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

Cherilyn Sheets, DDS

5 minute read · March 18, 2025

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.

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 hernatural 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 

While the patient’s implants at sites #3 and #30 appeared stable clinically and radiographically, InnerView revealed elevated NFE scores over time, indicating early signs of stress that traditional methods did not detect.
  • 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 information below refers to future capabilities, currently under development andclinical evaluation. Not yet FDA cleared.

InnerView scan reveals subtle but increasing NFE scores at Implants #3 and #30, indicating a need for proactive intervention.

Recommended Intervention Based on InnerView Data

Based on these findings, the dentist recommended:
  • Reinforcement of occlusal protection with a custom occlusal splint to reduce excessive force on the implants. 
  • Close monitoring of trendlines to ensure the intervention was effective in stabilizing implant health.
The patient complied with treatment, wearing her splint consistently at night and following a tailored hygiene protocol to minimize mechanical stress on her implants.
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. 

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. 
  • Implant #3: NFE dropped from 59.37 to 13.55, confirming improved stability.
  • Implant #30: NFE reduced from 55.76 to 44.99, demonstrating a positive response to intervention.
These objective improvements provided the patient with tangible proof that her treatment—informed by InnerView insights—was working, reinforcing her commitment to long-term maintenance.
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. 

  • Detects early risks before clinical symptoms appear, allowing for preventive intervention. 
  • 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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