Dr Pushkar Sobti
The Implant Story · Chapter 2 · Post 9 · Thu 05 Nov 2026

The CBCT scan: seeing your jaw in 3D

Of all the equipment in the clinic, the CBCT scanner is the one implant planning depends on most. A good implant starts with knowing exactly what is inside the jaw, and nothing else shows that as clearly.

Patients often ask why they need "another X-ray" when they already have one from their dentist. This post is the answer.

What a normal X-ray misses

A standard dental X-ray, or the wide panoramic one that shows all your teeth in a curve, is a flat picture of a three-dimensional thing. It shows height reasonably well. It can't show width at all.

That matters, because a jaw that looks tall and healthy on a flat film can be thin from front to back, sometimes only a few millimetres where the implant needs eight or more. A flat image also squashes everything onto one plane, so the nerve in the lower jaw or the floor of the sinus in the upper jaw can look further away, or closer, than it really is. In implant work, a couple of millimetres either way decides whether a plan is safe.

How CBCT works

MyRay Hyperion X5 CBCT 3D scanner
Our CBCT scanner, a MyRay Hyperion X5

CBCT stands for cone beam computed tomography. You stand or sit still with your chin resting on a support while the machine turns once around your head. During that turn it takes hundreds of small images from different angles, using a cone-shaped beam. A computer then puts them together into a 3D model of your jaw.

The scan itself takes well under a minute. There's no tunnel to lie in and nothing to swallow. Ours is a MyRay Hyperion X5, and it is in the clinic, so the scan is done on the day of your consultation and is included in the implant price.

What I can see on it

Once the scan is loaded, I can slice through your jaw in any direction, at any point, and measure it to a fraction of a millimetre. For implant planning, the things I look at are:

For full-arch cases, the scan also shows me where the strongest bone is. That's what decides whether All-on-4 is possible, whether the back implants should be tilted, or whether zygomatic or pterygoid implants would avoid a bone graft altogether.

From scan to plan

The scan is not just for looking. It becomes the base of the whole digital plan. I combine it with a 3D scan of your teeth and gums from the intraoral scanner, design the final teeth on screen first, and then place each implant virtually in the bone underneath, at the angle and depth the teeth need. From that plan, a surgical guide is made that steers the drill on the day. I'll go through that process properly in the next two posts.

I go through the scan with you on the screen at the consultation. Seeing your own jaw turn in 3D, with the bone and nerve marked, explains more than I can in words.

What about radiation?

It's a fair question. A dental CBCT uses far less radiation than a medical CT scan of the head. A small scan focused on one area of the jaw gives a dose in the same range as the natural background radiation everyone receives over a few days to a few weeks just from living on earth. A larger scan of both jaws is somewhat more, but still well below a hospital CT.

The scan area is kept as small as the case allows. For pregnant patients, implant treatment and the scan are normally postponed.

If you already have a CBCT scan from another centre, send it to me on WhatsApp before you visit. If it's recent and covers the right area, we may not need to repeat it.

Questions

Next · Sat 07 Nov
Goodbye to impression trays. How an intraoral scanner records your teeth in 3D, and why it's more comfortable.

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Videos: the CBCT scan explained

Why every implant patient needs a CBCT scan first0:31
Why every implant patient needs a CBCT scan firstA flat X-ray cannot show bone width, nerves and sinuses. A CBCT scan shows them in 3D, so the implant can be placed safely.
What is a CBCT scan? 3D dental scanning explained0:59
What is a CBCT scan? 3D dental scanning explainedDr Pushkar Sobti explains cone beam CT: the 3D scan that shows teeth, jawbone and nearby structures before treatment.
How CBCT and intraoral scans plan implant surgery (Episode 3)0:57
How CBCT and intraoral scans plan implant surgery (Episode 3)How the CBCT scan and the intraoral scan are combined to plan the implant position, design the new tooth before surgery and guide placement.

More implant videos