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"CT scan will become the standard of care in Dental Implantology. Let us look at the business case of investing in I-CAT / Simplant and NobelGuide software. You will plan all your cases upfront, you will precisely know size of implants and direction of implants. You will also know in advance when you need bone graft etc. When you know precisely what components you need, there is no inventory to keep. This is a tremendous saving for all.
 Today health care quality, predictability and reliability of treatment is a big issue. In Implant dentistry, we are able to provide all that with the use of CT scan and planning software." 

Gary Wadhwa DDS, MBA. 

"I have read the previous blogs and have waited to formulate an opinion on the use of 3D imaging until now. For the past year and a half, I have used a NewTom 3G for my implant cases. While there have been some valid points on both sides, I will try to put this technology into perspective. First, volumetric imaging has been an invaluable tool for pre-treatment planning. It helps me to determine if we can place an implant in the site, place an implant and simultaneously graft, or graft prior to implant placement. It shows interarch relationships using virtual modeling. But what it does NOT do is to translate knowledge of anatomy into surgical reality. Unless you are willing to use CAD milled surgical guides or use surgical navigation (i.e. RoboDent), your placement of implants is still determined by your surgical skill. It has very little to do with survival tables or enhanced osseointegration. What IS important, in an era of having to meet the aesthetic paradigm, is exquisite implant placement so that the implant is indistinguishable from the tooth it is replacing. I don’t care if someone has placed 10,000 implants without an untoward consequence. It will be the one case where you have perforated the buccal / lingual plates, have a severe bleeding episode, violate the neurovascular bundle, perforate a sinus, touch an adjacent tooth, or MISS additional anatomy like a bifurcated mandibular canal, deinnervate the synphysis by severing the incisive canal, or miss pathology that you will find yourself in a very difficult defense. Put yourself in the patients perspective. Would you want a surgeon doing implant surgery on you using a PA, Panorex, or DVT? I plead nolo contendre. There IS a changing standard of care whether you like it or not. There is a CT on virtually every street corner and an increasing number of focused cone beam DVT machines available. It is my opinion that the use of DVT imaging will become as commonplace as the use of pans today. There is simply no logical excuse to avoid the use this technology." 

Anonymous August 3rd, 2006.