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Diagnostics
During the first consultation, Dr Nalbandian discusses all the options available to a patient, including the consequences of proceeding with no treatment. This is a critical decision making process. This is about the patient and they face the world. It is about confidence and realities of life. Beautiful smiles help to make beautiful people. He encourages them to look at their own teeth in the mirror and talk about what they like and do not like. When both parties are satisfied they know what treatment will lead to the best results for the patient, they will proceed. We need to look at the scientific rationale: Is the treatment sound, does it fulfil improvement in health, function & aesthetics etc. However the key issue is to inform the patient before the treatment.
Special diagnostic measures such as composite mock-ups (trial restorations) help the patient to visualise their results.
Let the patient make the decision!
Pleasing facial aesthetics
We ask the help of our patients for that important decision making process during diagnostics:
Direct Composite Mock up
Dental implant supported teeth require additional expertise, because the patient does not want a titanium screw in their mouth, they want teeth! It is all about the patient.
Dr Nalbandian has placed and treated thousands of patients from single teeth to complex full mouth implant supported bridgeworks.
Our centre is equipped with state of the art diagnostic facilities (CT scans, digital x-rays & imaging).
His dual specialised qualifications in both implant surgery and prosthodontics (oral reconstruction) helps the patients complete all the procedures in “one stop shop”, which save time and the cost of the delivery of the treatment.
This is also a referral practice from other dental surgeons for complex implant reconstructive & cosmetic cases.
Once we have determined their needs and expectations and when the patient is ready, we begin to restore their teeth to optimal
function and aesthetics. This can be done all at once or over a period of time, whichever is suitable to the patient. Due to the
multi-disciplinary nature of many treatments, every aspect is coordinated with the referring dentist and other dental specialists.
The prosthodontic reconstruction involves fillings, veneers, crowns, bridgework, dentures and implants, to ensure optimal
aesthetics and function. Dr Sarkis Nalbandian considers the use of magnification reconstructive dentistry and implant surgery as leading-edge technology, essential to the delivery of high quality service.
Magnification
Dr Nalbandian uses special Leica ® microscopes due to the delicate nature of his work. Magnifications at 10 x plus improve accuracy and comfort to our patients saving a multitude of problems later on.
Children also visit our practice as we cater for the whole family. Dental visits are fun and educational and their curiosity is amazing. Our staff are highly trained in today’s multifaceted and sophisticated dental care.
Experience and post graduate training is mandatory for thorough diagnosis and treatment planning to deliver high quality care to our patients.
Our practice provides a full range of diagnostic services including digital x-rays, OPG’s and CT (CAT SCAN).
Integrating Cone Beam CT in my practice
This system has provided my practice with the convenience of having diagnostic information at my fingertips and I have been very happy with this system. Patients are happy not be to referred away for radiography.
However times change: today time is an issue, not only for the patient but also for the dentist.
The CBCT available today has much reduced radiation level, images are clear and software friendly to use. Patients appreciate seeing their CT images come up on the screen immediately and love being involved in their diagnosis and treatment planning. This has become a standard of care in the diagnosis and consenting process today.
Our diagnostic information not only requires simple assessment in 2D, especially in my practice of Implant Surgery and Prosthodontics, but in 3D where immediate diagnosis is required and this information is crucial to patient treatment especially those travelling long distances to coming to our practice.
Having 3D images and the ability to reformat in different sections is an immense value to my diagnosis and aids in all disciplines of dentistry. In my practice I need information NOW! And can get this NOW!
The new Scanora 3D helps me taking CBCT (cone beam CT) and sending the copies of the CD to my referring dentists for continual care of their patients. It is also very valuable when referring to colleagues such as ENT surgeons, OMF Surgeons and orthodontics.
The diagnostic information that can be obtained from CBCT, in many ways depends on your treatment requirements and diagnostic assessment.
Here are some of the points that are worth mentioning
- Prosthodontic & Implant Surgery: 3D, reslicing at any angles, nerve tracking, and 3D guided surgery applications, panoramic images that are second to none. TMJ provide the anterior & Laboured views
- Periodontics: assessing amount of bone support in 3D-this visual process best diagnostics and essential for patient education. Patients do not understand periodontal charting and plaque scores, but can see the bone loss, tooth migration, over eruption in the 3D image
- Orthodontics: orthodontic diagnosis in 3D, Cephalometrics in with 3D analysis, superimposition: measuring comparing tooth movement, pre/post orthodontic measurement, volumetric space change etc. This combined with 3D imaging will change the face of orthodontics. Assessment during orthodontic treatment for implant surgery, grafting etc. Small tooth movements in simple tooth movements using TAD (temporary device anchorage).
- Sleep Apnoea/anti snoring adjunct diagnosis & therapy. Measuring 3D volumetric space: the physical airway, video viewing, and excellent in patient education.
- The Scanora 3D is a two system in one, with true digital panoramic and low dose CBCT with four different fields of view.
Having this information at your fingertips is Gold! New era has begun.
This is the Gold Standard in diagnostics.
This means our patients do not have to wait weeks for correct diagnosis and treatment planning, when most of the time this is done in a matter of days if not hours.
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