From Reconstruction to Routine Care: InnerView’s Role in Long-Term Dental Health

Cherilyn Sheets, DDS

5 minute read · March 18, 2025

The information in this case study pertains to future capabilities, currently under clinical evaluation – Not yet FDA cleared.

Comprehensive Implant & Tooth Assessment After 25 Years

A 68-year-old female patient with a full-mouth reconstruction completed in 1998 visited her dentist for a routine comprehensive examination. After more than 25 years, she wanted to understand how her teeth and implants were holding up structurally, especially since 7 months earlier, the implants were showing increased damage scores and she had made recommended proactive changes.

As part of her routine assessment, InnerView was used alongside full-mouth X-rays(FMX) and intraoral photos to provide a quantitative structural evaluation of her natural teeth and implants.

Comprehensive intraoral images document the condition of the patient’s full-mouth reconstruction,highlighting well-maintained restorations after 25 years.

Early Detection: Identifying a Hidden Concern

Even though the patient showed no symptoms, and her implants at sites #3 and #30 appeared stable both clinically and radiographically, however in the past, during hygiene monitoring testing, InnerView had revealed elevating NFE scores.

  • Implant #3: NFE score had gradually increased over multiple visits, signaling a potential mechanical issue.
  • Implant #30: Displayed a similar pattern, suggesting the need for intervention before structural damage occurred.

The patient was informed of this negative trend and started wearing her protective occlusal splint every night and instituted positive lifestyle changes.

Recommended Intervention Based on InnerView Data

Although the patient had no symptoms and believed everything was functioning well, InnerView revealed early signs of implant stress.

Based on this data, the clinician recommended:

✔ Reinforcement of occlusal protection using a custom nightguard to reduce excessive force on the implants.
✔ Continued trendline monitoring to confirm the stability of the intervention.

The patient complied with treatment, wearing her splint consistently and following a targeted hygiene protocol to reduce mechanical stress.

By acting early—before damage was visible or symptomatic—the team was able to intervene non-invasively and avoid more extensive re-treatment.

Circled in purple, are the subsequent readings showing the improvement over the next 7 months of monitoring.

InnerView trendline data for Tooth #3 initially revealed an upward shift in NFE values over time, indicating potential mechanical concerns. Following occlusal protection intervention, NFE scores significantly decreased, confirming improved implant stability.

InnerView trendline data for Tooth #30 showed a similar progression in NFE values, prompting proactive intervention. Post-treatment scans confirmed a reduction in NFE values, validating the effectiveness of occlusal protection in maintaining implant health.

Follow-Up: Confirming Success with InnerView Data

At follow-up visits, InnerView scans showed a significant reduction in NFE scores, confirming the intervention’s effectiveness in stabilizing implant health and preventing further damage. By detecting early structural concerns, InnerView guided a proactive treatment approach, and post-treatment scans validated its success.

  • Identify areas of potential concern before clinical symptoms appear
  • Guides data-driven treatment decisions, ensuring appropriate action is taken.
  • Validates the success of interventions, providing measurable proof of improvement.

By integrating InnerView into routine hygiene and examination appointments, clinicians can offer patients a predictive, proactive approach to implant and restorative care—backed by quantifiable data.

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