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CAD/CAM - international magazine of digital dentistry

3-D technology opinion | 31CAD/CAM 2 2016 tors that must be addressed prior to commencing with any necessary treatment. Due to these and other factors it may be advantageous to stage our complextreatmentinordertoadvancepatientcare tocompletion.WithGALILEOS,wecanseethewhole picture and our patients can visualise their actual maxillofacial anatomy during a computerised vir- tual tour. Sirona Dental Technologies has married innovativetechnologiestoimprovediagnosis,plan- ningandtreatmentthroughadigitalworkflowwith sophisticated but easy to use and implement soft- ware. Guided surgery facilitates the safe precise place- ment of dental implants while minimising the un- toward sequelae associated with inflammatory changes that occur after extensive conventional implant surgery. Planning the placement of virtual implants to avoid vital anatomical structures, i.e. adjacent teeth, nerves, sinuses et al. is effortless with GALILEOS implant planning software. Life changing dentistry is only possible when pa- tientanddentistareinfullagreementastowhatare the optimal possibilities for each case. The initial conversation must address the patients’ physical and emotional desires and, of course, their budget. Long-term effects of neglect and patient anxiety caused by past dental experiences are impediments to case acceptance. 3-D virtual analysis is impera- tive to educate and communicate extensive prob- lems associated with advanced dental destruction. The ultimate in-office radiographic imaging is GALILEOS and is the most used CBCT unit in the world (Gordon Christensen of CRA). 3-D Diagnostics High definition imag- ingassiststheclinician in making accurate decisions for all types of dental procedures, including implant sur- gery,fullmouthrecon- struction, extractions and bone grafting. My indication for obtain- ing a CBCT scan in or- der of use is: 1. Implant planning 2. Comprehensivetreatmentplanningfortoothas- sessment, i.e. rampant decay, periodontal break- down, and clinical challenges 3. Boneevaluationandextractionsitemanagement 4. Revealing vital anatomical structures and their location,nerves,arteries,sinuses,lingualconcav- ities,andtoothproximitywhenplanningimplant placement 5. Surgical guide fabrication and integration with CAD/CAM data 6. Pathology 7. Oral surgery, third molar evaluation 8. Complexperiodontalandendodonticevaluation. Digital tools facilitate the education and commu- nicationwithourpatientsandvirtualimagesrepre- sentourpatients’maxillofacialanatomyina1:1un- distorted manner. Prior to my utilisation of 3-D imaging it was challenging, to say the least, when Fig. 2c Fig. 6 Fig. 7 Fig. 8 Fig. 3 Fig. 4 Fig. 5 22016

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