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New York 3-D Imaging: I-Cat Cone Beam CatScan Dentistry

Digital Imaging, as a concept, has been in existence now for quite some time. The engineering sciences created it, causing one of the biggest ripples in adaptation for practically all of the engineering and design sciences.

The field of Medicine, as we all know, adapted digital imaging quite readily, as evidenced by today's modern CatScan and Magnetic Resonance Imaging (MRI) that is becoming as common as an aspirin tablet.

Digital Imaging Refinement

Icat Cone Beam Accurate Surgery
Click picture to watch video
More recently, a hybrid of the catscan device was developed that focuses essentially on the area of the head and neck. Scans are fast, extremely safe, comfortable and produce imaging capabilities that are quite astounding.

3 Dimensional scans enable doctors and patients to see their entire dentition, jaw structures, jawbone positioning, bone density and quality characteristics quite easily.

Diagnostic accuracy with the Cone Beam apparatus (Dr. Koeppel uses the I-Cat Scanner) is unsurpassed and enables a variety (not just one or two) of treatment plans to be generated that assess and effectively treat practically any need imaginable.

Patients now have choices for reconstructive, cosmetic or functional treatments that can create outcomes that are based on what the patient "sees" as a need. Specialized software allows the use of Virtual Treatment Planning.... whereby the patient and doctor select treatments that can be applied to the digital images.

Using implant dentistry as an example, placements of different types of implants (length, width) in different sections of the jawbone(s) provide an immediate "picture" of how they are inserted, the need for grafting, alignment considerations and effect upon the overall occlusal plane.

Diagnostics in Three Dimensions: Examples

  • Bone quality (height, width)
  • Porosity
  • Density
  • Jawbone fractures
  • Congenital abnormalities
  • Critical Nerve locations (mandibular, facial)
  • Gingivitis (minor)
  • Resorption
  • Hard and soft tissue disease
  • Sinus Cavity characteristics
  • Perforated Sinus
  • TMJ - TMD Functioning
  • Root fragments
  • Periodontitis (severe)

Digital Imaging and CAD/CAM Engineering in Dentistry

The technical data generated from Cone Beam Catscans have enabled Nobel Biocare to apply engineering concepts and computer based milling and fabrication processes to create tooth replacement choices that many dentists could only dream about a few short years ago.

The famous NobelGuide, a surgical template derived from the computerized, virtual placements of implant devices, enables Dr. Koeppel to perform implant surgeries of almost any complexity with utmost precision. Learn more about the concept of Guided Implants here.

Precision Bone Grafts - Implant Site Preparation

Dr. Koeppel's ability to assess jawbone integrity three dimensionally enables him and the patient to determine the need for grafting or augmentation prior to implant placement. Complex restorations involving porcelain (Procera) bridgework or Turbyfill Denture Prosthetics can be planned for nearly any reconstructive goal a patient may have. Critical implant placements for cosmetic bridges that may never fail due to unbalanced occlusal forces is planned with the efficiency that only 3-D modeling software can achieve.

Eliminating Horror Stories

Bone graft failures, broken implants, loss of osseointegration, perforated sinuses, unbalanced occlusion (bad bite), abnormal jaw positioning are just a few of the problems patients read and hear about in reconstructive implant or restorative dentistry.

The I-Cat Catscan Diagnostics and Virtual Treatment Planning capabilities made available by Dr. Koeppel all but eliminate errors in assessment, judgement and treatments that were commonplace with yesterday's old fashioned x-rays (2 dimensional) and placing implants by hand (no surgical guides).

No other dental technology offers this degree of potential for eliminating "treatment surprises."

Recommended Uses of the I-Cat Cone Beam Scan and Analysis

3 Dimensional imaging can create reams of technical data..... assessment data, data for virtual surgeries used to experiment with using one type of bridge or tooth replacement strategy over another, functional data to determine the need for and benefits of repositioning the jaw, etc.

Patients considering any complex surgeries that involve custom configurations of implants or treatments to repair sinus cavity perforations or failed implants would probably be candidates for this type of scan.

Patients who are marginal and have been told in the past they would not or could not benefit from grafting surgeries, bone augmentation or special implant services may discover they are not as marginal as they may believe.

As mentioned above, Dr. Koeppel's ability to assess dental treatment possibilities have made what was at one time an impossibility.... a new reality for some patients.

Patients interested in the best that modern implant dentistry can provide or new possibilities of treatment can consult with Dr. Koeppel personally to learn more.

Call us at (631)318-0000 to arrange an appointment. Patients can also choose to use our on-line Ask The Dentist form to ask specific questions about the technology and how it might be used in developing a treatment plan for an unusual dental need. Dr. Koeppel will reply to you directly with the information you are seeking.






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New York Reconstructive Dentist
Ira Koeppel, D.D.S.
126 Gnarled Hollow Road
East Setauket Long Island New York NY 11733
Nassau - Suffolk County Spa Dentistry
(631)318-0000