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A routine hygiene visit turned into decisive action — confirming the source of discomfort and gaining instant patient buy-in.
5 minute read ·
The information in this case study pertains to future capabilities, currently under clinical evaluation – Not yet FDA cleared.
Patient: Andrew, age 71
Tooth: #14 (issue later confirmed on #15)
At a routine hygiene exam, the patient reported discomfort when chewing certain foods in the lower left molar region. A zirconia crown had been placed on tooth #18 approximately three months earlier. Occlusion was checked with articulating paper, which revealed no significant findings.
When informed that the discomfort might be originating from the opposing upper tooth, the patient replied confidently: “No, I’m sure it’s the bottom. Either it’s this tooth or the one next to it.”
A review of the chart indicated that tooth #15 had previously been added to a monitor list due to a large, aging MO amalgam. A traditional diagnostic tool, the Tooth Slooth® II, was used on all cusps and yielded a positive response on the distal buccal cusp of #15.
X-rays of #15 and #18 taken prior to InnerView scan. No visible pathology was detected.
With the patient seated upright, InnerView— powered by Quantitative Percussion Diagnostics—was used to evaluate both #18 and #15.
The patient was informed that the device would deliver a series of gentle taps to assess internal tooth stability.
InnerView scan results showing elevated NFE on #15 compared to #18.
The scan confirmed that #15, not the recently restored #18, was the source of discomfort. When the NFE readings were shown on-screen, the patient responded: “Well, I guess you were right. It was my upper tooth after all.”
A treatment plan was proposed for a ¾ crown on tooth #15. After reviewing the InnerView® results on-screen, the patient signed the consent form and scheduled the procedure.
InnerView gave the patient confidence to move forward — turning abstract discomfort into a clear, data-driven decision.
Traditional tools like X-rays and percussion are often limited in detecting internal structural changes, especially in teeth that present with mild or confusing symptoms.
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