Cone Beam Computed Tomography

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Cone Beam Computed Tomography

  1. 1. Cone Beam Computed Tomography
  2. 2. Cone-beam Units NewTom 3G by AFP MercuRay by Hitachi 3D Accuitomo by J. Morita Galileos by Sirona I-CAT by ISI Iluma by IMTEC
  3. 3. Comparative Dosimetry Effective dose (  Sv)
  4. 4. Dental Applications <ul><li>Broad acceptance in dentistry last five years </li></ul><ul><ul><li>Orthodontic treatment planning </li></ul></ul><ul><ul><li>Dental implants </li></ul></ul><ul><ul><li>Temporomandibular joints for osseous degenerative changes </li></ul></ul><ul><ul><li>Evaluation of wisdom teeth vs. mandibular nerve </li></ul></ul><ul><ul><li>Disease </li></ul></ul>
  5. 5. Cephalometric Analysis Uneven magnification distortion Dolphin Imaging
  6. 6. Cephalometric Analysis
  7. 7. Bureau Issues <ul><li>How to regulate these sources? </li></ul><ul><ul><li>Appears that FDA has classified them as CT </li></ul></ul><ul><li>If CT, subject to QA requirements </li></ul><ul><li>If CT, limited licensed technologists prohibited from operating unit </li></ul><ul><li>Your thoughts? </li></ul>
  8. 8. Suggested Regulatory Approach <ul><li>Advise all CBCT registrants that FDA classifies as CT (Once we officially confirm) </li></ul><ul><li>Advise registrants that only the Dentist, Physician, Dental Hygienist(?) or Diagnostic Technologist can operate CBCT </li></ul><ul><li>Provide registrants 90 days to develop and 180 days to implement alternative QA program as permitted by N.J.A.C. 7:28-22.3(g). </li></ul>

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