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Medical Forum / General / Dentistry / July 2007

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Digital X-Rays

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Bob Adkins - 26 Jul 2007 13:52 GMT
I know they're a Godsend to dentists because of low radiation
exposure, and quick and easy filing and retrieval.

However, I wonder how much resolution is lost in comparison to film
X-rays? I wonder how often they cause misdiagnosis, if at all?
-

Bob
Amatus Cremona - 26 Jul 2007 14:49 GMT
Been using digital for ten years.

I would say resolution, when viewed at the same size as the 1" X 2" film, is
equal............   But,,,,,,,,,,,,,,,, with digital you can magnify 100X,
you can modify the contrast and brightness.  So you can use one film where
you would have taken 2-3 in the past, and you can see much more.  I would
never practice with film again.  The image begins to pixilate when you
magnify it big enough that the entire image would fill a 5 foot x 5 foot
screen.

It is not perfect, but you can see much more and find caries much sooner
(smaller).

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Amatus

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>
> I know they're a Godsend to dentists because of low radiation
[quoted text clipped - 5 lines]
>
> Bob
Bob Adkins - 26 Jul 2007 16:54 GMT
>Been using digital for ten years.
>
[quoted text clipped - 8 lines]
>It is not perfect, but you can see much more and find caries much sooner
>(smaller).

Glad to hear that.

I guess it's a matter of time until a wireless model comes out. Shoot
the X-Ray, and it immediately starts uploading to the computer. By the
time the assistant takes the infernal device is out of my mouth, I
could see it on the screen. :D
-

Bob
Amatus Cremona - 26 Jul 2007 17:38 GMT
The wireless sensors are already available.  They do not work in every
office, though.  Has to do with stray radio waves in the immediate
environment.

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Amatus

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>
>>Been using digital for ten years.
[quoted text clipped - 20 lines]
>
> Bob
George - 27 Jul 2007 18:07 GMT
> The wireless sensors are already available.  They do not work in every
> office, though.  Has to do with stray radio waves in the immediate
> environment.

They were also quite big last time I checked. Won't be comfortable in
every patient's mouth.

Regards,
George
Amatus Cremona - 30 Jul 2007 11:29 GMT
That is why I have both an electronic sensor and Phosphor plates in my
office.  The phosphor plates are thinner and softer than film (same sizes as
film).

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Amatus

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>> The wireless sensors are already available.  They do not work in every
>> office, though.  Has to do with stray radio waves in the immediate
[quoted text clipped - 5 lines]
> Regards,
> George
Mark & Steven Bornfeld - 26 Jul 2007 15:35 GMT
> I know they're a Godsend to dentists because of low radiation
> exposure, and quick and easy filing and retrieval.
[quoted text clipped - 4 lines]
>
> Bob

    I believe the studies still say that resolution of film is better than
digital, but I can't see it.  In any case, that assumes the film is not
old, the developer is good, etc. etc.
    I would consider them equivalent, and expect I'll be making the move in
the not too distant future.
    The ironic thing is that digital films with reused sensors came in just
when sterility and cross infection became big issues in dentistry
(again) with the emergence of HIV.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Amatus Cremona - 26 Jul 2007 16:02 GMT
You re-use the sensor or the phosphor plate, but throw away the vinyl
wrapper.  Sterility is actually easier since you don't have to transport the
contaminated vinyl wrapper out of the room.

And,,,,,,,,,,,,,,,,,,,, almost every single digital image is useful.  With
film,,,,,,,,,,,,,, well,,,,,,,,,,,,,,, hmmm,,,,,, well,,,,,,,,,,,,,,,, maybe
90% ????

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Amatus

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>>
>> I know they're a Godsend to dentists because of low radiation
[quoted text clipped - 14 lines]
>
> Steve
 
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