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cone beam – international magazine of cone beam dentistry

Fig. 1_Retracted pre-op view. Fig. 2_Pre-op panoramic radiograph. 10 I cone beam4_2015 _Having the abilitytotakeapatientfrompointA to point Z in fewer appointments within one’s prac- tice allows one to position oneself as a provider that can fulfil patient’s surgical and restorative needs. With the proper training, a dental provider may pro- vide extraction, grafting and implant placement within one appointment at one location. Not only does this allow the reduction of the number of visits for the patient, but this type of service also helps the patient stay within his or her budget. Most impor- tantly, this enables the dental provider full control of the surgical and prosthetic outcome. Depending on the patient’s desires, the clinical conditions of the oral environment and the skills of the dentist, the dentist may choose to extract teeth, level bone, and graft with simultaneous dental im- plantplacement.Inthiscase,apatientinhismid-six- ties presented to the office with discomfort owing to multiple rampant caries and generalised advanced periodontal disease (Figs. 1 & 2). Having already vis- itedmultipleprovidersforaconsultation,hewasvery frustrated with the treatment options offered with varying treatment plans that were segmented into different disciplines. Since many of these options did not complement the other, the patient decided to come to us for full treatment after being referred by one of our patients who had undergone a Total Den- tal Solutions Reconstruction. Beforethesurgicalappointment,aCBCTscanwas taken to accurately plan treatment for this case to make certain that no complications would arise from completing all of the procedures (extract, graft and implant placement) in the Total Dental Solutions Re- construction protocol. coDiagnostiX software (Den- talWings)wasusedthrough3DDiagnostixvirtualas- sistancetopreciselyplantheplacementofsixEngage Efficiently delivering full-mouth reconstructions Author_ Dr Ara Nazarian, USA I case report _ use of CBCT in implant dentistry Fig. 3_Maxillary virtual treatment plan. Fig. 4_Mandibular virtual treatment plan. Fig. 1 Fig. 2 Fig. 3 Fig. 4

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