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34 Dental Tribune Middle East & Africa Edition | November-December 2014clinical Robert Pauley, Jr., DMD Dr. Pauley has been practicing dentistry in the Atlanta area since graduating from the University of Kentucky College of Dentistry in 1988. Currently enrolled in the Advanced Dental Implant Stud- ies, Dr. Pauley is an Associate Fellow of the American Academy of Implant Dentistry and a Fellow of the International Congress of Oral Implantologists. Would you like to know more? Visit us on the web at www.carestreamdental.com or call 800.944.6365. About the Author < Page 22 Figure 3 Figure 5 Figure 7 Figure 9 Figure 8 Figure 4 Figure 6 clar Vivadent e.max shade A1 size 12 ceramic block. We tried in the crown and took a digital PA radiograph to verify the mar- gination, and made a slight oc- clusal adjustment on the lingual surface. The patient and parents were pleased with the appear- ance of the unglazed product. We polished, glazed, and added a slight white line on the buccal of #9 to mimic natural tooth #8. The crown was fired in the Ivo- clar Programat Oven on e.max glazing setting. After a final try- in, the crown was cemented in placeusingvariolinktranslucent base and catalyst. We cleaned off the excess cement, verified the final occlusal scheme, and captured a final periapical im- age verifying cement removal (Fig. 8). Post-operative instructions were given. The patient and parents were advised to call immediately if there was sensitivity, swelling, questions or concerns. I spoke with the parents and checked on the patient one day and one week postoperatively. She was proud of her new tooth and said it felt “awesome” (Fig. 9). Testimonial Carestream Dental products helped me gather valuable clini- cal information, diagnose, moni- tor treatment status, and pro- vide better care for this patient. The digital radiographs initially captured by the CS 8100 3D to evaluate the tooth were clear and beneficial to determine frac- ture and position of nerve tissue. This clarity allowed us to see the bone pattern and periodon- tal ligament space surrounding the damaged tooth. In addition, the 3D scan, taken at a 5 cm x 5 cm field of view and 300 vox- els, allowed us to rule out buccal or palatal plate fractures before finalizing the treatment plan. The various voxel settings let us select the best exposure time to image the structures we desire to view. This would not have been possible in the past with a panorex or digital 2D radio- graph system. The fact that we were able to provide the patient and her par- ents with a three-dimensional CBCT of tooth #9 gave them the opportunity to see and under- stand what was going on under the surface; ultimately result- ing in positive acceptance of the treatment plan. I find that the CS 8100 3D unit gives me an incredible level of detail with ac- tual size images that I can view from any angle or cross-section to get the best possible diagnos- tic image. CS Solutions (CS 3500 intraoral scanner, CS Restore software and CS 3000 milling unit) allows my office the op- portunity to fabricate same-day permanent restorations. My patients appreciate the fact that our office is staying up to date with new available technology and giving them a safer environ- ment with less radiation.