3D Symposium 2008

3D Orthodontics — Dr. Aaron Molen

As we enter the era of 3D orthodontics we must undergo a paradigm shift.  Our training in a 2D world can make it difficult to truly move into a 3D state-of-mind.  Dr. Molen will discuss the history of 3D orthodontics, its present state, and its future.  The attendee will be challenged to change the way they diagnose and treatment plan using 3D technologies.  Dr. Molen will also focus on how the private orthodontist can use DICOM-readers to get the most out of their images.

3D superimpositions — Dr. Lucia Cevidanes

This PowerPoint presentation will first demonstrate several dicom superimposition techniques being used by various software programs. Lucia will then explain the different methods that are currently being used to superimpose T1 and T2 dicom files and the associated accuracy and ease of use of each of them. The issue of developing a 3D norm will then be presented and how we might use it for diagnosing and treating our patients.

Outsourcing To A Lab — Dr. Craig Scholz

Are you considering purchasing a 3D machine? If so, it will be important to assess the costs & benefits of having this technology in your office rather than utilizing a local imaging center.  Craig will describe the daily operations of his Southern California based digital imaging centers & discuss the physical space, equipment, personnel and referral base. A majority of this class will be devoted to the process of “working up” cases and the various steps and software that is involved. Craig will also discuss new technology that is being offered at centralized workup facilities and many of the larger imaging centers, including premium services such as implant planning, 3D study models, and simplant conversions.

Recognizing Pathology — Dr. David Hatcher

You refer a patient for a cone beam exposure, receive the orthodontic diagnostic information and complete your treatment plan. However, nobody has explored the cone beam data outside your area of interest and the patient suffers a medical event that was evident in the scan. Are you responsible? There is growing reason to believe you are so this presentation deal with your options of ignoring this responsibility, having an outside source review your data for pathology or learning how to do it yourself. David will then present some material from his one day course on recognizing pathology from dicom data.

Dolphin 3D-DICOM Analyses — Mr. Chester Wang

This presentation will demonstrate the use of Dolphin 3D for analyzing dicom files from any cone beam system. How we obtain the 2D pan and ceph will be shown as well as our method of superimposing T1 and T2 images. Connecting the dicom facial image to a color photo will be demonstrated and features unique to Dolphin 3D will be shown.

The Interdisciplinary Issues With Implantology: From Diagnosis to Treatment

 — Drs. Scott Ganz & Jack Krauser

Drs. Krauser and Ganz will present in tandem a unique review of 3D data utilizing CT and Cone Beam technology.  The implementation of the scan data allows for a more precise and predictable appreciation of the patient's anatomical presentation allowing for improved diagnosis and treatment planning.  The ability to assess anatomy in 3-D allows clinicians to virtually place implants based upon both surgical and prosthetic demands. The interpretation of the data creates the foundation for necessary communication that must occur between all members of the treatment team.  Specific case presentations will demonstrate the use of this technology to successfully restore congenitally missing maxillary lateral incisors, describing the "Triangle of BoneTM" concept with special consideration for impact on orthodontic therapy.  Additional concepts and solutions will be illustrated through this interactive presentation.

Cone Beam in the Orthodontic Office — Dr. Tom Marcel

Several years ago, our office left the world of film and purchased a phosphor sensor system and soon after went the way of a 2D digital radiographic machine. Two years ago we obtained a cone beam system and currently are using cone beam images for our beginning records on 70 % of our start patients. The 2D system is still being used so this presentation will demonstrate the integration of a cone beam system into the private orthodontic practice, how we use it and where we think the future is going.

3DMd-DICOM analyses — Mr. Chris Lane

This presentation will demonstrate the use of Vultus for analyzing dicom files from any cone beam system. How we obtain the 2D pan and ceph will be shown as well as our method of superimposing T1 and T2 images. Connecting the dicom facial image to a color photo will be demonstrated and features unique to Vultus will be shown.

Cone Beam at Loma Linda — Dr. Joe Caruso

Loma Linda has been obtaining both 2D pans and cephs as well as NewTom images on all their orthodontic start patients for five years. From this date a great deal of research on the use of cone beam data for orthodontic purposes has been accomplished. This presentation will outline the history of cone beam use at Loma Linda, what they have learned in improving diagnosis and treatment, the research they have completed and what Loma Linda feels is the future of cone beam systems for orthodontics.

Radiation & Resolution Issues — Dr. James Mah

This PowerPoint presentation will overview the current cone beam systems available today and will discuss the pros and cons of each system. He will demonstrate the use of several proprietary programs used to analyze dicom data and will focus on two areas critical to cone beam use by orthodontists, the radiation issue and attainable resolution today and tomorrow.

Going Beyond Diagnosis — Mr. Jack Choi

With the advent of 3D radiology, the role of imaging in dentistry has and is expanding far beyond mere diagnostics. This presentation will demonstrate how Anatomage software can be used for virtual treatment planning, therapeutic appliance fabrication, patient education, and increasing case acceptance. These extra benefits above and beyond diagnostics are major factors in the justification for the cost and technological complexity of 3D imaging for the private practice and dental laboratories.

Standard of Care/Patient Refusal — Attorney Art Curley

The New and Emerging Legal Standards of Care For Imaging

- What they are; what they will be

- Case examples

The New Standard of Care: Informed Refusal

- Doctor and Patient Obligations

- The Risks of What Wasn't Said

- Required and Recommended Documentation

- Case examples

Trends, Tips and Practical Solutions