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Old 12-04-2019, 09:02 PM  
O.city O.city is offline
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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.
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Old 04-06-2021, 05:44 PM   #421
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Old 04-07-2021, 08:12 AM   #422
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So here's a dental story for you guys today.

Had a new patient yesterday, 9 years old, fell over the handlebars of his bike and smashed his mouth.

Luckily he just chipped some teeth and maybe cracked one, but it looks like it will be ok. But unlucky for him, those same teeth went thru his upper lip. Like all the way thru. ER doc said "go to the dentist and let him fix it".

So I spent yesterday morning sowing up a lip of a 9 year old who was already freaked the **** out. Fun. Lots of screams
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Old 04-07-2021, 08:14 AM   #423
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Since when is sewing up a lip dental surgery?

Sounds like the ER doc was an ass.
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Old 04-07-2021, 08:31 AM   #424
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Originally Posted by htismaqe View Post
Since when is sewing up a lip dental surgery?

Sounds like the ER doc was an ass.
They don't like to mess with anything in or around the mouth. It's in the little piddly rural ER in my rural practice town so i'm guessing he had bigger fish to fry at the time.

It's no problem in terms of me doing it. It's not preferable and I went ahead and referred him on to a plastic surgeon just in case he needs something later but it was pretty small so I don't think it will be a problem.

Kid was pretty freaked out though. My assistant enjoyed it more than I did.
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Old 04-07-2021, 09:01 AM   #425
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Sounds like you should be the ER dentist
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Old 04-07-2021, 09:13 AM   #426
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Originally Posted by displacedinMN View Post
Sounds like you should be the ER dentist
It's very rare that I have to or want to do anything like that. The patient is a kid of a good family of patients in the practice so I helped them out a bit.

I'm more of a drill and fill kind of guy. I don't like the crazy shit.
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Old 04-07-2021, 10:38 AM   #427
htismaqe htismaqe is offline
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Originally Posted by O.city View Post
They don't like to mess with anything in or around the mouth. It's in the little piddly rural ER in my rural practice town so i'm guessing he had bigger fish to fry at the time.
Probably. Given where you live, he probably was dealing with an amputation by manure spreader and two meth overdoses.
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Old 04-07-2021, 10:46 AM   #428
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Quote:
Originally Posted by O.city View Post
So here's a dental story for you guys today.

Had a new patient yesterday, 9 years old, fell over the handlebars of his bike and smashed his mouth.

Luckily he just chipped some teeth and maybe cracked one, but it looks like it will be ok. But unlucky for him, those same teeth went thru his upper lip. Like all the way thru. ER doc said "go to the dentist and let him fix it".

So I spent yesterday morning sowing up a lip of a 9 year old who was already freaked the **** out. Fun. Lots of screams
Can you temporarily sew his tongue to the roof of his mouth first to quiet him down?

I'm not a medical professional.
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Old 04-07-2021, 01:27 PM   #429
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gum therapy toothpaste is good stuff IMHO

Considered a Water Pic with a solution of hydrogen peroxide or other stuff like
TheraSol irrigate?

Well doc, opinion?
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Old 04-09-2021, 05:14 PM   #430
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Old 04-09-2021, 05:17 PM   #431
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I'm sure soft drinks are bad for your teeth, but to compare it to meth is stupid.
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Old 04-09-2021, 05:30 PM   #432
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How long does a human tooth last in a cup of soda?

24 hours?
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Old 04-09-2021, 05:35 PM   #433
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How long does a human tooth last in a cup of soda?

24 hours?
steak does not last long
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Old 04-21-2021, 07:26 AM   #434
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Had a great one today. Patient called to cancel her appointment for a cleaning today, stating that her cat attacked her while she slept and now she will be unable to lay her head down due to the damage to the back of her head. LOL. I want to see some cat cam footage of this event.
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Old 04-21-2021, 07:46 AM   #435
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Had a great one today. Patient called to cancel her appointment for a cleaning today, stating that her cat attacked her while she slept and now she will be unable to lay her head down due to the damage to the back of her head. LOL. I want to see some cat cam footage of this event.
Yeah, note to self: Bobcats don't make good house pets.
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