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Dale A. Miles BA, DDS, MS, FRCD(C)
Dip. ABOMR, Dip. ABOM

Until recently, Dr. Miles was a Professor of Oral and Maxillofacial Radiology and Associate Dean for Clinical Affairs at the Arizona School of Dentistry & Oral Health (ASDOH). He still holds an adjunct professorship in oral and maxillofacial radiology with the Arizona school. Previously he has been Chair of the Department of Oral Health Sciences at the University of Kentucky, the graduate program director of Diagnostic Sciences at Indiana University, and has held positions at the University of Connecticut and Dalhousie University in Halifax, Nova Scotia. He is a diplomate of the American Board of Oral and Maxillofacial Radiology and the American Board of Oral Medicine. He is a pastpresident of the ABOM. Dr. Miles has also been a test construction consultant for the National Dental Examining Board of the American Dental Association.

Dr. Miles received his Bachelor of Arts and his Doctor of Dental Surgery degrees at the University of Western Ontario in London, Canada. After practicing dentistry for 6 years he attended the University of Texas where he attained his Certificate in Dental Diagnostic Sciences (1982), and Master of Science degree in Dental Diagnostic Sciences from the  UTHSCSA Graduate School of Biomedical Sciences in 1983. 
Dr. Miles has been a test construction consultant for the National Dental Examining Board for the American Dental Association. He has been named as one of the “TOP CLINICANS IN CE” for the past 11 years.

He has authored over 130 scientific articles and 6 radiology textbooks, including the second edition of the best selling CBCT book, “Atlas of Cone beam Imaging for Dental Applications” from Quintessence Publishing. Dr. Miles received the “Civism” award from the Department of the United States Navy in 2002. He also received the University of Western Ontario School of Dentistry “Alumni of Distinction” award in 2003.

Dr. Miles has a web site for teaching dentists and auxiliaries about digital imaging at  www.learndigital.net and practices full-tim oral and maxillofacial radiology in Fountain Hills, AZ.  His company,  Cone Beam Radiographic 
Services, LLC, provides radiographic interpretation to dental colleagues and radiology laboratory services who use Cone Beam CT machines. To date he has read about 14,000 Cone Beam scans. Recently he launched a cone beam report generating software for dentists at www.EasyRiter.com
Wednesday
Sep112013

Conventional Imaging, With Dr. Dale Miles, Oral and Maxillofacial Radiologist, Fountain Hills, Arizona

Mutli-functional cone beam machines may also produce 2D grayscale images, allowing the owner to have both a conventional image, such as a panoramic radiograph and switch to a cone beam image when necessary.  Dr. Dale Miles, oral and maxillofacial radiologist in Fountain Hills, Arizona, says that this way, dentists don't have to always start with a cone beam CT x-ray examination. 

The Planmeca Promax is one of many multi-use machines but is the one preferred by Dr. Miles because it has a robotically-driven, programmable arm that can open up the contacts between bicuspids better than the software-driven method on other machines, thus producing extraoral bitewing images of very high quality. 

Dr. Dale Miles is an oral and maxillofacial radiologist in Fountain Hills, Arizona and is featured on Interactive Imaging TV.  Click here, http://learndigital.net  for more information on multifunctional CBCT machines and Dr. Miles.

Wednesday
Sep112013

Advantages of Cone Beam Imaging in The Dental Office, With Dr. Dale Miles, Oral and Maxillofacial Radiologist, Fountain Hills, AZ

Manufacturers of cone beam 3D x-ray imaging or CBCT do a good job of teaching the staff how to use and operate equipment but most of the information the dentist is looking at comes from examining the slice data and there is some "retooling" to do for the dentist. 

Dr. Dale Miles, an oral and maxillofacial radiologist in Fountain Hills, Arizona says that because of the images the cone beam produces, there's anatomy they've never seen before in their 2D images.  Dentists need to relearn anatomy and need to find the resources to help them.  These resources can include anatomy apps that are available for download, textbooks and courses.  Dr. Miles says that some manufacturers will provide programs and lecturers to bring dentists up to speed on their anatomy.

Dentists need to learn learn what's reportable on an image and what's referable, as things frequently come up in the anatomical planes of section they'll need recognize and to refer.

Dr. Dale Miles is an oral and maxillofacial radiologist in Fountain Hills, Arizona and is featured on Interactive Imaging TV.  Click here,http://learndigital.net .  For more information on Dr. Miles and programs about CBCT.

Wednesday
Sep112013

Using Cone Beam CT or cone beam imaging to Determine Pathology, With Dr. Dale Miles, Oral & Maxillofacial Radiologist, Fountain Hills, AZ


Dentists will discover pathology through the use of cone beam technology, such as calcifications that can signify systemic disease.   For example, if a dentist sees bilateral calcifications in the neck, then it most likely is a systemic finding, such as medial-arterial calcifications seen in uncontrolled and undiagnosed diabetes.  Dr. Dale Miles, oral and maxillofacial radiologist in Fountain Hills, Arizona says that when those calcifications occur, it can signify that the patient may also have renal disease.

Diabetics can have kidney failure late in the uncontrolled stages of disease so we're picking up these findings in both the neck and parasellar region in many cases, says Dr. Miles.  Dr. Miles has two articles going to press reporting these findings. 

EasyRiter is report-generating software that Dr. Miles uses and it includes many recommendations to help guide dentists refer their patients to the primary care physician or if there is paranasal sinus disease, an otolaryngologist.  EasyRiter has built in recommendations because dentists will see these changes in the excellent CBCT images.

Dr. Miles says that there isn't a week that goes by where a dentist doesn't see a diabetic patient that requires their insulin levels be appropriate for the intended dental procedure.  Now, says Dr. Miles, dentists have the tools if a patient shows signs and symptoms or has a history that their diabetes is not in control.  The dentists can order a cone beam scan and look for some of these other changes. 

Dr. Dale Miles is an oral and maxillofacial radiologist in Fountain Hills, Arizona and is featured on Interactive Imaging TV.  Click here, http://learndigital.net  for more information on Dr. Miles and EasyRiter.

 

Monday
Jul222013

Tru-Align Makes Dental X-Rays Safe, With Dr. Dale Miles, Oral & Maxillofacial Radiologist, Fountain Hills, Arizona

Dentists use "selection criteria," by examining their patients to determine their need for an x-ray and for what procedures they will be useful.  Dr. Dale Miles, oral and maxillofacial radiologist in Fountain Hills, Arizona, says there are several ways dentists can use equipment to reduce x-ray exposure on their patients.

In the United States and Canada, it is mandatory for a thyroid collar to be used on all children.  For adults, a leaded apron is used but if the dental office has gone digital, that is no longer needed, according to Dr. Miles.

More recently, new equipment has come into the marketplace called Tru-Align.  Tru-Align is a rectangular collimator that fits onto an existing x-ray tube and takes the size of the x-ray beam into a rectangle from a much larger cylinder, says Dr. Miles.

All of these measures can be taken in a dental office to reduce a patient's exposure and make x-rays safe.  Dr. Miles says they all constitute the criteria for a "safe x-ray practice," and a dental practice can certify their practice that way.

On Dr. Miles's website, www.learndigital.net, a patient or dentist can look at some comparison data on exposure, along with articles on just how safe x-rays are and what constitutes a safe x-ray practice.

Dr. Dale Miles is an oral and maxillofacial radiologist in Fountain Hills, Arizona and is featured on Cone Beam TV. Click here, http://learndigital.net, for more information on Dr. Miles.

Monday
Jul222013

Dental Imaging Manufacturers, Featuring Dr. Dale Miles, Oral & Maxillofacial Radiologist in Fountain Hills, Arizona

There are about 15-18 dental supply manufacturers in North America, one of the biggest being Henry Schein, who has a series of different products available, according to Dr. Dale Miles, oral & maxillofacial radiologist in Fountain Hills, Arizona.  

Henry Schein has the very popular i-CAT machine, the Gendex 500 from the Gendex corporation and they now have a new distribution agreement with Planmeca, who makes a high-tech, multifunctional cone beam machine that also does traditional panoramic views.  "They have a lot of products worth looking at," says Dr. Miles.

Dr. Miles adds that there are other distributors out there that have other products and dentists would have to go through their "due diligence" to check those products out to see how they would work in their own office.  As dentists all practice differently, they all need to "do their homework and find out what's the best fit for their practice," says Dr. Miles.

Dr. Dale Miles is an oral and maxillofacial radiologist in Fountain Hills, Arizona and is featured on Cone Beam TV.  Click here, http://learndigital.net for more information on Dr. Miles.