Dental News - 3-D Vision: Let the journey begin with a passport to the future

Neal Patel, DDS

Thu. 21 June 2012

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Three-dimensional diagnostic vision in dental radiography is making waves in dentistry around the world. With multiple indications, we lack clarity with regard to proper indications and guidelines for use of cone-beam computed tomography (CBCT) imaging for dental diagnostics and therapeutic treatment. My journey with CBCT technology began four years ago.

I searched for a comprehensive solution for all facets of dentistry. My solution was the Galileos by Sirona.

The Galileos is my primary diagnostic tool and is the cornerstone of my practice because it is useful in all facets of dentistry: implantology, endo, TMJ, pedo/ortho, perio, oral surgery, pathology, restorative dentistry and airway analyses. Regardless of the treatment modality, the Galileos helps to identify, diagnose, plan treatment and fulfill therapy and prevention. It has opened my eyes to a different level of dentistry.

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Sirona is actively working in research and development to add revolutionary tools onto its 3-D platform. One exciting module is the combination of 3-D surface imaging and 3-D radiographic planning: the integration of CEREC CAD/CAM design with Galileos CBCT imaging. The digital integration of these technology platforms enables prostheticaly focused implant placement using virtual prosthetic plans generated by CEREC CAD. This new technique offers the ability to comprehensively plan optimum implant prosthetic and surgical outcomes during the diagnostic and planning phases of the treatment.

Using Galileos-CEREC Integration (GCI) Software, the clinician can identify the restorative requirements virtually, including emergence profile, depth of restorative interface and proper identification of restorative material thickness around the long axis of a planned implant and abutment.

The GCI workflow includes the ability to generate siCAT surgical guides for complete guided osteotomy and implant placement. According to studies by Dreiseidler, et al., the accuracy of implant placement using siCAT guides has been found to be within 500 microns of planned placement. The siCAT surgical guide system’s inherent mean deviation rates for the drilled pilot osteotomies are determined to be smaller than 500 µm even at the apical end and within 1.18-degree angular deviation. Crestal deviations, in general, are significantly lower than the apical deviations

The release of inLab Abutment enables complete control of final abutment design and fabrication. The integration of multiple technologies by Sirona enables complete control over dental treatment.

Thanks to Sirona Implant Software, CBCT workflow is now more efficient than ever before, and I look forward to the journey with Sirona 3-D!

Note: This article appeared in Dental Tribune Canada, Vol. 6 No 2, April 2012.

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