Thursday, February 16, 2017

Periodontist Dr. Mark Wilson at Metropolitan Periodontists in Minneapolis talks about 3D imaging and diagnosis for dental implant placement.



At Metropolitan Periodontists we use modern 3D imaging.  It gives us a much clearer picture of what is going on around the tooth than traditional two-dimensional x-rays. We use it to see if there is enough bone to be able to place an implant.  It also helps to choose the correct size and type of implant needed.  After placement, 3D imaging confirms the positioning and gives us a baseline image for the future.

With traditional x-rays we can measure bone height and the amount of space between the teeth, but we are guessing about bone thickness. With 3D imaging we are able to get a cross-section of that bone and see the thickness.  If you are looking for a nerve or a sinus you can see where the sinus relates to the crest of the bone much more clearly by using 3D imaging.

Three-dimensional imaging is very handy for looking for cracked teeth, furcation involvement, and apical involvement around teeth. Furcations are on the larger teeth in the back of the mouth when you have multiple roots.  The area where the roots come together is called a furcation.  The apex or the apical part of the tooth is the root tip, where if the pulp is dying inside of the tooth then the tooth needs a root canal.  For these reasons we can see problems much earlier on a three- dimensional picture than we can on a two-dimensional picture.

The 3D imaging is a very important part of modern periodontal practice. We have seen that third dimension and we are confident that the bone is there.  A drawback to two-dimensional x-rays has been only finding out after we start the procedure that we do not have enough bone to put the implant in that the patient is expecting that day.

Having the capability to do 3D imaging in the office is convenient for the patient because they do not have to travel to another facility.  Because we use these images, we do not have surprises when we go into the surgery.

Dr. Mark Wilson
Periodontist
Metropolitan Periodontists
Minneapolis, MN
New Patients Welcome



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