Arun, we are using a CBCT machine that our ortho group here has and this sort of thing bothers be a great deal. This machine is that stove eye that someone left on when they walked out going on a two week vacation. It’s got everything hot but it was a mistake. I fear a great number of mistakes are going to be made as people are talked into buying these machines. We are backing up some of our stuff with CTs at the hospital where people are qualified to read them. The diagnosis on the patient by Susan Muller on seeing the Pan we sent here of florid cemento-osseous dysplasia sent this guy to the ortho office. That was still not a truly well-defined diagnosis so he has any appointment with our big ass CT at the hospital. We’ll get that sent to a backup center where someone can read these things.
Thousands of teeth are going to be retreated for no reason at all.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of arunnayyardmd@gmail.com
Sent: Monday, February 11, 2013 7:20 AM
To: gkodish@gmail.com; Guy Moorman
Cc: ACEsthetics group
Subject: Re: [ACEsthetics] Get that Panorex on everyone!
Diagnostic interpretations from a ct scan of carious lesions can fool us. when we first started with ct scans our thought was it was exclusive for all diagnostic needs. We quickly learned that some of the dark areas were not caries but artifacts? Cause bitewings and visual exam did not show any!! So validate your findings with other diagnostic tools and experience.
Sent via BlackBerry from T-Mobile
From: Gary Kodish <gkodish@gmail.com>
Sender: acesthetics@googlegroups.com
Date: Mon, 11 Feb 2013 07:13:47 -0500
To: <toothpick44@gmail.com>
ReplyTo: gkodish@gmail.com
Cc: ACEsthetics group<ACEsthetics@googlegroups.com>
Subject: Re: [ACEsthetics] Get that Panorex on everyone!
Kind of along the same train of thought, we had our training on Thursday and Friday for our new cone bean machine. We had 2 patients come in on Thurday and four on Fri. Out of the six I referred 4 to the endodontist because of what we saw on the images that does not readily show up on radiographs.. In addition when we looked at all of the images you could see interproximal bone loss that does not show up either. It was a mind opening experiance to be able to see all the detail that was not available before. The trainor told us that she knows of some periodontist's who are now regularly taking the cone beam images on all of their patients because of the detail they see and then they show them to the patients who now understand the problem. I can see that because when I showed the images to my patients there was no hesitation for them to get the problems fixed. I am wondering if this may not eventually be standard of care.
On Sat, Feb 9, 2013 at 7:41 AM, Guy Moorman <toothpick44@gmail.com> wrote:
My frond office just called yesterday and told me that we had another subpoena from the coroner for radiographs. Seems one of our patients was a drug dealer and someone threw hin down a dry well with 100 gallons plue of gasoline. They did not remember him but I've been seeing him off and on for 30 plus years. Had a lot of dentistry so they ID'd him immediately...xrayed him at the hospital...now crime lab has him. Take that panorex and you want be embarrassed with they come and you have to tell them you have no radiographs.
When I was in the military in 1969 we had a panorex at the clinic and everyone got a pan, including the dental officers. The quality was horrendously bad compared to today's machines but all they wanted them for was to ID bodies. It was gruesome but functional. Guy
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Guy W. Moorman
The Swamp
Douglas, Georgia
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Gary S Kodish DDS
301 SE 16th St
Ft. Lauderdale, FL 33316
954-462-5252
www.kodish.com
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