The Crown Was Fine. InnerView Found the Real Problem.

A routine hygiene visit turned into decisive action — confirming the source of discomfort and gaining instant patient buy-in.

Dr. Cynthia Brattesani

5 minute read ·

The information in this case study pertains to future capabilities, currently under clinical evaluation – Not yet FDA cleared.

The Challenge

Patient: Andrew, age 71

Tooth: Patient thought #18 or #19 was the pain source  (later confirmed pain was from #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 (tooth #15), the patient replied confidently: “No, I’m sure it’s the bottom. Either it’s this tooth or the one next to it (#18 or #19).”

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 suspected 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.

Results

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.

  • Tooth #18 NFE = 26
  • Tooth #15 NFE = 56

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.”

Solution

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.

Key Takeaways

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.

  • InnerView identified instability in tooth #15 despite initial concern being directed at #18.
  • The scan delivered quantifiable evidence that supported an accurate diagnosis and a confident treatment plan.
  • The visual display helped the patient understand and accept treatment — turning uncertainty into clarity in seconds.

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