New patients!!! Ok so my question is for those who aren’t digital or when you were digital… Did you guys start the cleaning before X-rays were developed?? All the jobs I have had since school have been digital untill now…. I take the fmx and run it through the machine but I’m not 100 percent comfortable starting a prophy before I see crate… Am I crazy??
Can you purposely run the BWs through the developer first and go back and glance at them before starting the prophy? You should be able to tell if there’s sub-gingival calc or bone loss by the BWs. Also, your 11/12 explorer is your friend. Find the tartar that way. We were taught to use tactile senses to find what we need to clean off.
In my office, new patients are scheduled with the doctor to collect “records” first and complete a treatment plan, so I don’t personally run into this problem. However, I agree with many of these comments in that you could run the bitewings first, perio chart, chart existing, etc. Being as efficient with your time as possible is so important as it allows you to be very thorough and provide your patients with the highest standard of care!
Yes I perio chart, hard tissues chart first and explore with 11/12 explorer all while waiting on X-rays…. I’m not worried about seeing calculus on the film, that’s what the explorer is used for!!! I’m more worried about like a crazy abscess or something! Lol…. I know it sounds crazy….I guess I’m just use to seeing some kind of X-rays first lol…..
I am not worried about calculus detection with radiographs….I was more worried about the patient having an abscess and me thinking the guy was super healthy! I have come to the conclusion I was scale and just tell him “everything looks good on my end, just gotta check your X-rays to make sure.” (Obviously say that if everything looks good)That way if god forbid he has an abscess or needs a rct that can’t be detected through visual I won’t look like an idiot saying everything looks great! Lol! I try to tell the assistants that just bc calculus isn’t detected on a X-ray doesn’t mean it’s not there…and geez how many ones do we feel decay before we see it?