Investing in CBCT

18 June 2024

Nimisha Nariapara explores the benefits of the technology.

Business growth looks different in every dental practice. Some simply take on new patients for general dental care, others open up new surgeries and welcome clinicians that can develop the care they provide. For many, growth manifests as offering new services altogether. Clinicians that provide implant dentistry will look to capitalise on the growth of the rapidly developing field, and this will require investment into your practice.

This includes educating the team, introducing treatment-specific materials, and importantly, utilising an effective in-house imaging system. The latter will generally be an all-singing, all-dancing cone-beam computed tomography (CBCT) scanner – but what should you look out for in your practice’s new solution? Understanding why CBCT imaging is so important in implant dentistry, and the benefits that providing it inhouse can offer, allows you to make an investment that rewards you for years to come.

A key component

Utilising CBCT scanners in implant dentistry allows clinicians to acquire detailed volumetric image data for greater diagnostic and treatment planning processes. By taking 3D scans, dentists may be able to better understand the existing maxillofacial structures, for example, by seeing the exact shape of the bone in the jaw, which is not possible from conventional X-rays. Plus, CBCT scans used in conjunction with currently available software allow dental professionals to perform nerve tracing or even mock implant surgery. Clinicians can then identify how implants can be placed for outcomes that are long-lasting, easier to restore, and comply with the existing anatomy.

Dentists may also be looking at the rise of guided implant surgery, which leans heavily on 3D diagnostic solutions such as CBCT scanners to maximise success. Data that can be compiled with a CBCT scanner, including bone volume, bone quality, or anatomical restrictions, can be processed and evaluated in virtual implant simulation software, which can inform the guide used during surgery.

If a clinician has limited data available, they cannot reliably place an implant solution that will be long-lasting, and cause minimal damage to the surrounding anatomical structures.

Another benefit of a CBCT scanner compared to a CT scan is the commonly reduced dose of radiation delivered with each use, making it a safer option throughout the treatment workflow in many situations.

Maximising a return on your investment

A CBCT scanner is not an insignificant investment for a practice, and as such, you must know how you to best maximise its value.

The cost may be justified by the increase in patients you can treat. Your practice will access a greater level of income by being able to treat more patients completely in house, with more efficient workflows, which can pay back and, eventually, make profit on your initial investment. By calculating the increased income per patient, you will know how many implant patients you need to recover the cost of your imaging system. It may be smaller than you think.

The presence of a CBCT scanner in your practice could also inform a new referral program, where you can support clinicians who do not have access to an in-house CBCT unit but want to provide dental implant care. This creates another stream of income to subsidise and eventually profit from your original investment, encouraging practice growth.

Dental practices looking to invest in a CBCT scanner should look for versatile solutions with a wide range of clinical capabilities. These could include applications such as exceptionally clear panoramic imaging, 3D model scanning, or cephalometric imaging. This way, the data available to you can be maximised and applied across a range of treatment needs.

As a result, you could provide a greater range of treatments in addition to improved dental implant care, maximising the return on investment by treating more patients with cases that require CBCT scans.

Managing artifacts

Cone-beam computed tomography scanners are an effective tool for providing dental implant care, but clinicians must be aware of their limitations. In this context, artifacts can be a prominent issue. These are structures that are visualised in an image through the data that is used in a reconstruction, but are not actually present in the object that has been scanned.

Implant structures may cause a beam-hardening effect due to them partially absorbing high-density X-rays. The result is the presence of shiny bands, with a greater intensity than other areas of the CBCT image, which can make interpretation difficult.

Luckily, with a solution like the CS 8200 3D Access from Carestream Dental, clinicians can make an instant impact on their practice. The four-in-one imaging solution includes features such as effective CS MAR (metal artifact reduction) technology, that minimises the risk of misinterpretation when treating patients with implants. It is designed with a user-friendly and intuitive interface and workflow, creating simple examination set-ups for clinicians looking to acquire their first CBCT imaging system.

Taking on new patients in your practice requires investment into systems you can trust. Knowing how you will use your CBCT scanners, and why they are an essential component of the implant dentistry workflow, can help you closely assess the systems you choose, and recognise which features to look out for.