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Our two-step process for patients
The Canaray process is divided into a clinical visit for your appointment
and a subsequent
radiographic reporting step which happens after your visit. Click
an item below for more information.
You will receive a booking email from Canaray once your dentist makes a referral.
This email will give you access to the Canaray patient portal, which will allow you
to book/cancel appointments and download all the forms you require such as
insurance forms, receipts and invoices. After your appointment is over, you can
return to the same portal to access your imaging data.
Online booking and email communiction provides easy access to your Canaray case.
Your visit will typicallly take 15-30 minutes but we will continue working on
your case as we prepare your dental report.
Canaray staff will use specialized equipment to take a deeper look at your teeth.
Your Radiology Report
After your imaging appointment is over, our data processing and radiographic
reporting teams takes over. We will process and analyze your imaging data,
and will put it into a tidy presentation format that allows you and your dentist
to clearly understand the diagnoses made by our oral radiologists, and to allow
your dentist to effectively plan your treatment.
Canaray staff will digitize and process the raw data from your imaging so that our
team of oral radiologists can use it for your report. This step also makes your data
visible to you online immediately after your appointment.
Our team of oral radiologists will analyze your digital dental radiographic data and will
provide individualized diagnostic information in a detailed dental report.
Your dentist will use the Canaray report and data as a guiding tool to understand
more details about your teeth, and will subsequently develop a course of action.
Most procedures at Canaray (Pan, Ceph, Impression, Surgical Guide, Photos, CBCT scan acquisition) require a single claim form , which is issued at the time of your appointment.
A CBCT scan is a unique service that also requires a radiographic report by one of our radiologists.
After a radiologist completes your CBCT report (up to 3 weeks after the appointment), you will receive a 2nd form via email for the CBCT report codes.
Before you visit
Consult the insurance PREAUTHORIZATION FORM in the Canaray portal prior to booking an appointment. It contains the appropriate codes for the proposed procedures. You can use this to determine whether you are covered or not.
We will issue insurance CLAIM FORM #1. This form contains
all the insurance codes EXCEPT CBCT Processing and CBCT Report codes
After CBCT Report
If you have come to Canaray for a CBCT scan, the radiologist will
complete a report, and you will subsequently be emailed CLAIM FORM #2, which
contains CBCT processing and CBCT reporting codes.
Endodontics is the study and treatment of the internal tooth structure
called the dental pulp. Dental pulp is the soft connective tissue that
has nerves and blood vessels.
If bacteria enters the tooth and reaches the dental pulp, it can
cause a painful infection. Before the external surface of the tooth
can be repaired with a filling or a dental crown, this infection of
the pulp will require treatment.
Canaray's high resolution 3D CBCT scan of your tooth provides your dentist
with the ability to assess all the internal and external surfaces
of your tooth. This provides more diagnostic information than a typical
2D intraoral x-ray, and also helps the dentist plan their treatment approach.
The diagnostic information provided by the thorough 3D x-ray investigation
of your tooth is combined with the dentist's clinical findings, and
a final diagnosis is reached. If your tooth can be saved, the dentist
will proceed with a root canal treatment. If your tooth is cracked or
the amount of damage is too extensive, the tooth may require removal.
CBCT: Impacted Tooth
An impacted tooth is one that has been blocked from surfacing, either due to
the lack of space, an obstruction, or an eruption path in the incorrect direction. Wisdom
teeth and canines tend to most commonly be affected, but any tooth can become impacted
Impacted teeth can harm the surrounding structures or can
develop with a malformed shape if allowed to remain impacted.
Tooth spacing issues and alignment issues can occur in the
surrounding area adjacent to an impacted tooth. Impacted
wisdom teeth can become intertwined with your mandiubular nerve.
Canaray's 3D CBCT scan will aquire a 3D xray of the impacted
tooth and the surrounding area. This allows the dentist to assess
the problem in a more definitive way than by looking at regular
2D xrays. In addition, the relationship of the tooth to important
adjacent structures can be assessed.
After examining the 3D CBCT scan and the Canaray report,
the dentist is able to formulate a treatment plan for the tooth,
which could include: leaving it alone, exposing it and moving it
with orthodontics, or removing it completely.
CBCT: Orthognathic Surgery
If the alignment of the jaws does not allow teeth to bite together
in a typical manner, or if one jaw is oversized or undersized , corrective orthognathic
surgery can be considered
When jaws are oversized or undersized relative to each other, it can
affect your bite or your facial appearance. In order for the surgeon
to be able to decide what needs to be adjusted and how it should be
adjusted, they need to examine your jaws and skull in 3D
The 3D CBCT scan at Canaray captures your entire face and base of skull, which
will allow the dentist to understand how
severe the situation is in order to provide the proper
treatment. This 3D scan can also be used for computer-aided
treatment planning and 3D modeling of your surgery
Depending on the outcome of the 3D treatment planning
by your dentist, a plan will be created to reposition
sections of your jaws in a more aesthetic or functional
position. The surgeon follows this plan during surgery.
CBCT: Implant Planning
A dental Implant can be a solution to fill the space of a missing tooth.
The implant itself replaces the roots a lost tooth with a metal
screwlike structure to function similarly to a root. A crown (cap) can
be placed on the implant.
When a gap exists in your smile, there are various ways to fill the gap, such
as dentures, or building a bridge between the teeth adjacent to the gap. But
these solutions often have drawbacks that can be solved with dental implants.
Implants are screwed into your jaw bones. To help your dentist
assess whether you have enough bone of good quality for implants,
Canaray offers a clear set of scans and measurements for the
dentist going into the implant surgery.
The dentist assesses the 3D measurements and report provided by Canaray to
place the implant. After the implant is solidly connected to your bone,
a tooth can be placed on the implant that looks and functions
like a normal tooth.
The Temporomandibular joint is a sliding hinge that lets your jaw have
a variety of movements.
Problems with the temporomandibular joints (TMJs) can cause the pain in the jaw,
clicking, or a limited range of motion.
Canaray can take a 3D CBCT scan of the joints that will allow the dentist to understand and
evaluate the bone of the joints. The soft tissue of the joints is not visible
in our scans. Only an MRI can show the soft tissues.
The dentist can combine their clinical findings with Canaray's report and 3D scan to
diagnose your condition with your TMJs. Based on the results, a treatment regimen
can be initiated, or MRI imaging could be ordered for further information.
Bone pathology is the study of diseases of the bone. This can include
investigations to see if diseases, cysts or tumors are present in the bone.
Any unexplained pain or swelling in the oral cavity, or an unusual
finding in your bone or teeth on a regular x-ray can be important to
evaluate so that we can know what condition you have.
CBCT scan of the area will capture the area of interest and an oral
radiologist will offer a diagnosis. Often, a radiologist's diagnosis
is not a final diagnosis, but a starting point for potential further
investigations (such as a biopsy) or for your dentist to watch and wait.
With the scan and radiologist's report, the dentist can diagnose and help the patient
figure out the next steps would be: biopsy, treatment, or no
Surgical guides can be created via computer-aided design and 3D printing. To create a surgical guide, we need a CBCT scan and a digital model of your teeth or dentures. Canaray works with your dentist to design an implant plan and guide that is unique to you. The guide is placed in your mouth during surgery, and assists your dentist with obtaining the proper angulations and positions of implants during surgery.
This is a common and inexpensive image that provides your dentist with an
overview of all your teeth and both jaws. The image takes about 5 minutes to set up and acquire, and you will receive a printed copy when you leave the office.
The digital version of the image is available online immediately to both you and your dentist. The radiologist's report is usually available in 1-4 days.
Cephalometric x-rays are common 2D views of your skull or your wrist. The skull views are often used to assess
your skeleton for orthodontic treatment. The wrist view is used to assess a patient's skeletal age.
This xray is always required for orthodontic treatment. There is
a procedure called "ceph analysis" that is applied to this xray to
measure your skeletal and dental characteristics in order to choose
the correct orthodontic treatment. Canaray provides this
additional service at no charge with A.I. automation!
This xray of the skull helps dentists evaluate left/right asymmetry of the jaws and
skull, and is often ordered for assessment for orthognathic surgery.
For certain dental procedures, your dentist needs to know that your
skeleton has stopped growing. By assessing the bones of your hand and
wrist, we can determine your skeletal age in order to let your dentist
know whether you have completed skeletal growth or not.
A complete clinical photo series is necessary for orthodontic treatment records. These images can also be aquired
prior to implant surgery or dental reconstructive surgery. At Canaray, our images follow the standards of the
American Board of Orthodontists.
The images are available online immediately to both you and your dentist.
Digital impressions are becoming a standard element of the digital dental lab workflow. Canaray will acquire full-color
Invisalign-certified Trios impressions that are suitable for implant surgical guides, bruxism appliances, digital orthodontics
and dental records.
Digital impressions are immediately available online upon acquisition at Canaray.
2D + 3D photos
Canaray requires mandatory photos of your face upon arrival at clinic. This ensures
that your visit will go smoothly by assuring error-free data entry by our various staff as you
move through clinic. These photos are NOT available to download by you or by your dentist.
We also take free 3D facial scans, which are merged with your x-ray imaging data. These 3D scans are instantly uploaded and areimmediately available online in our secure portal for you and your dentist.
Why patient email addresses are required
Last revised: August 30, 2022
After the first major Covid-related shutdown in March 2020, Canaray was required to adjust our clinic services
to accommodate an appointment-based schedule, rather than the walk-in clinics that we operated
for the prior decade. We built a new system to allow us to efficiently, securely and safely manage
the large numbers of referrals that we manage on a daily basis. After careful thought and consideration,
we were able to build our upgraded system around a patient-centric self-serve online system. This system requires
a unique patient email address in order to function.
WHY WE NEEDED TO DO THIS
Canaray differs from most other referral-based services in two ways:
Every patient is a new patient that we only see one time for a short appointment
Canaray creates a brand new patient chart every 5 minutes of every workday
Canaray is entrusted with ensuring that every patient's data will be correct, safe and secure, despite the high patient and data volumes we manage for thousands of clinicians and referring offices across the country. To handle
this uniquely high quantity of dental data, patients and referrals, we need a system that's more foolproof than the
typical referral system.
WHY THIS IS BETTER
By switching to a completely digital communication platform for all our referring clinicians and patients, we are able to provide many more conveniences and digital benefits that are simply not possible with paper and telephone.
The system is designed to automatically and gracefully halt a patient's case if any contact information is
incorrect. This prevents communication errors and also prevents medical information privacy breaches
The referral details, pricing, and completed insurance preauthorization forms are available to the patient for download immediately upon the creation of the referral by the referring clinician
Patients can book and cancel appointments online independently. Patients have access to our complete
schedulers at all clinics with no blackouts
Patients have immediate download access to their imaging data upon conclusion of their imaging appointment at
Patients are able to track their case completion process/status, and view processing data even prior to
the completion of the report
The invoices, receipts and all insurance forms are automatically sent to the patient digitally
Patients can securely and efficiently share their data with anyone that has an email address . Patients
can also revoke access to data to anyone at any future time
The most imporant benefit to clinicians of Canaray's new system is that it allows us to provide you with
a product that has no paper equivalent. Canaray's work simply cannot be converted into a hard copy anymore.
As a true digital dentistry product, it must exist online digitally, and for us to deliver it to you,
we need our patients and referring clinicians to exist online digitally as well.
Easy and intuitive data sharing with tracking and revokation privileges
A smooth, easy-to-use patient list that can handle unlimited numbers of patients with unilimited data
Many convienent online converters for each of the types of digital products we produce, so that you can
download what you want in the format that you prefer
A.I. automations permit us to provide more views, more slices, more information and more consistency than
would be possible manually
Our new system is a true 3D workspace. Our reports exist in 3D , and every report is actually a 3D report
that contains a full online 3D DICOM viewer. In addition, we can display all the patient's full-color 3D
models (such as digital impressions and facial scans) online.
Our system also permits clinicians to test various implant sizes at each prospective site in the 3D viewer,
and will soon permit you to download the 3D data to print your own implant surgical guides
No service degradation, regardless of scale. Our system will no longer get bogged down
with surges in referrals
Finally, our evergreen system is continuously being updated (often multiple times per day), so Canaray
just gets better every day
IS THERE ANY OTHER OPTION?
Of course, there will always be a minority of clinicians and patients who do not wish to use a digital system
or who do not have an email address yet.
For these clinicians and patients, we can still offer the following assistance:
If you do not have an email address, you can quickly and easily sign up
for free secure email at ProtonMail . It takes 30 seconds. No ads, encrypted, safe, and completely free for less than 500MB of storage.
If you do not wish to use Canaray's digital referral system, please choose from this HUGE list of affiliate providers who are able to provide the same Canaray reports that you know and ❤. Canaray reports are available pretty much everywhere!
Please see the list of alternative providers below. Canaray does not endorse
any specific provider. These are simply providers found from Google searches
of locations near our clinics:
Hamilton: 460 Main East Dental, 289-389-4317
Oakville: Blue Ridge OMS, 905-592-2599
Mississauga: Credit Valley Oral surgery, 866-849-7626