Dentaltown April 2018 - 40
message board
Chief Teef
Member Since: 04/18/14
Post: 47 of 102
I wouldn't watch these. SDF and Rx of PreviDent is conservative treatment. I would present
a plan with the SDF as well as a plan for the fillings. I would recommend the conservative plan
but let the patient decide. Doing nothing and watching these will result in larger caries. ■
11/23/2017
RichardEhrlich
Member Since: 01/21/16
Post: 48 of 102
A motivated patient can arrest decay even once it breaks the DEJ. I have lots of sequential X-rays
of lesions like this that are static or even reversing. Even on the most motivated patient these would
need fixing. If your patient is going to sit on the couch and drink Red Bull all day, forget it. ■
11/23/2017
drurban
Member Since: 10/19/01
Post: 52 and 57 of 102
I have filled a lot of teeth. Many of them looked like these. I think that #30 could have a pulpal exposure. To quote Gordon Christensen, digital radiographs understate the depth of decay.
Fill these teeth. Fill all teeth where there is penetration of more 50 percent of enamel. Start
doing this now and you will be shocked by how much decay you will see.
Tell the patient they need two fillings and rec tx soon. If they don't want tx that's fine, they'll
enjoy the endo that will come along sooner or later. ■
12/1/2017
Lady Elaine
Member Since: 08/16/03
Post: 62 of 102
For sure fill #30, if you are still on the fence about #31, prep #30 first and directly inspect
#31 at that time. Tell the patient she has one for sure cavity and one really borderline cavity that
you will look closer at when you fi x the for sure one. And then tell her she has two more maybe
cavities on top that for now, you aren't going to do anything with. But, if the bottom ones turn
out to be way bigger than the X-ray shows, you will have to come back and do those too. Tell her
you are giving her a "worst case scenario" plan and treatment-plan all four. Let her know you'd
rather take things off the bill if things go better than you think they will, than add things to the
bill because you found surprises. ■
12/2/2017
Kenphelps
Member Since: 09/27/03
Post: 70 of 102
One of the most important questions I had on my dental history form was a "rate your
mouth on a scale of 1 to 10" graphic. If the patient circled a high number, I knew I had to tread
carefully when presenting any serious treatment, since I was going to transgress their self-image.
If they chose a low number, I knew I could be more matter-of-fact and start off on a "Well, you
were certainly correct..." tack. ■
12/2/2017
sjbnh
Member Since: 03/10/07
Post: 73 of 102
On a patient that I didn't feel had trust in me yet, I have definitely done the partial prep
then intraoral photo on #30. This tooth will definitely show caries in the dentin. People usually
believe what they can see. I will give the whole, let's be conservative and open up the most
obvious one and see what we find speech. I would look at mesial of #31 with #30 prepped. Looks
to me like you will find dentinal caries on #31 as well. ■
12/2/2017
Doctor J
Member Since: 03/08/10
Post: 82 of 102
40
I show all my patients their X-rays on the computer monitor. Whether they have cavities or
not. I show them what healthy enamel looks like and what a sealed amalgam/composite looks
like compared to a leaking one. To me, scheduling the pt for 30/31 is a no-brainer. You prep 30
and inspect 31. On the off chance 31 is fine you're the hero and they get away with one filling
and a warning to floss floss floss.
At some point you have to learn how to educate patients and not be afraid to tell them when
they have cavities.
Our Dexis software has a contrast/invert setting that helps show patients. For what it's
APRIL 2018 // dentaltown.com
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown April 2018
Dentaltown April 2018 - Intro
Dentaltown April 2018 - Cover1
Dentaltown April 2018 - Cover2
Dentaltown April 2018 - 1
Dentaltown April 2018 - 2
Dentaltown April 2018 - 3
Dentaltown April 2018 - 4
Dentaltown April 2018 - 5
Dentaltown April 2018 - 6
Dentaltown April 2018 - 7
Dentaltown April 2018 - 8
Dentaltown April 2018 - 9
Dentaltown April 2018 - 10
Dentaltown April 2018 - 11
Dentaltown April 2018 - 12
Dentaltown April 2018 - 13
Dentaltown April 2018 - 14
Dentaltown April 2018 - 15
Dentaltown April 2018 - 16
Dentaltown April 2018 - 17
Dentaltown April 2018 - 18
Dentaltown April 2018 - 19
Dentaltown April 2018 - 20
Dentaltown April 2018 - 21
Dentaltown April 2018 - 22
Dentaltown April 2018 - 23
Dentaltown April 2018 - 24
Dentaltown April 2018 - 25
Dentaltown April 2018 - 26
Dentaltown April 2018 - 27
Dentaltown April 2018 - 28
Dentaltown April 2018 - 29
Dentaltown April 2018 - 30
Dentaltown April 2018 - 31
Dentaltown April 2018 - 32
Dentaltown April 2018 - 33
Dentaltown April 2018 - 34
Dentaltown April 2018 - 35
Dentaltown April 2018 - 36
Dentaltown April 2018 - 37
Dentaltown April 2018 - 38
Dentaltown April 2018 - 39
Dentaltown April 2018 - 40
Dentaltown April 2018 - 41
Dentaltown April 2018 - 42
Dentaltown April 2018 - 43
Dentaltown April 2018 - 44
Dentaltown April 2018 - 45
Dentaltown April 2018 - 46
Dentaltown April 2018 - 47
Dentaltown April 2018 - 48
Dentaltown April 2018 - 49
Dentaltown April 2018 - 50
Dentaltown April 2018 - 51
Dentaltown April 2018 - 52
Dentaltown April 2018 - 53
Dentaltown April 2018 - 54
Dentaltown April 2018 - 55
Dentaltown April 2018 - 56
Dentaltown April 2018 - 57
Dentaltown April 2018 - 58
Dentaltown April 2018 - 59
Dentaltown April 2018 - 60
Dentaltown April 2018 - 61
Dentaltown April 2018 - 62
Dentaltown April 2018 - 63
Dentaltown April 2018 - 64
Dentaltown April 2018 - 65
Dentaltown April 2018 - 66
Dentaltown April 2018 - 67
Dentaltown April 2018 - 68
Dentaltown April 2018 - 69
Dentaltown April 2018 - 70
Dentaltown April 2018 - 71
Dentaltown April 2018 - 72
Dentaltown April 2018 - 73
Dentaltown April 2018 - 74
Dentaltown April 2018 - 75
Dentaltown April 2018 - 76
Dentaltown April 2018 - 78
Dentaltown April 2018 - 79
Dentaltown April 2018 - 80
Dentaltown April 2018 - 81
Dentaltown April 2018 - 82
Dentaltown April 2018 - 83
Dentaltown April 2018 - 84
Dentaltown April 2018 - 85
Dentaltown April 2018 - 86
Dentaltown April 2018 - 87
Dentaltown April 2018 - 88
Dentaltown April 2018 - 89
Dentaltown April 2018 - 90
Dentaltown April 2018 - 91
Dentaltown April 2018 - 92
Dentaltown April 2018 - 93
Dentaltown April 2018 - 94
Dentaltown April 2018 - 95
Dentaltown April 2018 - 96
Dentaltown April 2018 - 97
Dentaltown April 2018 - 98
Dentaltown April 2018 - 99
Dentaltown April 2018 - 100
Dentaltown April 2018 - 101
Dentaltown April 2018 - Cover3
Dentaltown April 2018 - Cover4
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com