Intraoral

Morgan PowellDIRECTOR

SIRONA DENTAL (NEW YORK)

Morgan.Powell@Sirona.com+1-718-482-2104

INTRAORAL IMAGING BRIEFLY

Dental Radiography Radiographs enable the dental professional to

identify many conditions that cannot be identified through visual inspection.

Radiographs allow the inspection of the tooth structure and supporting bone.

INTRAORAL IMAGING BRIEFLY

Assessment and Detection of: Missing teeth Unerupted teeth Impacted teeth Dental caries Periodontal disease Tooth abnormalities Retained roots Cysts and tumors

SELLING DIGITAL

There are four aspects to position digital radiography…

Financial/business Convenience

Better Medicine The Environment

SELLING DIGITAL

Convenience Instant diagnosis (versus film and scanners) Instant error correction (retaking is very easy) No film

o No ongoing and unpredictable costso No chemicals (storage, handling, processing, disposal)o No walking back and forth to darkroom…and waiting…and

waiting…and waiting On a monitor

Easier to see any issues and/or pathology Image manipulation

SELLING DIGITAL

Better medicine Easier to communicate with patient

Higher patient case acceptance Significantly lower radiation than film Tools that are not available with film…

SELLING DIGITAL

Full screen images make it easy to demonstrate diagnosis to patient

If the patient can see the problem, they are more likely

to accept treatment.

SELLING DIGITAL

Demonstrate the issue to the patient

Measure workinglength

Ensure the apex has been reached

Review and present to the patient

SELLING DIGITAL

The environment No chemicals! No wasteful consumables

INTRODUCTION TO PRODUCTS

FONA CDR and FONA CDRelitepowered by Schick

PRODUCTS

FONA CDRelite Imaging system launched in 2009 2nd generation CMOS-APS technology Three film like sizes to suit all patient sizes (0, 1 and 2) Connection to the computer via a remote requiring power ONLY from USB

port (USB 1.1 and 2.0) Theoretical resolution of 16.7 lp/mm and actual resolution of 16.0 lp/mm Pixel size of 30μm Durable plastic sensor can (not susceptible to bite marks, scratches, nicks) Unique replaceable cable (new sensor kits include a spare cable) Modular platform Gadox scintillator Edge enhancement options to suit clinician’s personal preferences Premium, customizable solution.

FONA CDRELITE

Connection location minimizes cable

interference during positioning (ideal for

vertical bitewings)

Curved corners for maximum patient comfort

Bright colors for increased visibility in the oral cavity

Replaceable cable

FONA CDRELITE

Best image at price point Available in three sizes to fit all patient types

Also allows for versatility in selling just one sensor as needed (i.e. in India being price-sensitive we essentially sell just size 1 sensors)

Modularity of system Remote module is separate from the sensor. As

technology changes, customers only need to upgrade the component that becomes obsolete*

SELLING FONA CDR

SELLING FONA CDRELITE

SUPERIOR IMAGE QUALITY

Cavity Detection

Bone Tribeculation

Lamina Dura andApex Detail

UNENHANCED

SELLING FONA CDRELITE

EDGE SMOOTH(NOISE FREE, FILM-LIKE APPEARANCE)

SELLING FONA CDRELITE

EDGE LOW(EDGE DEFINITION WITH LOW NOISE)

SELLING FONA CDRELITE

EDGE HIGH(MAXIMUM EDGE DEFINITION WITH NOISE)

SELLING FONA CDRELITE

Direct USB Connection USB connectors are only required to last

1500 insertion/extraction cycles If the USB connector fails, it requires the

replacement of the entire sensor.

Schick’s Hypertronics Hypertac connectors are proofed to 20,000 cycles.

Gold-plated connectors Low insertion force Long contact life

Should a failure occur to the connector, the cable can instantly be replaced.

SELLING FONA CDRELITE

Kink resistant outer jacket

Thick jacket for greater protection

Cable Replacement Less than one minute Every sensor shipped with a spare replaceable

cable. Cables available in 3 lengths for maximum

convenience3’ / 0.9m6’ / 1.8m9’ / 2.7m

SELLING FONA CDRELITE

* Claimed by manufacturer without proof

FONA CDRelite Carestream RVG 6100

Gendex GXS-700

Pixel Size 30μm 18.5μm 19.5μm

Resolution – Nyquist 16.7 lp/mm 27.5 lp/mm 25.6 lp/mmResolution – Actual 16. 0 lp/mm >20 lp/mm* >20 lp/mm*# of Pixels (Size 2) 1.02 megapixels 2.7 megapixels 2.5 megapixelsNumber of Sensors 3 3 2Replaceable Cable Yes No NoModular Platform Yes No NoFull imaging area Yes Size 1 only NoManufacturer? Yes Yes No

VS THE COMPETITION

• Return on Investment• Predictable expense• Increased workflow• Increased patient acceptance• Increased revenue• Instant imaging and retakes• No film or chemicals• Enhanced diagnostics• Simple referrals• Lower radiation

SUMMARY – WHY DIGITAL?

Competitive premium imaging at lower prices than competition

3 sizes to fit every patient 3 cable lengths for the needs of the practice Spare cable with each new sensor Risk mitigation with one step cable replacement Design focused on easy positioning Hypertac connectors rated far more durable Modular platform so that components that break are all that

need to be replaced…not the entire system

SUMMARY – WHY FONA CDRELITE?

Schick designed parallel-technique based holder system, available in one of two forms…

ADHESIVEUnique, patented design based on the RINN system, adaptable to suit different anatomies; maximizes patient comfort.

GRIPCompletely new design offers a robust, easy to assemble, autoclavable holder solution for FONA CDRelite sensors

POSITIONING

POSITIONING

Three key things to remember…(1) Become a positioning expert. The better you

are, the easier to sell

(2) NEVER, EVER, EVER SAY “BITE”…always ask the patient to “close to pressure”

(3) Always use a barrier / sheath

POSITIONING

MAXILLARY ANTERIOR PLACEMENT Place the distal end of the sensor against

the roof of the mouth, with the incisal edge of the teeth against the front of the tab.

Sensor should be parallel to the long axis of the maxillary anterior teeth.

Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.

POSITIONING

MANDIBULAR ANTERIOR PLACEMENT Place the sensor into the lower anterior

area, positioning it on top of the tongue, parallel to the first molar.

Sensor should be centered on the mandibular anterior teeth when the patient is occluded.

Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.

POSITIONING

HORIZONTAL BITEWING PLACEMENT To capture a horizontal bitewing image, place the

sensor between the tongue and the teeth with the bite area resting on the premolar teeth.

The patient should close on their back teeth to ensure centric occlusion and as they do so, the arm should be angled gently toward the midline of the mouth to ensure the sensor is parallel with the teeth and to provide open contacts.

Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.

POSITIONING

VERTICAL BITEWING PLACEMENT The sensor should enter the mouth

horizontally. Once past the incisors, “roll” it into a

vertical position. The sensor should be placed with the cable

pointing upwards toward the hard palate. Ensure the ring is as close to the patient’s

face as possible and place the x-ray head against the ring.

POSITIONING

MAXILLARY POSTERIOR PLACEMENT The sensor/aiming device is angled upward

toward the midline with placement of the bite block under the teeth to be captured.

The sensor should be angled slightly past the midline of the palate as the patient closes for comfort and to ensure capture of the apices.

Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.

POSITIONING

MANDIBULAR PERIAPICAL PLACEMENT Retract the cheek with a finger and place the

sensor between the tongue and the teeth, bringing the cheek around the bite block.

Then slide the sensor down and in gently until it is in position—the bite tab should be directly above the teeth to be imagined.

Ensure the ring is as close to the patient’s face as possible and place the x-ray head against the ring.

POSITIONING

POSITIONING

AGAIN, three key things to remember…

(1) Become a positioning expert. The better you are, the easier to sell

(2) NEVER, EVER, EVER SAY “BITE”…always ask the patient to “close to pressure”

(3) Always use a barrier / sheath