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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
Monday
Jul222013

Tru-Align Device, Featuring Dr. Dale Miles, Oral & Maxillofacial Radiologist

Dr. Dale Miles, oral and maxillofacial radiologist in Fountain Hills, Arizona, says it's always appropriate for patients to be concerned about an x-ray dose.  While dental radiation doses are much smaller, there is technology out there that can help.

Rectangular collimation has been taught for about 40 years in dental schools but no one uses it today, according to Dr. Miles.  He says there is now a push to get rectangular collimation back on board and one of the products that's been discovered is called Tru-Align.  Tru-Align, Dr. Miles says, is a very high-tech, simple, laser-guided collimation which allows the dental hygienist to use it simply and effectively.  

Tru-Align is an actual retrofit-table collar that fits to an existing x-ray machine.  Dr. Miles says it narrows the x-ray beam down from a large round beam to one rectangular in size and the image is marginally larger than the receptor.  It is attached to a film holding device, locked in by magnets and has a light display to show if it's engaged.  Once it's in the patient's mouth, says Dr. Miles, they actually can't separate from it.

There are brief exposure times associated with the Tru-Align device and it is simple to use and can be used with any dental x-ray machine at a low-cost, 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, www.learndigital.net, for more information on Dr. Miles.

Monday
Jul222013

Cone Beam Applications for Clinicians, a conversation with Dr. Dale Miles

Cone Beam Applications for Clinicians, with Dr. Dale Miles from Sequence Media on Vimeo.

There are numerous cone beam applications for clinicians, according to Dr. Dale Miles, radiologist in Fountain Hills, Arizona.  

Endodontists, are looking at canal morphology and root structure. Some, like periodontists, are using Cone Beam imaging for implant site assessment. In addition to these uses, general dentists are also assessing changes in temporomandibular joint condyles, and possible problems with third molar extractions. Dr. Miles believes that cone beam technology will become the standard of care for wisdom teeth extraction and it may eventually become consumer-driven.

For dentists treating obstructive sleep apnea, they can look at the airway and take measurements in 2-D and 3-D with color renderings to see if the tissues have moved forward.

Cone beam technology can detect odontogenic tumors prior to sending patients off to a surgeon.  Orthodontists will be doing 3-D cephalometric analysis with cone beam imaging.

Dr. Miles says the beauty of cone beam imaging is that it's digital, which dentists have been struggling to use for a number of years.  He adds that cone beam has many more applications that dentists do in their offices, so it's a much more robust imaging modality and it "allows all of these clinicians to make better clinical decisions, more accurate measurements and treat their patients better."

For more information on Dr. Dale Miles, you can go to his digital imagining and cone beam imaging website at www.learndigital.net.  Dr. Dale Miles is a featured commentator with Cone Beam TV.

Monday
Jul222013

Dr. Dale Miles on why dentists should use Cone Beam imaging

Why Dentists Should Have Cone Beam Imaging, with Dr. Dale Miles, radiologist in Arizona from Sequence Media on Vimeo.

It's possible to take different image sizes for different procedures, as different machines have different FOV's, or Fields of View, with some as small as 4x4 cm's and up to 20x20 cm's, for a full head image, according to Dr. Dale Miles, oral maxillofacial radiologist in Fountain Hills, Arizona.  

For dentists and dental specialists that do obstructive sleep apnea or facial pain, they'd probably want a larger field of view machine because they're looking at anatomical structures that would be captured in that field of view.  Some dentists and endodontists, on the other hand, may look at smaller fields of view.

A multi-functional view allows you to a traditional panoramic with one detector and just by switching a detector or changing a setting, you can actually add cone beam when you need it, says Dr. Miles.  For a child with an extra tooth, for example, it might be seen on a panoramic image but it absolutely would be seen with cone beam.  "Dentists can visualize the space before going in and surgerizing the area," Dr. Miles says and this "opens up a whole new area for dentists in a lot of different applications."

Dr. Miles says dentists don't have to own a cone beam machine in order to use the data from it.  The patient can be sent to someone who has the machine and the dentist can get the data back on a CD.  A dentist needs to look at a few things when considering purchasing a cone beam, according to Dr. Miles.  He says they need to look at the applications they do, the services they provide their patients on a daily, weekly and monthly basis and lastly, they need to look at the return on their investment.

Dr. Miles believes that for general dentistry, while cone beam imaging may not be the standard of care, it will become the modality of choice.

For more information on Dr. Dale Miles, you can go to his digital imagining and cone beam imaging website at www.learndigital.net.  Dr. Dale Miles is a featured commentator with Cone Beam TV.

Monday
Jul222013

What is Cone Beam imaging? A conversation with Dr. Dale Miles, DDS

What is Cone Beam Imaging, Featuring Dr. Dale Miles, Oral and Maxillofacial Radiologist in Fountain Hills, Arizona from Sequence Media on Vimeo.

 

Cone beam technology is a modality that allows the dentist to get much more information for making clinical decisions, according to Dr. Dale Miles, oral maxillofacial surgeon in Fountain Hills, Arizona.  It allows dentists to get multiple images of the patient and slices of the patient in three anatomic planes, he adds.

In the past, Dr. Miles says we’ve only been able to see patients from the side and with cone beam technology, we can look around, just like a radiologist looking at a CT.  “We get more detailed data for clinical decision-making for the dentist,” he says.  

The radiation dose depends on the size of the machine and Dr. Miles notes that the dose is a little higher than traditional radiographs but not higher than having two panoramics.  He says that if you have a cone beam exam, you’ll usually only need one, possibly two, in your lifetime.

For more information on Dr. Dale Miles, you can go to his digital imagining and cone beam imaging website at www.learndigital.net.  Dr. Dale Miles is a featured commentator with Cone Beam TV.

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