Search Terms : diagnose bws
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Pabl0, absolutely make sure you are taking FMX or Pano for your new patients if you don’t have one. This is not an upsell, you ethically need this to properly diagnose a patient.
For recalls, tak...
Then send them over at the next appointment....
I totally agree with your last comment. It's always a little strange to me when an owner with 3 or 4 hygienists is lamenting over possibly losing one. We need hygiene but, it's production pales in c...
Its time to consider shifting your focus off of a solely hygiene based practice. Bring NPs in on Doctor side first for just exams. Diagnose perio in that appt. Take all rads necessary, then send th...
How old are these patients? Are these new patients?
I don't know about the patient on the left side. Lisa on the right side was a 21 year old new patient.
The point I'm trying to make is that...
I work for a DSO and have seen my share of new dentists diagnose decay on virgin teeth on my previous patients that somehow got assigned to them. I have helped out colleagues that are in PP and seen ...
Since we went all OON and TPA our hygiene department is super profitable. We get $100+ for an 1110 rather than $50, $80+ for BWs instead of $33, etc. Hygiene doesn't need to be a loss-leader. I t...
Take a pano or pa now. How can you adequately diagnose the case? How do you adequately protect the patient and yourself without all of the information?...
I think you're on point here. I just dropped dentemax in favor of connection dental and am now OON with MetLife and a couple other inscos as a result. I think we are going to have to keep moving in ...
Yes. Things give at some point, esp in pt with high caries risk and heavily restored. LEts say you diagnose a crown on a pt. They say they will think about it. Well, you arent going to see them for ...
I agree that radiograph sucks
here what my bws look
...
thank you so much for such a detailed response! I've made a few notations above...
The advice from 406 resources is good. You might need a consultant, but it needs to be the right one, or else they might dig their heels in.
Looking for honest feedback on how to help my two hygie...
Advanced Hygiene Concepts would be a great place to start on training and developing a culture of perio treatments.
Another thing we might recommend for your Hygiene department which often times s...
This kind of reminds me
of "can this marriage be saved"? I'm not sure RDH #1 can be
saved. Sounds like
you’ve done all you can for her. Like
the old adage goes, “you can lead a horse to water”...
I have thoughts but will have to wait until after work. Too much to type
...
Looking for honest feedback on how to help my two hygienists improve. They are both at different places in their careers and both present a different set of issues for me. I'd love suggestions on reso...
Observe at 6 month intervals !!! Maybe forever!! Or till retirement!!...
I've been in this situation in a multi-location private practice (owner aspired to be like aspen).
As a young grad, it's really easy to feel the imposter syndrome and feel like we are doing somet...
It's nice to hear many dentists on here who share same conservative philosophy. It's what I would want if it were my mouth.
I've been in trouble before in a prior associateship where I opted to mon...
I would treat 18,19,30-O, maybe 15-O( distal looks like there's caries). I wouldn't touch the interproximals, very agressive tx plan you have.OHI, prevident 5000, re-eval in 6 months....
I would only do 18-O, 19-O, and 30-O if they look cavitated. Watch all interproximal fills. Either me or hygienist or both of us reinforce diet/OHI and then take new BW's in 1 year to compare to bas...
I would not treat any of those interproximals with fills. Agree with reinforcing hygiene, diet and prevident. Also important to see this kiddo regularly. I have many of these lesions that have hav...
I totally agree with your dx. There is alot of decay in there. It's not getting better. 18 o should be a no brainer...
I am not sure what the ICON system is, but is anyone treating these lesions with glass ionomer as per the GIC/ Dental Duct Tape CE here on dentaltown?
...
With my student loans : fill 3 4 5 and watch the rest. IF 3 4 5 end up being huge, re evaluate and may fill some others.
Without my student loans : only fill what looks cavitated with my eyeball...
Why overwhelm the kid and parents. Treat 3,4,5 maybe 13. Check the other lesions in a year if they are progressing....
X-ray qualities aside, if this was my daughter, I would probably treat zero of these right now. In fact my daughter does have a couple of these that have looked exactly the same on BW for 15 YEARS! O...
In my observation most patients that use a Sonicare Electric Toothbrush present with inadequate sulcular plaque removal and bleeding when probed or when they are instructed in sulcular brushing using ...
OHI and prescription fluoride 5000 ppm definitely a part of my treatment plan when I have a patient that suddenly has a mouthful of caries and/or suspect interproximal lesions. Fillings where indicate...
Ya, I’ve seen most of my “watches” stay the same for over a decade. But that’s because I am sitting still in one location and choosing the right patients to watch and they show up every 6 months.
T...
In my career of 25+ years—many many times.
It takes patient effort and change in habits but it can and does occur. Jumping in on every incipient decay is not necessary and overly aggressive. Thin...
I always wondered when someone put a "watch" on treatment options. What are you going to watch it do, get bigger? Kind of like telling a patient with cancer that they have a few cells in their liver...
Digial radiographs are not as sharp as the old "analogue" methods. We need help to identify these lesions. I have been using CariVu from Dexis for about 6-7 years as an adjunct to BW's. What an eye ...
Don't forget to emphasize grazing. I am seeing a lot more of this due to people being bored during pandemic. Kids who are virtual learning have access to food and beverages all day long at home whe...
In Miami there's plenty of dentists who would restore ANY etched spot or stain. It's amazingly bad....
How often do hygienists use a rubber dam or an isodry for isolation when placing sealants? Are hygienists allowed to use a fissure otomy bur or a flame shaped diamond to thoroughly cleanse the pits ...
^^^This! I would leave most of those alone and retake BW's in 1 year. Highly doubt they will turn to RCTs in 1 year....
Usually yes. Of course, a PA needs to be taken at a correct angle.
Please note that the correct x ray to diagnose decay is always a BW, at the correct angle. Sometimes, due to overlap issues, and ...
Has your office discussed bringing new patients into hygiene first? Hyg takes BWs and perio chart very first to provided the necessary steps to accurately diagnose perio....
Post Date: 12/29/20
Forum: Periodontics
Views: 504
Replies: 11
Please post xrays....
Explain that the decay that you have noted is between the teeth, very common in patients with braces. It is difficult to detect early in braces due to metal etc making interpr...
About 11 months ago a patient in full brackets presented in hygiene. Looking at the notes from that day BWs were taken but of course they were not diagnostic.
The patient was diagnosed with occlusal...
Well if there were to be some kind of extra special xray I suppose or maybe im in the minority of docs who take BWs on my pts annually. Hygiene is taking them, Im not. Im certainly the one responsib...
I’ll almost guarantee this was the scenario. They heard ‘we need to take xrays’ (bw’s of course needed, but parents stuck on ‘we already had them’ ) to make ‘treatment plan’ which they interpreted/...
Front desk at Pedo office- Sir/Madam- Looks like we will have to do a new set of Bws and this is the charge.
Parents- but GP dentist did the x rays and sent them to you. I don't have to pay twice.
...
We also have the Vatech Green used mostly for pans and CBCTs...I can't speak for most people but I hate EO BWs. I think it's just a less useful pan. Sometimes I can see interproximal lesions but most ...
This is not a stain doc. It is an obvious clear as day progressing cavity, which has reached well into dentin. It started at the surface at some point and it got to the point where you are practically...
I hear ya. IMO, more severe stuff shows up on the PA's than the BW's. At any rate, typically we do 4 BW's and 3 anterior PA's every year. We find a ton of PARLs and resorptions on virgin anterior t...
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