Dentaltown March 2020 - 42

message board
dalmacija
Member Since: 04/14/15
Post: 12 of 42

Definitely show the patient the areas and also intraoral camera photos and X-rays. You also
need to think about the previous seller's treatment planning. You do not want to be in there
treatment planning aggressively on existing patients if he did not. If the patients show up to
their recalls, what's the harm in waiting? If it's "early occlusal caries" there's no way in hell I
would diagnose eight filings on a patient seen at the last recall if the doc did not treatment plan
anything, unless it was egregious and blatantly missed large decay that can easily be pointed out
to the patient. If you are not getting a stick with your explorer but you see brown stuff in the
grooves, leave it alone for now. You are going to lose patients if you start telling them they need
a ton of work while the other guy said the opposite. Slow-roll it. Good luck. ■
12/14/2019

jawbreaker
Member Since: 10/06/01
Post: 13 of 42

An intraoral camera is a godsend to show patients what you're talking about. Get one! I agree
with being careful about diagnosing a lot of stuff at the first visit. Tell them you're concerned
and will watch them. Then, on the next visit, do the worst ones. ■
12/14/2019

BuckeyeBrownie14
Member Since: 05/30/18
Post: 14 of 42

So you'd lower your standards as a practitioner just to keep someone happy? If they have
decay then they have decay, and they need to know about it. You aren't responsible for the state
of their mouths or their feelings (or, in this case, their mom's feelings). ■
12/14/2019

Elbow Deep
Member Since: 02/04/03
Post: 16 of 42

Frankly, yes. In the OP's situation, yes, old doc was conservative. But if you go in there and
call every incipient lesion a "cavity" when you have not gained their trust yet, these people will
leave-and leave you a nasty review, like another poster said.
It's a fine line the OP has to walk between gaining their trust and blowing the patients out
of the water with large treatment plans. You paid a lot of money for goodwill; don't flush it down
the toilet. With new patients, treatment plan whatever you see. ■

12/14/2019

davidpalmer
Member Since: 04/14/00
Post: 19 of 42

If you do not "watch" anything, say goodbye to a lot of existing patients. As a newbie and
someone they do not trust yet, you should spend your time bragging on the older doc, point out
the worst of the decay with the help of the intraoral camera, and also take pictures of other areas
that have minor decay and actually could be "watched" for six months or more.
If you diagnose more than a couple of cavities when the older doc has seen nothing for years,
watch out! Give fluoride gel and point out all the other places that need attention. Also, stain
in grooves of the molars is common and not necessarily decay. Giving the patient a mirror and
sticking the explorer in the tooth where you can literally let go of the explorer basically proves
your point to the patient. Good luck. ■
12/14/2019

Jamar M Jackson
Member Since: 04/03/05
Post: 20 of 42

42

"Dismiss." This is the worst thing you could possible do. Literally. Dismiss this patient and
the mom will tell dozens of friends about this experience, and the fallout will continue from
there as patients you've never seen start to call for their records to be transferred. Virtually
guaranteed bad online review.
Trust must be gained when diagnosing this much decay in a person who thought they were
decay-free. As far as excluding the parents because the kid is 20 years old? That again is not
what works best in these situations. The kid is home from college and the mom still makes the
appointments. Let's all live in the reality that this kid isn't yet making decisions on their own. It's

MARCH 2020 // dentaltown.com

DT0320_MB2_Mom_AG.indd 42

2/18/20 2:21 PM


http://www.dentaltown.com

Dentaltown March 2020

Table of Contents for the Digital Edition of Dentaltown March 2020

Dentaltown March 2020 - Cover1
Dentaltown March 2020 - Cover2
Dentaltown March 2020 - 1
Dentaltown March 2020 - 2
Dentaltown March 2020 - 3
Dentaltown March 2020 - 4
Dentaltown March 2020 - 5
Dentaltown March 2020 - 6
Dentaltown March 2020 - 7
Dentaltown March 2020 - 8
Dentaltown March 2020 - 9
Dentaltown March 2020 - 10
Dentaltown March 2020 - 11
Dentaltown March 2020 - 12
Dentaltown March 2020 - 13
Dentaltown March 2020 - 14
Dentaltown March 2020 - 15
Dentaltown March 2020 - 16
Dentaltown March 2020 - 17
Dentaltown March 2020 - 18
Dentaltown March 2020 - 19
Dentaltown March 2020 - 20
Dentaltown March 2020 - 21
Dentaltown March 2020 - 22
Dentaltown March 2020 - 23
Dentaltown March 2020 - 24
Dentaltown March 2020 - 25
Dentaltown March 2020 - 26
Dentaltown March 2020 - 27
Dentaltown March 2020 - 28
Dentaltown March 2020 - 29
Dentaltown March 2020 - 30
Dentaltown March 2020 - 31
Dentaltown March 2020 - 32
Dentaltown March 2020 - 33
Dentaltown March 2020 - 34
Dentaltown March 2020 - 35
Dentaltown March 2020 - 36
Dentaltown March 2020 - 37
Dentaltown March 2020 - 38
Dentaltown March 2020 - 39
Dentaltown March 2020 - 40
Dentaltown March 2020 - 41
Dentaltown March 2020 - 42
Dentaltown March 2020 - 43
Dentaltown March 2020 - 44
Dentaltown March 2020 - 45
Dentaltown March 2020 - 46
Dentaltown March 2020 - 47
Dentaltown March 2020 - 48
Dentaltown March 2020 - 49
Dentaltown March 2020 - 50
Dentaltown March 2020 - 51
Dentaltown March 2020 - 52
Dentaltown March 2020 - 53
Dentaltown March 2020 - 54
Dentaltown March 2020 - 55
Dentaltown March 2020 - 56
Dentaltown March 2020 - 57
Dentaltown March 2020 - 58
Dentaltown March 2020 - 59
Dentaltown March 2020 - 60
Dentaltown March 2020 - 61
Dentaltown March 2020 - 62
Dentaltown March 2020 - 63
Dentaltown March 2020 - 64
Dentaltown March 2020 - 65
Dentaltown March 2020 - 66
Dentaltown March 2020 - 67
Dentaltown March 2020 - 68
Dentaltown March 2020 - 69
Dentaltown March 2020 - 70
Dentaltown March 2020 - 71
Dentaltown March 2020 - 72
Dentaltown March 2020 - 73
Dentaltown March 2020 - 74
Dentaltown March 2020 - 75
Dentaltown March 2020 - 76
Dentaltown March 2020 - 77
Dentaltown March 2020 - 78
Dentaltown March 2020 - 79
Dentaltown March 2020 - 80
Dentaltown March 2020 - 81
Dentaltown March 2020 - 82
Dentaltown March 2020 - 83
Dentaltown March 2020 - 84
Dentaltown March 2020 - 85
Dentaltown March 2020 - 86
Dentaltown March 2020 - 87
Dentaltown March 2020 - 88
Dentaltown March 2020 - 89
Dentaltown March 2020 - 90
Dentaltown March 2020 - 91
Dentaltown March 2020 - 92
Dentaltown March 2020 - Cover3
Dentaltown March 2020 - Cover4
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