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Procedures · Imaging
An ordinary dental X-ray is a flat picture of a three dimensional jaw. It shows height reasonably and width not at all. Since width is what decides whether a post can be surrounded by bone, implant planning needs a CBCT scan that sees in three dimensions.
Why 3D
A ridge can look perfectly adequate on a standard X-ray and still be too thin to hold a post, because the image flattens the cheek to tongue dimension entirely. That is the exact dimension that resorbs first after a tooth is lost, which is why so many sites that look fine turn out to need Ridge Augmentation.
A CBCT scan reconstructs the jaw in cross section, so width and height are both measurable in millimetres. It also places the inferior alveolar nerve in the lower jaw and the sinus floor in the upper, which is what makes Sinus Lift Surgery a planned decision instead of a surprise.
The same data drives the surgical guide, described on Guided Implant Surgery. One scan, taken once, feeds both the plan and the guide made from it.
How it works
You sit or stand still while the machine rotates once around your head. It takes under a minute and nothing touches your mouth.
The software builds a three dimensional model from the images, which can be sliced in any direction to look at a single site.
Bone height and width at the site, distance to the nerve or sinus, and the implant position chosen against those numbers.
We show you the same images on screen and explain what they mean, rather than quoting a plan you have to take on trust.
Radiation
A CBCT scan does involve more radiation than a single dental X-ray and considerably less than a medical CT of the same region. It is taken because the information genuinely changes the treatment, not as routine. Where a case is straightforward and a standard image answers the question, we will not take one.
It is also why we take one CBCT scan and use it for everything: the assessment at your Implant Consultation, the plan, and the guide. If you have had a recent scan elsewhere, bring it; we may be able to use it rather than repeat it. What the imaging contributes to the fee is itemised on Dental Implant Cost, and how bone loss shows up on a scan is on Jawbone Bone Loss.
Related pages
The consultation it happens at, and the decisions it drives afterwards.
What the first appointment covers and what you leave with.
Learn moreHow a surgical guide sets the position planned on the scan.
Learn moreWhat is available if the appointment itself is the worry.
Learn moreThe first week, the first month and what to watch for.
Learn moreCommon questions
Dose, comfort, whether it is always needed and using an existing scan.
Victoria patients
Over in seconds and nothing in my mouth, which I had been dreading after years of X-ray films.
Had a scan from six months earlier. They used it rather than making me have another.
Seeing how thin my ridge actually was made the grafting recommendation obvious rather than suspicious.
Lower jaw so the nerve position mattered. They showed me the clearance before I agreed to anything.
From the blog
Next step
Imaging is on site and taken at the consultation, so the assessment and the scan happen in one visit. You see the images with us and hear what the measurements mean before any plan is written.
Licensed dentists · CBCT imaging on site · Written treatment plans