Anyone botch a procedure?

[xtractor]

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Hey! I'm just curious how often students make crucial mistakes during a procedure, such as drilling too deep and turning a filling into a root canal, or something worse...

 

[Vapor1122]

In a year of clinic, just once. All I'll say is: Rely-X probably isn't a good cement to use when it's your first time cementing a cast post.

 

[DrJeff]

In a year of clinic, just once. All I'll say is: Rely-X probably isn't a good cement to use when it's your first time cementing a cast post.

Why?? To slow on your part from mixing to seating?? Or not enough retention?? And if it was not enough retention, did you have enough post length or ferrule??

Rely-X has proven for decades to be one of the most reliable and easy to use resin modified glass ionomer cements. Almost to the point where 3M (the manufacturer of Rely-X) created a bit of an uproar about 7 or 8 years ago when without changing the forumulation or coloring of the packaging they changed the name to Relx-x from what it used to be called for the previous decade or so, Vitremere😱 Thousands and thousands of dentists worldwide were worried that 3M had changed their formulation and would mess up a great product 3M after spending likely a few million in advertising reassured a bunch of dentists and continues to sell millions of dollars of Rely-X every year. While I don't have any factual numbers, it wouldn't suprise me 1 bit to see that Relx cement is IN more dental offices where units of crown and bridge are cemented than it isn't in - it's that popular and has that good a track record! And after 15+ years of cementing units of crown and bridge, the vast majority of the time, if your patient has good hygiene, if there's an issue with a cement in the very short term post cementation, the problem more often than not is due to dentist error (improper mixing technique/moisture control or prep design error) than it is an actual problem with the cement

 

[cresophene]

Hey! I'm just curious how often students make crucial mistakes during a procedure, such as drilling too deep and turning a filling into a root canal, or something worse...

Something worse? I guess if you drill too deep all the blood would make you stop.
The worst mistake I ever made was obturating a tooth with DYCAL instead of sealapex. I mixed up the tubes.

I've seen students perf, extract the wrong tooth, treat a patient with the wrong file, do a pulpotomy and have the obturation in the bone, break files etc.

You learn more from your mistakes than getting it right all the time.
Make them now; you can't be sued.

 

[Vapor1122]

Why?? To slow on your part from mixing to seating?? Or not enough retention?? And if it was not enough retention, did you have enough post length or ferrule??

Too slow, didn't seat the post fully in time

 

[DrJeff]

Too slow, didn't seat the post fully in time

Been there, done that!

And I'll bet that you'll never have that happen again having realized what a pain it is when that occurs. For the rest of your career, either you (or your assistant) will be quick with the spatula and mixing pad and getting that freshly loaded new crown or cast post fully seated well within the working time of the cement! Plus, this is one of the main reasons why I keep a small timer in my operatories. There is no guessing then about how much time you have left to work with a cement or has the full set time been reached on a cement or impression material or temporary material, etc

 

[tinman831]

Been there, done that!

And I'll bet that you'll never have that happen again having realized what a pain it is when that occurs. For the rest of your career, either you (or your assistant) will be quick with the spatula and mixing pad and getting that freshly loaded new crown or cast post fully seated well within the working time of the cement! Plus, this is one of the main reasons why I keep a small timer in my operatories. There is no guessing then about how much time you have left to work with a cement or has the full set time been reached on a cement or impression material or temporary material, etc

Yup. BIG difference between setting time and working time, which I painfully learned the first time I tried to cement a crown. 😳

 

[DrJeff]

Yup. BIG difference between setting time and working time, which I painfully learned the first time I tried to cement a crown. 😳

YUP! Working time is of way more importance to me! Set time, heck, once it's seated, just let the patient stay there for a while, and if it's been 5, 7, or 10 minutes, who cares, since it's not like the cement can overset 😉

 

[BombayBDS]

Been there, done that!

And I'll bet that you'll never have that happen again having realized what a pain it is when that occurs. For the rest of your career, either you (or your assistant) will be quick with the spatula and mixing pad and getting that freshly loaded new crown or cast post fully seated well within the working time of the cement! Plus, this is one of the main reasons why I keep a small timer in my operatories. There is no guessing then about how much time you have left to work with a cement or has the full set time been reached on a cement or impression material or temporary material, etc

the timer tip sounds good.. I'll def be adopting that!