Catapult Education was excited to be asked to evaluate Prexion’s Excelsior Pro, the company’s latest in CBCT technology.

Diagnostics in our practices today is taking on an expanding role and CBCT’s are fast becoming the standard of care in many of the specialties offices. It seems that we are just beginning to understand the scope of the capabilities of how the CBCT can assist with diagnosis and treatment planning. Beginning with pinpoint implant placement and evaluating endodontic lesions to advancements in sleep disorder diagnosis and TMJ evaluations, the possibilities are numerous for us to continue to learn and evaluate.

The primary reasons for evaluating this new CBCT were primarily to see if this new improved system could acquire more concise clear images and allow better details for diagnostics and treatment planning. This per the group is the primary reason for acquiring a CBCT currently in the marketplace. Images can be acquired via adjusted voxel’s and focal spots but as a dentist, they are beyond me! What we all want are great images, low radiation, fast processing and software that we can use and not be intimated with. All 4 of the reviewers had previous cone beam experiences in their own offices and their overall comment was, amazing images!

The evaluators found this better or much better than those of other manufacturers. It is important to note, that no evaluator has tested the entire spectrum of competitor CBCT’s. Yet, these evaluators all had previous experience with other CBCT’s and the average experience in practice by the reviewers was 25+ years. Add to their comments the fact that all the evaluators would purchase this CBCT and they all would recommend this to a colleague.

As the group looked to other attributes beyond the excellence of images, the question was, were there additional features they liked beyond the outstanding images. Qualities appreciated by the group included:

  • Anatomical accuracy and Ability to Aid in Treatment Planning was rated excellent by 3 of the 4 evaluators and the forth evaluator rated it very good
  • Increased Case Acceptance and Customer Support were rated as either excellent or very good

The question to the group then was how can we improve? The answer relates to the complexity of the software. As in most CBCT’s the software can be overwhelming and the group felt additional training beyond the initial training was essential. Online training was a suggestion and overall asked if there could be ways to simplify the experience. I think this is a key point, for Prexion to advance into the profession, education must be first and foremost. Additional improvements requested included:

  • Panoramic images must be nothing less than exceptional as there are still requirements for these images. On an aside, it would be a great internal question amongst your board as to when are Panorex images required versus low dose CBCT images.
  • Bitewing images were again brought up
  • Large field of view (which we believe has already been addressed)
  • Ceph without an arm
  • Cloud backup…is that possible?

It is without hesitation that the evaluators give a Catapult Vote of Confidence to Prexion’s Excelsior Pro CBCT. Congratulations to Prexion for their advanced continued research into bringing this next stage CBCT to the dental market.