Recently I created some videos for the guys on our CBCT Course to help them report the scans we give them as part of their ‘homework’. If you want to click here you can view the video.
If you’re interested in CBCT then why not have a quick look at it? The first part is a little bit procedural about how to open the file of what we give the delegates but the second part is a tour around a CBCT. This one is Sirona, so it shows you the different boxes and a little bit of the functionality of Sirona (just the beginners guide). It’s interesting to view CBCTs with other people and to talk to people that report them regularly because there really is no standard way of doing this. It seems to me that many of us miss out really important bits because we are reporting in isolation.
Some time ago we produced a standard CBCT report that has been developed and modified over time based on experiences, regulations and discussions with other clinicians. We use that to report our scans. It staggers me how many people don’t even understand the concept of reporting in MPR and why this is the most important view for reporting scans and measuring critical measurements, for example beneath the sinus or above the inferior dental canal.
It also staggers me that the companies that supply these machines don’t insist that people train properly to use them. It seems a short half-day or half an hour training with an engineer isn’t sufficient enough. While people are pointed in the right direction, the manufacturers and suppliers don’t seem to take any responsibility for effectively installing a loaded gun in someone’s practice and then walking away without giving any safety instructions. If you can’t report a CBCT scan properly then you have damaged the patient for no reason. Regardless of whether this is legal or not it is morally reprehensible. It’s not acceptable to buy a CBCT just to make money and not worry if things are reported or not. I have a strong belief that every CBCT that is taken within a dental practice should be reported before it leaves there.
I am still bombarded with cheap CDs with patients’ names written on them in marker pen from practices who pile out CBCTs on referral for £99 a time and never report them. Most of the time the views of these CBCTs are entirely wrong and the patient has been over exposed and often in a catastrophic way for a simple examination.
Regardless of the compliant issues related to that it is just rubbish and we all have a responsibility to know how to use the technology we have, particularly when it burns people with radiation.
We run a course on this for a select few people every year, the next one starts in June 2018. It’s in two parts, two days of teaching with The Campbell Academy guys including Michael Bornstein (Professor of Oral Surgery from Hong Kong and expert in CBCT) followed by reporting 20 scans at home and then having them marked and reviewed in the second stage of the course.
If you are interested let us know, the details are below.
http://www.campbellacademy.co.uk/master-class-courses-cbct-essentials
Blog post number: 1371
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