hey it's dr amanda with straight smile solutions straightsmithsolutions.com and today we're going
to talk about progress panos progress opg's that's the same thing depending on what country you're in
why you'd want to take this progress panoramic x-ray we're going to talk about it with aligners
invisalign clear correct whatever clear liner you're using we're going to talk about it also
with braces and how it's different so before i even get into this and what i do i want to go
ahead and remind you that i'm not necessarily in your country or in your state i might not
be familiar with the laws in your country or your dental practice act in your state so some
countries and states have something some verbage about it in their legislation so you need to read
your own legislation and see what your rules are that you need to follow these are my rules what
i would consider standard of care that i need to follow but it might be different than yours
so let's start there so i don't want it coming back to me like oh dr amanda said i didn't have
to take it you know that's not true okay anyways so it really depends is the answer of course
initially with any orthodontic case standard of care everywhere it's going to be a full set
of initial records which is again depending on your country state of licensure it might
be a little bit different but very bare bones is going to be a full ortho 8 series of photos
not screenshots from the scan photos extra oral and intraoral a panoramic x-ray or an fmx
within six months this is standard of care not two years ago okay recent panoramic x-ray um
or fmx panos better because we can see more pathology i always prefer a pano
but i'll take an fmx but if there's something funky funky in the fmx we might still take a
pattern um what else um a scan or a set of models you know of actual analog models or a digital scan
and then sometimes you're also going to need period charting sometimes you're
going to need seth's if you want to get into all that you need to watch my videos
on those if you want to watch my videos videos on those you need to go to my youtube channel
to go there go to street smile solutions once you're there there's a green banner and you can
search by keyword by that little magnifying glass you can put in perio you can put in sets and watch
all those videos today we're specifically talking about progress panels okay or progress opg's
why would i take a progress well i mean lots of reasons um if there's a child in mixed dentition
i'm gonna see if things are erupting properly you know if they're not out and i'm like hmm it's been
a year let's go ahead and take another one or six months you know and see see how the progress
of those sevens or those second molars is doing or that canine so um you might also take it for
pathology be it something that was a little funny in the initial one maybe you're putting a watch on
it or maybe you're taking it because there you know there was some root resorption and you're
keeping an eye on that root to see if it's getting shorter certainly for pathology or resorption i'm
usually going to take a pano a progress planner or an opg or even pas every four to six months
i would say standard of care is recognized that you take a progress panna or an opg every year
12 months into your treatment if your treatment is going longer than a year you're going to take
one midway just to check things out just to make sure nothing strange is happening
other things that i'm going to do is i'm going to be checking for root parallelism
you want to go ahead and make sure your roots are parallel right
so in braces if you've watched my wire sequence videos if not please go ahead and watch them
before you finish this video you can again search it by keyword wire sequence and it'll take you
through what i do but normally when i get to 18 night i and the 18 nighttime is passive i'm going
to go ahead and take a progress panel then even if it hasn't been 12 months i'm going to take one
then i'm going to double check to make sure all my roots are parallel if they're not i'm going
to reposition brackets accordingly no i don't bend wires that's a waste of time and if you put your
brackets on correctly using a computerized bracketing system like indirect bonding
where you actually verify the bracket placement you shouldn't even have the step in brackets and
wires it's going to save you a ton of time and a ton of money overall even if you have to pay a
couple hundred to have that initially done trust me you're still saving money because your chair
time has value the time and treatment has value and the patient will be less frustrated oh that
has value so that's in braces and wires and i'm going to repeat after i do the repose a few months
later i'm going to probably take another one until i'm happy and all the braces all the braces all
the teeth are parallel right i'm going to do the same thing with the liners with invisalign
i'm going to make sure my teeth are parallel even more important if you're thinking about placing
an implant is to make sure the adjacent teeth are parallel and of course if you're thinking
about doing interdisciplinary case you want to make sure you're sending that x-ray off to the
not only the doctor the surgical dentist as well as the restorative dentist
and make sure all three of you are on board with the position of the roots and the teeth
um nothing worse than taking you know ending treatment and telling the patient they're done
and then the restorative dentist or the surgeon tells you oh no not that i need this and that you
know that's that's really bad patient management that's really bad communication so you want to
make sure you're looping them all in before you're telling the patient that you're done
so like i said many many reasons you're going to take progress panos or opgs
it's totally fine you take them you should take them i always find it very interesting of course
checking third molars is a great idea too um like in this circumstance these third molars definitely
need to come out i wouldn't even be i mean this one's extruded sorry it's a little cut off that
should have been out before you even started this should have been out this should have been out
and this one should be out if you're gonna do any movement at all on this tooth so uh hopefully that
was helpful if you have any other questions shoot them our way and sorry for those of you i did
film this video about a week ago put it up and for some reason i had no sound so
um i re-recorded it hopefully this is good enough all right and i'm gonna be trying out instagram
no what are we on youtube youtube premieres today so we'll see how that goes i'm gonna
go ahead and premiere it in about an hour and see if you guys are on to chit chat all right thanks