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comprehensive interdisciplinary care
development ORthodontics endo therapy 3rd molar
evaluation of airway studies sinus
tmj analysis Periodontal
dentition
evaluations
evaluation
cerec guide
Galileos
cerec
diagnosis
PLanning
treatment
1 appointment, 90 minutes
2
3
CAMenvironment, an environmentwhere
microns are appreciated and respected. As
CAD/CAM clinicians, we share our higher
standards for our restorative patients and
see this continuously on the
doctors.com forums. We are starting to
see a wealth of cases being shared on the
forums from clinicians who have inte-
grated both CEREC and Sirona 3D and use
these technologies on a daily basis. The
“Galileos – CEREC Integration” (GCI)
is no longer a concept, feature, or “sales”
term — it is a definitive way of practicing
implantology (Figs. 3 and 4). In fact, it
has become a core procedure for many of
us. For an increasing number of CEREC
Doctors, GCI is the standard of care!
Why are we afraid to recognize CBCT
as a standard? Recognizing the subjec-
tivity of treatment plans helps explain the
several treatment modalities to obtain
therapeutic results (Figs. 5-8). We there-
fore rely upon our individual training
and experiences to provide treatment in
the best interest of the patient. First, “do
no harm” is the ethical and legal obliga-
tion of treating any patient.
Adhering to a standard of ethical
conduct means you try to provide the
most conservative procedure possible
that is in the patient’s best interest. We all
recognize that there are vast differences
of opinion in dentistry. For any given
oral condition that a patient may present
with, we could find 10 different treatment
plans provided by 10 different clinicians.
Although we find 10 different treatment
modalities, it does not necessarily mean
that any one of them is wrong. In fact, it
simply means that there are 10 different
approaches to pursuing a common goal,
which is the dental health of the patient
Some of us make the mistake of
assuming that we are treating patients
within the standard of care because they
are doing it the way they were taught
in dental school, doing it the best we
can, or doing it the way everyone else is
doing it. In my opinion, the standard of
care is not dependent on the number of
clinicians who practice a certain way.
4
Fig. 2: CBCT imaging is applicable in
all facets of comprehensive diagnostic
dentistry
Fig. 3: Workflow provided by the Galileos
and CEREC integration for guided
implant planning and placement
Fig. 4: Volumetric image showing
treatment plan of implant # 30
with CEREC Guide technique
difficulties in interpreting the standard
of care. Like a fingerprint, every patient
we treat in our respective practices is
unique. For any given oral condition we
assess and diagnose, there is most likely
