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9OPENOx0ceProx1lesofiTerousersFewclinicianshavealongerhistorywithbothInvisalignproductsandiTeroscannersthanDr.PerryJonesDirectorofContinuingEducationandFacultyDevelopmentaswellasAssociateProfessorAdjunctFacultyintheVirginiaCommonwealthUniversitySchoolofDentistryx19sDepartmentofOralMaxillofacialSurgery.Dr.JoneshasbeenaspeakerforAlignTechnologysince2002andhasconductedmorethan250Invisalignpresentations.ItwaswhilevisitingNewYorkCityx0veyearsagotogivejustsuchapresentationthathex0rstlearnedabouttheiTeroscanner.x1cAtdinnerafterthepresentationImetalabguyfromtheareawhowastalkingaboutusingopticalscannertechnologytoeliminateimpressiontakingx1dDr.Jonessaid.x1cIwasimmediatelyinspired.x1dDr.JonestookituponhimselftocallCadenttoinquireaboutbecomingabetatester.Hisinitiativeresultedinhisreceivingoneofthenationx19sx0rstiTeroscannersinhisRichmondVApractice.Heimmediatelyembracedthetechnologyandhasuseditforallofhiscrownandbridgeworkeversincex13over2500totalcasesheestimates.Butthatx19sonlywhereDr.Jonesbegins.Hex19sbeenoneoftheleadingdoctorspushingtheenvelopewithiTerocomputer-aidedmodeling.x1cItx19slittleunderstoodbutiTerocanbeusedforawiderangeofmodelingx13itx19shugeforgeneraldentistryx1dhesaid.Dr.JonesusesthedigitalinformationfromiTeroscanningcamerastocreatehighlyaccuratepolyurethanemodelsforthefabricationofsurgicalguidesmovementappliancesbleachingtraysocclusalguardsandevenremovablepartialdentureswheretheaccuracyofthepalateisnotcritical.x1cItx19sawayforaverylowcosttodoaccurateworkwithoutthetimeandexpenseofusingstonemodelsx1dhesaid.Hex19salsopushingtheenvelopewithimplantplanningutilizingcuttingedgesoftwaretomergeconebeamCTscanDICOMx0leswithiTeroSTLx0lestocreatesurgicalguidesaccurateenoughtoplaceimplants.x1cThetimesavingsisincrediblex1dDr.Jonessaid.x1cWhatnormallytakesweekscanbeaccomplishedinafewdays.x1dInonerecentcomplexcaseDr.JonesteamedupwithGlidewellLaboratoriesseearticlepage12torestoreapatientx19slostmaxillaryincisors.UtilizingiTerofullarchscansandthelabx19smodel-lessCADCAMcapabilitiestwocustomall-zirconiaimplantabutmentsandanall-ceramic4-unitx0xedbridgewerefabricated.Whenthebridgewasx0ttedtheocclusionwassoprecisenoadjustmentwasneeded.ButthisisparforthecoursewhenusingiTeroDr.Jonessaid.x1cWeusedtoschedule30minutestoputinacrownbecauseweexpectedtohavetomakeadjustments.WithiTerowenolongerevenappointpatientsx13wex0ttheminbetweenappointmentsbecauseweknownoadjustmentwillbeneeded.x1dPushingtheenvelopeinVirginia