It is a miserable feeling to suspect you’ve been taken advantage of - I know, I’ve been there, too. And I am genuinely sorry that you had that experience with my office. If my following response doesn’t address your concerns thoroughly enough, please feel free to contact me, and I am always happy to go over your x-rays and intraoral photos with you and answer any specific questions you have.
You asked an excellent question about discrepancies between diagnosises. There are 3 main parts to the answer, and I will try to be brief but reasonably thorough:
1) Digital x-rays, like the ones I have, can enlarge the image 100x’s over standard x-rays, making it much easier to see and accurately diagnose problems. Take a good look at your next set of older/standard x-rays and you can see how difficult it may be for dentists who use them to distinguish cavities and other problems from the healthy tooth.
2) But even the best x-rays don’t reveal every problem. That is why, in a dental exam, the dentist probes each tooth with an “explorer” (the metal tool with the sharp, pointy hooks on the ends.) Decaying tooth structure is soft, so when the explorer probes an affected area, it tends to “stick”. New explorers are able to find newer/smaller cavities better than older explorers, because explorers loose their tiny point with use (they become dull). I choose to replace my explorers often (even though it‘s more expense to me), to catch cavities as small and early as possible.
3) And finally, there are times when cavities do not show up in x-rays, or cause a “stick” with the explorer, but can be seen. They typically show up as a dark gray or brown area on the tooth, and their “opalescent” quality distinguishes them from a simple stain. I typically wear glasses with magnifying “loops” on them when I do my visual examinations, so it is easier to spot problem areas, and I use the intraoral camera, (which is able to photograph and enlarge the image of each tooth) to document the problem areas, and show my patient what it is that I am seeing. Not everyone is as concerned about catching cavities when they are so small, or has the tools to do so, but in my 20+ years in practice, I have most often seen small cavities soon turn into larger (more expensive to treat) cavities, and even worse, occasionally they “blow up” into (very expensive) root canals and crowns before the next visit. I would not like to take the chance with my own mouth and pocket book, and I treat my patients as I would want to be treated. I realize that dental treatment is expensive, but putting problems off - not always, but typically - results in more problems and even greater expense.
I hope this helps alleviate the concerns you had. If you have any other questions or concerns, you are welcome to call me anytime at 801-942-0610.
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