Hi,
I am 24 years old, and until now I have only had one filling.
Recently, I moved to a new area and visited a new dentist a few days
ago. He used DIAGNOdent, and found 4 cavities all registering around a
reading of 22-27 on the DIAGNOdent meter. He wants me to get fillings
because of these numbers. My previous dentist did not find these
cavities using the pick test. I had my last visit a little less than a
year ago. I have maintained the same brushing habits throughout my
life, so I am skeptical about these new findings.
I have a few questions before I make my decisions whether to go ahead
with the fillings.
1.) My dentist checked for cavities before I had my cleaning. Will
food particles, plaque, or tartar alter the numbers on the DIAGNOdent
meter?
2.) I've searched through some other threads and found some doctors who
suggested waiting on readings below 40 on the DIAGNOdent reading. Is
27 considered enough for a filling? or are there alternative less
expensive measures I can take to fix the problem.
3.) When the dentist scanned my teeth using his camera, he did not seem
very confident about seeing cavities with his visual inspection. He
used the words "this may be a cavity", even though it was small. Some
teeth with similar visual inspection results registered a 5 on the
DIAGNOdent, and the dentist told me they were just stains.
Thanks for any advice.
Mike
Joel M. Eichen - 23 Apr 2005 11:42 GMT
----- Original Message -----
From: <mcchen@gmail.com>
Newsgroups: sci.med.dentistry
Sent: Saturday, April 23, 2005 12:03 AM
Subject: DIAGNOdent
> Hi,
>
[quoted text clipped - 6 lines]
> year ago. I have maintained the same brushing habits throughout my
> life, so I am skeptical about these new findings.
REPLY
Still somewhat controversial if not corroborated
by other evidence, so say a number of dental insurance carriers!
Joel
> I have a few questions before I make my decisions whether to go ahead
> with the fillings.
[quoted text clipped - 17 lines]
>
> Mike
> Hi,
>
[quoted text clipped - 28 lines]
>
> Mike
Charlie Oster - 23 Apr 2005 12:47 GMT
Studies on the fidelity of the Diagnodent have shown it to be both pretty
good and not-so-good, depends on which study you're reading.
Which is a good demonstration of the limitations clinical research often
has. Diagnodent is another diagnostic tool, maybe a pretty good one.
DDS's who've used it a lot in practice would probably know better than any
researcher.
I'd be interested in who's got one out there and how it's worked for them.
Anyway, the only point I really want to make is that your dentist's
knowledge, experience and treatment philosophy are considerably more
important than the application of this gizmo.
If you're thinking 2nd opinion, your best resources for finding a good
dentist, as far as I'm concerned, are: 1. ask a dental lab tech from the
area 2. ask a practicing, non-general dentist (like a periodontist).
Good luck
Charlie
Steven Fawks - 23 Apr 2005 13:16 GMT
I don't use one personally, but in listening to those who do, they don't
usually jump into drilling on teeth until the diag. registers 30 (unless
there are other indications as well).
Especially on new patients, it is wise to take an initial set of
readings on the first exam. If nothing is greater than 30, then
check them again in 6 months and 12 months. If the readings are
about the same, the tooth likely does not need treatment. If a 27
increases to a 35 or 40, then it does need treatment.
The numbers you describe could be considered for air abrasion or
laser treatment and then a flowable composite sealant, but I don't
think I'd be ready to dive in with a high speed handpiece and a bur.
JMO,
Fawks
> Hi,
>
[quoted text clipped - 28 lines]
>
> Mike
Bill - 23 Apr 2005 17:30 GMT
If you have any doubts, get a second opinion from a dentist with a
long-standing, conservative reputation in the community.
The philosophy of dental health held by the dentist is far more
important than which brand of gizmo he uses.
- dentaldoc
Dr. Steve - 24 Apr 2005 04:33 GMT
>Hi,
>
[quoted text clipped - 28 lines]
>
>Mike
DIAGNOdent is a great device. Personally, I wait on anything under a
reading of 40 unless unusual circumstances are present.
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.