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.

Background

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

Using a Digital Workflow to Plan an Implant Case from Start to Finish

Delivering predictable restorative outcomes is essential in implant cases. Through advancements in 3D and CAD/CAM technology, oral surgeons are better able to use a complete digital workflow to plan a case, fabricate a custom abutment, and fabricate and insert the crown.

In the Implant Practice article below, I describe how I treated a patient who presented with a congenitally missing left mandibular second premolar as well as the efficiencies experienced through the use of an integrated digital workflow.

Overall, when compared with conventional dentistry, a digital workflow allows us to complete a case—such as this one—in fewer steps and with enhanced patient comfort and satisfaction in mind.