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ePaper created 2014-10-07, 09:31:41 | version 1.30.01
special _ 3-D planning for implants I In order to understand each patient’s presentation fully, advanced 3-D imaging modalities are essen- tial. This article has illustrated the use of various innovative virtual 3-D tools. The application of CT or lower radiation dosage CBCT provides clinicians with an accurate under- standing of the 3-D anatomical reality of our patients as an aid in providing state-of-the-art treatment. Implants will be better positioned, with fewer surgical and restorative complications, and reduced laboratory remakes based upon these diagnostic tools. The benefits will enable clinicians to better understand the relationship between patient anatomy and the desired restorative out- comes in the process of achieving true restora- tively driven implant reconstruction. The ability to utilise digital imaging and treatment planning technology is now within the reach of many clini- cians through the various software products on the market. In addition, there are many third- party outlets online that enable clinicians to up- load their DICOM data for evaluation, processing, treatment planning, and even surgical template fabrication. In many case presentations, a reduction of the alveolar crest is an essential part of the surgical phase to achieve adequate width of the bone for implant placement. It is now possible to plan for accurate bone reduction with the full knowledge of the impact on the inter-arch space and occlusal requirements. The advent of the bone reduction template provides one additional digital solution that can also result in reduced patient morbidity, especially when the process can be completed in one surgical procedure. New paradigms have been established that, in the author’s opinion, will continue to redefine the process of diagnosis and treatmentplanningfordentalimplantprocedures, both removable and fixed implant-retained alter- natives, for years to come._ I 39cone beam3_2014 Dr Scott D.Ganz maintains a private practice for prosthodontics,maxillofacial prosthetics and implant dentistry in Fort Lee in New Jersey in the US.He appears in the Best Dentists inAmerica list byWoodward/White and in theTop Dentists list by the New Jersey Monthly. He has served as President of the New Jersey Section of theAmerican College of Prosthodontists and of the ComputerAided ImplantologyAcademy. Dr Ganz delivers presentations worldwide on both the surgical and restorative phases of implant dentistry,and has published extensively on these topics.He is considered one ofAmerica’s leading experts in the evolution of computer utilisation and interactive software for diagnostic and treatment planning applications using CT and newer-generation CBCT imaging modalities. cone beam_about the author Fig. 16dFig. 16c Fig. 16bFig. 16a CBE0314_34-39_Ganz 30.09.14 14:17 Seite 6