DIGITAL DENTISTRY & OVERVIEW

• Digital dentistry refers to the use of dental

DIGITAL DENTISTRY
technologies or devices that incorporates
digital or computer controlled components to
carry out dental procedures.

• With expeditious evolution in the digital

dentistry, it’s now feasible for the dentist to
make their practice more efficient &
productive via use of computer aoded
technology
 TODAY’S HIGHLY USED DIGITAL DENTAL TECHNOLOGIES
INCLUDE:

Work related with

Patient’s information Digital imaging Digital photos aesthetic dentistry &
[ digital software ] prosthetic dentistry

Invisalign Digital smile

CAD-CAM
treatment design
PATIENT’S INFORMATION
(Digital software)

It contains a comprehensive graphical record of the patient

that is essential for superior treatment in dentistry. All patient
information is clearly shown (by tables and graphics) on one
screen and all relevant information can be reached in one or
two mouse clicks. Technically it is capable of storing and
displaying multimedia content–X-ray images, digital
photographs & video recordings.

It has planners showing appointments in a time interval of

interest and date which are set, regardless of the number of
jobs and number of employees to allow the dynamism and
flexibility in the work of doctors and assistants. The system
communicates with patients in several ways: by e-mail
messages, SMS messages or by sending written scanned
notices.

DIGITAL IMAGING
Digital imaging incorporates
computer technology in the
capture, display, enhancement
and storage of direct
radiographic images
Eg; RVG, CBCT, OPG.
RVG ( RADIO VISIO GRAPHY)
1.time efficiency through bypassing chemical processing
2.ability to digitally transfer and enhance images.
3.less radiation can be used to produce an image of similar contrast to conventional
radiography.
4.Instead of X-ray film, digital radiography uses a digital image capture device.
5.immediate image preview and availability; in less than 5 seconds.
6.elimination of film processing steps;
7.wider dynamic range, which makes it more forgiving for over- and under-exposure;
8.ability to apply special image processing techniques that enhance overall display of
the image.
9.number of images can be taken in no time.
 CBCT
(cone-beam computed tomography)

ADVANTAGES

•Low radiation (much less than traditional CT

scan)
•Convenient and painless for patients
•Aid in the diagnostics, development of
treatment plan, and procedures
•Assess risk
•Better analyze position and orientation of
surrounding structures (sinuses, roots, and
nerves)
•Cost effective
•Safe for patients of all ages
 OPG
(ortho pantomogram)

ADVANTAGES

• Broad anatomic region is imaged.

• Low radiation dose.

• Convenient, easy and fast. The entire procedure

takes 14 seconds exposure time.

• Procedure can be performed on patients who

cannot open their mouth.

• Easy for edentulous patients, patients who do not

tolerate intraoral procedure well, patients with
multiple tooth / Oral pathology.

• No overlapping of facial bones.

OPG LATERAL CEPHALOGRAM
DIGITAL PHOTOS Intra-oral photographs

Digital photography can have

numerous impacts on dental
practice:
Photos can educate patients
and improve case acceptance,
Extra-oral photographs
communicate shade to the
dental lab, and improve
patients' confidence following
treatment.
Florida Probe is a probing and charting software used by dentists and dental hygienists to detect and
diagnose periodontal disease. It may also help research companies to track down the progress and
results of trial treatments performed on controlled study patients.
DENTAL ENDOSCOPY
( Perioscopy )
Perioscopy (also know as dental
endoscopy) is a procedure that
uses a miniature dental
endoscope with advanced video,
lighting and magnification
technology that enables us to
diagnose and treat areas below
the gumline non-surgically.
How does the dental
endoscope work?
A miniature camera is attached to
a tiny probe and then gently
placed below the gumline. The
images are immediately displayed
on a chairside video screen for
your clinician and you to see. The
dental endoscope provides up to
48 times magnification,
disclosing minute details under
the gums that, before the advent
of this technology, might easily be
missed.
What are the advantages
Perioscopy?
Perioscopy allows clinicians to
see subgingivally in the most
minimally invasive way possible
to provide accurate diagnosis
and non-surgical treatment of
the periodontal patient.
Visualization ensures there is no
over instrumentation of the root
structure which can lead to
sensitivity.
WORK RELATED WITH AESTHETIC &
PROSTHETIC DENTISTRY

Dental veneers and Lumineers

Dental veneers and Lumineers are a thin cover
of teeth. These are made from a tooth-colored
material that covers the front side of the
teeth. 
CAD / CAM Machine
A CAD / CAM (Computer Aided Design and Computer Aided Manufacturing)
machine is used to manufacture dental veneers and lumineers . This
machine has high accuracy and is completely automatic.
Intra-oral Scanner
An intra-oral scanner takes a 3D image of the mouth. This 3D image is directly
sent to the CAD / CAM machine that makes tooth crown, dental veneers,
Lumineers, and dental bridge from zirconia (ceramic) material, that fits
perfectly on the tooth.
INTRA ORAL SCANNING
FITTINGS OF VENEERS IS BEING CHECKED
Steps in
fabrication
of laminate
veneers
DIGITAL MODEL FINISHED CERAMIC VENEERS

MILLED CAD BLOCKS

TRY-IN
INVISALIGN

Invisalign is an orthodontic technique that uses a

series of clear plastic aligner to move teeth
The aligner are made from thin, see through plastic,
which fits over the buccal, lingual (palatal), and
occlusal surfaces of teeth

Technique used in Invisalign is CAD-CAM

 CAD-CAM
(COMPUTER AIDED DESIGN & COMPUTER ASSISTED MANUFACTURING)

Process of designing and manufacturing a

custom-made dental device, or a patient-
specific dental device from an industrialized
product, with the aid of a computer.
 Steps in CAD-CAM
restorations

Step 1: Tooth Preparation

Step 2: Digital Dental Impressions

(intraoral scanner to create 3D models of your teeth
and gums)
Step 3: Design
(The digital dental impressions we take will transfer
to our computer)
Step 4: Milling

Step 5: Restoration Placement

3d bioprinting
3D printing is the term used to portray added substance fabricating approach that constructs material
layer by layer. It utilizes data from CAD programming which estimates a large number of cross segments to
fabricate the specific reproduction of every item.

• 3D printing provides tissue scaffolding in bone grafting procedures.

• 3D printing involves bio-resorbable scaffold for periodontal reconstruction, sinus and bone
augmentations procedures, socket preservation, , direct implant installation, maintenance of
peri implantitis.
• The goal of 3D printed scaffolds is to facilitate the regeneration of bone, PDL, cementum, and
establishment of linkage between them .
• Recent advancements in technology have made the use of 3D-printed scaffolding to retain
socket and conserve the dimension of the extraction socket.
• The combined 3D printed scaffold reduces chance of inflammation and also improved
osteogenesis.
 T- SCAN SYSTEM

 Normal occlusal and articulation relations between the jaws ensure equal
distribution of occlusal forces during mastication. A T-SCAN system allows these
relations to be measured dynamically during the articulation cycle.
Aim: To evaluate the T-SCAN III system in measuring and assessing the forces of occlusal contacts and their
digital presentation.
Methods: It comes with a registering sensor for the occlusal contacts, a module for transmitting the signals to a
computer, and conversion software to generate images on a computer screen.
Results: registering the occlusal contacts during mastication on an occlusion film and the occlusal forces using
a digital display.
Conclusion: The T-SCAN system provides the only accurate way to determine and evaluate the time sequence
and force of occlusal contacts by converting the qualitative data into quantitative and displaying them digitally.
T- SCAN SYSTEM
Computerized Local anaesthetic delivery
• Periodontal procedures involve injection of local anaesthetic solution to
prevent pain during clinical situations like Scaling and Root Planning,
flap surgery . Appropriate local anaesthetic technique is necessary to
reduce fear and anxiety during such treatments.

• It consists of a base unit, hand piece and foot pedal. The hand piece is an
ultra light pen like handle in which the traditional anaesthetic cartridge is
mounted. It has got a base unit which contains microprocessor which
controls a piston that incorporates local anaesthetics by pushing the local
anaesthetic plunger up into the cartridge. The solution is pushed through
the micropore tube of a handpiece operated by a computer control device.
Upon activation of foot pedal, rate of injection can be controlled.

• There are three modes of flow rate available namely slow, fast and turbo
speed.

• It is used as a good option to administer small amounts of anaesthetic

solution continuously during needle placement, which instantly
anaesthetizes the tissue
DIGITAL SMILE DESIGN

The digital smile design is a multi-use diagnostic tool that is

very useful for dento-gingival alterations and can strengthen
the diagnostic vision , improve communication, and enhance
predictability throughout treatment.

It allows careful analysis of facial and dental characteristics

along with clinical factors that may have been overlooked
during clinical, photographic and diagnostic cast evaluation.
 PHOTOGRAPHIC REQUIREMENTS FOR DSD

1.
Three frontal views:
• Full face with a wide smile and the teeth apart,
• Full face at rest, and
• Retracted view of the full maxillary and mandibular arch with teeth apart.
2.
Two profile views:
• Side Profile at Rest
• Side Profile with a full Smile
3.
A 12 O, clock view with a wide smile and incisal edge of maxillary teeth visible and resting on lower lip.
 VIDEO REQUIREMENTS

A facial frontal video with retractor and without retractor.

A facial frontal video with lips at rest and wide-E line.

A 12 O’clock video above the head at the most coronal angle that still allows visualization of the incisal edge.

An anterior occlusal video to record maxillary teeth from second pm to second pm with the palatine raphe as a
straight line.
Digital smile design concept is a helpful tool in aesthetic
visualization of patient's problem. It not only helps
patients to envision their treatment outcome but also
improves clinician's diagnosis and treatment planning.
 velscope

VELSCOPE, the Visually Enhanced

Lesion scope is a simple manual hand-
held device that provides an easy-to-
use adjunctive mucosal examination
system for the early detection of
abnormal tissue, including cancerous
and pre-cancerous tissue.
THANK YOU