Has any of your Ortho's suggested

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Star
Posts: 51
Joined: Fri Jan 30, 2009 12:04 pm
Location: Puyallup,Washington

Has any of your Ortho's suggested

#1 Post by Star »

That you go and have a CT done of your mouth? My ortho is wanting me to go and have this done so he can be reassured that I have good bone growth and the roots are moving with the teeth. I told my dentist about this and he seemed to be shocked that my ortho would even suggest this and he seemed to think it wasn't needed( my dentist also does ortho work) The thing is that the cost of the CT would have to come out of my pocket and our insurance doesn't cover this. Just wondering if any of you were asked by your ortho's to have a CT.
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braceface418
Posts: 177
Joined: Sun Sep 14, 2008 9:46 am

#2 Post by braceface418 »

So when I went to have my records appointment done, I had to sign a release in order to have what I thought was a CT scan. What was actually done, however, was referred to as a 'ceph' in orthodontist office jargon. What I ended up with is a picture that looked like this:

http://www.flickr.com/photos/30505369@N ... 310003536/

Compared to an xray that was taken of my jaw at a later point in time, you can see that the first has more detail:

http://www.flickr.com/photos/30505369@N03/3210213247/

This is a ceph I had taken with brackets on a few weeks ago, and you still have a pretty good image of the roots, despite the possibility that the metal can cause some interference:

http://www.flickr.com/photos/30505369@N03/4309793275/

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socksy
Posts: 77
Joined: Thu Aug 28, 2008 8:49 am
Location: Los Angeles

#3 Post by socksy »

My orthodontist took a panoramic of my mouth and jaw before I started treatment and then about a year into treatment to see how my roots were doing. I think it's totally normal and advisable to check on how your roots are doing during treatment but I haven't heard of needing a CT scan to do that.
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DrJasonKTam
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#4 Post by DrJasonKTam »

Depending on the nature of the treatment, a cone beam CT scan may be helpful in determining the 3-D location of certain structures that cannot be visualized in the mouth. Panoramic and cephalometric x-rays are 2-D representations and CTs may aid in determining thickness of bone or location of impacted teeth, etc.

There are some orthodontists taking CTs on every single patient at this time instead of the pan/ceph combo. THIS IS SPAM PLEASE REPORT IT TO THE ADMINISTRATOR. THIS IS SPAM PLEASE REPORT IT TO THE ADMINISTRATOR. THIS IS SPAM PLEASE REPORT IT TO THE ADMINISTRATOR. THIS IS SPAM PLEASE REPORT IT TO THE ADMINISTRATOR., the amount of radiation from a single CT is greater than the pan/ceph, but can be more diagnostic. Still, it is my personal feeling that the pan/ceph combination should be sufficient for most, but not all, diagnosis and treatment planning.
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Star
Posts: 51
Joined: Fri Jan 30, 2009 12:04 pm
Location: Puyallup,Washington

#5 Post by Star »

I had the pan/ceph done before treatment started. I wasn't told at that time that I would ,later down the kine have to go out and have a Ct done and that this cost was coming out of my pocket. Those procedures are not cheap either. My sister works in a imaging office and told me just how much they can be. I can't afford to go out and do this right now. I did mention to one of the asst that at this time, if it's not medically necessary it can't be done at this time. My husband and I have too much medical bills still to be paid off with our younger son who suffers asthma and had pneumonia back in Nov that has to be taken care of first. I really hate to go out and get this done and then have yet another medical bill.
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wycket
Posts: 64
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Location: Virginia

#6 Post by wycket »

Before beginning treatment, my ortho required a CT scan. This was in addition to the panoramic xray they received from my dentist. I sat in a chair, with my chin propped up, and the machine spun around my head - the whole process was over in 20 seconds. The ortho explained the necessity as a diagnostic tool to ensure there were no underlying congenital jaw issues or impaction problems that wouldn't be as clearly displayed via traditional panoramic xray.

That being said, my CT scan was covered by my medical insurance, otherwise I would have balked at the $395 charge. I understood before going in that it would be required, and would not have been happy to find out down the road that it was needed. It seems to me your ortho should have been upfront about the CT scan being required, especially considering that it could be expensive.

Good luck with your treatment, and if the ortho does absolutely require it, perhaps they'd be willing to work out a payment arrangement? Hoping it all works out for you!

Star
Posts: 51
Joined: Fri Jan 30, 2009 12:04 pm
Location: Puyallup,Washington

#7 Post by Star »

Thanks for your thoughts wycket. I wish my ortho office had the equipment to do the ct but I have to go out of office for this one. Wished my medical would cover it but that's how the cookie crumbles. I will have it done just not anytime soon. Got take care of other bill obligations first.
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uiskibum
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#8 Post by uiskibum »

i had a "cat" scan done at my ortho's office during my consultation (http://www.dmdortho.com/i_cat.php this was the device). It was just of my jaw, neck, and skull. The total records fee at my consultation was $175, this included the cat scan, a panoramic xray, and some "normal" xrays.[/url]

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