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What is a health care team??What is a health care team??
To Teach…
To Serve & treat…
To Discover….
Together,
www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
My presentation largely comprises of a review on the
advancements in dental imageology over the years
and our role as an oral radiologist in delivering an
interdisciplinary care to meet the complex needs of a
patient and the health care team.
Good health care
is always a
team effort!!
www.indiandentalacademy.com
We have come a long way….
www.indiandentalacademy.com
www.indiandentalacademy.com
Indian Dental academy
• www.indiandentalacademy.com
• Leader continuing dental education
• Offer both online and offline dental
courses
• Computed tomography
• Magnetic Resonance
Imaging
• Positron Emission
Tomography (PET)
• Fusion Imaging
• Digital subtraction
• Ultrasonography
• SPECT
• Thermography
• 3D Reconstruction
Imaging
• Image guided Surgery
www.indiandentalacademy.com
 Sensitive in defining the extent of the disease
 Early detection of what would not have been apparent
on conventional radiograph.
 Grading and staging of tumors
 Superior soft tissue imaging
Advanced Imaging …. An effective adjunct to Conventional
Conventional – the first step of the ladder in imageology,
the Foundation and undoubtedly the most widely used.
www.indiandentalacademy.com
ADVANCED IMAGING MODALITIES IN DETECTION
OF SYSTEMIC DISEASES
Coronal CT - Brown tumor in left maxilla
in early stages of hyperparathyroidism
Same patient after 3 months
Cone beam CT scan
www.indiandentalacademy.com
Mass in the sella turcica
Coronal MPR showing
Suprasellar extension
CONT… IN THE DETECTION OF PITUITARY ADENOMAS
www.indiandentalacademy.com
Showing calcification of infralingual
& retromandibular veins
Showing loss of buccal mandibular
cortex but not the lingual
From - Dentomaxillofacial radiology 2001
CONT…. IN A PATIENT WITH RENAL OSTEODYSTROPHY
www.indiandentalacademy.com
MRI with its additional superior soft tissue contrast and
multiplanar facilities reveals the internal structures
more efficiently
Same patient showing
varying signal intensity
throughout the mandible
From - Advanced imaging of renal osteodystrophy - J Dentomaxillofacial
www.indiandentalacademy.com
CONT….IN DETECTION OF ORO FACIAL PAIN
Newer techniques like MR Arthrography and MR
cisternography for identification of Trigeminal nerves
at the root entry zone.
T1 Weighted MR image – axial
Contrast enhanced
3 D MR Arthrography showing
the left vertebral arterywww.indiandentalacademy.com
Defect in the right
side of the cribriform
plate
Focal contrast material
leakage (arrow) into the
right midethmoid
region.
Focal ethmoid contrast
material leakage (arrow).
- From RSNA – January 2002
Cont… In Detection Of CSF Rhinorrhoea
www.indiandentalacademy.com
PET-CT (fused image). Clear evidence
of vertebral metastasis.
Metastasis of parotid adenocarcinoma to
cervical vertebra. Focal uptake is evident
No evidence of vertebral lesion.
From - J Oral Maxillofac Surg 2006.www.indiandentalacademy.com
Sound with a sight….ULTRASOUND
Early identification of metastatic changes like
enlargement, round shape, calcifications, necrosis etc are
of prognostic importance in staging of cancers
www.indiandentalacademy.com
www.indiandentalacademy.com
3D RECONSTRUCTION FOR VIRTUAL SURGERIES IN
TRAUMA CASES….
Pre treatment scan model Simulation of surgical Virtual surgery on
correction
Steriolithographic
model
www.indiandentalacademy.com
Found its application in forensics, in facial
reconstruction of fossil remains, identification in
mass disasters….
www.indiandentalacademy.com
3 D reconstruction in cleft palate cases
As per one study conducted by Stephen Richmond et.al. in UK , an average
face was constructed using 3D reconstruction technology and laser
scanning software.
From -The 3-Dimensional Construction of the Average 11 year old
child face: A Clinical Evaluation and Application Journal of Oral and
maxillofacial Surgery (2006)www.indiandentalacademy.com
IMAGE GUIDED SURGERY
Thermography
www.indiandentalacademy.com
Newer Techniques Further Enhancing
Communication With The Health Care Team
TELERADIOLOGYwww.indiandentalacademy.com
PACS further simplified access to images obtained from
remote places by allowing a web based system for
storage, retrieval, distribution and presentation of
images
www.indiandentalacademy.com
Cell phones using the Data Acquisition
Device to transmit radiographic images
www.indiandentalacademy.com
Paths yet to be illuminated…..
 Super computers to predict the
risk of bone fracture.
Noninvasive microchip
incorporations in dental hard
tissues
Health education via automated
continuous communications via
SMS which are faster and easier
World today is the result of
innovative discoveries &
inventions, but sadly,
technology takes a longer
time than it should to
reach
the common man
www.indiandentalacademy.com
Although a major breakthrough, advanced imageology
faces certain limitations of cost effectiveness, technical
suitability and usability, reach to the common man
etc..
As an oral physician, diagnostician, and radiologist the
time has now come to reestablish ourselves to the new
domains of technology and its applications.
Let us ask ourselves :
in par with the advancing front of
technology making it feasible to one and all thereby
achieving the goal of care in a health care team.
??
Are we
We are
www.indiandentalacademy.com
Thank You !!
www.indiandentalacademy.com

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Advancd imagiology rad/endodontic courses

  • 1. What is a health care team??What is a health care team?? To Teach… To Serve & treat… To Discover…. Together, www.indiandentalacademy.com INDIAN DENTAL ACADEMY Leader in continuing Dental Education
  • 2. My presentation largely comprises of a review on the advancements in dental imageology over the years and our role as an oral radiologist in delivering an interdisciplinary care to meet the complex needs of a patient and the health care team. Good health care is always a team effort!! www.indiandentalacademy.com
  • 3. We have come a long way…. www.indiandentalacademy.com
  • 4. www.indiandentalacademy.com Indian Dental academy • www.indiandentalacademy.com • Leader continuing dental education • Offer both online and offline dental courses
  • 5. • Computed tomography • Magnetic Resonance Imaging • Positron Emission Tomography (PET) • Fusion Imaging • Digital subtraction • Ultrasonography • SPECT • Thermography • 3D Reconstruction Imaging • Image guided Surgery www.indiandentalacademy.com
  • 6.  Sensitive in defining the extent of the disease  Early detection of what would not have been apparent on conventional radiograph.  Grading and staging of tumors  Superior soft tissue imaging Advanced Imaging …. An effective adjunct to Conventional Conventional – the first step of the ladder in imageology, the Foundation and undoubtedly the most widely used. www.indiandentalacademy.com
  • 7. ADVANCED IMAGING MODALITIES IN DETECTION OF SYSTEMIC DISEASES Coronal CT - Brown tumor in left maxilla in early stages of hyperparathyroidism Same patient after 3 months Cone beam CT scan www.indiandentalacademy.com
  • 8. Mass in the sella turcica Coronal MPR showing Suprasellar extension CONT… IN THE DETECTION OF PITUITARY ADENOMAS www.indiandentalacademy.com
  • 9. Showing calcification of infralingual & retromandibular veins Showing loss of buccal mandibular cortex but not the lingual From - Dentomaxillofacial radiology 2001 CONT…. IN A PATIENT WITH RENAL OSTEODYSTROPHY www.indiandentalacademy.com
  • 10. MRI with its additional superior soft tissue contrast and multiplanar facilities reveals the internal structures more efficiently Same patient showing varying signal intensity throughout the mandible From - Advanced imaging of renal osteodystrophy - J Dentomaxillofacial www.indiandentalacademy.com
  • 11. CONT….IN DETECTION OF ORO FACIAL PAIN Newer techniques like MR Arthrography and MR cisternography for identification of Trigeminal nerves at the root entry zone. T1 Weighted MR image – axial Contrast enhanced 3 D MR Arthrography showing the left vertebral arterywww.indiandentalacademy.com
  • 12. Defect in the right side of the cribriform plate Focal contrast material leakage (arrow) into the right midethmoid region. Focal ethmoid contrast material leakage (arrow). - From RSNA – January 2002 Cont… In Detection Of CSF Rhinorrhoea www.indiandentalacademy.com
  • 13. PET-CT (fused image). Clear evidence of vertebral metastasis. Metastasis of parotid adenocarcinoma to cervical vertebra. Focal uptake is evident No evidence of vertebral lesion. From - J Oral Maxillofac Surg 2006.www.indiandentalacademy.com
  • 14. Sound with a sight….ULTRASOUND Early identification of metastatic changes like enlargement, round shape, calcifications, necrosis etc are of prognostic importance in staging of cancers www.indiandentalacademy.com
  • 16. 3D RECONSTRUCTION FOR VIRTUAL SURGERIES IN TRAUMA CASES…. Pre treatment scan model Simulation of surgical Virtual surgery on correction Steriolithographic model www.indiandentalacademy.com
  • 17. Found its application in forensics, in facial reconstruction of fossil remains, identification in mass disasters…. www.indiandentalacademy.com
  • 18. 3 D reconstruction in cleft palate cases As per one study conducted by Stephen Richmond et.al. in UK , an average face was constructed using 3D reconstruction technology and laser scanning software. From -The 3-Dimensional Construction of the Average 11 year old child face: A Clinical Evaluation and Application Journal of Oral and maxillofacial Surgery (2006)www.indiandentalacademy.com
  • 20. Newer Techniques Further Enhancing Communication With The Health Care Team TELERADIOLOGYwww.indiandentalacademy.com
  • 21. PACS further simplified access to images obtained from remote places by allowing a web based system for storage, retrieval, distribution and presentation of images www.indiandentalacademy.com
  • 22. Cell phones using the Data Acquisition Device to transmit radiographic images www.indiandentalacademy.com
  • 23. Paths yet to be illuminated…..  Super computers to predict the risk of bone fracture. Noninvasive microchip incorporations in dental hard tissues Health education via automated continuous communications via SMS which are faster and easier World today is the result of innovative discoveries & inventions, but sadly, technology takes a longer time than it should to reach the common man www.indiandentalacademy.com
  • 24. Although a major breakthrough, advanced imageology faces certain limitations of cost effectiveness, technical suitability and usability, reach to the common man etc.. As an oral physician, diagnostician, and radiologist the time has now come to reestablish ourselves to the new domains of technology and its applications. Let us ask ourselves : in par with the advancing front of technology making it feasible to one and all thereby achieving the goal of care in a health care team. ?? Are we We are www.indiandentalacademy.com