Good morning ya Scots!

There are some classic pieces of dental literature too important to keep behind a paywall..and this is a review on one of them. Enjoy! 🍻🍻

Today’s line-up:

To start this literature review, let’s set the scene during a weird, but exciting time in your dental career.

That right there👆 is what you looked like in March of your fourth year of dental school:

And one thing was hanging over your head keeping you up at night

So the search was on for that “perfect” lesion to pass that, archaic, stressful last exam before you became a real world dentist

And your search, may have resulted in finding a “cavity” like this:

And a premolar?! You are one lucky baby dentist.

But should we have treated those “caries" that were not even barely into dentin?

So let’s say this dentist was one of the researchers.

And he had a whole gaggle of kids lined up to participate in his study

And those kids were troopers, because Dr. Wallace placed these things👇 in between their molars for 1 week.

Which then allowed him to clinically see if the radiographic caries were actually cavitated

Now here’s a question…

In radiographic lesions like this-

But what’s not surprising is that lesions in the outer half of enamel were never cavitated

And large radiographic caries were always cavitated

Like when the lesion approaches the inner half of enamel

And when the lesion is in the outer half of dentin like our trivia question

Woah, whoa, whoa…

So one more time for the people in the back

Now, like most research, there ARE some holes you could poke in this paper:

There is also a paper out of Chili

And the University of Florida

And they are all saying the same thing, those lesions just barely into dentin are not as cavitated as many think:

…which seems like something that should be taught in dental school 🤷‍♂️.

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It turns out that this👇

…is very, very common according to at least one piece of research.

But do you know just how common? We are going to talk about it next week, but first wanted to get your insight with a poll✅✅

See ya Monday.

luv u,

tipsy dentistry💞💞😘😘