ortho - the international C.E. magazine of orthodontics

ortho1_2012 I C.E. article_ application of 3-D imaging 10 I and airway analysis, all with both soft-tissue and skeletal information.5,7 _Conclusion Wetreatourpatientsin3-D,andnow,withcone- beam computed tomography, we are changing the way we diagnose from 2-D to 3-D. The addition of this technology will increase your diagnostic skills with better and more complete information at your disposal.Aswithanytypeofinvasivediagnostictool, clinicians should weigh the risk to benefit in using CBCT scans. Judicious use of CBCT and knowledge of patient’s lifetime doses should always be a consideration as well as the availability of other diagnostic tests appropriate for the problems of the patient. When adopting new technology, training is paramount. Along with training comes the responsibility of the doctor to read and diagnose information from CBCT scans. Do not avoid CBCT from lack of knowledge; instead, take this opportunity to become a better di- agnostician andradiologist.Asyoureviewradiology and pathology, your use of CBCT will aid in making the most accurate diagnosis and the most complete treatment plans._ References 1. Ziman E, DDS, JD; White SC, DDS, PhD; Tetradis S, DDS, PhD. Legal Considerations in the Use of Cone Beam Computer Tomography Imaging. CDA Journal. 2010;138:49–56. 2. Nospecificauthorlisted.ForthePatient(history of X-ray), JADA, Nov 2004; vol.135:1643. 3. Patel S, Dawood A, Whaites E, PittFord T. New Dimension in Endodontic Imaging: Part 1. Con- ventional and Alternative Radiograpic Systems. International Endodontic Journal. 2009;1–16. 4. Lezingera I, Dudicb A, Giannopoulouc C, Kiliar- idis S. Root Contact Evaluation by Panoramic Radiography and Cone-Beam Computed Tom- ography of Super High Resolution. Am J Orthod Dentofacial Orthop. 2010;137:389–392. 5. Hilgers ML, Scarfe WC, Sheetz JP, Farman AG. Accuracy of Linerar Temporomandibular Joint Measurements with Cone Beam Computed Tomography and Digital Cephalometric Ra- diography. Am J Orthod Dentofacial Orthop. 2005;128:803–811. 6. Stavropoulos A, Wenzel A. Accuracy of cone beam dental CT, intraoral digital and conven- tional film radiography for the detection of periapical lesions. An ex vivo study in pig jaws. Clinical Oral Investigations. 2007;11:101–106. 7. Scarfe WC, Levin MD, Gane D, Farman AG. Use of Cone-Beam Computed Tomography in En- dodontics. International Journal of Dentisty. Volume2009(2009),ArticleID634567,20pages. Dan McEowen, DDS, is a 1982 graduate of Loma Linda School of Dentistry and has been in private practice for 26 years. He is a founding member of the World Clinical Laser Insti- tute, achieving a mastership level of proficiency. He has been active in the FDA approval of oral surgery techniques using erbium lasers. McEowen has lectured and trained internationally in techniques using lasers in general and specialty dental fields. He a member of the ICOI and is active in implantol- ogy.McEowenhasbeeninvolvedincone-beamtechnology for more than five years and owns 3D Imaging Center in Maryland. _about the author ortho ‘With a single CBCT scan, orthodontists can produce all of the information they need: panoramic, cephalometric, PA, SMVT, tooth size and volume, crowding evaluation in any plane, TMJ evaluation and airway analysis, all with both soft-tissue and skeletal information.’