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second opinion needed

User Level:
Patient
Posted by: ohdear123  (2 years ago)
I went to the dentist not long after a previous visit, because I thought I had some cavities that were new or were there the whole time, but they said I had nothing. When I looked at home I couldn't shake off my doubts. Its hard to spot in normal conditions as you can see in the third image, but after drying the saliva and taking a lot of pictures I have some good snaps. The first three pictures are of the side in question, and the last one is from the "good" side as a reference.

Flash makes things look a lot owrse than it is, it is very hard to see in normal light

They said I had nothing but were likely looking at fissures.

This is a new dentist, how do I go about going to my original private dentist for a second opinion, without seeming like an ass.

Please, if you are a dentist I'd like some feedback. Thanks

http://imgur.com/9btnz
User Level:
Dentist
I went to the dentist not long after a previous visit, because I thought I had some cavities that were new or were there the whole time, but they said I had nothing. When I looked at home I couldn't shake off my doubts. Its hard to spot in normal conditions as you can see in the third image, but after drying the saliva and taking a lot of pictures I have some good snaps. The first three pictures are of the side in question, and the last one is from the "good" side as a reference.

They said I had nothing but were likely looking at fissures.

This is a new dentist, how do I go about going to my original private dentist for a second opinion, without seeming like an ass.

Please, if you are a dentist I'd like some feedback. Thanks

http://imgur.com/9btnz


Patients often see dark stains in fissures, and think it is decay. Not everything that is dark in color on the chewing surface of a tooth is a cavity. Cavities are mostly diagnosed by whether a sharp dental explorer feels sticky when poked in occlusal fissures. A recent article in the Journal of Operative Dentistry found that the new-fangled laser caries detectors are not accurate.

Kim Henry, D.M.D.
Posted 2 years ago
User Level:
Patient
Posted by: ohdear123  (2 years ago)
thanks for your reply, i am able to stick a plastic toothpick in there it feels like a hole

what im also asking is, should i trust my dentist, my next appointment is in 3 months
User Level:
Student
Posted by: Novocaine  (2 years ago)
I went to the dentist not long after a previous visit, because I thought I had some cavities that were new or were there the whole time, but they said I had nothing. When I looked at home I couldn't shake off my doubts. Its hard to spot in normal conditions as you can see in the third image, but after drying the saliva and taking a lot of pictures I have some good snaps. The first three pictures are of the side in question, and the last one is from the "good" side as a reference.

Yep, those definitely are pits on your first molar (and a pit on the cusp of your second). By the looks of it, they are pretty deep and you most likely have more than three of them. Funny how your dentist seemed to dismiss away a very genuine concern that needs to be taken care of. Pits can be hard to detect in some cases, but yours is way too obvious to ignore. They can be notoriously hard to clean and a resulting decay can progress pretty quickly down into your dentin and infect your pulp ultimately.

If you make an appointment, your dentist could have these pits sealed in no time.

They said I had nothing but were likely looking at fissures.

Pits and fissures, to be precise. Your last tooth (second molar) does seem like it has deep fissures.

This is a new dentist, how do I go about going to my original private dentist for a second opinion, without seeming like an ass.

I don't see any reason why your original dentist should feel slighted at the fact that you shopped around for an opinion that is concerning your health. Else, if you do not want him to know, don't tell him?

Good luck!!
User Level:
Student
Posted by: ghnane  (2 years ago)
I went to the dentist not long after a previous visit, because I thought I had some cavities that were new or were there the whole time, but they said I had nothing. When I looked at home I couldn't shake off my doubts. Its hard to spot in normal conditions as you can see in the third image, but after drying the saliva and taking a lot of pictures I have some good snaps. The first three pictures are of the side in question, and the last one is from the "good" side as a reference.

Flash makes things look a lot owrse than it is, it is very hard to see in normal light

They said I had nothing but were likely looking at fissures.

This is a new dentist, how do I go about going to my original private dentist for a second opinion, without seeming like an ass.

Please, if you are a dentist I'd like some feedback. Thanks

http://imgur.com/9btnz


Hello. Although initial occlusal caries is hard to diagnose your photos do not show any signs of decay. You have deep fissures and those are stains. If I wore you I would ask the dentist to seal your posterior molars using sealants so that you Lower the chances of developing future caries in those pits and fissures.

Please do not poke around your teeth with sharp instruments and a well educated dentist knows not to use a sharp explorer to see if there is decay. Radiographs are good diagnostic tools, drying the tooth and looking for any changes visually is good and using DiagnoDent is practical when correctly use. An explorer will stick to anything even in the groves with no decay.
User Level:
Patient
Posted by: ohdear123  (1 years ago)
Hello, this is an update from a year ago, can anyone tell me what they think these holes are? The camera doesn't show it, but they look like two small black holes, without the flash the holes look a look deeper and prominant.

Thanks

OCT 2011
http://imgur.com/9btnz

JULY 2012
http://imgur.com/OLbhL.jpg
http://imgur.com/NXahr.jpg
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