One size does not fit all…so when we image, let’s image gently!
Image Gently has created many educational and awareness opportunities for parents, patients, and healthcare professionals.
Why is September 24, 2014 a red letter day? Because, this is the day Image Gently welcomed the dental community to their growing movement of healthcare professionals committed to safety in pediatric imaging. Dental Imaging is an important component of children’s over-all healthcare.
Parents, please explore their Website to find lots of information on the different types of radiology exams that may be ordered for your child. Their brochures have been developed with you in mind. Learn about the Dental Procedures and Exams and be prepared for your child’s visit.
Image Gently has worked to create educational materials and Resources For Dental Professionals and healthcare professionals to share with their patients, continuing education opportunities and information on upcoming meetings focused on pediatric radiation protection and causes.
In the late 90’s during my Dual Pediatric Dentistry and Orthodontics Residency program at UCLA, my graduate research project was in X-rays and Oral Radiology. I worked with UCLA’s Head of Oral Radiology, Dr. Stuart White, and my research involved comparing Film, Storage Phosphor and Solid State Digital Cephalometric X-Rays. At that time, X-Ray Film was the gold standard because it had the highest reliability and reproducibility compared to Storage Phosphor Plates and Solid State Digital X-Ray Sensors. Today, Solid State Digital X-Ray Radiography has advanced to match the gold standard of film with the benefit of reducing patient X-Ray exposure. Solid State Digital X-Ray Systems utilized 1/6-1/4 the dose required by industry standard D-speed film and1/3-1/2 as compared to the faster E/F Speed Film. Our office has been utilizing Low Dose Solid State Digital X-Ray Radiography since 2007. In addition, our office utilizes rectangular collimation which further reduces patient exposure by another 1/2.
Since 2005, I have been involved with Oakstone Publishing’s Practical Reviews in Pediatric Dentistry Program as Co-Growth and Development Reviewer in charge of covering Growth and Development, Orthodontics, and Radiology. Practical Reviews provides subscribers access to peer-reviewed journal summaries and commentary that allow healthcare professionals to stay current with critical research. Additionally, Practical Reviews offers its subscribers with Continuing Dental Education. Because the editors of Practical Reviews are some of the leading practitioners and instructors in their fields, subscribers not only get access to cutting edge research, but also receive guidance on how to apply that research and information into every day practice.
In 2011, I was the Editor and Coordinator for the X-Ray Issue for Practical Reviews for all of its Dental Programs: General Dentistry, Oral & Maxillofacial Surgery, Orthodontics and Pediatric Dentistry. The topic of this special edition of Practical Reviews was Dental Radiography and we had many presenters. First up was my father and partner, Dr. Brian Lee, and I presented about our transition from Film based X-rays to Digital X-rays in a Pediatric Private Practice.
The next speaker was Dr. David Gakenheimer. Dr. Gakenheimer is presently Product Line Manager for Logicon Caries Detector for Carestream Dental, LLC, subsidiary of Carestream Health, Inc. He worked for 34 years for Northrop Grumman and predecessor company Logicon where he led the development of the caries detector as a technology transfer project from the defense industry. He later started his own company, GA Industries, to further develop the product and then sold it to Eastman Kodak (whose healthcare division later became Carestream Health). Dr. Gakenheimer has a BES from Johns Hopkins University and a PhD from the California Institute of Technology.
Dr. Gakenheimer spoke about Logicon Caries Detector Software which helps dentists visually analyze digital radiographs and diagnose caries on proximal surfaces. To this day, I continue to consult Dr. Gakenheimer on the Continued Development and Improvement of The Logicon Caries Detector Software.
Following Dr. Gakenheimer was Dr. Shaza Mardini, who not only is an Oral Radiologist, but also a friend from college. Dr Mardini received her D.D.S. degree from the University of the Pacific School of Dentistry in 2001 and completed the 3 year residency in Oral and Maxillofacial Radiology at the University of Texas Health Science Center at San Antonio. There, Dr. Mardini received her M.S. degree and Oral and Maxillofacial Radiology Certification.
Following her graduation in 2005, Dr. Mardini joined the faculty at Boston University Goldman School of Dental Medicine as a Clinical Assistant Professor. She spent time teaching in both the Radiology and Emergency Clinics as well as being Course Director for the first year dental radiology course. In 2006, Dr. Mardini was awarded Diplomate status with the American Board of Oral and Maxillofacial Radiology. Dr. Mardini is currently in private practice. Dr. Mardini presented on Cone Beam CT use in the diagnosis for Temporomandibular Joint Disorders as well as the emerging field of Teleradiology.
And finally we had Dr. Aaron Molen. Dr. Aaron Molen received his Bachelors degree in Zoology from BYU and Doctor of Dental Surgery degree from Loma Linda University. Dr. Aaron’s dental school research evaluated changes in condylar position using Cone-Beam CT. He then completed a three-year orthodontic residency at UCLA. There, his Masters research focused on using Cone-Beam CT to improve the treatment of patients with cleft palates.
Dr. Aaron has lectured internationally on the subject of Cone Beam CT. Dr. Molen associates in a private orthodontic practice with his father, Dr. Bruce Molen, and older brother, Dr. Rick Molen, (who was my Co-resident at UCLA) in Washington State. Dr. Molen’s talk was on 3D Orthodontics: Integrating Tomorrow’s Technologies Today.
In 2013, I was asked by Oakstone Publishing to be Editor and Coordinator for another Oral Radiology Special Issue of Practical Reviews for all the Dental Programs. The topics covered with the 2013 special edition included Dental Radiation Safety, the Updated FDA-ADA Guidelines on Dental X-Rays, Minimizing Occupational Exposures, The Image Gently and Image Wisely Initiatives, Considerations when treating Special Needs Patients and Pediatric Patients, Cone Beams, Panoramic Imaging and Pathology Considerations.
The Panelists for the 2013 program included Dr. John Ludlow– Oral Radiologist from the University of North Carolina, Dr. Allan Farman– Oral Radiologist from the University of Louisville, Dr. Paul Casamassimo from Chair of Pediatric Dentistry at The Ohio State University and Chief of Dentistry at Nationwide Children’s Hospital, Dr. Johan Aps from the University of Washington, Oral Radiologist Dr. Shaza Mardini and finally Dr. William Carpenter– Oral Pathologist from the University of the Pacific.
Careless Use X-Rays
Dental X-Rays and Pregnancy
The Society for Pediatric Radiology
“What Parents Should Know about the Safety of Dental Radiology” by the Society of Pediatric Radiology
–Dr. Jon and Team HappyHealthyTeeth