Topics of the day: 1.
Cat scans for ankylosed teeth (RE: CT scan for ankylosis)
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Original message:
Dear members, A friend (french orthodontist graduated from St Louis Univ) told me that he regularly asks CT scans with a "research of ankylosis" prescription for impacted teeth in adults. I asked my radiologist on this topic (she's a really great one) and she told me she never heard about it but she was wondering if a software imagery program would exist to analyse the CT datas and find a point of fusion. Then I called the radiologist of my friend, and she told me she did not use a special software but was working herself on the images ("during a long time") to find a fusion point and "most of the time" she didn't tell the rate of success/ failure), she was able to diagnose ankylosis. Did someone already use CT scans to diagnose ankylosis ? An other subject now : does someone could send me a satisfaction quastionnaire used after debonding ? or samples of questions ? I think it's a very useful tool, both to improve our practice and for marketing purpose, but I have not enough experience to create one by myself. Many thanks in advance ! Jérôme WANONO, Msc Orthod. (PS : I apologize for my poor english) Reply: Mon dieu! Sacre bleu! Bokoo! Beaujolais! Pomme frites! Jerome, how many ankylosed teeth have your friend's radiologist found? After 25 years of practice and excluding deciduous teeth, I've seen maybe a half dozen ankylosed teeth and I didn't need a radiologist to tell me which they were. Are ankylosed teeth an unrecognized problem in adults? Do patients pay for the Cat Scan or is it government subsidized? In the US excluding the new technology that some dentists are investing in, a CT scan and radiologist report is $700+. That seems a lot to screen for a problem that does not seem to have much clinical significance. Please have your friend enlighten us. (PS: I aologize for my poor english) charlie ruff
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I read with interest the radiologist examining the CT scan for ankylosis. As the post stated, it sounds like a lot of time for the radiologist to make this diagnosis. My question would be, how many were confirmed as ankylosed (by either lack of orthodontic movement, or suspected at exposure by lack of mobility) and how many were not. In other words, what was the accuracy of this diagnosis - how many false positives and false negatives? This sort of data would be extremely useful when utilizing this technology to identify such cases prior to months of traction or possible unnecessary surgery. Is anyone aware of such research or were these cases verified and what were the percentages? Thanks
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Original message:
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Dear Member of ESCO automatic digest system, My question for the group is how to burn the anchorage in friction mechnism of spaceclosure, at a stage where you do not want to retract more. Dr. chandrasekhar Sahoo Enjoy your reading!
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A resident just asked an interesting question: he is buying a small, urban/suburban practice with good potential. How should he market it or whom should he use to help him market it? Consultant, etc. thanks
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