Life Dental experiences with O.City - Page 44

O.city · 12-04-2019, 09:02 PM

Had a pretty interesting day today at the office. Morning was pretty normal, drill and fill, check hygiene, extract a tooth etc. Nothing too out of the ordinary.

Pretty normal lunch. Trolled around on CP, ate an apple and a handful of wheat thins.

Then the afternoon hit.

I see inmates from the county jail here in town if they have a tooth ache or something, sheriff or deputy will call up and bring them up in shackles and the whole bit. It's not big deal, most of them are just happy to get out of pain and it's not a problem. So dude comes in, my assistant goes in to ask the normal "which tooth is bothering you, let me get an xray, blah blah". I was in the lab doing something so I wasn't really paying attention. She comes in and says "doc, you will need to come look at something" to which I responded "he need a tooth out, which tooth is hurting"?

"All of them". Huh, ok, weird response but lets go check it out. Sure enough, continued meth use pretty much causes things to not go so well intraorally, so he was pretty much decayed out and most teeth were broken off to the gumline (google meth mouth if you want to see it, i'm not messing with photos). Asked if I could extract all 26 teeth he had left in the 30 minute block we had on the schedule for him.

I laughed, said "nah, which one hurts the worst, we'll take that out". He pointed to one, I numbed it up, used an elevator to take it out, about 30 seconds worth of pressure and it was pretty lose. 2 teeth next to it are super mobile and infected (which starts draining as I get this one out, that smelt nice) so I told him he was getting 2 free extractions since he was already numb in that area and they were loose and I was right there, no harm no foul.

It's always fun when we see the inmates, the Sheriff comes up and sits in the room with them all serious, then when I come in the room we talk about hunting or why the Chiefs always break hearts or something.

He breaks down and starts crying thanking me, that he already felt better (if you saw the amount of infection I drained, you'd see why) and asked if he could make an appointment for when he got out. "Sure, how long you think you'll be in this predicament".

"I figure 4 or 5 years, you scheduling ahead that far yet"? Told him nah, just take care of himself and come see me when he gets out.

Next patient is an amish guy (we have a fairly big amish community near us), super nice guy, needs a crown. Asks if he can barter instead of pay, I ask what is in it for me, said he'd bring me a dozen eggs every week for 6 months (they have chicken barns or something) or I could have a quarter of one of the cows they're butchering. Sold, eggs and beef for a crown, sign me up.

Only problem with that is he scheduled an appointment for himself, but brought 4 other family members who all needed work done.

So we had a waiting room full of inmates and Amish this afternoon. Thought that might be a good name of a band or something.

TLO · 11-08-2024, 03:57 PM

Check your PMs O.City.

BWillie · 11-08-2024, 04:35 PM

O City

I'm looking to buy some Quaaludes but having some problems. Apparently they haven't made any since the Wolf of Wall Street

**Rain Man** · 11-08-2024, 04:57 PM

Quote:

Originally Posted by O.city

The neighbor to us is a Lawyer's office, his receptionist was getting here the same time I was. She said she had handled it before so she called and took care of it.

Does a cease and desist letter work on a homeless guy?

Otter · 12-20-2024, 02:00 PM

Thought this would fit here. Thanks for the dental cap advice!

GloryDayz · 12-21-2024, 11:32 PM

Quote:

Originally Posted by Otter

Thought this would fit here. Thanks for the dental cap advice!

O.city · 04-28-2025, 09:10 PM

Been a couple months. Guess we could fire up the dental thread.

Alot of talk about the whole fluoride issue lately. We use alot of it (yes, I'm an evil dentist who uses fluoride), but if patients don't want it, no issues.

If anyone has any issues with it, may I recommend hydroxyapatite tooth paste. NOBS is one I've had some success with as an alternative.

I don't have the energy for the battles on fluoride either way anymore I guess. Do it, don't do it.

Had an interesting case resolved. Guy had been having pain on the upper left for a bit, came in...I couldn't find anything. He's a retired ER doc, super nice dude, we talk about the Chiefs and fishing alot. Percussion testing, cold testing, xrays etc. Sent him to periodontist and endodontist. They couldn't find anything, thought maybe a cracked tooth but not sure.

Pain went away. Good deal, no issue. In today for a cleaning, said the pain was back when he chewed. I immediately go to "cracked tooth somewhere".

Start looking around, found an upper bicuspid with a big amalgam filling in it, cracks surrounding it. Tapped on it, pain. Perfect, figured this out.

He asks why it was hurting then stopped, then hurt again, why I couldn't find the crack....I start sweating a little thinking how I'm gonna answer this to an ER doctor and not sound like a hack.

He laughs, says "I'm just ****ing with you, the body's weird". I shook my head, grumbled at him for being an asshole.

Took the old filling out, cleaned up the cracks and prepped it for a crown. Text him a few minutes ago to check on it..."feels fine, no pain when I ate, quit worrying and don't be such a bitch".

Damn old retired boomers.

BWillie · 04-28-2025, 09:16 PM

My dentist gave me a saliva test today. Apparently Im dying cuz it was bad and got a 34 out of 40. Supposed to be 10 or less or ur saliva is Apparently eating your teeth and gums until you become a bottomless pit of cells without bone and teeth.

Then they did a laser on my gums because I have stage 2 Periodontitis. They make me come every 3 months now for a cleaning and threatened gum scaling again because i am a piece of shit who doesn't brush correctly or floss enough.

I never do fluoride because it costs extra although maybe i should. I am already dumb as fk per CP so I don't have anything to worry about

O.city · 04-28-2025, 09:18 PM

I....have no clue what a saliva test is.

BWillie · 04-28-2025, 09:20 PM

Quote:

Originally Posted by O.city

I....have no clue what a saliva test is.

The paper says "Know your aMMP-8 Number"

Active matrix metalloproteinase-8-level

Never heard of such a thing

O.city · 04-28-2025, 09:22 PM

Quote:

Originally Posted by BWillie

The paper says "Know your aMMP-8 Number"

Active matrix metalloproteinase-8-level

Never heard of such a thing

I dunno, I'm out of the loop on some of the new fancy stuff. I have a laser I use....sparingly.

neech · 04-28-2025, 10:37 PM

Quote:

Originally Posted by BWillie

My dentist gave me a saliva test today. Apparently Im dying cuz it was bad and got a 34 out of 40. Supposed to be 10 or less or ur saliva is Apparently eating your teeth and gums until you become a bottomless pit of cells without bone and teeth.

Then they did a laser on my gums because I have stage 2 Periodontitis. They make me come every 3 months now for a cleaning and threatened gum scaling again because i am a piece of shit who doesn't brush correctly or floss enough.

I never do fluoride because it costs extra although maybe i should. I am already dumb as fk per CP so I don't have anything to worry about

I decided to do what the dentist says, and I flossed about 5 days a week. I was already brushing good, I just didn't have the flossing down.

Then my teeth checkups were darn near sterling the last 20 years.

BWillie · 04-28-2025, 10:55 PM

Quote:

Originally Posted by neech

I decided to do what the dentist says, and I flossed about 5 days a week. I was already brushing good, I just didn't have the flossing down.

Then my teeth checkups were darn near sterling the last 20 years.

Yeah I think I just need to bite the bullet. I have an annoying bridge on my bottom right molar. Its really difficult to get to. Going to buy a water pik. Electric toothbrush and floss anytime I sit on the couch. Just extremely difficult for me to remember to floss.

**Rain Man** · 04-28-2025, 11:06 PM

Quote:

Originally Posted by O.city

I dunno, I'm out of the loop on some of the new fancy stuff. I have a laser I use....sparingly.

I think you can measure the distance to the moon with it. You just have to find where that mirror on the surface is.

neech · 04-28-2025, 11:07 PM

Quote:

Originally Posted by BWillie

Yeah I think I just need to bite the bullet. I have an annoying bridge on my bottom right molar. Its really difficult to get to. Going to buy a water pik. Electric toothbrush and floss anytime I sit on the couch. Just extremely difficult for me to remember to floss.

Water piks are great for what you need. I decided they were kind of messy so I returned to flossing. Do what works for you and stick with it.

O.city · 04-29-2025, 12:25 PM

Wild day here in rural MO office.

Storms rolling thru earlier, power went out when I was in the middle of a root canal. Had to finish with no power, only light from my headlight on my loupes. No drill or anything to finish.

Don't think the patient had a good time.

Wife called and we have 2 big trees down at the house, luckily all missed the house. Guess I get to chainsaw for a while when I get home.

12-04-2019, 09:02 PM
O.city In Search of a Life Join Date: Jul 2009 Casino cash: $-535936	Dental experiences with O.City Had a pretty interesting day today at the office. Morning was pretty normal, drill and fill, check hygiene, extract a tooth etc. Nothing too out of the ordinary. Pretty normal lunch. Trolled around on CP, ate an apple and a handful of wheat thins. Then the afternoon hit. I see inmates from the county jail here in town if they have a tooth ache or something, sheriff or deputy will call up and bring them up in shackles and the whole bit. It's not big deal, most of them are just happy to get out of pain and it's not a problem. So dude comes in, my assistant goes in to ask the normal "which tooth is bothering you, let me get an xray, blah blah". I was in the lab doing something so I wasn't really paying attention. She comes in and says "doc, you will need to come look at something" to which I responded "he need a tooth out, which tooth is hurting"? "All of them". Huh, ok, weird response but lets go check it out. Sure enough, continued meth use pretty much causes things to not go so well intraorally, so he was pretty much decayed out and most teeth were broken off to the gumline (google meth mouth if you want to see it, i'm not messing with photos). Asked if I could extract all 26 teeth he had left in the 30 minute block we had on the schedule for him. I laughed, said "nah, which one hurts the worst, we'll take that out". He pointed to one, I numbed it up, used an elevator to take it out, about 30 seconds worth of pressure and it was pretty lose. 2 teeth next to it are super mobile and infected (which starts draining as I get this one out, that smelt nice) so I told him he was getting 2 free extractions since he was already numb in that area and they were loose and I was right there, no harm no foul. It's always fun when we see the inmates, the Sheriff comes up and sits in the room with them all serious, then when I come in the room we talk about hunting or why the Chiefs always break hearts or something. He breaks down and starts crying thanking me, that he already felt better (if you saw the amount of infection I drained, you'd see why) and asked if he could make an appointment for when he got out. "Sure, how long you think you'll be in this predicament". "I figure 4 or 5 years, you scheduling ahead that far yet"? Told him nah, just take care of himself and come see me when he gets out. Next patient is an amish guy (we have a fairly big amish community near us), super nice guy, needs a crown. Asks if he can barter instead of pay, I ask what is in it for me, said he'd bring me a dozen eggs every week for 6 months (they have chicken barns or something) or I could have a quarter of one of the cows they're butchering. Sold, eggs and beef for a crown, sign me up. Only problem with that is he scheduled an appointment for himself, but brought 4 other family members who all needed work done. So we had a waiting room full of inmates and Amish this afternoon. Thought that might be a good name of a band or something.
Posts: 84,153

11-08-2024, 03:57 PM	#646
TLO Life is changing.. Join Date: Jul 2012 Location: NW Missouri Casino cash: $-2360000	Check your PMs O.City.
Posts: 43,035

11-08-2024, 04:35 PM	#647
BWillie Are you ready to Rumble? Join Date: Apr 2006 Casino cash: $-1238759	O City I'm looking to buy some Quaaludes but having some problems. Apparently they haven't made any since the Wolf of Wall Street
Posts: 52,415

04-28-2025, 09:10 PM	#651
O.city In Search of a Life Join Date: Jul 2009 Casino cash: $-535936	Been a couple months. Guess we could fire up the dental thread. Alot of talk about the whole fluoride issue lately. We use alot of it (yes, I'm an evil dentist who uses fluoride), but if patients don't want it, no issues. If anyone has any issues with it, may I recommend hydroxyapatite tooth paste. NOBS is one I've had some success with as an alternative. I don't have the energy for the battles on fluoride either way anymore I guess. Do it, don't do it. Had an interesting case resolved. Guy had been having pain on the upper left for a bit, came in...I couldn't find anything. He's a retired ER doc, super nice dude, we talk about the Chiefs and fishing alot. Percussion testing, cold testing, xrays etc. Sent him to periodontist and endodontist. They couldn't find anything, thought maybe a cracked tooth but not sure. Pain went away. Good deal, no issue. In today for a cleaning, said the pain was back when he chewed. I immediately go to "cracked tooth somewhere". Start looking around, found an upper bicuspid with a big amalgam filling in it, cracks surrounding it. Tapped on it, pain. Perfect, figured this out. He asks why it was hurting then stopped, then hurt again, why I couldn't find the crack....I start sweating a little thinking how I'm gonna answer this to an ER doctor and not sound like a hack. He laughs, says "I'm just ****ing with you, the body's weird". I shook my head, grumbled at him for being an asshole. Took the old filling out, cleaned up the cracks and prepped it for a crown. Text him a few minutes ago to check on it..."feels fine, no pain when I ate, quit worrying and don't be such a bitch". Damn old retired boomers.
Posts: 84,153	3 0

04-28-2025, 09:16 PM	#652
BWillie Are you ready to Rumble? Join Date: Apr 2006 Casino cash: $-1238759	My dentist gave me a saliva test today. Apparently Im dying cuz it was bad and got a 34 out of 40. Supposed to be 10 or less or ur saliva is Apparently eating your teeth and gums until you become a bottomless pit of cells without bone and teeth. Then they did a laser on my gums because I have stage 2 Periodontitis. They make me come every 3 months now for a cleaning and threatened gum scaling again because i am a piece of shit who doesn't brush correctly or floss enough. I never do fluoride because it costs extra although maybe i should. I am already dumb as fk per CP so I don't have anything to worry about
Posts: 52,415

04-28-2025, 09:18 PM	#653
O.city In Search of a Life Join Date: Jul 2009 Casino cash: $-535936	I....have no clue what a saliva test is.
Posts: 84,153

04-29-2025, 12:25 PM	#660
O.city In Search of a Life Join Date: Jul 2009 Casino cash: $-535936	Wild day here in rural MO office. Storms rolling thru earlier, power went out when I was in the middle of a root canal. Had to finish with no power, only light from my headlight on my loupes. No drill or anything to finish. Don't think the patient had a good time. Wife called and we have 2 big trees down at the house, luckily all missed the house. Guess I get to chainsaw for a while when I get home.
Posts: 84,153	1 0