intraoral morgan powell d irector s irona d ental (n ew y ork ) [email protected]...
TRANSCRIPT
INTRAORAL IMAGING BRIEFLY
Dental Radiography Radiographs enable the dental professional to
identify many conditions that cannot be identified through visual inspection.
Radiographs allow the inspection of the tooth structure and supporting bone.
INTRAORAL IMAGING BRIEFLY
Assessment and Detection of: Missing teeth Unerupted teeth Impacted teeth Dental caries Periodontal disease Tooth abnormalities Retained roots Cysts and tumors
SELLING DIGITAL
There are four aspects to position digital radiography…
Financial/business Convenience
Better Medicine The Environment
SELLING DIGITAL
Convenience Instant diagnosis (versus film and scanners) Instant error correction (retaking is very easy) No film
o No ongoing and unpredictable costso No chemicals (storage, handling, processing, disposal)o No walking back and forth to darkroom…and waiting…and
waiting…and waiting On a monitor
Easier to see any issues and/or pathology Image manipulation
SELLING DIGITAL
Better medicine Easier to communicate with patient
Higher patient case acceptance Significantly lower radiation than film Tools that are not available with film…
SELLING DIGITAL
Full screen images make it easy to demonstrate diagnosis to patient
If the patient can see the problem, they are more likely
to accept treatment.
SELLING DIGITAL
Demonstrate the issue to the patient
Measure workinglength
Ensure the apex has been reached
Review and present to the patient
SELLING DIGITAL
The environment No chemicals! No wasteful consumables
INTRODUCTION TO PRODUCTS
FONA CDR and FONA CDRelitepowered by Schick
PRODUCTS
FONA CDRelite Imaging system launched in 2009 2nd generation CMOS-APS technology Three film like sizes to suit all patient sizes (0, 1 and 2) Connection to the computer via a remote requiring power ONLY from USB
port (USB 1.1 and 2.0) Theoretical resolution of 16.7 lp/mm and actual resolution of 16.0 lp/mm Pixel size of 30μm Durable plastic sensor can (not susceptible to bite marks, scratches, nicks) Unique replaceable cable (new sensor kits include a spare cable) Modular platform Gadox scintillator Edge enhancement options to suit clinician’s personal preferences Premium, customizable solution.
FONA CDRELITE
Connection location minimizes cable
interference during positioning (ideal for
vertical bitewings)
Curved corners for maximum patient comfort
Bright colors for increased visibility in the oral cavity
Replaceable cable
FONA CDRELITE
Best image at price point Available in three sizes to fit all patient types
Also allows for versatility in selling just one sensor as needed (i.e. in India being price-sensitive we essentially sell just size 1 sensors)
Modularity of system Remote module is separate from the sensor. As
technology changes, customers only need to upgrade the component that becomes obsolete*
SELLING FONA CDR
SELLING FONA CDRELITE
SUPERIOR IMAGE QUALITY
Cavity Detection
Bone Tribeculation
Lamina Dura andApex Detail
UNENHANCED
SELLING FONA CDRELITE
EDGE SMOOTH(NOISE FREE, FILM-LIKE APPEARANCE)
SELLING FONA CDRELITE
EDGE LOW(EDGE DEFINITION WITH LOW NOISE)
SELLING FONA CDRELITE
EDGE HIGH(MAXIMUM EDGE DEFINITION WITH NOISE)
SELLING FONA CDRELITE
Direct USB Connection USB connectors are only required to last
1500 insertion/extraction cycles If the USB connector fails, it requires the
replacement of the entire sensor.
Schick’s Hypertronics Hypertac connectors are proofed to 20,000 cycles.
Gold-plated connectors Low insertion force Long contact life
Should a failure occur to the connector, the cable can instantly be replaced.
SELLING FONA CDRELITE
Kink resistant outer jacket
Thick jacket for greater protection
Cable Replacement Less than one minute Every sensor shipped with a spare replaceable
cable. Cables available in 3 lengths for maximum
convenience3’ / 0.9m6’ / 1.8m9’ / 2.7m
SELLING FONA CDRELITE
* Claimed by manufacturer without proof
FONA CDRelite Carestream RVG 6100
Gendex GXS-700
Pixel Size 30μm 18.5μm 19.5μm
Resolution – Nyquist 16.7 lp/mm 27.5 lp/mm 25.6 lp/mmResolution – Actual 16. 0 lp/mm >20 lp/mm* >20 lp/mm*# of Pixels (Size 2) 1.02 megapixels 2.7 megapixels 2.5 megapixelsNumber of Sensors 3 3 2Replaceable Cable Yes No NoModular Platform Yes No NoFull imaging area Yes Size 1 only NoManufacturer? Yes Yes No
VS THE COMPETITION
• Return on Investment• Predictable expense• Increased workflow• Increased patient acceptance• Increased revenue• Instant imaging and retakes• No film or chemicals• Enhanced diagnostics• Simple referrals• Lower radiation
SUMMARY – WHY DIGITAL?
Competitive premium imaging at lower prices than competition
3 sizes to fit every patient 3 cable lengths for the needs of the practice Spare cable with each new sensor Risk mitigation with one step cable replacement Design focused on easy positioning Hypertac connectors rated far more durable Modular platform so that components that break are all that
need to be replaced…not the entire system
SUMMARY – WHY FONA CDRELITE?
Schick designed parallel-technique based holder system, available in one of two forms…
ADHESIVEUnique, patented design based on the RINN system, adaptable to suit different anatomies; maximizes patient comfort.
GRIPCompletely new design offers a robust, easy to assemble, autoclavable holder solution for FONA CDRelite sensors
POSITIONING
POSITIONING
Three key things to remember…(1) Become a positioning expert. The better you
are, the easier to sell
(2) NEVER, EVER, EVER SAY “BITE”…always ask the patient to “close to pressure”
(3) Always use a barrier / sheath
POSITIONING
MAXILLARY ANTERIOR PLACEMENT Place the distal end of the sensor against
the roof of the mouth, with the incisal edge of the teeth against the front of the tab.
Sensor should be parallel to the long axis of the maxillary anterior teeth.
Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.
POSITIONING
MANDIBULAR ANTERIOR PLACEMENT Place the sensor into the lower anterior
area, positioning it on top of the tongue, parallel to the first molar.
Sensor should be centered on the mandibular anterior teeth when the patient is occluded.
Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.
POSITIONING
HORIZONTAL BITEWING PLACEMENT To capture a horizontal bitewing image, place the
sensor between the tongue and the teeth with the bite area resting on the premolar teeth.
The patient should close on their back teeth to ensure centric occlusion and as they do so, the arm should be angled gently toward the midline of the mouth to ensure the sensor is parallel with the teeth and to provide open contacts.
Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.
POSITIONING
VERTICAL BITEWING PLACEMENT The sensor should enter the mouth
horizontally. Once past the incisors, “roll” it into a
vertical position. The sensor should be placed with the cable
pointing upwards toward the hard palate. Ensure the ring is as close to the patient’s
face as possible and place the x-ray head against the ring.
POSITIONING
MAXILLARY POSTERIOR PLACEMENT The sensor/aiming device is angled upward
toward the midline with placement of the bite block under the teeth to be captured.
The sensor should be angled slightly past the midline of the palate as the patient closes for comfort and to ensure capture of the apices.
Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.
POSITIONING
MANDIBULAR PERIAPICAL PLACEMENT Retract the cheek with a finger and place the
sensor between the tongue and the teeth, bringing the cheek around the bite block.
Then slide the sensor down and in gently until it is in position—the bite tab should be directly above the teeth to be imagined.
Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.
POSITIONING
POSITIONING
AGAIN, three key things to remember…
(1) Become a positioning expert. The better you are, the easier to sell
(2) NEVER, EVER, EVER SAY “BITE”…always ask the patient to “close to pressure”
(3) Always use a barrier / sheath