From 3D imaging to biopsies, we offer complete radiology and
pathology expertise under one roof – accurate, efficient, and patient- centered.
Trusted by over 100+ Radiologists and Pathologists
Dr. Dharia is a dual trained and licensed Oral & Maxillofacial Radiologist and Pathologist.
Dr. Dharia was the recipient of the 2018 Dentsply Rinn award for his poster “The Oral Radiologists role in Dental Malpractice” from the American Academy of Oral and Maxillofacial Radiology. He has held numerous committee positions in the AAOMR and remains active in many organizations including the American Dental Association, Texas Dental Association, American Academy of Oral and Maxillofacial Radiology/Pathology, etc.
Dr. Dharia has a large interest in technological advances in Radiology and Pathology (bringing CBCT and pathological specimens into virtual reality), and previously was heavily involved in a 3-D printing service at UCLA. He is concurrently co-authoring a manual for Stomatology/Oral Medicine students.
Dr. Dharia was born in Texas and holds both a Texas State Dental License and a Washington State Dental License.
My vision has always been to provide the best possible care for patients, and I’ve made this possible by combining my radiology and pathology training to be all inclusive in diagnosis. From the second your patient sits in your chair, you are looking at their skin, their oral cavity and all of this consists of a pathology process. When you take an image, it is a pathology process occurring on your images, caught in real time. When the patient requires treatment, they are given medications to deal with the process or in other cases, pain. The pain is sometimes not seen by clinicians, and therefore management can become complex. When biopsies are taken, it is important to know biopsy techniques and where to biopsy to obtain the most representative location of the process occurring, and to have that pathological process displayed on a slide, to best understand the biology of what is occurring. When this entire process is streamlined and performed with minimal error in a timely manner is what helps minimize turnaround time for patients and clinicians.
Dr. Dharia has won an award for his poster on “The Oral Radiologist’s role in Dental Malpractice” and has looked at the most legal cases retrospectively, giving an analysis of what procedures cause the most litigation and result in clinical errors. This has allowed him to have a significant amount of knowledge in standard of care in dentistry and uniquely qualifies him to be an expert witness in litigation cases in which an Oral & Maxillofacial Radiologist is needed.
Evaluation of periapical radiographs, bitewings, panoramic radiographs, CBCT imaging of all fields of view, and MRI of the TMJs
Endodontic evaluation typically includes finding missed canals, root fractures, persistent apical inflammatory processes with possible sinus tracts, etc
Orthodontic evaluation typically includes evaluating impacted dentition, evaluating the primary dentition, supernumerary teeth, airway measurements, evaluation of the temporomandibular joints, evaluation of possible resorption of the dentition, evaluating crown to root ratios of dentition for unfavorable ratios which may contraindicate orthodontic treatment
Evaluation of the temporomandibular joints for remodeling, osteoarthritis (active and inactive), idiopathic condylar resorption, possible rheumatoid arthritis, internal derangement of the articular discs (requires MRI for direct visualization of the discs due to limitations of CBCT imaging in soft tissue diagnosis)
Evaluation of the hard and soft tissues for any evidence of localized or systemic pathology including odontogenic cysts among numerous other processes
Evaluation of anatomy in the area of implants, including the quality and quantity of bone, relation to vital structures including the mandibular canal and the sinuses, and evaluation of possible graft material
Evaluation of impacted teeth to vital structures and their exact locations within the maxillae and mandible, evaluation of adjacent teeth for possible resorption
General evaluations typically include imaging of the airway, the TMJs, the maxillary sinuses, and the nasal cavity, with a panoramic reconstruction
Airway measurements of the oropharyngeal and nasopharynx (these measurements are not always reliable as many factors including musculature, patient positioning, and whether the patient is expiring/inspiring during the scan affect the airway dimensions), the evaluation also includes identifying hyperplastic tonsils as well as the pharyngeal recesses and any asymmetry
Incidental findings are common and may include osteomas, tori, exostoses, sialoliths, tonsilloliths, carotid calcifications, etc
Images can be sent via the portal for an online consultation via zoom
Images can be sent via the portal for an in-depth evaluation of the soft tissues and a differential diagnosis to further narrow down the possible pathology process and help determine whether a biopsy is required
An in-person consultation can be requested to evaluate the patient’s hard and soft tissues, an intraoral and extraoral exam, identification of pathology, as well as oral medicine treatment including xerostomia, soft tissue growths, red and white lesions ex. lichen planus, desquamative lesions, etc.
An in person biopsy can be requested for the removal of a sample of tissue after thorough evaluation. The biopsy types include incisional, excisional or a punch biopsy and depend on the clinical situation as well as the biological process and the differential diagnosis (multiple sites may be required for a case with a suspicion of squamous cell carcinoma)
Radiology reports include evaluation of all structures on the imaging provided including Endodontic, Orthodontic, Pediatric evaluations, 3rd molar evaluations, Airway assessment including the Oropharyngeal/Nasopharyngeal Airway, Implant planning, evaluation Pathology, Incidental findings, Comparisons etc. It is always recommended that the clinician include history of possible prior use of Bisphosphonates/Head & Neck Radiation as well as history of carcinoma/sarcoma (primary or metastatic).
Pathology reports include a differential diagnosis based on the clinical images provided. It is recommended the imaging provided be of high quality with several factors considered (drying of the tissues, glare, flash, proper camera settings etc.). Guidance including camera settings can be provided in a photography document upon request. If a biopsy is taken, the results of the biopsy can be discussed with the clinician. An example of a Pathology Report with a differential diagnosis is shown as well as the resulting publication in the Texas Dental Journal discussing the biopsy proven diagnosis.
Dual trained Board certified Oral & Maxillofacial Pathologist and Oral & Maxillofacial Radiologist reviewing scans and clinical information with 24/7 support and quick turnaround time
Personal access to doctor
Quality reports and differential diagnoses
You’re with the doctor from the beginning to the end – from the patient’s initial imaging, clinical information, to the biopsy, and to go over the biopsy results and what they mean for the patient/future treatment
Quick registration
Quality images, with no limited number of images per report
3 Implant site measurements are included with 25$ per additional site
With another 25$ for comparison
Online image consultation: Fee per hour
Clinal image submission with differential diagnosis
In person consultation/Oral medicine treatment
per biopsy site, additional sites depending on location and complexity as well as case scenario (ex. lichen planus multiple sites included in one fee)
Maxradpath is run by a dual trained Maxillofacial Radiologist and Pathologist which means there is a foundational understanding of the biologic processes occurring on the 2-D and 3-D images, with direct communication as to what this means for your patient. Turnaround time is fast, and there are no communication gaps.
Texas recently legalized teledentistry, therefore any clinical images sent can be diagnosed without the specialist being chairside. That being said, a clinical evaluation is always preferred and can be requested.
An image speaks a thousand words, you can request more images, or less images depending on your preferences. Images are submitted in reports at no additional costs. Normal anatomic structures are not typically included, but this can be discussed with the radiologist.
In my 5 years of residency training (UCLA and Baylor), I have come to know some of the brightest in both fields. Any questions that may arise will be consulted with faculty at institutions as well as colleagues with full transparency. We are all here for the patient.
For CBCT imaging, DICOM imaging is required, for all other 2D images including Panoramic Radiographs, Periapical Radiographs, and Clinical images, any format can be submitted although the higher the quality of the image the better the differential diagnosis. Treatment plans are reserved for the clinician, however the clinician can choose to request a consult regarding biopsy techniques and treatment protocols for pathology that can reoccur etc.
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