Dental Products Report - February 2011 - (Page 112)
PRODUCTS IN PRACTICE
IMAGE IS EVERYTHING
Achieving the greatest beneﬁts for your patients and your practice with 3D imaging technology.
by E U G E N E
A N T E N U C C I , D D S , FA G D
The advantages of implementing and using 3D cone beam imaging technology in dental practice are undeniable, and these benefits have led to the technology’s fastpaced advance into both everyday general dentistry as well as into specialty dental practice. This is despite the higher entry costs in terms of both ﬁnancial and educational ⁄ training investments by a profession that is not known for investing in technologies that do not beneﬁt patients and bring a signiﬁcant return on investment.
The decision to invest in a Cone Beam Volumetric Tomography (CBVT) 3D system is not a simple process. Both general dentists and specialists alike cannot approach the technology’s purchase in the same manner as they would if they were investing in an intraoral camera system or a 2D digital radiography system, particularly because when compared with all other advanced
technologies in use in dentistry today, cone beam imaging ranks among the most technologically complex and the most expensive. However, this has not stopped or slowed the introduction of numerous CBVT devices in the dental marketplace since they were ﬁrst introduced nearly 10 years ago. The devices range from full-volume large ﬁeld-of-view systems, to supine systems, to small volume small ﬁeld-of-view systems. In addition, systems such as Planmeca’s ProMax 3D Max are hybrid, allowing for
a variety of studies including traditional digital panoramic and cephalometric imaging, along with 3D CBVT images and 3D photos and features a tomography system. The versatility of hybrid systems allow for study volume sizes that are selectable to meet diagnostic needs without excess radiation outside the area of interest.
Integrate for superior patient care, ROI
The starting point for integrating CBVT in practice is to have a clear vision of how the technology will be used. List the range of possible applications in your practice: Diagnosis of pathology Image transmission for pathology consultation Implant treatment planning Fabrication of surgical guides Fabrication of sterolithographic models Assessing the position of impacted teeth Evaluating Temporomandibular structures Evaluating airway patency Orthodontic treatment planning Endodontic assessments Periodontal assessments Panographic radiographs Once listed, evaluate the number of times you would potentially make use of anything on the list over the course of a month. Lease
Photos courtesy of Planmeca USA.
Some prerequisites for successful CBVT incorporation
Recognize that CBVT is not primarily a means of adding an additional income stream within a dental practice. It is one of the most advanced diagnostic devices available to dentists, and the primary reason for use is to provide the practice with the best diagnostic means possible. With that being said, its use will lead to increased productivity and income. A commitment to training and education is required. The speci⇒c instrumentation chosen for use by a dental practice will be determined by the size of the area needed for evaluation. Practices that provide implant care, periodontal services, endodontic services and orthodontic services will require a device with a large ⇒eld of view, and should strongly consider a hybrid-type device that also can acquire 2D images such as panographs. Endodontic practices require only a small ⇒eld of view. The proper assessment of need lowers the equipment cost to the practice, and delivers the lowest levels of radiation to the patient. The use of CBVT is determined by how much data is required for a particular study. At times, CBVT will be used as an adjunct to conventional periapical and panographic assessments. At times a partial ⇒eld of view will suf⇒ce, such as a study for a single implant in the No. 30 area, which takes a 3D image only of the lower right quadrant. Other times a full ⇒eld of view may be necessary. The ability to properly select the image size is both a function of the inherent capability of a particular device, as well as the operator’s prescribed selection for a particular study. Understand that 3D cone beam imaging has raised the bar and has re-de⇒ned the standard of care for many areas of dental practice. The prevalent view that CBVT imaging is the “standard of care” for implant placement has rapidly become widely accepted. The same holds true for extractions where there is a possibility of damage to the mandibular canal. Standard of care is not static and moves very fast with the advent of new technology and techniques.
Table of Contents for the Digital Edition of Dental Products Report - February 2011
Dental Products Report - February 2011
Table of Contents
From the Editor
Clicks & Picks
DENTSPLY Caulk’s SureFil SDR Flow
Keep Your Data Secure
Ivoclar Vivadent’s Multilink Automix
DENTSPLY Caulk’s TPH3
The CAD/CAM Chorus
Reducing Contamination in Your DUWLs.
The Mouth-Body Connection
Use Sonic Instruments
Create Class V Restorations
Create a Stable Temporary Restoration
Focus on Improved Impressions
All New Scheduler for Softdent
Demi Plus LED Curing Light System
Seeing Is Believing
Your Loupe Options
Products in Practice
Image Is Everything
Quolis 5000 Chair
Byte by Byte
Dental Products Report - February 2011