Notes
Slide Show
Outline
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New tech questions…
  • Is it really better than what you use?
  • Or is it…
  • Technology for technologies sake? (Lots of this going on….)


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Has your doctor ever...
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So why would staff be interested??
  • A new technology may…
  • Alter your job description
  • Make you happy
  • Make you sad
  • Torque your jaws
  • Make you quit
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So new tech decisions should be
  • Consensus decisions!!!
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The process…
  • What is our problem?
  • Can new tech help us?
  • How?
  • Homework to be completed
  • Who, when and where
  • Report
  • Implement
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So let’s play with new tech…
  • Is it really better than what you use?
  • Or is it…
  • Technology for technologies sake?


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The Old Watch...
  • Accurate
  • Slips on easily
  • Time zone changes
  • Call Ma Bell time, set all clocks
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The New Watch...
  • Sets itself via the atomic clock
  • Button push for time zone changes
  • Adjustable wrist band


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How many time zones are there?
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Fly to New York and...
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FACES/Vail, CO…
  • Bill Proffit says:
  • There are time zones with 30 minute changes!
  • So the battery died and I threw it away…
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The eBook...
  • On line catalog and suggestions
  • Download with credit card
  • Stores 25 books
  • Touch word dictionary
  • Cost = $300
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The reality...
  • Slightly bulky
  • Difficult to see
  • Expensive
  • Holds 25 books
  • Immediate book availability
  • Who needs this??


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The iPod…
  • 2 - 40 GB
  • 8 hours (indicator)
  • 24 hours with 4 AA’s
  • Bill Clinton’s “My Life”
  • Portable hard drive storage
  • Automobile connections
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New technologies will make us much more efficient ...
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Some of the new ortho technology…
  • Brackets
  • Wires
  • Xray systems
  • Computer things…
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This very may well happen...
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Bracket (placement)…
  • OrthoCad
  • eModel
  • Orametrix (SureSmile)
  • Ormco’s Insignia
  • Lingualcare
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Computer things…
  • The Internet
  • Remote access for you and your patients
  • Video conferencing
  • The paperless office
  • Electronic treatment chart
  • Records sent electronically
  • Voice recognition
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Computers (continued)…
  • Fingerprint sign in, passwords
  • ePad document signing
  • The tablet PC
  • Touch screens
  • Light pens
  • The creative mouse
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So let’s use the radiology decision..
  • As an example of change
  • I will give you the homework facts
  • You decide on how you would have done this homework
  • And take the thoughts home
  • And share with your team…
  • This is a big one!!
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What are we all using?
  • Film
  • Indirect (phosphor plates)
  • Direct
  • Cone beam
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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!


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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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Directigital
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System costs….
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Planmeca/anode rotates...
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Sirona/anode translates...
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Ceph orientation...
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So the oldest company…
  • Scans horizontally
  • Landscapes the ceph
  • Has the newest machine…
  • Shall we trust them on their laurels?
  • Two installations in Charlotte, NC
  • 40 planned by the end of this year
  • AAO 2005, 100 + installations
  • Sirona mandible feature…
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Planmeca flavors…
  • Simple
  • Add mandibles
  • Add tomograms
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Trophy…
new on the block
  • Real time instant ceph exposure
  • FDA approved !!
  • Is now the Kodak 8000C
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Scan the moving sensor...
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Indirect digital
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Cassettes and Imaging Plates
  • 15 x 30 cm pan/tomo
  • 18 x 24 cm ceph
  • 24  x 30 cm ceph


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New system costs…
  • 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


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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 ++
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Question marks…
  • Support
  • Radiation levels
  • Image quality
  • Planmeca mandibles
  • Ceph orientation
  • The wiggle factor
  • One or two sensors/direct systems
  • Phosphor plate life/indirect systems
  • Cost


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So new tech decisions should be
  • Consensus decisions!!!
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The process…
  • What is our problem?
  • Can new tech help us?
  • How?
  • Homework to be completed
  • Who, when and where
  • Report
  • Implement
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THANKS!