Last week during a CBCT training on the Prexion Excelsior Pro, I came across a great example of the benefit of varying slice thickness in CBCT software. CBCT volumes show 3 different 2D perspectives (axial, sagittal, and coronal) of the same location. Because a CBCT volume is a composite of many "slices" in the same plane, CBCT x-ray allows the user to vary the thickness from a single voxel slice to a composite view of multiple slices in the same plane. A digital PA will look similar to a composite view of many slices.
Understanding how to vary slice thickness and why and when you want to do that. I realized that for those that are new to CBCT the concept of slice thickness is foreign and needs further explanation.
CBCT is quickly becoming the standard of care for dental radiographs. As more dentists experience the radiographic information that CBCT offers, they are realizing that doing certain procedures without CBCT increases the risk of failure. If you are new to CBCT or are considering purchasing a CBCT unit, the following information may be helpful in preparing you for what you should learn at a minimum.
Dental TI is committed to business practices that give our clients confidence and peace of mind in knowing they have access to cutting-edge dental technology and the resources required to get the most out of it. Below we detail some of our promises to clients that describe what we call the Dental TI Difference.
CBCT is quickly becoming the gold standard in evaluating patients in regards to a variety of dental pathologies. Here we will discuss some of the many benefits this technology has to offer dental practices seeking to be on the cutting edge of patient care. More information from the Dental TI team regarding CBCT and other dental technologies can be found on our website and blog.
Many Dental offices consider themselves to be “digital” offices. They have incorporated computers at
the front desk and in the treatment rooms and have software that manages their practice
and electronic images – both camera and radiographic. The dentists with such offices have invested
time, money, and often times have endured a good amount of frustration to get there. In addition,
many high- tech offices are under utilizing their systems and only deriving a fraction of the benefit that
could be garnered with the correct “vision of utilization” and “proper training” to achieve it.
Implant dentistry was once left to periodontists, and prosthodontists. Today, a growing number of general dentists are also placing implants. With the proper education, a general dentist can add thousands of dollars of revenue every month by adding implants to the office procedures. One tool that is key to making the process more certain and predictable is CBCT technology. With a CBCT scanner it is possible to create a surgical guide even in heavily restored cases. Today we will illustrate the process of using the J.Morita R100 CBCT scanner to scan a heavily restored patient with a scan appliance. The scan appliance allows for the alignment of the CBCT (Dicom infoormation) information and the digital model (STL file) that is created and use BlueSky Bio software to use the CBCT information in designing and printing a surgical guide for implant placement.
A primary challenge of using CBCT for implant planning is managing image scatter due to restorations. Scatter appears as rays of distortion as the x-ray photons do not penetrate radiopaque restorations and instead reflect at the surface. This can make it difficult for the software to match the CBCT information (subginigival info) with an intraoral model(scanned or stone). At Dental TI, we have created and educate on a protocol that provides accurate surgical guides, even on heavily restored patients. With the J.Morita R100 CBCT unit, a surgical table, and a scan appliance, and using BlueSky Bio software, you have the full technology package to plan and create surgical guides and place implants with dramatically improved accuracy and success.
One of Dental TI's clients , Esteban Velez DDS, who practices in Avon Indiana, shares a case below where he used his J.Morita R100 and a scan appliance to create a surgical guide. The detailed steps of the case and corresponding images are below.
Global Dental Microscopes is a recognized global leader in dental microscopy, which is why they are now our exclusive dental microscope partner. We look to partner with companies that focus on creating high quality, cutting edge equipment and technology. With improved ergonomics these microscopes promote better posture, reduce strain and fatigue while maintaining an upright posture, regardless of the patient’s position.
We deal with dentists everyday who are considering CBCT. The questions are always "should I get a CBCT and which one." For this discussion I will assume that the first question is yes and give some pointers in making the decision process easier.
1 – DETERMINE THE FOV THAT FITS YOUR NEEDS
You’ve probably heard of the section 179 deduction, if not you should think about getting a new CPA. We’re just kidding, but not really. Section 179 of IRS tax code allows for dentists to deduct the full purchase price of qualifying equipment. This equipment can be purchased or financed during the tax year. Which means, you can actually deduct the FULL purchase price from your gross income. The deadline to make this claim is December 31st. The catch? You must have purchased, or financed, the equipment and it must be installed before that date. The problem? With the holidays and everyone trying to take advantage of this opportunity, you don’t want to wait till the last minute.