One practice’s conversion to digital radiography
Our office made the switch to digital radiography eight years ago. For us, incorporating digital radiography was a multi-step process with just a few roadblocks. If given a chance to do it all over again, would we still make the commitment to go digital? Yes. We have realized so many benefits for both the clinical and administrative team. Patients appreciate the reduced radiation and the instant visibility of the images. Factor in the elimination of film and chemical supplies and the answer comes easily.
Researching the many companies and technology can be exhausting. Be sure to make use of all that Dentalcompare has to offer to help you in this regard. Pace yourself—this is a long-term investment. Most companies will offer a start-up package, but you will need to consider associated costs such as warranty coverage, cost of replacement sensors and any necessary changes to your current computer hardware configurations. Make sure to address these issues before the purchase. The answer will probably not affect your decision to go digital, but at least you can budget for these costs.
Hardware
The biggest issue for us was the hardware cost of going digital. We planned for nine operatory computers and nine administrative computers. The server’s hard drive size had to be increased and the workstation computers required upgrading to handle the software specifications. The images on the server take up considerable space – more so with panorex images. Also, since we wanted to display the radiographs on monitors for our patients, we had to purchase video cards that were compatible with the software. Related purchases may include a quality photo printer for image printing and high-speed internet to submit attachments with your electronic claims. Don’t forget to increase the capacity of your backup drive.
Your team will understandably feel apprehensive about using this new technology. Let them know that you will provide training and that you understand there is a learning curve. Reserve adequate time to allow all clinical members to practice their technique. To make the most of this investment, commit to training or set aside adequate time to self-teach. Although your team may take all of the radiographs, it is a good idea for you to practice as well.
Time is money, however. I recommend that you bring in a trainer. The purchase price usually includes a set amount of training time. Consider that the software will have features you have not used before. Most packages come with templates for taking a full set, four bitewings, etc. You will need help in setting up templates that are unique to your practice. Your trainer will also share tips on how to position the sensor in the position-indicating device (PID) for better shots. Ask for any tips for working on children or adults with small mouths. Reassess your needs after two months to determine if you need follow-up training. Many offices find this extra training helpful.
Long-term investment
Sensors will not last forever, so plan for their life cycles. We began to experience consistent problems with ours near the two-year mark. The point at which the wire enters the sensor became frayed and vulnerable to wear. The software began giving us error messages and, through testing, we determined that it would only happen with the failing sensor. Since warranties were purchased for the sensors, we were able to get replacements at a reduced cost. After investigating our sensor issues, it became clear that wear at the wire-sensor junction is the most common reason for sensor malfunction. There are ways you can delay the onset of these issues.
The sensor wires should be treated gently. Do not coil or wrap the wires. Some companies sell fitted wall hooks that can keep the sensor and wire out of the way of rolling chairs or stray elbows. Emphasize how carefully the team should handle these sensors. Ask the manufacturer for the proper sterilization procedure. Specifically ask which chemicals can be used. Never sterilize the sensor by spraying liquid on it. Replacement of the sensors can be delayed by exercising these precautions. If your operatories are carpeted, be aware that shuffling feet can generate static electricity. Your sensor will give you a false reading in the form of a white screen.
Keep track of it all
Create a master list of the sensors and remotes and their respective serial numbers. Note the date of purchase and where you will keep the drivers for each sensor. For every replacement sensor, also record the order date and the reason for replacement. You can refer to this list if you begin to have issues with a certain sensor or remote. It will help you determine whether your problem is simply the result of your oldest sensor reaching the end of its life cycle. When purchasing the sensor warranty, ask if you will be receiving new or refurbished equipment. It is not uncommon for your warranty to include free replacements, but you may not receive a new item.
The digital market today is much larger and more competitive than it was eight years ago. Many resources exist that can help you make the right decision – make full use of all of them. Start by talking to your colleagues and your computer company. The manufacturers will be helpful and willing to help you purchase an optimal product. Assess your needs and stick to them to avoid purchasing unnecessary add-ons. Hopefully our office’s learning experience can help you make a more informed decision.
The author would like to give special thanks to Nova Computer Solutions for their insight into the current digital radiography market.