08/24/2026
I recently posted about how important x-rays are in finding cavities in areas where we can’t really see and how quickly cavities can form. It’s also important to see a dentist for an exam at least every year so we can actually see what is going on.
Here’s a patient from a week ago. He was having no problems, no pain and his x-rays looked good. However, during his exam I could just get my explorer under an old crown on his last tooth on the lower right, in a tooth that had a root canal treatment. I explained he needed a new crown and why - because of the cavity; that he would never feel any pain, because the root canal had removed the nerve; and that if it got deeper he could need an extraction and an implant. He was not happy about the diagnosis or treatment, but he has confidence in us, so he agreed.
You can see that after we removed the old crown, and the soft, active cavity, he had a huge hole in his tooth. Turns out it was much deeper than I thought and if he had waited he would have needed the extraction, probably a surgical one. He was very happy that we were so thorough in finding this outwardly small hole in his tooth. It saved him a lot of aggravation, expense and probably pain.
So don’t forget your exams. I can’t tell you how many patients don’t want an exam and then pay a price for that later.
Keep smiling,
Dr. DuCoin