Mexican dentists use clinical protocols like NOM-013-SSA2-2015 to evaluate caries depth. They combine digital X-rays with thermal sensitivity tests and physical exams. The final determination often occurs during decay removal. If the pulp is exposed or reactive, a root canal is typically necessary.
- Radiographic imaging: Periapical X-rays show the proximity of decay to the dental nerve chamber.
- Vitality testing: Cold or electrical stimuli help identify reversible versus irreversible nerve inflammation.
- Tactile exploration: Surgeons evaluate the hardness and stability of the cavity floor during excavation.
- Symptom analysis: Spontaneous throbbing or lingering pain usually indicates the infection reached the nerve.
Bookimed Expert Insight: Mexican clinics like YeahSmile and Dental Brush utilize digital 3D scanners for diagnostic precision. Data shows many top practitioners, such as Dr. Samuel Guevara Gomez and Dr. Raul Bernal, hold specialized degrees in endodontics. This advanced training helps them distinguish between simple fillings and complex nerve involvement, potentially saving the natural tooth structure.
Patient Consensus: Patients note that X-rays alone do not always tell the whole story. Many were surprised to learn that dentists only confirm nerve involvement after numbing the tooth and removing the decay. They emphasize that spontaneous pain is a major sign that treatment beyond a filling is needed.
