Search Terms : diagnose bws
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The first concern: BWs with ortho. We almost always coordinate with ortho offices to remove the wire to clean, then it is a non-issue. With the wire on, in an otherwise healthy m...
I honestly don't know how insurance is handling fmx right after bws. The insurance tells us they pay for one set of bite wings per year and fmx every 3 to 5 years. hell some don't pay for fmx at a...
This last statement is great. I've found this to be very true.....as long as I've been willing to sit down and discuss the issue with patients, they almost always agree. R...
+1
You don't ask if x-rays are okay, you should have already done that in your general consent form (I agree to diagnostics and x-rays as needed). You just tell them X is required for the d...
This is so true.. I get a lot of useless radiographs, but I have to say that with digital it seems that it is sometimes impossible to get a decent view of the interproximal bone. th...
Post Date: 05/23/13
Forum: Legal Issues
Views: 1745
Replies: 142
Good stuff Timmy. Interesting that folks seem to really get bent out of shape when patients decide things on insurance coverage but seem to be OK with a hypothetical attorney somewhere dictating our b...
Post Date: 05/23/13
Forum: Legal Issues
Views: 1745
Replies: 142
I do follow per Ada guidelines many pts with bws only every 2 years. I do have some pts that I recommend that they have bws every year but they decline. I have been having them sign X-ray refusal ...
Post Date: 05/23/13
Forum: Legal Issues
Views: 1745
Replies: 142
1) The ADA has just that--recommendations. These aren't written in stone and they aren't the rules. It's a recommendation, nothing more.
2) I have many patients that the film frequency is 18 months--...
Post Date: 05/23/13
Forum: Legal Issues
Views: 1745
Replies: 142
You are so logical shad thanks for your advice....
Post Date: 05/23/13
Forum: Legal Issues
Views: 1745
Replies: 142
Now you're thinking like they want you to. You can not diagnose based on what will be covered.
The ADA has very clear x-ray recommendation frequencies. ...
Post Date: 05/23/13
Forum: Legal Issues
Views: 1745
Replies: 142
If we can't get xrays on a child due to age or cooperation we will either put them off for 6 months(if and only if the mouth looks perfectly clean and cavity free) or, if there are signs of decay, we ...
Post Date: 05/22/13
Forum: Legal Issues
Views: 1745
Replies: 142
So they can refuse treatment for perio and just have a cosmetic cleaning a prophy supragingival?
However pts cant just have a visual exam?
If a pediatric patient is unable to tolerate BWs do you...
Post Date: 05/22/13
Forum: Legal Issues
Views: 1745
Replies: 142
Pregnant? I've just had one that needed a tooth out. I mean she needed it out. But, you know that I can't take out a tooth without an x-ray. She she wouldn't budge. I t...
Post Date: 05/22/13
Forum: Legal Issues
Views: 1745
Replies: 142
Call her up and thank her for missing all this decay as you have work now.
No but in all seriousness, call her and tell her what you found. You probably won't be able to get rid of her, you...
Those of you who pay your hygienist according to percentage of production/collections, do you include BWs, PAs and Panos? Or just the prophys, SRPs procedures they can actually independently do?...
Some good points crazy tooth;, it is definitely better for one's bottom line to diagnose and treat more perio disease, and it is also true that some clinicians will over-treat at every opportuni...
Post Date: 06/25/12
Forum: Legal Issues
Views: 1089
Replies: 46
It does become overwhelming at times. Over the past several years I have, with my docs permission, extended time between radiographs. I have many that I only take bwx every two years. But ...
Post Date: 06/25/12
Forum: Legal Issues
Views: 1089
Replies: 46
Ok, I will play along then. So, should we be taking vertical BWs every appointment to check for changes in hard tissue? Does your doctor come and do an exam every time the patient comes in...
Post Date: 06/24/12
Forum: Legal Issues
Views: 1089
Replies: 46
We were taught in school never to use the PANO to diagnose tooth-specific abnormalities (pulp status, caries, etc). Its just too far zoomed out. We have PAs/BWs for that. Supposedly PANO is mainly for...
Just as above, don't worry about the attached treatment plan too much. Just explain to mom and dad what needs to be done and why.
I wouldn't try to make the GP look bad...
Well said, agreed...however I think you are still responsible legally. Pt cannot agree to treatment below the SOC and if you think xrays are needed then they are needed and if something ...
My answers to your questions
Patients are not legally obligated to having xrays taken any more that everyone over 50 is obligated to have a colonoscopy.
If they are a new patient I will do a prophy ...
Even though I have a digital pano, if I diagnose a patient with periodontitis, they will have a FMX. I have yet to see anyone's digital pano that is detailed enough for me to really see what I n...
That is the point though, how is it a valuable diagnostic tool on a child? What are you trying to diagnose? Decay? Less radiation with 2 or 4 BWs? Yep, find decay yep.... ...
I have another criticism here:Indeed it's possible to over-diagnose endo. And few people have taken more guff than me here over the years for saving pulps, mainly because of my love f...
Post Date: 09/17/10
Forum: Endodontics
Views: 2280
Replies: 185
That dentist's opinion of dental x-rays is definitely a minority opinion, and does not represent current standard of care. I would say that by not taking the proper BWs and PAs, that dentist is ...
Quote: (Chip Parrish, D.D.S.)
A quick precursor...we are building a new 7 op office for two docs. Currently, we treat ortho/TMD, place and restore implants, perform most endo, and most any othe...
can't teach you how to diagnose decay on a pan, but can help you point out to the previous posts that mention PAN + 4 bws. (bitewings) :)...
I don't disagree that xrays can be helpful but I would taper back the conviction that an xray will tell you what the disk is doing. The articular cartilage and disc are essentially radioluc...
Thanks for your reply. I think that's a good idea. I guess I had thought that if there were degenerative problems in the joint there would be more symptoms in the joint. At multiple ...
I suggest you get some xrays of her TMJ done so that you can fiure out what is happening with the disk and or condile before you get into anything else. An ustable relationship between upper and lower...
I think it's important to take whatever xrays you want to on NPs. Those patients are the ones that may end up having to pay out of pocket at the initial visit but once they are patients it should be e...
Steve- Hang in there....your time will come .Until then, might I suggest you sit down with Dr. overdiagnose and look at xrays together and have him show you what he is seeing as decay. Here is&n...
I agree with the above poster. In d-school, almost all the faculty could not agree on most cases, it still confuses the heck out of me. So I expected this to continue in private practice, there is no ...
Wow, several issues here. Integrity, Integrity, Integrity. It takes a lifetime to earn it and a second to lose it.What options do you have? 1) Starting or buying your own...
I am a general dentist. We do our share of BWs, too. They are the best for margins on restored teeth and crestal bone. I also take a PA of crowned teeth, dark teeth, painful tee...
1. Look for production/net numbers before the last 3 years. If he has jacked up production in the last 3 years to make the numbers look better, what is left for you to do?2. IM...
=Quote: (barry1818)But even more telling is that when there is a false accusation against
a dentist, the dental profession was loathe to assist in the case. What
was the comment--something about not...
How did I know the perio was bogus.
Patients with healthy gingival tissue and two mm pockets are not your normal patients for 4 quadrants of perio scaling.
Then I had the manual of the offic...
Do I have to go back to my old chemical films and show you examples of decay that was deeper then on the film.Years ago, my brother-in-law had a pulp exposure because of decay on his operati...
So Fachinni, in your experience, have you ever gone into teeth diagnosed with your schick sensor and food considerably more decay than you anticipated in the diagnosis. Would you p...
I have been using digital for 8 months. My biggest concern was being able to diagnose interproximal decay. I find that digital (I use Schick) has been AS diagnostic for interproximal decay ...
Practicie Management: EagleSoftDigital X Ray: SchickSensor/ Equipment/ Software: (1) #2 sensor, (4) USB Boxes, DIgital Radiography module for EagleSoftXray Head: Gendex 770Warranty: EagleSoft covers s...
My partner is giving me a hard time about a certain situation that almost never arises but I think is no big deal, so I wanted some opinions. We take FMXs or PAN and 4 BWs on all new patients.&n...
Post Date: 08/11/06
Forum: Periodontics
Views: 98
Replies: 3
Here's another one. Patient has been an "off and on" patient of the practice for a few years. Shows up for awhile, disappears for awhile, etc. She had been MIA for 3 years I think th...
When I say FMX or full mouth series I don't necessarily mean 14-16PA's and 4 bite wings. I mean how ever many xrays are necessary for me to do a full diagnosis. I consider a Pano,2-4 bitewings and...
I do not do Pans and I do not do FMXs. I am and endodontist. Pax and BWX only and I do not charge for them individually, it is part of the consult fee and the treatment fees. That said, allow me ...
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