CBCT Imaging Services

Our philosophy is to provide the best image quality at the lowest radiation possible.

We customize each CBCT scan on a case-by-case basis, with the priniciple of As Low As Reasonably Achievable (ALARA) radiation protection. We follow strict calibration and quality assurance protocols and limit the scan to the particular area of interest by using the appropriate fields of view.

Nine Fields of View - see full size image

Delivery of CBCT scans

  • Written radiology report provides a summary of the radiographic findings, measurements in the areas of interest (if requested) and selected panoramic, cross-sectional, multiplanar, and 3-D views of the most relevant findings.
  • DICOM files of the scan can be transferred online or a CD can be mailed to the referring doctor’s office upon request.
  • For more information, contact us.

Cases where CBCT 3-D scan provides additional information

Implant treatment planning:  Intraoral and panoramic radiographs do not provide information about the ridge width, shape, and inclination. On this case, the patient was congenitally missing the second mandibular premolars. Cross-sectional views show sufficient ridge height and width but prominent lingual concavity on the right side. Mucous retention pseudocysts were incidentally found along the floor of the right and left maxillary sinuses (panoramic view).

implant pan

implant cross sections

Bone grafting evaluation:  On this case, significant ridge atrophy was found in the anterior and posterior maxilla. Complete right maxillary sinus opacification was found incidentally. The patient was referred to the ENT for evaluation and treatment prior to bilateral sinus grafting. 3 months later, the surgery was performed successfully when the sinuses were clear. 12-month follow up scan shows amount to ridge width and height gained with bone grafting procedures.

bone graft

Maxillary sinus evaluation prior to sinus augmentation procedure:  This coronal CBCT image shows mucosal thickening on the right maxillary sinus as well as sinus pneumatization (severe vertical ridge atrophy on the buccal side).  

sinus

Extraction of impacted wisdom teeth:  Cross-sectional images in the areas of teeth #17 and 32 show the proximity of the roots of these teeth to the inferior alveolar nerve (IAN).

impacted wisdom teeth

impacted cross sections

 

Evaluation of the temporomandibular joints (TMJs):  The right TMJ is within normal limits while the left condyle present severe flattening that can be visualized on the corrected coronal and sagittal views as well as the 3D reconstruction.

tmj

tmj

Evaluation of developmental anomalies prior to orthodontic treatment:  Teeth #6, 7, and 8 are horizontally impacted. Retained primary tooth #C is still present. 3D rendering is useful for diagnosis and treatment planning of this orthodontic case and helps communicate the radiographic findings to the patient.

impacted

Orthognathic surgery virtual planning:  Severe class III maloclussion and anterior/posterior open bite is noted on this patient. 3D rendening helps plan osteotomy sites for orthognathic surgery.

surgery

Evaluation of bone pathology:  Mixed density, well-defined lesion is noted at the apex of the mesial root of tooth #19. Cross-sectional images show thinning and mild expansion of the buccal and lingual cortices of the mandible caused by the lesion. The inferior alveolar canal appears to be intact. Tooth #19 was vital. The radiographic findings are consistent with a fibro-osseous lesion (most likely, focal cement-osseous dysplasia- FOD).

bone 2

bone

Complete opacification and destruction of the right maxillary sinus walls can be seen in cases of fungal sinusitis.

sinus

Incidental findings:  On this axial plane view, calcifications noted within the right carotid space suggest calcified carotid atheroma. The patient was referred for medical evaluation and treatment.

calcifications