2022/2023 Oral & Maxillofacial Surgery Equipment Catalog - 1

CUSTOMIZED PRACTICE SOLUTIONS
Why 3D Imaging is Changing the Game
for Implant Treatment Planning
Low Res Image
Practices increasingly rely on cone beam computed
tomography (CBCT) for implant imaging and treatment
planning. Pre-implant imaging helps to improve diagnoses.
It allows for optimal implant selection, prevents surgical
surprises and can serve as a basis for guided surgery. It is
also incredibly important for legal documentation.
Increased importance of documentation
" We live in an increasingly litigious society, and as
practitioners, it's wise to take steps to demonstrate that
you did the proper planning for patients, " said Dr. Heidi
Kohltfarber, oral and maxillofacial radiologist and founder
of Dental Radiology Diagnostics. " If anything were to go
wrong with the implant placement, having CBCT imaging
to show that you planned accordingly based on the
patient's anatomy is crucial. "
Part of planning starts with reviewing existing radiographs
in comparison to CBCT images to determine if anything
has changed in size over time or if there are any anatomical
changes. CBCT images should be evaluated in their
entirety, using a systematic search pattern, including the
following elements: Start with a global perspective, using
axial and coronal sections, down to a local perspective,
using sagittal sections. Also, compare the left and
right sides, keeping an eye out for areas with a lack of
symmetry. Asymmetry can be an anatomic variance but
that is not always the case. If something abnormal is found
in the scans, it should be documented using traditional
radiographic signs.
Areas to be reviewed include the following:
Maxillary and maxillary sinuses
Evaluating the maxillary is very important, especially prior
to performing sinus lifts and bone graphs. Neurovascular
canals are more visible in CBCT than they are in 2D, and
these should be avoided whenever possible. There have
been cases where small incisal-type branches in the
maxilla or mandible caused numbness when impinged
upon. This can also lead to bleeding and impact the ability
to visualize the surgical area. When evaluating a sinus for
sinus augmentation, measure the distance of the canals
from the inferior aspect of the floor so you can try to
avoid it.
Evaluating sinuses is crucial, especially if considering a
sinus lift and bone graft. First, check to see if there is sinus
septation, as this could cause issues with a sinus lift. Also,
if there is a mucosal thickening within the sinuses, check
out the teeth and refer this to an ear, nose and throat
doctor before proceeding. This allows the ENT to clean
out the sinuses to prepare a clean surgical site.
continued on page 2
Contact Your Local Henry Schein Consultant or Specialist For More Information.
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ORAL & MAXILLOFACIAL SURGERY
2022/2023 Oral & Maxillofacial Surgery Equipment Catalog

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