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CBCT: Guiding Clinicians to Informed Decisions with PERRY E. JONES, DDS, MAGD, IADFE

Categories: CBCT

Author(s): PERRY E. JONES, DDS, MAGD, IADFE

Date: 09-21-2020 08:06:32 am



Q: How has CBCT changed your practice?
A: CBCT can be compared to a Swiss army knife in that it is a multipurpose tool. Using CBCT, I’m able to collect general diagnostic data, evaluate implant sites, plan implant surgeries, fabricate surgical guides, generate radiology reports, evaluate sites for endodontic treatment, diagnose TMD, evaluate and make critical measurements related to airway and sleep studies, and evaluate patients for orthodontic treatment. The accuracy, quality, and versatility of CBCT has allowed me to provide a higher level of care to my patients. To put it simply, CBCT provides me with better data. The end result is informed clinical decision-making.

Q: What is a good example of a case where CBCT saved the day?
A: I have a specific case where I was planning an implant surgery for a patient, and was in the process of designing a surgical guide using CBCT and intraoral scan data. While virtually planning the case, I found a periapical lesion at the root of an adjacent tooth. If I had placed the implant without knowledge of this lesion, the implant would have certainly failed. The ability to evaluate bone accurately using CBCT allowed me to treat the tooth in question before the implant was placed. Without CBCT, this surgery would not have been successful.

Q: Can you tell us about the study you conducted?
A: I did a study of 100 CBCT scans taken for “routine” diagnosis, and I compared them to commonly used 2D panoramic images. Out of the 100 cases, 36 presented with pathology that was not identified using conventional 2D imaging. So, we missed diagnostic data about one-third of the time! That finding has been repeated in the dental and medical literature in multiple studies. And that is because, in 2D, we see 2 dimensions: height and width. With 3D data, we see all 3 dimensions: height, width, and depth.

Q: What does having CBCT in your practice do for ROI?
A: CBCT drives income into my office daily. Every periapical lesion I find using CBCT data results in endodontic treatment followed by crown placement. CBCT is also an integral part of my implant service. I use CBCT data to plan implant placement and fabricate surgical guides. CBCT allows doctors to plan implant restorations prior to placement. This cuts down on unnecessary costs and adjustments related to improperly placed implants. CBCT has many uses that allow practices to better serve their patients.
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