The Periometer

We received the first beta prototype to be used in private practice in January 2013 and have been recording Quantitative Percusion Diagnostic readings on all of our patients during comprehensive exams since then. This device provides incredibly accurate statistically significant data that allows Dr. Hughes to learn and record two very important pieces of information about teeth and implants in each patients mouth;

- the stablity or firmness of the tooth or implant in the bone

- the structural integrity or core strength of the tooth or implant or the restorations on them

This information is of great benefit in determining which teeth/implant are in healthy condition and which are compromised. Using the Dental Microscope to view teeth and implants at very high magnification it was easy to assume that we were able to determine when crack lines were significantly harming a tooth and fracture of the tooth was imminent.

The Periometer has taught us unequivically that what we see, even at very high magnification, was not what we get. Dr. Hughes has repeatedly shown that teeth deemed in need of a crown or other agressive treatment by visual inspection were actually not in any trouble at all and fracture of the tooth should not be expexcted. Conversely, some teeth that look absolutely beautiful upon visual examination are actually in serious trouble with mutiple fractures dveloping in the center of the tooth. These teeth need to be monitored over time with periodic Periometry readings to follow the progression of the damage and hopefully intervene conservatively before the tooth is damaged to the point of causing pulp death or fracture requiring root canal treatment or heroic crown restorations.

Another important direction this information is leading us is in determiningg when implants are being overstressed and bone loss around a succesful implant is beginning to occur. There are a huge number of patients developing bone loss around their implants creating the need for removal of the implant. We believe that Periometry readings taken on a regular interval can pick up the early changes in bone stability that would allow preventative measures to be implimented to retain the implant.

Using the data from this new prototype  Dr. Hughes has been able to make far more sound and predictable treament plans for his patients based on which teeth and  implants are stable and reliable for the forseeable future.

The Periometer from Hughes'Views on Vimeo.