InPronto - Implants & Guidelines

Scanning Techniques

Cone Beam technology is used to capture an enhanced view of the upper and lower region of a patient’s head. The imagery produced shows the bone structure and teeth in detail as well as soft tissues. While the “double scan” technique is the mainstream way of doing things, InPronto’s “single scan” technique allows the dentist to avoid additional costs and delays, while also providing extensive results of 3D reconstructions of the facial part of the skull in order to virtually plan the implantation procedure.

The Double Scan Technique

The double scan CBCT involves two parts. First, the patient is scanned with the radiographic guide and a bite index in his/her mouth. Secondly, a second scan is taken of the radiographic guide only, which is placed on the chin holder in the same position it was in the patient’s mouth. The double scan technique, which is currently widely used for CBCT scanning, frequently results in various issues and costly challenges outlined below....

A radiographic guide is fabricated from clear, non-radiopaque material by a lab technician at his/her own discretion, and radiographic markers are placed on it. A second appointment is required for the dentist to fit it in the patient’s mouth. When the patient is scanned, the lab technician places the radiographic guide in the patient’s mouth. However, since the scan technician is not a trained dentist, he/she doesn’t check to see if the guide is properly seated in the patient’s mouth. If it isn’t, all of the planning is completely useless, as the entire process will have to be redone. This double scan process leads to delays since the patient must come in for a second appointment to be fitted with the radiographic guide after the impression has been taken. The dental lab causes additional problems when fabricating the radiographic guide from non-radiolucent material, as they don’t place adequate markers based on size and position. The delays are also due to CT lab involvement since the CT lab can only scan the patient after the guide is fabricated. Additional costs are associated as well since lab involvement results in extra costs in time and material.

The Single Scan Technique

The single scan technique "SST", on the other hand, is much more effective as there is only one scan involved for the patient. When it has been determined that the patient requires an implant, the patient can immediately be sent for a CBCT scan or be scanned in the office if a CBCT scanner is available. There is no delay this way since there is no need for a radiographic guide, and it makes no difference whether the patient or the impression is scanned first. The patient and impressions are scanned separately so it’s much more efficient and doesn’t force the patient to have to come in for a second appointment.

As a result, this technique is advantageous in that it saves both time and money and produces superior results. The patient and impression scans are then used for InPronto’s patented method of reverse engineering the missing teeth to replicate nature.

InPronto’s Advantageous Single Scan Technique

We really stand out in the dental community due to InPronto’s ability to always be ahead of the game. In particular, we are the only company in the United States that uses a single scan technique for CBCT scans.

  • The single scan technique proves to be more beneficial due to the lack of delays and cost savings.
  • Allows for a much more detailed 3D virtual representation of the anatomical virtual structure.
  • Allows for a more comprehensive biomechanical analysis of the unique requirements of the case.

InPronto’s method for the planning and selection of an implant for a patient includes providing the patient mouth model and the model with the missing tooth. The process then consists of reverse engineering the missing tooth; this way the treatment plan is based on the functional and aesthetic attributes determined from the reverse engineered missing tooth. Reverse engineering the missing tooth incorporates modeling the emergence profile to reflect the natural gum line. The end result is supremely natural looking teeth that truly replicate nature with superior aesthetics and function