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Laser Scanner

Cavities can’t play
hide ‘n seek anymore

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The Laser Scanner Finds Ultra-Small Cavities YEARS Earlier

If you are like most of us, you’ve had the dentist find a cavity and place a rather large filling.  And you’ve probably wondered why the filling is so large if the cavity wasn’t there just six months before. The answer is that the cavity WAS there six months before — it just wasn’t big enough to show on x-rays or for the dentist to see.

With the new Laser Scanner we can find cavities years earlier, when the ultra-small cavity can be removed with a laser, and repaired with a small invisible bonded filling.

How Cavities Grow

Back teeth are formed with numerous grooves and pits.  These grooves and pits are so narrow that tooth brush bristles just cannot reach the bottom of these grooves.  

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Toothbrush bristles just can’t fit down into these very narrow grooves 
      
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Decay-causing bacteria hide deeply in these grooves, give off their acids and cause cavities.  This type of cavity is responsible for 80% of all cavities that occur.

Below see the typical progression of these pit & fissure cavities:  

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Why Didn’t My X-Ray Show the Cavity?

You may be wondering why x-rays do not show these cavities when the cavities are smaller.  X-rays show us variations in density (hardness) of tissues.  Decay will show up as a darkness inside the tooth because decay is softer than the teeth.  But until the decay is about 1/3 of the width of the entire tooth, there is not enough contrast to show on the x-ray.  So by the time the cavity shows on the x-ray, it’s already quite significant in size.

The Laser Scanner Finds Even Tiny Amounts of Decay

The Laser Scanner – known as a DIAGNOdent--is the biggest advance in dental diagnostics since the x-ray.

This diagnostic laser that shines a harmless laser light beam into the tooth, which reflects the light beam back at the tip of the Laser Scanner.  Tooth decay (cavities) will give off a fluorescent reflection that will be sensed by the Laser Scanner.  Tooth decay is the only natural occurring substance in teeth that will give off fluorescence in response to the Laser Scanner’s laser light beam.  If tooth decay is present, even in the tiniest amounts, the Laser Scanner will alert Dr. Kurthy via a digital screen and audible noise.

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Here is a diagram of the dentist checking for cavities with the dental pick.  As you can see in the enlarged area, the pick binds and cannot get all the way to the bottom of the groove to feel the cavity

 

In the second diagram you see the tip of the Laser Scanner shining its harmless laser light beam into the hiding cavity.  Not only will the Laser Scanner light beam shine down into grooves, but it will also shine right through tooth structure to search out cavities.

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Consider this – almost all crowns and root canals are necessary due to complications caused years after large silver fillings have been placed.  But now, with the diagnostic ability of the Laser Scanner, cavities are found when they are ultra-small, repaired using a laser, and filled with miniature tooth colored fillings.  These fillings  will be a small fraction of the size they would have been if we had not found them in time.

Don’t you wish they had had this when we were kids?

Rodger Kurthy, DMD ~ 23032 Alicia Pkwy Suite D ~ Mission Viejo, CA 92692 ~ Phone: 949.588.1600

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©2006 Rod Kurthy ~ Site designed and maintained by TNT Dental

Rodger Kurthy DDS is a sedation and cosmetic dentist in Mission Viejo, California. Services provided by Dr. Kurthy include sedation dentistry,
cosemtic dentistry, bleaching, re-shaping of teeth, cosmetic bonding, dental makeovers, laser dentistry, implant dentistry, and more.

Now serving the Mission Viejo, Coto de Caza, Ladera Ranch, Rancho Santa Margarita,
Foothill Ranch, Laguna Niguel, El Toro, Laguna Hills, Portola Hills, and Lake Forest Areas.