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CEREC SW - Jacobsen Dental AS

1. 0 2 1d 6 ieee Ems 02 2 CERE COMAC esaa ud iet eden here belalane tesa Eon dori 5 2 2 1 Resetting Setht S z ocaeca aen aoi n EIER ze eee dits det eae Er aede 9 2 2 2 AAO haa Miei tabe eee ae ett hec an encanta nre LE NP etn oy GNAN MU RIEN EE 22 901 EdNO SOMOS cae teodou ac as ieecnct esate E cana 02 92 CalIDFallOls ecco a S 5 2 9 9 Changing INSMUMENES uso b Eua tabo oo t e t ane sul tou 5 2 3 4 Removing the grinding unit seeeeeeeeeeeeeeeeeeeene 5 3 Options O01 AIS FEOISM AMO eme Eo e eae 9 3 2 Virtual AUT UN ALO INPS AREE 9 9 9 OME DESIO IM ueste ecas au onte ie eee ene ates ao an cene d n UU tue ea 5 4 Settings S4 l Odonto EU t mm T SE MEC die e 5 4 3 Checking restoration parameters eeseeeeeeeeees O4 DANA ASC peers cs es ecclesia ate dct c t Zot oy 5 4 5 Calculating restorations esee 5 4 6 Auto hide the page palette cece cecceeceeeceeeseeteeeeeeaeeeeeseeeseees 5 4 7 Selecting a language sessseesssessseseseee nennen nnne 9 4 8 Milling 5 5 App Center Applications ccccccccscecseeteeeceeeceeeeeeeseeeteetaeeteeeeseeeeeeeeeenes 6 System menu 6 1 Save case 6 2 Save the case under a different name cesee men 6 3 Import case 6 4 Export case 6 5 License managers peter Sete e
2. 1 Click on the Articulation button 2 Click on the Articulation Parameters button The articulation parameters are displayed You can set the following values individually Parameters Seting Meme mamoe eakoitange mo Sagittal Angle Left Sagittal condylar path and inclination Sagittal Angle Right Bennett Angle Left Bennett angle and Bennett Angle Right Bennett Side Shift Left Bennett movement and Bennett Side Shift Right 63 61 120 D3534 D3534 208 01 05 02 05 2014 61 8 Page palette Sirona Dental Systems GmbH 8 5 Articulation 62 Operator s Manual CEREC SW Incisal Pin Using the ncisal Pin function an opening can be produced in the jaws The ncisal Pin function is only available in the WODEL phase 1 Click the Articulation button 2 Click on ncisa Pin hold the left mouse key down and drag the mouse until the desired value is reached for the jaw opening Functionally generated path FGP You can show a virtual FGP for the opposing jaw or the jaw using the Lower Virtual FGP and Upper Virtual FGP functions The cover shows the maximum movement of the respective jaw for the selected articulation parameters The interrupting contacts are displayed by the FGP The interrupting contacts can correspondingly be removed using the tools Lower virtual FGP 1 Click on the Articulation button 2 Click on the Lower Virtual FGP button
3. You can change the axis on which the object is rotated or moved 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 14 Smile Design Operator s Manual CEREC SW 14 5 Auxiliary planes Auxiliary planes You can display the auxiliary planes in the Guideline step The auxiliary planes help with positioning the jaw in the image of the patient You can also display the planes for the construction 1 Double click on the plane you would like to adjust 2 Adjust the plane using the arrow points Positioning the plane gt Click with the left mouse button on the arrow symbol and hold the button down You can move the planes in the relevant direction If you only want to move one plane remove the checkmark at Group Guidelines You can activate the planes by double clicking on them 63 61 120 D3534 D3534 208 01 05 02 05 2014 101 15 Abutments Sirona Dental Systems GmbH 15 1 Abutment Biogeneric individual MultiLayer Operator s Manual CEREC SW Abutments Abutment Biogeneric individual MultiLayer Design example Abutment with design mode Biogeneric Individual Split MultiLayer on tooth 26 14 Create a new restoration Determine restoration type You have selected a case or created a new one You are now in the ADMINISTRATION phase Choose the restoration range S ng e Restoration N gt SS Select the restoration type Abutment The types of restorati
4. 2 Click on the Measure 3D button A VAL A d 3 Acquire the 3D model as described in the chapter on Directing the camera gt 80 2D film mode Video recording T ail Using the video mode you can record patient situations and play them ui back 1 Click on the Mode button 2 Click on the Movie 2D button Inthe camera view base board a red button appears 3 Click on the red button in the camera view base board The video mode starts During the acquisition a red dot with a letter R appears in the top left corner of the camera view The dot indicates that a recording is being taken 4 Record the video with the CEREC Omnicam 5 End the recording by clicking on the red button in the camera view base board with the cursor The video recording is automatically deleted if you switch to the MODEL phase Deleting an existing video Only one video is possible per patient The existing video must therefore be deleted before a new one can be recorded V A video recording exists X You are in the Movie 2D acquisition mode gt Click on the Recycle Bin button in the camera view base board Playing back a video You can play back rewind or fast forward the video using the button in camera view Switching between modes You can use the Vode button to switch between the acquisition modes 63 61 120 D3534 D3534 208 01 05 02 05 2014 19 Directing the camera After each use Clean and
5. Tip You can move the last acquisition to the recycle bin by right clicking on the image catalog icon 63 61 120 D3534 70 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 Opening the recycle bin In the recycle bin you will see the acquisitions removed from the currently active image catalog 1 Click on the icon of the image catalog for which you wish to open the recycle bin 2 Click on the icon of the recycle bin The recycle bin for the active image catalog is displayed Reusing acquisitions from the recycle bin gt Grab the image with your mouse and move it using drag amp drop to the desired folder Tip If you display hide acquisitions in the recycling bin these are automatically moved into the image catalog again Image catalogs with CEREC Omnicam e lower Jaw e Upper Jaw e Buccal In addition further image catalogs can be shown e BioRef Lower Lower jaw e BioRef Upper Upper jaw e BioCopy Lower Lower jaw e BioCopy Upper Upper jaw e Gingiva Mask Lower Jaw Lower jaw e Gingiva Mask Upper Jaw Upper jaw For each of these image catalogs only one acquisition is saved in the corresponding image catalog Opening the image catalog 1 Click on the icon of the desired image catalog 2 Move the mouse cursor to the bottom edge of the screen The active image catalog is opened the individual acquisitions are visible Deleting acquisitions If an acquisition is not s
6. a J Pushing on the camera support Positioning the camera Hot surface The prism of the camera is preheated in the camera holder The surface temperature may be as high as 50 C This may cause an unpleasant heat sensation on contacting a person s skin or mucous membrane These temperatures will not damage anyone s skin or mucosal membrane 1 Position the camera over the teeth to be scanned Supporting the 3D camera 2 Support the camera with the front part of the camera support on a tooth so that you can hold it quietly during the acquisition phase NOTICE Powder on the surface of the prism If the prism touches powdered surfaces then powder usually remains on the prism surface and generates dark spots in the image The powder can be wiped off from the prism with a soft cloth 63 61 120 D3534 74 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 10 ACQUISITION phase Operator s Manual CEREC SW 10 5 Taking the scan Taking acquisitions with the CEREC Bluecam With the CEREC camera you can switch between two acquisition modes e manual e automatic After being switched on the CEREC camera is set to automatic acquisition control NOTICE Image brightness The image brightness during the scan is controlled automatically so that there is always optimum image brightness largely independent of the distance between the CEREC camera and the tooth The surroundings of the tooth to
7. 3 in the page palette Py 1 Click the button marked Add Catalog in the page palette e The possible image catalogs are offered 2 Click on the required image catalog The image catalog is displayed next to the standard image catalogs 63 61 120 D3534 D3534 208 01 05 02 05 2014 69 10 ACQUISITION phase Sirona Dental Systems GmbH 10 1 Image catalogs with CEREC Bluecam Operator s Manual CEREC SW Options In the page palette the Options button enables you to e Buffer the acquisition sequence quadrant e Merge the first and second acquisition sequences quadrants e Activate first acquisition sequence e Change to the mpression Scan mode Command Jesin Add Quadrant e Buffer the first acquisition sequence quadrant e Subsequently another acquisition sequence can be taken Merge Quaarants The current acquisition sequence is merged with the buffered sequence Change e Activate the first acquisition sequence in order Quaarants to add other images The second sequence is saved temporarily automatically 1 Click the button marked Options in the page palette 2 Click the appropriate button Recycle bin Removing acquisitions 1 Select the acquisitions you want to remove 2 Click on the Eat button 3 Click on the Delete button Or gt Grab the image with your mouse and move it using drag amp drop to the recycle bin The acquisition is sent to the recycle bin
8. Buccal Labial e Lingual e Cervical e Occlusal Incisal Global You can use the View Options button to display six predefined views in the G oba area e Top e Bottom e Right e Left e Front e Back Changing the view 1 Click on the View Options button 2 Click on one of the proposed views The virtual model rotates to the corresponding view Enlarging or reducing the view 1 Click on the View Options button 2 Position the mouse pointer over the center tooth icon and press and hold the left mouse button The icon then changes to a magnifying glass 3 Pull the mouse button up or down The virtual model is then enlarged or reduced Tip You also can use the mouse scrollwheel to enlarge or reduce the view 63 61 120 D3534 44 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 8 Page palette Operator s Manual CEREC SW 63 61 120 D3534 D3534 208 01 05 02 05 2014 oa Mele E Tools The most important tools are also offered to you in the tool wheel For more information on the tool wheel refer to the section Tool wheel 55 You will find all tools as a submenu under 7oo s Tip To prevent automatic minimization of the tool window go to the configuration under Options and select the option WO in the 7oo Menu Tip You can cancel the current tool with the stop icon top right Undo and reset With the Undo but
9. Measuring the position of the exit window 1 Mount the bottom side of the calibration set to the tip of the camera 2 Click on the OK button on your CEREC AC The calibration process is continued Once the calibration is complete a message is displayed indicating this 3 Confirm the message by clicking the OK button on your CEREC AC The CEREC Omnicam is calibrated Error message during calibration The software indicates if an error occurs during calibration If the calibration process resulted in errors restart the process End calibration X The software indicates that the calibration was completed successfully gt Click on the OK button The CEREC Omnicam is calibrated 63 61 120 D3534 32 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 Grinding unit Editing settings CEREC MC CEREC MC X CEREC MC XL You can subsequently edit the following settings via the relevant menu item e Name e Connection settings Retrieve IP settings automatically Specify IP settings manually e Manual block fixing f you use manual block fixing you must set a check mark before Manual block fixation e Second motor set If the optional second motor set is installed you must set a check mark before 7wo Bur Sets CEREC 3 You can subsequently edit the following settings via the menu item CEREC 3inLab e Name e Connection settings e Large water tank f the 25 lite
10. Moving the trackball in the in one direction corresponding direction Seizing a point Pressing the left mouse button left trackball button on the acquisition unit and Kee ns it pressed For acquisitions The same function as Pressing the left trackball with the CEREC _ button on the acquisition unit or the left mouse Bluecam Actuate button foot switch Cir N On the keyboard Press the Ctrl and N keys simultaneously Drag amp drop Drag amp drop Press and hold an element e g pictograph and drop onto new potential destination Formats of the manual You can access the manual via the Help button or by pressing F1 The pdf format user manual can be found on the supplied software DVD or on the Internet http www sirona com manuals This format is page oriented and is well suited for printing out the desired pages File format The software enables you to assign one or more cases to each patient Depending on its state a case consists of optical impressions virtual models calculated from them and one or more virtual restorations In this manual this patient data is referred to as cases The software uses its own file format to export store cases rst This format contains all case data including patient information RST files can be opened with other CEREC or inLab software installations In some cases older software versions may not be able to open data exports from a newer version 11 2 G
11. Next button 10 In the next dialog click the nsta button The program continues the installation routine This may take several minutes 11 Click the Finish button once installation is complete The license manager is installed License update without Internet access If the CEREC AC does not have Internet access itself you can run the license manager on another PC with Internet access You need to remove the USB dongle from the CEREC AC and plug it into the PC with Internet access The USB dongle is behind the lower cover at the rear side of the CEREC AC Install the license manager on the PC with Internet access and run the license update 19 Design technique General information on Biogeneric CEREC Biogeneric is a software that is able to reconstruct lifelike occlusal surfaces On the basis of the features of a patient s single intact tooth the program extrapolates the naturally created morphology of other teeth The biogeneric occlusal design functions for all single tooth restorations and fully anatomic bridges Previously all occlusal design approaches were based on dental libraries and databases containing data records of various standard teeth Today these databases are only enlisted if you do not want to have the biogeneric suggestion calculated from the adjacent teeth Instead you can select a preference form for the tooth The biogeneric occlusal design replaces the dental database design proc
12. The virtual FGP is displayed Upper virtual FGP 1 Click on the Articulation button 2 Click on the Upper Virtual FGP button The virtual FGP is displayed 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 8 Page palette Operator s Manual CEREC SW 8 5 Articulation Occlusal Compass The occlusal compass can be calculated using the virtual FGP The software uses the Schulz occlusal compass The Occlusal Compass button enables you to display and hide the dynamic contact points 1 Click on the Articulation button 2 Click on the Occlusal Compass button The dynamic contact points are displayed Dynamic contact point Bwe een O Re C Each direction of motion can be displayed or hidden Manual Move Using the Manual Move the lower jaw can be moved manually in accordance with the calculated chewing movement 1 Click on the Articulation button 2 Click on the Manual Move button 3 Move the lower jaw by clicking on the orange colored ball in the pound sign presented on the left 63 61 120 D3534 D3534 208 01 05 02 05 2014 63 64 ADMINISTRATION phase Selecting a restoration type gt Select the restoration type in the page palette S ng e Restoration or Bridge Restoration Single tooth restoration V You have selected the restoration type Single Restoration 1 Click on the tooth for which the restoration must be set up 2 S
13. button Click on the Calibrate button The camera view is displayed in one window Follow the prompt to set up the calibration set with the corresponding ID number At this point check that this ID matches the ID on your calibration set If this is not the case go back to Prior to the first calibration 30 Calibrate the camera 63 61 120 D3534 D3534 208 01 05 02 05 2014 Remove the protective cap from the calibration set Mount the calibration set on the tip of the camera until it locks into place Secure the CEREC Omnicam in the calibration set using one hand Ensure that the external calibration set screw is fully screwed in in a clockwise motion until it gently locks into place Click on the OK button on your CEREC AC The measuring process starts The software prompts you to proceed to the next latching Turn the screw counter clockwise until you reach the next latching point Click on the OA button on your CEREC AC In doing so ensure that the CEREC Omnicam does not move The software confirms the calibration process The software prompts you to proceed to the next latching Execute steps 5 and 6 a total of 11 times The software provides status updates on the calibration and informs you once the procedure is complete You will be prompted to measure the position of the exit window 31 5 Configuration Sirona Dental Systems GmbH 5 2 Devices Operator s Manual CEREC SW
14. one of them may have a negative effect upon the subsequent procedure If you click the scan icon of the upper jaw lower jaw or buccal registration you can take additional acquisitions of the upper jaw lower jaw or buccal registration Manual acquisition control 1 Press the foot control upward and keep it pressed Alive video image appears with a green cross in the camera view 2 Release the foot control The acquisition is automatically transferred to the 3D preview 3 Additional acquisitions can be created by repeating steps 1 and 2 The model is restored automatically in the 3D preview during the acquisition 4 Then check the above points once again Take care that the optical impression is sufficiently bright sharp and free of motion blurring If you do not observe these points one of them may have a negative effect upon the subsequent procedure If you click the scan icon of the upper jaw lower jaw or buccal registration you can take additional acquisitions of the upper jaw lower jaw or buccal registration 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 10 ACQUISITION phase Operator s Manual CEREC SW 10 5 Taking the scan Supplementary optical impressions Acquiring the neighboring teeth as well Overlap area 8mm If the neighboring teeth are to be completely imaged as well then the image catalog can be extended by acquisitions of these teeth The overlap area of two ne
15. 2014 89 11 MODEL phase Sirona Dental Systems GmbH 11 2 Manual correlation for image fields Operator s Manual CEREC SW Moving to the next step X The step is completed gt Click the double arrow to proceed to the next mandatory step or gt Click on the restoration icon in the object bar to start the preparation of this restoration immediately Manual correlation for image fields If automatic correlation of the image fields does not occur you can compose the image fields via manual correlation To do so three points must be set by double clicking on both models 1 Select the Set Porn s tool 2 Double click a prominent location e g A in a model to set a point 3 Then double click the corresponding location on the other model e g A V This pair of points is marked by an orange curve 4 Setreference points B B and C C as described under items 2 3 5 Click on Apply Settling tool In this step you can semi automatically rework the buccal registration This may be necessary in the case of intraoral scanposts 1 Using the brush tool select areas that are to be omitted in calculating contacts e g scanposts 2 Click on Compute 3 Check the new contact situation 63 61 120 D3534 90 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 11 MODEL phase Operator s Manual CEREC SW a m 63 61 120 D3534 D3534 208 01 05 02 05 2014 11 4 Set model axis Set m
16. 49 Tool wheel 14 55 Use 55 Tools 45 Trim Discard part 49 Invert selection 49 V views 44 Change 44 Enlarge 44 Global 44 Local 44 Reduce 44 W warm up time Camera 78 63 61 120 D3534 D3534 208 01 05 02 05 2014 109 We reserve the right to make any alterations which may be required due to technical improvements Sirona Dental Systems GmbH 2014 Sprache englisch Printed in Germany D3534 208 01 05 02 05 2014 A Nr 119 207 E E Sirona Dental Systems GmbH in the USA Fabrikstra e 31 Sirona Dental Systems LLC Order No 63 61 120 D3534 D 64625 Bensheim 4835 Sirona Drive Suite 100 Germany Charlotte NC 28273 www sirona com USA
17. 8 Page palette Operator s Manual CEREC SW 8 3 Displaying objects Trimmed region With the 7rimmed Mode button you can display and hide the trimmed region X You have trimmed a region in the MODEL phase gt Click on Trimmed Model The trimmed region of the virtual model is displayed or hidden Gingiva mask upper jaw Gingiva mask OK only if relevant image catalog contains images Gingiva mask lower jaw Gingiva mask UK only if relevant image catalog contains images 63 61 120 D3534 D3534 208 01 05 02 05 2014 57 8 Page palette Sirona Dental Systems GmbH 8 4 Analysis tools Operator s Manual CEREC SW Analysis tools Color model Using the Co or Mode button you can change the color of models that were acquired with the CEREC Omnicam Contact surfaces on the virtual model Using the Model Contacts button the contact surfaces on the virtual model can be displayed or hidden 1 Click on the Analyzing Tools button 2 Click on the Model Contacts button The contact areas on the model are displayed or hidden Penetration pressure EN gt 100 um 100 50 um EN 50 Oum Distance E29 0 50um EE 50 100 um g gt 100 um Contact surfaces on the restoration You can use the page palette button to check the occlusal contact points of the jaws The same color scheme is used as when displaying the contacts to the neighboring teeth or to the opposing jaw Penetration pressure gt 10
18. Dental Systems GmbH 13 3 Selecting the color 98 e T P a y E Mm To 8 9 B A Operator s Manual CEREC SW Selecting the color You can set the color of the restoration and the incisal edge for CEREC Blocs C In materials V You have selected the CEREC Blocs C In material in the ADMINISTRATION phase Select in the Se ect Color step Select the desired color by clicking on the color in the color center Click on ncisal Edge Poo d A If necessary adjust the dentine core of the individual situation in the incisal or apical direction Click the OK button 6 The software sets the restoration in the block according to the selected parameters n Positioning the restoration in the block You can use the positioning tools to move the block around the restoration turn it and determine the sprue location The tools are described in the section 2 pinned connection options are available for milling purposes Always attempt to nest the restoration in a block multiple sprue locations To take full advantage of the block for individual elements the software switches to one sprue location You can generate a nest again at any time by selecting a larger block Several sprue locations in the Single sprue location in the block block Starting the grinding process Once you have completed the design and assessed the restoration in the grinding preview you can grind the
19. Design technique Operator s Manual CEREC SW 4 4 Biogeneric Reference Biogeneric Reference Select the B ogeneric Reference design technique for user definition of the tooth to be used as a reference for calculating the restoration suggestion The reference tooth can be any tooth of the same class anterior posterior tooth e g the antagonist or the contralateral tooth You also can use a reference tooth from a model to achieve the desired morphology This reference tooth must be acquired on a separate basis in the BioRef Lower or BioRef Upper image field This technique can be used for inlays onlays partial crowns crowns and bridges 63 61 120 D3534 D3534 208 01 05 02 05 2014 21 Configuration The Configuration menu contains the following submenus T e Parameters i e Devices e Options e Settings e Apps Parameters The Parameters menu is separated by restoration type Each restoration type has its own set of parameters Crown Spacer e Increase or decrease space for adhesive underneath 80um crown not on the preparation margin Occlusal Milling Offset e Apply or remove material in the occlusal direction over Oum the entire occlusal surface This value concerns only the milling result The effects are not visible in the DESIGN phase or in the milling preview Change this parameter as compensation if the occlusal surfaces of your restorations are generally too high or too low in practice P
20. add additional acquisitions X You are now in the DESIGN phase 1 Click on the ACQUISITION phase 3 The ACQUISITION phase opens The image catalogs are E locked 2 Click the button marked Un ock in the side bar The image catalogs are unlocked You can take additional acquisitions Finishing the phase X All required acquisitions are present jaw opposing jaw and buccal bite acquisition X The MODEL phase is can be selected gt Click on the MODEL phase or gt Click on the double arrow The program switches over to the WODEL phase 63 61 120 D3534 86 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 MODEL phase Inthe MODEL phase the virtual models are reconstructed based on the acquired image catalogs If you would like to edit the model change to the Edit Model step The Edit Model Bite Registration and Set Model Axis refer to the entire model upper and lower jaw All other steps in the MODEL phase refer to the restoration currently selected These steps must be performed individually for each restoration Buccal registration In this step you see the virtual models of the jaw opposing jaw and the buccal acquisition The buccal acquisition is placed in the center between the lower jaw and upper jaw In the Bite Registration step you can work with the following tools e Drag Buccal e Flip Buccal Impression The use of the individual tools is d
21. and rotating the restoration gt Left click on an arrow symbol and hold the button down You can displace or rotate the restoration in the corresponding direction Changing axes gt Right click on an arrow symbol and hold the button down You can change the axis on which the object is rotated or moved 63 61 120 D3534 50 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 8 Page palette Operator s Manual CEREC SW 8 2 Tools Scaling With the Sca e function you can change the size of the restoration The A area affected is shown as an orange colored area 1 s 1 Click on the Move button 2 Click on the Sca e button 3 Drag the mouse cursor to the restoration until the desired area is highlighted 4 Hold the left mouse button down and drag the mouse to enlarge or reduce the restoration The orange colored area will be expanded or reduced Drag the mouse to enlarge or reduce the entire restoration Drag the mouse to enlarge or reduce the restoration in the bucco lingual direction Drag the mouse to enlarge or reduce restoration in the mesio distal direction Design The Shape function enables you to shape a selected region You can shape the restoration in 3 ways Auto The software preselects the movement axis based on the screen perspective 2 Direction The movement is possible along one axis orthogonal to the restoration surface 4 Direction The movement is possible along two
22. at the top of the image catalog Cue Memo S Reconstructed overlapped images Bue Reconstruction overlapping attempt still in progress Red Reconstruction overlapping failed Hidden images If the acquisitions can no longer be displayed in full in the image catalog a scroll bar appears You can use it to scroll through all acquisitions 1 Click on the scroll bar and press and hold the mouse button 2 Slide the scroll bar to the right or left Selecting images gt Click on the acquisition with the left mouse button Several images can be selected The images are now selected 63 61 120 D3534 D3534 208 01 05 02 05 2014 67 Moving acquisitions You can move acquisitions to other image catalogs using drag amp drop 1 Click on marked acquisitions and keep the mouse button pressed 2 Drag your selection to the icon of the desired image catalog The program will ask whether you want to move or copy the acquisition 3 Select YES to copy the acquisition or VO to move it Cance can be used to cancel the operation The acquisition will be ready for use in the corresponding image catalog Tip You can copy or move all of the acquisitions contained in an image catalog Simply click on the image catalog with the left mouse button and drag it to any other previously created folder Hiding images gt Click an acquisition with the right mouse button The acquisition is presented in grey The acqu
23. button 28 SY gt Start the acquisition procedure Inthe 3D preview the model is displayed on both sides The model preview is displayed in yellow whereas the preview of the casting itself is shown in green As long as the mpression Scan mode is activated the scans will be inverted when the virtual model is created The mpression Scan mode is available for all image catalogs The different catalogs do not have to be acquired in the same mode CEREC Omnicam Camera warm up time When switching on the system the camera needs to warm up for 15 20 minutes If the sapphire glass of the Omnicam is not sufficiently warm it may steam up during the acquisition As such it is not possible to carry out the exposure Following use always position the Omnicam on the heater plate From CEREC software version 4 0 4 and unit serial number 121 001 you can now set the end temperature to which the camera heater warms the Omnicam mirror sleeve 1 In the software navigate to the system menu and click on the Configuration button 2 Click on the Devices button 3 Click on the Omnicam button 4 Click on the Camera Heater Settings button 5 Usethe slider to adjust the temperature Mode You have a choice between the Measure 3D and Movie 2D modes and between intraoral acquisitions and extraoral acquisitions 63 61 120 D3534 D3534 208 01 05 02 05 2014 3D acquisition mode 1 Click on the Mode button
24. cb abun M tutto ad fis nn arb revue dicia t eed 14 2 5 5 OVSENE MENU ases exce eieator so ice p odio Uh e elo d ent Sun edis aue iiie die tutte dens 16 29 0 The Start WIDOOWaeisieisto credeoE re rive aix HR eomm ad Led eulu uestre QignE Db EDU RS DNUS 16 SHIM G SAIC T cUm CC 17 3 1 Installing the SOFBWaEFe breiter entente oe bes tua cm ec dte es 17 292 Unhimnstalling Ne SOMW ANG i302 dtes teta ico do deci dte o iode s 17 3 Gee deje 216 OR RESTE TP 18 3 4 Ble Jallerzrelgle ce To ETT TT 18 BD SANI the SoItWale usssucereotandx metus m pela eer de intentos amd ud e ctis ee 18 36 License upQale ssa o ea boe bd o eic d tw M b tc o uU n 18 3 6 1 Installation of the License Manager Individual 19 3 6 2 License update without Internet access eeeeeeeee 19 Design TOC U mE TO m LUE 20 63 61 120 D3534 D3534 208 01 05 02 05 2014 4 1 General information on BIOGENETLIC cccccccsecceeeeceeeceeeeceeceseeeeeeeetseeeauees 42 Briogeneric Individual toe eor ne te tae eat veio tee t EM duin ed usa 4 3 Blogensric CODY xseesencete rere epa reed oues tuns etaed te utr Ee beu iu ai ed 44 BIOGENELIC REICKENCE eusteisume bebe i eie aedes Sturm eo idein 5 Configuration 5 1 Parameters 5 2 Devices 521 CEREC BIUGGCBIL eei EEEN de e REN te ena dude ed 9 2 1 4 Resetting Settlhdgs secet Uie Un to Se ive eu os ve dite cu Eee eoru eem ead 52 12
25. distance 100mm mm ca Angle S the Balkwill angle e Affects the height of the incisal point Sagtal Set the Setthecondylarpathindination path inclination Accepting settings gt Click on the Ok button Discarding settings 2 Click on the Cance button Resetting settings gt Click on the Reset A Group Parameter button V The settings for this restoration type are reset to the factory settings 63 61 120 D3534 D3534 208 01 05 02 05 2014 Ol 5 Configuration 5 2 Devices Sirona Dental Systems GmbH 28 Operator s Manual CEREC SW Devices All connected devices can be displayed and configured under the menu item Devices A green check mark on a device indicates its availability Adding units automatically You can add further units with the Scan for New Devices function X The unit is connected to the PC 1 Click on the Scan for New Devices button All units connected to the PC are recognized In the case of new units you will be prompted to enter a name 2 Enter a name for the new unit Adding units manually You can add further units manually with the Add Device Manual function This is a mandatory requirement with units which cannot be operated with the maximum speed of 115200 baud It affects long cable connections or the use of certain radio modules e g Futaba 19200 baud 1 Click on the Add Device Manual button 2 Select whether the unit is c
26. e Trim The use of the tool is described in the Page palette 44 Trimming image regions You can trim several image regions 1 Rotate the model to a perspective in which you can see all areas that you want to trim The model cannot be rotated while you are drawing the line 2 Double click in any location to set the starting point of the trim line Distal neighbor hidden 3 Click to set further points of the line e g in the interdental space 4 Double click in any position to end the line Ensure that the closing end of the line does not cut any areas of the model that you want to keep The smaller image region to the side of the line is hidden Tip If the wrong image region is hidden you can switch to the other image region by double clicking the hidden region 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 11 MODEL phase Operator s Manual CEREC SW 11 7 Entering the preparation margin Entering the preparation margin In the step Draw Margin you can work with the following tool e Margin The use of the tool is described in the Page palette 44 General information As you are entering the preparation margin you can rotate the 3D model Be sure to hold down the left mouse button for a long time A short click adds a point to the preparation margin The preparation margin must always form a closed line You can edit the finished preparation margin after entering the last
27. in the step menu 3 Confirm the deletion by clicking the OK button F V The patient is deleted Deleting a case X You have found the associated patient with the search function 1 Click on the patient 2 Select the case 3 Click on the De ete Case step in the step menu 4 Confirm the deletion by clicking the OX button The case is deleted 63 61 120 D3534 42 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 7 Start window Operator s Manual CEREC SW 7 3 Editing patient data Opening a case V You have found the associated patient with the search function 1 Click on the patient card 2 Select the case 3 Click on the Open Case step in the step menu V The restoration is opened Add a new case V You have found the associated patient with the search function 1 Click on the patient 2 Click on the Add New Case step in the step menu The program switches over to the ADMINISTRATION phase 63 61 120 D3534 D3534 208 01 05 02 05 2014 43 8 Page palette Sirona Dental Systems GmbH 8 1 Views Operator s Manual CEREC SW Page palette The page palette offers you various different functions depending on the current step Views In the view options you can select whether the selection is to be applied to the restoration Local or the 3D patient photo Local You can use the View Options button to display six predefined views in the Local area e Mesial e Distal e
28. intensity image 50 F File format Older formats 11 RST 11 Form Apply material 46 Modifying the size 47 Remove material 46 Smooth 46 image regions hiding 92 L Licenses 40 107 Sirona Dental Systems GmbH M Manual html format 11 pdf format 11 Model Trim preparation 92 Move Displace 55 Turn 55 O Optical impression End teeth 77 Quadrant restoration 77 P Phase MODEL 87 Positioning Displacing 50 Rotating 50 Scaling 51 Present approximal contacts in color 59 Present occlusal contacts in color 59 Present restoration in model color 59 Product safety 8 108 Operator s Manual CEREC SW R Reset contact surfaces 52 restoration Cuts 60 Display height and thickness 60 Dynamics 61 Export 39 Import 39 Measure distance 60 Save 38 Save as 39 Rotate Buccal image 89 Lower jaw and upper jaw 87 S Safety information 10 Scale Modifying the size 54 Show bottom 59 Show side areas 59 Smile Design 99 Formats 99 Reference image 99 Resolution 99 Software Uninstallation 17 Supplementary optical impressions 77 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH Operator s Manual CEREC SW T Tool Biogeneric variation 53 Buccal registration 45 Contacts 52 Cut 47 Design 51 Entering the preparation margin 49 Form 46 Move 55 Positioning 50 Replace 48 Reset model 49 Sprue location 54 Trim
29. on an active restoration Various design elements are then offered depending on the restoration type An arrow shows the direction in which the scaling will occur The area affected is shown highlighted in orange 2 Press and hold down the left mouse button 3 Move the mouse to change the object 63 61 120 D3534 D3534 208 01 05 02 05 2014 53 o4 Radial occlusal You can edit the edge of the crown caps and bridge frameworks for the restoration type Framework in radial or occlusal direction 1 Click on the Sca e button 2 Click on the Rad a or Occlusal button 3 Place the mouse pointer on an active restoration The area affected is shown highlighted in orange 4 Press and hold down the left mouse button 5 Move the mouse to change the object Properties Modifying the size If a check mark is placed in front of Complete the area affected is maximized and applies to the entire design element If no check mark is placed you can determine the area affected individually You can use the Size button to modify the size of the area affected The area affected is shown as an orange colored area The size of the area affected can be modified for each forming tool 1 Click on the Sca e button 2 Click the Size button and press and hold the mouse button 3 Pull the mouse cursor up or down v The size of the orange area is enlarged or reduced The size is shown on the restoration Tip You can also ch
30. use the CEREC Omnicam Audio feedback Using the Sound selection box you can switch the audio feedback for acquisitions on or off You can control the volume using the slide bar Acquisition notes Acquisition notes provide you with visual support for acquisitions with Omnicam There is no adequate data in the yellow areas The areas are colored white during acquisitions and model calculations 29 30 Accepting settings gt Click on the Ok button Discarding settings gt Click on the Cance button Resetting settings gt Click on the Reset Camera Settings button v The settings are reset to factory settings Calibration The measurement procedure used by the system requires the use of a calibrated CEREC Omnicam The CEREC Omnicam is factory calibrated Then calibrate the CEREC Omnicam after every reinstallation and after every transport The calibration set supplied with the CEREC Omnicam is available for the calibration process The supplied calibration set and a USB stick form a single unit Recalibrate the CEREC Omnicam in the following cases e following transport shaking stress or during first commissioning e after storage in unheated or un air conditioned rooms temperature differences exceeding 30 C e with temperature differences of over 15 C between the last calibration and operation e n general carrying out a calibration is the correct process in the event of errors in the acquisiti
31. 0 um 100 50 um 50 0 um Distance 0 50 um 50 100 um gt 100 um 63 61 120 D3534 58 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 8 Page palette Operator s Manual CEREC SW 8 4 Analysis tools Side and bottom surfaces Using the Model Box button the virtual model can be displayed without the sides and bottom 1 Click on the Analyzing Tools button 2 Click on the Model Box button The virtual model is displayed without side and bottom surfaces Tip In the MILL phase show the relevant jaw model show reference objects and hide the bottom of the model in order to check the fit from all sides This enables you to check the tightly sealed preparation limit and check whether the ceramic extends through the preparation This is a reference to areas where the restoration may be too low Occlusal contacts Using the Occlusal Contacts button the occlusal contact points of the E active restoration presented in color can be switched on and off 1 Click on the Analyzing Tools button 2 Click on the Occ usa Contacts button The restoration is displayed with or without occlusal contacts Proximal contacts Using the Proximal Contacts button the approximal contact points of the yat i active restoration presented in color can be switched on and off 1 Click on the Analyzing Tools button 2 Click on the Proximal Contacts button The restoration is displayed with
32. 20 D3534 104 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH Operator s Manual CEREC SW 15 Abutments 63 61 120 D3534 D3534 208 01 05 02 05 2014 15 1 Abutment Biogeneric individual MultiLayer Adjusting parameters X The step Restoration Parameters is active 1 Adjust the parameters where necessary 2 Confirm the changes with OX The initial suggestion is then calculated automatically 3 If you have not altered any parameters change to the Calculate Restoration step An initial suggestion is calculated Editing the restoration The virtual model provides a visualization and design of a restoration in 3D Once the restoration has been calculated you can change the restoration with the tools in the toolbar The individual tools and their applications are described in the Editing a single part restoration X The step Edit Restoration is active gt Use the tools from the page palette to edit whichever restoration is active Edit layers individually X The step Edit Restoration is active 1 Select the Sp tool The crown is displayed transparently 2 With the mouse pointer go to the bottom edge of the picture The restoration range expands 2 restorations are represented for the tooth position 3 Click on the icon for crown or abutment to toggle between the two restorations 4 Use the tools from the page palette to edit whichever restoration is active Change to
33. 5 mm ideally 5 mm The camera does not rest on the teeth or the gums If the distance is too great no data will be obtained 1 Move the CEREC Omnicam to the starting position For this purpose the CEREC Omnicam is in the occlusal view of the tooth which is next to the prepared tooth in the distal direction 2 Scan inthe mesial direction To do so slowly move the CEREC Omnicam in the occlusal direction from the distal positioned tooth over the prepared tooth to the mesial positioned tooth With full jaw acquisitions the scan sequence is different for the transition to anteriors Scanning begins with the lingual and labial areas before moving on to the incisors Buccal scan X The CEREC Omnicam is on the adjacent tooth in the mesial direction to the preparation 1 Rotate the CEREC Omnicam between 45 to maximum 90 toward the buccal 2 Guide the CEREC Omnicam over the entire buccal distance in the distal direction over the prepared tooth With full jaw acquisitions limit the buccal scan to no more than a quadrant Ensure that the CEREC Omnicam is held like a flute during buccal scans Do not tilt it vertically to the direction of motion Tip Practice guiding the camera between 45 and 90 81 10 ACQUISITION phase Sirona Dental Systems GmbH 10 5 Taking the scan Operator s Manual CEREC SW Lingual scan X The CEREC Omnicam is on the tooth that is positioned next to the preparation in the distal dire
34. 534 D3534 208 01 05 02 05 2014 Resetting the model The Reset Mode function is used to reset all changes 1 Click on the 7oo s button 2 Click on the Reset Model button The program will ask whether you really want to reset all changes 3 Confirm with OK Trimming With the 77 m function you can isolate the preparation You can thus e g draw in the preparation margin more easily Trimmed image regions can be optionally displayed and hidden later on Hiding image regions The Discard Part function enables you to hide image regions The trim line can also be placed over the preparation line Only the region underneath the preparation will then be hidden automatically The prepared region remains fully intact 1 Click on the 7777 button 2 Click on the Discard Part button 3 Start by double clicking in the vicinity of the model or on the model 4 Click to set additional points Draw the line close to the preparation around which you want to trim 5 Finish the line by double clicking The smaller region of the model is hidden Inverting an image region With the nvert Selected function the hidden image region can be inverted X An image region has been hidden using the 7rim tool gt Click on the nvert Selected button The hidden image region will be shown The image region shown will be hidden Tip You can invert the hidden image region by double clicking on the semitran
35. Active RP ScanPost NB A 5 0 L 6431287 L 6431329 Branemark ScanPost NB B 3 4L 6431006 L 6431329 Branemark ScanPost NB B 4 1 L 6431022 L 6431329 Straumann SynOcta NN ScanPost SSO 3 5L 6431162 L 6431329 SynOcta RN ScanPost SSO 4 8L 6431170 L 6431329 SynOcta WN ScanPost SSO 6 5 L 6431196 L 6431329 Bone Level NC ScanPost S BL 3 3 L 6431246 L 6431329 Bone Level RC L 6431329 Astra Tech OsseoSpeed ScanPost AT OS 3 5 4 01 6431055 L 6431329 OsseoSpeed ScanPost AT OS 4 5 5 01 6431063 L 6431329 Friadent Frialit Xive ScanPost FX 3 4 S 6430891 S 6431311 Frialit Xive ScanPost FX 3 8 S 6430909 S 6431311 S 6431295 Frialit Xive ScanPost FX 4 5 L 6430917 L 6431329 Frialit Xive ScanPost FX 5 5 L 6430925 L 6431329 Biomet 3i external hex ScanPost B O 3 4L 6431089 L 6431329 L 6431303 external hex ScanPost B O 4 1 L 6431105 L 6431329 L 6431303 external hex ScanPost B O 5 0 L 6431113 L 6431329 Certain ScanPost B C 3 4 S 6431212 S 6431311 Certain ScanPost B C 4 1 L 6431220 L 6431329 Certain L 6431329 Zimmer Tapered Screw Vent ScanPost Z TSV 3 5 L 6431139 L 6431329 Tapered Screw Vent L 6431329 Tapered Screw Vent ScanPost Z TSV 5 7 L 6431154 L 6431329 L 6431303 63 61 120 D3534 D3534 208 01 05 02 05 2014 co 2 General data 2 4 Structure of the manual Sirona Dental Systems GmbH 10 Operator s Manual CEREC SW Structure of the manual Identification of the danger levels To prevent personal injury and material damage
36. Change this parameter as compensation if the occlusal surfaces of your restorations are generally too high or too low in practice Reinforce restoration margins with additional material Simplifies handling of the restoration Prevents splitting of the material The additional material can be milled off manually and polished before inserting the restoration Abutment anatomic Occlusal Milling Offset Proximal Contacts Strength Occlusal Contacts Strength Apply or remove material in the occlusal direction over the entire occlusal surface This value concerns only the milling result The effects are not visible in the DESIGN phase or in the milling preview Change this parameter as compensation if the occlusal surfaces of your restorations are generally too high or too low in practice Set the thickness of the approximal contacts The software tries to achieve this stored thickness in the restoration suggestions Set the thickness of the occlusal contacts The software tries to achieve this stored thickness in the restoration suggestions Gingival Depth Determines how far below or above the preparation margin the gingiva lies in reference to the gingival line Gingival Placement Pressure Minimal Thickness Radial Minimal Thickness Occlusal 63 61 120 D3534 D3534 208 01 05 02 05 2014 Determines how strongly the initial suggestion for the abutment penetrates the gingiva in order to build up pres
37. EREC Bluecam Operator s Manual CEREC SW ACQUISITION phase Image catalogs with CEREC Bluecam Overview Lower Jaw Upper Jaw Buccal In addition further image catalogs can be shown BioRef Lower Lower jaw BioRef Upper Upper jaw BioCopy Lower Lower jaw BioCopy Upper Upper jaw Gingiva Mask Lower Jaw Lower jaw Gingiva Mask Upper Jaw Upper jaw Opening the image catalog 1 2 66 Click on the icon of the desired image catalog Move the mouse cursor to the bottom edge of the screen The active image catalog is opened the individual acquisitions are visible 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 10 ACQUISITION phase Operator s Manual CEREC SW 10 1 Image catalogs with CEREC Bluecam Working with the image catalog In the image catalog all acquisitions are shown respective to their regions The first acquisition of an image catalog is called the reference acquisition and is marked with a dot flag in the upper right corner of the frame Acquire the image in the occlusal direction as this acquisition determines the orientation of the virtual model The acquisitions are labeled as follows Symbol Meaning is still being processed If you position the mouse over an acquisition it will be shown in the camera view and highlighted in the 3D preview Scrolling through the image catalog For each acquisition a colored dot will be shown
38. L DM NEM eS en LI DELIS 46 0 24 Gutout model dleds m citer hut pot a A Sato esee enne er us AT 9 2 9 COMECUNG deleclS arsine tede DD obkre tek catene etas cd ote tue eder 48 9 2 5 Resetting the Modal sissen e Gottes eet eode ed better E date tatus 49 on IMM coe a E THITER 49 8 2 8 Entering the preparation MarQIN cccccceccceeeceeeceeeceeeceeeeseeseeeeaees 49 9 2 9 POSIHORITIO uten ian eo eui T dos aue E cua Se RU tie 50 9 2 10 DD OSIOM E ee 51 tC OCS iat cette EAA RR RERO RENI 52 8 2 12 Modify biogeneric morphology ccceccceeeceeeeeeeeeeeceseeeseeeteneeeaees o3 o0 2 19 Incisal valiallOEi sues desee o a cv baec uestes tts 53 6 2 14 USING a ginglval MASK 5 e eio oe Cie era veda eere deae o3 ORAN Coh AMIN MERE ER UE NR MNT NERONE 53 942 10 AGADUSPIUC lOCATON ue t pali bie ub Eee nee Ete telae des bU Pv utes te is 54 6 217 MOVO IDe DIOCGK orto etti ea eoe Ede ee ote hee a e a iaai 54 8 2 18 MOO MWC ssec C opum UR e Rs AU a t LLLA DEDI DM LII AU LE 55 9 9 Displaying ODI OCIS xdi occi su eo EED SEE C inue D Visi da e Ree Rust 56 OA ANAYSSI TOOS anan A O 58 8 5 AHOUON eeaeee a TRECE 61 ADMINISTRATION Pha S Esin N dca kes dS Rd ated es 64 AG QUISITION DRAS i cud scuntedar ited uates cn tu i ee lt RN e d lees fat RR 66 63 61 120 D3534 D3534 208 01 05 02 05 2014 10 1 Image catalogs with CEREC Bluecam eeeeeeeeseeeeeeeereeere 10 1 1 Working with the
39. able for use in the patient s mouth for an unlimited period of time At an ambient temperature from 30 C only select the three lower heater settings 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 10 ACQUISITION phase Operator s Manual CEREC SW 10 5 Taking the scan NOTICE Image brightness The image brightness during the acquisition is controlled automatically so that there is always optimum image brightness largely independent of the distance between the CEREC Omnicam and the tooth The surroundings of the tooth to be scanned should be as weakly illuminated as possible Avoid any type of external light Switch off the operating light IMPORTANT Do not use cotton rolls in the scan area Do not use any cotton rolls in the vicinity of the scan area Should any pieces of cotton roll contaminate this area the acquisitions will be inaccurate X The teeth are blow dried 1 Change to phase ACQUISITION The camera is ready for acquisition Alive image appears which can be used to look around the patient s mouth 2 Remove the CEREC Omnicam from its holder As soon as the camera is pointed over a tooth or the gums or the foot control is pressed data acquisition begins During the continuous data acquisition a color 3D model is generated automatically on the screen A white field indicates in which area data will be acquired If the automatic data flow breaks off the white field
40. ange the size by clicking on the restoration with the right mouse button and while holding the right mouse button down dragging the mouse up or down Adapt sprue location This option is only available for the MILL manufacturing process The Sprue function enables you to rotate the position of the sprue location on the restoration in 2 ways e Step by step by clicking on the arrow in the circle segment e Continuously by clicking and holding the left mouse button inside the circle segment and moving the mouse Move the block This option is only available for the M LL manufacturing process 63 61 120 D3534 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 Displace The Position function enables you to displace the block surrounding the restoration in all spatial directions until the restoration strikes one of the block margins You can move the block in 3 ways e Step by step by clicking on one of the arrows showing the movement axes on the semitransparent cube e Continuously in 2 directions by clicking on one side of one of the cube surfaces holding the button down and moving the mouse e Continuously in all 4 directions by clicking in the center of a cube surface holding the button down and moving the mouse Rotate With the Rotate function you can rotate the restoration about the axis of the block This function is only available for the M LL manufacturing process You ca
41. atient via Add New Patient Import case V A case s RST file or older CDT file is located on an acquisition unit or connected data carrier 1 Click the mport Case button in the system menu The mport Case dialog box opens Select the folder in which the case is located Select the relevant file Click the Open button The optical impression is imported and opened FAUN Export case You can store a case in any location V You have opened a case in the software 1 Click the Export Case button in the system menu The Export Case dialog box opens Select the target folder to which you want to export the case Assign any name to the case Click on the Save button The case is exported as an LAB file 9 If you would like to transfer the optical impression to another PC you can use a USB stick or a network drive for this purpose License manager The license manager is used for the installation of new software licenses on the USB license stick To do this start the license manager via the system menu and follow the instructions on the screen Keep the license certificate with 25 digit license key ready which you either obtained with the unit or ordered separately from your dealer Tip You can also start the license manager via Start All Programs Sirona Dental Systems CEREC Tools License Manager To activate the license you must have an Internet connection a
42. axes parallel to the restoration surface 63 61 120 D3534 D3534 208 01 05 02 05 2014 51 52 Anatomic The Anatomic function is used to preselect regions of morphology e g cusps or fissure lines for designing Circular The Circular is used to preselect a circular region for designing Properties Modifying the size This option is available only for the circular variant You can use the Size button to modify the size of the area affected The area affected is shown as an orange colored area 1 Click on the Shape button 2 Click the Size button and press and hold the mouse button 3 Pull the mouse cursor up or down The size of the orange area is enlarged or reduced The size is shown on the restoration Tip You can also change the size by clicking on the restoration with the right mouse button and while holding the right mouse button down dragging the mouse up or down Scale all The option is only available for the automatic tool You can use the Scale Whole function to change the overall size of the restoration Hiding the neighboring restoration You can hide the neighboring restoration with the Hide Neighbors function Contacts If you modify the restoration the contact surfaces also will be displaced The Contacts function is used to reset the contacts to the thickness set in the parameters 1 Click on the Contacts button 2 Click the Mesia Distal Occlusal o
43. be scanned should be as weakly illuminated as possible Avoid any type of external light Switch off the dental light Changing from automatic to manual acquisition control You can change from automatic to manual acquisition control V You are now using automatic acquisition control 1 Place the cursor on the camera icon 2 Press the foot control upward and keep it pressed A green cross appears in the live image Manual acquisition control is active You can exit manual acquisition control in the same way 63 61 120 D3534 D3534 208 01 05 02 05 2014 15 Automatic acquisition control To help avoid blurred acquisitions caused by withdrawing the CEREC camera too early an acoustic signal sounds as soon as the acquisition is completed Make sure that neither the Windows volume control is at the lowest position nor Sound off is activated 1 Position the CEREC camera above the powdered preparation as described 2 Once a sharp acquisition is possible images are generated and transmitted to the 3D preview automatically Observe undercuts on all lateral edge lines of the preparation 3 Move the camera until all required images have been acquired The model is restored automatically in the 3D preview during the acquisition 4 Then check the above points once again Take care that the optical impression is sufficiently bright sharp and free of motion blurring If you do not observe these points
44. cessful this will be indicated by a leopard pattern If the registration was not successful the buccal acquisition returns to its original position In this case you must repeat the drag amp drop procedure in order to find a better correlation surface It is irrelevant whether you drag the buccal acquisition onto the lower jaw or onto the upper jaw first 63 61 120 D3534 88 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 11 MODEL phase Operator s Manual CEREC SW 11 1 Buccal registration Rotating the buccal image In some cases the buccal acquisition may be displayed upside down in relation to the lower jaw and the upper jaw Proceed as follows in such cases gt Click on the upper area of the buccal image and drag it onto the lower model Or gt Move the mouse via 7oo s onto the Bite Registration button and activate the F p Buccal Impression command The buccal acquisition will automatically flip and you can then register it on the jaw using the drag amp drop technique This works in the same way vice versa i e if you click on the lower area of the buccal image and then drag it onto the upper model The buccal image is then displayed right side up Registration is possible without rotation The buccal image is then displayed upside down When you begin the registration the software detects this and automatically flips the image right side up 63 61 120 D3534 D3534 208 01 05 02 05
45. ction 1 Rotate the CEREC Omnicam from 90 in the buccal direction to around 45 to maximum 90 in the lingual direction on the other side 2 Guide the CEREC Omnicam over the entire lingual distance in the mesial direction over the prepared tooth Approximal surface scan Scan the approximal surfaces of the prepared tooth gt Move the CEREC Omnicam in the occlusal direction to the prepared tooth Acquire the approximal surfaces in the distal and mesial direction by using a wave motion in the occlusal buccal and lingual direction over the prepared tooth To do so tilt the surface by 15 in the distal and mesial direction to gain a better view of the approximal contacts Buccal registration A buccal registration can be used to establish contact with the antagonist X The jaw with the preparation is scanned 1 Scan the occlusal and buccal view of the antagonist see the section Occlusal scan 81 and Buccal scan gt 81 2 Perform a buccal scan of the bite block prior to completing the registration 63 61 120 D3534 82 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 10 ACQUISITION phase Operator s Manual CEREC SW 10 5 Taking the scan Acquisition in the anterior region Acquisitions for the anterior tooth region in the lower jaw The acquisitions are described using the 4th quadrant The process is the same for the 3rd quadrant X Before acquiring the anterior tooth region if necessary acquir
46. d in this document regarding the units and the instructions provided in the software Happy Milling Your Sirona CEREC Team Copyright and trademark Sirona Dental Systems GmbH All rights reserved The information contained in this manual may be changed without notice The software and all related documentation are protected by copyright You must therefore handle it in the same way as any other protected material Anyone who copies this software to any medium for any purpose other than his own personal use without the written permission of Sirona Dental Systems will be liable to prosecution Microsoft and Windows 7 are registered trademarks Windows is a trademark of Microsoft Corporation All other trademarks are the property of their respective holders Notes on 3rd party code libraries must be stored in license pdf in the installation directory 0123 General data Please read this document completely and follow the instructions exactly You should always keep it within reach Original language of the present document German Certification CE mark This product bears the CE marking in accordance with the provisions of Council Directive 93 42 EEC of June 14 1993 concerning medical devices General safety information Only use original software Only use original software or software which has been released by Sirona To produce restorations manipulated or non released software components must not be
47. dge thao eate aiia dul cud i M eO duet odas 6 6 Configuration 63 61 120 D3534 D3534 208 01 05 02 05 2014 20 20 20 21 22 22 28 29 29 29 29 30 30 33 33 33 33 33 34 34 34 34 35 35 35 35 36 36 36 36 37 37 38 38 39 39 39 39 40 6 7 Window OCS sc eset tn cs skin ce tat alee bohnad tice TERRERNEOTENSET ENTM 40 6 8 Current program VERSION isch ua Pe rada e rn nabh n au ev e 40 6 9 CIO Se TNS SOA NN RTT ERROREM 40 Sie WMI OW ONT PR ROTER NERO NR oneweteat 41 7 1 Creating a new patient ccc a e a a EEN 41 T 2 miii 18 212 el DEREN I 41 7 3 Editing patentdala M 42 POA Editing a patient card used t hb Rt i e n ich p hc cl Po 42 3 2 Deleting patients reci d cd E Peter Ouest Dd orc is dia vla edet 42 3 9 Deleting a COgSOQxsaiotutrsit uat d det at POR Pb dies bertus 42 TOV Openinga CaSe usse pete Eo eic bud eaae Dust eM Perd tiU 43 7 3 5 Add a new CdS8 uude sedeo niece emer ou e etude doa dP ce dh mes eu o pe ces iu 43 Page palele cate ccstet aa eitea tains ee shes n aoecdens ie tes eles ee R 44 8 1 MIB S cocti eI AM EL MM UM Mec E EDEN LE tar E EE 44 8 2 WOO IS JEN TERRIER RERO SRERERERRRTRIRRTHERPPHERE ARREST RICH 45 9 2 1 Buccal TeglslFallOri notus n Exi isses eri eee tau Dd tendu 45 022 B ccaliteTOOlS 5 ce esas iat SU ee com iv Ee Ro se psuesan uiui xaPut e eo Re 46 9 2 9 OH ue eR MIS MESI LINE LED OM E OI
48. dialog box opens 2 Select the folder where the file is located d Select the relevant file 4 Click on the Open button The software changes to the Define Feature Points step The image is then imported and opened 63 61 120 D3534 D3534 208 01 05 02 05 2014 99 100 Setting reference points You must set the reference points in the patient image in the Define Feature Points step Then simply proceed as prompted by the software The yellow point in the avatar image shows you where the next face point must be set If a magnifier is displayed automatically you must set the point as precisely as possible You can undo each step using Undo Adjusting the canthi distance Use a suitable measurement tool to measure the clearance between the two canthi points Change to step Lateral Canthi Distance Adjust the value using the slider IMPORTANT You have to perform this step to achieve a precise correlation between a 3D facial model and the jaw Aligning the model Align the model to the image Positioning the model 2 Left click on an arrow symbol and hold the button down v You can displace or rotate the model in the corresponding direction Use the Z e f or Right perspective or turn the facial model to the side using the G oba view options This enables you to align the facial model and the jaw model precisely Changing axes gt Right click on an arrow symbol and hold the button down
49. disinfect the camera after each patient gt Follow the instructions on cleaning and disinfection in order to avoid cross contamination between patients The CEREC Omnicam acquires images which are used during the ongoing measurement in spatial relation to each other image registration During the acquisition and then during the ongoing registration process a distinctive sound can be heard If the registration cannot be implemented the acquisition flow is suspended You are informed of this by means of a sound This is different to the sound emitted during successful acquisition You can adjust the volume in configuration IMPORTANT Registration error Should a registration error occur you must return to another acquired point To start with practice this procedure on the model and then on intraoral areas gt Move the CEREC Omnicam to a position where a successful acquisition was taken A point that has already been acquired in the occlusal area is best You will be able to hear the sound for registered acquisitions Continue the acquisition Divide the acquisition into four consecutive sequences 1 Occlusal 2 Buccal 3 Lingual 4 Proximal 63 61 120 D3534 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 Occlusal scan Important Ensure that the distance between the output window of the CEREC Omnicam and the scanned surface is observed The distance must be between 0 1
50. e Add New Patient button 16 An empty patient card is opened 2 Enter a surname first name and date of birth or gt Enter the patient ID Once you have entered enough information the bar in the Edit Patient step turns from red to green 3 Click on the Add New Case button The program switches over to the ADMINISTRATION phase Patient search Displaying all patients The Show All Patients function can be used to display all patients 63 61 120 D3534 D3534 208 01 05 02 05 2014 41 7 Start window Sirona Dental Systems GmbH 7 3 Editing patient data Operator s Manual CEREC SW Searching for individual patients You can view individual patients by searching for them zh 1 Click into the search text box d 2 Enter the surname or the patient ID E The program now shows all the search results Editing patient data Editing a patient card V You have found the patient with the search function Pi 1 Click on the patient card 2 Click on the Edit Patient step in the step menu The patient card case view is opened for editing 3 Carry out the changes 4 Confirm your changes by clicking the Ok button The changes are saved in the memory 5 Click the double arrow on the left side of the step menu The patient card case view is displayed Deleting patients V You have found the patient with the search function 1 Click on the patient card 2 Click on the Delete Patient step
51. e camera is moving parallel to the chin line 6 When you arrive at the premolars tooth number 34 follow the movement along the chin line by turning the chair and at the same time turn the camera in the occlusal direction over the zenith of the premolars with the camera tip in the distal direction of the side teeth in the 2nd quadrant 7 But do not go in the distal direction yet rather guide the camera in parallel to the chin line labial in the mesial direction and back again in order to complete the labial acquisition of the front teeth up to tooth number 31 and back again in the mesial direction to the premolars 8 Now guide the camera again buccal in the distal direction and as per the measuring regulation for the posterior tooth region in Chapter Occlusal scan 81 Buccal scan gt 81 Lingual scan 82 and Approximal surface scan gt 82 63 61 120 D3534 D3534 208 01 05 02 05 2014 a3 84 This acquisition regulation for the anterior tooth region provides the connection with the acquisition regulation for the posterior tooth region to acquire the whole jaw Acquisitions for the anterior tooth region in the upper jaw 2 Conduct the acquisitions for the upper jaw as described here for the lower jaw But it is necessary to change the grip for the premolars step 6 above in order to move the camera tip in the mesial direction and to ensure that the cable does not form a loop A favorable location for this c
52. e the posterior tooth region occlusal buccal labial and approximal Refer to chapter Occlusal scan 81 Buccal scan gt 81 Lingual scan gt 82 and Approximal surface scan gt 82 X Start the acquisition of the posterior tooth region with the posterior tooth region of the 4th quadrant 1 End the acquisition of the posterior tooth region or start the acquisition of the anterior tooth region when you can still see the premolars tooth number 44 in the viewing panel To do so move the camera from occlusal to labial 2 From the starting point under 1 guide the camera mesial labial over the front teeth parallel to the chin line up to the 1st position of the neighboring quadrant in this case tooth number 31 3 Guide the camera from there in the distal direction back to the premolars tooth number 44 i e acquire the front teeth labial a second time This movement is also parallel to the chin line 4 Once you get to the premolars guide the camera occlusal over the zenith above the premolars by turning the camera in a position vertical to the chin line i e like a recorder or clarinet 5 Passthe camera incisal over the front teeth in the mesial direction by moving the camera with a slight tipping movement over the incisal edge from labial to lingual When doing so emphasize the labial movement in order to acquire the lingual area of the front teeth well In this phase move the camera somewhat slower than when th
53. ecting the CAIN Gl esscalecuetoce ad oma tum i etdesatbt essa esie med qox dus UO ues 10 5 2 4Taking acquisitions with the CEREC Omnicam 10 5 2 5G Ut out Hiodel aledS cstvtssdvinateu vitto ite otra Mau MAG bodas Sabb cer Acne Ibid 10 5 2 6Additional acquisitions 0 cece cece eccc eee eeeceeeeeeceeeseeceeesseteeeseeseeeneeees 10 5 9 Finishing the phase sco exe e eec dete Dea ee dune eva ete ds 11 MODEL phase 11 1 Buccal registration 11 2 Manual correlation for image fields eeeseeeseeseeeeeseeeeee 11 3 Settling tool 11 4 Set model axis 11 5 Editing the model 11 6 Trimming the preparation ccccccecceecceeceeeceeceeeeeeceeseeeeeeceeessecseeceeseenaes 11 7 Entering the preparation marglt 3 ciem RE ee Eon eo estos Gon oues 11 8 Defining the insertion axis seeeeseesseesseeeeneennnnennene nnn 11 8 1 Redefining the insertion axis cece ceccceccceeeeceeeeseeeeeeeeseeeeseeeeaeeees 11 9 Confirming quality 11 10 Finishing the phase 63 61 120 D3534 D3534 208 01 05 02 05 2014 66 67 69 70 70 71 72 72 73 73 73 73 73 74 19 T1 4 4 Tf 78 78 78 78 80 84 86 86 86 87 87 90 90 91 91 92 93 94 95 95 95 12 13 14 15 Phase DS tis Em 96 12 1 Checking parameters ccccccceccceeeceeeeceeeeceeeceeeecec
54. edure applied in the CEREC SW software It will now be possible to create crowns inlays onlays veneers and anatomically sized bridges in a fully automated manner The reconstruction can be based on any intact patient tooth from the same type i e posterior tooth or anterior tooth The often time consuming process of manually adjusting the tooth to the clinical situation is now virtually a thing of the past Biogeneric Individual In the Biogeneric Individual design technique the neighboring teeth are analyzed and the restoration suggestion is calculated on this basis The more information that is available the more successful the calculation A full image of atleast one neighboring tooth should therefore be taken from the occlusal incisal direction For anterior and corner teeth an image of the labial surface should also be taken For premolars or molars the calculation is mainly based on the distal neighbor for anterior teeth the mesial neighbor is used Biogeneric Copy Select the Biogeneric Copy design technique to transfer parts of an existing occlusal surface to the restoration and enhance the rest using the patented Biogeneric technique To do this acquire the status separately in the B oCopy Upper or BioCopy Lower image field prior to the preparation This technique can be used for inlays onlays partial crowns crowns and bridges 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 4
55. efore inserting the restoration Inlay onlay e Increase or decrease space for adhesive Marginal Adhesive Gap e Adjust width of gaps on preparation margin 60um e The adhesive is a buffer between the ceramic material and the tooth substance The adhesive gap cannot be larger than the spacer value Occlusal Milling Offset Apply or remove material in the Z direction over the Oum entire occlusal surface This value concerns only the milling result The effects are not visible in the DESIGN phase or in the milling preview Change this parameter as compensation if the occlusal surfaces of your restorations are generally too high or too low in practice Proximal Contacts Strength Set the thickness of the approximal contacts 25um The software tries to achieve this stored thickness in the restoration suggestions Occlusal Contacts Strength Set the thickness of the occlusal contacts 25um The software tries to achieve this stored thickness in the restoration suggestions 63 61 120 D3534 D3534 208 01 05 02 05 2014 23 Minimal Thickness Radial Set the minimum material thickness on steep 500 um preparation walls The software tries not to fall below this material thickness when calculating the restoration suggestions The value is displayed on the preparation as a semitransparent cover together with the minimum occlusal thickness in the DESIGN phase Areas where the thickness falls short of the minimum level in the design phase are t
56. elect the restoration type The restoration types available adapt to the tooth numbers selected In the case of abutments it is possible to activate the multilayer option as well which enables you to work on the abutment and veneer structure separately As a result you do not need to have any crowns which screw in directly 3 Choose the design technique B ogeneric Individual Biogeneric Copy or Biogeneric Reference Tip For information on the design technique see the section Design technique 4 Optional In the step menu click on the step Se ect Milling Device to change the current milling unit 5 Optional In the step menu click on the step Se ect Material to select the manufacturer and the material 6 Confirm the settings by clicking OK Tip If you click on Cance the restoration will not be created and the program will return to the odontogram 7 If necessary create further restorations Bridge restoration V You have selected the restoration type Bridge Restoration 1 Choose the positions of the two end abutments of the bridge 2 Select the individual bridge elements 3 Determine the restoration type and the design technique of the individual elements as described in section ADMINISTRATION phase gt 64 4 Optional Click on the step Se ect Milling Device in the step menu to change the current milling unit 5 Optional Click on the Se ect Material step in the step menu to change the manufactu
57. eneral data Sirona Dental Systems GmbH 2 5 User interface Operator s Manual CEREC SW User interface Overview of the user interface System menu F Image catalog can only be activated in ACQUISITION phase 63 61 120 D3534 12 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 2 General data Operator s Manual CEREC SW 2 5 User interface 2 5 1 Phase bar The workflow is described in the software in five phases Phase Bar e ADMINISTRATION e ACQUISITION e MODEL e DESIGN e MILL 2 5 1 1 ADMINISTRATION In this phase you can perform the following e Create restorations and determine their type e Determine the tooth number e Select restoration material e Choose a material color 2 5 1 2 ACQUISITION In this phase you can perform the following e Creating acquisitions with the CEREC camera lower jaw upper jaw buccal bite registration e View a 3D preview of the acquisitions e Activate other image catalogs 2 5 1 3 MODEL In this phase you can perform the following e The buccal registration of the bite situation e Adjust the virtual models e Draw and edit preparation margins e Determine the insertion axes of the restorations e Determining the model axis e f necessary have the virtual FGP calculated e f necessary create a Smile Design facial model 63 61 120 D3534 D3534 208 01 05 02 05 2014 13 2 General data Sirona Dental Systems GmbH 2 5 User in
58. ep Click Scanbody Head is active gt Double click the Scanbody you are working on 63 61 120 D3534 D3534 208 01 05 02 05 2014 103 15 Abutments Sirona Dental Systems GmbH 15 1 Abutment Biogeneric individual MultiLayer Operator s Manual CEREC SW Editing the baseline If you have acquired a gingival mask the tool Use Gingiva Mask is activated automatically If you have acquired a gingival mask the baseline emergence line blue will be suggested automatically A If you have not acquired a gingival mask or Use Gingiva Mask has been deselected an emergence profile will automatically be suggested B X The step Edit Base Line is active gt Adjust the baseline where necessary Begin the entry by double clicking on any part of the preparation s edges Move the cursor along the preparation s edge until it arrives at the starting point again Conclude the entry by double clicking the starting point Define restoration axis The angle between the implant axis dotted red and the restoration axis yellow arrow may be no higher than 20 A If an angle of more than 20 is selected between the implant axis dotted red and the restoration axis yellow arrow the user will be warned by a change of color to red B X The step Define Restoration Axis is active 1 Check the restoration axis and adjust it where necessary see Defining the insertion axis 94 2 Change to phase DESIGN 63 61 1
59. escribed in the section Page palette 44 For more information on the Flip Buccal mpression function refer to the section on Buccal registration 88 Rotating the lower and upper jaw gt Click in the blue area with the left mouse button and hold the button down The lower jaw and upper jaw can be rotated about the vertical axis simultaneously gt Click on the lower jaw or upper jaw with the left mouse button and hold the button down The arches can be freely rotated individually 87 11 MODEL phase Sirona Dental Systems GmbH 11 1 Buccal registration Operator s Manual CEREC SW Registering the buccal acquisition on the lower jaw and upper jaw 1 Rotate both models so that you can see the overlap area of the buccal acquisition and of the upper jaw and lower jaw 2 Now drag the buccal acquisition to the corresponding area of the upper jaw with the mouse and let go of the mouse button drag amp drop The buccal acquisition automatically registers itself on the upper jaw If the registration was successful this will be indicated by a leopard pattern If the registration was not successful the buccal acquisition returns to its original position In this case you must repeat the drag amp drop procedure in order to find a better correlation surface 3 Now click on the buccal acquisition once again and drag it onto the appropriate area of the lower jaw drag amp drop Ifthe registration was suc
60. eseeeeseesegeeseeseueeseeessaess 96 12 2 Editing the TestoralloD odi eden a RE te allo e ode acl 96 12 9 PIRMISMING He DDdSe usos edt tee Mese inten acd Geta hth utens un dn 96 VI B BNET UNE 97 Tol Ghabge the ginding Blbssecueiex tides oi o ente estesa ta eti bu aos dne ptu Rene 97 13 2 Change the grinding settings c cece cceccceecceeeeceeeeceeeeeeeteeeeseeesseeeseeetseess 97 19 9 Selecting TING COMM ss ascen rt ee eod pae tdt un detti ute nx er n 98 13 4 Positioning the restoration in the block eeeseeesseeeeeeseeeess 98 13 5 Starting the grinding process cccccccsecccseeceseeceseeceeeccueesaseecseeseeseeeeessaees 98 wee C a 99 14 1 Loading reference image sesssesssessseeeneeen nennen nennen nenne 99 14 2 Setting reference points seeessesssesssesssseeneenn nennen nennen nnns 100 14 3 JAdiusting the canthlldIsfarie o i Erde Dd a E eee tua s 100 IAA Pis Ieisisredigr Ega oje i RUE 100 14 9 ADMa DIOS ee ea ble iti Secee tace teure cue eie ene ar pN ii Dudes 101 ADULITIePIS uiii tet amc oper A Pp EM as Mam D M MM LEE 102 15 1 Abutment Biogeneric individual MultiLayer 102 15 1 1 Create a new restoration esses 102 15 52 Scanning a preparallOli cuoi rt omi ete eu ac ue aate eie one t 102 t913 Edina the MOG Cl eiecerunt deseo see acted a 102 19 14 Bife TEGISU ANON xssacdc uct
61. hange is the occlusal view of the premolars Tip The grip change offers a good opportunity to dry the 2nd quadrant It takes around 3 seconds before it is possible to restart the acquisition flow Tip Note a slightly asymmetric process for left handers Tip Be sure to thoroughly practice passing over the incisal ridge If the data stream is interrupted at this point proceed as follows 1 Return to an occlusal surface of a premolar which has already been acquired 2 Approach the anterior teeth again from this occlusal surface Completing measurements X The acquisitions are complete 1 Click on the Next button The virtual model is calculated and presented in color Gray sections highlight data material that is missing from the calculated model 2 If missing data emerges in the preparation area carry out further Scans Taking acquisitions with the CEREC Omnicam Hot surface The output window of the CEREC Omnicam is preheated in the camera holder When removing the CEREC Omnicam from its holder the surface temperature of the mirror sleeve can be up to 51 C This may cause an unpleasant heat sensation on contacting a person s skin or mucous membrane These temperatures will not damage anyone s skin or mucosal membrane After removing the CEREC Omnicam from its camera holder the temperature of the mirror sleeve drops within a number of minutes 5 minutes to less than 43 C The CEREC Omnicam is therefore suit
62. hold the mouse button 3 Pull the mouse cursor up or down The size of the orange area is enlarged or reduced The size is shown on the restoration Tip You can also change the size by clicking on the restoration with the right mouse button and while holding the right mouse button down dragging the mouse up or down Hiding the neighboring restoration You can hide the neighboring restoration with the Hide Neighbors function Adjusting thicknesses You can use the Sfrength button to modify the intensity of the area affected The thicknesses of the affected area can be modified for each forming tool 1 Click on the Form button 2 Click the Strength button and press and hold the mouse button 3 Pull the mouse cursor up or down Using the Form tool for entire bridges The Form tool can also be used for an entire bridge 1 To do so first of all select the Bridge Restoration restoration type in the restoration selector 2 Then start the corresponding tool Cut out model areas With the Cuf function you can cut out model areas The cut out model areas are then discarded You cannot display cut out areas later on 63 61 120 D3534 D3534 208 01 05 02 05 2014 47 8 Page palette Sirona Dental Systems GmbH 8 2 Tools Operator s Manual CEREC SW Remove model area The Discard Part function enables model areas to be removed When performing this activity be careful not to accidental
63. hus made visible Minimal Thickness Occlusal Set the minimum material thickness on the surfaces of 700um the preparation in the occlusal direction The software tries not to fall below this material thickness when calculating the restoration suggestions A high value can lead to a flat morphology if deep fissures would strongly violate the minimum thickness Observe the material manufacturer s recommendations when setting the minimum thickness Margin Thickness Reinforce restoration margins with additional material 50m Simplifies handling of the restoration Prevents splitting of the material The additional material can be milled off manually before inserting the restoration Veneer Parameters Description Default values e Increase or decrease space for adhesive 80um Veneer Thickness e Set to minimum thickness 500 um e The software tries not to fall below this material thickness when calculating the restoration suggestions e The value is displayed on the preparation as a semitransparent cover in the DESIGN phase Areas where the thickness falls short of the minimum level in the design phase are thus made visible 63 61 120 D3534 24 D3534 208 01 05 02 05 2014 Occlusal Milling Offset Margin Thickness Apply or remove material in the occlusal direction over the entire occlusal surface This value concerns only the milling result The effects are not visible in the DESIGN phase or in the milling preview
64. icense you can only work in the demo version Contact your dealer for information on how to obtain new licenses for an upgrade Starting the software X The CEREC SW software is installed You will find the start icon on the desktop X The USB license stick is connected with a valid current license gt Double click the CEREC SW start icon Or gt Click on Start All Programs Sirona Dental Systems CEREC CEREC SW 4 The software is started License update For more information on the license manager refer to the section on License manager gt 39 63 61 120 D3534 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 Installation of the License Manager Individual X The PC is powered up and all programs are terminated 1 Insert the DVD in the DVD drive v The setup program starts automatically 2 If this is not the case run the Serup exe file in the root directory of the DVD The installation wizard opens 3 Click the OK button 4 Inthe next dialog click the Nex button The license agreement is shown 5 Read through the license agreement carefully 6 If you accept the license agreement then activate the accept the terms in the license agreement option button and confirm your acceptance by clicking the Next button 7 Inthe next dialog click the Custom button 8 Uncheck all options apart from the license manager 9 Inthe next dialog click the
65. ighboring optical impressions must be at least 8 mm Angled optical impressions Additional angled optical impressions Additional angled acquisitions are possible They can be used to acquire regions that are concealed in the occlusal acquisition direction or to acquire steep walls in more favorable angles IMPORTANT Proximal undercuts Proximal undercuts may make it impossible to seat an inlay The maximum permissible tilt angle for capturing an additional optical impression of the same area is 20 Optical impressions for quadrant restoration For quadrant restoration it is recommended to acquire the prepared teeth as well as an unprepared neighboring tooth in each case It can be covered by capturing several supplementary optical impressions Acquiring end teeth End tooth at the distal margin When end teeth are restored the end tooth should lie at the distal margin of the image field 63 61 120 D3534 D3534 208 01 05 02 05 2014 Tf 78 Acquiring an impression Preparing an impression X in certain circumstances the casting must be cut free somewhat so that the definition of the image of the CEREC camera is sufficient gt Unless it is scannable silicon mat the area to be scanned in order to avoid reflections For this purpose use CEREC Optispray Acquiring an impression Click on the icon of the desired image catalog Open the image catalog Click on the Advanced button Click on the mpression Scan
66. image catalog seeseeeeeeeeeeeeee 10 1 2 Adding Image catalOgs eiseressen tenet s e n t dte xi ede du 10 1 3 Options 10 1 4 Recycle bin 10 2 Image catalogs with CEREC OMnicam ccccccccceccceeeeeeeeeeeeeseeeeseeesaeeees 10 2 1 Adding image Catalogs uices oo hoodies ERE de bete ket eR cer bed ets 10 3 Camera view 10 4 3D Preview 10 5 Taking the scan 10 5 T GEIREG BIUeCSITi utet tnt Pent aedeat ena noo Thot ice ato taa 10 5 1 1Switching on off CEREC camera eeeseeeeeeeeneeene 10 5 2Gatmiera SUD DON a ss tereti reatu tabe euo tau A use Dv LU tease doc Erus 10 5 1 3Prepare the exposure ssseeseesseeseeeernenneeennn 10 5 1 4Taking acquisitions with the CEREC Bluecam 10 5 1 5Supplementary optical impressions sss 10 5 1 6Angled optical IMPreSSIONS cccccsecceecseeceeeeeeceeeeeeteeeaseteeneeees 10 5 1 7Optical impressions for quadrant restoration 10 5 1 8Acquirnrig end teeth inii eb Eee RR Co in td aA Eas 10 5 1 9ACquinmig arn r pressloh sess ces vua c xci ER a a c cv Re ue 10S 2 GEREGAOFPBIICSETE r aset tot hd ERR ERO o ERO Robe Ee cor sed rien Qno r dep siis 10 5 2 TGamera warn UD IME eb edos bur eot Roto ue been et Suibalon bodie esse pE CAE RUE ane 10 5 2 2Mode 10 952 9 BIr
67. in the 3D preview You can freely select the viewing direction of the virtual model in the 3D preview window by using the mouse Rotating a 3D preview 1 Click on the 3D preview with the left mouse button and hold it down 2 Move the mouse The 3D preview is rotated Moving the 3D preview 1 Click on the 3D preview with the right mouse button and hold it down 2 Move the mouse The 3D preview is moved Zooming into out of the 3D preview 1 Click on the 3D preview with the middle mouse button and hold it down 2 Move the mouse up or down as desired v The 3D preview is enlarged or reduced Taking the scan CEREC Bluecam Switching on off CEREC camera The CEREC camera is turned on automatically when you switch to the acquisition phase If it is not used for some time it will shut down 2 Click the camera icon to switch the CEREC camera on or off Camera support Using the camera support gives you the following advantages e You obtain acquisitions free of motion blurring e You avoid damage to the prism e You avoid touching the prepared tooth Using the camera support Clean the camera support by wiping or spraying it with disinfectant prior to use Designed for one time use only 73 10 ACQUISITION phase Sirona Dental Systems GmbH 10 5 Taking the scan Operator s Manual CEREC SW Prepare the exposure Pushing on the camera support 2 Push the camera support onto the camera as illustrated
68. is lost and the audio signal changes In this case move the camera to any area which has already been acquired The acquisition procedure continues 3 Activate the foot control or point the camera cursor to the Omnicam icon in the bottom left corner to end the acquisition procedure Proceeding with the scanning procedure 1 Activate the foot control or click on the Omnicam icon with the cursor The scanning procedure begins 2 Proceed with the scanning procedure as described above 63 61 120 D3534 D3534 208 01 05 02 05 2014 85 10 ACQUISITION phase Sirona Dental Systems GmbH 10 5 Taking the scan Operator s Manual CEREC SW Cut out model areas With the Cuf function you can cut out model areas These can be areas in which parts of cotton rolls or cheeks were unintentionally acquired When performing this activity be careful not to accidentally cut out any areas that e g are located behind the model or are otherwise cut away from the line You can execute another scan of the area which you have cut out using the crop function To do so close the tool window by clicking on the top right corner You can refill the area with another acquisition Undo and reset With the Undo button in the tools you can undo the last change made With the Reset button in the tools you can reset changes that were made with the tool Additional acquisitions You can switch back from the DESIGN phase to the ACQUISITION phase and
69. isition is no longer used for the 3D preview and creation of the virtual model You can make the acquisitions visible again by following the same process If the gnored filter is active the acquisition remains visible in the image catalog If the gnored filter is deactivated the acquisition is hidden see Filter command gt 69 Command Select The Se ect command enables you to e select all images e void the selection e invert the selection 1 Click the Se ect button in the image catalog 2 Click the appropriate button 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 10 ACQUISITION phase Operator s Manual CEREC SW 10 1 Image catalogs with CEREC Bluecam Command Edit The Ed f command enables you to e copy e cut e insert e delete e hide e display 1 Select the acquisitions you want to edit 2 Click the Edit button in the image catalog 3 Click the appropriate button Command Filter The F lter command enables you to e Switch the display of hidden acquisitions on off Show or hide discarded acquisitions offsetting overlaying not possible Ignored Hidden acquisitions are displayed active Rejected Rejected acquisitions are displayed active 1 Click the Fi fer button in the image catalog 2 Click the appropriate button Adding image catalogs Using the Add Catalog button you can create additional image catalogs
70. jaw With the Lower Jaw button you can display and hide the lower jaw rdi 1 Click on the View Options button tigr 2 Click on the Lower Jaw button The lower jaw is displayed or hidden Display upper lower jaw transparently You can adjust the transparency of the upper lower jaw continuously 1 Click on the View Options button 2 Place the mouse pointer on the appropriate button press and hold the left mouse button and move the mouse up or down The transparency of the jaw concerned is changed Minimum thickness With the Minimal Thickness button you can show and hide the display of minimum thicknesses 2 Click on Minimal Thickness The display of the minimum thickness is then displayed or hidden You can set the minimum thickness under Parameters For more information refer to the section on Parameters gt 22 Restoration With the Restoration button you can display and hide the restoration gt Click on Restoration The restoration is displayed or hidden he Transparent display of restoration You can adjust the transparency of the restoration continuously 1 Click on the View Options button 2 Place the mouse pointer on the Restoration button press and hold the left mouse button and move the mouse up or down The transparency of the active restoration is changed 63 61 120 D3534 56 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH
71. l be minimized and only the symbol of the active tool will be displayed The entire palette opens again when the mouse is positioned over it Tip Use this setting if you frequently work with the tool wheel Provided a tool is selected the tool palette will always be displayed in its entirety and with all options Selecting a language Here you can set the language of the software Once the software is rebooted the language is set to your choice 63 61 120 D3534 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 Milling You can activate and deactivate the milling manufacturing option for zirconium oxide plastic and metal here When this option is activated you can choose between the grinding and milling manufacturing processes for zirconium oxide plastic and metal materials in the material selection step Milling of zirconium oxide plastic and metal is possible using machines with the following serial numbers inLab MC XL 129001 CEREC MC XL 129001 CEREC MC XL Premium Package 302001 CEREC MC 202001 CEREC MC X 231001 Other machines must be fitted with the Milling Starterkit Design 2011 REF 64 48 893 or with the with the Milling Starterkit for closed motors REF 64 51 079 App Center applications Via the Sirona App Application Center you have access to various apps applications for our CAD CAM products Furthermore you have access to a website that shows you the apps avai
72. lable The website also contains additional information on where you can download the apps 37 6 System menu Sirona Dental Systems GmbH 6 1 Save case Operator s Manual CEREC SW System menu In the system menu you can e Switch to the start window to start a new case e Save case e Save the case under a different name e Import case e Export case e Call up App Center start plug ins e Open license manager e Configure hardware and software e Change window mode e Retrieve software information e Close the software Opening system menu 2 Move the mouse cursor to the top of the window Or gt Click the start window button The system menu is displayed Closing system menu gt Click the start window button Or gt Click into the main window with the left mouse button The system menu is closed Save case In this dialog you can save the actual case gt Select Save Case in the system menu The current processing status of the case is saved 63 61 120 D3534 38 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 6 System menu Operator s Manual CEREC SW 6 2 Save the case under a different name Save the case under a different name This dialog allows you to save the current case under a new name or assign it to a different patient 1 Select Save Case As in the system menu The patient list is opened 2 Select the appropriate patient Or gt Create a new p
73. line To enter the preparation margin a technique can be selected in the page palette Auto Height image With clear preparation margins for initially drawing in the margin Manual with intensity image Intensity image preparation margins for subsequent correction of the initial limit Entering the preparation margin in the case of clear preparation edges Tip You can rotate the model during input in order to obtain a better view of the preparation limit Click and hold the left mouse button and move the model with the mouse 1 Start the entry by double clicking anywhere on the preparation margin 2 Move the cursor along the preparation margin Tip To support the automatic edge detection click anywhere near the margin on the raised side There is an automatic correction when the next point is set 3 Continue this procedure until you are back at the starting point 4 Conclude the entry by double clicking the starting point 63 61 120 D3534 D3534 208 01 05 02 05 2014 O3 11 MODEL phase Sirona Dental Systems GmbH 11 8 Defining the insertion axis Operator s Manual CEREC SW Entering the preparation margin in the case of blurred preparation edges If you change to Manua in the page palette while entering the preparation margin you can draw in the limit yourself Be careful to set the points exactly on the edge and place them close together If you wish to see the intensity image in blurred situa
74. ly cut out any areas that e g are located behind the model or are otherwise cut away from the line 1 Click on the Cut button 2 Begin the cut line with a double click 3 Click to set additional points 4 Finish the cut by double clicking The model area is cut off Invert model area With the nvert Selected function the model area that is cut out can be inverted X The Cut tool is selected X You have created a cut gt Click on the nvert Selected button The model area which was cut out is displayed The rest of the model area is hidden Tip You can invert the model area that is cut out by double clicking on the semitransparent cut out area Correcting defects With the Rep ace function you can correct defects and artifacts on the model e g holes or elevations To do so drag a line around the defect in your model and select the appropriate function 1 Click on the Rep ace button 2 Setthe starting point with a double click 3 Click to set further points in order to enclose the defect tightly The line must be located completely on the model 4 Setthe line end by double clicking The line is finalized Tip You can use delete to remove the line 5 Click on the App y button Tip The tool can also be triggered by pressing the Enter key The software smoothens everything within the line by interpolation 63 61 120 D3534 48 D3534 208 01 05 02 05 2014 63 61 120 D3
75. n rotate the restoration in the block in 2 ways e Step by step by clicking on the arrow in the circle segment e Continuously by left clicking on or inside of the circle segment and moving the mouse Tool wheel The tool wheel makes the standard tools available in the MODEL and DESIGN phases in order to simplify access The tools currently available vary depending on the current step 1 Right click in the workspace The tool wheel opens 2 Click with the right mouse button anywhere in the workspace The tool wheel moves to the position of the mouse pointer 3 Selecta tool V The selected tool is available The tool wheel closes automatically You also can close the tool by clicking in the workspace with the left mouse button Working with the tool wheel X You are now in the MODEL or DESIGN phase 1 Click inside the main window with the right mouse button The tool wheel opens at the mouse pointer 2 Position the mouse above the desired tool V For tools with several variants all variants will be displayed 3 Click on the desired tool The desired tool is then activated 55 8 Page palette Sirona Dental Systems GmbH 8 3 Displaying objects Operator s Manual CEREC SW Displaying objects Upper jaw With the Upper Jaw button you can display and hide the upper jaw 1 Click on the View Options button 2 Click on the Upper Jaw button The upper jaw is displayed or hidden Lower
76. n which phase the current restoration is in This menu guides you through the process step by step The double arrow keys can be used to switch between steps and phases 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 2 General data Operator s Manual CEREC SW 2 5 User interface Mandatory steps Mandatory steps are marked with a red or green bar Red bar The step has not yet been completed successfully Green bar The step has been completed successfully Optional steps Optional steps do not have colored bars They can be shown hidden using the button on the left of the step menu 63 61 120 D3534 D3534 208 01 05 02 05 2014 15 2 General data Sirona Dental Systems GmbH 2 5 User interface Operator s Manual CEREC SW System menu In the system menu you can e Switch to the start window to start a new case e Save case e Save the case under a different name e Import case e Export case e Call up App Center start plug ins e Open license manager e Configure hardware and software e Change window mode e Retrieve software information e Close the software The start window In the start window you can perform the following e Create a patient e Switch to patient data e Search for a patient 63 61 120 D3534 16 D3534 208 01 05 02 05 2014 Getting started Installing the software The software requires the 2 00 firmware version of the license stick Update the firmware
77. nd the USB license stick must be connected 63 61 120 D3534 D3534 208 01 05 02 05 2014 39 6 System menu Sirona Dental Systems GmbH Operator s Manual CEREC SW 6 6 Configuration gents Fi 2 Jit wr 40 Licenses and code libraries For information on licenses and code libraries from third parties see licenses pdf The file is in the installation directory under C Programs Sirona Dental Systems CADCAM Configuration The configuration is described in the chapter Configuration gt 22 Window mode The Window Mode function can be used to exit full screen mode or enter it again Current program version The About function contains information about the current program version Close the software The Exif function can be used to close the software 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 7 Start window Operator s Manual CEREC SW 7 1 Creating a new patient Start window In the start window you can perform the following e Create a patient e Switch to patient data e Search for a patient Switching to the start view You can switch to the start view at any time 1 Open the system menu 2 Click on the Start Screen button Creating a new patient In the data structure a patient is uniquely identified by one of the following two entries e Surname first name and date of birth Or e Patient ID Adding patients 1 Click on th
78. o high or too low in practice Proximal Contacts Strength Set the thickness of the approximal contacts 25um The software tries to achieve this stored thickness in the restoration suggestions Occlusal Contacts Strength Set the thickness of the occlusal contacts 25um The software tries to achieve this stored thickness in the restoration suggestions 63 61 120 D3534 26 D3534 208 01 05 02 05 2014 Minimal Thickness Radial Set the minimum material thickness on steep preparation walls The software tries not to fall below this material thickness when calculating the restoration suggestions The value is displayed on the preparation as a semitransparent cover together with the minimum occlusal thickness in the DESIGN phase Areas where the thickness falls short of the minimum level in the design phase are thus made visible Minimal Thickness Occlusal Set the minimum material thickness on the surfaces of the preparation in the occlusal direction The software tries not to fall below this material thickness when calculating the restoration suggestions A high value can lead to a flat morphology if deep fissures would strongly violate the minimum thickness Observe the material manufacturer s recommendations when setting the minimum thickness Virtual articulator The preset parameters are mean values which can be used without alteration for an average articulation Base sd Set the Set the intercondylar distance
79. odel axis Set the axes for model alignment Please ensure a consistent representation here This alignment is required to create optimal view options and initial suggestions 1 Align the model to the orientation of the jaw A Each tooth must be in its respective quadrant Align the incisors based on the displayed center line 2 Align the incisal edges along the displayed line B If necessary rotate the model by clicking on the display holding the mouse button down and dragging the model 3 Align the model for the occlusion plane C If necessary tilt the model by clicking on the display holding the mouse button down and dragging the model Editing the model This step is optional To access this step you must click on it In the Edit Mode step you can work with the following tools e Form e Cut e Replace e Reset The use of the individual tools is described in the section Page palette 44 91 11 MODEL phase Sirona Dental Systems GmbH 11 6 Trimming the preparation 92 Operator s Manual CEREC SW Trimming the preparation This step is optional To access this step you must click on it In the 7r m Area step you can hide image regions outside the preparation e g mesial and distal neighbors If the virtual model is trimmed in this design step both the sides and the bottom are subsequently displayed as closed In the step Trim Area you can work with the following tool
80. on database e g the calibration data 2 Depending on your decision click either the Yes or No button The software is uninstalled 63 61 120 D3534 D3534 208 01 05 02 05 2014 17 18 Copy protection The software can be started only when the USB license stick is plugged in The USB license stick is included in the scope of supply of the units If you require additional licenses please contact your dealer Always keep the USB license stick near the unit All authorizations milling interface software licenses can be installed as electronic licenses on the USB license stick You must enter a 25 digit license key for this purpose You will receive the license key along with the unit Alternatively you can order it separately from your dealer Following an update you may require a new license that is not available on your USB license stick For more information refer to the section on License manager gt 39 Downloading software ServicePacks To keep your software updated regularly check whether new ServicePacks are available Visit the Sirona website at www sirona com In the product area for digital dental care you will find the download area with the products for CEREC chairside solutions You will also find a description of the improvements and enhancements made in the ServicePack Update You have to pay for major software changes upgrades and these also require a license If you do not have a new l
81. on available match the selected tooth number Choose the design modes Biogeneric Individual and MultiLayer 4 Click on the tooth for which the restoration must be set up The selected tooth is marked Choose settings Scanning a preparation 1 Acquire the preparation see ACQUISITION phase 66 2 If all required acquisitions are present change to phase MODEL Editing the model This step is optional To access this step you must click on it X The step Edit Model is active 1 With the tool Form apply remove or smoothen material seeForm gt 46 2 With the tool Cut cut out unnecessary image areas seeCut out model areas 47 3 Correct defects with the tool Replace seeCorrecting defects gt 48 63 61 120 D3534 102 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 15 Abutments Operator s Manual CEREC SW 15 1 Abutment Biogeneric individual MultiLayer Bite registration X The step Bite Registration is active gt Complete the buccal registration see Buccal registration 87 Set model axis X The step Set Model Axis is active gt Setthe axes for model alignment see Set model axis gt 91 Please ensure a consistent representation here Mask areas X The step Trim Area is active 2 Cut away the distal and mesial neighbors so that you input an open line in each case see Trimming the preparation gt 92 Select Scanbody X The st
82. on process Such as poor image quality or the lack of a 3D preview In many cases the errors can be corrected in doing so Prior to the first calibration Ensure to take note of the serial number of the calibration set when starting the calibration which must be used at this point The number displayed in the software and the serial number on the calibration set must be identical The serial number of the calibration set to be used has been set on the CEREC AC with Omnicam at the factory Prior to the first calibration after changing the PC and when switching the calibration set you must enter the serial number of the calibration set to be used in the software If you do not wish to do this you can continue with Start calibration gt 31 When entering the serial number the following steps should be followed 1 Start the CalibRegistry exe application on the USB stick included with delivery of the calibration set 2 Enter the 8 digit Sirona ID You can find the ID on the sticker on the calibration set With all future calibration work involving the CEREC SW software you will be prompted to use this calibration set 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 5 Configuration Operator s Manual CEREC SW 5 2 Devices Start calibration 1 2 In the software navigate to the system menu and click on the Configuration button Click on the Devices button Click on the Omnicam
83. onnected on the network or has a serial connection 3 Network enter the network address Serial enter the COM port and the baud rate 4 Click on the Ok button The software attempts to contact the device If the connection fails check the connection If necessary ask a qualified technician Refresh status Using the Refresh Devices button you can e refresh the status display e g check whether a grinding unit has in the meantime finished grinding or e check the current availability of a unit 63 61 120 D3534 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 CEREC Bluecam Under the menu item Camera CEREC Bluecam can be set up Shake tolerance e Set motion sensitivity for automatic activation The more stringent the setting the longer you have to hold the camera still before the next acquisition will be taken Auto delete rejected Images that could not be reconstructed images overlaid with the current acquisitions are automatically moved to the Recycle Bin Accepting settings gt Click on the OK button Discarding settings gt Click on the Cance button Resetting settings gt Click onthe Reset Camera Settings button v The settings are reset to factory settings Calibration 1 Click on the Ca brate button 2 hen simply proceed as prompted by the software CEREC Omnicam A CEREC SW 4 0 license and a CEREC SW 4 2 license must be present in order to
84. or aec iet eode road E eye oae ee E tad e oe terin 103 TO 149 5e Tod AXIS Mecseuiecsoiuese nuce etu a a nutus ea e comu mu eat Me Mp cEE 103 197154 Mask are aS eeii ee a ee ee eee roe 103 1D Vel oelet SCAND OGY eH 103 10 126 Editing the Dasellhe noo ox Eee o roe o ee daaieoeei ate 104 15 1 9 Define restoration axis seeeeeeesseesceesseeeenenennn enne 104 195 1 10Adjustind Parameters e iecore xci EE e En OT dss 105 15 1 1 1Editing the TestoratlOh uus etta uo etd taeda eh t sso et oen 105 15 1 12Grinding of restoration layers eeseseeeeeeeeeeeeeneene 106 gle gt cm C rr 107 63 61 120 D3534 D3534 208 01 05 02 05 2014 Copyright Trademarks 63 61 120 D3534 D3534 208 01 05 02 05 2014 Introduction Dear CEREC user Thank you for purchasing your CEREC SW software from Sirona In connection with the CEREC acquisition unit and milling machine this software enables you to produce dental restorations e g from ceramic material with a natural appearance Improper use and handling can create hazards and cause damage Therefore please read and carefully follow this manual and the relevant operating instructions always keep them within easy reach In order to operate the CEREC unit safely for the first time you should train on the exercise model using the described examples To prevent damage to third parties and property adhere to both the safety instructions provide
85. or without proximal contacts Model color Using the Color restoration button the restoration can be presented in the model color 1 Click on the Analyzing Tools button 2 Click on the Color restoration button The virtual model is shown in white or the model color 63 61 120 D3534 D3534 208 01 05 02 05 2014 59 8 Page palette Sirona Dental Systems GmbH 8 4 Analysis tools Operator s Manual CEREC SW Cuts Using the Cut button a cut can be placed through the restoration and model in the screen plane 1 Click on the Analyzing Tools button 2 Click on the Cuf button A cutis placed in the screen plane through the virtual model 3 Click on the Move cut buttons to move the cut plane Cursor details The height and thickness of the restoration can be displayed using the Cursor Details button The cursor details are displayed at the bottom left of the screen 1 Click on the Analyzing Tools button 2 Click on the Cursor Details button The height and thickness of the restoration are displayed on the mouse cursor and updated in real time Depending on the type of restoration the following information is displayed Height Distance from this point to the bottom of the model Fissure height Minimum thickness in fissure Thickness Thickness of the restoration at this point With anatomical Smallest section connectors Distance You can use the Distance button to measure dis
86. orm With the Form function you can e apply e remove e or smooth material Tip If one of the Form tools is active you can switch to the following order using the space bar on the keyboard Apply gt Remove gt Smooth gt Apply gt Apply material Click on the Form button Click on the Add button Click with the mouse cursor on the area you wish to shape Press and hold the left mouse button and apply the material to the Fi surface location by moving the mouse O Removing material 1 Click on the Form button 2 Click on the Remove button 3 Press and hold the left mouse button and remove the material from the surface location by moving the mouse Smoothing When smoothing you can smooth the surface locally 1 Click on the Form button 2 Click on the Smooth button 3 Click with the mouse cursor on the location you wish to smoothen 4 Press and hold the left mouse button and smoothen the surface location by moving the mouse 63 61 120 D3534 46 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 8 Page palette Operator s Manual CEREC SW 8 2 Tools Properties ji Modifying the size f You can use the S ze button to modify the size of the area affected The area affected is shown as an orange colored area The size of the area affected can be modified for each forming tool 1 Click on the Form button 2 Click the S ze button and press and
87. ously hidden remain hidden Checking restoration parameters Here you can select whether the restoration parameters will be displayed during the construction The restoration parameters are displayed before the restoration is calculated You can change the values NO The parameters are not displayed The values set under Configuration Parameters are used 35 36 Database In the Patient Database menu item you can select where patient data and cases are saved You can specify a folder for this data This allows you for example to save all data on a secure server on the practice network Alternatively you can manage patient data with SIRONA SIDEXIS software and save cases in a database created in SIDEXIS Calculating restorations Using Restoration Calculation you can define the behavior on entering the DES GN phase YES Upon entering the DES GN phase proposals for all restorations are automatically calculated for which preparation boundaries and an insertion axis have been defined If this option is activated it may result in lengthy computing times when editing numerous restorations Upon entering the DES GN phase only the restoration proposal for the currently active tooth number is calculated Auto hide the page palette The page palette will automatically be minimized if you use a tool This setting affects the phases MODEL and DESIGN YES After selecting a tool the palette wil
88. phase MILL Both restoration layers have to be ground individually 105 15 Abutments Sirona Dental Systems GmbH 15 1 Abutment Biogeneric individual MultiLayer Operator s Manual CEREC SW Grinding of restoration layers 1 In step Milling Unit select the tool with which the restoration needs to be ground 2 In step Change Block Size change the block size where necessary 3 In step Adjust Mill Position position the restoration in the block where necessary 4 Start the grinding process 63 61 120 D3534 106 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH Operator s Manual CEREC SW A Angled optical impressions 77 Articulation 61 Reference plane 61 Articulator Articulator parameters 61 Dynamic contact points 63 FGP 62 Occlusal Compass 63 B Biogeneric morphology 53 Buccal registration Displacing an image 45 Rotating an image 45 C Case 11 CE mark 8 Code libraries 40 Color scheme 58 Contact surfaces Restoration 58 Virtual model 58 Contacts 52 Cut Invert model area 48 Remove model area 48 63 61 120 D3534 D3534 208 01 05 02 05 2014 Index D Declaration of conformity 8 Design Anatomic 52 Manual 52 Scale all 52 Size 52 Display objects Lower jaw 56 Minimum thickness 56 Restoration 56 Transparency 56 56 Trimmed model 57 Upper jaw 56 E Entering the preparation margin 93 Automatic 49 Manual 50 Manual with
89. please observe the warning and safety information provided in this document Such information is highlighted as follows DANGER An imminent danger that could result in serious bodily injury or death Potentially dangerous situation that could result in serious bodily injury or death Potentially dangerous situation that could result in slight bodily injury NOTICE Potentially harmful situation which could lead to damage of the product or an object in its environment IMPORTANT Instructions for use and other important information Tip Information for facilitating work Formats and symbols used The formats and symbols used in this document have the following meaning Prerequisite Requests you to do something 1 First action step 2 Second action step or gt Alternative action S Result see Formats and symbols Identifies a reference to another used 10 text passage and specifies its page number Command menu item Identifies commands menu items or quotations 63 61 120 D3534 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 Conventions ambe Mew Clicking Single pressing and subsequent release of the left mouse button or the left trackball button on the acquisition unit Double clicking Double pressing and release in quick succession of the left mouse button or left trackball button on the acquisition unit Moving the mouse On the acquisition unit
90. r FGP button The respective contact surface is then reset Hiding the neighboring restoration You can hide the neighboring restoration with the Hide Neighbors function 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 8 Page palette Operator s Manual CEREC SW 8 2 Tools Modify biogeneric morphology With the B ogeneric Variation function you can generate different Wr N variants of the possible morphology 1 Click the B ogeneric Variation button and press and hold the mouse Ti button 2 Pull the mouse cursor up or down The morphology is then changed 3 Let go of the mouse button when the morphology that is optimal for your purposes becomes visible Incisal variation Using the ncisa l Variation function you can generate textures mamelons for front teeth 1 Click on the ncisa Variation button 2 Using the left mouse button click on the controller and draw the mouse downwards to set the thickness of the textures on the teeth 3 Click with the left mouse button on the tooth to move the texture on the tooth Using a gingival mask Scaling You can use this tool for frameworks telescopes multilayer frameworks and bars In the tool menu you can select whether the tool is to be effective in the radial or the occlusal direction You can toggle between these directions with the space bar or with the mouse Am 1 Place the mouse pointer
91. r canister option Order No 60 56 217 is connected and the check mark has been placed you will not be reminded to change the water until a later point in time f the 25 liter canister is retrofitted your service engineer must place a check mark in the box in front of Large Water Tank e Scanner If the CEREC 3 nLab milling unit has an integrated scanner option Order No 58 33 707 a check mark must be placed in front of Scanner If a scanner is retrofitted your service engineer must place a check mark in front of Scanner Calibration 1 Click on the Ca brate button 2 Then simply proceed as prompted by the software Changing instruments 1 Click on the Change Instruments button 2 hen simply proceed as prompted by the software Removing the grinding unit 1 Click on the Delete Device button 2 hen simply proceed as prompted by the software 33 34 Options Bite registration Here you can set whether the image catalog is offered for bite registration Setting Description Activate The image catalog is offered for bite registration You can carry out bite registration in the MODEL phase Deactivate The image catalog is not offered for bite registration The buccal bite registration must be used Virtual articulator Use Articulation The articulator is displayed to the right hand side of the page palette during the construction It can be activated at any time for constructing
92. rer and the material 6 Confirm the settings by clicking OK Tip If you click on Cance the restoration will not be created and the program will return to the odontogram 7 If necessary create further restorations Selecting the scanbody type only for abutments You can select the desired scanbody type in this step gt Click on the desired scanbody type 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 9 ADMINISTRATION phase Operator s Manual CEREC SW Selecting material for the veneering structure You can select the desired material for the veneering structure in this step gt Click on the desired material Selecting material for the framework You can select the desired material for the framework in this step gt Click on the desired material Finishing the ADMINISTRATION phase V All restorations to be created are defined X The ACQUISITION phase is can be selected 2 Click on the ACQU S T ON phase Or gt Click on the double arrow The program switches over to the ACQUISITION phase Finishing the ADMINISTRATION phase V All restorations to be attached are defined VK The SCAN phase is can be selected gt Click on the SCAN phase or gt Click on the double arrow The program switches over to the SCAN phase 63 61 120 D3534 D3534 208 01 05 02 05 2014 65 10 ACQUISITION phase Sirona Dental Systems GmbH 10 1 Image catalogs with C
93. restoration Further information on grinding can be found in the corresponding operating instructions 63 61 120 D3534 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 14 Smile Design Operator s Manual CEREC SW 14 1 Loading reference image Smile Design With Smile Design anterior restorations can be designed with consideration of the mouth or face of the patient During the construction it is possible to change between the jaw model and the view with the patient using the analysis tool Changing to Smile Design X You set the model axis in the Set Model Axis step in the MODEL phase gt Click on the Smile Design function on the left lower on screen menu Changing to Smile Design 1 Inthe ADMINISTRATION phase look for Case and select the Smile Design function 2 After the Set Model Axis step when in the MODEL phase click Next The software changes to the Smile Design function Exiting Smile Design X You are in Smile Design gt Clickthe Full Mode function at the bottom left edge of the screen to exit Smile Design 6 You can change back to SmileDesign at any time Loading reference image You must load an image of the patient s face for Smile Design The image must be a head on passport photograph of the patient smiling e jpeg jpg Min 2 megapixels e bmp e png 1 Click on the step Load Reference Picture The Load Reference Picture
94. roximal Contacts Strength Set the thickness of the approximal contacts 25um The software tries to achieve this stored thickness in the restoration suggestions Occlusal Contacts Strength Set the thickness of the occlusal contacts 25um The software tries to achieve this stored thickness in the restoration suggestions Minimal Thickness Radial Set the minimum material thickness on steep 500 um preparation walls The software tries not to fall below this material thickness when calculating the restoration suggestions The value is displayed on the preparation as a semitransparent cover together with the minimum occlusal thickness in the DESIGN phase Areas where the thickness falls short of the minimum level in the design phase are thus made visible 63 61 120 D3534 22 D3534 208 01 05 02 05 2014 Minimal Thickness Occlusal Set the minimum material thickness on the surfaces of 700um the preparation in the occlusal direction The software tries not to fall below this material thickness when calculating the restoration suggestions A high value can lead to a flat morphology if deep fissures would strongly violate the minimum thickness Observe the material manufacturer s recommendations when setting the minimum thickness Margin Thickness Reinforce restoration margins with additional material Simplifies handling of the restoration Prevents splitting of the material The additional material can be milled off manually b
95. sparent hidden region Entering the preparation margin More information on using this tool can be found in the section Entering the preparation margin 93 Automatic edge detection With Margin Auto you can work with automatic edge detection 1 Click on the Margin button 2 Click on the Auto button Automatic edge detection is switched on 49 8 Page palette Sirona Dental Systems GmbH 8 2 Tools Operator s Manual CEREC SW Manual drawing With Manua you can draw in the preparation margin manually With this technique you must place the individual points close together in order to clearly define the contour of the preparation margin even in difficult situations X The Marg n tool is open gt Click on the Manual button The manual technique is switched on Manual drawing with intensity image With Manual with intensity image you can manually draw in the S preparation margin on the intensity image X The Marg n tool is open gt Click on the Manual with intensity image button The manual technique with intensity image is switched on Tip As long as the Margin tool is activated you can switch back and forth between the drawing options by pressing the space bar Positioning With the Move function you can displace rotate and scale the restoration Displacing and rotating With the Position and Rofate tool you can displace and rotate the restoration Displacing
96. sure on the gingiva Determines the minimum radial wall thickness in the horizontal direction Can be switched on and off Determines the minimum radial wall thickness in the occlusal direction Can be switched on and off 20 Abutment framework Gingival Depth e Determines how far below or above the preparation Oum margin the gingiva lies in reference to the gingival line Gingival Placement Pressure e Determines how strongly the initial suggestion for the Oum abutment penetrates the gingiva in order to build up pressure on the gingiva Shoulder Width e Width of the shoulder of an abutment or telescope 1000um Telescope Angle e Telescope angle of an abutment or telescope NO Minimal Thickness Radial e Determines the minimum radial wall thickness in the horizontal direction 500um e Can be switched on and off Minimal Thickness Occlusal e Determines the minimum radial wall thickness in the NO occlusal direction 2400um e Can be switched on and off Crown veneering structure Spacer e Increase or decrease space for adhesive underneath 80um crown not on the preparation margin Occlusal Milling Offset e Apply or remove material in the occlusal direction over Oum the entire occlusal surface This value concerns only the milling result The effects are not visible in the DESIGN phase or in the milling preview Change this parameter as compensation if the occlusal surfaces of your restorations are generally to
97. tances 1 Click on the Analyzing Tools button 2 Click on the Distance button 3 Click on the restoration to define the starting point and the end point The distance is then displayed Guidelines The Guideline Mode function enables you to display and hide the Smile Design auxiliary planes 63 61 120 D3534 60 D3534 208 01 05 02 05 2014 Sirona Dental Systems GmbH 8 Page palette Operator s Manual CEREC SW 8 5 Articulation Articulation The Articulation function enables you to configure a restoration taking the dynamics into consideration Once the initial suggestion has been calculated the dynamic contact points are displayed in color For the most accurate result possible it is important that the acquisition of the jaw meets the following conditions e The canine guidance must be able to be carried out on both sides e The virtual model is accurately aligned on the guide lines when setting the model axis The virtual articulator uses Camper s plane as a reference plane for the articulation parameters The Camper s plane is usually parallel to the occlusal plane Once the model axis has been set you can activate the virtual articulator at any time by using the button in the page palette IMPORTANT Use the lower jaw to set the model axis Articulation Parameters The values for articulation only apply for the current restoration You can adjust the settings in the MODEL and DESIGN phases
98. terface Operator s Manual CEREC SW DESIGN In this phase you can perform the following e Have initial restoration suggestions generated e Rotate and position the restoration e Form and process restorations MILL In this phase you can perform the following for each restoration e Check and adjust the positioning of the restoration in the block e Determine the sprue position of the restoration e Determine the block size e Define milling options e Begin the milling procedure Object bar The buttons for restoration selection are located in the object bar Each restoration is represented by a tooth with the corresponding tooth number You can switch back and forth between the teeth by clicking on the corresponding tooth symbol Tool wheel The tool wheel makes the standard tools available in the MODEL and DESIGN phases in order to simplify access The tools currently available vary depending on the current step 1 Right click in the workspace The tool wheel opens 2 Click with the right mouse button anywhere in the workspace The tool wheel moves to the position of the mouse pointer 3 Select a tool The selected tool is available The tool wheel closes automatically You also can close the tool by clicking in the workspace with the left mouse button Step menu Each phase is divided into steps They are shown in the step menu at the bottom edge of the screen The step menu changes depending o
99. the restorations Deactivate The articulator is not displayed to the right hand side of the page palette during the construction Use Articulation for initial proposal The dynamic contact points are taken into consideration in the initial suggestion Only the static contact points are taken into consideration in the initial suggestion The dynamic contacts are identified by color occlusal compass acc to Schulz Smile Design The Smile Design function is available and can be activated for the respective case under Options in the phase ADMINISTRATION Deactivate The Smile Design function is not offered in the ADMINISTRATION phase 63 61 120 D3534 D3534 208 01 05 02 05 2014 Ne 63 61 120 D3534 D3534 208 01 05 02 05 2014 Settings The menu item Seftings has the following subitems e Select odontogram e Reset notes e Deactivate restoration parameters e Database e Calculating restorations e Auto hide the page palette e Selecting a language e Select odontogram e Reset notes e Deactivate restoration parameters e Database e Calculating restorations e Auto hide the page palette e Selecting a language e Milling Odontogram You can set the odontogram using ADA FD Notation e International FD Notation e USA ADA Notation Reset notes Here all warnings can be displayed again Displays all the deactivated warnings in the workflow again Warnings which were previ
100. tions change to the page palette in Manual with intensity image Tip The space bar can be used to switch back and forth between drawing modes Moving to the next step X The step is completed 2 Continue with the preparation limits for the next restoration by clicking on the desired restoration in the object bar or gt Click on the next step Defining the insertion axis In the Define Insertion Axis step you can work with the following tools e Insertion Axis The use of the individual tools is described in the section Page palette gt 44 63 61 120 D3534 94 D3534 208 01 05 02 05 2014 Redefining the insertion axis Tip Regions within a preparation margin that show an undercut from the viewing direction are marked yellow 1 Change the position of the preparation such that all yellow markings disappear If this is not possible e g in the case of diverging stumps make sure that all preparation margins are completely visible from the viewing direction and the yellow marked undercuts are as far away as possible from the preparation margin 2 In order to achieve an optimum result with CEREC Biogeneric change the position of the preparation so that the insertion axis is aligned as vertically as possible to the occlusal surface 3 Then rotate the preparation model so that the model is correctly labeled by the axis designations mesial lt gt distal To do this rotate the preparation in the occlusal
101. ton in the tools you can undo the last change made With the Reset button in the tools you can reset changes that were made with the tool Buccal registration Displacing a buccal image With the Drag Bucca function you can displace the buccal image 1 Click on the Bucca button 2 Click on the Drag Bucca button 3 Click on the buccal image and displace it to the same region on the upper or lower jaw The image is accepted Tip If an image is not accepted align the jaw buccally This enables better overlaying If registration is still not possible check whether the buccal sections in the jaws and in the buccal image are sufficient 4 Ifthe image was accepted move the image to the corresponding region of the opposite jaw Rotating a buccal image With the F p Buccal Impression function you can rotate the buccal image 1 Click on the Buccal button 2 Click on the Flip Buccal Impression button The buccal image is then rotated 45 8 Page palette Sirona Dental Systems GmbH 8 2 Tools Operator s Manual CEREC SW Buccal bite tools Settling Using the Seff ing function you can state areas that are not to be taken into account in bite determination 1 Click on the Settling button 2 Using the left mouse button select the area on a jaw half that is not to be taken into account in bite determination 3 Click on Apply The software will restart the buccal registration F
102. tools in the toolbar The individual tools and their applications are described in the Finishing the phase X The next phase is can be selected gt Click on the next phase or gt Click on the double arrow The program switches over to the next phase 63 61 120 D3534 96 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 MILL phase Change the grinding unit Inthe Milling Unit step you can select the unit with which the restoration is to be ground Change the grinding settings You can also select veneer mode and or fast grinding in addition to the grinding process Veneer mode Veneer mode ensures that grinding takes even the finest structures into account This stops the veneer and anterior crowns binding Fast grinding IMPORTANT Loss of quality Fast grinding may have a negative influence on the quality of the restoration If desired the grinding process can be accelerated for some materials You can activate the Fast Milling button if you require this This mode is faster however the surface of the ground restoration is slightly rougher Two stage grinding Use two stage grinding on restorations with complex margins and or low spacers e g multilayer inlays partial crowns or full crowns with reduced spacers The grinding time will extend by around 50 60 IMPORTANT Only use two stage grinding for firmly screwed ceramics 97 13 MILL phase Sirona
103. uitable you can delete it You can then execute a new acquisition for the corresponding image catalog gt Grab the image with your mouse and move it using drag amp drop to the recycle bin The image is deleted 71 10 ACQUISITION phase Sirona Dental Systems GmbH 10 3 Camera view Operator s Manual CEREC SW Adding image catalogs Using the Add Catalog button you can create additional image catalogs in the page palette P 1 Click the button marked Add Catalog in the page palette e The possible image catalogs are offered 2 Click on the required image catalog The image catalog is displayed next to the standard image catalogs Camera view Change window size You can adjust the size of the camera view proportionally 1 Click the arrow at the right edge with the mouse and hold down the mouse button 2 Dragthe camera view to enlarge or reduce it Height and intensity image Acquisitions from the image catalog can be displayed as height or intensity images Height image Intensity image X The camera is switched off 1 Click on the icons to switch between the height and intensity image 2 Position the mouse over a scan in the image catalog The scan is shown in the selected display in the camera view 63 61 120 D3534 12 D3534 208 01 05 02 05 2014 63 61 120 D3534 D3534 208 01 05 02 05 2014 3D Preview In the default setting the data are displayed from the occlusal direction
104. used Software and software components must not be installed using incorrect data Please check that each installed component has been granted approval in its country Contact your dealer for more information Restoration to be checked by trained personnel Each restoration which is performed with this software must be checked for suitability by a trained person e g dental technician or dentist For the USA only CAUTION According to US Federal Law this product may be sold only to or by instruction of physicians dentists or licensed professionals Accessories In order to ensure product safety this device may be operated only with original Sirona accessories or third party accessories expressly approved by Sirona The user assumes the risk of using non approved accessories 63 61 120 D3534 D3534 208 01 05 02 05 2014 2 General data Sirona Dental Systems GmbH Operator s Manual CEREC SW 2 3 Accessories Accessory TiScan Scanbodies Scanbodies Implantat Implantat for Omnicam for Bluecam manufacturer system ScanPost REF 36pcs REF 36pcs ilda Noble Biocare Replace NP ScanPost NB RS 3 5 L 6430933 L 6431329 Replace RP ScanPost NB RS 4 3 L 6430941 L 6431329 Replace WP ScanPost NB RS 5 0 L 6430958 L 6431329 Replace 6 0 ScanPost NB RS 6 0 L 6430982 L 6431329 Noble Active NP ScanPost NB A 4 5 L 6431279 L 6431329 Noble
105. version if necessary For more information refer to the section on License manager gt 39 You need a CEREC L PC for the software Use the version of the license manager provided with this version to import licenses from the license certificate provided X The license stick firmware is available in version 2 00 X The PC is powered up and all programs are terminated 1 Insert the DVD in the DVD drive v The setup program starts automatically 2 l fthis is not the case run the Sefup exe file in the root directory of the DVD The installation wizard opens 3 Click on the OK button 4 Inthe next dialog click the Nex button The license agreement is shown 5 Read through the license agreement carefully 6 If you accept the license agreement then activate the accept the terms in the license agreement option button and click the Next button 7 n the next dialog click the Next button 8 In the next dialog click the nsfa button The program continues the installation routine This may take several minutes 9 Click the Finish button once installation is complete The software is installed Uninstalling the software X The program is closed 1 Click on Start All Programs Sirona Dental Systems CEREC Tools Deinstallation to uninstall the software During the uninstall procedure you will be asked whether you want to delete the patient data or the entries in the registrati
106. view by grasping the right or left edge of the screen with the mouse pointer and then moving the pointer along the edge of the screen 4 Confirm with the Ok button The insertion angle of the restoration is determined Confirming quality With some licensing versions e g PAYG financing model you must certify the quality of the model Only following confirmation can you change to the DESIGN phase 1 Check the quality of the model 2 Carry out any necessary corrections 3 Click on the Check Models button Je v You have confirmed the model and can change to the DESIGN e phase Finishing the phase X The next phase is can be selected gt Click on the next phase or gt Click on the double arrow v The program switches over to the next phase 63 61 120 D3534 D3534 208 01 05 02 05 2014 95 12 Phase DESIGN Sirona Dental Systems GmbH 12 1 Checking parameters Operator s Manual CEREC SW Phase DESIGN Checking parameters You can check the parameters for this restoration prior to further processing The values entered here only apply to the current restoration This step is optional If you skip this step global parameters are used E You can change the parameters as described in section Parameters gt 22 Editing the restoration The virtual model provides a visualization and design of a restoration in 3D Once the restoration has been calculated you can change the restoration with the
107. wes 052014 The Dental Company CEREC SW Software Version 4 3 Operator s Manual Table of contents Walt coe 6 0 ON Peewee T T T 1 1 Dear CEREC USO a E O N Ie UU RU LEURS 7 1 2 Copyright and traderark i2 hesanstia ai pride paese dee OR IU oed Prec so pc o E oU Pub E OUS UNE T See Fal Cale a ase ttinatiaancl oustecaetanatabecua avvoenacasuaavgoe ensues bene abeo Qe E anaes 8 2 1 CEUC AU OR NR TOTO TT E STET 8 2 2 General safety information cccccccccccseeeceeeece cess ceseeeeseeeseeeseeeeseeeseeeesees 8 Ro 0 G1 2101 8 2 nS nT Om eS a ee 8 2 94 ACCESSO TOCAN atea e 9 24 SUCU orte Manualer a eas 10 2 4 1 Identification of the danger leVelS ccccecccecceeeeeeeeeeaeeeeaneeseeeeaeess 10 2 4 2 Formats and symbols Used es ERE et dace E o ep edue 10 2 45 93 CONVENUOMINS zaadecatittstbvsstias ie cta antdttatae c E venia utu be totae tas estis 11 24 4 Folmatsortmiedqnalliialsdssse ees tem a de tot obi uns 11 2 5 9 TAM il OMA Essonne etude A OA EE cmd Dc cse 11 EMEN S dnte UTERETUR 12 ZUM MEI I II ETT 13 2 9 15d FAD MINTS VRATION otiraa T a a 13 29 12 PC QUISIMIOIN S ds uito baa a E vr Ent o der tiaeuriase Sce o Da PE tarius 13 2 9 1 9 MODEL 4t ts e E theta vla e a vbt el cte ctu tte 13 2 9 kA DESIGN Const dian bs doit dedos N 14 OMEN 14 2 9 2 ODIOGU DAN soossoatesiete dtum o Eau tec sste aE 14 29 9 FOWE aetsotui ota etenim asd tr n eee in Da E Sees de aT 14 2 9 4 OEP euis adobe

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