Re: caries question

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Re: caries question

Dr Steve

28 Jun 2005 13:14

If I see a spot interproximal which is only half-way or less through the
enamel, I will just take a new set of BWx every 12 months. Any changes in
density or size get treated. Many small ones like that remain unchanged for
years (if not forever). A lot of them continue to grow and need treatment
before long. If you make the image large enough, drop the brightness while
increasing density and then sharpen the edges on the image, you can see when
the caries just breaks through the enamel and starts to attack the DEJ. You
open the lesion at this point and see the thin brown line in the DEJ about
0.5 mm thick.

You would be amazed how many tiny spots in the interproximal regions you can
see once you digitize the image, enlarge it, and enhance the brightness and
contrast. I really like being able to show the patient areas which will be
a concern a few years if they don't change their diet and hygiene habits.

I can enhance the image, crop it to just visualize the problem and add
arrows, circles, notes, etc. then save the modified image as a copied image
in the patient record. Every recall appointment, we can open these images
first as we begin checking the mouth. Same thing for I/O camera images.

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.
......................

>
>> If the hole is through the enamel, the only option is getting it
[quoted text clipped - 13 lines]
> JMO,
> Fawks

Steven Fawks

28 Jun 2005 13:05

> If the hole is through the enamel, the only option is getting it excavated
> and filled.

Agreed.

Very small cavities are sometimes 'watched'. IOW's the dentist is just
waiting for them to get large enough to feel good about getting out
the high speed handpiece and gutting the tooth.

I would rather use a very conservative means of cavity preparation
(laser, air abrasion, or small bur) to remove the carious portion
of the tooth at an early stage and seal any other pits and fissures
at the same time that I am restoring the actual decay.

JMO,
Fawks

Dr Steve

28 Jun 2005 11:36

If the hole is through the enamel, the only option is getting it excavated
and filled.

Signature

> I've got a question regarding caries that is being formed on few of my
> teeth.
[quoted text clipped - 8 lines]
>
> Thanks.

viktor011@gmail.com	28 Jun 2005 01:03
I've got a question regarding caries that is being formed on few of my teeth. In fact they are very very small dots. Is there any other solution than filing (if i spelled right)? Are there any tooth pastes, any medicaments, drugs, scrubs? Please answer on my email: viktor011@gmail.com Thanks.

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