Liz,
In my experience soft tissue changes ( hypekeatosis ) do not show up on x-rays. I would be lying if I said this guy was working within the normal acceptable standard of practice.
I'm here, lean on me if you feel I can help, I'm here for you.

Cheers,

Mike

Dentist since 1995, 12 year Cancer Survivor, Father, Husband, Thankful to so many who supported me on my journey so far, and more than happy to comfort a friend.
Live, Laugh, Love & Learn.