In this quick presentation we look at how software algorithms continue to lower the dose of modern dental CBCT machines while improving the resolution and quality of the image.

1. 1 360v.co.uk
Bealwaysthebestinwhatyouaredoing.
Peter Donnelly 360 Visualise
MAKING THE MOST
OF YOUR CBCT

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HOW MANY
PEOPLE IN THIS
ROOM HAVE AN
IO CAMERA ?

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COMMUNICATION TOOL
CONVERSATION STARTER
SALES TOOL
Shows and helps you
Sell specific treatments
To your patients

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STILL
NUMBER
ONE?

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CBCT IS THE NEW
COMMUNICATION
QUEEN/KING 👑
How did we come to this conclusion?

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WE SCAN
AROUND 200
PATIENTS
A MONTH

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WE SEE FIRST
HAND THE
PATIENTS
REACTION TO
THEIR SCAN

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WE’VE
SOLD
OVER 150
CBCT
SCANNER
S

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Scanning Centre
>200 Scans Per
Month
WE’RE A LITTLE DIFFERENT
IT & Clinical
Support & Training
Software Support
Support with
evolving clinical
applications

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THE NURSES
DO OUR
SCANS
ALSO DO
OUR
TRAINING &
SUPPORT

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APLICATION
SUPPORT
Ongoing training
as technology
evolves
It is now possible to take a 3D CBCT scan
of a patient for less dose than an OPG.
EXAMPLE
The latest software update enables the
clinician to do fast accurate implant
planning and export that plan to a patient
friendly PDF report

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CRITICAL EXAMINATION &
RPA SERVICES
Ensuring practice
compliance
Our engineers can instal, service, and carry out the radiation critical
exam in one visit. This saves CBCT down time and ensures the
practice has one point of call for all ongoing maintenance and

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TRAINING & INSTALLATION
FEEDBAC
K
EXCELLENT VERY GOOD
+65% +35%
Based on feedback surveys
received back from 20
CS8100 3D taken in 2018.
13 had an overall rating of
Excellent. 7 Very Good

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GUIDED SURGERY OPTIONS
MODEL SCANNING & 3D PRINTING
BEFORE WE TALK ABOUT WHAT
YOU CAN DO WITH CBCT….
SMILE DESIGN &ADVANCED PLANNING

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ONE OF THE BIGGEST INNOVATIONS
HAPPENING IN CBCT IMAGING AT THE MOMENT
IS DOSE REDUCTION

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0
750
1500
2250
3000
Backgrounddoseperyear(UK)
SiemensSomatonCTScanner
Mamogram
iCatNextGenlandscape
SironaGalileous
8HourFlight
4Bitewings
FilmPanoramic
CS8100smallfield
ModernDigitalPanoramic
PlanmecaULD3D
microSieverts (μSv)
DOSE
COMPARISON
IN CONTEXT

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AVERAGE ANNUAL
UK BACKGROUND
RADIATION 2700
ΜSV MICROSIEVERT
Cornwall
X3
7200mSv
Aberdeen
X2.5
6750mSv

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0
150
300
450
600
Siemens Somaton CT Scanner Mamogram iCat Next Gen landscape Sirona Galileous 8 Hour Flight 4 Bitewings Film Panoramic CS8100 small field Modern Digital Panoramic Planmeca ULD 3D
Category Axis
microSieverts (μSv)
BACKGROUND REMOVED

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0
10
20
30
40
50
8HourFlight
4Bitewings
FilmPanoramic
CS8100smallfield
ModernDigitalPanoramic
PlanmecaULD3D
DailyBackgroundRadiation
microSieverts (μSv)
40μSv
38μSv
16μSv 16μSv
10μSv
6μSv
9μSv
DOSE COMPARISON
MARCH 2019

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High Res 134 μSv High Res 32 μSv

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STD Res 86 μSv STD Res 20 μSv

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Low Res 30 μSv STD Res 6 μSv

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High Res 134 μSv STD Res 6 μSv

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LOW DOSE
SCANS
0
35
70
105
140
175
Normal Resolution
200 Micron
HD resolution
75 micron
HD resolution
75 micron ULD
Normal Resolution
200 Micron ULD
134 μSv 32 μSv 86 μSv 20 μSv

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THIS IS THE SAME
MACHINE.
THESE ARE SOFTWARE
NOT HARDWARE
ADVANCES.

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LOW ENERGY 90kV

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ARTEFACTS IN CBCT

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WITH HIGH ENERGY 120 kV

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COST OF
COMPONENTS
Today two of the
most expensive
components in a
CBCT machine are
the generator and
the 3D sensor

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COMPONENT COSTS
3D SENSOR: £24,358.80 + FITTING
90 KV XRAY GENERATOR £6,562.80 + FITTING
120 KV GENERATOR £15,678.80 + FITTING

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IMPROVED
SOFTWARE
ALGORITHMS

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FIRMWARE & SOFTWARE UPGRADES
PART OF YOUR ANNUAL SERVICE

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3D PRINTED IMPLANTS GUIDES

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CBCT IO SCAN MERGE & PLAN PRINT
GUIDED
SURGERY

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SMOP
Free software, Easy to use, Buy Credits, Send STL to lab to print
around £100-£200 Per guide.
EXOCAD
Buy the software outright. (circa 2k) Easy to use.
Completely open.
ROMEXIS GUIDE
Romexis is Planmeca’s viewing software. Guide is a paid for
unlock, allows merge of both Xray and Impression. Easy to use
great results
BLUE SKY PLAN
Free to download, free to plan, pay per export. Relatively steep
learning curve. Cheap. $15 per export £2 to print a guide.
GUIDED
PLANNING
GUIDED
SYSTEMS

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3D PRINTERS
w FDM
Fused deposition modeling
Long Roll of Filement
….
w SLA
Stereolithography
SLA is an older and slower
technology than DLP
….
w DLP
Digital Light Processing
Faster the SLA
….

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IDEAL WORKFLOW
SIMPPP
CBCT SCAN IO or DIGITISE IMP MERGE DISCOM & IO PLAN PRINT PLACE
1 2 3 4

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3D FACIAL SCANNNG

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IF YOU’VE GOT A CBCT TELL EVERYONE ABOUT IT
IT’S YOUR BEST COMMUNICATION TOOL!

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