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Enhancing patient communication with DEXIS CariVu

They narrow their eyes. They nodded. All they say is the right thing. But as their dentist, you know that your patients do not always understand what you are showing on the radiographs, and sometimes they do not even show them in an intraoral scan. Worst of all, you know that patients don't know why your recommended treatment is the best course of action for their dental health.

The patient's acceptance of the treatment plan depends on many factors, and you cannot control all of these factors. However, you can control the patient's understanding of his dental health. It also does not require a dental degree to understand it. Many clinicians investing in science and technology know that seeing is true. When you can show patients pictures of their teeth and place them on the screen so that they can see the magnification, patients will get the information they need to make an informed decision about their dental care.

Many technologies help convey this information in new ways - digital radiography, intra-oral cameras, or even laser diodes, which emit light to provide digital readings representing attenuation. However, in 2014, DEXIS introduced CariVu TM, a dental caring professional that helps dental professionals show patients what they need to know.

DEXIS described CariVu as "a compact portable dental caries detection dental equipment that uses patented transillumination technology to support occlusion, interproximal and recurrent carious lesions and cracks." But Dr. Angela Boehler-Homoky has been practicing for 23 years. Headquartered in Port Charlotte, Florida, CariVu provides her with a new way for her to tell her patients their own dental conditions in a way they can see.

We talked with Dr. Boehler-Homoky about her experiences with CariVu. This is what she has to say.

What did you use before Cari Vu, why did you start using it?

I used film photography and digital photography for the first time. Then I started using the mouth camera. I am looking to buy a new intraoral camera and learn something new from DEXIS CariVu.

How do you like CariVu's things different from what you use?

I like everything I can show to the patient on the screen so they can see and understand it. With some X-rays, I think my patient is accepting my words. I would say, 'See that place? They will go, 'Yes, I guess.' I always tell people, 'This is your body and your health. I hope you understand why we do things and incorporate them into the decision-making process. “

With digital radiography, you can blow it up and change the contrast and try to show them those caries. But many times, they will point to padding. So, I still never feel that they really know. With the camera inside the mouth, I thought, 'Well, this really shows the patient. But I discovered that with the camera in the mouth, when the patient saw the stain, they pointed to a tooth and said: 'Oh, my gosh, the teeth are terrible! 'I said, 'No, this is an old fill, but it has no problem.' I am watching this. I pointed to something else, not something they noticed.

With CariVu, they seem to see it, it distinguishes between normal and abnormal teeth. The patient can see why the tooth needs a crown or why it needs to be filled.

What do you like about using CariVu?

Dental cracks
With CariVu TM, cracks can be easily seen by clinicians and patients.
There are many different things that are unique and useful, but the first thing I like about it is broken teeth. I once called a fractured tooth a mysterious tooth. I would say, 'If a tooth behaves in a variety of ways, it will cause me to think about fractures. ' But I think this is not certain, I do not like that. I like to show one's cracks. Unless it is a very large fracture, there is no visible fracture on the X-ray at least 99.9% of the time. I also wear a magnifying glass, so sometimes I can see them. Intraoral cameras can sometimes pick them up. Sometimes surface cracks are everywhere. With CariVu, when you suspect a broken tooth, wear it and take a picture. I can put this image on the screen and the patient can see it as easily as possible. Insurance companies can also see these cracks. I like CariVu.

I think the patient will like the insurance company can see it.

It is indeed the case. "Why do you want to bite the amalgam into a crown?" I sent them an image of CariVu and said, 'Because there is a huge fracture through it, the patient will destroy the tooth. 'Insurance companies can see it and everyone agrees. You cannot argue with the facts.

What advice do you have for struggling clinicians and patient acceptance or some of the problems you face?

With the intraoral camera and CariVu, the patient can get it. I want my patients to believe me, but I also hope they see what I see without having a dental degree. This is the simplest method.

From the patient's point of view, they do not get as much from X-rays. They get some information from the camera inside the mouth, but then they can really see CariVu. From the doctor's point of view, if teeth overlap, this situation will always appear crowded teeth, then you may miss tooth decay. But it shows more on Cari Vu images than on X-rays. CariVu is looking for an interfacial decay without any guesses. This is dark; it appears. For dentists, there is no doubt.

What else do you want to mention about the system or integration?

Bite rot. Not many dental instruments show occlusion attenuation well. I have another product for checking cracks and things, but I think the effect of the existing restorations and sealants is not good, I don't think. Sometimes I see false or high readings on some sealants and some restorations. Or if there are plaques or calculus, it will give a wrong reading because it is not very dense.

In terms of occlusion attenuation, I do not like devices that provide wrong reading because now you have obtained information that cannot be used. This is something that confuses you. CariVu has no wrong reading. It can be observed with composites and sealants as well as calculus or dental plaque. It just shows the decay there or the restoration of the tooth.

X-rays do not show occlusion attenuation well unless it is large enough. Most of the time, when the bite is large enough to be seen on the X-ray film, it can be visually seen. So CariVu is suitable for those smaller people.

Do you have any skills for using CariVu? Would you share it with other clinicians?

A newbie mistake I see is not to dry my teeth first. If one of my assistants is trying to use it and take pictures when the teeth are not dry, we can see bubbles. Spraying air quickly over these obstructions usually makes it easier for you to read pictures.

Are there other tips along the way?

There is a small learning curve because it is an instrument that is different from anyone, just put it on the teeth. But this is a quick learning curve. It only takes one or two attempts to practice each other. It is easy to use.
It can be easily used with DENTRIX. When I want to use CariVu, if I already have X-rays or pictures, and most of the time you do it, as long as you put CariVu into and select the picture you want to take, pull the X-rays side by side on the screen. Then it automatically extracts or compares everything you want to present to the patient. I know I sound like a commercial, but I didn't try it. I'm just saying what this is. It's easy. It is not only integrated, but also has a bells and whistles to make it better.

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