3D Cat Scans in Dentistry P2

As biologic dentist we go with the concept of trying to see the whole body, the head and neck is part of the whole. Frond, Darwin, Einstein, Adam, Smith were considered hedgehogs. Even though it may seem to be simple it’s not really. He had a model that you could look at and these three spheres in the centre, the black area that he called the hedgehog concept.

 

What are you deeply passionate about? This is for companies, this sent for us. What can you be the best in the world at?  Those were his words and I thought it was intimidating but at least what can you be great at and what drives your economic engine. He talks about technology and I think that’s important because he says technology can become an accelerator of momentum but not a creator of it and so I thought that it was important to talk to this group about. I’m not here to tell you that if you get a  cat scan you are now a biologic dentist and you’ve got all the answers but the technology is important and he goes on to say ” does the technology fit directly with your hedgehog concept? If it does then you need to become a pioneer in it “and I think that’s true. my hedgehog concepts gets rid of mercury , eliminate infection , reduce  or eliminate  metals , do excellent dentistry  and compliment the dentistry with physiological support.

 

I’ve spent a lot of time looking at the whole body. I’ve spent the time with D Trek and Dr Amira and I’ve went for  almost ten years of spending at least  forty years in CE. You guys are the exception but you also know that the average dentist in the country gets one day of CE per year. The 3D act scan as I say is a state of the art for detecting infections today. it shows us what we already knew about root canal therapy, protects  us from even more problems and you can see  that  with the technology it’s going to give us a leg  up and an advantage with dealing with anybody that comes in  and say ” why did you do this?” I did this because I had hard evidence that this is a problem.  It absolutely creates more dentistry.  If you find problems and the patient sees the problem then they want to OD something about it almost always.  From a practise management point of view it sets us apart from the state of the art and it does a lot more.

 

This is a traditional scat that we are all somewhat familiar   with. How does it work? A single rotation similar to a panoramic film, cone spade beam, 85 kilovolts and these Rona they claimed to have less than some of the other manufacturers. This is what it looks like. It looks very   similar to a panoramic. Patients can stand up in it or you can sit down if there’s a wheelchair.   This is the traditional medical model of the CAT scan.

 

The dental 3D uses a cone shaped beam and captures the entire area in a single rotation. There’s a little bit of a difference between the hospital CAT scan and the dental cone beam you can tell full body and a facial. There has been some people that’s concerned about having a brain illusion. There almost designed to not include the brain. They only include the areas that we are licenced to practise and diagnoses in.  Patient radiation dose is pretty insignificant. The Galileo is 1.6 times the normal or traditional film.  These clinical results can be achieved with very low radiation dose to the patient. This high resolution scan is equivalent to 5-9 background days of radiation we all absorb in every day. Galileo 3D represents the lowest dose, 29 mic receivers of systems made for dental, 1-8% of the Maxwell facial CAT scan. The lose dose and high image shows the evolution is possible due to the seamless image that employs and capture technology. You can tell that is something from the company. Again I’m not pushing this brand.  The reason I bought this one is it had the lowest radiation dose and I think that is significant. It was judged clinically by university studies to have the clearest image and it has a lot f of potential to connect with the Dirac system that have in the office and use. This just talks about the radiation dose and the <inaudible> radiation exposure to the public is on this one.

 

This is what I see infections and this is the big part. Implants are probably the biggest reasons that the 3d cat scans are being sold. That’s not why I bought one it still has some <inaudible>. This is me in our fire truck on the ranch that we keep to have brush fires or burning brush. I think od  cat scan , you have to have Rollick and Harris they  have great memories of  a late night adventure on a country road with the sirens owing  and the whistle blowing and I think this was  after some maker’s march UT we  won’t go there.

 

Dr Amira, I’ve spent about 15 years studying   with him.  He’s an MD who developed an Orange technique, PhD in acupuncture, he’s also a she gong master in college residence from Columbia University. We set up a series of lectures or sessions with hi apart from the ones in New York. He does a lot in new you’re for physicians but that’s usually cantered around cancer and they were a bout twenty of us that were dentist that spent about twenty weekends and it was basically about infection. I almost saw every weekend I was there he would bring in or somebody would call and bring in a cancer patient so I saw a lot of that. The take how for me almost all disease was including cancer is caused by an infection with a heavy metal component. That’s what saw, that’s what still see.

 

This is one of my first cases after I got the CAT scan. She’s a 24 year old female, her mother said she spent 20 000 looking for diagnosis she had severe pain. I used  to do a lot  of temperament  , it’s a joint treatment  also , it’s not  a TMJ problem, I did a cat scan I thought is aw something on the cat scan but I  only had the unit for a couple of month so I wasn’t really sure. I sent it off to a radiologist who was an MD. We got on the phone and he said there was nothing there and I thought who was I to argue you with him but I thought there was. Three weeks later she took the daughter to OU dental school, by this time there’s a fistula on the second molar. My patients have three choices with an infection, you can do nothing, you can have a root canal done the first time or the second time or you can elect to have it extracted. She opted to have the second molar extracted.  This is that tooth and nothing showed up on digital x-rays and PA. This is the illusion, that’s not a big illusion. when I first saw  it I thought that can’t be  normal that’s illusion but the radiologist said it was  ok.

 

Lessons learnt you can’t be a little pregnant. It’s either an infection or an abyss to me or not. Small legions are still legions. Sometimes that’s easier said than done. Look at the other teeth on the same patient in your cat scan. Sometimes it’s ok to just not know. This is a great naturopathic physician, sent her out of state, sent her receptionist scan, we did cat scan we saw three root canal treated teeth. They all have small legions, gave her that information and she went home.  They physician called me maybe a month later and said Christina, that was her name, had been in the emergency twice in the last two weeks. She has symptoms that are like a stroke. The hospital says that they think she had a heart attack, nothing shows up, nobody knows what’s wrong with her. This was a four year naturopathic degree woman, she was very bright. Other people told me this naturopathic physician has treated over 3, 000 cancer patient successfully. Bright girl, had a lot of faith in her she said “if you don’t do something she’s probably not going to be alive in 60 days”. She came down and we took out those three teeth. The physician call me a week later and said “all the symptoms are gone”

 

I did a little table clinic at the dental society meeting not long after   that and I was showing her the cat scan  and I talked with  doctor Tom Blast who has a DS , PHD  in micro biology , teaches  at the dental school and the medical school. I told him the story and I found it fascinating that he didn’t blink an eye. He said “I get that. Aim for a five bacteria in the mouth and it could be an infection. Those end up in a circle of wellness and all kinds of things would happen”.  I thought that was pretty interesting because my experience has been the most educated people and the more knowledgeable they are the more understandable what they see and what we see happens.

 

This patient had sinus problems, Lowe energy and some of these later ones I just pulled up within the last three or four weeks. I didn’t have to go back and look for weeks and weeks to find examples to show you that show up every day. On the left this was his right sinus totally occluded. here’s what I’m getting to  you’ll  see later as we go through the slides that there’s going to be  a lot of stuff like this, not big legions . I actually had to blow this up. I’m looking for the pregnancy, I’m looking for the small illusion I can see the big legions and I believe it’s either heavy or it’s not. This is looking from the axial view and I’ll show you later how we do that. This a tangential view of the same thing and there’s nothing that says   that the root canal has to fail.

 

Big legions, you pick this up on a traditional digital x-ray, however, virgin teeth on either side, patient is a naturopath, very aware of energy, very grate energy person, it was a cosmetic and an attractive women.  She wanted a replacement she did not want a bridge. She was ok with an implant and we’ll talk about that later. There must be different opinions in this audience abbot implants so I’ll tell you what my experience has been.  She wanted an implant. She had the knowledge and the training to be able to give me an intelligent answer.  You don’t get this on a traditional digital x-ray. Looking at a cross sectional view this is very easy to see. There is no buckle bone, you have to decide if you need it what you are going to do for this patient. If you do need it how are you going to preserve it?  It gives you the option to make those decision.

 

Is this an abyss?  This is a 3d cat scan. I don’t see this very often but sometimes you’ll see this. what I sometimes  tell patients  when I’m going over the cat scan I say ” let’s pretend that this hand is the  root of  your tooth and this is bone . It will look like this. If it looks like this something caused that”.  This is what we see a lot of time. This is a little bit bigger than what I would do see without picking it up on the elms but it does happen.  Granted this is not a good radio graph and ice a talk about that.  Maybe in your office you get perfect PAs every time. I don’t in my office. Look at this, it’s not a big illusion, look at the coast lining of the sinus. Is this the coincidence I don’t really know that this tooth is causing that but it certainly looks suspicious. Look at this now from the axial view. You see the sinus inflammation and look at this around the tooth. That’s not normal, that’s not healthy, and that’s an abysses in my book. A slight thickening of the period=oral membrane space.  With the cat scan you strap their head in. it only takes 14 seconds. It’s very rare to not get a very good cat scan.  With this one you can pick up on a digital x-ray. This case isn’t to show you that it’s to show you this. This patient had the same three choices, do nothing, root canal, extraction. Patient elected to have this tooth removed. I think I did a pretty good job with cleaning out the socket and I flush it with ozone.

 

in the past I did a  lot of nice surgery I’ve done surgery where I get into the mandible and I’ve moved  the inferior off the other  bundle to one side and curated around it. It’s not that I’m not capable of doing that but I’ve got this tooth extracted. This is a small illusion here so this tells me in this case maybe I’m not going to curate quite aggressively here as I would. Maybe you would and that’s your choice but it tells me I’m going to back off just a little bit.

 

For me this alone makes the cone beam essential. Every year I get to go to the national’s filings rodeo in Las Vegas. It started because a patient came in from outer state, wonderful couple. He was a Vietnam veteran of grunt, went back to San Diego made a trillion dollars in development.  He’s had front row seat to the national filling rodeo for twenty years. five years ago he said ” I’ve got two tickets you want to  buy them ” I said yes  and we’ve been going  for the last five years. This guy is getting ready to get on a brown key horse and look at the guy’s expression here. I don’t know who is more nervous. This looks like this is side of Bronx. They only had to stay on for 18 seconds.

 

Let’s just pretend for a second that this horse is the root canal. Let’s pretend that this person here is the patient. The guy here is the pickup rider. If this guy makes it 8 seconds then the pickup rider comes along and tries to help him to get off of that bucking horse safely. You have to decide who you’re going to be. I don’t want to be the person on that horse. I would rather be the pickup guy trying to get him off of that safely. I don’t want to be this guy. It looks like this guy is about to get run over. I have believed that root canal is often a problem. The difficulty for me is how do I stay in standard of care and still care. I’ve done things that I knew in my gut was right to do but  occasional and rarely I wasn’t sure I had all the documentation  I width I would have had.  Two years ago I took an implant course from Russell Bayes from the University of Chicago dental school. In his Couse he said he had done research on the literature. There is two studies that he found a ten years failure rate and one study with 35% and the other one was 46%. Anecdotally every 3d CAT scan user that I have talked to say give me a break. We’re talking 60-70% failure and that’s what I see. The nice thing is you can see it, the patients can see it. How often have you heard “it never felt right, I’ve been to two dentist, and they tell me they have taken x-rays and its ok??” I’ve heard that a lot. This is fascinating, have you guys seen this article?  In august of last year those patients with toe or more root canal treated teeth were more likely to have heart diseases than those who reported no root canal treatment. I can’t believe they published it. To me this is the tip of the iceberg. I’m old enough to remember back in the seventies when you have the seventy KPB x-ray.  we could see  an incipient decay and it was  wonderful but right I way we decided we needed a  high speed  film that cut back the radiation, go digital and it’s not as easy to see  things but today with a cat scan we  can see small says.  Use the CAT scan like a microscope. I went through capital university and the president of capital  university was Dr Ali who was a pathologist for  30 years and I did  dark view of micros went to  Germany and studied   over there but Dr Ali  would say when you’re using a  micros keep focusing in and to and do the same  thing with the cat scan . Continually scan in ND out to view the image. The first part of what I’m going to show you they’re going to be still slides. Before this is over we’ll pull up a cat scan that we can see and I’ll show you how you can do that and it will blow your mind. I’ve told you earlier I’ve seen one patient in fifteen years who had   cancer or major illness that didn’t have a lot of dentistry. That’s what I see.   I hope that you will look into getting a cat scan. some of these decisions aren’t early same patient that’s east but I had to scroll in and out like I told you because we all know that if we’re doing a traditional x ray we got a block of bone and tooth this bug . If there   is a lot of dense bone on the buckle or the lingual and we have a small illusion paced in the middle it may not shop up. I actually had to scroll in and out.  Look at the sinus membrane small illusion and look at this. There’s some reaction to that. Four of the sinus here is eroded. I’ve only had a couple of patients that have shown up with mild calicks and I’m not picking on bio calicks I’m just showing you this is what I saw. This was eighteen months ago. If you look at in an axiom crew we can see that this guy is failing here. How often have you seen it, patients have said it never felt right, digital x-ray don’t rely see anything. Look at the bone here. It’s a pretty big illusion and that’s probably why id dint show up very well and there is also a small illusion at the apex there. what I have seen and what I’m showing you is some of the small ones, I could have just gone back and  pick up the big ones  and you would look  at those and say I can see  those on my digital PA  why would I want to spend   $200 000 for this thing.

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