[Oradlist] Input for maxillary implant imaging request

[Ruprecht, Axel]

Elaine

Your approach sounds good to me. What is the well known institute. The Culinary Institute of America?

Rgds
Axel

From: oradlist-bounces at lists.ucla.edu [mailto:oradlist-bounces at lists.ucla.edu] On Behalf Of eorpe at aim.com
Sent: Thursday, March 26, 2009 3:04 PM
To: oradlist at lists.ucla.edu
Subject: [Oradlist] Input for maxillary implant imaging request

One of my former students suddenly has started requesting that I image all implant planning cases for the maxilla superiorly to include the orbits. I have always used the approach of “as small a field of view as will encompass the region of interest”.  None of my other referrers, including OMF surgeons and periodontists, have objected to this scan volume previously (I usually try to include the bottom half of the maxillary sinuses).  I assumed that this person had not independently derived the protocol, and contacted him to find out the source.  He informed me that the very well known "institute" he is studying with requires that the entire osteomeatal complex be imaged. This seems to me to violate the current guidelines our academies have published and circulated.  Furthermore this would exclude the use of moderate or limited field of view CBCT (which I prefer and recommend).  The opinion that I gave to him is that a more moderate scan would be adequate to determine whether sinus pathology will impact the treatment protocol, and if such pathology is detected it should be left to our medical colleagues to determine whether additional imagin g is ne eded.

Has any one else encountered this?  Any comments on how to proceed?

Elaine Orpe
Private practice, Vancouver Canada

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