The imaging depends on why you are being seen. A standard new patient consultation typically includes a panoramic radiograph and any necessary periapical films. If implants, surgical extraction, or root canal treatment is being evaluated, a CBCT 3D scan is usually taken the same day. The doctor determines which imaging is clinically indicated — you will not be charged for scans that are not needed.

Yes. A single CBCT scan delivers roughly 20 to 200 microsieverts of radiation depending on the field of view — comparable to one to ten days of natural background radiation. That is significantly less than a medical CT scan of the head, which can deliver 2,000 microsieverts or more. The ADSC scanner uses a tightly collimated beam and short exposure time to minimize dose while maximizing diagnostic value.

Plan for 60 to 90 minutes on your first visit. That includes radiographs or CBCT imaging, a thorough clinical examination, any indicated tests such as periodontal probing or vitality testing, and a consultation where the doctor reviews findings and discusses options. If a treatment plan is straightforward, you may receive it the same day. Complex cases involving multiple specialties may require a follow-up planning appointment.

Yes. ADSC offers imaging-only appointments for patients referred by outside dentists. A CBCT scan is taken, and the DICOM data is exported digitally to the referring office. If interpretation by an ADSC specialist is requested, a written report accompanies the imaging files. Call (503) 822-0096 to schedule an imaging-only visit.

A panoramic X-ray produces a single flat image of the entire jaw, useful for screening but limited by distortion and overlap. A CBCT scan produces a three-dimensional volume that can be sliced in any direction, revealing bone dimensions, nerve canals, root morphology, and pathology that a panoramic film cannot resolve. CBCT is essential for implant planning, endodontic evaluation of complex roots, and surgical assessment of impacted teeth.

Most dental insurance plans cover standard diagnostic radiographs — panoramic, bitewing, and periapical films — at 80 to 100 percent within frequency limits. CBCT coverage varies by carrier and is more commonly approved when a clear medical or surgical necessity is documented. The ADSC billing team verifies your benefits before your appointment and will let you know what to expect out of pocket.

No referral is necessary. Patients can self-refer by calling the office or booking online. However, if your general dentist has sent a referral, bringing any existing X-rays or clinical notes helps the specialist avoid duplicate imaging and provides useful baseline data.

The doctor will explain the finding, show you the relevant image or test result, and discuss whether it needs immediate attention or can be monitored. Nothing is treated without your informed consent. If the finding falls outside the specialty being consulted — for example, an incidental sinus issue found on a dental CBCT — you will be advised to follow up with the appropriate medical provider.

Clinical guidelines recommend bitewing radiographs every 12 to 24 months for adult patients at normal caries risk, and a panoramic or full-mouth series every three to five years. CBCT scans are taken when clinically indicated rather than on a fixed schedule — typically before surgery, during implant planning, or when two-dimensional imaging is insufficient to diagnose a problem.

Absolutely. Bring your existing radiographs or CBCT data on a USB drive or have the office email DICOM files. Dr. Ostovar or Dr. Gvozden will review the imaging, examine you clinically, and provide an independent assessment. If the existing imaging is insufficient or outdated, new scans may be recommended.

An intraoral scanner captures a three-dimensional digital model of your teeth and gums. It replaces traditional putty impressions for crowns, bridges, aligners, night guards, surgical guides, and other appliances. The scan is faster, more comfortable, and more accurate than physical impressions. The digital file can be sent directly to a dental lab or used in treatment planning software.

No. You stand or sit while the scanner arm rotates around your head for approximately 12 to 20 seconds. There is no enclosed tube and no noise beyond a quiet hum. The only requirement is holding still during the scan. Most patients describe it as far easier than a dental impression.

Yes, with your authorization. After your evaluation, a detailed consultation report including relevant images is sent to your referring or general dentist. This ensures continuity of care and allows your primary dental provider to incorporate findings into your ongoing treatment.

Periodontal evaluation includes full-mouth probing depth measurements at six sites per tooth, assessment of bleeding on probing, clinical attachment level calculations, mobility testing, furcation involvement assessment, and radiographic bone level analysis. These metrics are charted digitally and compared over time to track disease progression or improvement.

Yes. Pediatric patients receive age-appropriate imaging with radiation doses adjusted for smaller anatomy. Digital sensors and the CBCT scanner both allow field-of-view and exposure reductions for children. The clinical team explains the process in kid-friendly terms and positions younger patients carefully to ensure comfort and image quality.