Dentaltown June 2019 - 34

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1253

Aren't there refurbished CBCTs for much cheaper than new ones, though? Thoughts? ■

Member Since: 11/09/16
Post: 24 of 120

Mike Dostal
Member Since: 10/18/10
Post: 26 of 120

2/26/2019

The used CBCTs are coming down a lot in price. Three years ago, I bought a used 2015
Sirona XG3D 8x8 FOV for $60K (included installation, support, shipping, and tax) from Renew
Digital. Great experience with them! I have had zero problems with it. Pretty sure you can get
similar models for around $45K now. Bottom line is, CBCTs allow you to better diagnose.
You'd be amazed at all the failing endo you find, especially those max molars draining into the
sinus. Plus, it pays for itself. I charge $270 for it.
I placed plenty of implants before by bone sounding and feeling anatomy. I sleep much
better now. ■
2/26/2019

asohn
Member Since: 04/17/10
Post: 27 of 120

8mm is a good idea. I still do up to 10-11.5mm in lower molars sometimes if I grafted the
site myself but sometimes I have to do the 8.5 if I have to go more subcrestal and I don't want
to tango with the IA. ■
2/26/2019

jaysmasher
Member Since: 02/28/10
Post: 28 of 120

You and a few other dentists are probably the only ones that I would trust to place an implant
without a CBCT. I think that CBCTs combined with smart usage of guided surgery can make
implant placement so much more routine. I'm an inexperienced implant surgeon compared
to you, but with a CBCT and printing a guide using Blue Sky Bio I have been able to place
implants in areas with very little room for error and, in essence, thread the needle. Obviously I
can't do advanced cases like you, but I can have more confidence in doing cases that you yourself
would find routine without a guide. ■
2/26/2019

eeznogood
Member Since: 02/23/06
Post: 30 of 120

Even on the pan, you can see the outline of the fossa by observing the change in density in
the bone under the implant. Some of us are using a CBCT free of charge for routine implants?
This is a $75,000 machine (plus running costs) that is not needed for a routine implant, being
used anyway, free of charge? Why do dentists do this to themselves? ■
2/27/2019

jefff95
Member Since: 11/04/16
Post: 34 of 120

Seriously. In the beginning I was giving them away left and right, then realized that was
stupid. Started charging $50 and no one blinked an eye. Bumped it to $100 and still no one
says a word. I take a ton of scans for all my implants and endo, and whenever I'm curious about
something on a pan. (More often than not, I find something of value.)
I could probably go higher on the price, but at this point it's covering the monthly payment,
and the things I find are gravy. To heck with giving it away! ■
2/27/2019

drwillie
Member Since: 10/14/02
Post: 41 of 120

34

JUNE 2019 // dentaltown.com

I was kidding about the 14mm. Here's the final placement PA.


http://www.dentaltown.com

Dentaltown June 2019

Table of Contents for the Digital Edition of Dentaltown June 2019

Dentaltown June 2019 - Intro
Dentaltown June 2019 - Cover1
Dentaltown June 2019 - Cover2
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