i-CAT Family Meeting

At the 8th International Congress on 3D Dental Imaging Users’ Meeting on April 10, i-CAT owners were treated to information-filled sessions on how to maximize the performance of the i-CAT system. Topics prepared for the doctors included, “Selecting the best scan for each patient,” “Reviewing anatomy and pathology in 3D scans” and “What’s new in Tx STUDIO 5.3.”  Staff members took part in discussions regarding patient positioning and how to speak to patients about i-CAT and dose. Dr. Juan-Carlos Quintero, who prepared an interesting session about CBCT and airway-centered treatment planning, felt that the meeting was a breath of fresh air that offered new insights into i-CAT use.

What was your favorite part of the users’ meeting?

My favorite part was the interaction with other 3D-minded users, and learning what colleagues are doing differently. Having Dr. Frank Kronberg, an ENT, as a speaker for the first time was also a real treat and incredibly informative. His lecture room was jam-packed with attendees and was standing room only.  Obviously, this is an area of great interest and utter importance if one is to use this technology. It’s great that i-CAT has a meeting for users to attend and continue learning. This is a perfect example of why it’s important to go to Congress.

How did the user’s meeting improve your experience at International 3D Congress on Dental Imaging?

The personalized learning is unique. The i-CAT staff is very helpful, and I particularly enjoyed speaking with some of the engineers and product development people from i-CAT.  I can tell from the questions that they asked me that they are genuinely interested in my feedback and seeking for ways to make their products better. That says a lot about a company. They have a lot of smart and energetic people working there.

What were some of the reactions from your peers?

Peers were very impressed with the lecture topics and the overall energy of the meeting.  It was a highly organized meeting with diverse topics for all to choose from.

What did the user’s meeting entail, and why was it enlightening for you?

The meeting was divided into general sessions and individual breakout sessions. The topics ranged from airway management using CBCT technology to medical ENT perspectives of scan interpretation to computerized implant treatment planning. To learn what others are doing with the new i-CAT FLX ultra- low-dose scan, like Dr. Sean Carlson, was quite remarkable too. That machine will change the face of dentistry and orthodontics.  It’s important to stay up-to-date with the evolution of this technology so one doesn’t get too far behind.

Any other comments to share about the Congress?

The social events were really fun too!

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3D Imaging with Lower Radiation Dose

A discussion with Dr. John Ludlow, a distinguished researcher in imaging technology and radiation dose

Cone beam 3D imaging is evolving into a “must have” for the innovative dental office. The added dimension offers a “surgical view” that adds precision to treatment planning and implementation. While achieving quality 3D images is important, capturing scans responsibly with the lowest radiation dose possible, also takes top priority. Dr. John Ludlow, a distinguished researcher in imaging technology and radiation dose, has recently published his newest study comparing doses from the new i-CAT model of CBCT technology, the i-CAT FLX, with those from conventional 2D and medical CT imaging alternatives. His valuable article offers clinicians information to make prudent decisions about their imaging options for the best interests of their patients and their practices.

In this interview with i-CAT, Dr. Ludlow discusses the research and its implications to dentistry.

Q: What is the purpose of dental dose studies?

A. Dose is important within the context of biologic risk. The principal risk from diagnostic imaging is cancer developing many years following x-ray exposure. Low doses associated with dental diagnostic radiography have low risks. Dosimetry allows us to compare the risks of different radiographic examination alternatives.

Q: Why are the studies important?

A. These studies allow practitioners to compare the relative risk of different examinations, techniques, and equipment. Together with information on image quality and diagnostic utility, practitioners can make evidence-based decisions on when to prescribe radiographic imaging and what technologies and techniques to use in acquiring diagnostic images.

Q: How are these studies performed?

A. The ICRP has recommended that the calculation of effective dose be used to compare the biologic risk of different techniques. Because of differences in location of radiosensitive structures such as the thyroid gland due to age- related development, we use both adult- and child-sized phantoms. We place small dosimeters at the location of each of the radiosensitive tissues in the head and neck area. We place calibrated and cleared dosimeters in the phantom, position the phantom for imaging, expose with the desired technical factors, read the absorbed dose using a specially designed reader, and use these readings in the calculation of effective dose. Because of the importance of image quality and its direct relationship to dose, we are also using a variety of phantoms to measure several parameters of image quality.

Q: Can you comment on the i-CAT Quick Scan+ feature in terms of its comparison to 2D digital pans?

A. The Quick Scan+ image volume provides 3D information with minimal geometric distortion that is unavailable in any 2D image and at a comparable dose. While reductions in dose are typically accompanied by reductions in image resolution, these low dose volumes may be useful for tasks such as mid-treatment assessment of orthodontic patients for root position and angulation within the arch. They may also be useful for implant diagnostics in some situations. On the other hand, the reduced resolution of cone beam imaging in general, as well as potential increased noise and metal artifact effect, are not as valuable as conventional panoramic imaging for certain diagnostic tasks, such as caries detection. Additional studies are needed to make practitioner choice of imaging parameters and patient dose more “evidence based.”

Q: When/where should our readers look for your i-CAT study?

A. The paper detailing the i-CAT FLX dosimetry study and results is published in the December issue of the American Journal of Orthodontics and Dentofacial Orthopedics.

Q: What is your background in dental dose studies; how long have you been performing these studies for 2D and 3D equipment?

A. I became interested in the subject of radiation risk and dosimetry during my graduate training in Oral Diagnosis and Radiology at the University of Michigan. Albert Richards, who did pioneering work demonstrating that the pointed cone was an important source of scatter radiation in dental radiography, was one of my mentors. His work led to the replacement of the pointed cone with the open cylinder that we all use today. He later chaired the NCRP committee that developed the first guidelines for the safe use of x-ray imaging in dentistry (Dental X-Ray Protection – NCRP Report No. 35). Another of my mentors and a co-author is Sharon Brooks, who has published a number of studies and review articles on radiation dose and risk reduction strategies. My graduate thesis “Image analysis and dosimetric comparison of intraoral radiographic imaging systems: Intraoral xeroradiography, conventional D and E speed periapical films and experimental E and F speed folded film techniques,” was inspired by Professor Richards and directed by Dr. Brooks. That was back in 1983. My current approach of using human equivalent phantoms to calculate effective dose and comparative risk of different radiographic examinations began in 2002 at the University of North Carolina. I was curious to see how doses from the new CBCT technology compared with those from conventional 2D and medical CT imaging alternatives.

To access the Abstract for Dr. Ludlow’s latest research on radiation dose, visit: http://www.ajodo.org/article/S0889-5406%2813%2900774-9/abstract?source=aemf
Ludlow JB, Walker C. Assessment of phantom dosimetry and image quality of i-CAT FLX cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2013;144(6):802-817.

Dr. Ludlow is renowned for his research in radiography. He is a professor in the radiology section of the Department of Diagnostic Sciences and General Dentistry at the University of North Carolina School of Dentistry. He is a diplomate of the American Board of Oral Medicine (ABOM) and of the American Board of Oral Maxillofacial Radiology (ABOMR). He is past president of the ABOMR, and past director of the ABOM. Dr. Ludlow has published more than 90 scientific manuscripts and was an AAOMR Weurhmann Prize winner for the best radiology research paper in 2006-7 and 2010-11.

Dr.Ludlow is not an employee nor does he have any financial interest in Imaging Sciences International, LLC.

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What Happens When You Hang Out with Dr. Juan Carlos Quintero?

Answer: You find out about how the latest in 3D imaging technology can help your practice and your patients.

For his “Hangouts on Air” segment, Dental Products Report’s Digital Media Director Steve Diogo recently interviewed Orthodontist Dr. Quintero regarding his breakout session “Freaky 3s: The Management of Difficult Impacted Canines” at the upcoming 7th Annual Congress on 3D Dental Imaging on October 24 and 25 in Boston. In the last eight years, Dr. Quintero has treatment planned every case of impacted canines exclusively with cone beam technology. Dr. Quintero explained, “We carefully documented these cases with scans, progress scans and photos. I have collected my favorite, most unusual and fun-to-treat cases to show what we have learned.” He will describe how to manage data, and use software, as well as how to pre-form virtual movements of teeth to decrease treatment time, increase treatment mechanics efficacy, and improve the informed consent process with patients. All if this results in much smoother treatment plan implementation.


Dr. Quintero describes that attendees range from those who are just thinking about the new technology, to new users, to very advanced speakers. “In the same day you can sit next to someone completely new to cone beam technology, and someone who has written books on the subject. Interaction with attendees and speakers results in “the best learning on subjects ranging from implant dentistry to oral surgery, orthodontics, and airway evaluations,” said Dr. Quintero. “Some of the best sessions are given by oral and maxillofacial radiologists, a very important subject for those using CBCT.”

“There is no stopping technology,” adds Dr. Quintero. “i-CAT FLX is going to be a game changer, and with the low levels of radiation of this unit, orthodontists now should think twice about buying a pano or a ceph. In my opinion, i-CAT FLX will change the landscape of orthodontics in the next 5 years, and will set the new standard in the industry for others to follow.”
Dr. Quintero sums up, “If the technology doesn’t help the patient, there is no place for it. Listening and learning from our peers about how 3D imaging is allowing them to deliver better quality treatment is at the heart of why my dental colleagues should attend these symposiums.”

To receive a $250 discount on the admission price for the upcoming 7th Annual Congress on 3D Dental Imaging watch the ondemand video by visiting: http://hub.am/19PbI49.

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Ease That Taxing Situation!

Taxes don’t have to create a “taxing situation,” not with this year’s Section 179! This popular part of the tax code allows dentists to deduct the full purchase price of qualifying equipment and/or software purchased or financed during the tax year. The deduction limit changes each year, and deduction limit is $500,000, for this year, and it was also raised retroactively (from $125,000) from last year. “This deduction is huge right now; this first-year depreciation was intended to stimulate the economy and help businesses prosper,” says Dental CPA Ken Rubin.

One way to make your practice prosper is by expanding practice options. Implementing cone beam 3D imaging can add that extra dimension to your practice with its information-packed scans that facilitate implant placement, orthodontics, surgical guides, restorations and even everyday general dentistry. The award-winning i-CAT FLX 3D is a flexible cone beam solution that provides high resolution, volumetric images that help the clinician move from scanning to planning in minutes. The advanced image quality called Visual iQuity™ delivers i-CAT’s clearest 3D and 2D images*, and the best part is that a full-dentition scan can be captured with a lower radiation dose than a 2D panoramic x-ray with QuickScan+*.

Dental CPA Rubin notes that the $500,000 potential deduction is an opportunity for dentists to deduct even higher-priced investments, or multiple equipment purchases. He notes that if the purchase makes good economic sense for your office, then it is time to move quickly to take advantage of the Section 179 savings. To be able to use this deduction, the equipment must be “placed in service” by December 31, 2013, meaning it should not just be purchased, but it must be installed and in service by that time.

“No one has a crystal ball for the future, and we never know from year to year how the deduction limit is going to fluctuate in the future,” says Rubin. “But I would be willing to bet that it will not go any higher.”

*data on file

You can calculate your savings on i-CAT FLX and other beneficial technologies at http://hsic.com/148B0pK.

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Calling All Townies!

It’s always a good feeling to stand up and be heard. Now, you have a chance to sit at your computer and be heard when you vote for the Townie Choice Awards! At i-CAT, we enjoy hearing our owners’ positive feedback, and would like you to share that by voting in the 2013 TCAs. We appreciate your votes of confidence in i-CAT over the past few years and hope that you will participate again. These awards are determined by clinicians who use these products on a daily basis and have experienced their clinical and practice-building benefits. i-CAT cone beam 3D imaging systems have won in the Cone Beam CT category every year for the past six years, and that is not just a lucky winning streak. Our products are built to be consistently predictable, flexible, and effective. With the i-CAT FLX, we continue our quest for low dose imaging along with excellent image quality.

We hope you have already experienced or heard from your colleagues about the dynamic treatment tools of the i-CAT FLX, especially, Visual iQuity image technology that provides i-CAT’s clearest 3D and 2D images and QuickScan+ that allows for a full-dentition 3D scan at a lower dose than a panoramic image.* i-CAT FLX’s SmartScan STUDIO™ touchscreen interface makes it even easier to scan, plan, treat. Tx STUDIO™ software provides immediate access to integrated treatment planning tools across abroad spectrum of procedures for general dentists and specialists.

By voting, practitioners can raise awareness of i-CAT 3D cone beam imaging with the latest technology and lowest radiation rates. We thank you for your past support and participation in the Townie Choice Awards voting process again this year!
Dentaltown is offering fun incentives for participating in the voting. Vote by September 20, and you can have the chance to win $1,000 and be featured on the cover of Dentaltown!

Here’s how to vote: www.dentaltown.com
Log in at this address: http://www.dentaltown.com/Dentaltown/Survey.aspx?action=LIST

Please vote, and let others know the excellence that you already have experienced with i-CAT!

*Data on file

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A Night of Transformational Technologies

While Cinco de Mayo is a date that is famous for celebrations and fun, Dr. Alan Curtis, Orthotown magazine’s Editorial Director called May 5, 2013 a night of “transformational technologies,” as Orthotown along with i-CAT and Ormco hosted a much anticipated happening at the TRUST building in Philadelphia’s Old City district. The event, held during the week of the AAO Annual Session, was standing-room only, filled with key opinion leaders and other practitioners who wanted to witness new technologies like the latest in i-CAT imaging and Ormco’s LYTHOS digital impression system. One of the evening’s most talked about innovations was the i-CAT®FLX, which features QuickScan+ that allow for a full-dentition 3D scan at a lower dose than a panoramic* and Visual iQuity image technology that provides i-CAT’s clearest 3D and 2D images. Orthodontist Dr. Martin Van Vliet noted how the unique enhancements of this new unit have the potential to revolutionize diagnosis, education, and treatment of orthodontic patients. He said, “A new standard in 3D imaging has been created!”

During the evening, Director of Product Management at i-CAT, Kalpana Singh noted that besides innovation, i-CAT is dedicated to learning — not only educating dentists on cone beam 3D imaging, but also learning from the customers as well. She said, “We strive to learn from our owners and from our esteemed clinical partners to understand what your needs are and deliver those features to you.”

After the presentations, it was time for food, drinks, appetizers, dessert, and some funny faces at the digital photo booth. While attendees were celebrating, the buzz continued all evening about these innovative technologies.

Those who want to learn more about the most dynamic imaging technologies available today don’t have to wait much longer. The next International Congress on 3D Dental imaging is taking place October 25-26, 2013 in Boston. The a unique two-day experience will provide attendees with lectures and demonstrations of real 3D imaging applications in dentistry, and 11 CE credits! Practitioners may register online, by fax, or by phone. For information on the fall session of the 7th International Congress, call 267-954-0330 or visit www.i-cat.com/events/live-3d-events. Register by Sept 24, 2013 and receive a $200 discount.

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We Have a Winner!

The Win-A-Free i-CAT sweepstakes winner has been chosen, and Dr. Patrick Hermanson and his team in Pierre, South Dakota are in celebration mode! Dr. Hermanson says that while he is not in the habit of entering contests, “When I saw this sweepstakes, I thought that having a cone beam 3D unit in my office would be an amazing addition to my practice. If I was going to take a chance on entering any contest, this would be it.”

As a general practitioner in a small city, Dr. Hermanson also does some endodontic procedures and oral surgery since specialists are almost 200 miles away. He is looking forward to the precise details that his cone beam 3D scanner will provide. He describes, “The i-CAT will help us to perform periodontics and endodontics more efficiently. We want to evaluate the health of the bone, see bony pockets for periodontal evaluation, and view the position of the roots in the jaw better. I will be prepared for any deviation from the norm with a 3-dimensional scan.”

Dr. Hermanson also shares the office with another GP and an oral surgeon, who places implants. They are looking forward to using Tx STUDIO™ software, with its ability to precisely visualize teeth, roots, and sinuses. The Tx STUDIO™ restoration design feature allows the clinician to plan an entire treatment from surgical placement of implant and abutment through final restoration at the onset of planning.

Since Dr. Hermanson will be the only dentist in his area to have 3D capability, he anticipates that the i-CAT will increase his referrals and collaborations with other dentists. He also figures that once other dentists see what the i-CAT can do, they will make plans to get one too.

We will revisit Dr. Hermanson after his i-CAT has been in use for a while, and he has some patient success stories to tell. Right now, he is anxiously awaiting delivery of his sweepstakes prize. After working with 2D imaging — a film unit for bitewings and PAs and a digital panoramic — he notes, “This is a big change compared to what we had before. We are so excited because this is the next big step.”

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i-CAT Wins Townie Choice Award for Best Cone Beam CT Scanner – 6th Year in a Row!

The old adage says that three’s a charm, so being a six-time winner is twice as amazing! i-CAT® was honored for the sixth time in a row as the recipient of the Townie Choice Award for the Best Cone Beam CT Scanner. At Imaging Sciences International, we hear that i-CAT dentists are very enthusiastic about the system’s powerful treatment solutions, increased clinical and radiation dose control, and fastest workflow, as well as the many applications of Tx STUDIO™ software, for planning of implants, airway procedures, TMD, orthodontics and surgical procedures. The Townie Choice award means so much because voters are practicing dentists who are witnessing the benefits of this dynamic imaging technology every day in their practices.

i-CAT is not just an overnight sensation. In 2012, Imaging Sciences International celebrated two decades of innovation and dedication to dental imaging. This anniversary reflects many milestones in the advanced dental and maxillofacial radiography and the 3D radiographic systems that have become among the most trusted in the dental industry—the i-CAT® Next Generation, i-CAT® Precise™ and their exclusive software applications.

DentalTown’s editors write that deciding on the right dental product for a practice can be a daunting task. They describe the Townie Choice awards as “a compass pointing the way to the dental industry product aces – as chosen by your colleagues, not industry salesmen.” Knowing which products have proven beneficial for colleagues is a “shortcut to excellence.” DentalTown’s announcement of award winners sums it all up, “You know what it means when, on a product, you see the gold-dunked statue hoisting the ‘Townie Choice’ logo: It means you can trust it.”

To read more about the Townie Choice Awards and dentists’ vote of confidence for i-CAT, visit www.i-cat.com/assets/documents/TCA-Radiology.pdf

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A 3D View from the Mile High City

3D imaging eventsOn October 26-27, 2012, clinicians will gather in Denver, Colorado to get a different view of implants, orthodontics, TMJ and airway diagnosis, oral and maxillofacial surgery, and periodontics—a 3D view.

The 2-day 6th International Congress on 3D Dental Imaging will feature hands-on training and live 3D scan sessions, practical sessions, and a vendor showcase that will spotlight supporting 3D products for imaging, implant, restorative systems, orthodontics and 3D treatment-planning software.

Sessions appeal to all levels of experience, whether you are looking for some basic info on 3D imaging, or are already acquainted with the benefits of CBCT in the dental practice.

Some of this year’s topics include:

  • Advances in 3D Treatment Planning for Implants
  • 3D Imaging for Sleep Apnea
  • TMJ and Airway Evaluation
  • 3D for Periodontal Applications
  • Three-Dimensional Orthodontics: Applications and Benefits of Using 3D Imaging
  • 3D Dentistry: Technology Integration and Future 3D Applications.

Besides gaining insight into this dynamic imaging modality, attendees receive 16 CE credits for attending the event.

CBCT imaging allows dentists to expand their options for patient care. From planning to implementation, i-CAT scan technology’s incredibly detailed 3D images boost efficiency and accuracy, helping clinicians to approach procedures with added confidence. New applications for 3D scans facilitate compatibility with CAD/CAM, the creation of surgical guides, and customized robotic arch wires.

The Congress is a great opportunity to meet other i-CAT users and discuss treatment planning and utilization possibilities with those who have already implemented this technology. With the help of colleagues’ insight, practitioners can get to hear first-hand accounts of the clinical advantages for diagnosis, treatment planning, and implementation that result in better patient care.

Come to the Mile High City in October and see how 3D imaging can take your practice to a new level of care. Attendees can easily register online, by fax, or over the phone. For more information on the 6th International Congress, sponsored by Imaging Sciences International and Henry Schein Dental, please call, 1-800-205-3570 or visit: http://www.i-cat.com/events/live-3d-events/

Cone Beam 3D SpeakersSee more pictures from past events at www.facebook.com/iCAT3D

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Patients are Looking at Cone Beam, are You?

CBCT TechnologyWhen looking for a new dental practitioner a decade ago, many people “let their fingers do the walking with the Yellow Pages.” In recent years, with the growth of the Internet, the tech-generation is letting their fingers do the clicking on the keyboard through Google and other Internet search engines. Finding the name of a dentist on the Internet is relatively simple. But location alone is not the deciding factor in the choice of practitioner. Patients are encouraged to call or make an appointment and find out more about the dentist, and the types of technology at the dental office. For many procedures, such as implants, endodontics, and orthodontics, having the right technology can make a difference. In the “Consultation Room” at www.conebeaminfo.com, patients are advised to explore if the orthodontist “is using ‘up-to-date’ technology to provide you or your child the best tools for treatment planning and diagnosis.” Cone beam technology provides the kind of information about the teeth, roots, and bone that can help the doctor to diagnose more succinctly, plan more efficiently, and have more confidence in the successful completion of the treatment plans for procedures such as implants, root canals, and tooth movement. Even better, the dentist can view details on a 3D scan that in the past could only be determined by surgery—and share the visuals with their patients. Clinicians who use i-CAT’s powerful, flexible, and fast CBCT technology, take advantage of compatibility with the latest in CAD/CAM programs (robotics and guided surgery) so that they can offer patients less invasive and more predictable treatment. Also, with i-CAT, control over image size and low dose scanning allows scan radiation dosage to be tailored to the needs of each individual patient. When patients are seeking the most comprehensive dental care for themselves and their families, 3D imaging shows that the doctor has added the extra dimension to his/her practice. Choosing an i-CAT shows that he/she has chosen to implement the best.

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