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Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.
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The diagnostic phase for dental fillings at Liv Hospital is a rigorous, multi-modal process designed to detect caries lesions at their earliest, most treatable stages. We do not rely solely on visual inspection; instead, we employ a synthesis of clinical examination, advanced radiographic imaging, and optical technologies to evaluate the integrity of the tooth structure. The goal is to determine the extent of the demineralization, the status of the existing restorations, and the vitality of the underlying pulp. Accurate diagnosis is the prerequisite for minimally invasive dentistry, ensuring that we remove only irreversibly damaged tissue while preserving as much healthy biological structure as possible. This comprehensive evaluation also allows for an accurate estimation of dental charges for fillings, providing patients with transparency regarding their treatment plan.
The hands-on assessment remains the foundation of dental diagnosis.
We utilize the “Caries Management by Risk Assessment” protocol. This involves evaluating the patient’s saliva flow, dietary sugar frequency, fluoride exposure, and bacterial load. This biological profiling helps us decide whether to intervene surgically with a dental filling or to pursue remineralization therapies for incipient lesions.
Imaging is indispensable for detecting interproximal (between teeth) decay and deep recurrent caries.
Before placing a dental filling, particularly in deep lesions, the health of the nerve must be confirmed.
Electric Pulp Testing (EPT): Used to confirm neural integrity in equivocal cases.
Diagnosis also involves assessing the serviceability of current fillings.
Recurrent Caries: Detecting new decay developing beneath or around the margins of an old restoration.
Not all tooth defects require fillings. We distinguish between:
Staining vs. Decay: Deep fissures can be stained but sound. Intraoral cameras are used to show the patient the difference.
The evaluation determines the class and complexity of the filling, which in turn influences dental charges for fillings.
Cusp Coverage: Determining if the remaining tooth structure is too weak to support a filling, necessitating an onlay or crown instead
Send us all your questions or requests, and our expert team will assist you.
Dentists use bitewing X-rays, which can reveal the dark shadow of decay between teeth where a visual exam and toothbrush bristles cannot reach.
A hidden cavity occurs when decay spreads in the softer dentin beneath the surface enamel, leaving the outer surface looking intact; laser fluorescence is often used to detect these.
No, modern diagnostics, such as laser detection and transillumination, allow dentists to assess the depth and activity of decay without invasive exploration.
The cold test (pulp vitality test) checks whether the nerve inside the tooth is healthy and alive. If the nerve is dead or dying, a simple filling will not be enough, and a root canal may be needed.
Waiting is risky because cavities often do not cause pain until they reach the nerve; by then, the tooth structure is severely compromised, leading to more expensive and invasive treatments.
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