Thats why I love the combo of diagnodent and the scope.

It helps alot with my old eyes.

I get alot less ……oh my that is big nowadays.

Thats a nice big case, I still like to remove all the decay but I know that I might be in the minority these days.

Glenn

Hi Ron: thanks for posting.

I see these days that alot of Air Abrasion guys are saying that not all the decay needs to be removed in order for the restoration to be successful. Put GI overtop and it is solid.

I always feel guilty doing that, and feel best when the restoration is on solid tooth. There is research out there suggesting it is ok but I guess I am old school. They are paying me to get it all out so I am going to try darn hard to do it.

WIth the scope I often can see at high mag the texture of the dentin and that gives me a good idea……..is it shiny an solid or rough, leathery and not solid.

In closing I did a lecture last week on a cruise ship and one of the other guys was saying that he uses his diagnodent laser to see if there is dentinal decay present and wont bond til he gets figures around 7-10 on the meter.

Interesting idea.

Glenn

Hi Ron………I dont know how he determined it but my guess from talking to him was that he used magnfication and the diagnodent and went until it wasnt soft to the slowspeed.

The reading was usually around 7 to 10 then at that point.

With the higher mags you can see the texture of the dentin and you are usually right but sometimes I get caught in mushy stuff where the decay under constant water from the laser gets the same color as dentin and its hard to visually see until you dry it off and then you can see the texture isnt smooth on the dentin but leathery and you know its still decayed.

glenn