Dr Angelo Troedhan
Depicting the individual patient´s anatomy only in two dimensions bears high risks of misdiagnosis and consecutive unpleasant “surprises” during surgical execution and possible failure of the planned implant- and prosthetic treatment. Overseen pathologies and anatomic variations lead to high failure rates of GBR-surgery and in implant therapy as well as unnecessary highly invasive GBR-procedures in the maxillary and mandibular alveolar crest.
Contrary, the non-invasive digital workflow based on 3D-imaging allows precise diagnosis and prevents possible failure already in the planning phase of the treatment by “backward-planning” and simulation of the entire treatment choosing the least invasive and most safe biology-based Piezotome-surgical procedures.
Furthermore, most recent CBCT-devices even allow a precise determination of the individual patient´s bone quality to determine how many implants will be needed due to the patient’s individual bone-density and -volume and if immediate loading might be possible in each individual case.
The lecture will provide a short basic evidence-based revision of current knowledge of radiographic anatomy followed by a comparison of erroneous 2D versus precise 3D CBCT-based diagnosis, treatment-planning and execution demonstrated in GBR- and implant-therapy case reports.