Surgical Solutions - March-May 2017 - 15

DETECTION

TREATMENT PLANNING SOFTWARE IN ACTION- 4 CASE STUDIES

Periodontal Surgery

I've found the Invivo5 software
to be incredibly versatile. I use it
This CBCT image revealed two things. First, the upper
for everything from implant planning
third molar
extractions
molar hasand
a periodontal
defect
and external to
resorption
periodontal surgery and apicoectomies.
I've recently
theon
of the mesiobuccal
root. Therestarted
is also a using
bone graft
lowerallows
first molar
we are able
to seefrom
the healing
video function in the software.theThis
meand
to create
a video
of
the
site.
I
used
the
CBCT
scan
to
evaluate
the
the treatment steps build during the planning phase. It doesn't take any
severity of the periodontal defect and show the patient
extra time and it allows me tothat
show
patient
a virtual
demonstration
I wasthe
going
to remove
the mesiobuccal
root to
of the procedure. It's incredibly
powerful
and
myshows
save
the majority
of greatly
the tooth.enhances
This scan also
early
signs
healing
in
the socket
preservation
site
Periodontal
patient consultations. The
videos
alsoofcan
beSurgery
used
as simple
education
TREATMENT PLANNING SOFTWARE IN ACTION- 4 CASE STUDIES
on
the
lowerimage
right.
4 months
scan
be
tools as well. Showing a patient
what's
goingIn
on
inside
their own
mouth
This
CBCT
revealed
twoanother
things.
First, can
the
upper
taken
to
evaluate
the bone
density
and
volume
for
molar
has
a periodontal
defect
andwe
external
resorption
can be very effective in helping
them
to
understand
why
need
the
placement
of
an
implant.
The
3
dimensional
of the mesiobuccal root. There is also a bone graft on
toembark on treatment, whether
it's an
rootthe
canal.
manipulation
ofmolar
the images
helps
the or
patient
visualize
the lower
firstextraction,
and weimplant
are able
to
see
healing

Periodontal Surgery

what
areI used
tryingthe
to accomplish.
of thewe
site.
CBCT scan to evaluate the

of the periodontal defect and show the patient
4 Case Studies-severity
that I was going to remove the mesiobuccal root to
save
the
majority
of the tooth. This scan also shows
Real-World Treatment
Planning
early signs of healing in the socket preservation site
the lower right.
4 months
another aids
scan can
The following four case studiesonrepresent
how InInvivo5
software
in be
taken to evaluate the bone density and volume for
treatment planning and treatment
acceptance. All of these cases are from
the placement of an implant. The 3 dimensional
patients in my practice.
manipulation of the images helps the patient visualize
what we are trying to accomplish.

Third Molar Extraction

This CBCT image revealed two things. First, the upper molar has a
periodontal defect and external resorption of the mesiobuccal root.
10
There is also a bone graft on the lower first molar and we are able to
see the healing of the site. I used the CBCT scan to evaluate the
severity of the periodontal
defect and show the patient that I was
TREATMENT PLANNING SOFTWARE IN ACTION- 4 CASE STUDIES
going to remove the mesiobuccal root to save the majority of the
tooth. This scan also shows early signs of healing in the socket
preservation site on the lower right. In 4 months another scan can be
taken to evaluate the bone density and volume for the placement of
10
TREATMENT
PLANNING SOFTWARE
ACTION-
4 CASEthe
STUDIES
an implant. The 3 dimensional
manipulation
of the INimages
helps
patient visualize what we are trying to accomplish.

Apicoectomy

We took a panoramic radiograph of this patient, which showed
concerning proximity of the wisdom teeth to the inferior alveolar canal.
PLANNING
SOFTWARE
ACTION-
CASE STUDIES
We took the CBCT to get aTREATMENT
better look
at the roots
and IN
found
that4they
were clear of the nerve. However, with the CBCT, we were able to see
Apicoectomy
that the lingual plate at the wisdom
teeth was very thin. This helped
TREATMENT PLANNING SOFTWARE IN ACTION- 4 CASE STUDIES
patient
for awere
smile pushed
design, but
prepare me for the procedure This
so that
nopresented
fragments
into the
during the diagnostic phase we discovered an
lingual space during the extraction.
infection that needed to be treated before we could
begin restorative work.

7

Implant Planning Apicoectomy

I used these images to show the patient the infection
patient
for aNo.
smile
but the
IThis
found
at thepresented
apex of tooth
9. design,
By showing
during the
diagnostic
we discovered
an
patient
what
I saw, hephase
understood
why we needed
to
infectionthe
thattooth.
needed to be treated before we could
remove
begin restorative work.
I used these images to show the patient the infection
I found at the apex of tooth No. 9. By showing the
patient what I saw, he understood why we needed to
remove the tooth.

This patient presented for a smile design, but during the diagnostic
phase we discovered an infection that needed to be treated before
we could begin restorative work.
I used these images to show the patient the infection I found at
the apex of tooth No. 9. By showing the patient what I saw, he
understood why we needed to remove the tooth.

11

11

Change how you Practice
Here, I showed the patient how the implant is placed in the bone. It
also made it clear that because of the amount of bone loss, the crown
on the implant had to be longer than the adjacent tooth. The patient
can see how the bone supports the tissue and how that affects the
way the final restoration will look. This can't be accomplished with
drawings or illustrations because it is specific to each case. The CBCT
scan and the Invivo5 software make this all possible.

Orders

1 3 0 0

I like tools that make me a better dentist, and I like having the
best tools available for what I want to do. Having the OP300 and
Invivo5 3D software at my fingertips has had a real impact on how
we
practice day-to-day. It truly expedites my workflow, is critical
8
in successful treatment planning and helps to ensure successful
outcomes. And to a certain degree, I think the patients are glad
8
they are at a practice that has a CBCT unit and this kind of
advanced technology.

6 5

8 8

2 2

15



Table of Contents for the Digital Edition of Surgical Solutions - March-May 2017

Contents
Surgical Solutions - March-May 2017 - 1
Surgical Solutions - March-May 2017 - Contents
Surgical Solutions - March-May 2017 - 3
Surgical Solutions - March-May 2017 - 4
Surgical Solutions - March-May 2017 - 5
Surgical Solutions - March-May 2017 - 6
Surgical Solutions - March-May 2017 - 7
Surgical Solutions - March-May 2017 - 8
Surgical Solutions - March-May 2017 - 9
Surgical Solutions - March-May 2017 - 10
Surgical Solutions - March-May 2017 - 11
Surgical Solutions - March-May 2017 - 12
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Surgical Solutions - March-May 2017 - 14
Surgical Solutions - March-May 2017 - 15
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Surgical Solutions - March-May 2017 - 40
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