Are you considering taking the leap to acquire a Cone Beam Computed Tomography (CBCT) system or thinking about upgrading your current CBCT model? Navigating the complexities of this investment can be challenging. In this detailed yet comprehensive guide, we aim to equip you with knowledge and common concerns about CBCTs, enabling you to pose the right questions when the time comes.
1. Evaluating your ROI
- Budget and Financing: CBCT systems vary in price, with new units typically ranging from $45,000 and up, pre-owned options available for $15,000 to $45,000, and premium manufacturer options costing around $80,000. Assess your budget constraints and consider financing options to make the investment more manageable while evaluating available options based on your practice needs and financial considerations.
- Cost vs. Benefit Analysis: It's crucial to theorize a cost-benefit analysis. Consider not only the initial purchase price but also long-term benefits such as improved patient outcomes and increased referrals. For example, by investing in CBCT technology, you can reduce the need for follow-up visits due to more accurate diagnoses and treatment planning.
- Insurance Reimbursements: Understanding insurance reimbursement processes is crucial to offsetting initial costs. Familiarize yourself with reimbursement rates and coverage policies related to CBCT scans to maximize reimbursement.
- Tax Considerations: Explore tax incentives like Section 179 of the US tax code, which allows you to deduct the full purchase price of qualifying equipment purchased or financed during the tax year. Consult with a tax advisor to maximize potential tax benefits. (see more at www.Section179.org)
2. Clinical Applications and Benefits of CBCT
- Expanded Services: Investing in CBCT technology enables advanced services such as precise implant planning, evaluation of TMJ disorders, airway analysis for sleep apnea treatment, and orthodontic treatment planning. These expanded services enhance patient care and satisfaction while attracting new patients seeking specialized treatments.
- Improved Diagnostic Accuracy: There is a reason why CBCT is considered the ultimate standard of care in dentistry. Its diagnostic capabilities are unparalleled, making it the most innovative product in your practice for years to come. CBCT provides detailed 3D images that enable precise diagnoses and treatment plans, revolutionizing various fields of dentistry.
- Patient Communication: Harnessing the visual clarity provided by CBCT images can significantly enhance patient understanding and acceptance of treatment plans. Consider integrating 3D images into all operatories to empower patients with a visual representation of their oral health conditions.
3. Selecting the Right CBCT:
- Field of View (FOV) Breakdown: The FOV rule of thumb serves as a guiding principle in choosing the appropriate CBCT system. Smaller FOVs are suitable, and preferred, for focused applications such as implants and endodontics, while larger FOVs, although more expensive, are necessary for orthodontics, oral and maxillofacial surgery, and sleep medicine due to their broader coverage and versatility. It's important to note that the size of the FOV directly influences the cost of the equipment.
- FOV Sizes:
- Collimation Imaging Tool: Modern CBCT systems come equipped with collimation imaging tools, allowing for precise adjustments of the FOV according to specific diagnostic requirements. This feature enables practitioners to optimize imaging quality while minimizing radiation exposure for patients.
- Software and Integration: The software capabilities of a CBCT system, including advanced functionalities such as 3D reconstruction algorithms and virtual treatment planning tools, are vital. Additionally, seamless integration with existing practice management software enhances workflow efficiency and diagnostic accuracy.
Below, we've outlined common practice areas along with their recommended FOV sizes. While we've included examples of manufacturers known for their expertise in these areas, it's essential to note that many other manufacturers offer imaging solutions suitable for these practice areas and beyond.
4. Operational Considerations
- Space and Installation: Plan for the space and infrastructure requirements of a CBCT system to ensure a smooth installation. Consider factors such as room size, electrical requirements, and necessary shielding for radiation safety. (some states require shielding plans)
- Training: Comprehensive training ensures accurate image acquisition, interpretation, and patient management. Proper training also facilitates seamless integration into your practice workflow. Be sure to ask the dealer what is included initially, and if any cost for follow-up training.
- Support: Timely technical assistance and guidance can address any issues that arise, minimizing downtime and maximizing the lifespan of your investment. Many manufacturers have a “bad rap” for as much as 3 hours of HOLD TIME to garner support.Whether it's troubleshooting technical glitches or providing training for your staff, responsive support services play a vital role in optimizing the performance and efficiency of your CBCT technology.
- Selecting a Company Who Supports You: Choose a provider who offers comprehensive support and guidance throughout the process, from product selection, to installation and beyond. Find a company who will help educate you through the buying process, not just “sell” you the equipment.
5. Addressing Patient Safety and Radiation Concerns
- Radiation Exposure: Communicate the safety aspects of CBCT imaging to patients and implement strict protocols to minimize radiation exposure. Follow ALARA (As Low As Reasonably Achievable) principles to optimize imaging parameters while maintaining diagnostic image quality.
- Regulatory Compliance: Familiarize yourself with federal and state regulatory standards and guidelines for safe operation and radiation protection in dental CBCT imaging. Ensure compliance with applicable regulations to uphold patient safety and practice legality.
- Talk to a Specialist: Consult with a radiation safety specialist or CBCT provider to address any concerns and ensure proper implementation of safety protocols.
Do your homework, decide what you need, vet out the company and manufacturer you are purchasing from, and your choice will be tailor-made.