Are you ready to take your practice to the next level? The creation of a 3-D "virtual patient" is now a reality. This presentation will focus on the practical considerations of integrating Cone Beam Volumetric Imaging into a modern orthodontic practice. The technical basics of current Cone Beam scanners (Newtom, Hitachi Mercuray, I-CAT, and others) will be covered, as well as issues of data resolution and data export. The presentation will review the various image products that can be generated from the Cone Beam data, and will discuss several software packages that can be used for further data analysis and rendering. Dr. Carlson installed his CBCT machine in October 2008 and will share his experience from planning to financing. The complete workflow for a patient will be covered, from the clinical factors that indicate the need for a Cone Beam scan, to the generation of custom image products that focus on specific clinical questions. Three-dimensional imaging brings new data to the clinician that was before merely interpolated from multiple two-dimensional views. The advantages of the three-dimensional approach in diagnosis, treatment planning and patient communication will be discussed. Numerous case examples will be shown. In addition, we will discuss some of the issues that may make it difficult for clinicians to change from two-dimensional diagnosis to three-dimensional diagnosis.