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

Endodontists and 3D Imaging (Video from Real World Endo)

When it comes to obtaining high-resolution 3D images for diagnosis and treatment planning, endodontists have turned to cone beam computed tomography (CBCT). CBCT scans give doctors an incredibly detailed look at a patient’s anatomy that can be viewed from every angle. Not only that, but sophisticated software offers doctors added confidence when treatment planning. In this video, Jordan Reiss, Carestream Dental’s U.S. director of 3D imaging, sits down with Dr. Allen Ali Nasseh, president and CEO of Real World Endo, to share some of the latest updates included in CS 3D Imaging Software version 3.5.7. This software is free and opens any DICOM scan, no matter which unit was used to acquire it.

RWE

Click on the image above or here to view.

3D Imaging software allows doctors to plan treatment for all kinds of endodontic scenarios. Most important, the ability to view the axial, coronal and sagittal of a patient’s anatomy, gives them the confidence that they’re accounting for every angle of the issue. This overview was provided by Real World Endo, a independent endodontic education, innovation and consulting company composed of a community of clinical and academic endodontists.

Determining Bone Density Using CBCT

You’ve heard the phrase, “quality over quantity,” but when it comes to implant treatment, both are equally important. Luckily for implantologists, advancements in technology now let us view the bone in 3D, saving time and taking the guesswork out of implant surgery.

In the video below, I’m able to view a cross section of a CBCT scan with my CS 3D Imaging software and share my “mental checklist” for determining bone quantity. Viewing the cross section also reveals the basic density of bone, which helps me to determine bone quality. Plus, I go over a few useful comparisons that you can remember when considering bone quality.

Bone quantity and quality plays a crucial role from the very beginning of implant planning. CBCT scans not only objectively reveal bone dimensions, but also let me know the density and maturity of the bone before I even begin to drill.

How do you determine bone quantity and quality? Do you have a case where you’ve had to reevaluate your approach to placing an implant after discovering the dimensions and quality of the bone?

Too Big? Too Small? How to Place an Implant Just Right. (Video)

Do you know what a “Goldilocks” implant is? Even if you’ve never heard the term, you’re familiar with the concept—when placing an implant, we don’t want it to be too big or too small but just right. But how do we find that perfect fit? There’s a lot to take into consideration:

  • Bone volume
  • Mesial-distal space
  • Apical-coronal space
  • Occlusal space
  • Anatomic limitations

I use my CS 3D Imaging software to generate precise measurements from CBCT scans captured with my CS 9000 3D extraoral imaging system or CS 9300 but there are also some key numbers I keep in mind when planning the perfect implant…


Continue reading

Overcoming Obstacles to Implement CBCT

By Dr. Alan Slootsky

Cone beam computed tomography (CBCT) imaging has played a valuable role in the way I practice, improving both my diagnoses and treatment planning. But, when I decided to invest in CBCT for my practice, there were a number of considerations I had to make from a business standpoint.

Like every dentist or specialist, I had my own obstacles to overcome. My particular obstacles were:

  1. My wife was nervous about spending so much money on a new piece of technology.
  2. Keeping the office open for an extra day to drive return on investment created some staff problems and required adding at least one more person to the team.

Any fears regarding the expense of the CBCT unit have been allayed, as I have found that a minimum of 20 new patients per month allows for a return on investment in one year. Patients have been really excited about the new technology and are more comfortable staying on site rather than going to a specialist. Having CBCT readily available within the practice has also allowed us to expand our diagnostic capabilities and services; which has a positive impact on revenue. Continue reading