Notes
Slide Show
Outline
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RADIOGRAPHY…
  • Is it time to switch to a digital system?
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The problem…
  • 13 + systems!
  • AAO 2005 One hour
  • AAO 2006 20 minutes!
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What to do ??
  • Film
  • Indirect
  • Direct
  • Cone beam??
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Consider switching if...
  • You outsource to a lab
  • Hardware is wearing out
  • Images on the network without scanning
  • Recapture the darkroom space
  • Become more efficient
  • The bottom line…
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Use a film based system...
  • It works!
  • Don’t need the darkroom space
  • Don’t need radiographs on the network
  • Or you’re OK scanning film
  • Hardware is working well
  • Cost is minimal
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Indirect digital…
  • Hardware is in good shape
  • Become more efficient
  • Images on the network without scanning
  • Recapture the darkroom space
  • Save some money!


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Direct digital…
  • Hardware is tired
  • Become more efficient
  • Images on the network without scanning
  • Recapture the darkroom space
  • Spend some money!


10
Digital radiography gets rid of...
  • Film processing time (= scanning time?)
  • The darkroom
  • The processor
  • Processor maintenance
  • Film and chemical costs
  • Chemical disposal costs
  • Film scanning time


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New system costs…
  • Panoramic/film or $25/film 12.5 K
  • Digident/indirect             18 K
  • Denoptix/indirect         20 K
  • ScanX/indirect 22 K
  • Digora/indirect 28 K
  • Gendex   43 K
  • Trophy/direct 50 K
  • Instrumentarium/direct    59 K
  • Planmeca/direct 72 K
  • Sirona/direct       72 K


12
Acquisition speed...
  • Kodak/direct (ceph) 1 sec
  • Instrumentarium/direct 20 sec
  • Sirona/direct  20 sec
  • Planmeca/direct        20 sec
  • ScanX/indirect 30 sec ++
  • Digident/indirect 90 sec +
  • Digora/indirect 90 sec +
  • Denoptix/indirect 4.5 min ++
  • Panoramic/film N/A
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Question marks…
  • Support
  • Radiation levels
  • Image quality
  • Ceph orientation
  • The wiggle factor
  • Cost


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Support...
  • Who do I call when my system goes down?
  • What happens and when?
  • Vendors don’t know!
  • Talk with end users
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Radiation levels...
  • Angle Orthodontist, June 2001
  • Sirona direct reduces by 50%
  • It appears the direct systems do reduce the exposure
  • Indirect appears to be the same as film
  • Cone beam = 4-7 panorex films
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Image quality appears equivalent for all systems..
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Ceph orientation...
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The wiggle factor…??
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No wiggle factor…
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Cost...
  • All over the ballpark!
  • AAO - 75 K system sells for 54 K!
  • PCSO – 85 K Sirona sells for 60 K!
  • Shop it!
  • Cone beams…watch the new ones!
22
Cost...
  • “Doc, you’re gonna’ save so much money on film and chemicals, you’ll pay for this system in a year!”
  • There are two sides to this coin: Money saved Money spent
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In 1999 (last year on film)...
  • 381 panos $438
  • 250 cephs   328
  • Chemicals                     297
  • Processor maintenance   576
  • Scanning time   504
  • Chemical disposal        -0-
  • Total cost            2,143
  • Your use of radiographs => $$$


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Your use of radiographs...
  • Panorex for all exams
  • Panorex and ceph for all starts
  • Periodic panorex for roots
  • Panorex and ceph for all final records
  • Third molar panorex
  • How many radiographs will you take?
  • How will you charge for them?
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Your choices...
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Your choices...
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Your choices...
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The problem…
  • 13 + systems!
  • AAO 2005 One hour
  • AAO 2006 20 minutes!
  • What to do?
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THANKS!