A large number of pathological conditions may affect the jaws. These can vary from common to very rare disease entities. These diseases can be similar to those affecting other bones of the skeleton, though many lesions of the jaws are unique due to their anatomic differences. Most notably this unique feature involves odontogenic structures (eg, teeth and periodontium). Nevertheless, these pathoses need to be recognized and properly diagnosed following diagnostic procedures generally utilized (eg history and physical examination).1,2 Helpful in this regard is a simplistic and useful classification system. The MIND classification system has been proposed based on an etiopathogenic approach.1,2 The purpose of this article is to discuss this system for evaluating pathologic changes in bone and of course the radiograph is an essential aspect of the diagnostic approach. Radiographic classification systems3 (eg, radiolucent, radiopaque, etc) are also available and useful to complement this particular etiopathogenic approach.4
In my private practice in the greater Detroit area, I have offered in-office whitening for my patients for many years. Patients feel great about themselves when they see the results, and it’s also a consistent source of additional revenue for the practice.
But many practices still do not provide in-office whitening for various reasons. Some doctors think that in-office whitening takes too long, and thus wastes valuable chair time. Others may be afraid that they’ll cause patient sensitivity or they don’t think that they can sell the service to patients.
A new laser whitening system (ezlase Whitening and Pain Relief System [BIOLASE Technology]) solves all of that. In the last year, I have used the ezlase laser (BIOLASE Technology) with their special whitening handpiece and proprietary LaserWhite20 gel to provide excellent results for more than 200 patients. Since each case took less than 20 minutes of procedure time (plus patient prep and post-op), it’s easy to schedule several whitening cases per day.
I am often asked by patients and other dentists “How did you do that so painlessly?” or “What do you mean you are done?” and my typical response is that it was magic performed by the great Goldini. Although this often works for a good laugh, the reality is that I am not Houdini, arguably the greatest magician of all time, but simply a general dentist that has extracted thousands of bad teeth over the last 40 years employing unconventional methods.
As a dentist reading the title to this article, you may be thinking to yourself one or more of the following thoughts:
- I do not have an issue with the way I currently extract teeth;
- I typically refer out all and/or difficult extractions;
- I wish I was more comfortable with extractions in general;
- I wish my extractions were more predictable; or
- I wish I could increase my overall bottom line by not referring out extractions and losing patients.