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CBCT – An Advanced Diagnostic Tool for Orthodontics and Other Specialties in Dentistry – A Systematic Review

CBCT – An Advanced Diagnostic Tool for Orthodontics and Other Specialties in Dentistry – A Systematic Review | Dental Implants | Scoop.it

Survey Article Adds to our Orthodontics Knowledge


Accurate diagnostic imaging is an essential requirement for the optimal diagnosis and treatment planning of orthodontic patients. In addition, it is a critical tool that allows the clinician to monitor and document the treatment progress and outcome. The cone-beam computed tomography (CBCT) scanners were introduced in the late 1990’s as an evolutionary process resulting from the demand for three-dimensional (3D) information obtained by conventional computerized tomography (CT) scans.

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Dental Implants
3D Diagnostics: the new standard of care
Curated by Murry Shohat
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Good outcome? Poor outcome? Readers want to know

Good outcome? Poor outcome? Readers want to know | Dental Implants | Scoop.it

You can use the Suggest button to tell your story. We won't publish your personal information.

In particular, did you get a 3D cone beam Xray before surgery? If not, why not? Did you use an implant specialist such as an oral surgeon? Or did your general dentist place your implant(s)?

If you were happy with the outcome, may we share the name and location of your dentist?

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Dental implant patients accuse dentist of shoddy work - WLS-TV

Dental implant patients accuse dentist of shoddy work - WLS-TV | Dental Implants | Scoop.it

Angry patients say they were left with shoddy dental work after spending thousands of dollars on new teeth, but the dentist said his implants were done "within the standard of care."

Murry Shohat's insight:


This report serves as a heads-up to all implant patients and dentists. Although the report is vague, it strongly suggests malpractice that could be litigated. Bottom line: get second and third opinions before any work.

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Q-Implant Marathon: Hands-on courses for implant placement

Q-Implant Marathon: Hands-on courses for implant placement | Dental Implants | Scoop.it

Conventionally, entering the field of implantology has proven difficult for many dentists. Typically, it is not a subject of university education with many universities and courses focusing largely on theoretical orientation.

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Sounds like an ideal program, and a necessary one. Implant education is the tip of the arrow of 3D digital dentistry.

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Independent study recognizes extreme low dose capabilities of Carestream ... - Dentistry IQ

Independent study recognizes extreme low dose capabilities of Carestream ... - Dentistry IQ | Dental Implants | Scoop.it

The research, conducted by John Ludlow, DDS, of the University of North Carolina’s School of Dentistry, Chapel Hill, found that 3D images captured using the Low Dose Mode for a 5x5 cm adult exam provides an effective dose of just 3 microsieverts (µSv)1.



Murry Shohat's insight:

Low dose moves CBCT closer to standard-of-care use in everyday dentistry. Can CBCT replace annual bite-wing sessions?

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Google Glass Assists Dental Implant Procedures

Google Glass Assists Dental Implant Procedures | Dental Implants | Scoop.it

Using Google Glass's heads up display as well as voice commands and QR codes to identify implants, Avinent Glass can guide dentists through an entire implant procedure – advancing through each step as the surgery progresses. The app can also record surgeries with pictures and video and allow for remote viewing via Internet, making it a potential training tool as well. “One of the main characteristics of [Google Glass] is that you don’t need your hands to give instructions or move from one window to the next one," says Albert Giralt, general manager of Avinent.

Murry Shohat's insight:


Perfect application, and it will work for surgeons and dentists in any field.

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This new technology may put an end to drilling at the dentist's office - Washington Post

This new technology may put an end to drilling at the dentist's office - Washington Post | Dental Implants | Scoop.it

The technology, called “electrically accelerated and enhanced remineralization,” could put an end to fillings for early-stage lesions and moderate tooth decay. And eventually it could lead to new treatments for more advanced decay.

Murry Shohat's insight:


I'm pulling for this development. In hindsight, it makes perfect sense.

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Trends in Digital Dentistry

Trends in Digital Dentistry | Dental Implants | Scoop.it

Advances in technology continue to improve and alter the way we live our day-to-day lives. These innovations have also significantly impacted the dental industry, for the dentist as well as his or her patient. Digital impressions, computer assisted design and other tools are becoming de facto solutions in today’s dental offices.


Via NationalAcademy
Murry Shohat's insight:


Nothing new here, but the quick review may offer guidance to patients just now considering an advanced dental procedure like implants.

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NationalAcademy's curator insight, June 18, 10:52 AM

Advances in technology continue to improve and alter the way we live our day-to-day lives. These innovations have also significantly impacted the dental industry, for the dentist as well as his or her patient. Digital impressions, computer assisted design and other tools are becoming de facto solutions in today’s dental offices.

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When Could Bridgework Be Preferable to a Dental Implant? - Bristol Dental & Orthodontics

When Could Bridgework Be Preferable to a Dental Implant? - Bristol Dental & Orthodontics | Dental Implants | Scoop.it

Some people don’t have the proper quantity or quality of bone in the jaw to support an implant; or, they may have anatomical structures (nerves or sinuses) located where they would interfere with an implant. It is possible in some cases to work around these obstacles with bone grafts, or by placing implants in alternate locations; in other cases, a bridge may be a better option.

Murry Shohat's insight:


This situation calls for multiple opinions by experienced dentists. If bone quality is poor, perhaps a bone graft can rectify the problem and enable implantation. Get a second opinion!

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Cone Beam Computed Tomography: How safe is CBCT for your patients?

Cone Beam Computed Tomography: How safe is CBCT for your patients? | Dental Implants | Scoop.it

One of the most important dental diagnostic innovations has been the advent of cone beam computed tomography, which has proven effective for many applications in oral health care. CBCT is a technology that is considered by some to be the standard of care where 3-D imaging is necessary in dentistry. This technological leap allows practitioners to gain immediate access to accurate 3-D images of anatomical structures, which often are critical to precise diagnoses, more effective treatment planning, and increased case acceptance. 

Murry Shohat's insight:


Although written by a dentist to an audience of dentists, this article helps patients appreciate the important finer points of 3D jawbone imagery.

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Do we need a radiographic guide? A review of CBCT visualization and treatment planning for narrow-diameter implant overdentures

Do we need a radiographic guide? A review of CBCT visualization and treatment planning for narrow-diameter implant overdentures | Dental Implants | Scoop.it

Treatment planning for implant overdentures can be challenging because of the interplay between bone volumes, angulation, and denture base contour requirements. Narrow-diameter overdenture implants, while having an easy and predictable surgical protocol, often are placed without regard to restorative goals because of the difficulty and added expense of fabricating a radiographic guide. Simple techniques are available to enhance visualization of complete dentures during cone-beam computed tomography (CBCT) imaging. This article aims to illustrate the use of soft tissue separation techniques and assessment of CBCT scans for narrow-diameter overdenture implants.

Murry Shohat's insight:


Many patients ask about mini-implants for tooth replacement. This article, written for professionals, helps all readers understand that the best use for narrow-diameter implants is overdenture retention.

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Interview with Dr. David Little

Interview with Dr. David Little | Dental Implants | Scoop.it

Cone beam computed tomography (CBCT) has a number of clinical applications for different specialties -- and no one understands this more than Dr. David Little, a San Antonio-based dentist. While his practice primarily focuses on implant dentistry, a number of specialists also rotate through the office. We sat down to speak with Dr. Little about his experience with CBCT technology and his search for a 3D system that met all of his office's needs

Murry Shohat's insight:


Although this interview is biased towards one vendor's CBCT solution, the insight by Dr. David Little is valid for all.

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Talking 3D Imaging in Dentistry with Dr. Scott Ganz

Dr. Scott Ganz provides 30+ years of insight into 3D diagnostics. Once you are beyond the first minute or so, Ganz dives into various issues of importance to patients and dentists. Five star video although it's lengthy.

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Digital Dentistry

Digital Dentistry may sound new, yet prosthodontists use it daily for complex oral health issues. See how prosthodontists apply advanced training in digital dentistry solutions from digital x-rays, CBCT, CAD/CAM, and digital shade matching to improve patients' experiences and outcomes, permitting beautiful specialized dentistry.


Via carlos codina
Murry Shohat's insight:


This video is exceptional. Although it's a soft advertisement advocating the selection of a prosthodontist for teeth replacement, the video provides a strong foundation for 3D dentistry above and below the gumline.

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New Technique For Removal of Failed Dental Implants

Dr. Hamid Ryan Kazemi discusses a patient who presented with atypical pain associated with a dental implant. This excellent case study (may be hard to watch) demonstrates superb skills. It also educates everyone on treatment problems and solutions.

Murry Shohat's insight:


Instructive video argues for thorough diagnostics prior to implantation.

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Dental Impants vs Dentures_Vancouver Periodontist Dr. Bobby Birdi of BC Perio Interview - YouTube

Are Dental Implants better than Dentures? Vancouver Periodontist Dr. Bobby Birdi from BC Perio explains the advantages of implants compared to dentures. 

Murry Shohat's insight:


I like this short video. It clearly explains the virtues of a single implant over a denture.

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Implant complications: multiple treatment modalities; few financial options - Dental Economics

Implant complications: multiple treatment modalities; few financial options - Dental Economics | Dental Implants | Scoop.it

Two recent systematic reviews and meta-analyses reported that the prevalence of peri-implantitis was present in approximately 10% of implants and 20% of patients eight to 10 years after implant placement.(4) Considering the number of implants placed or projected to be placed from 2013 to 2017 in the United States alone, this number would mean more than 1.2 million implants will require therapy for this disease.(5)

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Dentist Enhances Patient Care With New Cone Beam CT Digital 3-D Radiography

Dentist Enhances Patient Care With New Cone Beam CT Digital 3-D Radiography | Dental Implants | Scoop.it

Computer software produces 3-D images, giving dentists an unparalleled view of teeth, cavities, fillings, nerves, root canals, sinuses and bone structure. The high-definition 3-D images clearly show internal structures – even components of the jaws and teeth that are not typically visible in a flat, two-dimensional X-ray.

Murry Shohat's insight:


This dentist gets it right as he announced the addition of CBCT to his practice. We don't usually cover these announcements as they increase in frequency, but this one sings.

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A comparison of graft techniques for the alveolar ridge prior to oral implant

A comparison of graft techniques for the alveolar ridge prior to oral implant | Dental Implants | Scoop.it

 A three-dimensional or volumetric bone evaluation with cone-beam computed tomography (CBCT) allows for precise measurement of the ridge. While the choice of graft technique must ultimately be decided by the experience and comfort level of the dentist, the author asserts that the ridge-split treatment has many advantages and produces a stable graft over time.

Murry Shohat's insight:


Author makes strong points favoring a ridge-split treatment.

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First Implant May Have Been Discovered

First Implant May Have Been Discovered | Dental Implants | Scoop.it

The corpse was discovered and excavated in 2009 but was not preserved well. The teeth were in the correct anatomical position despite the condition of the body. A metal pin was then located alongside the teeth. In those days, people believed that a person’s corpse should still look good and his or her status was related to the way he or she appeared—even after death.

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Scientists Confirm Breakthrough Nano-Technology In Dental Industry

Typically, when an implant is surgically placed, there is a period of cellular “confusion” and chaos around the implant, and usually a little bone resorbs before being formed again. The implant is then at risk from the moment it is inserted through the time when the bone is healed around it – a time period Giorno refers to as “the window of negative opportunity.” However, the NYU researchers found that bone cells immediately start clustering around the OSSEAN implants and begin accelerated healing, with little confusion whatsoever.

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Case of the month: Dental implant & CBCT

Case of the month: Dental implant & CBCT | Dental Implants | Scoop.it

The concern? Given that the patient has a pronounced gag reflex, positioning of the (2D X-ray) sensor in her mouth was compromised and resulted in inappropriate X-ray image angulation. The inappropriate position of the intra-oral X-ray sensor created a 2 dimensional illusion or image distortion of an incorrectly positioned implant, the apex appearing to impinge on the tip of the root of the adjacent tooth (see white lines in image 2).

Murry Shohat's insight:


Here, 3D CBCT is used AFTER implant surgery to confirm the dentist's suspicions. Had the CBCT scan been performed BEFORE surgery, there might not have been suspicion. All's well that ends well, right?

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Stem cells in implant dentistry | Dental Tribune International

Stem cells in implant dentistry | Dental Tribune International | Dental Implants | Scoop.it

The human body contains many types of cells organised into tissues and organs that perform all the tasks required to maintain the viability of the system, including reproduction. Following tissue injury, cell proliferation begins to repair the damage. In order to achieve this, quiescent cells (dormant cells) in the tissue become proliferative, or stem cells are activated and differentiate into the appropriate cell type needed to repair the damaged tissue. 

Murry Shohat's insight:


An interesting article. Although it seems to rule out the actual growing of new teeth in humans, it rules in significant improvements for creating new bone in the jaw. This improves opportunities to use bone-integrated implants that support crowns or prostheses.

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i-CAT rolls out release of treatment planning software - Dentistry IQ

Implant cases can be planned accurately from the beginning. With their desired functional results planned in the Tx STUDIO software first, clinicians can plan implant placement and abutment. Restoration planning has been simple, fast, and precise with Tx STUDIO. The new launch brings more robust tools to the process. The software allows clinicians to combine their 3-D images with intraoral scans for a more complete representation of the anatomy, hard and soft tissues, to increase predictability and accuracy of implant placement and restoration design.

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Study puts 2 types of powered toothbrushes to the test

Study puts 2 types of powered toothbrushes to the test | Dental Implants | Scoop.it

While both reduced plaque during the course of the four-week study, "the oscillating-rotating brush was statistically significantly more effective in reducing plaque (p < 0.001) than the sonic brush," the researchers wrote. "Compared to the sonic power brush, the adjusted mean plaque reduction scores for the oscillating-rotating power brush were more than five times greater for whole mouth and approximal areas."

Murry Shohat's insight:


Very good to know... I'm an oscillating-rotating kind of person.

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High-tech teeth: Dentistry is going digital - USA TODAY

High-tech teeth: Dentistry is going digital - USA TODAY | Dental Implants | Scoop.it

After taking a digital scan of the mouth using an intra-oral camera (think of an over-sized pen with a video camera on the end), a 3-D image of the teeth and gums appears on a computer screen.

Murry Shohat's insight:


Pretty good article in USA Today. Presents a goop-free dental experience leading to precision above-the-gum milled-in-office crowns and more without waiting for a lab.

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Dental implant procedure - YouTube

http://www.dental-implants-world.com/ - Animated video of a dental implant procedure (I added a video to a @YouTube playlist http://t.co/2VdwggqzbN Dental implant procedure)...
Murry Shohat's insight:


Makes it seem easy!

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