4 responses

  1. Jordan
    February 5, 2015

    What are the main reasons you do not use digital X-Rays?

    Reply

    • The Dental Warrior
      February 5, 2015

      First… I find the diagnostic quality of film to be tremendously better.

      Secondly, the cost of converting from film to digital is tremendously unjustified. ROI isn’t there.

      But, I WOULD like the convenience factor. But, not enough to spend mid-5-figures.

      Reply

  2. ellebelle
    February 5, 2015

    I don’t use digital either. Some days I think about adding it because it seems like people almost expect it. But bottom line: even Gordon Christiansen says that you cannot diagnose class 2’s as well on digital. I had a new patient this week that had digital x-rays within a few years. You could see a faint something on the printout. Bottom line, the tooth is now unrestorable without endo, crown lengthening, and a crown. The patient is choosing to extract it. I am not going to sit in an ivory tower and say that I don’t ever miss something on film, I am only human, but I do feel like I can see more on film. If I did strickly endo then I would definitely have digital, just so I could see more quickly how close I am to the radiographic apex. As a side note, I had digital in GPR and am very familiar with it. Although it makes me nervous appearing low tech…I still feel I can diagnose more properly and with thyroid collars I do not worry about the slight increase in radiation (especially with F speed film). There are comparisons that quote the difference between digital and D or E speed film. I also don’t take FMX every three years, etc… and am very conservative but do only what is necessary for proper diagnosis….and yes they are necessary.

    Reply

    • The Dental Warrior
      February 5, 2015

      Hi Ellebelle! Thanks for your comments. I’m in the same place as you. I do struggle with the notion that I may be perceived as not “up to date.”

      I spent an entire YEAR working in the office next door to mine. The dentist was hit by a car while riding his bike. I worked my office and his, every day… for a year. Our doors are 30 feet apart. He was digital. Film for me.

      HANDS DOWN, film is better when it comes to diagnostic clarity. It’s not even close. Many who go digital convert completely from film to digital and “get used to digital.” But, I was in a unique situation, being able to work with BOTH every single day, side-by-side. I’ve had the opportunity to compare them directly in my daily routine… for a YEAR. As it turns out, there are studies that back up my experience and position.

      I am amused when my “digital” friends say, “well you have to ENHANCE the digital image, then you can see stuff.” Uh-huh. I don’t have to “enhance” film images. And, I am very familiar with digital imaging (in photography). You can’t add higher resolution by “enhancing” or modifying the original image. You just magnify the crappy native resolution.

      The difference is especially noticeable with proximal carious lesions and periapical pathology. Film beats digital easily.

      Reply

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