[Oradlist] terminology

[SDGIMPLANT at aol.com]

In a message dated 10/2/2006 10:27:37 AM Eastern Standard Time,  
axel-ruprecht at uiowa.edu writes:

Greetings  
I was asked the following by a  colleague in Periodontology, who is reviewing 
the accreditation standards for  Periodontology. I could provide my answer 
but thought that I would ask for  comments from the group. 
One of our current  standards reads as follows: 
The educational program must  provide training to the level of proficiency 
for the resident  to: 
interpret radiographs as they  relate to the diagnosis of periodontal disease 
and dental  implants. 
Here are my  questions: 
1. Does the term radiographs  include CT scans? 
2. Or, would our wording be more  correct if we said, " interpret 
radiographic images as they relate to the  diagnosis of periodontal disease and dental 
implants"?  (intent being to  include periapical, panoramic, digital, CT scan 
images) 
Or,do you have a suggestion  for more appropriate wording? 
OR would the  following be preferred: 
"interpret radiographs and other  diagnostic images as they relate to the 
diagnosis of periodontal disease and  dental implants"? 
I personally think that CT is  included, in that it is an image (or images) –
graph(s), produced by x  radiation. radio- Therefore = radiograph(s) 
Axel Ruprecht D.D.S., M.Sc.D., F.R.C.D.(C),  
Diplomate, American Board of Oral and Maxillofacial  Radiology
Gilbert E. Lilly Professor of Diagnostic  Sciences
Professor and Director of Oral and Maxillofacial  Radiology
Professor of Radiology
Professor of  Anatomy and Cell Biology
The University of  Iowa
http:\\ruprecht.radiology.uiowa.edu
319-335-7341

Hi Axel -
 
Having lectured world wide on this topic for over 15 years,  the rest of the 
world has some advantage in that many countries use CT far more  than the US 
has.  That is certainly changing now.  Yes, I think that  CT imaging would be 
included in the definition, just like digital radiography as  we move away from 
film.   I would also prefer the second  example:
"interpret radiographs and other  diagnostic images as they relate to the 
diagnosis of periodontal disease and  dental implants"? 
You might also be interested in the following recent publication which  
supports the use of CBCT for diagnosis of periodontal defects - as it gives a  
three dimensional appreciation of the bone anatomy with more detail than any two  
dimensional modality.  Therefore the definition may be expanded to include,  
"two and three dimensional diagnostic imaging modalities."
 
 
Misch, KA, Yi ES, Sarment, DP Accuracy of cone  beam computed tomography for 
periodontal defect measurements. J Periodontol.  2006 Jul;77(7):1261-6.
 
Hope this helps!
 
 
__________________________________________________
Scott D.  Ganz, DMD
Prosthodontics, Maxillofacial Prosthetics & Implant  Dentistry

158 Linwood Plaza - Suite 204 Fort Lee, NJ 07024
TEL: (201)  592-8888  FAX: (201) 592-8821

Website:  _http://www.drganz.com/_ (http://www.drganz.com/) 
CT Imaging  Forum:   _CT  IMAGING FORUM_ 
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