I’ve had good success with a 60-second chairside sizing: choose the largest ISO size that passes without blanching, angle the brush about 45° into the embrasure, and coach two gentle strokes per site — patients come back with fewer bleeding points by visit two. Are you using color-coded samplers to match sizes for home use, or do you have a quicker script that works better?
mesh isn’t broken, physics is, but has anyone found a tweak smarter than cranking the HU I stopped chasing thresholds and use Grow from Seeds in 3D Slicer: seed bone on the cortex and a not-bone label on the cotton, then Islands > Keep largest drops the roll; if it’s touching, a 1‑voxel opening breaks the bridge first. What software are you in?
My take: I’d lean toward the simplest next step and see if it changes anything this week — if not, you’ve got a clear case to escalate. What would block you from trying that?
And , when it hits at “11:42 pm” I park the second res in a dummy “407A” room, flip 407 to do‑not‑move, then push a 30‑min channel manager closeout while I ring the OTA to split inventory. Cookies are clutch, but I also run a 10 pm arrivals audit and keep one OOO buffer room after midnight so a real double-book doesn’t walk. Do you keep a small safety stock or run zero overbook after the last housekeeping pass?
I keep it simple: quick probe-as-feeler — if the UNC tip hesitates, I go one ISO size down from the “largest that passes,” hand a color sampler for home matching, and recheck once bleeding calms. TePe’s size chart is handy for fast color matching: 404 not found | TePe. @OP, are your sizes shifting by visit two enough to warrant a quick re-size?