Radiographs

AHC JYS
 Intra-oral radiographic
information
• Root length
• Root proximity
• Root form
• Presence or absence of periapical lesions
• Estimate of remaining alveolar bone
support
• Local etiologic factors

AHC JYS
 Furcations -- maxillary
molars
• Buccal - may be obscured due to
superimpostion
• Mesial and distal
– The pointer

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Mesial and distal furcations

AHC JYS
Mesial and distal furcations

AHC JYS
Mesial and distal furcations

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 Not a
replacement for
an
examination!!!
AHC JYS
 Limitations
• Does not show periodontal pockets
• Does not show morphology of the
defects
• Misses buccal and lingual deformities
• Does not distinguish between treated
and untreated case

AHC JYS
Treatment status

Before After

AHC JYS
Treatment status

Before After

AHC JYS
 Limitations
• Does not show periodontal pockets
• Does not show morphology of the
defects
• Misses buccal and lingual deformities
• Does not distinguish between treated
and untreated case
• Does not show mobility
• Does not show hard and soft tissue
relationships
AHC JYS
 Benefits
• Can show relationship of crest
• Can help monitor disease progression
• Indicates areas for further examination
• Documents crown - root ratio
• Evaluation of deposits and margins

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 Types of surveys
• Periapical films
• Bite-wing films
– Horizontal
– Vertical
• Panoramic films
• CT Scans

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 CT Scans

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 How Cone Beam CT Works
X-ray source
X-ray source

‘Cone’ of X-rays
‘Fan’ of X-rays

Detector
Detector

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 Effective Dose
Comparison
 i-CAT 20 second scan: 68 uSv
Exposure is in “Pulsed” mode, actual exposure time is about 3.5
seconds for a 20 second scan
 i-CAT 10 second scan: 34 uSv
 Daily background: 8 uSv
 Panoramic (Average): 10-15 uSv
Digital Panoramic 4.7 – 14.9 uSv
Highest Film Pan 26 uSv
 Full mouth series: 150 uSv
 Medical CT 1200-3300 uSv*kk

Dr. Sharon Brooks, Dept. of Radiology, University of Michigan

AHC *Dr. Stuart White, Dept. of Radiology, UCLA JYS
 CT Scans

AHC JYS
 for Implants

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AHC JYS
 3-D Implant
Visualization and Planning

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 for Orthodontics

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DICOM 3 3rd party software. Please call for details
 for Orthodontics

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DICOM 3 3rd party software. Please call for details
 for Orthodontics

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DICOM 3 3rd party software. Please call for details
 • What treatment?
– Osseous surgery
– Scaling and root planing
– Curettage
– Osseous grafting
– Root resection surgery

AHC JYS
 • What treatment
– Osseous surgery
– Scaling and root planing
– Curettage
– Osseous grafting
– Root resection surgery

AHC JYS
 • What treatment
– Osseous surgery
– Scaling and root planing
– Curettage
– Osseous grafting
– Root resection surgery

AHC JYS
 • What treatment
– Osseous surgery
– Scaling and root planing
– Curettage
– Osseous grafting
– Root resection surgery

AHC JYS
 Limitations

An adjunct
Not a substitute

AHC JYS