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.