North Texas Dentistry Special Issue 2018 NTD SP ISSUE 2018 DE | Page 28

TRENDING TOPICS in the world of dentistry DENTISTRY FACTORS OF INFLUENCE BEYOND THE RADIOGRAPH 3D PRINTING TODAY, BIOPRINTING TOMORROW CHANGING THE WAY WE ORDER SUPPLIES THE ROBOTS ARE COMING TRAINING WITH VR TECHNOLOGY The Digitization of Dentistry Technology ( tekˈnäləjē/) noun In today’s dentistry, the term “all-digital” is more of a moving target than a finish line. A decade and a half ago, the word was typically used to describe the latest tools for radiography or sleek electronic patient records that left the steel file cabinet to inhabit the digital realm. At the time, it felt like a revolution. On the heels of digital radiography came Cone Beam CT imaging, which transformed diagnostic imaging and treatment planning, and intraoral scanners that captured detailed digital impressions. In conjunction with digital impressions, CAD/CAM technology migrated into dentistry from the manufacturing world to provide advanced options for creating restorations and prosthodontics. Digital milling made it possible to produce crowns and implants with tremendous efficiency, predictability, and value. Turnaround times were slashed. But the digital revo- lution in dentistry didn’t end there, and there is no end in sight. CAD/CAM is subtractive technology, meaning that material is removed until the desired result is achieved, the way a sculptor chisels marble to reveal a refined form from a solid block. Now, additive digi- tal technology is allowing dentists and dental laboratories to utilize 3D printing to fabricate ortho- dontic aligners and appliances, nightguards, and drill guides in-house with a piece of equipment the size of a desktop printer or with the help of an online printing service. In the laboratory, 3D printing is being utilized to create models, wax-ups, and surgical guides. High-tech biocompatible printing material makes it possible to print high-quality crowns and dental implants. Where manual methods are time-intensive, 3D printing accelerates production by enabling faster fabrication or even the simultaneous creation of 28 NORTH TEXAS DENTISTRY | www.northtexasdentistry.com multiple copies. Accuracy is enhanced by the highly precise layering of just microns of material. The resulting improvement in production capacity and precision is beneficial for both dentists and patients. On the near horizon, we see promising develop- ments in the area of bioprinting, the potential use of 3D printing techniques to lay down layers of soft tissue and bone. Dentistry is poised to receive another migrant tech- nology, this time from the field of medicine – robotics. Although obvious crossover applications exist in dental surgery, robotics could eventually help endodontists precisely control endo procedures via a robot arm, or be used to perform minimally invasive procedures in-office. Dental practices looking to increase profitability are embracing electronic supply ordering, and many find that it has both streamlined the task of purchasing office necessities and cut costs. Small, specialized online vendors can provide essential consumable items like mirrors and wipes without the need for a traveling rep or the high premiums that support the traditional model for dental product sales. Other services have emerged that let dentists easily compare prices, manage inventory, and access prod- uct information across multiple distributors. Digital technology is also finding its way into dental training. Someday soon, virtual reality could be used in dental education and CE courses to let dentists, hygienists, and other members of the dental team try out the latest tools and techniques or refine their skills in a virtual world. Today, the digitization of dentistry is expanding into every corner of the dental practice. J ust when we suspect that digital technology has reached its trans- formational limits, a new application for digital technology enters the industry. It’s an exciting trend, and one that promises many more surprises ahead.