3D Radiology in Dentistry – a real breakthrough for dentistry because it offers many advantages
I have been working with the operative microscope in my daily practice since 1995. Since then, I have focused my work almost exclusively on endodontics. I absolutely believe that I should improve my capacity to investigate inside the root canal system in order to reach better results. The microscope has been a real winning means, although its performance can be hindered by anatomical problems, like canal curves. As soon as I realized that I could not “see” so well what lies around the root or the very structure of the tooth, I felt increasingly frustrated. All conventional radiological systems (always the most important aid to endodontists) were not so helpful in the most important steps of diagnosis and treatment planning, especially in more complex cases. When I was suggested to test a 3D radiological system with a small field of view, I was immediately fascinated. From the very beginning, I had become an enthusiastic user because of its advantages: low radiation dose to patients, high definition with very small voxels, the possibility to see the tooth and the surrounding structures in three different planes, overcoming any anatomical overlapping.
While I was exploring the features of this system, I got to know an engineer, Riccardo Laziosi, whose profession is dental information engineering. We started travelling all over Italy together, showing my colleagues the features of these new devices with new viewing systems and their advantages in daily clinical practice.
This good acquaintance has made me better understand how these systems work and which features they should be equipped with. Almost three years ago, I got to know Roberto Ghiretti at a conference on 3D radiology. He was about to purchase a system similar to mine and he desired to get more information about its advantages in his daily clinical practice. His experience as an oral surgeon and his daily practice as a dentist have urged me to study further the use of these systems in different fields of surgery. We soon became good friends, and started a profitable professional cooperation. You will see some cases executed by both of us shown in this book.
Our enthusiasm increased more and more: from material collection to case discussion and to the analysis of different uses of this device, the idea of this book grew in our minds. Other colleagues have joined Riccardo, Roberto and me. They have willingly and invaluably contributed to the drawing of this hard work. I would like to thank them all herein. I hope that our work will meet our aim: to show the advantages of the use of CBCT systems. This use should be careful and follow the principles of “optimization and justification” and always respect the patient, from the very moment in which we make our choice of purchase.
Lastly, my greatest thanks are to my wife, Roberta, who supported my work, translating from Italian and checking all the scientific contributions that you will find in this book.
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