CBCT at Its Best: Get Involved

Dr. Kunal Shah is the Principal of a new practice in Hendon, London – LeoDental. With a state-of-the-art CBCT installed, the practice is receiving referrals for implant planning cases. Completing his series of articles looking at the use and benefits of CBCT in implant treatment, Kunal explores where dentists can start when getting involved with implantology, highlighting the importance of mentorship.

Unlike other areas of dentistry, there is no clear path to follow when looking to get involved in implantology. It is often down to the individual to seek the appropriate training through courses and postgraduate qualifications that satisfy the GDC’s requirement for implant dentists to be competent in the field.

When looking for an initial training course, I would recommend asking the following questions in order to overcome some of the hurdles I faced:

  • What does the course entail? What do you gain at the end of it? – You need to establish whether you’re looking for a qualification or clinical experience, as this will determine what type of training you chose. The qualification courses tend to be the MScs and Diplomas, which are heavily theory-based, while others are more clinical and practical-based. I personally preferred the clinical element – as a dentist, you already have knowledge of the anatomy, so implantology is simply building on this. I also believe you need practical experience to develop your skills, learn from your mistakes and understand the different scenarios that can occur in practice. Continue reading

CBCT at Its Best: In Practice

Dr. Kunal Shah is the Principal of a brand new practice in Hendon, London – LeoDental. With a state-of-the-art CBCT installed, the practice is receiving referrals for implant planning cases. In the second instalment of his three-part series, Kunal demonstrates a clinical case study where CBCT scanning was integral for predictable treatment and the very best outcome for the patient.


A female 52-year-old patient was referred to me from a local practice for implant surgery. I had developed a good rapport with the referring dentist, who was looking for mentorship through this case. The patient had had missing teeth for several years (15-20), although this had only recently begun affecting her lifestyle as she had issues eating – the problem was therefore functional rather than aesthetic.

The patient was fit and healthy, with no relevant medical background or allergies, a non-smoker, social drinker, moderate previous dental restorations and generally good oral hygiene. The LL6, LL7 and LR6 were missing, having been extracted many years ago. The adjacent teeth had started to drift and the opposing teeth on the other side were erupting.

The treatment options were discussed with the referring dentist and the patient, which included no treatment, bridges, dentures and implants. The patient wished to proceed with implants and consent was obtained. Continue reading

CBCT at Its Best: The Perks

Dr. Kunal Shah is the Principal of a new practice in Hendon, London – LeoDental. With a state-of-the-art CBCT installed, the practice is receiving referrals for implant planning cases. As part of a three-part series, Kunal begins by considering the treatment pathway for implant treatment and how CBCT imaging improves the process for a more predictable outcome.

As implant dentistry continues to increase in popularity among the profession and patients, it’s important to establish a protocol for consistently safe and effective treatment. The quality and type of imaging used during the assessment and planning phases has a huge influence on this. In particular, the cutting-edge CBCT scanners now available offer unprecedented visualisation of each patient’s anatomy for precise planning and predictable outcomes.

For dentists new to dental implantology, the standard treatment pathway is as follows: Continue reading

2018 Predictions: Leveraging Technology to Impress Patients

The desire for convenient treatment is nothing new, but now more than ever patients want to have the benefits of the latest technology with minimal steps. Dentistry’s Image Expert, Janice Hurley, advises practices to continue to embrace tech-savvy patients in the year to come.

How do you help patients understand how dental technology improves their overall care?

The opinions expressed on the blog are a reflection of the author and not an endorsement from Carestream Dental.

2018 Predictions: Riding the Wave of Digital Transformation

Advancements in intraoral scanner and 2D panoramic equipment technology along with the increased use of CBCT systems are key indicators that the analog to digital transition will continue to intensify in 2018. Carestream Dental’s chief dental officer, Edward Shellard, D.M.D., shares his vision for the future of digital dentistry.


Which digital tool has made the biggest difference in efficiency for your practice?

2018 Predictions: Disrupting the Oral Health Industry

Offering innovative technology paired with responsive support is a critical requirement modern oral health practitioners expect leading dental companies to fulfill. Bart Silverman, D.M.D., reveals more business necessities essential to the evolving industry.


How have the broader possibilities in the oral health industry changed the way you purchase equipment and software for your practice?

The opinions expressed on the blog are a reflection of the author and not an endorsement from Carestream Dental.

2018 Predictions: Faster and More Predictable Implant Planning

Eliminating the guesswork of implant planning by utilizing cone beam computed tomography in conjunction with an intraoral scanner is one trend Ara Nazarian, DDS, believes will influence dentistry in 2018.

How do you think technology will change implant planning and placement in 2018?

The opinions expressed on the blog are a reflection of the author and not an endorsement from Carestream Dental.

Trends for 2018 Are Timeless!

What will be the biggest dental trends in the New Year? Carestream Dental asked industry leaders for their thoughts and Lisa Moler, publisher, MedMark Media, came back with her predictions.*

As publisher of Implant Practice US, Orthodontic Practice US, Endodontic Practice US, and Dental Sleep Practice, I get to be involved with an amazing profession. With all of the new procedures, techniques and equipment being developed on a global scale—it takes time and effort for clinicians to keep current on the latest opportunities to treat patients faster, more comfortably and more effectively. Luckily, by reading print and digital publications and attending webinars, dental professionals can have that information at their fingertips!

One of the most prevalent changes in dental practices is the race to “go digital.” Electronic medical records systems, electronic insurance billing, digital X-rays and patient portals are becoming expected for an efficient office.

3D imaging continues to revolutionize oral healthcare by giving clinicians the opportunity to have a “surgical view” without even picking up a scalpel.  The options for low-dose imaging have been a boon to clinicians who place implants. Seeing dental anatomy in 3D, plus obtaining all of the possible measurements related to bone density and other data, all help to avoid possible complications before and during surgery. Continue reading

Dental Predictions for 2018

What will the big trends in oral health care be in 2018? Carestream Dental asked a number of experts, including Melissa Summerfield, vice president of publishing, Newcom Media, Inc., and managing director of the Oral Health Group, about their predictions for the New Year.*

Knowing that the one constant is change, I am confident in predicting that we will see further changes in the dental industry and profession in 2018. As to exactly what form those changes will take, that is far less certain. However, I’ll throw in my two cents worth of what is—at best—a somewhat-educated guess.

I believe we will see further adoption of digital technologies within the dental office and operatory. I foresee greater use of such technologies as intraoral cameras, digital caries detection systems and CAD systems, such as digital scanning. While in-office milling units have certainly come down both in price and size, I am not convinced we will see a huge increase in offices doing their own lab work in-house, although it will likely increase somewhat due to the factors of price and size mentioned earlier. It will be interesting to see what develops with 3D printers and what impact they will have in the practice, since there was such an emphasis on this product area at this year’s IDS. Continue reading

Two Dental Technology Trends to Watch in 2018

Carestream Dental connected with industry leaders to learn more about their predictions for oral health care in the New Year. The chief editor of Dental Economics, Chris Salierno, D.D.S, shared his predictions for 2018*:

We are smack in the middle of a revolution.  Digital dental technologies are not a fad and they will not be collecting dust in your closet.  They’re here to stay and they’re being used every day.  Wherever you are in your journey to becoming a more digital practice, you should be keeping your eye on what the rest of the profession is doing.

Last year on this blog, I predicted that in 2017 we would see growth in digital impressions; a focus on efficiency as profits are challenged; and that manufactures would focus on the interconnectivity of our hardware and software.  Those trends will certainly continue into the near future.  This year, I’d like to add two more trends to our list.

  1. 3D printers are here
    I had heard rumors that some early adopter dentists had purchased industrial 3D printers.  I imagined them experimenting with them in their basements like mad scientists.  Then, I went to the IDS in Cologne and was blown away.  Several major dental manufacturers already have working 3D printers and the necessary materials to fabricate models, surgical guides, orthodontic appliances and even provisional restorations.  This isn’t science fiction; it’s here.  I’m interested to see how our profession begins to incorporate this technology into everyday practice.  It seems like a perfect complement to milling.
  2.  Assistants will play a bigger role
    As I mentioned last year, dentists are under greater pressure to produce dentistry more efficiently.  We would be wise to invest in technology that allows us to provide care more quickly without sacrificing quality.  Shorter appointments are great service to our busy patients and to our bottom line.  But another way to tackle the efficiency problem is to manage our operatory flow differently.  You may be able to take a digital impression faster than a traditional one, but I think that’s not the right way to think about it.  If I can delegate a digital impression and provisional fabrication to a well-trained, certified dental assistant, I am free to provide care in another operatory.  One of the exciting trends in dental technology is the ability to share responsibility with other members of the dental team.  I recently asked a well-known lecturer how he incorporates digital scanning into his workflow.  He replied: “It’s easy.  I don’t do any of it.”
*The opinions expressed on the blog are a reflection of the author and not an endorsement from Carestream Dental.