CBCT provides high quality 3D images that allow for more accurate implant planning compared to traditional 2D radiography. It allows visualization of anatomical structures in multiple planes, and accurate measurements. While it provides more information, inexperienced clinicians may misinterpret data. CBCT is recommended for implant planning in aesthetic zones, complex cases, and when vital anatomy needs to be assessed. Virtual planning with CBCT can be used to determine grafting needs, tumor resection plans, and angled implant positions to avoid lifting sinus floors.
This presentation deals with radiographic imaging of three important phases of implant placement; PHASE 1: PRE-PROSTHETIC IMPLANT IMAGING
PHASE 2: SURGICAL AND INTERVENTIONAL IMPLANT IMAGING
PHASE 3: POST-PROSTHETIC IMPLANT IMAGING
A very precise and intimate description on radiographic considerations in dental implants, since the advent of the first radiographic modality in 1905, the dental health care professionals have been striving to achieve clarity & excellence in the development & usage of dental radiographic imaging modalities.
I hope this presentation will make this wonderful topic more understandable and easier to digest in the minds of young and experienced dental health care professionals.
by Dr Ishaan Adhaulia
This presentation deals with radiographic imaging of three important phases of implant placement; PHASE 1: PRE-PROSTHETIC IMPLANT IMAGING
PHASE 2: SURGICAL AND INTERVENTIONAL IMPLANT IMAGING
PHASE 3: POST-PROSTHETIC IMPLANT IMAGING
A very precise and intimate description on radiographic considerations in dental implants, since the advent of the first radiographic modality in 1905, the dental health care professionals have been striving to achieve clarity & excellence in the development & usage of dental radiographic imaging modalities.
I hope this presentation will make this wonderful topic more understandable and easier to digest in the minds of young and experienced dental health care professionals.
by Dr Ishaan Adhaulia
The biological fixation determines the longevity of dental implant treatment. It ensures the long term survival of dental implant. Better the osseointegration,higher will be the survival rate
loading protocols in dental implants about indications and contraindications of conventional , immediate,progressive and delayed loading of dental implants
is a diagnostic imaging modality that provide high quality ,CBCT uses systems that are ideal in capturing images of hard tissues especially in the maxillofacial region
Prosthesis is one of the most important component of an implant. There are various prosthetic factors that must be considered for a successful implant. Few of them include prosthesis type and material, the connection between abutment and prosthesis, occlusal factors, etc.
The biological fixation determines the longevity of dental implant treatment. It ensures the long term survival of dental implant. Better the osseointegration,higher will be the survival rate
loading protocols in dental implants about indications and contraindications of conventional , immediate,progressive and delayed loading of dental implants
is a diagnostic imaging modality that provide high quality ,CBCT uses systems that are ideal in capturing images of hard tissues especially in the maxillofacial region
Prosthesis is one of the most important component of an implant. There are various prosthetic factors that must be considered for a successful implant. Few of them include prosthesis type and material, the connection between abutment and prosthesis, occlusal factors, etc.
A 4 part seminar on 3D cbct technology for seminar presentations. with added technical details and considerations with differences between a CT technology.
Also it features the technical parameters ,uses and how it is considered useful in each departments of medicine and dentistry.
EVOLUTION AND DIGITAL EVALUATION USING CONE BEAM COMPUTERIZED TOMOGRAPHY, AND ITS USES IN CLINICAL ORTHODONTICS . PROTOTYPING MODALS, ITS APPLICATIONS IN VARIOUS FIELDS
ASSESSING THE EFFECT OF UNICONDYLAR KNEE ARTHROPLASTY ON PROXIMAL TIBIA BONE ...ijbesjournal
ABSTRACT
In order to develop computational models of implanted constructs to predict prosthesis performance,robust experimental tests need to be devised. In the case of unicondylar knee arthroplasty (UKA), whereuptake of the procedure has been relatively low compared to traditional total knee arthroplasty techniques,computational modelling can give an insight into the factors affect theperformance of UKA if verified withappropriate, preferably data rich, experimental simulations. In the present work, an image based strainanalysis technique was applied for the assessment of the effect of UKA implantation on the strainsdeveloped in cortical bone of the proximal tibia. The results indicated the presence of increased strains inthe proximal portion of the bone, which could be exacerbated in the case of poor implant positioning, or for patients with diminished bone quality.
KEYWORDS
Unicondylar Knee Arthroplasty, Orthopaedics, Implantation, Cadaver Bone, Strain, Digital ImageCorrelation
Diagnostic imaging /certified fixed orthodontic courses by Indian dental acad...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
A 46 years old Lebanese Patient presented to my university dental clinic before tow months of COVID-19 pandemic having missing teeth, fracture roots, failed PFM bridge, multiple failed RCT and caries...
Treatment plan and clinical steps are presented in the above presentation, clinical treatment is postponed due to the pandemic.
hope you like it...
stay safe
Neutral Zone
In dentistry, the neutral zone refers to that space in the oral cavity where the forces exerted by the musculature.of.the tongue are equal and balanced with the.forces exerted by the buccinators.muscle of the cheek.laterally and the orbicularis.oris muscle anteriorly
It is sometimes difficult in clinical and experimental situations to determine whether regeneration or new attachment has occurred and the extent to which it has occurred.
Although there are various evidences of reconstruction, the proof of principle for the type of healing is determined by histological studies.
A prosthetic technique for periodontal healthy teeth using feather edge preparation
in a flapless approach in both esthetic and posterior areas with ceramo-metal and zirconia restorations,
achieving high quality clinical and esthetic results in terms of soft tissue stability at the prosthetic/tissue interface, both in the short and in the long term.
Case presentation in Oral Diagnosis and PeriodontologyStephanie Chahrouk
Case 1: Gingival enlargement caused by Prednisone drug taken to treat Rheumatoid arthritis
Case 2: Generalized moderate chronic periodontitis
Case 3: Polyp on lateral surface of the tongue due to Irritable bowel syndrome
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
use of Cbct in dental implant
1. CBCT Third eye in
Dental Implant
Presented By: Stephanie Chahrouk
2. Introduction
"Imaging is a critically important aspect of diagnostics and
treatment planning when placing dental implants."
"High-quality, accurate images collected at the presurgical stage can
yield dividends both in implant outcomes and patient satisfaction."
Does Traditionaland CT Radiographic Methods Ideal?
"Traditional radiographic methods are not ideal for planning
implant placement "
"because you are visualizing a three dimensional (3D) object in two
dimensions and missing important information along the way"
"The development of computed tomography (CT) allowed clinicians to take
radiographic cross-sections, paving the way for 3D reconstructions of
maxillofacial features, though this improvement came at the cost of higher
radiation exposure"
3. Advantages ofCBCT
CBCT technology overcomes limitations.
It is possible to view all aspects of the insertion site on the computer screen, virtually,
noninvasively, as though you are dissecting your actual patient.
Modern software packages generally provide various perspectivesthat usually are
customizable and adjustable based on the clinician’s preference.
It is possible to view a 3D model (volumetric view) of the entire scanned object or only parts
of it or to create tomographic slices in all three planes of space and navigate through the
volume in increments of designated thicknesses, which also are customizable (Kau et al.,
2005).
CBCT technology allows an exact visual identification of the location, shape, and divergence
of the mesial and distal dental roots, the floor of the maxillary sinus, and the buccal and
lingual wall of the alveolar process.
Qualitative assessments, therefore, can be made with much greater accuracy than on a
regular 2D radiograph.
CBCT data can be quantified using the appropriate software packages.
Thus distances between two points such as interradicular distance or buccal bone thickness
can be measured with considerable accuracy (Timock et al., 2011);
angulation between three points can be calculated (e.g., to determine root divergence);
The density of objects including bone can be assessed (Marquezan et al., 2012).
More detailed approach to planning and placing of the miniscrew implants.
Disadvantages
the only major disadvantage is that a large amount of information provided by the CBCT
can lead to
o confusion or, even worse, may provide a false sense of security and override the
clinical chairside assessment for inexperienced clinicians.
The transfer of the information obtained on the virtual model to the real patient also can be
difficult.
4. B: Procedure of Image acquisition in CBCT
“Principle of Action Of CBCT”
“The principle of CBCT is based on a:”
• “fixed x-ray source and detectorwith a rotating gantry.”
“The x-ray source emits a cone-shapedbeam of ionizing radiation that passes throughthe centre of the
scan region of interest (ROI) in the patient’s head to the x-ray detectoron the otherside.”
“The gantry bearing the x-ray source and detectorrotates around the patient’s head in 360 degree arcs.”
A: Difference between Cone –Beam and Fan-Beam Geometry
5. “While rotating,the x-ray source emits radiation in a continuous or pulsed
mode allowing projection radiographs or“basis images”.”
“These are similar to lateral cephalometric radiographic images, each slightly
offset from one another.”
“This series of basis projection images is referred to as the projection data.”
“Software programs incorporatingsophisticatedalgorithms including back-
filtered projection are applied to these image data to generate a 3D volumetric
data set,which can be used to provide primary reconstruction images in 3
orthogonalplanes (axial, sagittaland coronal).”
"A multiplanar display panel of
CBCT showing axial, coronal,
sagittal and 3D –reconstructed
images"
6. I-IMAGING FOR PREOPERATIVE IMPLANT TREATMENT PLANNING
"Recent Ideal Method In RadiographicImaging Diagnosis?"
• "*CBCT is an advancement of the CT technology that uses a
cone-shaped X-ray beam and a two-dimensional image receptor"
• "*to generate high-quality 3D reconstructions with significantly
lower radiation exposure"
"Diagnostic treatment Imaging Of Implant Dentistry Requires:"
• "1) Imaging for preoperativeimplant treatmentplanning."
• "2) Imaging for postoperative implant care."
"A-A comprehensive evaluation of the oral cavity begins with"
"A detailed medicaland dentalhistory"
"Dentalhard and soft tissue clinical examination"
"Followed by conventional imaging such as two dimensional imaging
(intraoral periapical and panoramic radiography)"
"Followed by cross-sectionalimaging using MDCT or CBCT"
7. "Preoperative radiographs should reveal:"
" 1. Position and size of relevant normal anatomic structures, including the:"
• "a. Inferior alveolar canals"
• "b. Mental foramina"
• "c. Incisive or nasopalatine foramen and canal"
• "d. Nasal floor"
" 2. Shape and size of the antra, including the position of the antral floor
and its relation to adjacent teeth"
"3. Presence of any underlying disease that could compromise the
outcome of treatment e.g. osteoscleorosis"
"4. Presence of any buried teeth or retained roots"
"5. Quantity of alveolar crest/basal bone, allowing direct measuremtns of the height,
width and shape"
"6. Quality (density) of bone"
"Characteristics of Ideal Imaging Techniques in Implants:"
"1. Ability to visualize the site of implant site in the mesiodistal,
faciolingual, and superoinferior dimensions"
"2. ability to determine axial orientation of implants"
"3. ability to allow reliable, accurate measurements"
"4. capacity to evaluate trabecular bone density and cortical thickness"
"5. capacity to correlate the imaged site with the clinical site"
"6. reasonable access and cost to the patient"
"7. minimal radiation risk Preoperative Radiographic Assessment"
8. Right and left volumetric views with full course of inferior
alveolar nerve illustrated (green line)
Prominent nasopalatine canal.
A: Axial CBCT section reveals an enlarged nasopalatine canal that measures
approximately 6 mm in diameter (arrow). Correlation with the clinical exam will
help determine the need for biopsy in this borderline case.
B: Coronal CBCT section of the same patient displaying the enlarged
nasopalatine canal (arrow)
Implant planningusing cross-sectional imaging.
9. "Diagnosis depends on:"
• "the amount of residual alveolar ridge atrophy"
• "*the bone quality"
• "*bone quantity"
• "*remaining bone height"
• "*bone width"
• "*available bone volume"
10. Highly atrophied mandible and visualisation of the mandibular canalrunning
overthe alveolar ridge with prominant corticalcone overall.the mentalspines
can be seen above the level of the alveolar ridge, particularly in the 3D rendering
Pronounced atrophy in region 45 to 46. As the bone structure is markedly
reduced horizontally and there are hardly any cancellous structures
between the corticallamellea, lateral bone augmentationin indicated.
11. CBCT is Ideal to detect the important landmarks in the
maxillofacial region:
Remarques!!
• "*The residual alveolar ridge topography needs to be understood and addressed rather carefully, as
the positioning of an implant is crucial for prosthetic treatment planning."
• "*The identification of vital anatomic landmarks and their relation or vicinity to the future implant
site/s is a crucial factor."
• "*Potential implant sites need to be safely identified"
In the maxilla:
• "Nasal floor",
• "naso-palatine canal",
• "anterior superior alveolar canal",
• "maxillary sinus and related structures,"
• "posterior superior alveolar canal,"
• "maxillary tuberosity, pterygoid plates."
In the mandible:
• "Lingual foramen",
• "incisive canal",
• "genial tubercles",
• "inferior alveolar nerve canal,"
• "mental foramina,"
• "retromolar foramen,"
• "sublingual fossa (lingual undercut),"
• "mylohyoid undercut,"
• "lingula of ascending ramus."
In the zygomatic region:
• "Orbital floor,"
• "infraorbital foramen,"
• "zygomatic bone."
12. "The decision for use of CBCT must be based on:"
"Patient history"
"Examination "
"Individualized need"
"The benefit must outweigh the potential risk."
13. "It is recommendedthat CBCT be used as an imaging alternative for computer-aided
implant planning."
The planning may include:
"Implant placement
in an esthetic zone"
"Pre- and post-
grafting/augmentat
ion procedures"
"Post-implant
complications"
"History or suspected trauma
to the jaw"
14. Planing augmentation in the case of multiple agenesis. As well as the vertical bone
defect, pronounced retraction of the alveolar process and an absence of cancellous
bone in the crestalpart of the alveolar ridge can be seen.
Planing Of Implant insertion in the maxilla in a case of agenesis of tooth
25.the Bone structure in the region 25 shows a pronounced, thin cortical
layer vestibularly, eith slightly mineralized fine-mesh cancellous tissue. As
an incidental finding, teeth 18, 38, and 48 appear impacted, and round
mucosal proliferation is seen in the maxillary sinus.
15. "Planning and surgery of primary reconstruction immediately after tumor
ablative surgery"
"Reconstruction of large maxillofacial defects with free vascularized grafts
directly after tumor ablation has become a standard treatment modality and is
widely accepted and used (Taylor et al., 1975)."
"Direct reconstruction provides jaw stability and tissue support for favorable
esthetic reconstruction of the face and adequate filling of the defect."
"The resection of a bone tumor or bone invading tumor can be planned
virtually from CBCT data."
"The shape of the graft can also be planned virtually."
"Virtual shaping of the graft at the donor site helps to adequately fill the
defect created by tumor resection."
16.
17. Planing Of implant insertion in the maxilla. To avoid a sinus floor
elevation procedure, an angulated implant position is chosen.
18. 3D virtual planning of the bone graft and the implants
• "*Once the setup of the missing dentition is determined, the planning continues with
the selection of the type of donorgraft."
The choice of the graft usually has severalaspects.
• "*First, the graft has to anatomically fill the defect and provide sufficient support to
the implant-supported dentalstructure."
• "*Next, the blood supply of the graft has to be sufficient, with sufficient vessel length
for recirculation attachment."
• "*The distance of the graft to the acceptorvessels of the neck can be large, especially
when the reconstruction concerns a defect in the maxilla."
19. Preparation of the recipient jaw area
•"*In most large maxillofacial defects the bone needs to be shaped to fit the graft properly
without compromising the blood supply of the graft."
•"*This includes the shaping of the bony borders of the defect and the local soft tissue."
There are generally two ways to prepare the defect.
•"*One possibility is to design a cutting guide, either bone or dentition supported,"
•"*to perform the shaping of the defect."
•"*The planned graft will fit into the planned resection."
•"*Another possibility is to print the 3D planned suprastructure and the connected bone graft
in a 3D stereolithographic model."
•"*This 3D model resembles the transplant exactly and can be used intraorally in the defect to
prepare the defect"
Once the modelfits the defect, the transplant will fit as well
20. Axial tomographic slice of
maxillary arch demonstrating
anticipated miniscrew
position relative to incisive
canal.
Safety distance around
miniscrew outlined using
Dolphin 3D (Dolphin
Imaging software).
Bone depth assessment on a
sagittal tomographic slice.
21. II-IMAGING FOR POSTOPERATIVE IMPLANT TREATMENT PLANNING
Evaluation of the surgery CBCT scans provides the possibility of
postoperative analysis for evaluation of the outcome of the surgery.
The CBCT scan shows all dimensions of the reconstruction outcome
The DICOM files from the scan can be imported into ProPlan; these
can then be superimposed on the original reconstruction plan
22. Postoperative CBCT scans can also be used to evaluate
consolidation of the graft bone segments to the defect edges
23. Reasons for a post-op insertion outcome evaluation
The misinterpretation of the images can be attributed to scatter radiation and alteration of
the screw dimensions on the scan.
This is a useful example of how findings from diagnostic imaging should be placed in the
perspective of clinical observations.
Clinician self-assessment.
The orthodontist placing miniscrews should evaluate if the implemented clinical protocol led
to the desired outcome or at least be aware of how close the final result came to the planned
“ideal insertion.”
This self-assessment is the primary and important approach to improve future TAD
insertions.
While a review of the final miniscrew position can be interesting, it is more meaningful if
compared with the virtually placed implant (Figure 18.12).
Figure 18.12
Treatment planning for the miniscrew
A: Coronal view of virtual insertion
B: Axial view of virtual insertion.
3D superimposition of pre-treatment
and post-expansion time points using
the Hybrid-Hyrax advancer. Tan, pre-
expansion; blue, post-expansion.
24. References:
Cone beam computed tomography - oral and maxillofacial diagnosis and
applications
Cone Beam Computed Tomography in Orthodontics Indications,Insights, and
Innovations, 1ed (2014)