Episode 772: Combining Facial Scans, CBCT, and Intraoral Scans for Better Clinical Outcomes

Are you still planning restorative cases by focusing primarily on individual teeth, or have you started thinking about the entire face? This fundamental shift from tooth-centered to facial-driven treatment planning represents one of the most significant changes happening in modern dentistry.

Dr. Richard Martin brings over two decades of clinical experience as an oral surgeon practicing in Lewisville, Texas since 2002. A graduate of New York University Dental School where he was elected to Omicron Kappa Epsilon and graduated with full honors in Oral Surgery, Dr. Martin completed his residency at Harlem Hospital, Columbia College of Physicians and Surgeons, where he was appointed chief resident. He furthered his training with a one-year Fellowship at the Oral Surgical Institute in Nashville. Beyond his clinical expertise, Dr. Martin is an innovator who has developed more than 20 dental instruments throughout his career.

This episode explores the revolutionary integration of 3D facial scanning technology with traditional digital workflows, demonstrating how facial scanners are transforming treatment planning from a tooth-centered approach to a comprehensive facial-driven methodology. Dr. Martin discusses how these technologies create virtual patients by merging facial scans with CBCT data and intraoral scans, fundamentally changing how dental teams approach interdisciplinary care. The conversation covers practical implementation strategies, laboratory integration, and the clinical impact on case acceptance and treatment outcomes.

Episode Highlights:

• Facial scanning technology allows practitioners to capture multiple facial positions including rest, natural smile, and full retraction, providing comprehensive data sets that merge seamlessly with CBCT and intraoral scan data to create complete virtual patient avatars. This integration enables treatment planning that considers facial proportions, midlines, and anatomical relationships beyond just dental structures.
• The jaw tracking feature available with certain facial scanners significantly reduces chairside adjustment time for prosthetic deliveries by capturing patient-specific movement patterns and parafunctional habits. This technology allows laboratories to fabricate restorations that require minimal occlusal adjustments, particularly beneficial for patients who are sensitive to bite discrepancies.
• Intraoral photogrammetry built into modern scanners eliminates the stitching errors commonly encountered when scanning multiple implants, providing accuracy comparable to extraoral photogrammetry systems but at a fraction of the cost. This technology captures implant positions and surrounding soft tissues in a single workflow without requiring multiple file transfers.
• Full arch cases, particularly those involving complete vertical collapse or edentulous situations, benefit most significantly from facial scanning technology as it provides critical reference points for establishing proper vertical dimension and facial support. The technology is equally valuable for extensive tooth-borne restorations involving multiple units in the aesthetic zone.
• Successful digital workflow implementation requires comprehensive education through study clubs and online resources, close collaboration with digitally integrated laboratories, and mentorship from experienced practitioners. The transition should include maintaining analog knowledge as a foundation while gradually adopting digital technologies based on practice needs and case complexity.

Perfect for: General dentists, oral surgeons, prosthodontists, and laboratory technicians interested in integrating facial scanning technology into interdisciplinary treatment planning workflows.

Discover how facial-driven treatment planning is reshaping modern restorative dentistry and learn practical strategies for implementing these game-changing technologies in your practice.