What are you missing? (2 Real Cases)


Many times I talk about technology and how it can impact your practice, and I realize it can be hard to visualize. Below are two real cases posted online that show you how technology can make an impact on your practice. Take a look and ask yourself, what are you missing?

The following was posted here by Dr. Rich Rosenblatt

The XG3D continues to impress both my patients and me everyday.  I can’t believe how good it feels to be able to look at a 3 dimensional rendering of a situation and be able to diagnose it with confidence compared to what I would normally experience with 2D films.  This patient came in yesterday to my office for recall exam.  She complains of mild discomfort to pressure on the lower right.  She states it is her 2nd to last tooth which would be #31.  It has a history of a crown done numerous years ago and at some point in time it had endo performed through the crown and the crown was not replaced.  Perio probing was no pockets larger than 2mm.  No fistula noted on buccal of 31 and an intra oral image was taken by the hygienist to show the patient there was nothing out of the ordinary she saw.

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A PA was taken which showed some widening of the PDL possibly on the mesial on #31 but nothing that on first glance stood out.

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A cone beam scan was taken.  The panoramic 2D rendering showed nothing out of the ordinary either,

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But as soon as we scanned through the 3D image, it was easy to see the internal resorbtion on the mid buccal of the MB root.  This tooth was non restorable and the pt was informed that the best option was to remove it, graft it and place a dental implant in it’s place.

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It is just a great feeling to be able to not only be confident in being able to diagnose what the problem is with this patient, but the technology allows the patient to much better understand their situation too and aids in educating the patient about the extent and severity of what is happening with them.  This technology has been a true blessing for my practice!

 

The following was posted here by Dr. Rich Rosenblatt

Schick 33 digital x-rays are unbelievable.  I was reading the blog Jeff Caso did a few weeks ago about the extraoral bitewing function of the XG3D.  I too like this option when I can’t take the conventional digital bitewing, but nothing beats a really nice bitewing, especially with the new Schick 33 Sensors.  I remodeled my office recently and decided to upgrade the computers and technology too.  I have been a Schick CDR user for many years.  They were a great way to educate the patient and I was able to read the films, but it did make borderline interproximal lesions difficult to read.  The longer I used them, the more I was able to decipher what I saw but it was a bit of a learning curve.  I purchased the Schick 33 sensors and really love them!  I can not believe the difference in image quality.  I often get asked about other digital technology and digital x-rays are a common inquiry.  I wanted to share this simple case to demonstrate the incredible difference between the older CDR technology and the new Schick 33 technology.

 
This is a case of a patient who was in my office last May.  He had multiple interproximal carious lesions.  I found some lesions but due to the limitations of the technology back then, it was hard to be sure on a few areas in question.  Here is what the original CDR bite wing looked like.
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The patient did not return until November and I had just received my new sensors.  I took the same BW with the new sensors and this is what I saw below.
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I was blown away by the difference.  Between the Schick 33 sensors and the XG3D cone beam, I have never felt more confident when discussing caries and other things I have found using this new technology!!