Dentaltown December 2021 - 53

by Dr. Kirsten Andrews
After Dr. Kirsten Andrews graduated from the University
of Minnesota School of Dentistry in 2007, she returned
to her hometown of Devils Lake, North Dakota, where she
owns and practices at Johnson Family Dentistry.
Andrews, a Cerec user since 2012, is a visiting faculty
member for CDOCS, mentoring dentists who attend
courses in Arizona and North Carolina. Through Patterson
Dental, she also has taught dentists in her home state.
She is passionate about delivering the best care to
her patients and believes that offering same-day crowns is part of that. She is a
member of the American Dental Association, the North Dakota Dental Association
and Spear Practice Solutions.
CBCT in practice
When we decided to upgrade our 3D/2D imaging system, we ultimately chose the Dentsply
Sirona Axeos CBCT because it enabled us to deliver a variety of services under one roof. The unit's
Sidexis 4 software integrates other digital tools, such as intraoral sensors and X-rays from my CBCT,
to streamline workfl ows for several dental applications, including implant placement, endodontics
and orthodontics.1
As a result, we can provide a wider range of services to more patients, who are
happier because they don't have to visit multiple offi ces to get treatment. We are also happy to limit
our referrals and take care of our patients in-house.
In a single 14-second rotation, CBCT provides 3D images of the entire head, and can also detail
quadrant regions. This provides a very accurate and reliable diagnosis tool. There are four fi elds
of view that can be taken based on what you are trying to analyze: 17-by-13, 11-by-10, 8-by-8 and
5.5-by-5 cm. The smaller volumes are ideal for diagnosing single-tooth fractures or endodontic lesions,
while the larger volumes are more appropriate for treating implants, TMJ and airway problems.
Case study 1
A patient came to our offi ce for a routine hygiene visit and
cleaning. During the hygiene exam, it was discovered that there
was decay present on the mesial buccal aspect of tooth #14
(Fig. 1). This tooth served as an abutment to a three-unit PFM
bridge spanning from #12-14. The bridge was sectioned and
the crown from #14 was removed to determine the restorability
of the tooth. Signifi cant decay was found under the bridge,
extending into the buccal furcation of the tooth.
The patient was asymptomatic, but upon reviewing the
CBCT, it was discovered that #14 had a signifi cant lesion
extending into the maxillary sinus (Figs. 2 and 3). It was
Fig. 1
Fig. 2
also found that #15 was necrotic, with a lesion extending
into the maxillary sinus (Fig. 4). The patient was referred to
an endodontist for evaluation, who recommended extracting
both teeth and restoring with implants.
Without the CBCT, a misdiagnosis likely would have
occurred and created unnecessary procedures for the dentist
and unnecessary expenses for the patient. The patient is now
scheduled for an implant in the position of #13, and a future
implant in the site of #14 after grafting and allowing the site
to properly heal.
Fig. 3
Fig. 4

Dentaltown December 2021

Table of Contents for the Digital Edition of Dentaltown December 2021

Howard Speaks: Making a Different Kind of 5-Year Plan
Professional Courtesy: The PPO Pay Cut
Continuing Education Update
Poll: Clinical Technology
Message Board: Trying to Push Myself and Pushed Myself Too Far.
Message Board: Worn Dentition, Composite Rehab
Office Visit: Dr. Ross Oberschlake
Let's Get Digital — Dr. Robin Henderson
Seeing Is Believing — Dr. Kristen Andrews
Ad Index
The Rules of the Game — Jay Geier
2021 Dentaltown Townie Choice Awards
Dentaltown December 2021 - 1
Dentaltown December 2021 - Cover1
Dentaltown December 2021 - Cover2
Dentaltown December 2021 - 1
Dentaltown December 2021 - 2
Dentaltown December 2021 - 3
Dentaltown December 2021 - 4
Dentaltown December 2021 - 5
Dentaltown December 2021 - 6
Dentaltown December 2021 - 7
Dentaltown December 2021 - 8
Dentaltown December 2021 - 9
Dentaltown December 2021 - Howard Speaks: Making a Different Kind of 5-Year Plan
Dentaltown December 2021 - 11
Dentaltown December 2021 - Professional Courtesy: The PPO Pay Cut
Dentaltown December 2021 - 13
Dentaltown December 2021 - Continuing Education Update
Dentaltown December 2021 - 15
Dentaltown December 2021 - Poll: Clinical Technology
Dentaltown December 2021 - 17
Dentaltown December 2021 - 18
Dentaltown December 2021 - 19
Dentaltown December 2021 - Message Board: Trying to Push Myself and Pushed Myself Too Far.
Dentaltown December 2021 - 21
Dentaltown December 2021 - 22
Dentaltown December 2021 - 23
Dentaltown December 2021 - 24
Dentaltown December 2021 - 25
Dentaltown December 2021 - Message Board: Worn Dentition, Composite Rehab
Dentaltown December 2021 - 27
Dentaltown December 2021 - 28
Dentaltown December 2021 - 29
Dentaltown December 2021 - Office Visit: Dr. Ross Oberschlake
Dentaltown December 2021 - 31
Dentaltown December 2021 - 32
Dentaltown December 2021 - 33
Dentaltown December 2021 - 34
Dentaltown December 2021 - 35
Dentaltown December 2021 - 36
Dentaltown December 2021 - 37
Dentaltown December 2021 - 38
Dentaltown December 2021 - 39
Dentaltown December 2021 - 40
Dentaltown December 2021 - 41
Dentaltown December 2021 - 42
Dentaltown December 2021 - 43
Dentaltown December 2021 - Let's Get Digital — Dr. Robin Henderson
Dentaltown December 2021 - 45
Dentaltown December 2021 - 46
Dentaltown December 2021 - 47
Dentaltown December 2021 - 48
Dentaltown December 2021 - 49
Dentaltown December 2021 - 50
Dentaltown December 2021 - 51
Dentaltown December 2021 - Seeing Is Believing — Dr. Kristen Andrews
Dentaltown December 2021 - 53
Dentaltown December 2021 - 54
Dentaltown December 2021 - 55
Dentaltown December 2021 - 56
Dentaltown December 2021 - Ad Index
Dentaltown December 2021 - The Rules of the Game — Jay Geier
Dentaltown December 2021 - 59
Dentaltown December 2021 - 60
Dentaltown December 2021 - 61
Dentaltown December 2021 - 62
Dentaltown December 2021 - 63
Dentaltown December 2021 - 2021 Dentaltown Townie Choice Awards
Dentaltown December 2021 - 65
Dentaltown December 2021 - 66
Dentaltown December 2021 - 67
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Dentaltown December 2021 - Cover3
Dentaltown December 2021 - Cover4
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