TABLE OF CONTENTS Aug 2009 - 0 comments

Galileos, The Quintessence Of Modern Dentistry

TEXT SIZE bigger text smaller text
By: Neal S. Patel, DDS
2009-08-01

We all dream of unrivaled precision when it comes to our diagnostic skills. At times we find ourselves scratching our heads when trying to formulate the "ideal" treatment plan for a given clinical finding such as a questionable tooth (due to bone loss or failing RCT) and are unable to do so simply because we do not have enough information. We should all agree that any given clinical circumstance will have several different solutions depending on the skill, mindset, and capability of the clinician. What if clinicians had access to a crystal ball, giving us a glimpse as to the most "ideal" treatment choice for ANY given clinical presentation? The Sirona Galileos gives dental diagnostics the third dimension and we are closer to reaching the true pinnacle of diagnostic and therapeutic potential.

There are few things that have truly revolutionized dentistry.

One such technology is 3D X-ray imaging called Cone Beam Computed Tomography (CBCT). Of the practitioners that have embraced such technology, only a few have mastered CBCT and continue to promote its vast benefits, while the majority have plundered in its raw complexity. The majority, by no fault of their own, simply do not use the technology to it's full potential because they are not supplied with all the tools, training, and software necessary to maximize its potential. My decision to introduce CBCT imaging into my practice early 2008 was to satisfy my inherent desire to push the envelope and my inherent flaw (like many other dentists) of needing to know everything. The Galileos truly allows me to visualize the most accurate anatomic information to treatment plan procedures and achieve optimal oral health, wellness and rejuvenation for all my patients.

The Galileos is the primary diagnostic tool and is the cornerstone of my practice since it is useful in all facets of dentistry: Implantology, Endo, TMJ, Pedo/ Ortho, Perio, Oral Surgery, Pathology, and Restorative Dentistry. Regardless of the treatment modality, the Galileos helps to identify, diagnose, treatment plan, and fulfill therapy and prevention. It has opened my eyes to a different level of dentistry. Prior to opening my private practice, I was fortunate to serve as a CBCT consultant and have experience with the majority of the other CBCT available in the market. During my lectures, I mention how shopping for CBCT is like shopping for a digital camera at your local electronic store. All of the digital cameras (in our case CBCT) take a picture. Some take better pictures than others, while others come packaged with all the bells and whistles, and only a few do both. It is much more than just another diagnostic tool as the sophisticated design of the hardware and dynamic software allowed me to reach my primary goal instantly: high case acceptance rate and satisfied patients.

With the Galileos as my primary diagnostic tool, patients are more inclined to pursue recommended therapy and treatment simply because they understand 3D. As clinicians, we need to remember that the 2D X-ray images that we trained on are completely

foreign to the vast majority of our patients. Why should we expect our patients to see and understand diagnostic information in the very image it took us the greater portion of four years of dental school to learn how to read.

If your patients are impressed with Cerec CAD/CAM, wait until you see the expression on their faces when they see their skull revolving in three-dimensional glory. Being a Cerec dentist, Laser Dentist, iTero Dentist, blah blah blah dentist, I can comfortably say that no other technology captures the patient's attention like Galileos. As one dives into the three-dimensional journey using Sirona siCAT's patented examination software, so too does the patient. I have yet to witness a patient interested in understanding absolutely everything within their 2D X-rays,. Whereas, with the Galileos, I capture the attention and interest of all my patients, each and every time. All of a sudden I have patients showing up to my practice who are actually interested in obtaining optimal dentistry and achieving complete oral health.

My interest in integrating CBCT was to satisfy the need to build implantology within my practice. By now, we are all aware that CBCT imaging is implant driven. The Galileos is marked by superior image clarity and dynamic software that allows the clinician to quickly and efficiently study images. Most CBCT units have cumbersome software that limits clinicians in their ability to diagnose comprehensively, in part because of lack of functionality and efficiency. Unfortunately, in the United States clinicians do not have the luxury of spending hours on end for each pa- tient. We have seconds, minutes if we are lucky, to evaluate our patients, diagnose, treatment plan, and hopefully gain case acceptance. Many have failed to integrate CBCT imaging successfully into practice simply because the software and hardware of their respective CBCT unit does not allow them to. Sirona and siCAT, on the other hand, have identified the need to develop software that is as effective as efficient from a clinical standpoint.

The user-friendly software tailored for dental problem-solving will win you over through its intuitive integration of diagnostic, computer-aided therapy planning, and precise intraoperative implementation tools. Excellent image quality permits diagnosis of the finest details in three dimensions, with the lowest possible radiation dose among the CBCT units available. When using the Galileos, its superior image processing and display capabilities leave no doubt about the diagnosis. The software's implant planning functionality -- such as marking the nerve canal in the mandible and selecting realistically displayed implants from the clinician's manufacturer of choice (an entire library of implants is included with the Galileos) -- enable precise positioning within minutes after obtaining the scan. Patients are resented with their treatment plan in the same appointment and do not need to come for secondary treatment conferences. Furthermore, with Galileos surgical guide technology, all virtual plans can be precisely implemented for the patient, using tools that are already on-hand. These surgical guides allow for advanced prosthetics that can even be fabricated prior to surgical placement of implants.

Finally, as a beta tester for Galileos, the biggest buzz revolvesaround Sirona's release of their new Galileos Software Update, Sirona Implant, allowing integration between prosthetic and surgical planning: The new software tool combines CAD/ CAM Cerec and CBCT Galileos data. The integration allows for surgical and prosthetic planning to be performed in a single visit. This seamless process results in higher quality and increased efficacy for clinical workflow. The use of Galileos CBCT imaging for precise surgical planning and placement is tested and proven. Unfortunately, even with the help of this latest X-ray technology, careful surgical planning does not does not always translate to ideal prosthetic restorations. Far too often, ideal surgical placement leads to restorative compromises and higher costs for the restorative clinician and for the patient. The new Sirona Implant software tool allows surgical and prosthetic planning to be performed simultaneously therefore increasing optimal results. The user is able to view the Cerec design proposal directly within the context of the Galileos image. Essentially, allowing one to design an ideal crown on an exact virtual bony model of the patient. This has become possible due to the integration of the surface data (Cerec) with the x-ray data (Galileos). The combination of two cutting-edge technologies -- CBCT and CAD/CAM -- is trailblazing the way to comprehensive implantology. In other words, the user can focus on the desired prosthetic outcome and at the same time make allowance for specific surgical factors.

Furthermore, the revolutionary integration feature has immense periodontal implications. Until now, CBCT was limited to hard tissue images and lacked ability to capture periodontal tissue. For the first time in CBCT imaging, the periodontal tissues can be evaluated for location and thickness in 3D as it relates to hard tissue (thanks to Cerec surface data). Imagine being able to visualize ideal implant placement as it relates to the restorative out -come, keeping soft tissue in perspective during the entire process. With this extra information at his fingertips, the user can accurately predict the final outcome and discuss possible alternatives with the patient before starting any procedure. The planning data then provides a basis for creating competitively-priced surgical guides via siCAT, a Sirona subsidiary in Bonn, Germany. Thanks to Sirona Implant Software, CBCT workflow is now more efficient than ever before. Not only do Galileos users stand to benefit from Sirona Implant, but Cerec users as well. The software will be available to referring dentists. In other words, Cerec dentists who are referring patients to Galileos users can also reap the benefits of this new technology.

OH

Dr. Patel is a private practitioner and consultant who educates clinicians in the field of 3D-Imaging, Computer Generated Guided Implant Surgery, and the art of stereolithography in dental applications. He is currently on an international lecture circuit, speaking on Cutting Edge Technology in Dentistry, 3D Cone Beam Applications, and Dental Practice Management. drpatel@infinitesmiles.com

Oral Health welcomes this original article.

---------

At times we find ourselves scratching our heads when trying to formulate the "ideal" treatment plan for a given clinical finding

---------

All of a sudden I have patients showing up to my practice who are actually interested in obtaining optimal dentistry and achieving complete oral health

Photos

FIGURE 1
Larger photo & full caption

File size: 33.3 KB (300px X 256px)
Caption: FIGURE 1
FIGURE 2
Larger photo & full caption

File size: 74.5 KB (300px X 301px)
Caption: FIGURE 2
FIGURE 3
Larger photo & full caption

File size: 44.2 KB (300px X 188px)
Caption: FIGURE 3
FIGURE 4
Larger photo & full caption

File size: 31.2 KB (300px X 140px)
Caption: FIGURE 4
FIGURE 5
Larger photo & full caption

File size: 40.9 KB (300px X 209px)
Caption: FIGURE 5
FIGURES 6A & B
Larger photo & full caption

File size: 18.5 KB (300px X 115px)
Caption: FIGURES 6A & B
FIGURE 7A
Larger photo & full caption

File size: 30.8 KB (300px X 191px)
Caption: FIGURE 7A
FIGURE 7B
Larger photo & full caption

File size: 30.6 KB (300px X 191px)
Caption: FIGURE 7B
FIGURE 8A
Larger photo & full caption

File size: 33.3 KB (300px X 188px)
Caption: FIGURE 8A
FIGURE 8B
Larger photo & full caption

File size: 29.1 KB (300px X 188px)
Caption: FIGURE 8B
FIGURE 9
Larger photo & full caption

File size: 42.3 KB (300px X 188px)
Caption: FIGURE 9
FIGURE 10A
Larger photo & full caption

File size: 49.4 KB (267px X 430px)
Caption: FIGURE 10A
FIGURE 10B
Larger photo & full caption

File size: 25.3 KB (300px X 404px)
Caption: FIGURE 10B
FIGURES 11A & B
Larger photo & full caption

File size: 22 KB (300px X 118px)
Caption: FIGURES 11A & B

Larger photo & full caption

File size: 7.5 KB (91px X 137px)

FIGURE 12A
Larger photo & full caption

File size: 33.2 KB (300px X 225px)
Caption: FIGURE 12A
FIGURE 12B
Larger photo & full caption

File size: 35 KB (300px X 225px)
Caption: FIGURE 12B




Horizontal ruler
Horizontal Ruler

Post A Comment

Disclaimer
Note: By submitting your comments you acknowledge that Oral Health Journal has the right to reproduce, broadcast and publicize those comments or any part thereof in any manner whatsoever. Please note that due to the volume of e-mails we receive, not all comments will be published and those that are published will not be edited. However, all will be carefully read, considered and appreciated.

Your Name (this will appear with your post) *

Email Address (will not be published) *

Comments *



* mandatory fields