n - Sequence 3D Diagnostic Imaging provides a full range of imaging services to support any implant, oral or maxillofacial surgical treatment planning needs. We also offer 3D image interpretation and consultation service by an oral and maxillofacial Radiologist.

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n - Sequence is pleased to introduce a new 3-dimensional imaging technology to Reno. The new technology is known as Cone-Beam Computed Tomography (CBCT) or Cone-Beam Volumetric Tomography (CBVT) and is an x-ray imaging approach that provides high resolution 3-dimensional images of the jaws and teeth. CBCT images provide invaluable information that is not contained in conventional 2-dimensional films. The quality of CBCT images is comparable to conventional medical CT scans but at a fraction of the radiation dosage, ensuring that radiation exposure is kept to a minimum.

Cone-Beam CT fulfills a much needed diagnostic imaging need in dentistry. The technology is derived from its medical counterpart, the computed axial tomography, which is one of the most important radiological exams world-wide. While cone-beam CT is very different from medical CT, it also produces 3-dimensional images. Clear advantages of CBCT are its rapid imaging time (under 40 seconds) and its much lower radiation dose compared to medical CT.

Imaging Services
Clinical Applications of CBCT imaging

Dental Implants
Dental clinicians who are placing dental implants are rapidly becoming one of the largest user groups who are referring patients for CBCT scans and images. This is because CBCT generated images provide more information not contained in regular 2-D plain films.

Both 2-D and 3-D x-rays can show bone height and width, yet only the CBCT can measure the bone thickness of the jaws and also define the shape of the bony contours. CBCT can also accurately locate the position of the inferior alveolar canal in the lower jaw, thereby minimizing the risk of parasthesia caused by damaging the nerve. In the upper jaw, knowing exactly how much bone there is for the implant site will reduce perforations through the maxillary sinus. All of these advantages result in a greater success rate from CBCT guided implant placement.

Impacted Teeth
With CBCT, it has become very easy to determine where an impacted tooth is located in relation to the rest of the dentition. Traditionally, many different types of x-rays were needed to localize an impacted tooth in relation to the adjacent teeth. Although the films were able to identify whether the tooth was buccal or lingual, it was still impossible to measure exactly how far away the impacted crown was to the roots of the other teeth.

With CBCT, the diagnosis becomes a simple visual exercise, with the images showing exactly the location of the entire dentition, even the impacted teeth. The inclination of the teeth, direction of eruption, and completion of root formation is shown. The CBCT software can also measure exactly how far in the bone the impacted tooth is positioned, and can accurately determine the distance to the closest root structure.

CBCT diagnosis makes the recovery of these teeth much easier for orthodontists and oral surgeons. Orthodontists use this extensive information in devising the best biomechanics and vectors to bring the impacted teeth into the dental arch. Oral surgeons, knowing exactly where the tooth is located, can minimize the amount of bone drilling needed to access the crown of the teeth and avoid damage to adjacent proximal root structures.

• Temporo-mandibular Joint (TMJ)
• Oral Pathology
• Orthodontics
• Periodontics
• Airway Assessment
• Cervical Spine
• Specialized Visualization Technique