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DOCTOR SAYMAN AT ELITE ENDODONTICS NOT ONLY HAS A 3D IMAGING SYSTEM BUT THE BEST CONE BEAM COMPUTER TOMOGRAPHY OF THE MARKET WITH EXTREMELY  HIGH RESOLUTION  AND EXCEPTIONALLY LOW RADIATION

 

Our goal is to provide you with the best, most accurate, and thorough diagnosis possible. Recent technological breakthroughs have allowed us to make major advances in our ability to achieve that goal. Cone Beam Computed Tomography (CBCT), also referred to as 3-D CBCT, is a new technology, similar to conventional medical CAT scans, in that it will give us a 360 degree three dimensional view of the area we are examining.

Previously, we were limited to a viewing a two dimensional picture of a three dimensional problem. There were many things we could not see because dental x-rays did not have the resolution to show them. Despite our best efforts, we were forced to infer, project, surmise, calculate, and interpret. Often, we could only give our best educated guess based on what we could see on the x-ray. Additionally, x-rays were often just not sensitive enough to show very small problems, or the beginning signs of a problem. That has now all changed significantly with the advent of CBCT. With its inherent extremely high resolution and exceptionally low radiation, it has literally changed our world with respect to what we can now see and more accurately diagnose.

CBCT imaging provides us with a large volume of information and subtle details that simply cannot be obtained by any two dimensional x-ray.
One 3-D scan will allow us to examine the region of interest at a high resolution from many different perspectives. Clinical studies support this technology’s improved diagnostic capabilities. We are very proud of CBCT and feel strongly that this state-of-the-art technology will allow us to provide our patients with the very highest level of care possible today.

 

 

 

Taking the image is very simple. The scan generally takes between 10 and 20 seconds and the images are transferred directly to a computer. A common question relates to the amount of radiation a patient may receive when obtaining this type of image. In an effort to provide the best care and lowest radiation dose possible, we selected a unit by Morita, which offers extremely low radiation dose. Below are a few comparisons for a typical 40 x 40 mm scan.
  • Less than a medical chest X-ray.
  • Less than 2 standard panoramic (large dental) X-rays.
  • Less than the amount of radiation absorbed during a flight from Los Angeles to New York (cosmic radiation).
We look forward to providing you with exceptional care utilizing the most current and advanced technology available in dentistry.

Reference: Effective dose is calculated in accordance with the ICRP 2007 Draft for exposure of the mandibular molar region with Morita’s recommended loading factor (80kV, 3mA, 9.4sec., Ø 40 x H 40 mm). Comparison is to the Veraviewepocs film (75kV, 8mA, 16 sec). Dose Evaluation of Dental CTs, Department of Radiology, Showa University School of Dentistry.

 

 

Sometimes a tooth that already has a root canal treatment done months or even years  ago may be painful specially when biting. A common reason is that the crown or the root may be cracked. While regular radiographs rarely help in diagnosis of crown or root fractures, CBCT improves the diagnosis of this common problem Both a yellow circle and a red square (see white arrows) show the root fracture.

 

 

 

One important reason why a tooth with a previous root canal hurt after months or years, is because of missed canals that  were never found and cleaned.
Some teeth may have 3,4,5 or even more root canals. They are extremely hard to find even for the experienced endodontist. So the 3D cone beam plays a very important role in detecting missed canals.

In the  following picture a  yellow circle shows a root that has 2 canals but only one was treated. The light blue arrow shows a fine black line(missed canal).
The red circle shows clearly a black dot representing the missed canal in an axial view. The white dots represent the filled (found and treated) canals. Those amazing views are impossible to be seen with a regular or digital radiograph. 3D cone beam: a dream made true!
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Many times patients have headaches and sinusitis that are consequence of an infected tooth. The yellow arrow shows an open communication between the infected tooth and the maxillary sinus. The impressive image was captured with the 3D CBCT. A conventional radiograph does not show this important finding.

 

 

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