Hi folks: just wanted to post this for you. I had a very nervous lady who came in today for an amalgam replacement that I had found decay on it.

I had diagnosed this in the summer but forgot why we were retreating it, on the BW I could see nothing but in the mouth clinically I could see a shadow with the scope at high mag on the ML of the amalgam.

I opened it up and yikes alot of decay but also a large crack visible at 16X mag which was asymptomatic but you know that when the resin is done suddenly it becomes an issue when it never was before you started.

I took the pics and then used the 980 diode to trough interproximally to coagulate and remove some tissue tags and then used the Erbium to etch the tubules and remove the smear layer.

Final pic is of the finished restoration and patient chose to have tooth crowned because she has had several other teeth fracture on her with Cracked tooth syndrome, so she decided to treat this one pre-emptively.

I think the scope helped me to diagnose the decay, spot the crack and help with the laser procedures.

Finally I am showing you the same image of the tooth shot at 2.5X mag with the scope and then 16X mag to show you the difference in what one can see.

ALl the best.

Glenn