The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

1. What is a health care team??What is a health care team??
To Teach…
To Serve & treat…
To Discover….
Together,
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INDIAN DENTAL ACADEMY
Leader in continuing Dental Education

2. My presentation largely comprises of a review on the
advancements in dental imageology over the years
and our role as an oral radiologist in delivering an
interdisciplinary care to meet the complex needs of a
patient and the health care team.
Good health care
is always a
team effort!!
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3. We have come a long way….
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4. www.indiandentalacademy.com
Indian Dental academy
• www.indiandentalacademy.com
• Leader continuing dental education
• Offer both online and offline dental
courses

5. • Computed tomography
• Magnetic Resonance
Imaging
• Positron Emission
Tomography (PET)
• Fusion Imaging
• Digital subtraction
• Ultrasonography
• SPECT
• Thermography
• 3D Reconstruction
Imaging
• Image guided Surgery
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6.  Sensitive in defining the extent of the disease
 Early detection of what would not have been apparent
on conventional radiograph.
 Grading and staging of tumors
 Superior soft tissue imaging
Advanced Imaging …. An effective adjunct to Conventional
Conventional – the first step of the ladder in imageology,
the Foundation and undoubtedly the most widely used.
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7. ADVANCED IMAGING MODALITIES IN DETECTION
OF SYSTEMIC DISEASES
Coronal CT - Brown tumor in left maxilla
in early stages of hyperparathyroidism
Same patient after 3 months
Cone beam CT scan
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8. Mass in the sella turcica
Coronal MPR showing
Suprasellar extension
CONT… IN THE DETECTION OF PITUITARY ADENOMAS
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9. Showing calcification of infralingual
& retromandibular veins
Showing loss of buccal mandibular
cortex but not the lingual
From - Dentomaxillofacial radiology 2001
CONT…. IN A PATIENT WITH RENAL OSTEODYSTROPHY
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10. MRI with its additional superior soft tissue contrast and
multiplanar facilities reveals the internal structures
more efficiently
Same patient showing
varying signal intensity
throughout the mandible
From - Advanced imaging of renal osteodystrophy - J Dentomaxillofacial
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11. CONT….IN DETECTION OF ORO FACIAL PAIN
Newer techniques like MR Arthrography and MR
cisternography for identification of Trigeminal nerves
at the root entry zone.
T1 Weighted MR image – axial
Contrast enhanced
3 D MR Arthrography showing
the left vertebral arterywww.indiandentalacademy.com

12. Defect in the right
side of the cribriform
plate
Focal contrast material
leakage (arrow) into the
right midethmoid
region.
Focal ethmoid contrast
material leakage (arrow).
- From RSNA – January 2002
Cont… In Detection Of CSF Rhinorrhoea
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13. PET-CT (fused image). Clear evidence
of vertebral metastasis.
Metastasis of parotid adenocarcinoma to
cervical vertebra. Focal uptake is evident
No evidence of vertebral lesion.
From - J Oral Maxillofac Surg 2006.www.indiandentalacademy.com

14. Sound with a sight….ULTRASOUND
Early identification of metastatic changes like
enlargement, round shape, calcifications, necrosis etc are
of prognostic importance in staging of cancers
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15. www.indiandentalacademy.com

16. 3D RECONSTRUCTION FOR VIRTUAL SURGERIES IN
TRAUMA CASES….
Pre treatment scan model Simulation of surgical Virtual surgery on
correction
Steriolithographic
model
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17. Found its application in forensics, in facial
reconstruction of fossil remains, identification in
mass disasters….
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18. 3 D reconstruction in cleft palate cases
As per one study conducted by Stephen Richmond et.al. in UK , an average
face was constructed using 3D reconstruction technology and laser
scanning software.
From -The 3-Dimensional Construction of the Average 11 year old
child face: A Clinical Evaluation and Application Journal of Oral and
maxillofacial Surgery (2006)www.indiandentalacademy.com

19. IMAGE GUIDED SURGERY
Thermography
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20. Newer Techniques Further Enhancing
Communication With The Health Care Team
TELERADIOLOGYwww.indiandentalacademy.com

21. PACS further simplified access to images obtained from
remote places by allowing a web based system for
storage, retrieval, distribution and presentation of
images
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22. Cell phones using the Data Acquisition
Device to transmit radiographic images
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23. Paths yet to be illuminated…..
 Super computers to predict the
risk of bone fracture.
Noninvasive microchip
incorporations in dental hard
tissues
Health education via automated
continuous communications via
SMS which are faster and easier
World today is the result of
innovative discoveries &
inventions, but sadly,
technology takes a longer
time than it should to
reach
the common man
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24. Although a major breakthrough, advanced imageology
faces certain limitations of cost effectiveness, technical
suitability and usability, reach to the common man
etc..
As an oral physician, diagnostician, and radiologist the
time has now come to reestablish ourselves to the new
domains of technology and its applications.
Let us ask ourselves :
in par with the advancing front of
technology making it feasible to one and all thereby
achieving the goal of care in a health care team.
??
Are we
We are
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25. Thank You !!
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