 784 | Replies: 29
experience. Everything looks very healthy. What makes you say it's not internal? ECIR, leave alone. I have a question though...does ECIR effect bone at all? Internal start/originates from the pulpal tissue, external starts/originates from the PDL tissues. When you look at how fuzzy and streaky the defect
February 19, 2026
Endodontics
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