Q3_ERG-2022 Volume_3_EN - 17

FEATURE ARTICLE
CONTINUED FROM PAGE 15 >
Following the Correct Path
2D imaging isn't able to show the entire picture. Our CBCT helped reveal the etiology of the patient's bilateral maxillary
posterior pain. As a result of the differential diagnosis that 3D imaging provided, we canceled the endodontic and
periodontal referrals. The third dimension allowed us to see that we needed to refer the patient to our oral surgeon.
With proper collaboration, we have a treatment plan which includes extractions and bone grafts. After some time to
heal and promote bone growth, we will place implants in sites for teeth #3, #14, and #15. Upon writing this clinical
case, the patient had followed through with extractions, was in a healing process and planning to have implants
placed soon afterwards.
Figures #4a & 4b: Sagittal MPR views. 4a. Centered in and zoomed into upper right posterior. 4b. Sagittal slice superimposed on the 3D volume rendering to convey greater understanding of the
anatomical location. Both slices demonstrate a finding of a sinus fenestration (that was not elucidated on the 2D radiographs).
Figures #5a & 5b: 5a. Sagittal MPR view of upper left posterior with finding of severe bone loss and root resorption. 5b. Overlay of sagittal MPR view on the 3D volume rendering
Conclusion
3D data provides a level of clarity above and beyond the limitations of 2D intra and extra-oral imaging. In this
clinical case, although the periapical lesions on teeth #14, #15 and #3 were evident with our digital 2D x-rays, the
ORTHOPANTOMOGRAPH™ OP 3D CBCT scan data allowed for a more comprehensive diagnosis in that it provided
the clarity needed to determine the size of the lesions, uncover the resorptive defects, visualize the extent of bone
loss, and communication with the sinus. This holistic view not only allowed us to determine the most appropriate
treatment plan, but also to focus on timing of the treatment.
Additionally, the images helped our patient confidently understand the extent of the issue. This was a major factor in
convincing this recalcitrant patient of the severity of the issues, the need to act, and to ultimately accept our treatment
plan.
Testimonial
The ORTHOPANTOMOGRAPH OP 3D not only enables optimum patient care through clarity of diagnosis, but also
aids in accurately communicating with surgeons, periodontists, and orthodontists within our dental community. With
the synergy of the OP 3D and intuitive 3D imaging software, I have another set of eyes helping with diagnosis and
proper treatment planning. I feel more in touch with what is going on with my patients and more comfortable with
comprehensive new patient exams. Patient care is the core responsibility of a dental practitioner. It is my job to
ensure that the patient is given the best possible care. To deliver that care requires accurate diagnoses and effective
treatment plans. The OP 3D CBCT is an integral tool in our armamentarium giving me the confidence I need to have
accurate diagnoses. I practice confidently at a high diagnostic and treatment level due to the clarity provided to me
by my OP 3D CBCT.
The opinions and surgical techniques presented herein are those of Dr. Francis LaCouvée, DMD. Dental Imaging Technologies Corporation is a medical device manufacturer and does not dispense medical advice. Clinicians should use
their own judgment in treating their patients. Dr. Francis LaCouvée, DMD is not a paid consultant of Dental Imaging Technologies Corporation.
© 2022 Dental Imaging Technologies Corporation. All rights reserved.
Dr. Francis LaCouvée attended the University of Victoria and completed three years towards a microbiology and cellular physiology degree and was granted early admission to the UBC Faculty
of Dentistry. Simultaneously, Francis enrolled in the Dental Officer Training Program with the Canadian Military.
Upon graduating from the four-year dental program, Francis was posted to Lahr, West Germany, as a One Canadian Division dentist from 1986-1990, with a final posting to Petawawa, Ontario,
with the Canadian Airborne Regiment.
After completing his military service, Dr. Lacouvée began private practice in Qualicum Beach on Vancouver Island, British Columbia. In 1998, his dream to build his own practice came to fruition
with the opening of the Arbutus Dental Clinic. LaCouvée's comprehensive general practice specializes in crown and bridge, implants, and endodontics with 36 years of experience and a
lifelong learner with extensive continuing education.
www.henryschein.ca | 1-800-668-5558
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