Search Terms : diagnose bws
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We are getting a new pano with the capability of extraoral bws. In my opinion, the only thing I would use it for it to see that there is in fact stuff going on warranting sedation or GA. Then I would ...
Great story, great question.
At the moment the consensus seems to be to bill out for 2BWs or 4 BWs when taking "extraoral BWs". There is no perfect ADA code for this yet. And they aren't bitewings...
I agree that FMX doesn't need to be taken for every patient. But every patient should have a FMX at some point and it should be taken every several years. How are you to properly diagnose periapical...
Our office just got the classic 3D 3 weeks ago. I worked with several different machines in residency. Here are my observations:
2D
-The bitewings are pretty good quality but the patient has to ...
I forgot about Bitewing.
In Yemen it is rare to use bitewing .Only it is used at University (:
I would let her do.
Thanks for ur answer....
Post Date: 08/13/17
Forum: Endodontics
Views: 1380
Replies: 24
Same here. Without BWs I'm not touching any of them yet....
Post Date: 08/13/17
Forum: Endodontics
Views: 1380
Replies: 24
My comment was not targeted toward you. The op's X-ray, as a non-biting bitewing, is a perfectly acceptable X-ray to assess the margin. I always take BWs before/after seating crowns. A PA on the other...
That makes sense. But, if I want the pano and the insurance won't cover it, I don't even mind sometimes not getting paid for it. But the mere fact that I take one shouldn't all of the sudden make it s...
great example of why obtaining a panorex image at timely intervals is important.
also
these cases can be odd - child obviously has a hx of S-ECC with (likely) multiple visits over the years for ...
This is very high caries risk patient: we need IOPAs and BWs to diagnose but from PAN it looks like there is something going on # 2 mesial, # 5 distal, # 13 - distal; Occlusals of 3, 14, 15; # 2 is s...
Post Date: 04/04/17
Forum: Endodontics
Views: 1130
Replies: 28
I have worked in several offices. I have seen offices that did fmx, Fmx and pano, Pano and 4 BWs, 4 BWs first visit pano second visit. I prefer the fmx and pano all at the first visit for comprehensiv...
why are you looking at a pan/pa's and not bitewings? post the bws so we can really radiographically diagnose....
Post Date: 01/21/17
Forum: Endodontics
Views: 1380
Replies: 24
Per the FMX question, I do want to point out that CBCT is not able to diagnose caries. This is true for ALL CBCTs. It is not the modality for this type of diagnosis. Additionally, studies have shown ...
Patient hasn't been in since 2012. He is 61 and mooches off his mother (aged 94) who is an adorable patient. He is a bit odd. He also has no personal hygiene (ie he stinks). I am lazy so I am past...
Hi David,
let me explain my "idiom". and but let me start with this : with all due respect, I can honestly say I do not think I have aver heard anyone write with so much misplaced confidence an...
David, I think you are making a lot of assumptions.
Just curious how long have you been practicing and how successful have you been in being properly reimbursed for your time and materials with pre...
It doesn't appear you have a very good grasp of what is promoted or done these days.
CAMBRA is gaining ground (I utilize it daily). Multiple dental meetings have presenters talking about this.
...
i'd have answered "no, I don't have films" in this case (!)
...
bilateral presentation throws me off a little to diagnose it is a self inflicted. However, it can be a possibility
any posterior bws to evaluate the bone level in posterior dentition?...
So, you're saying that we can't do excellent dentistry without taking a CBCT on every patient? I do understand that when we spend a boatload of money on a new machine, there is a very strong d...
#1, having a FAGD doesn't mean squat, but I agree with you regarding learning, etc.....
#2, if you want to wade into that field, talk to your oral surgeon, ortho, and endo friends and ask the...
It depends on the type of person/dentist you are.
If you have a FAGD and enjoy adding a new procedures for your patients,learning new skills, seeing the whole picture...
I CAN treat decay ...
I agree on the great writeup - really nice - but more so I also question the "FMX." You have done from my view an "AFMX" (almost FMX.) You have no x-rays of the molar periapicals on the lower,...
I do it all the time. Why not do this? Sure the images are not as good as without braces on, but it's still diagnostic. I really wish the orthodontist would do it at recalls on a six...
I would never take xrays on a child in FULL BRACES.
are other offices doing this?
...
No letter if this was me. She has already wasted enough of your valuable time. She is not going to listen anyway. I would write up treatment progress notes with this conversation ...
Ugh...
Practice at which I associate has been seeing a patient (10 years old) since 2012 and Mom has refused xrays every visit. Overall the patient has pretty good home care and has only needed a s...
You can't diagnose periodontal disease from x-rays alone, you need to do full mouth charting: periodontal probings and clinical attachment levels and then make your diagnoses. You could also be seei...
Post Date: 12/09/15
Forum: Periodontics
Views: 817
Replies: 11
Yeah, I often do the same, explaining to the patient (and parent?), that I need good information in order to make a proper diagnosis. I often will take a new set of BWs at the very least, explaining t...
Those PA's from 2014 are at a tough angle to diagnose. Now that we see the recent ones I can go look at those and convince myself there is something going on back then.
I like to do watches w...
Ryan i totally agree with your post. Earlier in this thread I posted an example of why an FMX is not a good recommendation for every patient. I had a 20 year old patient that I had been seeing...
Travis,
It seems no matter what anyone posts, your answer is that examining the patient before taking x-rays is irrelevant and unnecessary. i disagree with you.
I want to see my patients before ...
Ryan,
So I hear you say that you usually take a screening pan and BWs on every patient. FMX if they are a trainwreck. What part of you seeing them would change your opinion outside of t...
Wait no x-ray? How do you take BWs and PAs etc? How do you diagnose? How do you document...
I vote for food pack and decay. Enamel decay and dentin decay are different. Enamel decay is demineralization. Dentin decay progresses by bacteria stimulation of mtaloprotienase. &nb...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
LOL - sorry, my brain just flip flops back and forth and I'm not really loyal to my point. After treating this it seemed more like resorption than decay though.
...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
Yes, decay.
BTW, external resorptive defects can and do fill up with gingival tissue. This is just like the way gingival tissue will grow into a cavity.
...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
LOL.
You are talking me out of decay, then asking me how it could be decay, as I start to understand your very valid argument. :-)))
It just looks like decay and not ECIR. But that is real weird d...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
I'm not sure. Would you suggest irregular anatomy that would allow food to get packed down inside the band?
...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
You suggest the exact problem I had seeing this case. The patient's age.
It's so characteristic of decay appearance though. And not that characteristic of ECIR. But I have to say, I don't know. In hi...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
I would agree with you if the patient was 65+, but #14 has had a subgingival ortho band on it for two years. All the rest of his teeth are perfect. His sisters, moms and dads teeth are per...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
Resorption. Not caries. Watch out VERY CAREFULLY for other involved teeth!!!
I see resorption, on average, twice a week (or more). Only 'cause the weird stuff gets filtered to m...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
I agree
...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
This looks like decay, not resorption...
Post Date: 08/19/14
Forum: Endodontics
Views: 585
Replies: 27
I see this roughly 4 times a year. Here is my youngest case. 14 year old male. Just had his braces off. His BWs from two years ago were perfect. Luckily (for me) he had d...
Post Date: 08/18/14
Forum: Endodontics
Views: 585
Replies: 27
It seems that we dentists treat prophy as treatment when we want the patient to consent to radiographs and exam ("Sorry, I can't just do a cleaning. That is treatment and I need to diagnose that a pro...
You have to carry your own load in this life. Otherwise you are a load on society.
Pay for your mistakes. That does not suggest doing a free filing if the timing did not matter. That is an issue of...
Yup. Don't be so hard on yourself, and don't be so quick to "pay for your mistake" as others have suggested. It is one thing if you go back and look at the x-ray and there is a big honking black s...
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