Radiographs

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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

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Furcations -- maxillary molars

Buccal - may be obscured due to superimpostion Mesial and distal
The pointer

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Mesial and distal furcations

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Mesial and distal furcations

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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

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Treatment status

Before

After

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Treatment status

Before

After

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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: i-CAT 10 second scan: Daily background: Panoramic (Average): Digital Panoramic Highest Film Pan Full mouth series: Medical CT uSv*kk
AHC

68 uSv 34 uSv 8 uSv 10-15 uSv 4.7 14.9 uSv 26 uSv 150 uSv 1200-3300
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Exposure is in Pulsed mode, actual exposure time is about 3.5 seconds for a 20 second scan

Dr. Sharon Brooks, Dept. of Radiology, University of Michigan *Dr. Stuart White, Dept. of Radiology, UCLA

CT Scans

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for Implants

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AHC

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AHC

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3-D Implant Visualization and Planning

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for Orthodontics

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

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for Orthodontics

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

JYS

for Orthodontics

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

JYS

 What treatment? Osseous surgery Scaling and root planing Curettage Osseous grafting Root resection surgery

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What treatment Osseous surgery Scaling and root planing Curettage Osseous grafting Root resection surgery

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What treatment Osseous surgery Scaling and root planing Curettage Osseous grafting Root resection surgery

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What treatment Osseous surgery Scaling and root planing Curettage Osseous grafting Root resection surgery

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Limitations
An adjunct Not a substitute

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