My new dentist wants to do 2 implants relying upon a panoramic xray. i would like a 3d cb. what do i do?

Ur right : You should absolutely have a cone beam image. This will allow proper planning, verify nerve and vital structures, as well as view any pathology or possible difficulties prior to surgery. If your doc doesn't do one, find a new doc.

Get a scan: Surgically placing some implants with only a panorex film is perfectly safe and effective. For example, the immediate placement of implant into extraction site. However, a 3d scan is highly accurate picture of the bone, nerves, etc. That are in the location of the implant. Less risks. If you are more comfortable and have concerns, tell the dentist and get a referral god the scan.

Trust your doc or: Find another one. Some cases are easier to plan for than others. If there is obvious sufficient bone, teeth are straight and your surgeon is experienced, a 3d scan might not be necessary. In some cases, it's crucial. Obviously in your case, without an exam, x-rays and not knowing your surgeon personally or by reputation, I have no way of judging the need for a scan.

CBCT scans, the best: CBCT scans are the most accurate form of x-ray imaging to date and may also be used to analyze and determine a treatment plan and CBCT guided implant surgery.