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mishu2 commented on Ask HN: What are you working on? (April 2025)    · Posted by u/david927
mishu2 · 4 months ago
Started working on a case discussion platform for students almost two years ago. Mostly for dentistry and medicine, but it's template-based so works well for other purposes (e.g. teachers, social workers, etc.). It's going well and is being used by three universities right now.

On the way, I developed lightweight image editor and 3D model viewer components, which I've open sourced [1].

[1]: https://github.com/kigun-org/

mishu2 commented on Ask HN: What are you working on? (March 2025)    · Posted by u/david927
mishu2 · 5 months ago
Started working on a case discussion platform for students around 18 months ago. Mostly for dentistry and medicine, but it's template-based so works well for other purposes (e.g. teachers, social workers, etc.). It's going well and is being used by three universities right now.

On the way, I developed lightweight image editor and 3D model viewer components, which I've open sourced [1].

[1]: https://github.com/kigun-org/

mishu2 commented on Show HN: ImageEditor – A Lightweight Image Editor   github.com/kigun-org/imag... · Posted by u/mishu2
mishu2 · 9 months ago
Author here, I forgot to mention the project is written using Svelte 5 and daisyUI, because I wanted to try the tech stack out.

I have to say I quite like it for more complex interactive components like this one, but still much prefer django with some htmx + Stimulus JS sprinkled in for the rest of the website.

mishu2 commented on Ask HN: What are you working on (September 2024)?    · Posted by u/david927
mishu2 · a year ago
Photography is a hobby of mine. After putting it off for years, I finally decided to start sharing my photo collection with friends and family.

This resulted in another side project, https://mishmash.photos/ -- a website to organize, share and collaborate on albums (because I always lose photos when going on trips with friends). There are better apps out there for this, but this one is mine.

Sample album: https://mishmash.photos/share/84f83b09-0a24-4d13-b436-8131ee...

Tech stack is django, htmx, bootstrap and a Stripe integration, to keep things simple.

(There's no free tier; from reading this website I know offering free image upload usually ends badly.)

mishu2 commented on Reports of the death of dental cavities are greatly exaggerated   mcgill.ca/oss/article/med... · Posted by u/Gadiguibou
poochkoishi728 · a year ago
We want clean, healthy and attractive teeth and mouths to stare at. Rather than the e.g. inter-dental mouth that triggers disgust even if realistic. Use the attractive models in the video if they have healthy teeth ideally.
mishu2 · a year ago
Thank you for the feedback, that's a point that several commenters have brought up.

The problem with the interdental brushing video specifically is that we can't show how to use larger brushes on young healthy patients, as they don't have the spaces for it. But I will think about how we can improve that video (the comment above suggested moving it down in the page, to start with the 'gentler' videos).

mishu2 commented on Reports of the death of dental cavities are greatly exaggerated   mcgill.ca/oss/article/med... · Posted by u/Gadiguibou
memset · a year ago
I actually really prefer the videos of real people doing the thing! I've literally never seen a video of how to floss - even at the dentist they show you how on a little model.

Thanks for sharing these!

mishu2 · a year ago
I'm glad they were useful to you.
mishu2 commented on Reports of the death of dental cavities are greatly exaggerated   mcgill.ca/oss/article/med... · Posted by u/Gadiguibou
throwworhtthrow · a year ago
I watched all the patient videos and found them helpful. There's no substitute for seeing examples with a real mouth.

The interdental brush video is a bit more "intense" than the rest. Can't be helped: you need to show someone with teeth gaps. Perhaps move that one down in the list so newcomers start with a more gentle video?

mishu2 · a year ago
Thank you for the feedback, I'm glad you found them helpful!

I wanted the interdental cleaning part to come first, because it usually gets neglected and it's just as important as tooth brushing.

But I like your suggestion to change the order, as that would indeed give a gentler introduction.

mishu2 commented on Reports of the death of dental cavities are greatly exaggerated   mcgill.ca/oss/article/med... · Posted by u/Gadiguibou
dsego · a year ago
I'm the same, I brush and floss regularly, occasionally use chx mouthwash, dental disclosing tables and oral probiotics. She forgets to brush sometimes, eats more sweet. She had only one or two cavities in twenty years we've known each other. I've had two root canals and have fillings regularly. Truth be told, she doesn't drink coffee at all, I drink several cups a day. She also doesn't drink much alcohol, I have one or two beers every week. In addition to bad genetics (both parents smokers and developed gum disease) I attribute this to poor oral hygiene when I was a kid, parents didn't really control my brushing, so ended up with a lot of fillings. In contrast, we brush our kid's teeth every day religiously, almost 5, no cavities whatsoever, and she eats plenty of sweets.
mishu2 · a year ago
I'm sorry to hear that. Like you correctly mention, genetics play a big role and are unfortunately (currently?) not modifiable, and there is plenty of evidence that a restored tooth is at higher risk of further issues/loss, so prevention is the best thing you can do.

Good job with your daughter! FYI, we are working on expanding the instructions to children, so watch this space ;)

mishu2 commented on Reports of the death of dental cavities are greatly exaggerated   mcgill.ca/oss/article/med... · Posted by u/Gadiguibou
alphazard · a year ago
Considered by who? Dentists, or scientists? Dentists seem to be about 5-10 years behind the research on this topic. I know of a single practice that has started doing oral microbiome testing.

We know that caries are caused by acid eroding the teeth. And we know which bacterial species produce this acid, how quickly they secrete it, and how common they are. The most significant source is Strep. Mutans. Sugar is an input to this process, and Xylitol (a sugar alcohol) can kill this bacteria selectively.

Diet is probably the most significant way to affect gum disease. Gum disease is associated with systemic inflammation and auto-immunity. The same dietary interventions that are used to treat those conditions also treat gum disease.

mishu2 · a year ago
> Dentists seem to be about 5-10 years behind the research on this topic.

Generalizations are usually not helpful, I think it really depends on the dentist. I'm not sure there are proven benefits to oral microbiome testing, except in some very specific cases.

> The most significant cause for caries is S. mutans.

The 'Beyond Streptococcus mutans' section in TFA explains that the situation is much more complex than this; even if it is, good oral hygiene and reduced sugar intake (both in quantity and frequency) are still the best way to reduce the amount of biofilm present on teeth (which is a requirement for caries formation, whether S. mutans is there or not).

> Diet is the most significant way to affect gum disease.

The current clinical treatment guidelines for periodontitis[1,2] only mention that the benefit of weight-reducing diet and lifestyle changes is unclear (for treating periodontitis, obviously), and that oral hygiene is still the most important thing you can do yourself for the prevention, and, once established, to assist in the treatment of the disease.

[1] Infographic: https://www.efp.org/fileadmin/uploads/efp/Photos/Continuing_...

[2] Source article: https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13290

u/mishu2

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