Suitable applications for the diagnosis of
DVT are:
Implantological diagnosis
Restorative Dentistry
Dento-alveolar surgery
Trauma to the jaw
TMJ diagnostics eg
CMD
Foreign search
diagnostics in orthodontics
Diagnosis of sinus diseases
Starting with the dental maintenance (preventive dentistry) prove to both the diagnosis of carious. Lesions and the diagnosis of diseases of the periodontal structures (Fig. 2) and 
of the endodontium as well as it can lead to undesirable summation in the conventional X-ray diagnosis often by other confounding factors in the beam path, which dispensed with the three-dimensional film technology.
Figure 2: Major periodontal defect on the lower front teeth
In the surgical removal of impacted teeth or impacted an accurate diagnosis is extremely important position in order to avoid damages in the context of dentoalveolar surgery (Fig. 3). The true 3-dimensional diagnosis reduces the risk of surgical complications to the surrounding anatomic structures, such as inferior alveolar nerve, the adjacent teeth, sinuses and nasal floor. To plan treatment of cystic changes in the jaw as a meaningful diagnostic radiology is necessary.
Figure 3: Impacted canine 13 missing incisors
Furthermore, the diagnosis of DVT is here for the Monitoring of bone regeneration after cyst surgery, as can be done if required volumetric measurements. The same applies to the diagnosis of benign and malignant tumors (Fig. 4), in this context, for example with a soft tissue to generate additional valuable information are.
Figure 4: Tumor induced defect of the left mandibular angle
Further opportunities will arise in the diagnosis of sinusitis (Fig. 5), the foreign body localization and the temporomandibular joint disorders.
Figure 5 of the left maxillary sinus in sinusitis
In a three-dimensional X-ray diagnosis of trauma is essential. In the presence of a DVT, the classical-dental radiographic techniques of dental trauma (root fractures, dislocations, subluxations) and injuries of the bony structures (alveolar, lower jaw, cheekbones) are not sufficient (Fig. 6). For strong violence often occur Mehrfachbrüchen, especially in trauma to the lower jaw is always looking to double and Mehrfachfrakturen who are diagnosed with DVT superimposition technology with a single shot.
Figure 6: root fracture of the two front teeth 11 and 21, of 22 Crown fracture
In orthodontic diagnosis puts the DVT diagnosis the clinician in a position to dentoalveolar deformities in different directions and on the dimension assessed her accurately and to take into account in the therapeutic planning.
The main indication 
s is the diagnosis of DVT but in implant dentistry, since the risk of Nahbarstrukturen is particularly large and particularly the assessment of bone offer of the utmost importance (Fig. 7).
7: A lack of bone in the jaw with a representation of the lower nervous (inferior alveolar nerve)
Without distortion factors by this technique an accurate measurement of the jaw become possible. With the diagnosis of DVT is a measurement option metric analysis. The measurement function, the bone in the horizontal and vertical dimensions can be determined. It is also important to know when planning the exact location of the prosthetic care. Here is a classic template with drill guides are used (Fig. 8), in which the proposal of the prosthetic dental technician radiopaque implemented in plastic and incorporated.
Figure 8: Representation of the mandible with lower jaw and drill guides for the placement of the implants
In addition to the quantitative evaluation of DVT with a qualitative assessment of bone tender is possible. By knowing the quality of bone, the surgeon can direct the handling and stability of the implant plan better.
With the three-dimensional X-ray diagnosis of DVT as far as possible, all radiological issues in dentistry will be answered. It allows a precise diagnosis in the area of the jaws, without loss of quality at a very good radiation hygiene. The computer simulation is the basis for accurate planning and supports the surgeon before and during treatment. Patients can with these representations of the initial findings, the final outcome (Fig. 9) are illustrated on the scope and cost.
Figure 9: Results implantation in the maxilla after sinus augmentation
The oral surgical practice in Stresemannstrasse disposal for that detailed diagnostics on a digital volume tomography device of the latest generation (New Tom G 9000).
Additional features of eight sites nationwide practice on a navigation system (
Robodent), the most difficult cases in the computer-aided implantation allows.
