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KKG today supplement IDS 2015 Best of

technique14 Show Review IDS Cologne 2015 With the ORTHOPANTOMOGRAPH OP300 Maxio, a device that offers nume- rous advantages to both specialists and general dental practitioners, the KaVo Kerr Group presented an innovation in the ield of 3-D imaging at this year’s International Dental Show. Dr Frank Liebaug’s practice for laser and implant dentistry was the irst German practice to be able to test the X-ray system in everyday clinical use. In this interview, the dentist talks about his experience with the new system. Dr Liebaug, how many patients do you treat per week and what treatments do you primarily perform? In principle, our practice covers the entire spectrum, from conservative to sur- gical treatment, including examination, medical history and assessment as well as periodontal, endodontic and prosthe- tic treatments and implant-based or oral surgical procedures. On some selected days, we also perform surgical procedures under anaesthesia with the assistance of an anaesthetist. Depending on treatment complexity, between 150 and 200 patients aretreatedhereperweekbythreetreating physicians. What is important to you in an imaging system in the context of these daily practice activities, and what have you paidspecialattentiontowhencomparing different product options? Before selecting a system, I looked at various manufacturers and device types, andalsohadtheopportunitytoseedevices from different manufacturers in action at the Shandong University in China and three Chinese private clinics through my international activities and to evaluate their results. The wide range of treatments offered at our practice requires a universal device that combines the relevant factors for implantology and endodontics. It’s not exactly easy to ind this type of device on the market. There are device manu- facturers that only offer very low volume sizes, but at a very high resolution. With the new OP300 Maxio, I have found a device that offers four different areas of examination as standard, with even an additionalvolumesizeasanoptionalextra. The different volume sizes from 5 × 5 cm to 13 × 15 cm are suitable for an extremely widerangeoftreatments,fromsingle-tooth implants to major oral and maxillofacial surgery and the planning of orthognathic surgery. The wide range of examination areas in comparisontocompetitors,and,atthesame time, the option of very high resolution, namelyabout85µm,weretwoparticularly importantcriteriaformewhenselectingan X-ray and 3-D imaging system. Were there any other aspects and proper- ties that affected your decision to opt for the OP300 Maxio? Another aspect that is important to me is the Low Dose Technology, which, despite very low radiation exposure, allows for easily evaluable presentations that are made possible thanks to features such as the automatic beam adjustment known as Automatic Dose Control (ADC). The ADC function takes into account the patient’s anatomy,whichinturnleadstoanimprove- ment in image quality and image informa- tion despite the low radiation dose. AnotherspecialfeatureistheAutomatic Spine Control (ASC) function. With pano- ramic tomographic imaging, the image information in the frontal region is usually not as good as in the lateral areas due to thesuperpositionofthespine.Throughthe application of ASC, the automatic dosage is readjusted so that an optimal image quality is achieved especially for this area, eliminating the need for additional recor- dings. This reduces the patient’s radiation exposure. The Automatic Facial Contour function (AFC) is also relevant for orthodontics or orthognathicoperationsinwhichimagesof the facial contour are required. When per- forming the X-ray, this automatic function somewhat lowers the exposure factors in the facial skull so that the soft parts, such as nose, cartilage, skin and subcutaneous components can be well represented at a further reduced radiation dose. Finally, I would like to talk about the metal artefact reduction function (MAR). This technology reduces the inluence of scattered radiation that occurs in very dense structures in the X-ray volume. This improves the representation of teeth with illed root canals and endodontic posts in particular, and allows for better assess- ment of the immediate area around metal- lic implants. This is another function that I don’t want to miss in the future. With your practice focus on implantology, how has the OP300 Maxio become part of that workflow? What are the differences in terms of treatment planning or other aspects of care? TheOP300Maxioallowsforcomprehen- sivepre-implantationdiagnosis,whichpro- videsincreasedsafetybothformeasaphy- sician and also for the patient. We can use the device to successfully represent and measure the bone supply, vulnerable ana- tomical structures and nerve exit points in advance. This then allows us, for example, to draw conclusions about the nerve paths and leads to a signiicant reduction in the risk of injury during the operation. As a treatingphysician,Icanusethediagnostic spectrum of the OP300 Maxio to work out “I can recommend the OP300 Maxio in good conscience” An interview with dentist and implantologist Dr Frank Liebaug 5 Dr Frank Liebaug, dentist and implantologist, tested the OP300 Maxio in his practice. what to expect in advance, and will not be met with any unwanted surprises during surgery. The total time of treatment, including diagnostics, measurement and evaluation time may not be reduced directly, but the operation time is probably reduced thanks to the improved options for pre-orientation and planning of access routes. The OP300 Maxio also provides the option of connec- ting the supplied evaluation software to a program for the production of drilling templates, which once again increases the patient’s safety. When used correctly, the OP300 Maxio makes implantology less risky and easier in its clinical implemen- tation. How do your patients react to the OP300 Maxio? The patients have consistently demons- tratedapositiveresponse.Ontheonehand, they noticed that an innovative new device hasbeenintroducedintothepractice,which providesusasatreatmentteamwithahigh information content. On the other hand, communicationwithpatientshasalsogene- rally improved, both in terms of the pre- operative explanation and the provision of information during continued treatment. The patient can visualise the treatment much better using the 3-D representation ratherthana2-Dimage.Thisenablesme,as a dentist, to better explain the risks to the patientontheonehand,andthereasonsfor choosingtherespectivesurgicalprocedure or treatment on the other hand. How would you advise colleagues who are thinking about purchasing an imaging system like the OP300 Maxio? He or she should irst consider the range oftreatmentsavailableinhisorherpractice or clinic and the direction he or she would like to develop in the future. Building on that, he or she should compare the devices that are currently on the market that offer the best possible choice of volume sizes and highest possible resolution for his or her indication, and that have low radia- tion exposure despite very good pictorial representation—a factor that will become increasingly important for patients in the future when selecting their practice. When selecting new technologies, one should always be aware that the quality of an X-ray or a three-dimensional volume representation and the diagnostics that are made based on this representation can be crucial for the success or failure in a patient’s treatment. In this regard, I can recommend the OP300 Maxio in good conscience.  “OP300 Maxio makes implantology less risky and easier in its clinical implementation.” 5 Representation of anatomically vulnerable structures. Here: Canalis mandibularis before implantation. 5 Implant planning and bone measuring. “ It’s not exactly easy to find this type of device on the market.”

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