:usa CM1995, I'm getting tired. It's gonna be midnight soon here in Tennessee, I just don't know what day. . . .
Here's a link to what I've been studying on. Like the equip discussed on HEF, this stuff comes in all shapes and sizes. The stuff is pricey. In all fairness, some of it is truely amazing. The problem or changing standard that dentists face is this: Probably 1/2 or 2/3 of what's happening around the roots or in the jaws is hidden by other structures when imaged by 2-D ( traditional dental x-ray). So here's some of the logic: Take a 2-D film, and if you see something suspicious, take a 3-D film (if you happen to have a cone-beam CT sitting there depreciating 40% per year due to the lightening-speed that technology changes), or refer the patient out to somebody who has the CBCT-3D.
But wait: Duh. If the developing problems are hidden, masked on the 2D films, you ain't gonna see 'em, so you won't see the need to take the 3D film. Is that so difficult to understand? The problem is that a) the machines cost $ 100 K and up and b) patients and insurance companies want you to justify the need for the 3D image based on something else you see ( See 1st sentence in this paragraph.)
It gets worse. If a patient has something wrong, and we don't find it, we're "liable" unless we can prove otherwise. The patients and the insurance companies have all the rights, we have the responsibilities.
Before I drop for the night, consider this: Heard of the American's with Disabilities Act? Sure you have. My favorite roadbuilder cuts the curb and sidewalk at every corner when they repave the city streets, installing handicap ramps. The act is a good thing--it helps a lot of people move about and function to the maximum extent possible.
The Feds have long held that dental offices are "places of public accommodation, regardless of whether my office is a "private" clinic or not. So, those ( you pick the descriptor ) have declared that--you ain't ready for this--that a dental office's web site is an "extension" of the accomodations and services provided, and thus the feds have declared that our websites will have to be fully accessible to folks with disabilities.
Hmmm. I ain't as smart as I look in my picture. I can't figure this out. We supposed to make our webpages talk, for those with vision impairment? Ah, but a patient pointed out, suppose the person is blind? Some kind of touch-pad braille output device would work--there are some of those out there. <http://www.engadget.com/2004/06/08/rotating-text-to-braille-converter/>. All we have to do is convert our websites to translate and stream all the features of the website out in a format that the touch device can interpret. But suppose the handicapped person is blind, deaf, and has mashed their fingers off trying to help Atco?
The gov'ment doesn't really care how we do it, it's the law, they say, and we gotta do it. Now who you reckon is gonna pay for that? Did you ever here anyone is Washington fuss about the cost of health care in the US? Horse pucky, I don't spend 1/2 my time actually delivering health care anymore, it's all the other stuff that has been shoved upon us.
If your Flash Player works (mine did, but it doesn't now--the darn auto-updaters update it to Flash 10.1 or 10.2, which is not compatible with the 64-bit Win 7. . . and there is no going back!) , take a look at the stuff on this site. It will take a few years, but eventually every dentist will have or have access to some variant of this machine. <http://www.prexion.com/dental/guidedtour.html>
But they won't all have skid-steers, grapple buckets, 4 in 1's, and trenchers! :cool2
Nighty night .:usa