DOSSIER ON COST / QUALITY IN DENTISTRY 3

By 29 Novembre 2016 Insights

PART 3- TECHNOLOGY AND QUALITY IN DENTISTRY

In this last part we will analyze one of the aspects that we have seen to be responsible for the high cost of care, but also has become increasingly necessary: the Level, of advanced technology of the study and the quality level (and duration) of performance produced.

NEW ACCURATE DIAGNOSIS, VIRTUAL PLANNING, REDUCED TIME PROCESSING, REDUCTION OF MARGINS OF ERROR. THE IMPLANT COMPUTER DRIVEN

Lastly Born techniques supported by software allows to speed up and improve the safety and accurate diagnoses and therapies and then offer interventions easier for those who want to have a dazzling smile. Using the most advanced techniques of minimally invasive surgery and computer-guided implantology, they will offer patients treatment plans that transform a removable rehabilitation, in one sitting, in fixed rehabilitation supported by implants. The guides obtained with the aid of stereolithography computerized manages to make the osseointegrated implants a technique simple and applicable in almost all clinical situations, even in the presence of severe atrophy of the jaw where the traditional surgery, that is performed free-hand, would make these operations very difficult.

You can talk about an important turning point for the implant?
Absolutely yes. You must first explain what it means and to whom is this new method. In fact, dental implants are the method for patients who have lost their teeth, or are carriers of a mobile denture and want a new set of fixed teeth. Almost always the lack of teeth, the use of prostheses and advanced age, cause atrophy of the jaw bone that normally make classics treatments difficult or impossible.

The advantages of this method reduces the margin of error and also help those who are afraid of the dentist?
Exactly. Imagine a dental office 20 years ago. There were limits that are now not exixted: materials, equipment, tools and new methods, they have made their way and taken advantage of millions of Euros of investment by manufacturers to solve problems that used to require months of care. Today the interventions are very short and guarantee quality and safety in absolute respect of the costs. These methods offer enormous potential for success and minimally invasive surgery. Careful examination of the volumetric information from Denta Tac-Scan and the opportunities offered by design programs increase the opportunities to utilize low volumes of basal bone, thus offering the patient the opportunity, otherwise denied, to receive fixed prostheses in immediate function. The Computer Guided Dentistry undoubtedly represents, with respect to the complexes and invasive interventions of bone reconstruction, a method more simple and predictable, also valid in case of severe atrophy of the jaws. This, in my opinion, is a technique meant to be used by a growing number of patients and dentists. This method, combined with conscious sedation, is an extraordinary help to lower tensions, reduce the threshold of pain and induce a state of deep and lasting well-being even in phobic patients.

The help of the computer is more useful in diagnostic or in the planning stages of the intervention?
It is very useful in both phases, the one is integrated in the other. In the past it was used only in the diagnostic phase as it lacked the technical applications to exploit the clinical stage operational. Today, however, thanks to stereolithographyc models, you can apply its benefits to 360 °. The use of software allows you to navigate virtually in the anatomy of the patient. In the diagnostic phase of the three-dimensional images of soft tissues and jaw of patients are examined in the most intimate details. This is possible due to the acquisition of the data of DICOM CT scan of the patient in question. During this diagnostic phase I on my computer all the three-dimensional information that I need to make assessments on the volumes, the quality and quantity of the bone of the patient. This allows me to make a virtual surgery with the ideal positioning in space of the implants, taking into account all the correct information. Planning thus obtained is saved in a file and sent to the home production of surgical guides. This creates masks guide containing the rings guide with precision who will direct the cutter used by the surgeon for the implant site preparation in the exact position, angle and depth established in the planning. Also these softwares can make diagnosis difficult not only in implantology but also in all branches of dentistry.

What are the advantages to dental care of your computer?
With the introduction of new technology and computerization in implant prosthesis used both during diagnostic and terapeutical operations, dentistry has been revolutionized and it will always be more. This revolution is not about the principles, but the methods and materials. All this allows for longer lasting results and clear in less time. The computer, in short, served in the context of the realization of the prosthesis (with CAD-CAM) and replaces the traditional methods of making them, with the predictability and control, typical of industrial processes precision".

In which areas of dentistry the computer can intervene?
Diagnosis, therapies and surgical implant prosthesis which are individualized, but produced with industrial processes. There are also other fields such as orthodontics and Posturology that use successfully use the computer.

It is a methodology used for any patient?
Since the implantology led by computer, or Computer Guided Implantology CGI enables the minimally invasive, it is particularly suitable for patients normally considered at risk of failure. It is, therefore, a methodology that allows to operate in great safety and with millimetric precision, shortening the treatment time.
Even in prosthetic dentistry, the digitization procedures (CAD CAM technology) has allowed the development of new techniques and the use of new materials called metal-free as zirconium oxide, called zirconia or lithium silicate, and the processing of some metals with sintering techniques and acrylic resins with high density.

The CAD CAM technology allows, through a 3D scanner, the reading of a master model of the prepared teeth or the position of implants. After a scan the dental technician through a dental software processes the data, creates the design and sends it to the machine tool CAM, which realizes the full piece in the material chosen for the restoration.

In conclusion we can state that the improvement of the standard of quality care can not be released from the purchase and the use of increasingly efficient and sophisticated technologies, but with a very high cost. That is why this parameter is recognized as one of the primary factors that combine to create the high cost of care from the dentist.

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