Friday: 8:30 AM-5:00 PM
Saturday: 8:00 AM-3:30 PM
The Forum, 4825 Bethesda Avenue, Suite 310 Bethesda, 20814
Course I, May 1-2, 2020
Other Course Dates are FULL
“Use of Cone Beam Computed Tomography (CBCT) in Endodontics, Course I”
Martin D. Levin, DMD Diplomate, American Board of Endodontics, Adjunct Professor of Endodontics, University of Pennsylvania
Barry Pass, DDS, PhD Diplomate, American Board of Oral and Maxillofacial Radiology, Professor, Department of Oral Diagnosis and Radiology and Department of Physics and Astronomy, Howard University
Thomas Winkler, MD Diplomate, American Board of Otolaryngology, Clinical Assistant Professor, Department of Otolaryngology, Georgetown University Medical Center
Endodontic therapy depends on diagnostic radiographs and image-guided treatment. Periapical and panoramic radiography have been augmented by the recent introduction of high-resolution CBCT, allowing three-dimensional assessment of odontogenic and non-odontogenic lesions, canal morphology, root and alveolar fractures, resorptive lesions and anatomy prior to surgery. This course will highlight the advantages of CBCT imaging in light of recent research demonstrating a significant increase in lesion visualization when compared to periapical radiographs. Particular emphasis will be placed on interpretation and documentation skills along with explaining a systematic approach to radiographic assessments.
- Describe the endodontic applications of CBCT.
- Describe limited field high-resolution CBCT imaging and how it differs from standard dental CBCTs and medical CTs.
- Understand how volumetric analysis improves detection of endodontic and non-endodontic pathosis.
- Learn how to select cases for limited field CBCT assessments.
- Describe the four radiographic features common to lesions of endodontic origin.
- Understand how CBCT radiation exposure compares to periapical, panoramic and medical CTs.
Please join us for this two-day course. We will explore the benefits of adding CBCT to an endodontic office setting, including, training, implementation, consent process, radiologist over-reads, and marketing.
Established and new practices can benefit. Position yourself for the future with this highly practical and motivating seminar.
What is CBCT and How Does it Work?
- Principles of CBCT
- Comparison of panoramic, CBCT and medical CT imaging
- Advantages of limited field CBCT
- Dosimetry of CBCT -biologic effects of radiation dose relevant to endodontic CBCT assessments. Absorbed, equivalent and effective dose and their units; comparative does for 2D and 3D imaging.
- Orthogonal planes
- Field of view (FOV)
- Principles of CBCT image production -resolution, windowing, levels
Interpretation of CBCT Volumes
- Systematic interpretation of CBCT scans
- How a radiologist analyzes CBCT volumes
- Common interpretation errors and artifacts
- Understanding medical history and chief complaint: CBCT
- Assessment of artifacts
- Reporting on cross-sectional images, methods and conventions
- How and when to have a volume over-read by a radiologist
Evidence-Based Endodontic Applications
- Clinical decision making
- Diagnosis and treatment planning
- Acute and chronic periradicular abscesses
- Revision therapy
- Root fracture
- Resorptive lesions (internal, external and cervical)
- Intra-operative uses
- Occult findings
The Paranasal Sinuses: Anatomy, Physiology and Pathology, Significance for Endodontists
- Sinus anatomy and physiology
- Focus on maxillary sinus pathology and radiographic findings
- MSEO: Maxillary Sinusitis of Endodontic Etiology
- When to refer patients for ENT evaluation
Legal Issues, Referrals and Consent Process
- Legal aspects of CBCT involving acquisition, interpretation and a discussion of stakeholder responsibilities along with risk estimates pertaining to radiation dose associated with this technology.
- Understand the elements of the written referral process and disclaimer
- Patient “Record of Discussion and Consent Form” and “Record of Discussion and Informed Refusal.”
- Cost effective tools for practice building using CBCT: lunches, lunch groups, office receptions, newsletters, broadcast emails, educational meetings for referring doctors, study club meetings and the Internet.
- New concepts for promoting your practice, including: publicity, public relations and branding.
- Creating a Web site that communicates your vision of creating a patient-centered experience.
- Patient education materials
- A virtual tour of our office with a review of office construction details, materials, design concepts and installation of the CBCT unit. This part of the seminar is a must if you are considering adding a CBCT unit, remodeling or constructing a new office.
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