I’m excited to show off my shiny new toy! Just playing around with the capabilities of the new Galileos Comfort Plus Large FOV CBCT with Face Scanner. Really opens up a new world. We all know that CBCT is great for displaying bone, overlaying CEREC optical scans is great for seeing the teeth and gingiva. But now we have one more layer, the face! We can use it for planning implants in relation to the smile line and how much gingival display shows. This would aid in the determination if you would do a hybrid, a removable or fixed!
The main reason why I switched from my small FOV to the large is I wanted to get more involved in airway, ortho and TMJ as far as billing medical insurance. You can see quite easily that we can determine if the patient is a skeletal class I, II, or III and easily see the airway shape, constriction, and measure its volume!
We all know CBCTs are great for implants. Its nice to see how the implant relates to the larger skull.
Scans of the face can be taken with the lips closed, at rest or smiling. Scans can be taken without the CBCT for a no radiation comparison.
By imaging a large area around the TMJ and both joints at the same time we can make side to side comparisons of the joint. This patient is experiencing some pain on the right TMJ and you can see a difference in the joint spaces between the two.
A new Cephalometric Tap will allow you to make Ceph tracings in the reconstructed image without a Ceph arm
You can import your dicom images into 3rd part programs like Dolphin if you want more advanced Orthodontic features.
And of course the endo applications are great. The native resolution of the machine is 250 microns, but can be switched to 125 microns in HD for better visualizing canal shape and number. #30 was tough to image in 2D due to a shallow lingual vestibule and the patient was swollen. Its easy to position in such a large FOV machine. This is just the beginning I can’t wait to start messing with my machine!