[Oradlist] Reading Cephs for a chiropractor

Allan G Farman agfarm01 at louisville.edu
Tue Jul 15 12:24:57 PDT 2008

I concur that while we should evaluate all tissues exposed, including the cervical spine, we should not be making spine series specifically for evaluation of conditions that a dentist or dental specialist will not treat. The OMR must be knowledgeable of the cervical spine anatomy and pathoses so that patients with incidental findings can be referred for appropriate treatment when necessary. 

Allan G. Farman, BDS, PhD, MBA, DSc, Diplomate ABOMR

Prof. Radiology & Imaging Science
Univ. Louisville School of Dentistry: SUHD
501 South Preston Street,
Louisville, Kentucky 40292, USA 

Tel: +1(502) 852.1241
Fax: +1(502)852.1626

>>> "Ruprecht, Axel" <axel-ruprecht at uiowa.edu> 7/15/2008 2:21 PM >>>


I agree with all those who have spoken. The ADA definition of OMR is


Oral and Maxillofacial Radiology: Oral and maxillofacial radiology is
the specialty of dentistry and discipline of radiology concerned with
the production and interpretation of images and data produced by all
modalities of radiant energy that are used for the diagnosis and
management of diseases, disorders and conditions of the oral and
maxillofacial region. (Adopted April 2001)


If an area shows up on your radiographs made for the oral and
maxillofacial region, that is one thing. If the images were made for
disease in another area, that is stepping outside of OMR. We may make
hand radiographs, or carpal index radiographs to deal with age
determination (regardless of whether you think that they are
particularly accurate), and that is part of dealing with "the diagnosis
and management of diseases, disorders and conditions of the oral and
maxillofacial region", especially orthodontics. If we saw abnormalities
we would comment, but more likely refer to someone whose area this is.
That would be fine. But we do not make hand radiographs to look for the
presence or absence of disease as the primary reason. 


I get asked here all the time if I can make hand or finger radiographs.
Answer, yes.

Will I make them because somebody thinks they broke their finger?
Answer, no. That is the practice of medicine.


The same applies for spine radiographs made for the spine, not for the
diagnosis and management of diseases, disorders and conditions of the
oral and maxillofacial region.








From: oradlist-bounces at lists.ucla.edu 
[mailto:oradlist-bounces at lists.ucla.edu] On Behalf Of Dania Tamimi
Sent: Tuesday, July 15, 2008 9:53 AM
To: oradlist at lists.ucla.edu 
Subject: [Oradlist] Reading Cephs for a chiropractor


 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
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).


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