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re: Maxillofacial surgeons recommendation?

Posted on 2/26/16 at 9:48 pm to
Posted by ruzil
Baton Rouge
Member since Feb 2012
18161 posts
Posted on 2/26/16 at 9:48 pm to
I think your concern may be a little overblown. You might be comparing a medical CT (1200 - 3300 microSv) vs a Dental cone beam (36 microSv).

I personally would not refer to an Oral Surgeon that does not have a cone beam. I think it is reasonable to do a preop CB as it provides the surgeon much more information to plan his surgery.

It is also useful in implant surgery and should result in higher success rates for implants.
Posted by Parallax
Member since Feb 2016
1458 posts
Posted on 2/26/16 at 9:55 pm to
A head CT radiation dose is not that high, relatively speaking, so I'm not in the camp of concern.

Not terribly familiar with cone beam CT (will google ), but what's the soft tissue resolution like?
Posted by MrSpock
Member since Sep 2015
5067 posts
Posted on 2/26/16 at 9:56 pm to
quote:

1/500 CTs results in a cancer


You have a link to this?
Posted by ParkerTiger7
BR
Member since Jun 2015
70 posts
Posted on 2/26/16 at 10:15 pm to
Looking at pictures from the google, cone beam is what i had. Don't know the difference between this and a regular CT, however.

All I know is I was told I would have a pre-op CT done to cover all the bases.

As an aside, the images that the surgeon used blew me away. I was fascinated with the whole thing (Except that he told me he saw what looked like two cavities in other teeth )
Posted by ruzil
Baton Rouge
Member since Feb 2012
18161 posts
Posted on 2/26/16 at 10:19 pm to
quote:

but what's the soft tissue resolution like?


Generally not good. OS mostly concerned with bone and teeth.
Posted by Parallax
Member since Feb 2016
1458 posts
Posted on 2/26/16 at 10:22 pm to
I assume good enough to locate the nerve, though?
Posted by shutterspeed
MS Gulf Coast
Member since May 2007
70668 posts
Posted on 2/26/16 at 10:25 pm to
I recommend a minimumillofacial surgeon.
Posted by mistre825
Member since Sep 2007
114 posts
Posted on 2/26/16 at 10:32 pm to
Son is an oral surgeon in Baton Rouge and father is an oral surgeon on the West Bank and in Bay St. Louis, Mississippi. I worked for one for 7.5 years and currently work for the other one so my vote obviously goes to Drs. Akin.
Posted by Blind Eye
Zachary, Louisiana
Member since Nov 2012
112 posts
Posted on 2/26/16 at 10:46 pm to
I refer patients to Rick Akin. He's extremely personable, and is painfully thorough. I've never had a complaint about him or his work. Literally the smartest guy I've ever met.
Posted by FrenchToast
The French Kitchen
Member since Jan 2016
1810 posts
Posted on 2/27/16 at 12:10 am to
Current dental CBCT technology allows for an Ultra Low Dose equivalent to that of a panoramic X-ray. There is only one manufacturer in the world of cone beam that can achieve this kind of safety without compromising image quality. And it's not typically the one most oral surgeons purchase for their office, sadly, if they even have one at all. In case you're interested, look for this brand CBCT unit, Planmeca.
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