Next-Generation Implant Dentistry EN - 6

HENRY SCHEIN | CBCT
| 6
location and angles, thus reducing
surgery time and providing more confidence.
For the implant to be placed
safely without disruption to critical
nerves or other important structures,
it is essential for the dentist to be able
to see exactly where the tooth roots
and key structures are within the arch.
Knowing the proximity to the nerve,
for example, helps avoid paresthesia.
CBCT scans make implant surgery
more precise and more predictable
by providing an understanding of the
proximity to surrounding anatomical
structures, such as the maxillary
sinuses, nasal cavity, nasopalatine
canal and neighboring teeth.
Surgical guides Freehand placement
of implants has long been a challenge
and introduces the potential for
perforating the bone or the sinus, or
placing implants in less-than-ideal locations.
In fact, a recent study found
a high prevalence of dental implant
positioning errors.6
Today, instead of relying on their own
perception of depth during implant
placement, many dentists choose to
fabricate a surgical guide for partially
or fully guided implant placement.
6
Additional resources
For additional guidance deploying
CBCT in your dental practice, visit:
These guides allow the dentist to
place the implant in a safe and predictable
way. This approach ensures
the implant is placed at the right
depth and the optimal angle.
Creating a surgical guide starts with
performing an intraoral scan of the
patient's teeth (if any) and surrounding
soft tissue, along with a 3D
scan and overlaying those together.
This replicates the patient's intraoral
setting, assisting the dentist in
knowing exactly where to place the
implants. Once placed, the surgical
guide includes sleeves to direct the
surgical instruments and the implants
to precisely the right position.
Post-surgical assessments The data
gleaned from CBCT also helps eliminate
postoperative complications.
Using CBCT after implants are placed
provides assurance that the implants
were positioned completely within
the bone and that no structures were
perforated. It is prudent to confirm
the proper position after placement.
What may look clear on a radiograph
might not always be in the optimal
position in the bone. Many dentists
perform a CBCT on just the surgical
www.ncbi.nlm.nih.gov/pmc/articles/PMC7758259
Tyndall, Donald A., et al. " Position statement of the American Academy of Oral
and Maxillofacial Radiology on selection criteria for the use of radiology in dental
implantology with emphasis on cone beam computed tomography. " Oral Surgery,
Oral Medicine, Oral Pathology and Oral Radiology, vol. 113, no. 6., June 2012.
Available online at: www.aaomr.org/wp-content/uploads/2021/09/aaomr_implants_position_paper.pdf
Balakrishnan,
R., et al. " Cone Beam Computed Tomography In Oral And
Maxillofacial Surgery: A Review. " European Journal of Molecular & Clinical
Medicine, vol. 7, issue 5, 2020.
Available online at: www.ejmcm.com/article_4161_ec5cd1e6967558b2130bc1ec3efc3ff7.pdf
area
after placement but prior to
suturing so they know if any revisions
are needed immediately.
CBCT's impact
Digital dentistry paves the way for
more dental professionals to confidently
and competently provide
implant therapy. In Dr. Vorholt's case,
he was able to perform 100 implant
surgeries the first year he had CBCT
in his practice. His investment in the
technology quickly paid off. The data
gained from CBCT scans improved
his patients' outcomes and brought
his practice higher production rates,
since these scans often revealed
incidental findings that resulted in
additional care.
Seeing the difference 3D imaging
made for his practice led Dr. Vorholt
to adopt additional technologies for
improving operations. Before CBCT,
his workflow was already leaning
toward digital with in-office designing
and milling, but after incorporating
CBCT into his practice, he expanded
into 3D printing for the creation of
surgical guides.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758259 http://www.aaomr.org/wp-content/uploads/2021/09/aaomr_im http://www.ejmcm.com/article_4161_ec5cd1e6967558b2130b

Next-Generation Implant Dentistry EN

Table of Contents for the Digital Edition of Next-Generation Implant Dentistry EN

Next-Generation Implant Dentistry EN - 1
Next-Generation Implant Dentistry EN - 2
Next-Generation Implant Dentistry EN - 3
Next-Generation Implant Dentistry EN - 4
Next-Generation Implant Dentistry EN - 5
Next-Generation Implant Dentistry EN - 6
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