114,DADI LANE, NEXT TO IRLA SIGNAL, S.

V ROAD,VILE PARLE WEST, MUMBAI

/7

NewTom 3G by AFP

Galileos by Sirona
i Mercu Ray by Hitachi

I-CAT by ISI

3D Accuitomo by J. Morita

Iluma by IMTEC

Similar to current CT technology Uses cone shaped xray beam 2-D flat panel detector Gives volumetric data

/7 3

Advantages of CT
Elimination of superimposition of structures
Improved contrast resolution
1% difference in physical density differences v 10% difference in conventional films
Multiplanar reformatted image
This means that data can be viewed in either coronal, axial, or sagital planes
/7 4

Cephalometric CBCT image

Cephalometric Panoramic image

CBCT MACHINE
/7 5

artifacts

medical CT 120 kV, 100 mAs

CBCT 110 kV, 10 mAs

/7

/7

/7

/7

/7

10

reconstruction

/7

11

Broad acceptance in dentistry last five years

 Orthodontic treatment planning  Dental implants  Temporomandibular joints for osseous

degenerative changes
 Evaluation of wisdom teeth vs. mandibular nerve  Disease

/7

12

/7

13

Metal artifacts? Worse low contrast detectability Long scan times = motion artifacts Slightly Inferior quality to conventional CT

CBCT Periodontal ligament spaces easily recognizable in the dental CT but not satisfactory in the CBCT
14

Great for pre-planning for implant surgery Virtual Surgery Conventional CT diagnosis at 1/5 the dose Tumor detection Airway visualization

/7

15

A CASE OF FUSION OF ACESSORY TOOTH WITH IMPACTED CANINE

16

/7

17

CBCT offers less dose than conventional CT CBCT offers superior images and diagnosis to panoramic More practical than a conventional CT

/7

18

 IMPECCABLE IMAGES CUSTOMIZED SUPPORT REPORT

AND DELIVARY IMMEDIATELY CARE FOR YOUR PATIENT COMPLETE SYSTEM:SCAN,PLAN, EXECUTE
/7 19

Jaffray DA, Siewerdsen JH. Cone-beam computed tomography with a flat-panel imager: initial performance characterization. Med Phys 2000;27:1311-23 Sukovic P. Cone beam computed tomography in craniofacial imaging.Orthod. Craniofacial Res. 6 (Suppl. 1), 2003; 31-36 Holberg C, Steinhauser S, Phillip G, Rudzki-Janson I. Cone-Beam Computed Tomography in Orthodontics: Benefits and Limitations. J Orofac Orthop 2005;66:434-44 Guerrero ME, Jacobs R, Loubele M, Schutyser F, Suetens P, van Steenberghe D. State-of-the-art on cone beam CT imaging for preoperative planning of implant placement. Clin Oral Invest (2006) 10:1-7 Zhang Y, Zhang L, Zhu XR, Lee AK, Chambers M, Dong L. Reducing Metal Artifacts in Cone-Beam CT Images by Preprocessing Projection Data. Int. J. Radiation Oncology Biol. Phy., Vol. 67,No. 3, pp. 924-932, 2007 Tsurumachi T, Honda K. A new cone beam computerized tomography system for use in endodontic surgery. International Endodontic Journal, 40, 224-232, 2007 Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IAB. Eur. Radiol. 8, 1558-1564 (1998) Winter AA, Pollack AS, Frommer HH, Koenig L. Cone Beam Volumetric Tomography vs. Medical CT Scanners. NYSDJ 2005 June/July 28-33

THANK- YOU
Questions?

/7

20