Favorite team:Arkansas 
Location:Kansas City
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Occupation:I C Teef
Number of Posts:125
Registered on:2/16/2015
Online Status:Not Online

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Oral Surgeon. I work 3 days a week. I only do the procedures I want to do. I don’t deal with hospitals or have call. 100% private practice bliss.

re: Does IVF create abortions?

Posted by toofache on 2/19/25 at 2:14 pm
Open heart surgery and organ transplants were obviously not a concept when the Gospels were written either. Do you consider either one of those "Playing God"?

re: Does IVF create abortions?

Posted by toofache on 2/19/25 at 2:11 pm
My wife and I tried to have a kid for 17 years before we exhausted all fertility options and went through IVF. 6 rounds to be exact. Insurance covers very little. We probably paid out of pocket close to $250k. It was a brutal process. 5 rounds where nothing even made it far enough along to implant. I think it was 55 eggs in total and none even made it far enough to genetic test. We switched on round 6 to a Dr in Scottsdale,AZ. 1 made it far enough to test. On an A-F grading scale, it was a C- The Dr said he wouldn’t recommend implanting it due to the low probability of survival, but if we wanted to move forward we could.

We now have a happy, healthy 19 month old baby girl who has redefined my concept of love and grace and humility. Is IVF a sin? I’m not sure. I do know that the amount of love this little girl has created and the understanding I now have of unconditional love has completely transformed my walk with the Lord.







Funny you say that. Just a few weeks ago I removed 10 implants in the upper jaw that were placed in Costa Rica by a provider that was well researched. The implants were not titanium, not sure what metal they actually were. They were placed very poorly ( into the maxillary sinus without an accompanying graft, not fully inside the upper jaw bone, etc).

It’s not that you can’t get good work done there. I’ve seen it. But if there is any type of even minor complications, who is the expected to manage it if you have already come home?
A lot of people think he is Asian. But in fact, he’s German.
I pull out 4-8 sets of wisdom teeth each day.

Do what they tell you to do post op. Take the meds you are supposed to take.

Most young people do really well. That is why we recommend having them out as a teenager vs an adult. They tolerate the procedure much better, are healthier in general, and heal quicker.
quote:

Anyone know what they do with the dead cats?



Apparently they remove the hide. According to my research there are a variety of ways this is accomplished.
Fort Smith
Tulsa
Kansas City
STL
Indy
Detroit
Philly
JFK
Dulles
Reagan
DFW
Love Field
OHare
Midway
Houston Bush
Houston Hobby
San Antonio
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Lubbock
PHX
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Long Beach
San Fran
Monterrey
Oakland
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Las Vegas
Salt Lake
Jackson Hole
Seattle
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Buffalo
Boston
Nashville
New Orleans
Destin
Pensacola
Orlando
Tampa
Key West
Charlotte
Raleigh
Myrtle Beach
Jacksonville
Minneapolis
Denver
Baltimore
Mobile
Maui

Kent Hrbek lifting Ron Gants leg off of first base in the World Series and the ump calling Gant out.

re: Bengals suck this year

Posted by toofache on 9/26/23 at 12:27 pm
Agree, MEDIAN yards per play might be a more meaningful number.

re: Kids dentist visit

Posted by toofache on 8/31/23 at 11:21 am
I’m an Oral Surgeon. No way in hell I’m letting parents or spouses back in the treatment room during a procedure.

re: Does your car have a spare tire?

Posted by toofache on 7/31/23 at 2:38 pm
quote:

Sumitomo spare tire and they got to be run flat.


TV where the horn goes?
That's a great question that I hear a lot. I'm sure there are some orthodontists on here who can explain this better than I can.

There are certain types of movement/expansion of the arches that can only be accomplished prior to about 11 or 12 years old. After that the palate has fused and can no longer be truly expanded. Most kids do not have all of their permanent teeth it prior to this age. You do Phase I of ortho in order to create space so that when all of the permanent teeth have come in they have more room and ortho usually can get a much better result in a shorter amount of time.
quote:

Smile Direct Club. It's easy, cheap, and does the exact same shite as $7K Invisalign. After a $400 rebate, I think my total was about $1400.

Might be a little hard on 9 year olds though. I think when they're that little, old-school braces are probably the only way to go.


I've seen some tragic results from SDC. If a dentist or orthodontist operated the way SDC did, they would lose their license.

A dentist or orthodontist has to make sure that the teeth, gums, and supporting bone structure are healthy enough for orthodontics. How does SDC accomplish this without a dentist/ortho actually looking at xrays or even the mouth and following up throughout treatment?

Just because you can move teeth doesn't mean you should.

In just the past month i've had to extract every tooth in 2 patients mouths who were in SDC that had no business being ortho in the first place.
I'm sure i'll get downvoted like hell, but if your kids ortho cost 6K you are getting tremendous value out of that. Your kid will have a pretty smile and their teeth will be straighter making them easier to care for.

There probably isn't another procedure in all of medicine that takes the amount of clinical time, calendar time, and oversight that comprehensive ortho does at anywhere close to that costs.

People have no problem at all shelling out 1K every 3 months for Botox but balk at spending 5-8K for a very valuable procedure for their kid.

I'm an Oral Surgeon, but I work very closely with many Orthodontist. What would you think a reasonable price for ANY appliance would be? They will have to pay a lab bill for the lab to make the appliance. If they have it made in house they will have to pay for the labor and materials.

If they take an impression there are costs involved in that. If they scan instead of impress, there is a huge cost in the scanner. They will have multiple follow up appointments.

They aren't making much on a 1K appliance by the time you figure in overhead, payroll, materials, lab costs, etc.
I've had it write informed consent forms for extractions, implants, sinus lifts, etc. I still have to edit them some, but they are pretty good.

It gave a a fantastic post op instruction form for extractions.
quote:

The older generations are absolutely correct that when you make a commitment you honor it.


What if they had made commitments to go to the prom with someone. Shouldn’t they honor those as well?

re: PGA Tour to merge with LIV Golf

Posted by toofache on 6/9/23 at 11:52 am
LINK

LIV Golf’s top in-house lawyer John Loffhagen is no longer with the Saudi Arabia-backed business, which has come to terms on a deal with the rival PGA Tour.
An auto-response message from Loffhagen’s LIV email account said he’s “no longer at” the company, which has offices in London and Miami. LIV and Loffhagen didn’t respond to comment requests about the timing of his exit.