Biological Dental Diagnostic Testing in North Austin

Advanced imaging and targeted testing can reveal what a routine visual exam cannot — from 3D anatomy and hidden infection to oral microbiome patterns and material sensitivities.

Better treatment decisions start with better information.

Testing With a Clinical Purpose

Not every patient needs every test. At Bruno Integrative Dentistry, diagnostics are selected when the result can clarify a diagnosis, change treatment planning, identify a risk factor, or help us choose a more compatible material or therapy.

Our North Austin office combines conventional dental examination with 3D imaging, digital scanning, clinical photography, saliva-based testing, and selected laboratory diagnostics. The goal is not to collect data for its own sake — it is to build a clearer picture of what is happening and what to do next.

These tools are part of our broader biological dentistry approach and may be used during new-patient evaluations or for specific restorative, periodontal, surgical, airway, or mercury-removal concerns.

What Advanced Testing Can Help Clarify

The right diagnostic tool depends on the question we are trying to answer.

1

Hidden anatomy or infection

3D CBCT imaging can provide views of bone, roots, sinuses, joints, airway, impacted teeth, and other structures not fully captured by standard 2D images.

2

Oral microbiome patterns

Saliva-based testing can help identify bacterial patterns associated with periodontal or caries risk and support a more personalized preventive plan.

3

Material sensitivities

For selected patients, laboratory material-reactivity testing may help guide choices among restorative materials.

4

Mercury exposure questions

When mercury removal is being considered, targeted testing may be discussed when the result would meaningfully affect preparation or coordination of care.

Dental & Biologic Diagnostic Tests We Offer

3D Imaging

CBCT Dental Scan

Our Planmeca ProMax 3D CBCT can be used to evaluate bone quality, roots, nerve relationships, sinuses, TMJ structures, airway anatomy, impacted teeth, suspected jawbone pathology, and complex surgical or restorative areas.

Materials

Clifford Materials Reactivity Testing

A blood-based material-reactivity test may be considered for patients with complex sensitivity histories or extensive restorative treatment. Results can be used alongside clinical judgment when choosing materials.

Mercury

Mercury Tri-Test

The Mercury Tri-Test measures different forms of mercury through laboratory analysis. When indicated, Dr. Bruno may discuss testing as part of a broader evaluation before SMART amalgam removal .

Oral Environment

Oral pH Testing

A simple saliva pH measurement offers one data point about the oral environment. It can be considered alongside diet, saliva flow, biofilm, cavity history, and other risk factors.

Systemic Context

GI-MAP & Organic Acids Testing

Selected patients may discuss broader laboratory testing when digestive, metabolic, or nutritional factors are being evaluated in coordination with their overall care. These tests are not required for routine dental treatment.

Nutrient / Safety Screening

Vitamin D & G6PD Testing

Vitamin D testing can document nutrient status. G6PD testing may be relevant before high-dose vitamin C therapy because deficiency can change the safety of that treatment.

Bristle + Saliva Diagnostics

Oral Microbiome Testing

Your mouth contains a complex ecosystem of bacteria and other microorganisms. In some patients, a saliva-based oral microbiome test can provide additional information about patterns associated with gum disease, cavity risk, bad breath, and overall microbial balance.

At Bruno Integrative Dentistry, microbiome testing is not used as a substitute for a periodontal exam, x-rays, or a clinical diagnosis. It is an additional data point that may help us personalize home care, preventive strategies, periodontal maintenance, and follow-up.

  • Simple saliva-based collection
  • Identifies relative patterns of oral microorganisms
  • Can support personalized periodontal planning
  • May be useful for recurrent inflammation or decay patterns
  • Results are interpreted together with clinical findings

Learn how these findings may connect with biologic periodontal care or early cavity prevention .

Diagnostic Testing FAQs

Do all new patients need a CBCT scan?

Imaging should be selected according to clinical need. Dr. Bruno reviews your history, exam, prior imaging, and treatment goals to determine which images are appropriate for diagnosis and planning.

What is an oral microbiome test?

It is a saliva-based laboratory test that analyzes microorganisms in the mouth. Depending on the platform, the report may identify patterns associated with periodontal disease, caries risk, halitosis, or other oral conditions.

Can dental material compatibility be tested?

Laboratory material-reactivity testing is available for selected patients. It can provide additional information, but results are interpreted together with the dental condition, material properties, treatment requirements, and your health history.

What is the Mercury Tri-Test?

The Mercury Tri-Test is a laboratory assessment designed to evaluate mercury exposure and excretion patterns. Whether it is useful depends on the clinical situation and what decision the result would influence.

Will testing tell me exactly which treatment I need?

No single test replaces a diagnosis. The value comes from combining objective data with your symptoms, dental examination, imaging, history, and goals so treatment can be planned more thoughtfully.

Get a Clearer Picture Before You Treat

Schedule a comprehensive evaluation in North Austin to learn which imaging or diagnostic tests are actually useful for your situation.

Request an Evaluation
Bruno Integrative Dentistry · 11410 Jollyville Rd Ste 3102, Austin, TX 78759