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Medical Forum / General / Dentistry / May 2005

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Is this good practice?

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Tim Chandler - 19 May 2005 19:20 GMT
I have a new dentist who seems quite good--compassionate, knowledgeable,
etc.

Yesterday I went for a cleaning and checkup, and told the hygienist about
one cavity I was aware of. The hygienist took x-rays and did the cleaning.
Then she told me that the dentist had looked at my x-rays, and had said that
they looked ok--the dentist said I should just make an appointment for the
one filling.

I believe they did charge me less than they would have if the doctor had
actually looked at my mouth. But...is this an adequate way to determine what
fillings might need to be done? The x-rays were digital, but I don't imagine
that would give more information than standard x-rays (correct me if I'm
wrong).

Presumably the hygienist would have alerted the dentist if she noticed
anything unusual, but past doctors have not only taken x-rays, but also
poked around in my mouth with a metal probe or one of the newer laser
probes. A year ago, in another city, a different hygienist went through my
mouth thoroughly with the laser probe, and then the dentist came in with a
metal probe and confirmed her impressions.

So is my new dentist following good practice?  I'm eager to catch problems
at an early stage, and would welcome any reactions from dentists.

Thanks!
The Real Paul - 19 May 2005 19:32 GMT
He may be planning on doing your exam at the filling appointment

> I have a new dentist who seems quite good--compassionate, knowledgeable,
> etc.
[quoted text clipped - 22 lines]
>
> Thanks!
Dr Steve - 19 May 2005 19:41 GMT
> He may be planning on doing your exam at the filling appointment

That would be fine for a patient-of-record, but not legal for a new pateint.

Tim Chandler" <nospam@nospam.net> wrote in message
> news:%K4je.1173$8S5.1029@bignews3.bellsouth.net...
>> I have a new dentist who seems quite good--compassionate, knowledgeable,
[quoted text clipped - 31 lines]
>>
>> Thanks!
Dr Steve - 19 May 2005 19:40 GMT
I don't know where you are.   In Michigan it is NOT legal for the RDH to
treat you unless the dentist examines your mouth during that visit.  After
that, the dentist must examine you every year and the RDH may see you
separately.  I do not know of any States which all the RDH to make dental
diagnosis.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>I have a new dentist who seems quite good--compassionate, knowledgeable,
> etc.
[quoted text clipped - 25 lines]
>
> Thanks!
Tim Chandler - 19 May 2005 20:28 GMT
Thanks, Dr. Steve!

I'm in North Carolina...but despite differing state regulations, I guess my
real question is whether merely looking at x-rays is an adequate way to
determine what fillings need to be done. If not, and if he doesn't look more
carefully at the filling appointment, I'll be tempted to go elsewhere in the
future.

BTW, it's very valuable to get feedback from practicing professionals!

> I don't know where you are.   In Michigan it is NOT legal for the RDH to
> treat you unless the dentist examines your mouth during that visit.  After
> that, the dentist must examine you every year and the RDH may see you
> separately.  I do not know of any States which all the RDH to make dental
> diagnosis.
Dr Steve - 19 May 2005 20:32 GMT
If he does a full physical exam when you are in the office for the filling,
then "no Problem" with regards to knowing the status of your teeth.
However, it is still not legal.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

> Thanks, Dr. Steve!
>
[quoted text clipped - 15 lines]
>> separately.  I do not know of any States which all the RDH to make dental
>> diagnosis.
W_B - 19 May 2005 20:45 GMT
>Thanks, Dr. Steve!
>
>I'm in North Carolina...but despite differing state regulations, I guess my
>real question is whether merely looking at x-rays is an adequate way to
>determine what fillings need to be done.

Many times yes, sometimes no.

> If not, and if he doesn't look more
>carefully at the filling appointment, I'll be tempted to go elsewhere in the
>future.

Not a bad idea.

>BTW, it's very valuable to get feedback from practicing professionals!

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
 
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