u/Key-Goal-3228 — reddlx

Luxator or Elevator that helped for extraction for upper wisdom tooth?

Clinic I worked at only had straight type of luxator / elevator. I did found curved luxator in our storage but its only slightly curved since its only around 2.5mm wide(this really helped in taking out pesky molar root)

But there is this #28 with only palatal wall left (rest of it already broken off due to decay). I cant find any good point to luxate it at all. My luxator / elevator at that time cant reach it, I used all of my luxator / elevator but I felt like I cant reach the exact point that it needed to loosen it up and ended up refer it to OS. I figure out maybe because I need luxator / elevator that hand curved handle? But idk what kind of type that would help.

My friend that now currently in OS residency said "find a curved tip one with small size" I did had one though and its not working...?

Now I'm in a hunt to collect more luxator/elevators, so please share your thought

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u/Key-Goal-3228 — 6 days ago

▲ 1 r/Dentistry

Pt had difficulty with the only sensor size I had so thats as far as I could do PA(or its just me that sucks at it)

Tooth is symptomatic, pain every eating and it last for hours. These past few days the pain also present even when he didnt do anything. Weeks ago he came to another dentist and just being prescribed antibiotics with painkiller. It works untik a week ago.

He had many tooth already extracted before so after discussion we will plan to extract this one too since the clinic hours is already done. Idk why the PA look nice but clinically it had quite significant gum recession and there is a bit movement. Clinically there is a pit and fissure caries and I noticed long brown stain on the buccal groove but not yet indicate deep caries.

I swear I saw this long radiolucent line (from the circle) wondering if its just me tripping or it might indicate a crack

u/Key-Goal-3228 — 10 days ago

▲ 5 r/Dentistry

I think I just need to vent out.

Already check the lenght perfectly even confirmed it with radiograph. Gutta fit tight and nice, everything is double checked. During obturation patient feel a slight pain but it most likely from my sealer puff as I shove the gutta in. When I took radiograph again, there it is the tip of the gutta poking out from the apical I think by 1.5mm at most. The patient already feel tired so I had to wrap things up with notice that if there is a swelling or pain persist more than a week we will redo that.

Patient go home. Then the assistant said the gutta I used earlier had dropped into the non sterile surface...twice. Turned out I didnt realized it bcs when they did it I look the other way to grab things that I forgot for final restoration later. I asked what they did after and said dip the gutta back around a minute in 2.5% naocl and rinse it with saline I used for final irrigation. Cant exactly blame anyone but myself for not observing the asst prepping the gutta. I feel so tired mentally, I'm not sure if it drop on floor or the glass surface I used for the bond I cant bring myself to ask more without crying. It was good he still though of 'redisinfect' that instead of putting it back like nothing happened but I wished being told earlier so I could replace it. Its been 5 years being a dentist with these 3 years actively practicing but cases always find ways to gone wrong under my watch its so ridiculous something still messed up with such a very straight foward case.

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u/Key-Goal-3228 — 14 days ago

▲ 11 r/Dentistry

27 tooth with disto buccal to occlusal caries. No 28 erupted . The caries spread and clinically, almost at the same level with the gum, the surface feel quite soft so most likely went subgingival when prepped this later.

The caries location is already hard enough for me to clean and I figure this def going to be a hell to deal with. Fortunatelythe patient will come back next week so I still had time to think. since first appt is scaling(smoke lots). ButI reall dont know what should I do with this? Though I could push the clamp down harder to secure the grip but idk yet how extensive the caries down there.

My plan is to took an periapical and see if the caries really went under the bone or not. If yes, I really want to refer him to endodontist. I'm not mentally prepped enough to do upper molar rct.

Patient told that there is no spontaneous pain, but positive sensation to cold water and subsidized immediately after.

u/Key-Goal-3228 — 17 days ago