DR RONEL PODDE INC
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The mystery of teeth unveiled

6/3/2015

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Succeeding by the skin of teeth used to very aptly describe the dental profession. Before advances in technology dentists had to often rely on what a patient reported as ailment, combined with a healthy dose of intuition, experience and skills accumulated during years of studying and practice.

Patients have luckily not been proverbial guinea pigs since x-ray technology enabled dental practitioners to lift the mysterious veil off the solidity of teeth and surrounding tissues and bone structures.

X-rays have for long been a contentious subject. The value of sight further than the naked eye is capable of needs to be weighed against potential risks that increase with excessive exposure to radiation that could lead to cancer, thyroid problems, and even infertility.

Technology has advanced beyond the first versions of x-ray equipment and now delivers significantly less radiation to patients and operators. Three-dimensional digital x-rays provide images from angles that are impossible to produce with two-dimensional imagery equipment. One of these technologies is called Cone Beam Computed Tomography (CBCT).

In less than a minute, CBCT scans provide clear images of bone, muscle, and blood vessels and are used for implant placement planning, orthodontics planning, and diagnosis and treatment of musculoskeletal disorders and injuries. These scans deliver radiation in doses up to 100 less than traditional CT scans.

Two-dimensional x-rays of teeth, like panoramograms, are limited in their functionality as teeth and surrounding bone structures can only be viewed from limited angles. This might for instance hide an unintended slant in an implant, which could lead to complications ranging from infection to nerve damage. Three-dimensional scans that can inform a dentist from all angles, and show the location of both hard and soft tissues significantly reduces the risk of invasive dental procedures.

As CBCT scanners are very expensive it is not possible for every dental practice to have the technology on site. Dr Ronel Podde regularly provides support services for other dental practices that wish to provide their patients with the very best dental care. The patient will be referred to us for the necessary scans and production of an implant guide which they can then take back to the referring practitioner for completion of the implantation procedure.

This allows patients to benefit from the best of both worlds; the latest advances in digital dentistry as well as treatment by a dental practitioner of their choice.

There are several other digital x-ray options available to dental patients:
  • Cephalometric scans

    Ceph x-rays are used to look at the teeth in relation to the jaw and profile, which is often used to determine the best type of orthodontic treatment.

  • Intra-oral x-rays
    
Intra-oral x-rays are often helpful in determining the cause of pain in a specific tooth because it allows dentists to visualise the tooth as well as the surrounding bone.

  • Hand and wrist x-rays

    Each patient follows a unique growth cycle that impacts the type and duration of dental treatment necessary. Hand and wrist x-rays enable dentists to plan the best treatment for each individual patient.
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Sien jou tandarts goed genoeg?

4/3/2015

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Click here to read the English version of this article
Die ou idioom dat iemand wat braaf is hare op hul tande het is vir niemand meer waar as vir tandartse nie. Voordat tegnologie vir die tandheelkunde industrie ontwikkel is kon tandartse slegs behandeling toedien gebasseer om dit wat die pasiënt kon vertel, gekombineer met die kennis wat hulle tydens jare van studie en ervaring opgedoen het.

Pasiënte hoef gelukkig nie meer as proefkonyne te dien nie vanaf x-straal tegnologie die soliedheid van tande en omliggende strukture minder misterieus gemaak het.

X-strale is vir lank al ‘n onderwerp wat teenstrydige opinies uitlok. Die waarde van sig verder as waaroor die naakte oog beskik moet opgeweeg word teen die potensiële risikos van ‘n oormaat blootstelling aan bestraling wat later van tyd kan lei na kanker, sklidklierprobleme en selfs infertiliteit.

Tegnologie het gelukkig al baie gevorder en nuwerwetse x-straal masjiene lewer aansienlik minder skadelike bestraling. Daar is ook masjiene wat ‘n drie-dimensionele aansig van dele van die menslike liggaam moontlik maak, wat nie met die naakte oog of tradisionele twee-dimensionele x-strale sigbaar is nie. Een van die nuutste tegnieke is sogenaamde Cone Beam Computed Tomography (CBCT).

CBCT skanderings produseer in minder as ‘n minuut akkurate voorstellings van been, spiere, en bloedvate moontlik. CBCT skanderings word gebruik vir veral die beplanning van tand implantaat plasing, ortodontiese behandeling, sowel as die diagnosering en behandeling van verskeie kaak en tandbeserings. Die tegnologie lewer tot 100 keer minder bestraling aan pasiënte as gewone CT skanderings.

Twee-dimensionele x-strale van tande, soos ‘n panoramogram, is bedrieglik omdat dit nie ‘n aansig van alle moontlike hoeke af verskaf nie. ‘n Implantaat kan byvoorbeeld perfek geplaas lyk op ‘n twee-dimensionele x-straal, maar heeltemal skeef wees van ‘n ander hoek af. So ‘n implantaat dra die risiko van senuweeskade wat kan lei tot moontlike verlamming van gesigspiere.

Aangesien die CBCT skandering tegnologie baie duur is, en ook in vir elke pasiënt se behandeling benodig word nie, kan alle tandarts dit nie in hulle praktyke aanhou nie. Dr Ronel Podde het egter ‘n CBCT skandeerder en die kennis om die voordeel van die tegnologie aan pasiënte van ander tandheelkundige praktyke ook te kan bied.

Hierdie diens is veral nuttig vir tandartse wat implantate as deel van hul dienste aanbied aangesien daar as deel van ‘n CBCT skandering afspraak ‘n gids vervaardig kan word wat die pasiënt na hulle verwysende tandarts kan terugneem om gebruik te word gedurende die voorgeskrewe behandeling. Sodoende ontvang die pasiënt die voordeel van vermindering in risiko terwyl hulle behandeling ontvang van ‘n tandarts waaraan hulle gewoond is, en tandartse het die gemoedsrus dat ‘n implantaat akkuraat geplaas is gebasseer op die drie-dimensionele skandering.  

Daar is verskeie ander digitale x-straal opsies wat beskikbaar is aan tandheelkunde pasiënte:
  • Cephalometriese skanderings:
    
Hierdie skadenrings word veral gebruik in die beplanning van ortodontiese behandeling aangesien dit tande in verhouding met die kakebeen en profiel besigitig.

  • Binnemondse x-strale
:
    Indien daar ‘n spesifieke tand of area in die mond is wat seer is, maar daar is geen sigbare skade nie, kan ‘n binnemondse x-straal ‘n tandarts help om die tand en omliggende weefsel deeglik te bestudeer sonder om onnodige prosedures te doen.

  • Hand en gewrig x-strale:
    
Vir langer termyn behandeling, soos byvoorbeeld met kinders wat vinnig groei, kan hand en gewrig x-strale ‘n tandarts die nodige insig gee om behandeling te beplan wat die natuurlike groei van die beenstruktuur van die pasiënt se liggaam in ag neem.
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