Early decay visible with enhanced Digital X-rays

Conventional film X-rays would require chemical processing and did not have the capability of changing contrast and gain. With digital X-rays, we can see the earliest of decays, and thus treat decay conservatively.

 

Initial low exposure of X-ray
Initial low exposure of X-ray
Contrast change on digital X-ray reveals decay
Contrast change on digital X-ray reveals decay

 

This patient was seen in our hygiene department for routine cleaning and check-up.  The ultra low-radiation exposures did not initially show the decay. By changing gain and contrast, the lesions were visible between the teeth.  The treatment series of photographs show depth of decay.

 

Pre-op photo: decay not evident
Pre-op photo: decay not evident

 

Initial cavity prep reveals depth of decay
Initial cavity prep reveals depth of decay

 

Cavity preps completed
Cavity preps completed

 

Final completed direct resin restorations
Final completed direct resin restorations

 

In treating the cavities under a rubber dam, we achieved life-like layered composite resin restorations that are an ideal match with the patient’s original tooth structure.