When does in-office cone beam CT actually make economic sense for a dental practice? In a small set of specific scenarios where the volume, isolation, or business model genuinely supports the equipment cost. The realistic scenarios include large oral surgery practices running enough implant and surgical volume that the scan utilization actually approaches the five-per-week claim. Practices in geographic vacuum locations where the nearest CT facility is hours away and patient travel becomes a barrier to imaging. Practices with substantial in-house marketing operations producing consistent big-case volume that justifies the imaging infrastructure. Doctors building a second business as a free-standing imaging [...]