Cone Beam Volumetric Imaging in Dental, Oral and Maxillofacial Medicine: Fundamentals, Diagnostics and Treatment Planning

With contributions by:
Bert Braumann, Umut Baysal, Timo Dreiseidler, Rainer Haak, Maurico Herrera, Erwin Keeve, Frank Kistler, Steffen Kistler, Robert A. Mischkowski, Franziska Möller, Lutz Ritter, Daniel Rothamel, Martin Scheer, Philipp Scherer, Pia- Merete Jervøe-Storm, Daniel Tandon, T.P.U. Wustrow, Gerhard Zündorf


Cone beam volumetric imaging (CBVI) has become an indispensable part of dentistry. Quintessence's standard reference book on CBVI has been completely revised in order to keep up with the plethora of new developments. The Second Edition is now available in atlas format with large-sized illustrations.

The first part of the book introduces the readers to the basic principles of cone beam volumetric imaging and helps them optimize the attainable CBVI image quality and relevant system parameters for clinical applications. Important aspects of CBVI imaging of the anatomy of the facial skeleton are also discussed. Part II provides multiple case examples for a number of relevant indications and findings for practical demonstration and easy comprehension of the wealth of possible applications of CBVI in dental diagnosis and treatment planning. Part III provides information on the use of cone beam volumetric imaging in implant dentistry. Numerous case examples are used to explain and illustrate the use of cone beam volumetric imaging in conjunction with other CAD/CAM techniques for implant treatment planning, bone augmentation and template manufacture as well as for postoperative evaluation and treatment of complications.

This comprehensive work serves as a daily reference for the interpretation of CBVI images and is intended as a reference guide for test preparation for the CBVI certification exam.

To deepen their knowledge of the information presented in the book, readers can analyze 30 of the illustrated data sets, which are recorded on the enclosed DVD, using the accompanying software. A tutorial gives an introduction to the use of the software and the routine interpretation of CBVI images.

Dr. Jörg Neugebauer, University Lecturer
From 1984 to 1989 Dr. Neugebauer studied dentistry at Heidelberg University. He worked for several years in the dental industry, most recently as R&D Director of Implantology. From 2001 to 2004, he undertook further training to qualify as a Specialist Dentist in Oral Surgery, becoming Consultant at the Interdisciplinary Outpatients Department of Oral Surgery and Implantology at Cologne University (Director Prof. J. E. Zöller). He gained his Postgraduate lecturer qualification in 2009. Since August 2010, he has worked in the Dentistry Practice of Drs. Bayer, Kistler, Elbertzhagen and colleagues, Landsberg am Lech, also continuing lecturing and research activity at Cologne University.
Special interests: reliability of implant therapy, antimicrobial photodynamic therapy, cone-beam volumetric imaging, ceramic implants

Prof. Dr. Dr. Joachim E. Zöller
From 1974 to 1983, Prof. Zöller studied Medicine at Heidelberg University and Dentistry at Mainz University, and from 1983 to 1987 was Oral and Maxillofacial Surgeon at Heidelberg University. In 1990 he undertook specialist further training in Esthetic and Plastic Surgery, gaining his Postdoctoral lecturer qualification in oral and maxillofacial surgery in 1992. From 1994 to 1997 he became Deputy Director of the Clinic for Oral and Maxillofacial Surgery, Heidelberg University, and since 1997 was Director of the Department of Dental Surgery and Oral, Maxillofacial and Plastic Facial Surgery, Cologne University. He then became Director of the Interdisciplinary Outpatients Department of Oral Surgery and Implantology, Department of Oral, Maxillofacial and Plastic Facial Surgery, Cologne University in 2006. Since 2012, he is the Executive Director of the Center for Dental, Oral and Maxillofacial Medicine at Cologne University.
Special interests: implantology, techniques for alveolar ridge distraction, chemoprevention, esthetic and functional surgical reconstruction possibilities, computer-aided surgery, craniofacial surgery

Table of content

Fundamentals
Fundamentals of CBVI technology:
• From tomography to volume tomography
• Volume tomography
• Volume tomography in dentistry
• Imaging chain of CBVI systems
• Display of CBVI data

Image quality:
• Definition of image quality
• Factors influencing image quality

Radiological visualization of the anatomy of the facial skeleton:
• Anatomy of the maxilla
• Anatomy of the mandible

Clinical Indications
Prosthetic prognosis:
• Anomalies of tooth number
• Morphological anomalies
• Caries diagnosis
• Endodontics
• Periodontology

Impacted teeth:
• Ectopic and impacted wisdom teeth
• Other ectopic teeth
• Ectopic supernumerary tooth germs
• Impaction and ankylosis
• Resorption of adjacent structures
• Generalized impaction
• Summary

Temporomandibular joint:
• Developmental anomalies
• Primary acquired diseases
• Secondary acquired diseases

Fractures:
• Dentoalveolar injuries
• Fractures of the facial bones

Bone structure changes:
• Inflammatory cysts
• Developmental odontogenic cysts
• Odontogenic tumors
• Osteogenic tumors
• Non-neoplastic lesions
• Malignant tumors
• Pseudocysts of the jaw (Stafne's bone cavity)
• Summary

Iatrogenic changes:
• Root remnants
• Metallosis
• Bone replacement material
• Structural injuries

Maxillary sinus:
• Anomalies
• Maxillary sinusitis
• Foreign bodies
• Cysts
• Tumors and tumor-like diseases

Diseases of the salivary glands:
• Salivary gland tumors
• Sialolithiasis

Peri-implantitis

Implant Therapy
Diagnosis and establishing the indication:
• Quantitative evaluation of bone availability
• Qualitative evaluation of bone availability

Technical implementation of implant planning:
• Templates with manually positioned drill sleeves
• CAD/CAM-based positioning of drill sleeves
• Implant planning

Surgical guide fabrication:
• Reference plate
• Digital procedure
• Sleeve systems

Indication-specific implant planning:
• Implantation into the anterior mandible
• Implantation into the posterior mandible
• Implantation into the anterior maxilla
• Implantation into the posterior maxilla

Implantation using augmentation methods:
• Local augmentation
• Intraoral grafting
• Sinus floor elevation
• Extraoral grafts
• Distraction

Postoperative evaluation

Treatment of complications:
• Nerve damage
• Unsatisfactorily positioned implants

References
Index
How to use the DVD provided