[Oradlist] Reading Cephs for a chiropractor

[Garnet Packota]

We should be careful about this.  Some chiropractors practice neck 
manipulation, a procedure that some consider controversial and that has 
led to some lawsuits.  In the event of  a lawsuit against a chiropractor 
following neck manipulation, a report on the cervical spine could be 
brought in as evidence.  If that happens, the individual who provided 
the report may need to justify that he/she is knowledgeable about the 
normal appearances and/or potential pathological conditions of the 
cervical spine. 

M.Mupparapu, DMD wrote:
> Hi Dania:
>  
> If the chiropractor refers the radiographs for the evaluation of the 
> entire cervical spine and part of upper thoracic spine, they are more 
> likely spine series rather than a Ceph as the visualization of the 
> spine via the ceph positioning is not the best.
> Moreover, adequate reporting can not be done with lateral views only 
> unless they are used to demonstrate kyphosis or loss of the normal 
> lordosis only. The diagnosis of cervical spine pathoses solely without 
> the inclusion of maxillofacial structures may fall outside of the 
> practice of OMFR. We all read and report the maxillofacial plain films 
> and even CBCT and remark on the status of the cervical spine as part 
> of the entire evaluation, but not the cervical spine solely.
>  
> If you are reading the Cephs for detection of maxillo-madibular 
> deficiencies and or pathoses along with comments on the visualized 
> cervical vertebrae, then you are probably practicing within the scope 
> of OMFR.
>  
> Even Chiropractors are switching to CBCT these days and perhaps for a 
> good reason.
>  
> cheers,
>  
> Mel Mupparapu
> New Jersey Dental School
> Newark, NJ
>
>  
> On 7/15/08, *Dania Tamimi* <daniatamimi at hotmail.com 
> <mailto:daniatamimi at hotmail.com>> wrote:
>
>      
>      Hello everyone,
>      
>      I am hoping for a quick show of hands as to how many OMFRs:
>      
>     a) would consider reading cephs for a chiropractor (ie thorough
>     evaluation of the entire cervical spine and part of the upper
>     thoracic spine).
>     b) have had such training incorporated into their practice.
>      
>     Also, would this fall into the scope of practice of an OMFR?
>      
>     These questions have arisen from a request by a chiropractor to
>     interpret films for him. Although I feel confident of my knowledge
>     of this area of the body, I'm not sure how it all plays out in the
>     grand scheme (across dental/chiropractor boards lines).
>      
>      Dania
>
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> -- 
> M.Mupparapu, DMD, MDS, Dip.ABOMR
> Professor, Dept of Diagnostic Sciences
> Director, Division of Oral & Maxillofacial Radiology
> UMDNJ- New Jersey Dental School
> Newark, New Jersey 07101-1709
> http://dentalschool.umdnj.edu
> http://www.umdnj.edu
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-- 
Dr. Garnet V. Packota
Oral and Maxillofacial Radiologist
College of Dentistry
University of Saskatchewan

Mailing address:		Dental Clinic
			University of Saskatchewan
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			Saskatoon SK 
			S7N 5E4  CANADA
Telephone:		(306)-966-5068 or 5073
Fax:			(306)-966-1795
e-mail:			garnet.packota at usask.ca
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