Search Terms : diagnose bws
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I read THIS quote from your post: "These records at this quality at least are a must in every case.
And it was made with no qualifications.
Don't see that my diagnosis was far off. Lower arch is a...
Post Date: 11/26/18
Forum: Orthodontics
Views: 1539
Replies: 99
You didn’t take the course and didn’t read the slides.
or read the AJODO article on records.
Cbcts are for impactions to avoid pointless guessing about where and how a tooth is positioned.
All/...
Post Date: 11/23/18
Forum: Orthodontics
Views: 1539
Replies: 99
Hey everyone!
I'm a new grad, and in the process of buying a practice with a partner.
This topic has been addressed (huge shoutout and thank you to Hunter Smith), and I just wanted to brainstorm ...
Maybe it’s different in your part of the country but we get quality X-rays and it takes minimal effort. First thing we ask other office is what they have that is current. If it’s that old we don’t re...
Post Date: 11/08/18
Forum: Legal Issues
Views: 1872
Replies: 71
I have seen patients with lesions like this go years and years and these stay the same.Patient education is key in this case....
The technique is quite different and has some learning curve. But not so difficult that a hygienist couldn’t easily learn it. Again, you must use a rubber dam or Isolite for this to be effective. Chec...
This is interesting. I wondered for a moment whether a hygienist could do them, as we place sealants on every other surface, but I guess not, the technique is quite different for interproximal sites, ...
Sorry for the delay in answering. The ADAcode is 2990 for infiltrant treatment. We charge $125 per surface. These take about 15 minutes to do a single tooth with reduced time for additional surfaces. ...
yep!!
in fact, recently the consensus paper on terminology determined the following nomenclature:
caries disease : disruption of the microbial and mineral homeostases.
cariOUS lesions : the res...
You reminded of what I heard at a lecture by Stephen Steinberg. He said people have caries, and teeth have caries lesions.
...
Hi Thanks for sharing. Kit looks expensive. What do you bill the microinvasive resin infiltrant as? Per surface filling?
...
When I went to dental school, the lesion had to penetrate into the dentin —those etchings confined within the enamel where....."monitored" .............increased flossing and FL...
Thank you kindly! I would love to see how these sites look after 2 or 3 years. Enjoy your vacation.
...
Im sorry, but I’m out of the office until next week. I’ll try to post some films then.
As an infiltration, you’re not relying on any patient compliance. That’s not to say that all the preventive mea...
Hi, I have been aware for a while but was waiting to see if it’s actually better than just fluoride, diet, OHI etc. I confess i haven’t looked in the last couple of years. Do you have any studies RCT...
I like how you guys encourage the pt. to change their dietary habits! This is an opportunity for change, especially if a parent gets on board. Keep doing the good!
And, if you decide to treat --- ...
I must mention this to my boss. I am sure she would be interested. Can you share some x-rays with us?
...
Wow, this is the second thread I’ve responded to in the last few months on a similar topic. Again, there is no mention of the Icon interproximal system for essentially sealing the adjacent surfaces. N...
I came across this recently, I had a brief look at the science but there was very little and what I found was not positive.
Do you have any evidence on its effectiveness? I’d love to have a n...
CariFree program is very worthy of consideration - I believe others have mentioned it. I've been very, very pleased.
I could present several examples
Treat the biology and then re-evaluate in...
That is likely what happened.....
...
Your x-rays are fine. I bet what happened is the other dentist wanted BWs, but the pt told them that you had already taken all the x-rays and she didn't want anymore taken. She is either completely un...
Caries tends to be in the neighborhood of 20% more advanced than on an x-ray. I would be inclined to do a tunnel prep (I use a 330) on whichever looks worse to you. Once you reach close to the area,...
Yes fill when cavitated. Lots won’t be so I give patient the info, motivate to change and put it all on them, bw’s 12/12 and see if any are getting bigger. You might be surprised how few progress.
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It's hard to say if that's into dentin radiographically. If you take a new image where it's not overlapped and you have a straight view between #14 and #15, the lesion will appear a lot smaller. On ...
Oh the dilemma. I saw one very similar two days ago.
For this one, assuming these did not look like this in past BW, I would do an MOD on #4, see if the lesions are bigger than expected, explore dir...
Those old GE's were the best dental X-ray ever made. Today they are overkill, Ed, it will likely outlast you.
Made back when men were men, and sheep were nervous....or something like that. I insta...
Rick if you do as you suggest the "lesions" might not look as bad. I have three ops. One of them has a 1976 GE unit that enables adjustments to KV, MA, and Impulses. I hope that unit never dies. I...
Canuck Dentist,
It's refreshing that you understand the physics, using KV to vary the grey-scale has become a bit of a lost art now that we are 20+ years "digital".
Filters remove data, think a...
yes it increases contrast and in this case the BWs are severely low on contrast. This is why a previous poster suggested lowering the kvp on the tube if possible. The contrast is very poor on thes...
I think the tooth only gets infected by strep mutans once it’s cavitated. Most in the outer third dentine are not cavitated but how do you know which is which ? I tend to give them all a chance. My ...
I see. Thansk for your explanation! ...
There's a difference between remineralization and arresting caries. Remineralization only happens at a few microns from the surface... but we don't care very much about remineralization. What we are...
I am a newly graduated dentist so this type of discussion on such a basic topic is helpful and interesting to me. If this pt came to me with those xrays, Id fill the interproximal caries on 3, 4, 5, 1...
clearview just removes data; doesn't add anything. it basically makes the darks darker and the whites whiter at the black/white interfaces. basically, you are yet another step removed from the origina...
these are clearly Dexis sensors correct? If so I wouldn't do a single thing until I turned on clearview on Dexis. Those BWs don't have nearly enough contrast. That said I am suspicious of and would...
Yes. I would give benefit of the doubt here (assuming compliance and pt factors are in in favour) but need to watch carefully. Cavitation is key and although most this small are not cavitated a perce...
I feel the same way. If the patient was low-risk I would leave them alone (like someone who doesn't have a sweet tooth, is older, etc..) however if they were high risk (ie they love sweets but keep ...
I would not touch any of these interproximal lesions at this point (based on the films provided).
There does appear to be a lot of suspicious areas under the occlusal surfaces (some of which appear ...
My understanding is that it doesn’t matter about depth into dentine, even on occlusals, only cavitation and pt factors. So we can’t really know without a pic. ...
Yes you could argue it’s inactive and leave it. I figure F/s is not removing any tooth, and modifying local factors (pit and fissure).
Also I think defining active/inactive isn’t so easy with occlu...
These lesions on #3,4,5 are bigger than others, but still no passing DEJ...
As an aside: This patient could make bank hanging out around a dental school around Boards time...;)...
Just from x-rays, I prob would of done 18/19 as they are into the dentin from the occusal standpoint. Everything else is watches with prevident 5000. I would NOT be dropping boxes on 10 of those teeth...
I agree. As a pediatric dentist I have “nurtured” these types of lesions while they are still in my practice. Prevident 5000 Booster, BWs, q6 months, explaining the evils of Gatorade and Grazing have...
not saying it's wrong.. just curious... why fissure seal it if caries are inactive? ie, if the patient's lifestyle has managed to control the disease, why seal?
...
that's my concern too. My composites don't last that long ;)
...
Agreed.
Btw. Kind of ridiculous that there are no intraoral photos. I take iPhone pictures which give a lot of info
...
I use ICDAS to score, which is visual and you test for cavitation with a perio probe. If no cavitation and depending on what you see visually and if caries is inactive ( or willing to give pt a chan...
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