Orthotown November 2017 - 44
We all care about providing the highest
standard of care to our patients. In our practices,
CBCT changes the treatment plan for every
case, if for no other reason than looking at the
alveolar boundaries (Fig. 9) before deciding on
treatments and mechanics. CBCT changes the
way we treat, what types of cases we will or
won't treat, and can even change the timing
of treatment, as far as staging is concerned and
whether that treatment should be limited or
comprehensive.
For those who use CBCT on a regular basis
in their practices, the benefits are numerous.
We've summarized some major ones below
from an article by J.K. Mah et al:2
* Having a 3-D representation of the
*
*
Fig. 9: Slide showing the limited alveolar housing.
dental and craniofacial structures while
doing diagnostic work-up and treatment
planning. Before CBCT, the only 3-D
records we had when treatment planning
were the patient's stone models. With
this technology, we have all dental and
craniofacial structures available to us.
The ability to reformat or reorient
images in different angles and perspectives. This gives us better information
with which to make treatment decisions.
In the case presented, Figs. 3-6 (p. 43)
show how the MPR view can be
reoriented to reveal much more than
any type of 2-D radiography ever could.
Other examples of this type of use
would be the localization of impacted or
supernumerary teeth, TMJ tomographic
images, normal panoramic and lateral
cephalometric images, PA cephalometric
and submentovertex images and alveolar
boundary images (Fig. 10).
Distortion-free images, with no magnification error. Because our profession is
judged in millimeters, the one-to-one
nature of these images is particularly
helpful. The ability to do superimposition over one-to-one images allows for
better information without the distortion
found in 2-D radiography.
Fig. 10: Common views representing dental and craniofacial views important to orthodontic treatment.
44
NOVEMBER 2017 // orthotown.com
Fig 9: Courtesy of Planmeca Romexis. Fig 10: Courtesy of Planmeca Romexis and OsiriX MD
Changing practice
for the better
http://www.orthotown.com
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