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USER MANUAL - E4D Technologies

1. Mein IPS Emprime CAD HT Shade Az lair Due Dae If a case has a grey Sky logo it was deleted from the Sky network from another workstation The case can be resubmitted if desired E4D Sky 229 Downloading from E4D Sky Dentists Use these instructions to download cases from E4D Sky that are ready to mill or review Laboratories Cases received from customers are downloaded from E4D Sky on the Home screen 1 Click Sky on the Home screen to import a case from Sky A list of cases appears Cases with a green checkmark match what is already on your system Cases with a red X are different than what is on your system and are ready for download fairy Smith Cree 14 Crown 15 pamm Crown L9 Wibk Ex Drawing Mergins Crown 2 2 Select the desired case 3 Click Rx to see the prescription details 4 Click Retrieve to download the case to your system 230 E4D Sky Version 5 0 User Manual 11515600 B Glossary A Anatomy the features that define the shape of a tooth a series of concavities and the convexities that forms the light reflective surfaces that create the apparent shape of a tooth Autogenesis the process that the system uses to create a custom proposal for the scanned model For full coverage crowns Autogenesis looks at the features on the proximal teeth and creates a custom proposal based on cusp alignment marginal ridges contacts occlusion and minimum thickness B Bellows
2. ccscsssssessssesscecsssecsssssssscessesecessssecscsssecscaesesscsesssecsesesecscsesesecsees 102 ROS cases E ee aed caps tc ase cn ee cca EEE E eae A E 102 Pro op Editing siiccivesscsccsancenisvccsiceestasdenaesuessecciacscsvscsvesdsdssdesacssauisesuiessesecsessesasieins 102 AE E E N NNS ETA AS E N N E E AEA E A 103 EAEE EE T AAE O AA T A N AAA 103 Add egre eaa an E EN E EERE E EO T OEE 103 Designing the REStOrdatiOn ccccssscccssscccssscccssscccssscccess 104 Tooth LiDTariCS scicsdecsscsseneeedvscencesasesssusiavasecseseciadestecesesascaenedecveesessuaeantetasesisseveces 105 Select a Library ss sssessseesseesseesseesseesseeossessseonseesscosseesseroseesseeoseesseesseeoseesseeoseroseeoseeosees 105 Resize the ODrary TOOU seirinin 105 Move the Library Tooth ccsesscsscssessssssssscessesscsssssessssssecscsssssecssssseccsesecscssseesesees 106 PRIVACY LEVEI aaa EE E O TETS 106 Apply the changes c csssssssssscsssssessssssesscsssssssscsssecessssessesssesecsssesesecsesesscscaeseeseaesasecs 106 Pre 0pas Library TOU a cscecercacexsccasciscsivctocovcasctivanssevnsdavaanisuonestoussestesinsieenerxemsmonmannness 107 VIEWING ODTIONS sisciesssssvicdcnccecsescandecssecicsssdeddesdsstdessnvessdcansavssssueteescsecdesastandederscas 108 BCU FUNG aain A S O E N NE 108 Material THICKNGSS cscsssscsssssssscessssecsssssesscessesscsssssessssssecscassssecsssssecscsesecscsssessesees 108 MESO E a A E E E ENEA E 110 OV OAC oara A E E
3. 11515600 B Bridges 133 134 Bridges The teeth are now designated as a bridge Select the first tooth in the bridge and designate the Library Material and Shade The material and shade is duplicated on the other teeth in the bridge when you click on them Select the remaining teeth in the bridge and designate the Library Library must be chosen for each restoration before you can continue to the Scan Tab Note If Library Material and Shade are chosen before linking the bridge The software will replace the Material and Shade of the remaining restorations with that of the highest tooth number after the link Multiple bridges can be created on the same arch Repeat the steps above to create another bridge Unlinking a Bridge If there is an error in how the bridge was linked click Unlink and click on any of the teeth in the bridge Version 5 0 User Manual Scanning Bridges The scanning procedure for a bridge is the same as that for a multiple restorations case Scan the prepped teeth the edentulous area and two unprepped neighbors or more unprepped neighbors to aid in design Bridge Orientation Set the Orientation for each tooth tab Good model alignment will aid Autogenesis with the design 11515600 B Bridges 135 Drawing Pontic Margins A margin is drawn for each tooth in the bridge 1 Click the tooth number tab for each abutment and draw the margin on the selected tooth An edentulous space does
4. Scanning Occlusion Data The proposal s occlusion can be evaluated and designed using e Bite registration e Buccal bite and opposing dentition e Pre op a waxup or existing anatomy before preparation Note Cases being sent via E4D Sky usually need to be Buccal Opposing cases On the Setup tab select Bite Registration or Buccal Opposing If you are scanning a pre op leave the default to Bite Registration The system will allow you to use a Time Saver method of copying the model In certain scenarios this enables you to duplicate a model under another heading You can then erase the data that needs to be replaced and take fewer scans than if you are doing a completely new scan e Pre op model can be copied into Prep model e Prep model can be copied into Bite Registration The instructions below assume that you will use the Time Saver method You always have the option of simply doing a full scan for each model type Scanning a Bite Registration A bite registration can be used to optimize occlusion for proper alignment with the opposing tooth Scan the preparation ensuring there is enough detail of the adjacent dentition and or gingival tissue in your preparation scans to align the bite registration scans After scanning the preparation prepare the bite registration 11515600 B Scanning 53 Bite registration preparation Keep the following recommendations in mind as you prepare bite registrations 1 Place the bite registrat
5. csscsssssssssssssssssssscsessssssssssesesessssssesssesesescsessssesesesesees 15 System Options and Default Settings csccsssssssscsccccccccccscscsscsssssssseseees 16 BTS SINGIN GS ET EEE N E A TAA IEN TN 16 The Settings SEEN S enre ainia NNa iaaa iaa Eea SE aaan 17 Home Screen Screen Settings esessessessesessessesseseescssessescosesseseoseosessescosessessosssseesesseseesesses 18 Workstation TYDE ureien EE EN 18 Ee a Sects EN A A E O NE TA TE E E anna A eee 18 US OM A PEENE E E E E E E E E E 18 BEILE E p LEEA E P E E OI E E E eee 18 Design LICENSE cxsuecesuacces vases deneascetssesscecvasoscas tease sussecraa ev teatansseastraserenuusenantanaeaniens 18 FSS VV ANE IIE ET A O AEN A ANA E T 18 Numbering SCHEME arestis annin ie EEan iS a SEE aaea Eaa 19 Prue Angle Metho airearena aeaa E EEE TE 19 MACI R a eren NAT E A ONARE 19 2014 E4D Technologies All rights reserved 11515600 B 1 SOCEM INCR NESS gurena nae a E E EE A RA TE 19 DOD PET TOO rna E E NE E EE 19 Space Dall SEINGE riae E EEE AEE 19 Network SettinS cecscssssessssssccsesssssssssscsessssssssssescsessssssssesesescsesesseesesescsesesseseseseeees 20 WOIKDOOK EKES ES rasia aar EEA E TEE EENT 20 Dentix Connec UOI serieari nanara aeaa EEEE EARN 21 Mill Notification seting sasssa TE 21 Sk DUNC Sak era cep cesscesesrcecscrattenssteequenesensarticateiss ctonsasgusoraieessentenedenaeavacsenvesteceastusnnel etuenies 22 MANOS ENOS seina A E
6. ftandarad a Deotelled Mill Tab Settings Click Settings to change any of the settings listed below Network Settings This should only be changed by a customer service representative Incorrect network settings will make the design computer unable to communicate with the Job Server and mill Material Shade Settings The material and shade for the current restoration can be changed here Margin Thickness Settings Select the minimum material thickness along the margin The recommended margin thickness is 70 to 100 microns to reduce margin chipping or potential short margins 11515600 B Mill Tab 131 Milling Settings Milling Settings only affect proposals with a sharp interior angle like an anterior incisal edge If the interior of the proposal is smaller at the tip than the tools in the mill the Standard setting removes extra material at the tip This may lead to a crown that is too thin at the top The options are to round the preparation or to select Undermill If Undermill is selected then the mill will go as far as the tool s size will allow and the remainder must be removed manually AG Proposal Standard O Preparations O Undermill Simulation Settings Click Settings on the Mill tab to view edit the Simulation Settings The default selection is Speed This will give you a faster simulation Select Quality for a more accurate i simulation but be aware that it will take longer to process
7. of the FOC Rules Operation is ef subject to the folowing two A eE condiions 1 This dawce may nat ioe PEPI AT TE cause harmful interterence and errn hiii ms T 2 this dioe must accipi any interference a oa r received including interference that may causa unmdisred ODeralio MILLING MA HIH E SERIAL HUME ER K This ass A digital apparatus complies with Dom i k Canadian ICES 003 Catt apparel nunmirigut de ba clars A est confomme la norme NMB O03 du Canada DOPE Pijer A Note If any of the labels are missing or illegible please contact E4D Technologies Customer Support for replacement labels Note Label examples are not shown actual size The labels may have changed since this book was published Attention Labels Attention labels are located in numerous places on the E4D components These labels direct you to specific safety entries in this user manual Adhere to all such safety warnings at all times 11515600 B Mill System Specifications 211 External Components and Connectors When connecting external components to the E4D system attach only components that have been tested for compliance with IEC 60601 1 or UL 60950 Connectors for attaching external devices conduct low voltages Avoid touching the connector pins Protected Earth Ground Label The Protected Earth Ground label is attached to the Mill e box as shown 212 Mill System Specifications Version 5 0 User
8. 196 Preventive Maintenance Cleaning Version 5 0 User Manual 12 Use the wrench to hold the spindle housing in place and use the collet tool to tighten the collet Be sure to use your fingertips to turn the tool to avoid using too much torque 13 Insert the Nozzle Cleaning Brush in the small holes on the spindle cap at an angle This will push any ceramic buildup out of the hole 14 Clean the cap and the gasket with water 15 Replace the spindle cap with the gasket 11515600 B Preventive Maintenance Cleaning 197 16 Align the spindle cap and gasket using two of the screws This ensures the gasket 17 2 does not slip out of position while the pieces are being screwed into place Tighten the screws with the hex wrench side of the collet tool Use your fingertips to turn the tool to avoid using too much torque Close lid when finished The tools remain in the tool changer until the next restoration is selected to mill To skip the instructions for the other type of spindle cap proceed to the next chapter Spindle Cap B Touch and hold the Collet Cleaning icon A message appears and shows the number of hours remaining before a scheduled cleaning is needed Touch Yes to continue 198 Preventive Maintenance Cleaning Version 5 0 User Manual The tools are automatically placed in the tool changer and the bellows are moved out of the way The lid pops open when ready 3 Use the Spindle Cap Tool to turn the spi
9. Additional Assistance The following additional materials are provided to assist you in operating the E4D system e Quick Reference Cards e Exercise Workbook e Online Help 2 e Training Videos available at e4d com resources on the ECO Member s page If you have questions please contact Customer Support at Toll Free E mail Fax Hours of Operation Monday Thursday Friday Web site Mailing Address 800 537 6070 customersupport e4d com 972 479 1106 7am 7pmCT 8am 5pmCT www e4d com D4D Technologies LLC dba E4D Technologies 650 International Pkwy Richardson TX 75081 See 3M and E4D Support Guide on page 219 for information on who to call if you are using a 3M True Definition scanner 11515600 B Administration 27 Scanning Safety Warning Failure to adhere to all safety warnings may result in personal injury equipment damage or data loss The scanner s FireWire cable may only be used with computers that have an appropriate NRTL listing mark for ITE or Laboratory Equipment or a Listing Classification mark for Medical Equipment Do not use the E4D products for any purpose other than its intended and labeled use To prevent electrical shock do not open any sealed or user restricted access panels or connectors In case of emergency unplug the scanner from the computer port and or unplug the computer power cord from the wall or from the computer Caution The scanner is designe
10. located inside the milling chamber the bellows resembles an accordion and moves the restoration block C Contact the area of a tooth that touches the adjacent tooth D DDX Henry Schein DDX Digital Dental Exchange Used with E4D Sky F Fossa an irregular depression or concavity on the occlusal surface of the tooth G Glaze a thin transparent coating on porcelain restorations ICEverything pronounced I See Everything often referred to as ICE The textured view of the model usually used for scans done in the mouth Glossary 231 232 Glossary Inlay a restoration made to fit a tapered cavity preparation original cusps remain intact Insertion the path created in the tooth preparation which will allow the restoration to be seated into the patient s mouth Interlock Key used for diagnostics by service technicians It is important that you keep the key and know where it is stored in your office M Mandrel the metal piece of the restoration block that is inserted into the mill to hold the block steady during milling Margin the outside edge of the preparation which marks where the outside of the restoration should meet prepared tooth O Onlay a restoration that restores one or more cusps and adjoining occlusal surfaces of the tooth Orientation The selected model position for Autogenesis to propose the new restoration Autogenesis in turn uses this set position as a starting po
11. 11 are Library A Square Round All teeth are Library C Square Square Teeth 7 through 10 are Anterior A2 Teeth 6 and 11 are Library A Cutback A4 38 Setting Up a Restoration Version 5 0 User Manual 11515600 B Block Selection With over 200 combinations of block sizes materials and shades available the selection of the correct block can be a daunting task Here are some guidelines for more specific directions contact your local lvoclar Vivadent or 3M ESPE representative 3M ESPE supplies E4D s composite block Paradigm MZ100 Because of the custom mill paths within the mill this block will typically mill much quicker and have less associated bur tool wear These blocks are cylindrical Insurance coverage may vary compared to ceramic blocks Lava Ultimate is a nano resin ceramic ideal for all indications including implant superstructures Fast milling no firing for great results lvoclar Vivadent categorizes their IPS Empress block selection by amount of translucency LT blocks have lower translucency and therefore are more opaque allowing some visual blocking of the underlying tooth structure ideal for full coverage HT blocks are higher translucency blocks they are great for inlays and onlays where surrounding tooth structure can positively affect the esthetic outcome Multiblocks are blended in color and translucency from cervical to incisal and allow for complete esthetic control IPS e m
12. Mhi k IEF E Feds b ha F H ti b Pagan b Peawelicil4 mn aep a mjin bee a ed iu Erni i d Meins i g Ea T Bee h j a Double click the d4d folder to open it Double click the designcenter folder Double click the patient folder Data Management 141 142 7 Click Date Modified circled in orange below to sort the list If Date Modified is not showing click Views circled in green and select Details OA iega paiia fie ad Pokies Taska giy Miser ih kc i vate FI Bos AM i Comey Rae tiie TSR ELTA Oe bat the fae tothe PEI LOE A fras i Matera Thchrew i TEND bdo PA bal Ture thes homes Taping Mil Tabi TATS 1 30 PH CD Erma Era Pome hey er D maj Cee Magee TE Lae Pa See Cine tem Fokis 1 iterercecnal Cone acts hik TEED 1s PH WRDD 91d AM Em i S71 IRODA a AM 0 var Hirr Atapa Liga a Co Drang Mar gin l Se Lic ae Editing Mangre ALO LEN a gt Debris red Com TY LOS TH a Po ra Creer feng HLS iii a SS iH a TOU LAM EE Fanga Pika HIRO LE AM fey re Corin Gii ties ee Ah BS Lis a Oribe fr TS aiad Seara i FUAD LH AM ottbaok fs TE Orientation LES Ve a Co Werlich he PE takers Mii Paneer ong ere A iik Be Reel ei L HL iia riik Be Moet lopan Dirag BLL M a 8 Highlight the older patient folders you want to archive 9 Press Ctrl X to cut the highlighted folder s The files will not be deleted until they are pasted in another folder 10 Click My Computer in the menu on th
13. Note If any of the labels are missing or illegible please contact E4D Technologies Customer Support for replacement labels Note The labels may have changed since this book was published SD al wo WATTS 12W 154 Scanner Specifications Version 5 0 User Manual oss SIF ley Wus 11515600 B External Components and Connectors When connecting external components to the E4D system attach only components that have been tested for compliance with IEC 60601 1 or UL 60950 Connectors for attaching external devices conduct low voltages Avoid touching the connector pins Internal Fuse FS2 1 5A 63V FF 50A IR UL Listing UL Medical Equipment Listing MEDICAL GENERAL MEDICAL EQUIPMENT AS TO ELECTRICAL SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH ANSI AAMI ES60601 1 2005 CAN CSA C22 2 No 60601 1 2008 EN 60601 1 2006 IEC 60601 1 2 IEC 60825 1 30SD Scanner Specifications 155 Design Center Troubleshooting Repair If you have questions please contact Customer Support at Toll Free 800 537 6070 E mail customersupport e4d com Fax 972 479 1106 Hours of Operation Monday Thursday 7am 7pmCT Friday 8am 5pmCT Web site www e4d com Mailing Address No power Power cable unplugged Outer power supply switch turned OFF Inner power supply switch turned OFF Login screen appears Screensaver login turned ON 156 Design Center Troubleshooting Repair D4D Technologie
14. See Smile Design on page 37 for more information on the tooth libraries 5 Specify a material See Block Selection on page 39 for more information on material selection 6 Specify a shade The shade is shown on the Mill instructions along with the material and block size Note You can change the tooth library on the Design tab The system offers block size options on the Mill tab The material can be changed on the Mill tab Settings 7 Click the Scan tab or click Next 11515600 B Setting Up a Restoration 35 Changing the Tooth Selection 1 If the wrong tooth was highlighted for the restoration right click the tooth and click Deselect 2 Click on the correct restoration site 36 Setting Up a Restoration Version 5 0 User Manual Smile Design The facial pictures below show the anterior library options grouped together by type Round Round Teeth 7 through 10 are Anterior A1 Teeth 6 and 11 are Library A Square Round Teeth 7 through 10 are Anterior A2 Teeth 6 and 11 are Library A Square Round All teeth are Library C Square Square Teeth 7 through 10 are Anterior A2 Teeth 6 and 11 are Library A Cutback A4 11515600 B Setting Up a Restoration 37 The lingual pictures below show the anterior library options grouped together by type Round Round Teeth 7 through 10 are Anterior A1 Teeth 6 and 11 are Library A Square Round Teeth 7 through 10 are Anterior A2 Teeth 6 and
15. AE E AEE 145 1 SAE E EE N A T 145 Laser Product S alely reee ia A E E E 145 Packaging and EnvironmMental ccccssssssssesssscscsescsssssssscsessssssesesesesescseesesesesesees 145 BUC AU MOG MO NINE os aaea na EE E ETOT 145 European Standards u ccscsesssssssssssscsssssscscsessssssssssescsesesessesesesesessseesesesesessseseesesesesees 145 Canadian standards serssrsyaririiri iinei arrr ENO OANE 145 US Food and Drug Administration sesseessesseessesssessesssesseesecoseeseesseesseoseossesseessee 145 international standard S ssarssrurin n Eer E EN 146 Appr vals All Systems ccissccsscosieccssnscascscsdesdeasveecensevsesdscctinssevsensssessscstsanenevesconden 146 Guidance and Manufacturer s Declaration Electromagnetic Emissions 147 Guidance and Manufacturer s Declaration Electromagnetic Immunity 147 Recommended Separation Distances cccccssssssssesesessssesesescsesesseseesesssessssesescasseseess 150 NEVO Scanner Optical Specifications se sseesseessseesseesseesseesseesseesseesseesseesseesseesseesseessss 151 EAIDGIS csssvcansssessovevcnsuncssssevescusveneiedonsveseoussdasdnssussuaseusedeedasssnvsscevecssietassseeseadsecsdenesss 152 ep NNO I Se cecs tex gruaetenssstatcaasacetexceasersatasusnusactaescrvecesecusays oxereesientarinres atesaeremsenactesserenuetastesetiens 152 PFOGUCT IGSNTIMCATION LAIDEIS sasussusussasessccassnsustenessavasseavtuvivevascensavesescanscovervarvenssuebdaveneansdees 154 External C
16. Basic Basic Scan Method Ex WkbkK Ex Basic Drawing Margins a If the exercise name has been edited the icon turns yellow xyzWkbk Ex Basic Basic Scan Method xyzWkbk Ex Basic Drawing Margins xyYZWkbK Ex Basic Editing Margins 1 To save the current set of exercises with the user s initials click the Save Prefix field cursor does NOT appear and enter the desired initials Note Many clinical operators put a Z at the beginning of the initials to alphabetize the exercises at the end of the patient list 2 Click Save This renames the existing exercises with the prefix and changes the icon to yellow 3 Click Restore If the existing green exercises were not renamed with a prefix they will be deleted and replaced with the default exercise data 4 Click Remove to delete all of the green exercises 20 Introduction Version 5 0 User Manual Dentrix Connection For Dentrix users 1 Click Enable ne DENTRIX 2 Enter the Dentrix Server IP address Ot PACIO in 10 10 1048 3 Select Procedure Codes to display only the E patients with a crown inlay onlay or veneer _ scheduled The restoration type and tooth number appear in the patient s Restoration list and on the Setup page If Procedure Codes is not selected the system displays all patient appointments for the day without procedure information Proce chare Codes Dentrix Cometh 4 Click Save Mill Notification Settings For mill systems Use
17. See instructions below for cleaning the base of the scanner 24 Administration Version 5 0 User Manual Removing the Tip 1 Grasp the grey portion of the scanner with one hand Use the other hand to depress the black button and gently pull the tip from the scanner High Level Disinfection 11515600 B Note These instructions were validated using MaxiCide Plus w Activator 3 4 Gluteraldehyde disinfectant available from Henry Schein Dental 102 2865 DO NOT Autoclave DO NOT place in Ultrasonic Cleaner Clean the tip for 2 minutes under running tap water at 22 25 C 4 liters minute to remove debris Test the potency of your activated MaxiCide Plus prior to disinfection Recommend MetriTest Strips by Metrex HSD 602 3437 Immerse the tip in activated MaxiCide Plus for 120 minutes 2 hours Note Do not leave the tips soaking overnight Remove tip from the disinfectant Rinse disinfected part in three separate copious amounts of distilled water 1000 ml volume of water minimum of 2 head height while part is immersed Agitate the tip in the water for 30 seconds and then let it stand in the water for another 30 seconds Administration 25 6 Repeat the agitation and soak in each of the other two containers with fresh distilled water Storage 1 Wipe water off mirror using non woven optical wipes recommend Kimwipes Lens Cleaning 101 7070 2 Optional Insert tip into a sterilization pouc
18. Studio in the top right corner of the screen 214 Digital Impressions Version 5 0 User Manual A screen with sending options appears Also Upland ll Sean 3 Enter any desired Notes Note Also Upload All Scans is inactive by default Including the scans will significantly increase the file size and should only be activated when necessary 4 Click OK to send the data to the Job Server 5 A message appears to confirm a successful upload or to tell you if there was an issue Click OK Retrieving Jobs on Studio At the Studio workstation click E4D Studio on the Home screen A screen appears with a list of available jobs for download and the instruction options that had been chosen 0 Angie 3 Gary T Confirm Design prior to Milling Detailed Milling slower Confirm fit with tey in prior to finishing t Polish Stain and Glaze see notes 11515600 B Digital Impressions 215 2 Select the desired case and click Retrieve 3 Aconfirmation message appears Click OK The patient name will appear on the Home screen with an Rx symbol to signify the patient data has been downloaded If there is already a patient with that name in the list the system will add a new patient file with a number following the name Example Example 1 Workbook Ex Basic JD Movement and Design Workbook Ex Basic 9 Scan Method Workbook Ex Basic Drawing Margins Using Studio Design the restoration using the nor
19. Upan AR oms Tis by There are several available procedures in E4D Sky e Design My Case Send a case to design experts in the E4D Design Support lab to provide design services to assist you with more complex cases or when your office just needs some extra help at busy times The completed design is returned to you and ready for milling Additional fees and restrictions apply e Mill My Case Complete your design and have E4D Technicians mill your design from specified material and shade IPS e max IPS Empress LAVA Ultimate Additional fees and restrictions apply Make My Models Send your preparation and opposing scans and have SLA models fabricated Quadrant only and returned to you or to a specified address Additional fees and restrictions apply Send to a Certified E4D Laboratory Collaborate with an authorized E4D laboratory and send your digital impression data to them for design assistance or full production of the final restoration See Send to a Certified E4D Laboratory on page 225 for instructions Fees for these services are determined by the selected laboratory e Export and Send Buccal Bite Case stl Create an authorized conversion of scanned images bite model or pre op or final restoration design to an open file format stl This allows maximum flexibility for model fabrication material E4D Sky 221 Sky Setup 222 Q uu A W E4D Sky utilization and additional treatment options Additio
20. already selected Do NOT select Scan Bite Registration which resembles an impression Use the same scan pattern as for an intraoral or a model scan Click Data Density View to evaluate the model for low data Note that from the occlusal view the impression can give the optical illusion of looking like a regular model Version 5 0 User Manual 4 Rotate the model to see all of the impression Be sure to check the contact areas on the adjacent teeth 5 If there are areas that need additional scans such as the mesial interproximal area shown above take extra scans 6 Click Data Density View to deactivate it Click Impression Mode to invert the model into the normal view All other tabs will use the inverted model of the impression for creating the proposal 8 Click the Margin tab and continue with the normal procedure for drawing the margin and designing the proposal E4D Studio Satellite Design Station If you have purchased the E4D Studio workstation see Digital Impressions on page 214 for instructions on how to send the cases and receive the finished designs 11515600 B Scanning 73 Orientation This chapter does not apply to Scan Only systems Scan Only operators will click Orientation to deactivate it and proceed to mark the margin page 92 and align the buccal scans page 103 Orientation The selected model position for Autogenesis to propose the new restoration Autogenesis in turn uses this s
21. and any teeth in between Scanning 67 Scanning an Anterior The scanning pattern for anteriors is similar to the posteriors Since there is more varying data on the lingual side it is recommended that the lingual scans be taken after the occlusal scans 1 Start on the prep and scan the occlusal of the prep and the mesial neighbor Rotate to the lingual and scan the prep and adjacent teeth Rotate across the distal neighbor to reach the facial side A W N Scan the facial side 68 Scanning Version 5 0 User Manual Watch the model as it processes to ensure the scans are applied to the correct area Anterior teeth are often very similar to each other Following the suggested scanning steps lowers the chances of misalignment The scanning method is the same for all anteriors When scanning intraorally it is sometimes more comfortable to have the scanner tip pointing towards the mesial instead of the distal In this case the surface indicators on the model will be incorrect until the Orientation is changed Optional Additional Scans Evaluate your model When you have long and straight anterior teeth additional facial scans are sometimes needed to capture all of the data With the adjacent tooth or preparation in the center gradually rotate down the facial side of the tooth For optimal design more scans of the adjacent teeth may be desired 5 Click Data Density View to verify the integrity of your model Rescan any
22. choices you make on each tab affect the options available on that and related tabs The typical restoration utilizes the tabs from left to right Moving backwards in the process e g modifying the settings in the Margin tab after completing the design in the Design tab can cause settings and designs to be discarded The system warns you when your actions will cause design data to be discarded Some system configurations will restrict the use and access of individual tabs Screenshots You may wish to save an image of the screen for communicating with associates or E4D Customer Support To take and save a screenshot om On your keyboard press the W key and Prt Sc keys The computer takes a screenshot and saves it in Libraries Pictures Screenshots The screenshots are automatically numbered You can rename them if desired 16 Introduction Version 5 0 User Manual 11515600 B The Settings Screens Access Settings by clicking the Settings button in the Home screen or the Settings button Ta on each tab These screens contain preference settings that modify the default behavior of the software The settings are based on each screen Use the arrows to scroll right or left Click a category to select it Selected categories display in the bottom of the screen Click Restore Factory Defaults to revert to original settings click Save to save changes or click Cancel to exit without saving Choo 4 caheqory above
23. click e Hold down the left mouse button to draw a continuous line Release the mouse at any time to stop This requires a steady drawing hand with the mouse and is not recommended for beginners If desired switch between small clicks and continuous lines 7 Click the starting point to finish the margin The system automatically changes the trace line to a margin line Your margin should resemble the following 8 To delete the margin and start over click the Paint Trace or Lasso button 94 Margin Tab Version 5 0 User Manual Lasso tool The Lasso tool is recommended for partial restorations and supragingival margins with a sharp edge Click the Lasso button The pointer changes to 4 Click along the margin at large intervals The system creates a line along the edge between each click The starting point and the most recent point clicked appear as blue dots Click to accept the previewed segment Click the starting blue dot to finish the margin To delete the margin and start over click the Paint Trace or Lasso button Note If Lasso is having trouble finding the margin you can change the ICE Margin Mode to Texture Only See below Margin Tab Settings 11515600 B ICE Margin Mode For intraoral cases only ICE Margin Mode determines which view the system uses to create the margin curve when using the Lasso tool Click Settings Click ICE Margin Mode The default setting Normal
24. down to see the cusps of the adjacent teeth 2 Evaluate the cusp heights of the adjacent teeth Align your cusps and axial walls according to the Curve of Spee Before After proximal cusp tips and axial walls are aligned 3 Click Buccal or Lingual to view from the side Use the red line as a guide to evaluate the marginal ridge alignment of the adjacent teeth In this example the alignment is good 80 Orientation Version 5 0 User Manual Return to the Occlusal or Distal view to make adjustments if necessary You do not want to adjust the orientation from the buccal or lingual point of view because it is easy to accidentally change the mesial distal alignment at the same time 4 Click Occlusal 5 From the occlusal ensure the model is straight across from mesial to distal Imagine a straight line going from the mesial to the distal Shown in orange below 2 aa a ae WY OY eA a ti ed p 6 When satisfied click Orientation to accept changes Orientation can be reactivated and altered at any time If Autogenesis has already been applied be sure to go to the Tooth Libraries screen and reapply the library tooth for the new orientation See Apply the changes on page 106 for instructions Verifying Orientation After the Margin is drawn and edited the Preview Library icon appears See Creating the Margin on page 92 for more information This is an optional step that displays an example proposal that
25. extra data before manually aligning The buccal bite has an extra Show Hide Buccal option This enables you to hide the buccal bite model and evaluate the opposing and prep models Version 5 0 User Manual To align models drag and drop the buccal bite pre op or bite registration over the prep model The models will snap into place or will return to their original positions In Buccal Opposing cases the opposing model appears after the prep and buccal bite are aligned Click and drag the opposing model to match the buccal bite model To access the menu options at the top or to return to scanning deactivate the selected Alignment icon You cannot proceed if the Alignment icon is active orange 11515600 B Scanning 63 Scanning a Pre op Use Scan Pre op when you want to scan a pre operative tooth or a wax up Pre op scans can be used in combination with the Library tooth or can be used as a template like a bite registration 1 Onthe Scan tab click Scan Pre op Scan the pre operative tooth or wax up with the same scanning techniques used for the prepared anterior or posterior tooth 2 Prepare the tooth On the Scan tab click Scan Prep A Time Saver message appears This message only appears when the pre op is scanned first The Time Saver option allows you to duplicate the pre op model and use the same data for the preparation model Note Time Saver cannot be used in conjunction with Impression
26. feature is activated If a tool breaks Broken Worn Tool Detected e The lid lights turn blue and the lid pops open e The operator assesses the restoration and Please check your restoration closes the lid Close lid to determine further action Once the lid is closed a new message displays If the restoration has black marks or has come off of the mandrel click No The lid pops open Remove the block Select the job to restart milling The system will prompt you to insert a new block at the beginning of the restarted milling process To continue milling with a new tool click Yes To deactivate this feature contact Customer Support 178 Operating the Mill Version 5 0 User Manual 11515600 B y 1 Replacing Inserting Tools Ifa needed tool is not already in the tool changer the following message will appear IPS Empress CAD Multi ASS 102 8 17 07 10 43 AM The reasons for replacing a tool include e Tool s needed for the restoration are not in the tool changer e Fill empty slots in tool changer e Tool in spindle is broken Tool is too worn down to use On the Home screen select Maintenance The Mill Options menu appears Open chamber Unlock drawer Delete job list Turn off the mill Operating the Mill 179 2 Highlight Replace tools by either touching the screen or using the up down arrows and touch Select The Replace tools screen appears In the example below there is a
27. has not been aligned with the adjacent teeth The position of the preview tooth is based on the Orientation It can be used to evaluate and adjust the Orientation 1 Click Preview Library A green tooth appears above the margin If this is a partial restoration the preview tooth may be significantly smaller 2 With Preview Library activated you can activate Orientation and evaluate the overall alignment of the model 11515600 B Orientation 81 3 From the occlusal is the central groove in alignment 4 From the buccal are the marginal ridges parallel to the marginal ridges of the adjacent dentition Note that the preview tooth is usually higher than the adjacent teeth The proposal will drop down to align with the adjacent teeth during Autogenesis a oF T a 82 Orientation Version 5 0 User Manual 5 From the distal are the cusp tips in parallel alignment Since the preview tooth usually sits higher than the adjacent teeth it will not follow the curve of spee 6 Make any necessary changes to the Orientation 7 When satisfied with the alignment click Orientation to accept the current position Resetting the Orientation The Orientation can be Reset at any time If there are multiple restorations the Reset will only affect the tooth of the currently selected tab Clicking Reset moves the model into position based on the first scan 11515600 B Orientation 83 Rotating the model In this example the mo
28. if the proposal makes contact with gingival tissue as illustrated in the example below In these cases you must create the contact manually 11515600 B Designing the Restoration 121 Margin Boost Margin Boost setting enables clinical operators to increase the thickness of the proposal around the margin Margin Boost is OFF by default Use Margin Boost Settings to designate the default margin boost for each craven a restoration type Inlay Onlay The controls are similar to the Dropper tool The Area of Influence blue bubble 3 affects the width and thickness of material Mrih added The width is represented by the horizontal arrow 1 000 in the example The thickness of material is represented by the vertical arrow 0 100 in the example The vertical slider on the right is the height of the material added This is generally kept towards the bottom near the margin a Janne The effects of this tool are most easily seen on pre op cases where there is a gap between the margin and the pre op template however this tool can be used on all cases to ensure sufficient material thickness and avoid chipping during milling Default Pre opAutogenesis Autogenesis with Margin Boost No Margin Boost Make any desired changes to the Margin Boost In Tooth Libraries click Apply to regenerate the proposal with the new settings The settings are saved for the next proposal Note Margin Boost is recommended over the
29. interference received including interference that may cause undesired operation Note This equipment has been tested and found to comply with the limits for a Class A digital device pursuant to part 15 of the FCC Rules These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instruction manual may cause harmful interference to radio communications Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at his own expense This ISM device complies with Canadian ICES 001 Cet appareil ISM est conforme a la norme NMB 001 du Canada Warning This is a Class A product In a domestic environment this product may cause radio interference in which case the user may be required to take adequate measures 146 Scanner Specifications Version 5 0 User Manual Guidance and Manufacturer s Declaration Electromagnetic Emissions The E4D SCAN1 is intended for use in the electromagnetic environment specified below The customer or the user of the E4D SCAN1 should assure that it is used in such an environment Emissions Test Compliance Electromagnetic Environment guidance RF emissions CISPR 11 Group 1 RF emissions CISP
30. keep the patient Editing a Patient Identifier Name To edit the patient name 1 Highlight the patient s name to select it and click the pencil icon 2 Change the patient Name 3 Clickthe arrow icon to save the change or press the Esc key to exit without saving changes 32 Setting Up a Restoration Version 5 0 User Manual Deleting an Existing Restoration 11515600 B 1 Click to highlight the patient 2 Click the Restoration you want to delete 3 Clickthe button below the Restorations list Pre Trakurey Orewa Magers Pre Training interpronimal Contacts Pre Trig Material Thcioneds Pire Traimg M Tab WDE Er Bowie 30 Movermer4 Wit Er Basic Basic can Method Wibi Er Basic Drawing Margins Wibi Er Basic Edig Margiris Whkbk Er Batic Eeteasures and Comuct Wik Er bret Anmonmy Wht Ea im Ciona aa a Library Toeh Hiri Note Be sure to click the button below the Restorations list If you click the one under the Patients list you will delete the entire Patient file 4 A verification screen appears Click OK to delete the restoration Click Cancel to keep it Starting a New Restoration or Opening an Existing Restoration After entering the patient s name you can proceed to setting up a restoration Click to highlight the patient you would like to set up Click Start a New Restoration Or to continue working on an existing restoration click Open Existing Restoration
31. logo will be grey Click Reset Your Password on the Sign In screen if necessary The user remains signed in until the email address is clicked and log out is verified E4D Sky Services 1 If itis not already open select the desired case and proceed to the Margin Design or Mill screen 2 Ifyou are on the Margin screen and Orientation is active deactivate it Sky is not available while Orientation is active 3 Click Sky in the top right corner of the screen The Sky options appear Also Upload All Scans to Sky is inactive by default Including the scans will significantly increase the file size and should only be activated when requested by the recipient or when the recipient will need to use ICE View 4 Click Access E4D Sky Services 11515600 B E4D Sky 223 A new screen appears schedule an E4D Sky Service F T Patent Datalis Deciar buries San r ta Farad Hime Last Name Riyoh Cam rece Patiert ID Birth Gate a Teeth tt coe Geri Sarvires By default when the patient name is imported for the case form the system assumes the first name is first and last name is second If the patient has more than one name only the first two are imported 5 Scroll down to see the service options 6 Click the desired service s The Payment Details section appears The amount for each selected service is multiplied by the number of restorations on this case 7 Select the desired payment type 8 Enter t
32. machine gt a he Spindle Cap A four visible screws Spindle Cap B no visible screws See Spindle Cap A on page 192 See Spindle Cap B on page 198 11515600 B Preventive Maintenance Cleaning 191 Spindle Cap A 1 Touch and hold the Collet Cleaning icon A message appears and shows the number of hours remaining before a scheduled cleaning is needed 2 Touch Yes to continue The tools are automatically placed in the tool changer and the bellows are moved out of the way The lid pops open when ready 192 Preventive Maintenance Cleaning Version 5 0 User Manual 3 Use the hex wrench side of the collet tool to remove the 4 3 mm screws from the spindle cap and remove the spindle cap and gasket Ensure the gasket has been removed along with the spindle cap Sometimes it sticks to the spindle housing Collet Tool Spindle Cap and Gasket 4 Remove the collet using the other side of the collet tool If the spindle is turning instead of the collet use the 12 mm side of the silver collet wrench to hold the spindle in place while you loosen the collet 11515600 B Preventive Maintenance Cleaning 193 5 Rinse the collet and use the small silver wire brush to clean the inside running it through a couple of times 6 Clean the outside of the collet as well Any debris on the collet will cause the tool to not seat properly 7 Inthe spindle collet shaft you are likely to see 3 lines of debris
33. margin use either the Paint Trace OR Lasso tool They are not used in combination Paint tool The Paint tool is recommended for supragingival margins 1 Click the Paint tool The pointer changes to o 2 Hold down the mouse button and drag the Paint tool around the scanned prep to highlight the outer margin edge The margin doesn t have to be perfect but gaps must be avoided 3 Click the Paint button again The system automatically draws the margin 4 To delete the margin and start over click the Paint Trace or Lasso button Margin Tab Version 5 0 User Manual Trace tool The Trace tool can be used on any margin but it is especially recommended for equigingival and subgingival margins 1 1 Click the Trace button The pointer changes to P Click Show Features to highlight high contour areas in green Zoom in and rotate the model until there is a good view of the margin 4 Position the Trace tool in the middle of the green high contour indication on the margin Note Show Features is recommended as an aid in finding the edge of the margin it is not necessary for using the Trace tool Draw the margin in the middle of the green high contour indication 5 Click on the margin A dot appears as the starting point 11515600 B Margin Tab 93 6 There are two options when drawing the margin with Trace e Click along the margin in small increments The system creates straight lines between each
34. or a service technician the following screen will be displayed upon startup The Override Warning icon appears on all screens Touch the icon to view which sensors are being ignored When the Mill is in the Override Mode normal operation can continue 184 Operating the Mill Version 5 0 User Manual Mill Troubleshooting Repair If you have questions please contact Customer Support at Mill Mill does not turn ON Block orientation on mill incorrect Pump making fast thumping noise 11515600 B Toll Free 800 537 6070 E mail customersupport e4d com Fax 972 479 1106 Hours of Operation Monday Thursday fam 7pm CT Web site www e4d com Mailing Address Power cable unplugged Power supply switch turned OFF Faulty ON OFF switch Dirty Block Orientation Sensor Dirty tank DAD Technologies LLC dba E4D Technologies 650 International Pkwy Richardson TX 75081 Verify power cable is plugged into a live AC outlet Set power supply rocker switch at rear of mill to ON position Call Customer Support Using a small long object push very gently on the sensor switch two or three times Clean tank May also have to clean the collets Mill Troubleshooting Repair 185 Air failure message icon turns red Fluid Level Low Message Tool stuck in collet Not generating tool path Drawer won t close Milling is not completing on the facial surface of an anterior tooth Loss of ai
35. required then perform a tank cleaning and replenish the tank with fresh coolant and water 6 Replace the tank in the drawer 7 Close drawer carefully with audible click The Mill automatically locks the drawer Clean the mill chamber 1 Select Open chamber on the Mill Options menu The lid opens 2 Wipe down the lid and the chamber Zirlux FC2 Mill Maintenance It is necessary to clean the mill and change the water before milling Zirlux FC2 If the zirconia is contaminated with other materials it will turn green when sintered Cleaning after milling is recommended because the zirconia acts as a thickening agent with the water 190 Preventive Maintenance Cleaning Version 5 0 User Manual Spindle Cap and Collet Cleaning Cleaning Cycle As Needed Over time residue from the milling process may build up in the spindle caps and or on the collet This inhibits coolant delivery and or reduces the spindle s tool holding capability Clean the collets and spindle caps when the icon turns red or the tools walk do not stay flush with the spindle during a restoration Replace the fluid regularly to reduce residue buildup The Collet Cleaning icon turns red when the collets and spindle caps are scheduled to be cleaned Touch the icon at any time to see how many milling hours are estimated before the caps need to be cleaned There are two spindle cap types available on the Mill Follow the directions for the spindle caps in your
36. solution every time you mill with the MZ100 block Without the defoaming solution the milling fluid may foam and overflow 1 After inserting the MZ100 block into the milling chamber shake the bottle of defoaming solution and position it over the chamber 2 Press down once to release the solution directly into the milling chamber 3 Close the chamber and begin the milling process as explained below 11515600 B Operating the Mill 171 Zirlux FC2 Scale Factor See the manufacturer s Instructions for Use provided with the Zirlux FC2 blocks for processing instructions Zirconia shrinks in the sintering oven There are numbers on the side of the box that the blocks come in You must keep this box with the blocks Do not mix blocks from different boxes Each box can have a different amount of shrinking The Mill asks for the Scale Factor before a Zirlux FC2 is milled The system will increase the size of the restoration according to this number This means you cannot test the fit of the restoration before sintering Goan barcode of use beypad to mier ocala factor CARCEL EE NEXT Note It is necessary to clean the mill and change the water before milling Zirlux FC2 If the zirconia is contaminated with other materials it will turn green when sintered Cleaning after milling is recommended because the zirconia acts as a thickening agent with the water 172 Operating the Mill Version 5 0 User Manual Starting Milling Milling i
37. than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Co NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the E4D SCAN1 is used exceeds the applicable RF compliance level above the E4D SCAN1 should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the E4D SCAN1 b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Scanner Specifications 149 Recommended Separation Distances The E4D SCAN1 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the E4D SCAN1 can help prevent electromagnetic interference by maintaining a minimum distance between portable and m
38. that need to be cleaned These are from the slits in the collet If they are not cleaned the collet will not seat properly and will lead to walking tools Note The lines are not necessarily going to be positioned as seen in the example below There will be three equidistant lines The top one cannot be seen from the angle shown Da a 4 Ae ha a ji 3 y ai d C J a h 194 Preventive Maintenance Cleaning Version 5 0 User Manual 8 Use the larger bronze wire brush in the collet shaft Be sure to use a straight in and out motion and do NOT use a circular motion Note The air must be blowing during this step 9 Usea dental mirror to inspect the spindle or rotate it using the wrench to ensure all the debris has been removed 10 Use a DRY paper towel to wipe the inside of the collet shaft 11515600 B Preventive Maintenance Cleaning 195 Cleaning the collets and spindles is a very important process to keep your Mill running smoothly Dirt will cause the tools to walk not be seated properly and can cause broken tools Five minutes of cleaning can mean the difference between the pictures below Focus on cleaning the tapered surface inside the shaft and the front face The tapered surface is critical Clean the outside of the collets as well as the inside Dirt on the outside as shown on right can also cause the tools to walk if the collet cannot clamp properly 11 Insert the collet into the spindle
39. the tank at an angle Empty the liquid through the drain hole 5 Rinse the tank and the strainer basket to remove any ceramic residue 6 Insert the Nozzle Cleaning Brush into the small holes of the spindle cap 188 Preventive Maintenance Cleaning Version 5 0 User Manual 10 11 11515600 B Add one gallon of water 3 5 liters and six ounces of fresh milling coolant to the tank Note Milling coolant must be used or the warranty will be void Remove and clean the strainer when prompted by the on screen instructions The tank floats and strainer should be cleaned once a week to prevent mold growth or build up of ceramic material and for optimal circulation High volume offices need to clean the strainer and fluid tank more frequently Dirty tank floats and strainer will affect the fluid pressure of the mill and not allow the Mill to work properly Reinstall the strainer and click Next Replace the tank in the drawer when prompted by the on screen instructions Close drawer carefully with audible click The Mill automatically locks the drawer Refill milling fluids The water level icon shows when the water level is too low to continue milling In the Control Panel Home screen touch Maintenance Select Unlock drawer on the Mill Options menu Follow the on screen instructions for opening the drawer Remove the tank Preventive Maintenance Cleaning 189 5 Add one liter or quart of water If additional fluid is
40. to be redone If you are doing a multiple restoration case finish all of the margin edits before using the Retract tool Click Toggle Margin to view the ditched area without the margin This is similar to what your STL recipient will see E Click Toggle Retraction to show hide the virtual ditching 98 Margin Tab Version 5 0 User Manual Multiple Restorations On multiple restoration cases the tooth number is assigned to each preparation when the margin is drawn 1 Click the desired tooth number tab 2 Draw and edit the margin for the selected tooth number 3 Select the next tooth number 4 Draw and edit the margin for the selected tooth number Drawing the margins is how the tooth number is designated for each preparation If the wrong tooth number is selected when a margin is drawn the margin must be marked again on the correct tooth tab Note See the Bridges chapter for information on drawing pontic margins 11515600 B Margin Tab 99 Selection Area Tool 100 For designing systems only As soon as the margin is drawn on an inlay or onlay one of the following messages appears If you do not want this reminder to appear in the future select Do not show this message again Phesee delim A weber Fam Fr Ihe eri Pile Fe A ee a er E lia LRA le Lec Ae Powel Fa ee Seer ee A cee EO TS am nee ID Se ee te Click Take me there The system takes you to the Selection Area screen The Select
41. 27 Dropper 19 115 116 E E4D Studio 214 Expand 114 F Feature Define 118 Move 117 Paint 118 floats 189 G Gasket 193 H Hide Model 108 Highlight Low Data Areas 50 72 l ICE 91 95 96 Impression Mode 73 Impressions Scanning 71 Index 233 Incremental Change Tools 113 Inlay Selection Area 99 ISO 19 L Lasso 91 Margin 95 Library 35 105 Preview 97 License 18 Lights Mill 160 M Maintenance 188 Mandrel 126 Margin 93 94 Add Segments 97 Lasso 91 95 Move 91 96 118 Paint 91 92 Toggle 96 Trace 91 93 Margin Boost 122 Margin Ramp 19 Margin Thickness 131 Material 35 234 Index Material Thickness 108 Measure 110 Mill Lights 160 Milling Fluids 189 Milling Settings 23 Move 114 Margin 96 Move Curve 103 Move Feature 117 Multiblock 127 Multiple Restorations Scanning 66 N Network 20 131 O Onlay Selection Area 99 Orientation 74 Blocks 169 Multiple Restorations 85 Single Restorations 79 Overmill 23 P Paint Margin 91 92 Paint Feature 118 Partial Selection Area 99 Patient Adding 31 Deleting 32 Editing 32 Pending Jobs 168 Preview Library 97 Q Quality 132 R Rapid Scan 23 Reminder 18 Reset Warnings 18 Restoration Delete 33 Designing 104 Position 127 Restoration Inspection 178 Restore Data 143 Restore Factory Defaults 17 Rotate 113 Rubber Tooth 116 Version 5 0 User Manual S Safety 28 165 Scanning 41 Anterior 68 Impressions 71 Multiple Restor
42. 600 B Scanning 55 A copy of the preparation model is created in the bite registration model color 5 Click the Eraser Tool ey 6 Erase the preparation and the marginal ridges of the adjacent teeth 7 Click the Eraser Tool to deactivate it The model is smooth where the data has been erased 56 Scanning Version 5 0 User Manual 8 Activate the scanner and scan begin the scans with the occlusal of one of the adjacent teeth Once you have established where you are you can begin scanning the bite registration data 9 Scan the occlusal of the bite registration material and any of the adjacent tooth data that was removed and is not covered by the bite registration 11515600 B Scanning 57 Selecting the Bite Registration Highlight the opposing dentition to designate which areas of this model should be used for occlusion Click Bite Selection at the bottom of the screen This icon only appears on the Scan Bite screen Click and drag to highlight the areas of the opposing dentition that would come into contact with the restoration 58 Scanning Version 5 0 User Manual Your finished highlighting should resemble the following 3 Click Bite Selection again to deactivate it Note Click Reset if you made a mistake and need to start over Scanning Buccal Opposing The opposing teeth are scanned to acquire bite information for the proposal The buccal bite is scanned to align the preparation model with the op
43. DX for design or fabrication services e E4D Sky Services e Certified E4D Laboratories e File conversion to STL E4D Sky EAD Sky is a service for transferring files through the internet via Digital Dental Exchange DDX for design or fabrication services E4D Sky Services Certified E4D Laboratories or file conversion DDX is a global web enabled application by Henry Schein that allows dental professionals to communicate more effectively It can be integrated into practice management and lab management software or run through a standard internet browser and accessed through the E4D Sky network E4D Technologies is not endorsing nor responsible for the products and services received from third party companies through the use of E4D Sky Your credit card information is requested every time that you use a new laboratory If you choose to save the credit card information online you will not have to enter it again for that laboratory 220 E4D Sky Version 5 0 User Manual 11515600 B L EaD Siy Sirine Compare ly Cas EID Sey Gardos ME Wy Cipi ae roe aS sa ee ab po ate n al Pac aa ee ee hi cee Pyle pri sie ts aria bin Pa i eee in a TEIG eal a ay meer te WE ta mikri m Cw ef hid EAC Dey Gerem bea fa imi i a ee ie i fle nia ee AF CE Bo bi Bt es ET Bosca Gob ee T E i eed CL L tps ed Sard eal Cie oe j ol Sin Osi ar n 21 T ERE Sym ee eee ee Be LA ee ee y BuT tiap i dep fig m Be aa l M yy gl 7 ARG
44. Delete job list The job list is displayed with the text in yellow This indicates that the mill is in the delete mode Stay on the Pending Jobs screen to delete a job from the pending list or touch Finished Jobs to switch to that job list 4 Touch a job to highlight it 176 Operating the Mill Version 5 0 User Manual 7 ail Touch Select A warning message appears asking if you are sure you want to delete the job Touch Yes to delete the job If you want to delete all of your pending and finished jobs touch All Pending Parked and Finished Jobs Touch the Return button to return to the restoration list Automatic Tool Changer 11515600 B The Mill s automated tool changer holds an array of grinding tools The tool changer switches between grinding tools as the milling task demands The main screens display a graphic that indicates the age and type of tool in each spindle Minutes Used Indicator Bars in Milling Tool Type Tool Stripe Color Conical Bue Use Replacing Inserting Tools on page 179 to fill the tool changer exchange tool shapes or to replace broken tools Operating the Mill 177 Broken Tools and Restoration Inspection If a conical tool breaks halfway instead of at the shoulder the broken tool may not be detected right away If the broken tool continues to mill it can cause damage or put black marks on the restoration By default the new Restoration Inspection
45. EEE EEA EA 110 MEO PING ea ETEO EEN ETE EOE NOES 111 View Bite Registration Opposing Model or Pre 0p s ssesssesseessesssessesssesseesee 112 Incremental Change ToolS scsssececscsssccecsssccecossseccossssscoossssecesosssceeosssseesesssse 113 EOS AAE E AAE E IAA pect AIA A NA E 113 OE ar E E E E EE TE A E 114 ESA gE P AE E NEA TEE E T E 114 Freeform Change TOOIS scisicnsssscsasesvsscscaticceavnsevissvcctuncdeiussckisusiaisetninticsieusisieetinns 115 Version 5 0 User Manual RUD DOK TOOL secies raaa aTe a E E EAA RERNE 116 DODDO ara A AE A A E EAA 116 MOVO FO UO r ae E E EE E E reer 117 SITIOO UN SUT i 1E PAA E 117 OVANT CMA a E A E EEE E E OTTE 118 IDS MING IF CALLIN E uaina AE vausstnrSecsssvncisvstokssdnosnenndednvencaees 118 FAMINE TS A UTS scat eases AE snes cute ot ctncpe nares ETE E sete N A A E 118 Contact Refinement is scicsccsccccssssiseesuscsvcaceseviderccasveubecsdedescsussessusssotssccousivecsevianenes 119 Spacer LOO isis sasvicdecsccasuvacseutscnsesvaccsovvsdedacdusutsssacossasaeteaestocsueuseensasuuievesdudeedudctouas 120 DESIGN Tab Settings sis scvecdesscsssetivescsvessncscsdsiesnavassvsvsvadescscavetsssiusiocciseesisieenteseaies 121 PUTO EMESIS STELIOS cceuscszvxcesciesnceresscsdesscdesnseccesearteweensci ONER 121 CONTACT Strengths ou eecsssesssesesssscscscscsessssssssesesesessssescsesesescseesesesesesesesesseseseaescsessesesesesees 121 PUMA S 2 E 1 ANA RAE ENA A PEA AA N ATAA S A A 122 Margin Boost setting enable
46. Manual Fuse Replacement The E4D fuses are not user replaceable For fuse replacement contact customer service A service technician will replace fuses only with fuses having the specified voltage and current ratings For continued protection against risk of fire replace only with 6 3A 250Vac Medium Acting or T 1500A 200A min Breaking Capacity 10791502D UL Listing UL Laboratory Equipment Listing IN ACCORDANCE WITH UL 61010 1 30SC 11515600 B Mill System Specifications 213 E4D Studio Digital Impressions Digital impressions and full cases can be shared via E4D Studio E4D Studio Satellite Design Center enables you to transfer data via your internal network from one workstation to another in office system to enable multitasking and sharing of information No internet connection is needed for E4D Studio The Studio module is not part of the basic E4D system and is purchased separately For details on the E4D Studio system see Scan and Design System Specifications on page 168 Sending Jobs to Studio After a case has been scanned it can be sent to the Studio workstation A case can be sent at any time in the margination or designing process If it is not already open select the desired case and proceed to the Margin Design or Mill screen Note If you are on the Margin screen and Orientation is active deactivate it E4D Studio is not available while Orientation is active 2 Click E4D
47. Mill Notification Settings to enable or disable the Mill Status on the laptop Enable Server Adhd 10 11 12 12 11515600 B Introduction 21 Sky Settings By default Send Email Notifications is selected Notifications are sent for various actions within E4D Sky Click to deselect this option Emails are only sent to the main address on file Sigy Skp Seyer Addes Send akhal Malficatines eddsky e4ddsky com 5 ky Weirton Your Sky ID DS6 1 5 The remainder of the fields on this screen should only be used under the supervision of a customer service representative These settings are pre configured and should not be changed 22 Introduction Version 5 0 User Manual Milling Settings For mill systems Accessed from the Home screen or the Mill tab Milling Settings determines whether to use Standard milling overmill or Undermill Milling Settings only affects proposals with a sharp interior like an anterior incisal edge If the interior of the proposal is smaller at the tip than the tools in the mill the standard setting is for the mill to remove extra material at the tip This may lead to a crown that is too thin at the top The options are to round the preparation or to select Undermill If Undermill is selected the mill will not remove all of the interior It will go as far as the tool s size will allow and the remainder must be removed manually qs Proposal 2 Standard Auto or Occlusal POI For
48. Mode 4 Click OK to use the Time Saver If you do not wish to use the Time Saver option the preparation and adjacent teeth can be scanned on their own The following instructions assume the use of the Time Saver option A copy of the pre op model is created in the preparation model color Click the Eraser Tool 64 Scanning Version 5 0 User Manual 6 Erase the tooth that has been prepared and the marginal ridges of the adjacent teeth 7 Click the Eraser Tool to deactivate it The model is smooth where the data has been erased 8 Activate the scanner and begin the scans with the occlusal of one of the adjacent teeth Once you have established where you are you can begin scanning the preparation 9 Scan the entire preparation and any of the adjacent tooth data that was removed 11515600 B Scanning 65 10 Click Generate Model or press M on the keyboard Scanning Multiple Restorations In scanning multiple restorations the basic scanning technique is expanded to encompass the extra preparation s 1 On the Setup panel select the tooth number for the first preparation and then select a preparation type library material and shade 2 Repeat for each prepared tooth 3 Click the Scan tab 66 Scanning Version 5 0 User Manual 11515600 B 4 Start on the most distal preparation Two examples of multiple restoration models shown below The basic scanning pattern is expanded to encompass the extra preparations
49. O E EO OTRE 23 Auto OF Occlusal POM vccsscassiuscsceneteivissuseeserusvensusadeslinntvoususseesesssbvncsaveselsstdcoswsnsaitersvcsness 23 Amii trat Oi s seus vacsneasesacssseustsnscsisasvsccesieisisecaiasatecstevarsmacee 4 Relocating the Laptop and or Scanner ccccccccssssssccccccsssssccccccsssscccccsssscscoes 24 System Information ANd Upgrades cccccccssssscccscscccccccccccccccccsccsssssessees 24 Software and HArdWwale cssscsssssssessssssesessssesessessseseesesesessesesesseseseseesesesessescaeseesesesseseaeaeees 24 OANE N O E E E 24 Cleaning the Scanner Tip sc siissicsscsccevecsssieidcndavdaveseesecscccsinsiusvasescoecsacetievevecssesedints 24 REMOVING the Tip iivsiecsceciscsccwsssasiscicsbsvacbucecsueusssseteudavsucdsseseredecacsitecuavevessocsssesscnset 25 High Level Disinfection esiccescssscesivacierisscereisesvescivedscecessecsedsacsssvereussclesacesserseustsees 25 AMOI a E E EEN EEEN E 26 Cleaning the Syster sescsccviesiensasscscsevcssesveccvavancesesesvavscendsesececernncscevscccasssentdesseuesss 26 For intraoral scanning systems only esessssssssscsesessssssscccccosssssssssccesssssssssecesoo 26 Additional Assistante sisiicsescsesasscasdendcnasevsesssossani cus evesedavcccvscansvesadecscdindnansevsenseeses 27 Scanning Safety cccscrvississessisctcirisseessinersm as irveeerinitriioee Setting Up a Restoration ccccsccccsssccsscccsssccssscccsscccsscocsees 30 Dentro PACIGIIES ssscawiecscsccnsevessesecscecac
50. OMPONENTS and CONNECCIOSS ccsssssecsssesesesssscscscscsesessesesescsesessssesesescaesess 155 Internal FUS specs ca eseceecus es saea S A E NEO 155 ET T A EAE EE EE EE O eee eeress 155 UL Medical Equipment Listig usisni 155 Design Center Troubleshooting Repait sscssscccccsssccccssscccccssscccessccosesees 156 Milling Center INtroduction cscccccsssccssssccssssccssssccseses 158 Turn ON the Job S rvE f vsiccccuscavesenvessccecsecsscnsccencaseusasecastessscesssessencessuucudcasssensenss 158 Turn OFF the Job Server siccsconcaciccusesdexedavcesccenscscunceudesnadsacuscsscesesesecacsscaseccuscessees 158 Turn ON the Milling Center esssseeoscsssceccsosececossssccocsssccoessssececosssseeossssseossssse 158 POWE BUTTONS cacecsiscasssscetacssisussaxasseseiseveucesedsdasansuvacsessesvasedussdevaieadestacssvasvassesebsbassssueseonascaeasls 158 ENS OVA SESS eaa A ENEE TT A NE 159 Lid LAGINGS sessidsescdicenncsscdscccnssacceacsvicdecsosevicscsuacesuissecvetselsescassecaseudesscucnsvenssvactieanseens 160 TUN OFF Cie Wcities scncecsnccucsscecetucewtsecutvecascossceseuscusesedsesssecessesecsscsuctacusencuseaseves 161 REIOCACING the MUNN csc ssccenivasceccenasssesvevenssesdssdeuivedsdsvecacescindvsssspsasirecaecsadsteeiiesuaine 162 System Information ANd Upgrades cccccccssssscsssccccccccccccccccsccscsscssseees 163 Software and HardWare vuicccccccscsssscscscssscscscscsssssssssssscsescscsssssssssstsssescssscssscsssstscsescse
51. R 11 Class A Harmonic emissions IEC Not 61000 3 2 applicable Voltage fluctuations Not flicker emissions IEC applicable 61000 3 3 The E4D SCAN1 uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment The E4D SCAN1 is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Guidance and Manufacturer s Declaration Electromagnetic Immunity The E4D SCAN1 is intended for use in the electromagnetic environment specified below The customer or the user of the E4D SCAN1 should ensure that it is used in such an environment Immunity Test IEC 60601 Test Compliance Electromagnetic Level Level Environment guidance Electrostatic 6 kV contact 6 kV Floors should be wood discharge ESD er contact concrete or ceramic tile IEC 61000 4 2 H G Kall If floors are covered with 8 kV air 11515600 B synthetic material the relative humidity should be at least 30 Scanner Specifications 147 Electrical fast 2 kV for power Not Mains power quality transient burst supply lines applicable should be that of a typical IEC 61000 4 4 commercial or hospital 1 kV for input At ce ear output Surge 1 kV Not Mains power quality differential mode applicable should be that of
52. Rotate controls that move the cervical cap as a unit 1 Use the number field or pop up list to set the expansion in microns 2 Click the desired directional arrow to expand or contract the restoration the specified amount in the desired direction 114 Designing the Restoration Version 5 0 User Manual Freeform Change Tools The Freeform Change Tools options enable you to modify the restoration in an ie unrestricted manner rather than the defined increments of the Incremental EA es Ye Change tools Note The pictures for freeform changes on the restoration use exaggerated examples to help illustrate how the tools work These examples do not represent realistic restorations Note Area of Influence Change the tool s area of influence by dragging the yellow button to increase or decrease the size of the ellipse 1 Click Freeform Change Tools on the left most menu The Freeform Change options appear e Rubber Tooth e Dropper e Move Cusp e Smooth Surface e Move Margin e Define Feature 11515600 B Designing the Restoration 115 116 Rubber Tooth Use the Rubber Tooth tool to change the form of the restoration by pushing or pulling inward or outward on the restoration In this example the tooth was pulled in the direction of the arrow Click the Rubber Tooth tool Click and hold down the left mouse button on the part of the restoration that you want to change The area that will be affected turn
53. Rotating the model on page 84 Only the preparation model can be turned around If you scanned a pre op buccal bite bite registration or opposing model backwards then they must be rescanned When the Margin tab is selected Orientation is automatically activated The model displays with the Orientation Circle When Orientation is active the model is rotated using the left mouse button Orientation 75 Viewing the model In Orientation the model displays with a circular graphic labeling the mesial distal buccal and lingual surfaces Zoom out to see the buccal and lingual labels if desired Note The Skyball is deactivated for Orientation The model should also be evaluated from the sides Click the arrows in View Controls to view the desired surface Fanica 76 Orientation Version 5 0 User Manual Moving the central point 11515600 B The central point of the orientation circle is the middle of the screen which may or may not be the location of your prep If the central point is not on your preparation it can be a little confusing when rotating the model It is not necessary to center the model on the preparation but it can be helpful if you are new to rotating a 3D model or if you have multiple preparations The example below shows a preparation with no distal neighbor so the prep is not in the middle of the screen Orientation 77 To move the model so that your preparation is centered hold dow
54. Scanning 47 The most recent scan added to the model displays with a color coding to indicate the focal distance of the data added e Green close to the tip e Yellow Orange middle of the range e Red end of the range far away from tip Note Any color shown means the scanner IS capturing data The colors only correspond to the focal distance The building model rotates to match the Live View Click the button on the scanner to stop scanning A raw data model is displayed Click Generate Model or press M on the keyboard to create the 3D model If you exit without generating the model the scans will be lost Click Data Density View to evaluate the model for low data See Checking Your Model For Missing Data on page 50 for more information For design purposes you may want to acquire more details of the adjacent teeth If extra scans are desired deactivate Data Density View to speed up the process Reactivate when finished scanning Note If the mesial adjacent tooth is missing take scans of two teeth on the distal side and vice versa Scanning Options Adjust Live View Window Size While the Live View is active The window size can be adjusted By default the Live View is large enough to fill the height of the scanning window To make it smaller place the mouse cursor on the left edge of the Live View Right click and drag the window to the desired size The Live View will return to the default size next time it is act
55. Sood to the Lett or the Right to see more Introduction 17 Home Screen Screen Settings Workstation Type Designates the type of workstation that you are using This affects the logos that are displayed it does not affect the functionality of the software Theme Click to change the color theme of the software The software must be restarted after the selection has been changed Theme Note The color theme does not apply to the Scan tab Version Displays the version of the software and imaging systems Data License This screen should be used only at the request of a customer service representative Purging the license will make the system unable to communicate with the Job Server Design License This screen should be used only at the request of a customer service representative This displays the type of system license that you have and how much of the system you are able to access If there is an expiration date for your license it is displayed on this screen Reset Warnings The warning and reminder screens have an option to Do Not Show This Message Again If a new operator is using the system you may want to reactivate these warnings 18 Introduction Version 5 0 User Manual 11515600 B Numbering Scheme Designates the tooth numbering system to be Universal or ISO Sprue Angle Method For mill systems The default setting is Tooth Specific Tooth Specific places the sprue in the most commonly recomm
56. T Speed Note that when the design software is restarted it will return to the default Speed setting rris i E Quality Note Mill time is displayed in the information when Quality simulations are processed d Total milling time 16 17 00 132 Mill Tab Version 5 0 User Manual Bridges Bridge cases are unique in that they are designed as individual teeth and milled as one unit This chapter assumes familiarity with multiple restoration cases and other intermediate to advanced topics Refer to other chapters for more information Tooth Preparation for Bridges Ensure the preparations for the abutment teeth are not angled in different directions If one is pointed towards the lingual and one towards the buccal there may be problems with path of insertion and overmilling Cantilever and Maryland bridges are not supported Designating a Bridge A bridge is made up of two or more restorations that are connected On the Setup tab select each tooth on the anatomical model that is part of the bridge For each tooth you must select the restoration type 1 Select each tooth that is part of the bridge the abutment s and the pontic s 2 Select the Restoration Type for each tooth In the example below Tooth 19 is a Pontic and the abutment teeth are Crowns Click Link The cursor changes to a chain symbol Click the mesial and distal teeth of the bridge After each end of the bridge is selected the teeth turn purple
57. TIEWO complete SYSTEM USER MANUAL ON V gt D TECHNOLOGIES Table of Contents Introd cti lh csicsissscicosissocssissssicsissscivosis oossddiosisvissovicosined seisin e E E E E E E A E E AAE A E E 10 Contraindicatii ONS areare riaria Era EEA OTEA EEE re amenianeen 10 Turn ON Laptop sscesscctcsacscnssscesstansesscacessocdtnncsevsiaacscccnesooesscasesseavesessaneassunnsccdesets 10 DONTALOGIC SoftWare iscsi scsssscisccssscicssnccsssavecassceiacscenssesacscacncsnstanteeeiaviesessteseaennnens 10 NEVO SCANNER i sesiscessccesssscuciececcccsscereckesssdeossatensavascnsecestedeseateneusiscucosedseeeddacseessesses 11 Removable COMPONEME c cssessssssesssssscssscscsessssssssescsesssssseesescsesesseeeseseseaessssesesescaeeessess 11 Connecting the Thunderbolt Adapter s sseessesseessessesssesseessesseesscsscesseossessess 11 Disconnecting the Thunderbolt Adapter cesesesscsessesesssssscsesssesesseeseeesees 11 Scanner IMGICATIONLIGMUS siseseid EEE EEO EATR 12 CO a E A E EES 12 Moving Viewing the 3D Model sssseocssssccoccssscccccssececossssccosssssccessssecesosssseeosso 14 Umate MOUSE senese E aR EEEE aoe 14 Rotating tne ModE kusirna EENE EEN E T 14 Changing the Model SiZe uu esesesessssssescsssssscsssessssssesescscscsessesesesesescessseseseacaeseesess 14 PONG EIS MOda Liesen aE E E A E A 15 Using the Spacepal horenie neo enana NE aE i N Ara S NE Aea EA SE nana Nna 15 Manipulating the Model
58. The Setup tab appears Setting Up a Restoration 33 Setup tab Use the Setup screen to set the restoration type occlusal data type material and tooth library If you open an existing restoration in the Home screen many of these settings may already be selected Creer Onimy enana Poetic Mie registraticn Raciti pPeting The Setup screen requires that the settings be made in a particular order because certain parameters depend upon previous selections Always define a restoration in the following order 1 Select a restoration site by clicking on the anatomical model If no teeth have been selected the anatomical model is closed until the mouse cursor is moved near it The currently selected tooth is orange If any other teeth are part of this restoration file they are green For bridges select the abutments and the pontic s See Designating a Bridge for more information Note You can do up to 16 restorations on the same arch at one time Repeat these steps for each tooth individually 34 Setting Up a Restoration Version 5 0 User Manual 2 Choose the restoration type Crown gt Inlay t Onlay l Veneer Pontic 3 Select the opposing scan type r Bite registration Note The majority of E4D Sky case recipients will require Buccal Opposing cases Bite registration cases can only be sent to someone else using an E4D NEVO system gt BuccalOpposing 4 Specify a tooth library
59. a cart that is capable of supporting the weight of the mill and its accessories You are advised to use a suitable cart rather than moving the mill by hand Lifting and carrying should be kept to a minimum Note The mill weighs approximately 220 Ibs 100 kg Lifting the mill requires at least two people Those lifting the mill should Stand close to the mill with their feet approximately shoulder width apart and one foot slightly in front of the other for optimal balance e Squat down by bending at the knees not at the waist keeping their backs as vertical as possible e Firmly grasp the mill before beginning the lift Note Be certain to lift the mill by the underside metal framework not by the plastic housing e Refrain from twisting their bodies and slowly begin lifting using their legs not their back to lift e Keep the mill as close to the body as possible to minimize stress on the back e If turning is required turn by shuffling their feet not by twisting their body e If itis necessary to place the mill below the level of their waists each person lifting should follow these procedures in reverse order keeping their backs vertical and bending at the knees e Be careful to avoid obstacles System Information and Upgrades 11515600 B Software and Hardware System software and hardware upgrades are initiated through E4D Technologies only No software or hardware should be added or deleted to from the E4D systems w
60. a typical IEC 61000 4 5 commercial or hospital 2 kV common anvinancit mode Voltage lt 5 Ut Not Mains power quality dips short gt 95 dip in Ut applicable should be that of a typical interruptions for 0 5 cycle commercial or hospital and voltage 40 Ut environment variations on 60 dip in Ut for power supply 5 cycles input lines 70 Ut 30 dip in Ut for IEC 61000 4 11 25 cycles lt 5 Ut gt 95 dip in Ut for 5 sec Power 3 A m 3 A m Power frequency magnetic frequency fields should be at levels 50 60 Hz characteristic of a typical Magnetic field location in a typical commercial or hospital IEC 61000 4 8 environment Note Ut is the a c mains voltage prior to application of the test level 148 Scanner Specifications Version 5 0 User Manual 11515600 B Conducted RF 3Vrms 3 Vrms Portable and mobile RF IEC 61000 4 6 150 kHz to communications equipment should 80 MHz be used no closer to any part of the E4D SCAN1 including cables Radiated RF ao aun than the recommended separation EGONDU 3 o to distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less
61. ad Perl Ceza i at Ge j 11 If Read Only is selected clear the box and click OK 11515600 B Data Management 143 Scanner Specifications Australian Sponsor kakpa 14 Emergo Australia 01 24 SESH lig Hap Level 20 Tower II RC REE Darling Park se ahi MM H 201 Sussex Street Sydney NSW 2000 Model Number E4D SCAN1 P N 12370001 Electrical Ratings 12Vdc 12W Storage conditions 29 C to 38 C 20 F to 100 F Operating conditions 20 C to 28 C 67 5 F to 82 5 F lt 90 non condensing relative humidity maximum altitude 6 562 ft 2 000 m Dimensions Scanner with tip 1 9 x 2 1 x 10 9 inches 48 x 53 x 276 mm Scanner without tip 1 9 x 2 1 x 7 4 inches 48 mm x 53 mm x 188 mm Scanner tip 1 6 x 1 9 x 4 8 inches 40 5 x 49 x 123 mm Weight Scanner with tip 19 oz 544 g Scanner base 18 oz 516 g Scanner tip 1 oz 28 g Cables When connecting components ensure you use only the cables provided with the system The following cables were provided with the scanner Scanner Connecting Cable IEEE 1394b Fire Wire Cable Length 2M shielded FireWire to Thunderbolt Adaptor Cable Shielded Length 0 2M 144 Scanner Specifications Version 5 0 User Manual Applicable Standards 11515600 B Product Safety ANSI AAMI ES60601 1 2005 IEC 60601 1 3rd Edition EMC IEC 60601 1 2 US FCC CFR 47 Part 15 Laser Product Safety IEC 60825 1 Packaging an
62. ake the proposal too square See the exaggerated example below 5 Click Undo or reapply the library tooth to remove the changes if desired If the library tooth is applied ALL design changes will be lost Spacer Tool You may use the Spacer Tool to override the default spacer thickness and margin ramp values Spacer thickness is the space between the restoration and the preparation The tool has separate settings for the axial and occlusal walls Margin ramp is the contact zone for the margin Use the sliders or pop up menus to change the values 120 Designing the Restoration Version 5 0 User Manual Design Tab Settings Click Settings to select which features Autogenesis uses to enter the default Bite and Contact Strengths and to use Margin Boost Autogenesis Settings Each type of restoration has the option of different settings Cusp Align Marnpinal Raq Minimum Thhchoiass C m adasi By default Autogenesis uses all of the options when creating a crown Inlays and Onlays have Contacts and Occlusion selected All of the options are deselected for Veneers Select which settings you desire for each restoration type Contact Strengths Contact Strengths designates the default pe ean E 00 jm strength of the Proximal Contact and Occlusal i Contact in Autogenesis and Contact Refinement ES 500 jir CE D i a Goclusal Contact Con tepct Strengths Autogenesis may not create an interproximal contact
63. al thickness indicators in the Design tab When Material Thickness mode is active the system colors the proposal based upon material thickness at each point on the restoration and displays a legend to indicate the thickness associated with each color MILLIMETERS 108 Designing the Restoration Version 5 0 User Manual For Your Information The thickness shown represents the shortest distance to the preparation green line and not necessarily the vertical thickness at that point red line Use Slice Place and the measuring grid to calculate the thickness of other areas 11515600 B Designing the Restoration 109 Measure Click the Measure button and click anywhere on the proposal to see the material thickness measurement displayed in the information bar Note Measure does not have to be used with Material Thickness View Contacts Clicking View Contacts alternately shows and hides the strength of contact between the restoration model and adjacent dentition Use Hide Model to remove the adjacent dentition from view When View Contacts is active the system colors the proposal based upon contact strength at each point on the restoration and displays a legend to indicate the measurement associated with each color 110 Designing the Restoration Version 5 0 User Manual 11515600 B Slice Plane Slice Plane enables you to view the restoration along various cross sections This is especially helpful in o
64. and or Wear 2 To deactivate Autogenesis clear Autogenesis Apply the changes 3 Click Apply if any changes have been made to the library Autogenesis activation or anatomy levels 106 Designing the Restoration Version 5 0 User Manual 11515600 B 2 3 Pre op as Library Tooth When Pre op is selected as the Library tooth Autogenesis combines the Pre op selection with the Library A tooth Use the following steps to move or resize the Library A tooth to modify the proposal if desired Click Tooth Libraries The Pre op selection preview displays as green Library A tooth displays as dark red Click Apply Repeat as needed Designing the Restoration 107 Viewing Options The Design tab contains additional viewing options to aid in optimizing the design that appear below and to the right of the restoration These functions can be used with most of the tools listed above Hide Model Click to show or hide the adjacent teeth This is especially helpful when adjusting the contact area When Hide Model is activated on partial restorations the area that remains is the area that was designated as the Selection Area Rotate the proposal Depending on the designated selection area you may see holes These are usually not a deterrent to the design process If desired return to the Margin tab and edit the Selection Area 4 Material Thickness ll Clicking Material Thickness alternately shows and hides the materi
65. aptured in the preparation and opposing models Ensure some gingival data is captured Click Generate Model or press M on the keyboard The system generates the model and attempts to align to the other scanned models The software should automatically align the models If the Align Buccal is red see below for instructions on manually aligning the data Your model should resemble the following Ensure there is good data on the buccal sides of the teeth Intraoral scans will most likely have the tongue in the background Model scans will have space filler in the gaps Erase any excess data from the model Scanning 61 Model Alignment 62 Scanning There are no tools to rotate the models It is important to start your scanning in the same orientation for each scan Rescan the model if you scanned something in backwards The alignment icons are on the right side of the screen There is a different icon for each alignment type Buccal Bite Pre op and Bite Registration The system attempts to automatically align the models as they are generated A green dot means the scans are aligned A red dot means they are not aligned Click the icon to view the alignment All of the alignment icons have a Refresh button Click Refresh to reset the alignment and manually align the models Automatic alignment should be used in most cases If there is extra data that might be interfering with the scans tongue cheek etc try trimming the
66. aterials use a single pass Version 5 0 User Manual Job Server Symptom Job Server does not respond 11515600 B Probable Cause Corrective Action No power to Job Server Make sure power cable is plugged into a live AC outlet Job Server process not running Re start Job Server Job Server turned OFF Ensure Job Server is turned ON Mill Troubleshooting Repair 187 Preventive Maintenance Cleaning Routine Mill Maintenance Cleaning Cycle High volume offices should clean daily Most offices will need to clean weekly Note The mill must be cleaned more often when e max or zirconia blocks are used Cleaning the chamber and replacing milling fluid are required to ensure proper operation of the mill Warning Operating the Mill with insufficient milling fluid will damage the mill void your warranty and destroy the restoration that is being milled Personal injury from the Mill overheating may result from inadequate milling fluid Clean Fluid Tank The Clean Fluid Tank icon turns red when the tank is scheduled to be cleaned Touch the icon at any time to see how many milling hours are estimated before the tank needs to be cleaned 1 Touch and hold the Clean Fluid Tank icon 2 A message appears and shows the number of hours remaining before a scheduled cleaning is needed Touch Yes to continue 3 Follow the on screen instructions for opening the drawer and removing the tank 4 Remove the drain plug and tip
67. ations 66 Screen colors 18 Screenshots 16 Selection Area 100 Settings 17 95 131 Setup tab 34 Shade 35 Show Features 92 Simulation 128 Sky 223 225 227 Slice Plane 111 Slope 106 Smooth Surface 117 Spacer 19 104 120 Speed 132 Spindle Cap 193 Sprue 126 232 strainer 189 T Template Alignment 113 Theme 18 Toggle 11515600 B Margin 96 Tool Changer 177 Tools Broken 178 Replacing 179 Trace 93 94 Clone 103 Margin 91 93 U Undermill 23 132 Universal 19 V Version 18 View Contacts 110 Volume changing 17 W Wear 106 Index 235
68. ax is a lithium disilicate glass ceramic material that comes in a pre crystallized state which changes color and strength when fired In its final tooth colored state IPS e max CAD offers 360 MPa of flexural strength which is nearly three times the strength of many millable ceramics available chairside Adjustments should be made to the e max restorations while in the blue stage IPS e max Impulse are supplied in three Values Value 1 2 3 and two Opal shades Opal 1 2 They are mainly used for veneers The Value blocks feature different brightness values 1 is the lowest and 3 the highest The Opal blocks exhibit a decreasing opalescence and increasing brightness value from 1 to 2 Telio CAD blocks are intended for long term provisional restorations maximum wear of 12 months Zirlux FC2 is full contour zirconia that can be milled with the E4D Milling Center Zirlux FC2 requires a sintering oven Burn Out Blocks BOB are used to manufacture an acrylic pattern for further fabrication methods utilizing the burnout technique including casting and pressing for inlays onlays crowns as well as other dental applications Setting Up a Restoration 39 The block selection chart provides general direction on what block or category of block is recommended for different types of restorations Please understand that the clinical situations and parameters preparation occlusion patient compliance are all factors in the success of the final rest
69. can the restoration site using the E4D scanner to capture the image of the tooth pre operative or wax up preparation opposing teeth buccal bite and or bite registration Scanning the restoration site requires proper site preparation correct placement and movement of the scanner and a sufficient number of scans to ensure adequate digitalization of the restoration site The basic steps are Click the Scan tab Click the desired scanning mode Pre op Prep Bite Registration Opposing or Buccal Bite e Pre op Used to utilize the patient s existing dentition or a wax up as the pre op model for creating the restoration e Prep Used to scan the prepared site of the restoration All free flowing blood saliva and residue should be removed from the preparation site before scanning e Opposing Used to scan the teeth on the opposite arch of the preposition Scan the same number of teeth as the preparation model to ensure good alignment e Buccal Scan the buccal view of the preparation adjacent teeth and opposing teeth e Bite Used if you have produced a bite registration for use in defining the occlusal anatomy This button is active when Bite Registration is selected on the Setup tab Shield the site from strong extraneous light sources dental lights sunlight etc Click the button on the scanner to activate the laser The Live View displays the scanning view with live feedback Place the scanner so that the camera
70. caution when handling the mill s cutting tools Before milling a restoration ensure the mill has adequate milling fluid Adequate milling fluid is required to prevent overheating and possible damage to the restoration blank and cutting tools Do not open the mill s cover while a milling operation is in progress Doing so will result in the loss of data and restoration block the milling process will have to be repeated To prevent flooding the interior of the mill do not refill the mill s fluid tank by adding fluid to the milling chamber Instead open the fluid tank drawer remove the fluid tank and add fluid to the fluid tank directly This equipment is intended to be grounded Connect the products to earth grounded outlet only If a power cord other than the one provided with the equipment is used for connecting to the power source ensure it meets all of the following requirements e Detachable power supply cord Type SJT 18 AWG 3 conductor e Rated 10 A or better Milling Center Safety 165 e For products outside of the United States and Canada the power cord must be marked HAR or with a suitable agency marking from the country of intended use The attachment plug and appliance coupler must be marked with a suitable agency marking from the country of intended use Do not use the products for any purpose other than its intended and labeled use To prevent electrical shock do not open any sealed or user
71. ch unprepped teeth to the same contact strength that you normally use The contacts of the bridge teeth will be fused together to form the bridge so the actual contact strength is not a concen but the contact should be heavy enough to ensure a proper connection When you are satisfied with your designs click the Mill tab Version 5 0 User Manual Evaluating the Connectors It is important to evaluate the connections on the bridge and look for possible hangups The sprue will be on the mesial or distal side of the bridge 1 Click View Model to hide the model 2 Click Sim When the Simulation is run the connections between the teeth are displayed 3 Click Slice Plane twice When Slice Plane is activated on a bridge mill simulation the system measures the slice width If the slice is thinner than the material guidelines the slice displays as red It is important to slice the simulation through the thinnest part of the connectors orange lines in the examples 11515600 B Bridges 139 Posterior cases tend to have wider contacts with smaller embrasures and are unlikely to be thin Anterior cases have smaller contacts and larger embrasures Any thin area should be evaluated Move the Slice Plane to a connector If the Slice Plane needs to be rotated to slice through the thinnest part hold down the Ctrl key while moving the mouse to rotate Rotate the model to view the slice If the slice is red adjust your embrasu
72. d Environmental ISTA Class 2A Biocampatibility ISO 10993 European Standards EN 60601 1 2006 93 42 EEC Medical Device Directive EN 60601 1 2006 Safety of Medical Electric Equipment EN 60601 1 2 Electromagnetic Compatibility EN 60825 1 Safety of Laser Products EN ISO 14971 2012 Risk Management EN ISO 13485 Quality Management Systems EN ISO 10993 Biological Evaluation of Medical Devices Canadian Standards CAN CSA C22 2 No 60601 1 2008 SOR 98 282 Canada Medical Device Regulations ICES 001 ISM Radio Frequency Generators US Food and Drug Administration US FDA CFR 21 Part 1040 10 Laser Products US FDA Laser Notice 50 CFR 21 Part 820 FDA Class II Special Controls for Computer Assisted Design and Manufacturing of Dental Restorations Scanner Specifications 145 International Standards ISO 14971 2007 ISO 13485 2003 Approvals All Systems North America Product Safety Mark NRTL UL C US International CB Scheme Product Safety Test Certificate UL CB Scheme EMC Test Certificate NEMKO CE Mark TUV Quality System Certifications ISO 13485 Registered Firm CMDCAS Canada Japan GMP Complies with FDA performance standards for laser products except for deviations pursuant to Laser Notice No 50 dated June 24 2007 This device complies with part 15 of the FCC Rules Operation is subject to the following two conditions 1 This device may not cause harmful interference and 2 this device must accept any
73. d to be used with the tip connected to the scanner The connector pins on the scanner are energized when the tip is removed To ensure safety of the user and patient do not touch the pins when the tip is removed The scanner is a Class 2 Laser Product and will not present any safety hazards under normal operation Always observe safe laser practices Project the laser only onto surfaces or materials as directed by E4D instruction material Avoid shining the beam directly into the eye Use the laser product only as described by this manual After using the scanner on a patient clean the scanner according to the cleaning instructions found in Cleaning the Scanner Tip on page 24 and Cleaning the System on page 26 Do not hold the scanner in a way that will cover the cooling vents 28 Scanning Safety Version 5 0 User Manual 11515600 B Do not make any unauthorized repairs or modifications to the system software or hardware This includes installing unauthorized software on the host computer system or altering or bypassing any safety switches or mechanisms Changes or modifications not expressly approved by E4D could void the user s authority to operate the equipment and or void the warranty Do not install or operate the E4D products in an environment where an explosion hazard exists e g high oxygen area Comply with all applicable regulations when disposing of waste materials from the E4D products Do not attach any equ
74. dainessis dadueusdescadaucaaetssaadiunciasdaumecsesddesbsedeciaseed 30 Adding a Patient assis csvscassswscavecccsvaducserssvccsdedsscnsesesdadeiucsecssncsscunasesecssetedssesavesnsasaes 31 Deleting a Patient iiss ccssecesssccetdsnssscasveccscuscecnsensievescadaududesevecevsidecedsetiuveseisaesaseceasuee 32 Editing a Patient Identifier Name seecsececsssssccceccccoscsseceecocessssescececesssssseeceoee 32 Deleting an Existing Restoration eeesssssecccsssceccssseccocssssccessssseeessssecesesssseeosss 33 LL o o POORE E A AINOA O ENO ON E IEA O A 34 CHANGING the TOOTH SCISCTION sson i RE 36 Smile Desig cssisis sasusss ncsiseiscssseideacessvstceseussustivsassvervaciesteusiievivisvilaccasduactuessiesceniice 37 BIOCK o EECH Ori E EE E EA A E TOA 39 SCANN INO scacictistisistitersassssresbiassbirsesi termine SCAM Tap LayoUt siiiaxacsscocsicessiastesescesivcesedectsdessesscacsutaislevaneesucssieesseqcassesadaeisdensees s 41 Positioning the Scanner for the First SCam cccccccscccccrcssssssssscccccccscssscccees 42 Scanning OVEIVICW cis scccsscisacescicodscesscerecsiecdcodsvasvnsdevensesesseseace saccedededssccaseveeedeusvores 43 Scanning a Basic Posterior Preparation cccscccccrsssccccssscscccsscsccccscscccssccsces 45 STED BY S le Dorisiana a aaa aoaaa 46 Occlusal SCANS ccscsssssssssscscssssssssssesesesssesessssesesescsescssesesesesesesssseseseacseseseeseseseseaessseeseseacs 46 ROTE COCK ISS uia O E O OTE 46 Distal Ad
75. dark areas on the preparation or adjacent teeth 6 Click the Margin tab or click the Next button when finished with scanning Alternate Scanning Pattern Some operators use a saddle pattern to roll back and forth over the straight and long anterior teeth This pattern can help avoid misalignments when dealing with such similar teeth 11515600 B Scanning 69 Scanning Multiple Anteriors 70 Scanning When scanning multiple anteriors and crossing the midline start the scanning with the highest tooth number Universal or higher quadrant ISO to get the correct orientation When scanning intraorally it is sometimes more comfortable to scan with the scanner tip pointing towards the mesial instead of the distal There are a couple of options for dealing with this situation e Take the first scan with the scanner pointing the correct way Turn the scanner around to a more comfortable position and retake the first scan Watch the model as it applies the second scan and ensure the scan is placed correctly This will not work if there is insufficient data for the system to recognize the two scans as the same position If the second scan aligns correctly continue scanning in the normal pattern When crossing the midline lingual scans are recommended for more data and fewer flat surfaces After you turn the scanner around pay careful attention to where the system places the next scan Repeating a previous scan can help the system rec
76. del is facing the wrong direction If the scanner is not pointing towards the distal on the first scan the surface indicators will be backwards This is easily fixed with Orientation 1 Click the Facial arrow 2 Click and drag the mouse in a sideways motion multiple times to turn the model around Before After model is facing the other way 3 Continue with the normal Orientation workflow 84 Orientation Version 5 0 User Manual Multiple Restorations A different Orientation is assigned to each restoration The curve of Spee affects the orientation of each restoration The default orientation is based on the first scan In the case of multiple restorations the basic scanning technique starts with the distal proximal neighbor See Scanning Multiple Restorations on page 76 for more information Default Orientation is based on the first scan circled in orange on the examples above 11515600 B Orientation 85 The system displays the model with the lingual side facing the top of the screen The tooth number tabs are in the same left to right order as the teeth on the model In the example below Tooth 8 1 1 ISO is the first tooth 86 Orientation Version 5 0 User Manual The model rotates around the central point of the orientation circle The model can be moved so that an individual preparation is at the center of the circle This is an optional step which can make it easier to alter the orientation for each
77. e Small moves are recommended Rotate and ZOOM as needed to view the changes 4 Click Undo to remove changes Smooth Surface Use the Smooth Surface tool to make an area of the proposal s surface more uniform 1 Click the Smooth Surface tool 2 Click on the desired area to smooth it Small gradual changes are recommended Rotate and zoom as needed to view the changes Click and hold while dragging the mouse to make continuous changes 3 Click Undo to remove changes 11515600 B Designing the Restoration 117 118 Move Margin The Move Margin tool allows you to make minor margin adjustments without losing the design work Click the Move Margin tool The restoration becomes translucent Position the pointer on the margin line Click and hold down the mouse button Drag the margin into the new position and release the mouse button The system automatically redraws the margin in the new location Click the Move Margin tool to see the solid restoration view Define Feature Use Define Feature to add anatomical features to the restoration Multiple features can be drawn and moved simultaneously Click Define Feature and trace the feature on the restoration proposal Use the arrow controls to move the feature line s in the desired direction As an alternative use the Rubber Tooth to pull or push the feature to the desired position or shape Paint Feature Use Paint Feature to de
78. e Tool options to move rotate or expand the restoration s occlusal table while leaving the margin intact Click Incremental Change Tools on the left most menu The Incremental Change options appear Bae ae LIU Distam C Note The pictures for rotating moving and expanding the restoration use exaggerated examples to help illustrate how the tools work These examples do not represent realistic restorations The recommended order is as follows Rotate The Rotate controls use a numerical rotation angle field in conjunction with three pairs of rotation arrows to rotate the occlusal table about a selected axis 1 Use the number field or pop up list to set the rotation angle in degrees 2 Click the desired rotational direction arrow to rotate the occlusal table the specified number of degrees in the desired direction 11515600 B Designing the Restoration 113 Move The Move controls are for overall movement and use a numerical distance field in conjunction with six directional arrows to move the occlusal table 1 Use the number field or pop up list to set the movement distance in microns 2 Click the desired directional arrow to move the occlusal table the specified distance and desired direction Expand The Expand controls are for fine movement and use a numerical field in conjunction with six pairs of arrows to scale the cervical cap in a given direction This is different from Move and
79. e left 11 Double click on the on the desired destination 12 Press Ctrl V to paste the files Note If preferred you can use drag and drop instead of cut paste to move the data to the desired destination 13 Your files are now Saved at the desired destination If preferred you can copy and paste the patient folders and then return to the original folder to delete them manually Data Management Version 5 0 User Manual Backing up Patient Data Patient data backups are recommended prior to update installations Follow the archiving directions but use Ctrl C to copy the entire Patients folder instead of removing individual patient files When backing up the data you do not need to delete the files from the Design Center Restoring Patient Data Archived or backed up patient data can be restored on the Design Center if needed Click File Explorer in the bottom left corner of the Windows Taskbar Open the folder that contains the saved patients Highlight the desired patient folder s and press Ctrl C to copy Click My Computer Double click the C drive Double click the d4d folder to open it Double click the designcenter folder Double click the patients folder O N A U A W N Press Ctrl V to paste 10 Right click the pasted folder s and click Properties ly iia loki Laser Caife EE HR Ge eee Eee Eroii SB Te OE ia Lomita SO Fike T Ioi Carga W ibda r 25 SO EE Pi nabire Fhe tires dichearc
80. e restoration Click Open Existing Restoration The Setup tab is already filled in If the material that was selected is not available on the E4D system it is automatically changed to another default material Digital Impressions 217 Buccal Opposing is automatically selected and cannot be changed All other fields can be adjusted The Scan tab is not available on imported cases 7 Click the Margin tab 8 Adjust the Orientation 9 Draw the Margin 10 Click the Design tab 11 Proceed with the normal design and milling workflow Note e Imported buccal alignment cannot be adjusted in the Design Center If the buccal alignment is incorrect delete the case adjust the alignment in 3M True Definition and repeat the export import process e ICE View is not available on imported cases 218 Digital Impressions Version 5 0 User Manual 11515600 B 3M and E4D Support Guide 3M Scanner Hardware and Software Questions 1 800 634 2249 Option 2 3M Hardware 3M Software Wireless Connection Scan Data Case Upload Scan Protocol E4D Hardware Software Application and Restoration Questions 1 800 537 6070 E4D Design Center or E4D Mill Software E4D Design Center or E4D Mill Hardware Networking Design Protocol Indications Restoration Fit Digital Impressions 219 E4D Sky Digital impressions and full cases can be shared via E4D Sky E4D Sky is a service for transferring files through the internet via D
81. ended position based on the type of restoration Optimized selects the placement based on the fastest milling time In all cases the sorue can be manually moved on the Mill tab Margin Ramp For design systems Default 0 25 Default setting for the margin ramp incline Use the slider or type a number in the box to change the setting Increasing the Margin Ramp decreases the space between the restoration and preparation at the shoulder Decreasing the Margin Ramp increases this space Spacer Thickness For design systems Default 0 1 Top 0 1 Sides Default setting for the space between the preparation and the restoration Dropper Tool For design systems Default 0 040 Thickness 2 000 Width Default setting for the dropper tool has an amount thickness of material and how much surface area it covers Spaceball Settings Optional accessory Select to activate the Spaceball option Introduction 19 Network Settings This screen should be used only under the supervision of a customer service representative These settings are pre configured and should not be changed Workbook Exercises For design systems A set of Workbook Exercises come with your system Use Restore to revert the exercises to their original state or to save the exercises with the user s initials and get a new set of exercises The default exercise patients have a green icon next to the names Wkbk Ex Basic 3D Movement Ex Wkbk Ex
82. ene 211 External COMPONENTS and Connectors ssssscsssesesssscsesescseseeseseecsesssessesesesesees 212 Protected Earth Ground Lape laissions aaa 212 FUSE RE Dla COMM CIN aa RA 213 VEC IDO eaaa E A E A AO AA 213 UL Laboratory Equipment Listing sseesssesssessseesseesseesseesseesseesseesseesseesssesseesssesssesssessss 213 7 Digital IMDIOSSIONS ssissirssissssrsssssosssssssssvossssossodsvsssessessosssss 214 EAD SNC ceainaria E EENE 214 sending Jops to STUGIO sass al ear cemiacmesnnmaees 214 Retrieving JODS ON StUCIO esessssesssssecscssscsssssecsssescsescssssesesescsesesseseseseseaeeeseacseacaeseees 215 Using SUI cxcczsretiassaiceaspondedeusvexsssiiou vats s 216 Importing 3M True Definition Data scccccccccsssssssssssssccccccsssssscsscscccccsseees 216 SIM ANG EAD SUPPO GUIE sannan a 219 3M Scanner Hardware and Software Questions s sssssssesssesssessseesseesseesseessees 219 E4D Hardware Software Application and Restoration Questions 219 E4D Sky ossssssssossosooeoseoscoscseossoscoecososeoscoeossossosessossossosossoseoeese 220 EAD SKY aia E E E E AE EO 220 SKY SOD acessar iea NNNNA ESENE 222 E E acs agent eeagesee meets 222 EAD SKY SEL VICES coscssscsscscsessccisvanrensdasssvsscsccsantasssnesscasuacsauneasedsvessansasesenssssseasnnesss 223 Becoming a Certified E4D Laboratory cccccsssssssssscsccscccccsccsoeees 225 Send to a Certified E4D Laboratory cccccccs
83. erride MOOG sssnccsssscsiscasedssncvsavessissseahentosesseusssnustendecsavsessensdussusessasseesansnabasesses 184 Mill Troubleshooting Repair csccccssssccssssccesscccessccceseses 185 A I EE EE E AE T TN E E E E 185 JOD SEIVET sanumenna anani ETNAS RNEER 187 Preventive Maintenance Cleaning ssecsseecsccccsecccseccseeesee 188 Routine Mill Maintenance sssccecscssssssssecesoosssssseccoossssssscccoesssssssssecessssssssscseos 188 Ceon FUIR TANK e A 188 EnEn a e aa SS E A E AE AE A E A A NT 189 Clean the TI CMA DSN cecesstavaxessezeaveodanieviansscesssanossvnsdeuevesansnsreeasneeddsvenaiesonudesevivtessnaaseeets 190 ZirlUX FC2Q Mill MaINteENANCE cscscssscsssesscscsesssessssssescsescsessesescsescssssesesescsescsessesesesesees 190 Spindle Cap and Collet Cleaning u csesssssesssscssescsssscsesesescsssessssescsesessesesesesesssssseseees 191 Sopal eE e OE E A A E E N A E T 192 PTO INMCUNS CIP Dersan E aonteceatrennsniacee 198 Mill System Specifications cccccccccsssssccccccccssssccccccessses 206 Applicaple Standard S wisesvevessicsassetacsnsiansssasesewveonexsuctcsavenaseasiachsesseniesinsaceivaieronaiaieae 208 PTO XO AUS aena E A 208 LADGIS scassi niar AEAEE RE 209 NODO aa A E E 209 Pr du ct identification LAD EIS snsssccsssutessassssvidesiaiesrannsstasandiganiaancnatiiaeindionidaininai 211 PATS MENON AE CIs sanz seaesesos cctacuavasestannsnasanctens lt seanvesasenssosohesnesnacssseeatieneamsiuaitnnoaeretiontasia
84. esees 163 Job Server Software VerSiOn sssssssessssseseesessessesessesseseesessesscossseeseoseoseseeseoseseesessesseseess 163 Mill Software Version ss ssesssssssessesseseesessesseseesessessesessesseseesessesstsseseeseosesseseestoseseeseesesseseess 164 Version 5 0 User Manual 11515600 B Milling Center Safety cccccccrsssscccsccsssssscccccccssssscccsscessees 165 Operating the Miill cccccccsssccssssccsssscccssscccssscccssscosssscoses 168 Pondo TODS sciana E E 168 inserting BIOCKS sauiseiaccar nason aR NERENS 169 Horizontal OM SNTATION esasa 169 Vertical CUFEME AGO I Tecscssssssssesteacsvuscasssesarvansestsses ss aces N 170 Composite Block Defoaming Solution scscsscsscccccrsrssssssscecccccscesessccees 171 Zirlux FOZ Scalo Facto sunerien aa OANA ARANEON 172 Startno Mi Gerecsssieneen aeiee E E EEE 173 Parked JOD issisciscsscsssensanenavsssoncncssnstvensdassasieensbuevassadoansuasssansedessssasencsssienssvssecsetanss 174 Finished JODS urrainn a S ATA 175 Dele MOJOSE E a e 176 AUTOMATIC TOO Changer sis dsccsscsonssasivatestenssssasesccdensadevsectuveteesectunsssescevessunsssusties 177 Broken Tools and Restoration INSP CtION ssesseessesseessesseessesssessessecsseeseesscoseesseossesse 178 Replacing Inserting TOOIS Ae cava cicessseiveraeniieenseracmenianamietnmmaaenanenauns 179 Mill STATUS vicdcsssessisonssvessssscdenavecdscessensicesdsasacsssiuseasinsananessedscessensessnsneiidecataiiedeveses 183 Ov
85. eseoseoseseosessesseseosessessosesseosessoseeseoses 54 Bite registration Scarin cesars erieas naaie a EAT 55 GOE aa A E O E E AE 55 Selecting the Bite Registration sssseccssssccoccsssccccsssececossssecosssssccesossecessssseeeosso 58 SCANNING BUCCal OPPOSING ssssssisscsscscresecssdeceverscsccsusececsscssu sesessesdessccsedeosdsvcessesses 59 SCAN 00 SI FIG ea EA E E ONEEN 59 Scan BUCCA US oei NE AEE 61 Mod l Alignment ciscscssensicecsonisrcnsdeicdedussiawacivcrsacessiviaecscsvausudceieasedincdseessdtueddcoseuiaae 62 Scanning a Pie OD sisss isscssccvscsscvecesscacdevatscasecesesussescesasseasscssvdsocesscsdsesveveauscseusseusesss 64 Scanning Multiple Restorations ccccsssccccccsssssscccccsssssscccccssssscccccssssssccssess 66 Scanning an ANTSLION soscssswescsscncsesecevasestinacesssedenssdesassdsessesvesseecadcdusaussisecassesssecdess 68 Optional ACCITION Al SCANS vessesaceszecaciseissisnudscatunustsesesesesehesaveasidcuessoasuwsjscsduoasedeapiseinicssarvanvens 69 Alternate Scanning Pattern qu cessssscsesesssscsessssssssssesesescsesessesesesssssessesesescsssesseseseseseses 69 SCANNING Multiple Anteriors siviccscscsscnssssssevecsccovnssensesacsdsciusvescnsvieieceessssssesstessesees 70 Scanning IMPIESSIONS cescssssissccccasecevascecsmadesssevessescsuusdecsoceusddesenscisonavssseuassevevasvers 71 POSITIONING LS SCANNE eeen A E O A 71 Scanning the IMPLeSSION cscscsesssssesscscscsessssssesescsescsessesesesesessseesesescaeseseesese
86. et position as a starting point for cusp height and marginal ridges based on the adjacent teeth The first scan determines the initial positioning of the model Orientation affects two major aspects in the design software e Design Orientation plays a large part in Autogenesis and determining that the anatomy aligns with the adjacent teeth e Milling The path of insertion determines the Orientation needed for milling In order for a restoration to mill out properly the margin and axial walls must be visible from the occlusal view In most cases these two factors can be accomplished with one Orientation and will only need minor adjustment There are situations when greater adjustments to Orientation are required Intraoral scanning examples e Tooth position and size of the patient s mouth can sometimes make it difficult to get a perfectly positioned first scan e Depending on an anterior tooth s placement and whether you are right or left handed it may be necessary to point the wand in the wrong direction If the tip of the wand is pointing towards the mesial instead of the distal then the surface indicators on the model will be incorrect until the Orientation is changed see Rotating the model on page 84 for more information 74 Orientation Version 5 0 User Manual 11515600 B Model or impression scanning If you accidentally scan a model or impression backwards with the wand pointing towards the mesial see
87. exists in the list below Once the setup is complete on the restoration the appointment will go away and the restoration will be added to the existing patient name If the Dentrix Connection has not been created the Refresh button will not appear on your screen See Dentrix Connection on page 21 for setup instructions 30 Setting Up a Restoration Version 5 0 User Manual Adding a Patient Before you can create a restoration for a patient you must add their information to the Patients list Use the Home screen to add delete and edit patient information Resionmlons eee Wkbe Ee Batic Ermivatonesd aed Cantacts ial Wkbe Ex Basic lt Greet Croen Design re J PA kreny ASE eS A 1 Click af to add a patient The patient Name box appears 2 Type the patient s name or any other identifying information as you want it to appear in the Patients list 3 Click the arrow J to add the patient The patient appears in the Patients list 11515600 B Setting Up a Restoration 31 Deleting a Patient To delete an existing patient file Note Deleting a patient cannot be undone Deleting a patient deletes all of the restorations associated with that patient 1 Click the patient s name you would like to delete This highlights the name 2 Click below the patient screen 3 A screen pops up verifying you want to delete this patient and all of their restorations Click OK to delete the patient Click Cancel to
88. g Rotate and zoom to evaluate Note A maximum zoom of 1 mm is recommended Mill Tab 129 130 Mill Tab Example A In the example below the majority of the spacer follows the contours of the preparation highlighted in green There is a section of extra spacer where the tools had to overcompensate for the sharpness of the preparation highlighted in orange Example B In the example below there is large overmilling orange minor overmilling yellow with only a slight increase in the spacer and on a different slice of the same proposal there is an overlap which would cause a hangup red nn 2 Is there too much overmilling How much is too much What can be done about a hangup Analyzing and fixing these issues requires judgment calls and experience That is why we recommend calling Customer Support at 1 800 537 6070 to have them evaluate your simulation before you mill If you mill a problematic proposal you may have too much spacer and loss of retention or you may have hangups and have to adjust the restoration and mill another block or adjust the preparation Version 5 0 User Manual Send to Mill _ 7 1 Click Send to Mill when you are satisfied with the restoration and mill set up 2 Confirm the desired setting _Send to Mill e Standard is recommended for full coverage restorations e Detailed is recommended for partial coverage restorations fmt
89. h recommend Self Seal Sterilization Pouch 5 1 4 x 10 200 box 112 4854 3 Store for later use Note Ensure the tip is dry before connecting it to the base Prior to scanning visually confirm the scanning tip mirror is clean and dry e To clean the mirror use a Kimwipe 2x2 gauze or optical cloth with a little alcohol to gently clean the mirror e Dry the mirror with a dry Kimwipe 2x2 gauze or dry optical cloth Cleaning the System For intraoral scanning systems only Protect the keyboard with a disposable barrier Cleaning Cycle Before and after each use clean all areas of the NEVO NEVO Do not substitute any other cleaning solution or procedure Under no circumstances should you use any paint thinner solvents or harsh chemicals Use only a non woven sponge or pre moistened germicidal cloths when cleaning the NEVO Warning Before and after each use follow these instructions to disinfect the 1 Using a clean non woven sponge that has been saturated with a hospital grade TB rated germicide or pre moistened germicidal cloths apply the germicide to the entire surface of the scanner base scanner holder mouse mousepad and any other surfaces that you touch that were not covered by a disposable barrier Do not spray the germicide directly on the items and do not submerge the scanner or mouse in the germicide 2 Follow the germicide manufacturer s instructions 26 Administration Version 5 0 User Manual
90. hand grasp the Thunderbolt adapter Gently pull apart to disconnect Leave the white Thunderbolt adapter attached to the computer Note On upgraded Design Center carts the red end of the scanner plugs directly into a new port on the Design Center Disconnecting the Thunderbo t Adapter If you wish to remove the adapter from the laptop Disconnect the scanner and exit the design software to the Windows desktop Ty Navigate to the Eject Media icon in the lower left corner of the desktop i Click the icon and choose Eject IEEE 1394 Controller a Open Devices and Printers Eject IEEE 1394 Controller Introduction 11 4 Remove the Thunderbolt adapter from the laptop Note Failure to follow this procedure may result in an inoperable scanner For additional questions or concerns please contact Customer Support at 800 537 6700 Scanner Indication Lights There are colored LED lights in the button on the scanner e Green Ready for Use Scanner is connected but not actively scanning e Blue Laser ON Scanner is actively scanning If scanner light is not illuminated the scanner is not ready or it is not connected Cradle The system comes with a standalone cradle for the scanner 12 Introduction Version 5 0 User Manual 11515600 B The cradle can be separated and inserted into a 5 8 inch 16 mm holder in your operatory equipment i e the slow speed suction holder Introduction 13 Moving Viewi
91. he payment information 9 Click Submit Case or to exit without submitting your case click Close See Transmitting Cases on page 228 for more information about the cases as they are uploaded to E4D Sky 224 E4D Sky Version 5 0 User Manual Becoming a Certified E4D Laboratory You must be certified in order to appear on the E4D Sky network and receive cases from E4D Dentists To become a Certified E4D Laboratory please contact Alex Alvarado CDT Manager Digital Services aalvarado e4d com 214 432 6376 You will be provided with a set of example jobs to complete Send to a Certified E4D Laboratory 11515600 B 1 If it is not already open select the desired case and proceed to the Margin Design or Mill screen If you are on the Margin screen and Orientation is active deactivate it Sky is not available while Orientation is active Click Sky in the top right corner of the screen The Sky options appear Also Upload All Scans to Sky is inactive by default Including the scans will significantly increase the file size and should only be activated when requested by the recipient or when the recipient will need to use ICE View E4D Sky 225 Click Send to a Certified E4D Laboratory The Choose a Lab screen appears My E4D Dental Technologies Labs on the left includes laboratories that you have used before or requested an account All other available laboratories appear on the right Note Fictional labs sho
92. illing Center Power Buttons Press the small round button on the front of the mill to turn it ON ib Stop Abort a Power Note The power button on the back of the mill shuts off electrical power to the mill This is generally left ON The red button on the front of the mill will stop abort the milling process The screen on the mill is a touch screen No mouse is needed 158 Milling Center Introduction Version 5 0 User Manual Display Screen When the mill application loads the following screen appears 1 Close the lid and remove the interlock key if needed Note The interlock key is used by service technicians for diagnostic purposes and is located on the right side of the mill 2 Touch YES and wait for the machine to finish initializing The lid lights turn green when the mill is ready 11515600 B Milling Center Introduction 159 Lid Lights The lid lights change color based on the status of the mill Lid Color Description Blue Mill is initializing Green solid Mill is idle or is milling It can accept instructions select restorations cancel milling replace tools etc Green flashing Milling complete The restoration has completed milling and the lid is open White Lid is open Yellow Warning is being displayed Red solid The mill is in the diagnostic mode Re initialize the mill to return to idle Red flashing The mill has faulted Warning screen Re initialize to clear the fault o
93. ing the E4D products and contact Technical Support immediately Do not attempt to make any repairs on the E4D products Read and comply with all safety warning and instructional labels on the E4D products Scanning Safety 29 Setting Up a Restoration The software opens to the Home screen The patients are listed on the left side of the screen Click a patient name to see the patient s list of Restorations on the right The Home screen is where you will Exit the program Dentrix Patients The E4D NEVO system can import data on patient appointments from your Dentrix system and display it at the top of the Patient list on the Home page The list is automatically updated when the software is started Click Refresh Dentrix below the list of patients to manually update the list if desired Patients are listed in order of their appointments for the day Any changes to the appointments will only be seen when the Refresh button is clicked In the example shown there are two appointments for John Edwards After the case setup is complete the patient s name appears in the regular alphabetical list of patients If this is the same John Edwards in Dentrix the restorations will show up under one name If it is two patients with the same name the second patient will have a 1 appear after their name Patlents j z000 PM Edwards John All Dentrix appointments start out at the top of the screen even if the customer already
94. int for cusp height and marginal ridges based on the proximal neighbors The Orientation is used to align the model to aid in Autogenesis When the orientation is correct the proposal should be able to drop from the occlusal onto the preparation and the central groove should be aligned with the proximal teeth s central grooves When viewed from the buccal or lingual the model should follow the correct curve of spee P Pontic the artificial tooth in a bridge S Scan an image of the prepared tooth and surrounding teeth Sprue the connecting material between the restoration and the mandrel W Walking Tools This is a term that refers to tools in the mill that are not seated properly so they shift walk This can damage ruin the block and cause the tools to break Proper mill maintenance should prevent this problem Version 5 0 User Manual A Add Segments Clone 103 Margin 91 97 Alignment 113 ALL 123 Anatomy 106 Anterior Facial pictures 37 Scanning 68 Autogenesis 81 105 106 107 121 B Bite Registration 43 53 112 Block Size 125 Block Selection 39 C Clone 64 102 107 112 Add Segments 103 11515600 B Index Trace 103 Collet Tool 193 Collets 196 203 Colors 18 Contact Refinement 119 Contacts 110 Strengths 121 D Data Management Restore 143 Default Settings 16 17 Define Feature 118 Defoamer 171 Deleting Jobs on Mill 176 Dentrix 21 30 Detail 106 Digital Impressions 223 225 2
95. ion Area options appear at the bottom of the screen Click Add to Selection Margin Tab Version 5 0 User Manual 3 Click and drag a circle around the entire tooth After you let go an area is highlighted Do not go too far beyond or short of the natural tooth or the proposal will be distorted This process is recommended for inlays onlays and window prep veneers 714 When you are satisfied with the Selection Area click Margin Tool to edit the margin 11515600 B Margin Tab 101 Remove From Selection 1 Click Remove from Selection 2 Click and drag the mouse to select the areas that you want to remove Repeat as needed When finished click Margin Tool Click Hide Model to view your trim region Hide Model is only available on the Margin tab when a Selection Area has been designated Reset To remove the Selection Area and start over click Reset Pre op Editing For designing systems only The Pre op Editing tool is used to designate the area of the pre op scan that will be combined with the library tooth This step is not necessary if the pre op scans are being used as a template only Click Pre op Editing To designate the pre op library surface use the tools at the bottom of the screen These act the same as the margin tools e Trace Removes the existing line Draw a new pre op area e Move Curve Click to drag an exiting curve into a new position Add Segments Click to add a new li
96. ion material so that it completely covers the preparation surface e The bite registration material should not cover the adjacent teeth If it does trim to the interproximal after the material sets e There must be sufficient data of the adjacent teeth in the scans of the preparation and the bite registration in order for the two models to align e Ensure there are no gaps between the bite registration material and the adjacent teeth 2 Have the patient bite down firmly or press the articulated model down firmly for the impression 3 If trimming of the bite is needed to expose more of the adjacent teeth trim the bite in the mouth If you remove and replace it the bite registration material may not seat properly 54 Scanning Version 5 0 User Manual Bite registration scanning Goals 100 occlusal data 1 On the Setup tab select Bite Registration Bite registration a Buccal Opposing Click Scan Bite A Time Saver message appears This message only appears when the preparation is scanned first The Time Saver option allows you to duplicate the preparation model and use the same data for the bite registration model Note Time Saver cannot be used in conjunction with Impression Mode 4 Click OK to use the Time Saver If you do not wish to use the Time Saver option the bite registration and adjacent teeth can be scanned on their own The following instructions assume the use of the Time Saver option 11515
97. ipment or devices to the E4D products unless their use has been specifically authorized by E4D Technologies Medical electrical equipment requires special precautions regarding EMC Electromagnetic Compatibility The E4D products must be installed and placed into service according to the EMC information provided in the documentation that accompanies the E4D products Portable and mobile RF Radio Frequency communications equipment can affect medical electrical equipment The wireless components in the E4D products may be interfered with by other equipment even if the other equipment is fully compliant with CISPR International Special Committee on Radio Interference emission requirements When possible electrical equipment should not be used when adjacent to other electrical equipment If adjacent use is necessary the equipment should be observed to verify normal operation in the configuration in which it will be used When connecting the E4D components use only the cables supplied with the products Failure to do so may result in increased electromagnetic emissions or reduced immunity to external electromagnetic emissions Do not immerse the scanner assemby in liquid or expose the E4D products to conditions outside the operating conditions shown on page 169 Clean the scanner according to Cleaning the Scanner Tip on page 24 and Cleaning the System on page 26 If you suspect equipment malfunction or failure discontinue us
98. is centered over the occlusal of the restoration site Note The system assumes that the first scan is taken from the occlusal Ensure the first scan is taken at a 90 degree angle to the occlusal surface If the first scan is not optimal delete it and retake it Follow the Scanning Goals below Continue taking scans until the composite model is fully formed Click the button on the scanner to deactivate the laser Scanning 43 9 Click Generate Model or press M on the keyboard to finish building the model 10 Evaluate the model 11 Make adjustments as needed 12 Select the next scan type 13 Repeat the steps above 14 Click the Margin tab or click the Next button when finished with scanning 44 Scanning Version 5 0 User Manual Scanning a Basic Posterior Preparation Goals 100 of the prep and interprox contact areas 90 of the adjacent teeth Good axial data buccal and lingual for design 2 3 mm gingival tissue on buccal and lingual Begin with the occlusal Top down scans to lay down the foundation The first scan is the most important scan because it determines the default orientation The angle of the first scan should be an occlusal scan The first scans are of the occlusal surface Starting over the preparation take scans of the occlusal surfaces moving in half tooth increments D Distal M Mesial 11515600 B Scanning 45 Step By Step Occlusal scans 1 The first scan is of the preparation 2 Keep the
99. it is necessary Version 5 0 User Manual 11515600 B Take care in positioning the sprue on inlay and onlay restorations Ensure the sprue is not attached to an upper surface Deactivate View Model to ensure the sprue is properly placed Occlusal Only Inlays Since occlusal only inlays have no external proximal walls sprue position can become an issue There are two options The sprue can be placed on the internal aspects but this will result in manual adjustment of the internal fit which can affect the integrity of the restoration The recommended method is to use the dropper tool or rubber tooth tool to oull up an area of the occlusal surface and create a raised area on which a sprue can be attached Manual adjustment of the occlusal surface will be required after milling but internal fit will not be compromised For more details or information contact SOS Restoration Positioning When using an IPS Empress CAD Multiblock the Restoration Positioning arrows are enabled Use the arrows to move the restoration up or down within the block to achieve the desired shading Be aware that if the restoration is near the top or bottom of the block extra milling time will be required to remove the extra material Mill Tab 127 Mill Simulation The Simulation Mode portrays the milled restoration It takes about 10 seconds to generate and is recommended before milling to check the internal fit If a hang up is seen yo
100. ithout prior approval of E4D Technologies Doing so may result in damage to the system and will void the product warranty Job Server Software Version The version of software on the Job Server will not be accessible without keyboard and monitor If there is a question on the version of software please contact a Customer Support Representative Milling Center Introduction 163 Mill Software Version 1 To view the version of software being used on the mill select Maintenance from the Home screen 2 From the Mill Options screen select Support Console 3 Select Configuration 4 Select Versions The Model Number and Serial Numbers are on this screen When placing a call for service or support you may be asked to provide the serial number model number software version number or similar identifying data The serial number and model number are located on the Product Identification Label affixed to the rear of each unit See Product Identification Labels on page 180 164 Milling Center Introduction Version 5 0 User Manual 11515600 B Milling Center Safety Warning Failure to adhere to all safety warnings may result in personal injury equipment damage or data loss The mill weighs approximately 220 Ib 100 kg When lifting or moving the mill follow the guidelines in Relocating the Mill on page 162 Always ensure the mill is on a surface capable of supporting its weight of approximately 220 Ib 100 kg Use
101. itting Cases Skv 228 E4D Sky While the case is transmitting the Sky icon changes and cannot be activated again until the case is finished transmitting On the Home Screen move the mouse near the Sky icon to see the status of the currently transmitting case EN Patient John Doe Case 5 13 2011 10 07 02AM for Scotts Lab LAME OF Sending apley base ddd To interrupt the upload of a case click the Stop button below the status bar Version 5 0 User Manual 11515600 B Do not turn OFF or close the NEVO software while a case is transmitting A warning appears when the Exit button is clicked while a file is transmitting If the NEVO is turned OFF or exited while a case is transmitting the case will have to be resent Payment for Design On Site and Save As STL is processed when the case is submitted If the case was cancelled and you do not plan to resubmit please contact Customer Support at 800 537 6070 for a refund of the payment Interrupted transmission cases have a red Sky icon Open the case and resend To resubmit a case open the case and click the Sky icon on the Margin tab You do not have to fill out the form again or resubmit payment the case immediately starts transmitting Submitted cases have the Sky icon next to them and additional material information displays at the bottom of the home screen After a case has been submitted it cannot be sent to another laboratory Restorations eo
102. ivated 48 Scanning Version 5 0 User Manual Adjust the Scanning Field of View The scanning area can be reduced if tongue cheek instruments etc are interfering with your scans Most clinical operators do not change the Field of View Click and drag the Field of View indictor to the desired setting 11515600 B Scanning 49 Evaluating Your Model Checking Your Model For Missing Data Click Data Density View to evaluate the model for low data If multiple scans are needed deactivate this button to speed up the process Your model should resemble the example below The adjacent teeth are important in designing the restoration Ensure you have enough detail approximately 90 to align the restoration with its neighbors 1 Click Data Density View if it is not already activated The model refreshes with the dark blue and purple areas indicating the least data Rotate the model to analyze 2 Dark areas on your restoration site and interproximal contact areas should be rescanned 50 Scanning Version 5 0 User Manual In the example below the standard scan pattern was not taken and key areas are missing data Look for colored areas on the prepared tooth especially on the margin circled in red below The adjacent teeth should have good data on the interproximal contact area occlusal surfaces and of the lingual and buccal contours Data below the height of contour is not as crucial on the adjacent teeth circled in yel
103. jacent TOOT sseesseesseesseesseesseeeseeesseeseeesseesseesseesseesseesseesseesseesseesseesseesseesseess 46 Version 5 0 User Manual Rotate Counter ClockWiSe sesseseseseesesseseseseeseseeseseseeseseeseseseesesesseseseeseseeeseseeseseesese 47 Scanning OD ONS isscsidescsseccscsseceivesdscessstasaensdscdunsesevussevesuusavesieadeaseceuessessevedsecasecses 48 Adjust Live View Window SIZE csssssecscsssesscssssscssssecscessesscsssesscacassecsssesesscasseess 48 Adjust the Scanning Field Of ViOW scssssssssssssssssscsssecssssssssscsssessssesscsssecsssecseess 49 Evaluating Your MOGG Is iscsscctctccansccssevacsassssusttscitentaesaserecacccsiuanacsesonsevevecisieeducssasbons 50 Checking Your Model For Missing Data u cesssssssssssesssscscsssssssessssessscscsseseseseseseees 50 Eraser TOON sucecsscavissasassnticascesescanssdeeaseseastucseenigesssuteciesacsuensnescsesdussnuasascosueusecudaceecoes 52 Reset MOGI siisssscsesiscciascancnccsevsusssevescsanansvaestesestiusssviesnieeoscrdescssensceusesswassasundeeuesses 53 Delet IVIOGEL siiccssnicacesscenscsceasecestnnsecevecdadesenaetancsccascunesheadeceseaseudanenstssensdesaveadsseesses 53 Scanning Occlusion Data ies sissiccissvsccssiscsvicciuavcasesvevsusddcsscssvsvaneetesvesencsietessicesedenss 53 Scanning a Bite Registration seicsisccasscc cissdecodsvastecdsuasdsces sovesdeecssscaecesessdsdesessouesoees 53 Bite registration preparation sessessesessessessessssessessess
104. l result in broken tools To restart the job with a new block use Pending Jobs Follow the on screen instructions The milling restarts from where it was cancelled 174 Operating the Mill Version 5 0 User Manual Finished Jobs Previously finished jobs can be milled again if desired 1 Tosee alist of Finished Jobs scroll to the bottom of the Pending Jobs list Pending Jobs Patent Namel Inlay 31 Patient Names Crown 14 Pa f efit tame a rona d 4 E il m bi m n Pa Tata E il pa af aiT a a Finished Jobs PS Empress CAD LT at iia 1 noT acid BM 2 Touch Finished Jobs 3 Touch Select The Finished Jobs list appears Finished Jobs Patient Names Inlay 17 Patient Named Crown 30 Fatient Namel Crown 19 Patient Names Inlay Lz Patient Named Inlay 16 Patient Names Crown 29 Pabent Names Crown 12 Patient Namey Inlay 12 4 Touch the desired job to highlight it 5 Touch Select You are prompted to insert the appropriate block Milling continues as usual 11515600 B Operating the Mill 175 Deleting Jobs 2 3 Using the Delete Job List tool to delete individual jobs or all of the pending and finished jobs This does not affect the patient or restoration lists in the Design software Touch the Maintenance button The Mill Options screen appears Mill Options Open chamber Unlock drawer Delete job list Support console Advanced Turn off the mill Touch
105. le This will push any ceramic buildup out of the hole 14 Clean the cap with water 15 Wipe the red O Rings with a damp paper towel to remove any residue 204 Preventive Maintenance Cleaning Version 5 0 User Manual 16 Replace the spindle cap Note the L or an R on the spindle caps to denote on which side of the mill it belongs Note the alignment grooves on the spindle cap and spindle housing and the pointed extension on the spindle cap You will use these for proper alignment To attach the spindle cap align the grooves so that the spindle cap extension is pointing upwards Then turn the spindle cap clockwise until the extension points downward and the cap groove aligns with the housing groove 17 Close lid when finished The tools remain in the tool changer until the next restoration is selected to mill 11515600 B Preventive Maintenance Cleaning 205 CE Mill System Specifications E EMERGO EUROPE Australian Sponsor kakra 14 Emergo Australia 10 BH The Haga Level 20 Tower II Phere agiza msasa Darling Park Far aJi Ti MA 360 201 Sussex Street Sydney NSW 2000 The components use standard electrical current and do not need to be attached to a water supply or drain Model Number Mill Electrical Ratings E4D DMC1 Mains Fuses Air Requirements Data Connection Requirements Storage conditions 206 Mill System Specifications E4D DMC1 100 240 Vac 300 W 50 60 Hz 6 3A 250Vac Medium Acti
106. low below 3 If areas lack detail take additional scans With a couple of additional scans the example is greatly improved 4 Click Data Density View again to return to the normal view 5 Click the Margin tab or click the Next button when finished with scanning 11515600 B Scanning 51 Eraser Tool Use the Eraser Tool to remove parts of the scanned model This can be used to remove unnecessary data like extra teeth tongue cheek etc With this tool you can also erase an area that needs to be rescanned If you spot a problem i e the margin is partially hidden by cord or tissue you can erase that area correct the problem on your model or intraorally then rescan just that area You do not have to start over Be sure to erase and rescan ALL areas that were changed The Eraser is also used in the Pre op and Bite Registration Time Saver tools see following sections Click the Eraser tool to deactivate it and regenerate the model Note Keep some of the buccal or lingual data when erasing If you disconnect the two halves of the model half of the model will disappear It is also recommended that you not delete multiple teeth in a row Large gaps in the model is not recommended 52 Scanning Version 5 0 User Manual Reset Model gt Click the Undo Erase Erase button to reset the model if a mistake was made when erasing Delete Model gs Click the Delete Data button to remove the model and start over i
107. mal workflow Send the finished restoration to the Milling Center directly from Studio click E4D Studio to export the data to the Job Server so that it can be imported back on another in office station or upload the case to E4D Sky Importing 3M True Definition Data E4D systems that have the 3M collaboration software licensed can import scans from the 3M True Definition scanner 1 Export the case from the 3M True Definition system The case is automatically transferred to the Design Center s hard drive into the C D4D Lava folder Note The license for importing 3M files is sold separately When the license is active the button for importing is on the Home Screen next to Start a New Restoration 2 Click 3M True Definition Import 216 Digital Impressions Version 5 0 User Manual 11515600 B The available cases are listed 47 5 16 2012 9 04 16 AM Crown 2 46 5 16 2012 8 57 19 AM Crown 19 45 5 16 2012 8 50 16 AM Crown 30 73 4 30 2012 2 52 56 PH Crown 3 72 4 30 2012 2 39 21 PH Onley 4 74 4 30 2012 2 25 33 PH Veneer 6 70 4 30 2012 2 06 30 PH Crown 9 3 4 18 2012 8 52 30 AH Crown 4 Click the desired case to highlight it Click Transfer The case is imported and a message appears The case has been removed from the Lava folder and has been added to the Design Center patient list The patient name starts with 3M and includes the case number Click the patient name and highlight th
108. means that the system uses both the stone and ICE view to determine where the Lasso line should appear Margin Tab 95 3 Select Texture only to indicate that the system should ignore the stone model and focus on the differences in the ICE view If View ICE Preparation is deactivated this setting returns to Normal mode 4 Click Save to save the change or Cancel to exit without saving Modifying the Margin The Margin tab provides two tools for modifying an existing margin path Move Margin and Add Segments Before selecting a tool enlarge and position the model to ensure an optimal view of the margin area You can use either tool or both sequentially they do not remove previous changes when clicked like the margin drawing tools Toggle Margin Once the margin is created Toggle Margin shows or hides the margin This is helpful in verifying the margin has been drawn correctly Move Margin tool Use the Move Margin tool to drag and drop a section of the margin into a new position 1 Click the Move Margin button 2 Position the pointer on the margin click and hold down the mouse button Note Area of Influence Change the tool s area of influence by dragging the yellow button to increase or decrease the size of the ellipse 3 Drag the margin onto the margin shelf and release the mouse button The system automatically redraws the margin in the new location 4 Repeat as needed 96 Margin Tab Version 5 0 User Ma
109. mill systems This should only be changed at the request of Customer Support Auto POI Orientation finds the best possible milling path to avoid undercuts and this eliminates the need to go back on veneer and multiple cases especially and reset POI for the mill Occlusal POI uses the Orientation to set the tool path For Your Information See Milling Center Introduction on page 158 for information on the Job Server and Mill 11515600 B Introduction 23 Administration This chapter describes the administrative functions associated with the E4D NEVO Relocating the Laptop and or Scanner The laptop can be unplugged and moved as needed The software does not need to be shut down The scanner can be disconnected at any time System Information and Upgrades Software and Hardware System software and hardware upgrades are initiated through E4D Technologies only No software or hardware should be added or deleted to from the E4D systems without prior approval of E4D Technologies Doing so may result in damage to the system and will void the product warranty Software Version The current software version can be found by clicking on the Version Info button in the Settings screen on the Home page A window appears with the current software version Cleaning the Scanner Tip For intraoral scanning systems only i rn e The following instructions are for the removable tip of the scanner It is not for the entire scanner
110. n the mouse scroll wheel and move the model The circle graphic moves with the model but you can see the model moving in relation to the tabs at the top of the screen When the scroll wheel is released the circle graphic refreshes and moves to the center Repeat as necessary Moving with scroll wheel held down After scroll wheel is released 78 Orientation Version 5 0 User Manual Single Restorations Occlusal View If the wand was not parallel to the preparation on the first scan the model will be tilted In this example the model is tilted to both the buccal and mesial sides The occlusal view is good for buccal lingual adjustments 1 Position your mouse near the Buccal label on the circle graphic 2 Hold down the left mouse button and move the mouse straight up as indicated by the arrow in the graphic below Rotate the model until it has a good buccal lingual alignment You should be able to see the occlusal tables clearly and you can see the same amount of data on the buccal and lingual sides of the adjacent teeth Do not worry about aligning the central grooves Before After model has rotated towards the lingual Buccal lingual data is visually even 11515600 B Orientation 79 Distal View The distal or mesial view is good for mesial distal and occlusal gingival adjustments 1 Click the Distal arrow in View Controls The distal view is sometimes obscured by high distal data Tilt the model up or
111. nal fees and restrictions apply See Export and Send Buccal Bite Case stl on page 227 Note For equigingival or subgingival margins ensure you have used the Retract margin tool to define your margin The drawn margin is not saved and the STL recipient will not be able to use ICE View to find the margin See Retract in Chapter 7 Dentists If you do not have a DDX account call E4D Customer Support at 1 800 537 6070 for help with setting up an account Laboratories If you do not have a DDX account call Henry Schein at 1 877 244 9345 to activate your account A representative will help you set up your account over the phone This could take approximately 20 minutes This must be done before you can register for Sky After your lab account is set up you must log out of DDX before registering for Sky Sky Sign In On the Home screen click Please Sign In next to Sky You are NOT signed in ED to the E4D Sky network Sky Click the email field The color of the field changes to indicate that field is selected Enter the email address used on your DDX account Click the Password field You cannot use the Tab key to move between fields Enter your DDX password Click Submit Version 5 0 User Manual The Sky logo is not greyed out and the text shows you are signed in and displays the email address being used If the password and or email does not match the DDX account you will not be signed in to Sky and the Sky
112. ndle cap counter clockwise until the point of the spindle is pointing approximately to the 1 00 position Remove the spindle cap Spindle Cap Spindle Cap Tool in locked position point of the spindle cap pointing down Note The spindle cap can be removed by hand but it is often easier with the tool especially when the spindle cap is wet 11515600 B Preventive Maintenance Cleaning 199 4 Remove the collet using the shorter side of the collet tool If the spindle is turning instead of the collet use the curved collet wrench to hold the spindle in place while you loosen the collet Collet Tool Curved Collet Wrench the curve of the Use the wrench to hold the collet wrench enables you to reach the spindle in place while the collet grooves on the spindle tool turns the collet 200 Preventive Maintenance Cleaning Version 5 0 User Manual 5 Rinse the collet and use the small silver wire brush to clean the inside running it through a couple of times 6 Clean the outside of the collet as well Any debris on the collet will cause the tool to not seat properly 7 Inthe spindle collet shaft you are likely to see 3 lines of debris that need to be cleaned These are from the slits in the collet If they are not cleaned the collet will not seat properly and will lead to walking tools Note The lines are not necessarily going to be positioned as seen in the example below There will be three equidistant lines The t
113. ne or curve to the existing area 102 Margin Tab Version 5 0 User Manual 11515600 B Trace Click Trace Click or drag the mouse around the edges of the pre op to designate the area that you want to combine with the library tooth Be sure to only designate areas with good data Down to the near the Occlusal cap only Partial tooth often used gingival tissue when original anatomy is chipped Click on the blue dot to finish the pre op area The software automatically changes the trace line to a margin line Move Curve Click Move Curve Click and drag the curve into the desired position Release the mouse button to view the new occlusal area line Add Segments Click Add Segments Start by clicking on the portion of the line that is good Then click to add new node points across the gap in the line A black line traces where you click Use multiple clicks to create a curve Click Add Segments The system redraws the pre op area line and removes the bad section Repeat as needed Margin Tab 103 Designing the Restoration After you have scanned the preparation and defined the margin the Design tab provides an array of tools and options to customize the proposal Select from the design tools on the left menu each of which provides additional options in the box below the restoration e Tooth Libraries e Freeform Change Tools e Spacer Tool e Contact Refinement e Incremental Change Tools Designing
114. ng or T 1500A Breaking Capacity 50 130 psi minimum 2 cfm filtered dry air Cat5 Ethernet cabling 20 F to 100 F 29 C to 38 C Version 5 0 User Manual Operating conditions forE4D Indoor use only equipment 41 F to 104 F 5 C to 40 C Transient overvoltage category II per IEC 60364 Maximum altitude 6 562 ft 2 000 m Maximum 80 non condensing relative humidity for temperatures up to 88 F 31 C decreasing linearly to 50 relative humidity at 104 F 40 C Pollution degree 2 Dimensions 16 in 399 mm tall x 27 in 676 mm wide x 24 in 608 mm deep Minimum Clearance Sides 2 in Rear 1 in Top 12 in Weight 190 Ib 86 kg 11515600 B Mill System Specifications 207 Applicable Standards Electrical and Mechanical UL 61010 1 2004 w Rev 2008 Safety CSA C22 2 No 61010 1 04 w Rev 2008 IEC 61010 1 2001 2nd Edition EN 61010 1 EMC IEC EN 61326 Packaging and Environmental ISTA Class 2B Additional Standards ISO EN 14971 EN ISO 13485 2003 AC 2009 ISO 13485 2003 CFR 21 Part 820 SOR 98 282 Canada Medical Device Regulations FDA Class II Special Controls for Computer Assisted Design and Manufacturing of Dental Restorations European Directives e 93 42 EEC for Medical Devices e 2006 42 EC for Machinery e 1999 5 EC for Radio amp Telecom Approvals North America Product Safety Mark NRTL UL C US International CB Scheme Test Certificate UL Quality System Certification
115. ng the 3D Model Use the mouse to zoom in or out move and rotate the composite model Using the Mouse Note The mouse cursor changes noted here do not appear on the Scan tab Rotating the Model Rotate Model press and hold the right button then drag 1 Click and hold down the right mouse button The pointer changes to J 2 Drag the mouse horizontally vertically or diagonally to rotate the image Drag in small increments for more control 3 Release the mouse button to stop rotating Repeat as needed Changing the Model Size Use the scroll wheel on the mouse to zoom Zoom Model in and out on the model rotate the wheel 1 Position the pointer on your model button to change the size of the model on 2 Rotate the mouse wheel downward ih ccreen toward your wrist The pointer changes to and the model becomes smaller 3 Rotate the mouse wheel upward away from your wrist The model becomes larger 14 Introduction Version 5 0 User Manual 11515600 B Moving the Model The model can be moved without being Move Model rotated up down left right press and hold the wheel button then drag Position the pointer on the model Press and hold down the mouse wheel The pointer changes to Drag the model to the desired position and release the mouse wheel Using the Spaceball Optional accessory The Spaceball is a 3D controller that enables you to zoom move and rotate
116. not technically have a margin The margin is drawn to aid the design process 2 Click Trace and designate the position and extension of the base of the pontic on the gingival tissue to fit the appropriate contour Note Do not go too far down the curve of the gingival tissue or you may not be able to fit the bridge in the block 136 Bridges Version 5 0 User Manual Designing the Bridge With any multiples case it is generally best to start the Autogenesis process on a tooth with an existing neighbor In a bridge case that means starting with the abutments 1 Rotate to evaluate the position of the preview library tooth In this example the preview tooth is high because the system is attempting to match the height of the higher mesial data This will result in a distorted initial proposal The size and position of the preview tooth is important when Autogenesis is deactivated ee ell a Feii 3 Click Apply 4 Repeat these steps for the other abutment 11515600 B Bridges 137 138 5 Bridges Repeat these steps for the pontic s When you rotate the model you will notice that the pontics have a solid base and are raised above the gumline 0 75 mm The gingival aspect of the pontic follows the contours of the edentulous tissue and can be adjusted utilizing the design tools Follow the normal design workflow with interproximal contacts being the only difference Adjust the interproximal contacts that tou
117. nstructional and support tools which includes basic training advanced training multimedia instruction as well as telephone and Web based technical support Note Throughout the documentation important notes and items of interest are formatted like this example i Fha Warning The orange Warning denotes something that can cause ag personal injury or physical damage to the equipment Some of the screenshots may have been taken in earlier software versions and may not exactly match your screen Introduction 9 Indications for Use The E4D NEVO Scanner is an optical impression system for CAD CAM of dental restorations It is a device used for recording topographical characteristics of teeth dental impressions or stone models by digital methods for use in computer aided design and manufacturing of dental restorative prosthetic devices The E4D NEVO E4D SCAN1 Scanner is an optical impression system used to record the topographical characteristics of the dentition and or full arch and preparation areas including features such as implant scan locator fixtures braces brackets etc In addition it can record the topographical characteristics of the oral anatomy such as soft tissue gingivae and palate The three dimensional model generated from the scan may be further used for study models and for the design and manufacturing of dental restorations including implant supported prostheses and full and partial frameworks and can be used to de
118. nual 11515600 B Add Segments tool Use the Add Segments tool to redraw a portion of the margin Click the Add Segments button Start by clicking on a portion of the margin line that is acceptable Then click to add new points across the gap in the line A line traces where you click Use multiple clicks to create a curve Click Add Segments The system redraws the margin and removes the unacceptable section Repeat as needed Preview Library Click Preview Library to display a preview of the library tooth on top of the preparation The size of the preview tooth is based on the margin The tooth may appear small on partial restorations The preview tooth is positioned according to the Orientation Click Orientation to use the library tooth as a guide to change the model s alignment Margin Tab 97 Retract Use the Retract tool on STL export cases with a subgingival or equigingival margin This tool ditches the 3D model since the margin line does not convert to STL Note ICE View is not converted to STL format and cannot be used as a visual aid by the recipient of your case Without virtual ditching the margin may be difficult for your recipient to see After the margin has been drawn and edited click Retract The system virtually removes part of the model outside of the drawn margin Margin drawn Margin drawn No ditching With ditching Note Any changes to the margin will require the ditching
119. o insert the correct tool shape 11 If you are filling the tool changer repeat the steps above until there are no green outlines left 12 Touch the Return button to return to the restoration list ait 182 Operating the Mill Version 5 0 User Manual Mill Status 11515600 B Check the status of your job on the mill from the Design software The Mill Status icon appears in the upper right corner on most design software screens The icon is inactive on the Scan tab Click Mill Status to see the Job List on the mill Click a job on the left to see details on the right The tools and status icons water level collet cleaning etc reflect the state of the Mill at the time the restoration was milled be taninan Suman basuan TA JOTO 45 2 Ker arte Sapiiay lair Vt Ao be Se foals Leg ett wet F Snn lasisia TiL Agi Ge fet F The colors next to each job name indicate job status e Red Attention Needed e Blue Milling e Yellow Restoration Inspection e Green Finished e Grey Pending e Black Cancelled The Mill Status screen is for information only Actions taken on this screen do not affect the Mill Click the red X next to completed jobs to remove the job from the status screen This is recommended to keep the list at a manageable length The job will still be available on the mill Operating the Mill 183 Override Mode If the system has been put into Override Mode by Customer Support
120. oa EAE 91 Show De a UN Ses ec ce coscucies svzcatcessnosa ancv ser couceanyssa ate tea ers fivsuaieeeteseseiesastestecticomenmenreaenes 92 Creating the ALIN onenian a E E A E 92 PAIN CGO reniei A N EEE co eveasaten uetetvers easseeaneiestiessatieensausnsencetteceee 92 MATA TOO A A PEIE A A A A TT A E AT A T 93 E e COO E A E E O E E E A N N 95 Margin TAD Settings sissssessassevcersessccsabsneseacssiseicaccncaviavsscssaouvecsecssesincateesesseeedcoseevsee 95 ICE Margin MOde s seessesseessesssessessscsseeseessceseesseossesseoseesseesecoseeseesseossesseossesseeseesseeseesseossrssess 95 For intraoral Cases ONIY ioaea en E E 95 Modifying th MAF GIN sissicssessesivscesctevssscsincdsidevednesavsevseesescedssesoantsusccscessevierdvacvedeess 96 WO CS Margi eneen EEE TEER 96 Move Margin tO ssessesssessesssessesssesseessesseesseoseesseosesssesseesscoseeseoseesseoseossesseeseesseeseessee 96 PIO SCONES tOO sop ssaracseseescossneatarcssenscve E 97 Preview Library ses scssesrvasavcoieatecos ncsnsyzenenencaneiaesteteateceieaintensateeeunessmnteresttccorastensancetsetae 97 ROCA CE so evicsececsscaccscudaacesssccustetieusbetawustesducadedesacusducustsesissusueddudededdedecestosieleecedecssweus 98 Multiple RESTOFALIONS wvssisisesiisesisssscicaccvesevenacdevedscecstussdessscssasdscenseudesaccsnasssisvccswesnes 99 Selection Area TOON sacincssscsciseccivesseadscocuevacesscsssesusedesecesdcuswncncaqausedecssecdesaseesssensees 100 REMOVE From Sel CTION
121. obile RF communications equipment transmitters and the E4D SCAN1 as recommended below according to the maximum output power of the communications equipment Rated Separation distance according to frequency of transmitter m RAN TEU 150kHzto80 MHz 80 MHzto800 MHz 800 MHz to 2 5 GHz output power of transmitter l l l Ww 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 150 Scanner Specifications Version 5 0 User Manual NEVO Scanner Optical Specifications Caution Using controls making adjustments or performing procedures in a manner other than is specified in this documentation may result in hazardous radiation exposure Laser Class Class 2 Output 4 95 mW Wavelength 450 nm Beam divergence 10 degrees a Laser product classified to standard IEC EN 60825 1 2007 03 Ed 2 0 The scanner s laser projection system utilizes a dive
122. observed to verify normal operation in the configuration in which it will be used When connecting the components use only the cables supplied with the products Failure to do so may result in increased electromagnetic emissions or reduced immunity to external electromagnetic emissions Ensure your products are properly maintained through periodic maintenance 166 Milling Center Safety Version 5 0 User Manual If you suspect equipment malfunction or failure discontinue using the products and contact E4D Technologies Technical Support immediately Do not attempt to make any repairs on the products Read and comply with all safety warning and instructional labels on the products 11515600 B Milling Center Safety 167 Operating the Mill Pending Jobs The Pending Jobs list is the default screen 1 Scroll to find the desired restoration by touching the up and down arrows When the restoration is highlighted touch Select Note Always wait until the lid lights turn green before making any selections on the touch screen 168 Operating the Mill Version 5 0 User Manual The system opens the lid and prompts you to insert the block that matches the material selected in the Design software Insert block IPS Empress CAD LT A2 12 Block orientation Vertical Tighten cam with nex wrench Close the lid Generating toolpath Inserting Blocks 11515600 B Blocks can be inserted vertically or horizontally The Inser
123. ognize that the scanner has been turned around If the scan is placed in the wrong area there may not be enough data on your model to turn the scanner around and more scans will be required Alternatively take the first scan of the higher tooth number with the scanner pointing towards the mesial or start with a lower tooth number In this case the surface indicators will be incorrect until you reach the Margin tab On the margin tab turn the model around when setting the Orientation Version 5 0 User Manual Scanning Impressions Remove the excess impression material so that the scanner can get closer for scanning Note Any impression material can be used The system does not require a particular color or type of material Positioning the Scanner When scanning the impression ensure the tip of the scanner is pointing towards the distal for the initial scans so that the orientation of the model will be correct 11515600 B Scanning 71 Due to the nature of impressions the normal positioning of the scanner may not be able to capture all of the walls of the impression You can also tilt the scanner up or down or turn the scanner perpendicular to the impression to achieve the necessary point of view Scanning the impression Ensure the scanner is positioned correctly See above for positioning Be careful not to squeeze or otherwise distort the impression while scanning On the Scan tab select Scan Prep if it is not
124. op one cannot be seen from the angle shown ae a F 11515600 B Preventive Maintenance Cleaning 201 8 Use the larger bronze wire brush in the collet shaft Be sure to use a straight in and out motion and do NOT use a circular motion Note The air must be blowing during this step 9 Usea dental mirror to inspect the spindle or rotate the spindle using the wrench to ensure all the debris has been removed 10 Use a DRY paper towel to wipe the inside of the collet shaft 202 Preventive Maintenance Cleaning Version 5 0 User Manual Cleaning the collets and spindles is a very important process to keep your Mill running smoothly Dirt will cause the tools to walk not be seated properly and can cause broken tools Five minutes of cleaning can mean the difference between the pictures below Focus on cleaning the tapered surface inside the shaft and the front face The tapered surface is critical Clean the outside of the collets as well as the inside Dirt on the outside as shown on right can also cause the tools to walk if the collet cannot clamp properly 11 Insert the collet into the spindle 11515600 B Preventive Maintenance Cleaning 203 12 Use the wrench to hold the spindle housing in place and use the collet tool to tighten the collet Be sure to use your fingertips to turn the tool to avoid using too much torque 13 Insert the Nozzle Cleaning Brush in the small holes on the spindle cap at an ang
125. oration regardless of the material gg Provisional gt eee For cast or pressed indications only ij Primary Secondary With manufacturer indication indication caution 40 Setting Up a Restoration Version 5 0 User Manual Scanning This chapter does not apply to cases that are imported from another scanning system Warning The scanner is a high precision Class 2 laser scanning instrument Always store the scanner in its cradle when not in use To prevent damage or misalignment do not drop or strike the scanner Follow all stated precautions when using the scanner The scanner captures the restoration site with a laser system and delivers live images to the monitor As you take multiple snapshots the system creates a composite image of the restoration site revealing any areas that need further scanning Scan Tab Layout p 1 Scan Type 2 Model Editing Tools 3 Evaluation Tools Al Alignment Tools 11515600 B Scanning 41 Positioning the Scanner for the First Scan Position the scanner along the mesial distal axis with the tip of the scanner pointing towards the distal The axis follows the curve of the arch The pictures below show good and bad positions along the arch Rest the tip of the scanner gently on the teeth during scanning This will give you the correct focal depth for the scans 42 Scanning Version 5 0 User Manual Scanning Overview 11515600 B S
126. posing model Scan Opposing 1 Onthe Setup tab select Buccal Opposing Bite registration 5 Buccal Opposing On the Scan tab select Scan Opposing Starting with an occlusal view scan the occlusal surfaces of the opposing dentition Include the same number of teeth as the preparation model Ensure there is good cusp tip data on both the lingual and buccal sides 4 Roll to the buccal and scan the buccal side of the opposing dentition Include gingival data do not stop halfway down the tooth 11515600 B Scanning 59 Your model should resemble the following e Good occlusal data e Good buccal data e Good lingual cusps Lingual axial data is not needed 5 Erase extra data from the opposing model 60 Scanning Version 5 0 User Manual 11515600 B 5 Scan Buccal Bite Click Scan Buccal Bite Press the articulated model down firmly or have the patient bite down firmly and tell them not to move while you are scanning If they shift during the scanning the alignment may be incorrect Note Position the scanner tip against the inside of the cheek while the patient is open When the scanner is in place ask the patient to close and bite down firmly Tell them not to move during scanning Keeping the scanner tip against the cheek and not rubbing against the gingiva during scanning is typically more comfortable for the patient Scan at a 90 angle to the teeth Scan the sides of the teeth that were c
127. ptimizing material thickness and contacts Each time you click Slice Plane you see a different cross section In the picture above the buccal lingual slice is not centered on the restoration Click and drag the slice plane line into the desired position if needed The thin dotted white line represents where the slice plane was originally Rotate the image to see the cross section The Slice Plane button shows the measurement represented by the grid lines Zoom in or out to change the measurement Zooming in will decrease the measurement Zoom out will increase it Designing the Restoration 111 View Bite Registration Opposing Model or Pre op If a bite registration opposing model or pre op was scanned it can be viewed anytime during the designing process 2 1 Click View Pre op or View Bite Registration Click View Bite Registration to view the opposing model 2 The pre op yellow or bite registration opposing model blue template appears on top of the restoration Opposing Model To make the template translucent click View Pre op or View Bite Registration again Use the slider to adjust the transparency of the template 112 Designing the Restoration Version 5 0 User Manual 3 Use the pre op bite registration or opposing model to aid in your design of the restoration s anatomy 4 Click again to remove the template from view Incremental Change Tools Use the Incremental Chang
128. r enter the diagnostic state to attempt to diagnose the problem 160 Milling Center Introduction Version 5 0 User Manual Turn OFF the Mill 1 Touch Maintenance to see the Mill Options screen T Mill Options Open chamber Unlock drawer Delete restoration list View settings Advanced Turn off the mill 2 Touch Turn OFF the mill 3 Touch Select 11515600 B Milling Center Introduction 161 A verification screen appears 4 Touch Yes to turn OFF the mill Touch No to leave it ON The desktop for the operating system appears 5 Touch Start 6 Select Shut Down Relocating the Mill Warning The mill weighs approximately 220 Ib 100 kg Always follow these guidelines when relocating the machine Be certain to drain the mill s fluid reservoir before moving the unit The Mill is designed to operate on a level and stable surface in an environment free from excessive moisture or dust The mill should be located away from the patient access area When choosing a location for the mill adhere to all clearance requirements stated in System Specifications 1 Ensure no milling operations are in progress Open the front access panel and remove the fluid reservoir Empty the fluid reservoir according to your approved material disposal protocols Turn OFF the mill U A WU N Disconnect all power and data connections 162 Milling Center Introduction Version 5 0 User Manual Lift the mill onto
129. r pressure Air line loose Low water supply Faulty sensors Collet rusty or caked with ceramics Tool jammed due to air pressure Incomplete information from the Job Server Pump assembly is lowered because drawer was not closed properly If the drawer is closed and reopened before it can lock or if it is left open when the mill is shut down the pump assembly is lowered and in the way of the drawer path Restoration is longer than normal 186 Mill Troubleshooting Repair Ensure there is power to the office compressor Secure air line from compressor to mill Fill tank with water Clean or replace sensors Call Customer Support Remove tools manually Done in the maintenance command screen on mill Call Customer Support for assistance Verify the supply air pressure 50 psig Verify the pressure multiplier is maxed out i e the adjustment knob is turned fully clockwise this doubles the pressure to 100 psig Restart Job Server and Miill Press Maintenance On the Mill Options screen press Unlock Drawer The pump assembly rises and allows the drawer to close If the Maintenance button is not showing press the Stop button until the current process is stopped On the design software change the block selection to Multi Block but be sure to select the same block size You can then insert a standard Empress LT or HT block of the same size The Mill makes multiple passes on Multi blocks while other m
130. res and or contacts and try the simulation again Note that when the model is hidden the Slice Plane icon displays the mm area Minimum required thickness e Zirlux FC2 9 mm e Telio CAD 12 mm e IPS e max 16 mm Click View Model to activate it Click the Gingival View Control arrow to view the model from underneath Look for mill simulation issues See Mill Simulation on page 128 for more information Call Customer Support for help on your first few cases of possible milling issues on Bridges Spacer Tool Settings on Bridges 140 Bridges The default Spacer Tool settings are different on bridges to account for the larger Path of Insertion The normal maximum for the spacer is 0 20 mm On bridge cases the spacer defaults to 0 20 mm and can be increased to 0 30 mm A larger default margin ramp of 1 mm is used to aid in stability Version 5 0 User Manual Data Management Archiving Patient Data 11515600 B It is important to archive your patient data on the E4D NEVO hard drive to speed processing The patient files can be archived onto your network a flash drive or another external USB device Close the Design Center software Click File Explorer in the bottom left corner of the Windows Taskbar Under Computer click the C Drive ELET F 2 i 3 r zt Lee eho r f p i iea i i Dest erie b dma oh EST ic a Paco plo ib raap d brii a oe Le b basi Faure Tg Frbi a
131. restoration Click and hold the scroll wheel Drag the model until the first tooth is centered in the middle of the screen The circle graphic moves with the model but you can see the model moving in relation to the tabs at the top of the screen When the scroll wheel is released the circle graphic refreshes and moves to the center Repeat as necessary Moving with scroll wheel held down After scroll wheel is released 11515600 B Orientation 87 2 Rotate the model to get the correct Orientation for the first tooth When satisfied click Orientation to accept Note If you cannot use the distal or mesial view to make the adjustments due to the length of the model or the malalignment of the teeth make all of the adjustments from the occlusal view 3 Click the tab for the next tooth The model reorients back to the original orientation If you click back on the previous tab the model will shift to the path for that tooth 4 While on the second tab click Orientation to designate the orientation for the second preparation 88 Orientation Version 5 0 User Manual 5 Drag the model so that the second preparation is centered 6 Rotate the model to the correct orientation 7 Click Orientation to accept Clicking on each tooth s tab moves the model to that tooth s orientation Note The model is centered on the original central point regardless of which tooth you have selected 11515600 B Orientation 89 Ma
132. restricted access panels or connectors A detachable non locking type power cord has been provided with this equipment as the disconnect device Do not block access to the power cord In case of emergency remove power from the device by unplugging the cord at either end Do not block any of the product s cooling vents Doing so may result in overheating and damage to the products and will void the product warranty When placing components adhere to all clearances stated in Minimum Clearance on page 207 Do not make any unauthorized repairs or modifications to the system software or hardware This includes installing unauthorized software on the computer system or altering or bypassing any safety switches or mechanisms Do not install or operate the products in an environment where an explosion hazard exists e g high oxygen area Comply with all applicable regulations when disposing of waste materials from the products Do not attach any equipment or devices to the products unless their use has been specifically authorized by E4D Technologies or Planmeca The wireless components in the products may be interfered with by other equipment even if the other equipment is fully compliant with CISPR International Special Committee on Radio Interference emission requirements When possible electrical equipment should not be used when adjacent to other electrical equipment If adjacent use is necessary the equipment should be
133. rgent beam powered by a non accessible laser source with a maximum power output of 200 mW The scanner incorporates design features that prevent exposure to any hazardous levels of laser radiation in normal operation modes and in any reasonable fault conditions 11515600 B Scanner Specifications 151 Labels Symbols The following symbols are used on various labels on the system ec rer Authorized Representative in the European community E Class 2 electrical product Date of Manufacture DC Current This product must NOT be disposed of with other waste It is the user s responsibility to dispose of their waste electrical and electronic equipment by handing it over to an approved reprocessor or by returning it to E4D Technologies for reprocessing For more information about where you can send your waste equipment for recycling please contact your local city office or E4D Technologies C j4 European conformity General mandatory action i General warning A Laser warning 152 Scanner Specifications Version 5 0 User Manual p Lot number LOT Mandatory Safety ISO 7010 M002 Manufacturer Catalog number Serial number Standby IEC 60417 5010 Q Type B Applied Part IEC 60417 5840 11515600 B Scanner Specifications 153 Product Identification Labels Affixed to the scanner are product identification labels that contain identification and safety information Be certain to read all product labeling
134. rgin Tab The Margin tab contains tools for quickly and easily creating and modifying the margin There are three tools on the Margin tab e Margin Tool e Selection Area Tool e Pre op Editing Tool 90 Margin Tab Version 5 0 User Manual Margin Tool 11515600 B Clicking the Margin Tool activates the margin editing mode in which various methods are available to create and edit the margin There are three aids available when working with the margin e View ICE Preparation e Show Features e Toggle Margin There are three options for creating your margin e Paint Create the margin using a broad brush stroke e Trace Create the margin using individually marked points along the edge e Lasso Create the margin by marking several points along the edge Note You can zoom and rotate the model while you are creating or editing the margin After the margin is created it can be edited using one or both of the following e Add Segments Replaces existing segments of the margin e Move Margin Adjusts the curve of the existing margin Margin Aids View ICE Preparation For intraoral cases only Use View ICE Preparation to toggle between ICE view and stone view Margin Tab 91 92 Show Features Click Show Features to highlight high contour areas in green This can be helpful in finding the margin edge on supragingival preps inlays and onlays Creating the Margin When creating the
135. rial in the shaded area is thin and the material manufacturer recommends adjustment Return to the Design tab to make changes in material thickness Click the View Model icon to view or hide the preparation and proximals if desired Select a Block Size Available block sizes are listed in the Blocks section A default size is selected Click on C14 Vertical another size if desired If the restoration will not fit into any of the block sizes available in the chosen material click Settings to select a different material 11515600 B Mill Tab 125 126 Mill Tab Sprue Placement The default setting for the sprue can be changed with Sprue Angle Method on page 19 Change the location of the sprue on the restoration if desired by moving the placement indicator circled in orange below along the circle that represents the exterior of the restoration or by clicking one of the arrows Recommended locations are as follows e Anteriors posteriors midway between lingual and the mesial or distal e Premolars mesial or distal e Inlays and Onlays largest proximal box ae Restoration 2 Sprue 3 Mandrel Note The sprue is the connection between the restoration and the mandrel Rotate and inspect the restoration to ensure the sprue is not positioned on a groove Move the sprue towards a flatter area of the restoration This is usually near the interproximal but should not be put on the contact area unless
136. s ISO 13485 Registered Firm CMDCAS Canada Japan GMP 208 Mill System Specifications Version 5 0 User Manual Labels Symbols The following symbols are used on various labels on the system NU Alternating Current IEC 60417 5032 Authorized Representative in the European community Caution See instructions for use Date of Manufacture This product must NOT be disposed of with other waste It is the user s responsibility to dispose of their waste electrical and electronic equipment by handing it over to an approved reprocessor or by returning it to E4D Technologies for reprocessing For more information about where you can send your waste equipment for recycling please contact your local city office or E4D Technologies Do Not Reuse ISO 7000 1051 11515600 B Mill System Specifications 209 ON Power IEC 60417 5007 On Off Power IEC 60417 5010 Operating Instructions ISO 7000 1641 _ Protective Earth IEC 60417 5019 O Type B Applied Part IEC 60417 5840 Warning Dangerous Voltage ISO 3864 B 3 6 i General Warning ISO 7000 W001 210 Mill System Specifications Version 5 0 User Manual Product Identification Labels Affixed to the Mill are product identification labels that contain identification and safety information Be certain to read all product labeling The following figures show each safety and warning label and describe where on the apparatus each can be found This device complies with Part 15 s
137. s LLC dba E4D Technologies 650 International Pkwy Richardson TX 75081 Verify power cable is plugged into a live AC outlet Set power supply rocker switch at rear of the unit to ON position Ensure switch on power supply is turned ON Call Customer Support Go to properties then screen saver and turn it OFF Version 5 0 User Manual Failing to send restoration Fan making loud noises DentaLogic application freezing Mouse not responding Laser flickering Skyball not responding 11515600 B Out of balance Low memory Low batteries Loose mouse dongle IOD Cable not grounded properly USB cable not plugged in 3D Connexion settings are incorrect See Job Server troubleshooting Replace fan Call Customer Support Call Customer Support Re start application or re start system Replace batteries Ensure dongle is plugged into a USB port Call Customer Support Plug USB in Open the 3D Connexion program and check the settings Design Center Troubleshooting Repair 157 Milling Center Introduction Turn ON the Job Server Press the Power button on the front of the Job Server to turn it ON No monitor or mouse needed Turn OFF the Job Server The Job Server can be left ON overnight but it should be shut down and restarted every few days Press and hold the Power button on the front of the Job Server Release after a few seconds The power light will turn OFF Turn ON the M
138. s an automated process that varies in length of time based on the restoration data 1 After inserting the block close the lid and wait for the lid lights to turn green The system checks the positioning of the block and begins generating the toolpath You may wait a few minutes for the toolpath to be generated and then see the milling time in the Time Remaining field Milling in Progress Pabent Names Crown 14 Lf26 07 3 10 PH Ra Cre arse oe Pr oe EE ke IPS me ee ae LL LT i WF ies Ie F Preerene 37 Time Femara 15 05 Note See the Troubleshooting section for assistance if you experience a problem generating a tool path or if the mill times out After the milling process is complete the lid automatically opens 2 Remove the restoration and any debris and close the lid 11515600 B Operating the Mill 173 Parked Job When a job is interrupted by an error message or a manual cancellation of the job it is saved in Parked Job Only the most recent job is available in Parked Job Note Jobs interrupted by a power failure are not parked When a job has been saved an icon will appear in the corner to notify you To restart the interrupted job touch Parked Job Pending Jobs gfo jo hs gt Milling Jobs Parked Job Finished Jobs Calibration Jobs Touch Select Reinsert the partially milled block if it had been removed Note Do NOT insert a new block for a Parked Job A new block wil
139. s clinical operators to increase the thickness of the proposal around the margin Margin Boost is OFF by default 122 DESIGNING MIUNUIDI CS viscecsesssesscesucsssessccnsssecdsacciscsiescecnsssdcscessisscsuncevsneseevesedeseseusins 123 ITI VG o EIE O EA E 1 Setting up the restoration for milling sesssseseecccecsossscecececcssssecceccesessssssceeeo 125 SECT APOC SZE anna a E E NEE EN 125 Sprie P hgEme N assina enaa E E EE ER 126 OGCIUISall Oniy VMAS seisein Ear EEE ONAE 127 Restoration POSITIONING sscscssesssssescsessssssscssscssssssssssssescsssessssecsssssnsscseacscssecessssasscseasecss 127 MAE SAO aa E E AAE E NNT 128 Evaluate the simulatiOn ssesssesssessseesseesseesseesseesseesseesseesseesseesssesssessseosseossesssessseosss 128 Le o MIN P E E E E 131 Mill TAD Seting S siceicccsscsicisccssccnesvsecnscessvsecices Ea ai 131 NECWOK SETINGS sesiis ar EAE E E 131 Material Shade SettingS sseesseesssesssesssessseesseesseesseesseesseesseesseesseesseeossessseossesssessss 131 Margin Thickness Settings csssscsssssscsssssssesssssscscscsssssssseesesssessesesescsescsesseseseseaees 131 Milling Settings es sse ssessesssesseessessesssesseessceseesseoseesseosesssesseesscoseesseoseesseoseossesseeseesseeseess 132 Simulation SEtNgS srann a E E E T 132 B dgOS orninan 19 Tooth Preparation for Bridges seeesesssssscccececosssssccececsosssscccecesesssseseececessssssee 133 Designating a Bridge ec
140. s pink While holding down the left mouse button drag the cursor in the direction that you want the restoration to move Small moves are recommended Rotate and ZOOM as needed to view the changes Click Undo to remove changes Dropper The Dropper tool adds removes virtual beads of material to from the restoration analogous to placing beads of liquid wax on a cast model The vertical axis of Area of Influence determines whether the material is being added positive number or removed negative number Click the Dropper tool Ensure Material Thickness is activated This is the best way to see the effect of the dropper To speed up the process leave Material Thickness deactivated Position the pointer where you would like to add remove beads of material to the restoration Click and release the mouse button Rotate and zoom as needed to view the changes Click and hold while dragging to make a line of material Repeat as necessary Designing the Restoration Version 5 0 User Manual 6 Click Undo to remove changes Move Feature Use the Move Feature tool to modify a cusp marginal ridge or the occlusal table 1 Click the Move Feature tool Each anatomical feature is now represented by a different color 2 Click the desired feature to activate it The selected feature is highlighted 3 Click and drag the feature to the desired position Or use the Control arrows to move the selected featur
141. scanner parallel to the occlusal table Take overlapping scans and move in half tooth or less increments 3 The last occlusal scan is the center of the mesial neighbor Rotate Clockwise The right side of the scanner is stronger because of how the laser is reflected That is why you always want to rotate to the right before going to the left 1 Use small rotations over the mesial neighbor to create overlapping scans as you transition from occlusal scans to a clockwise rotation 2 Scan along the right side of the teeth Rotate the scanner to almost 90 from the occlusal table 3 Watch as your model builds to see any areas that might require a different rotation or angle Distal Adjacent Tooth Rotate in small increments across the distal adjacent tooth until you reach the left hand side This enables you to capture the occlusal data as you shift from one rotation to the other 46 Scanning Version 5 0 User Manual 11515600 B Rotate Counter Clockwise Scan from the distal to the mesial along the left hand side of the teeth The last scan is of the mesial neighbor The system displays a model based upon the scan data The Live View appears on the right and the model builds on the left Watch the model building on the left to see what information has been captured and where you need to move the scanner The system changes the Live View to orange if you have moved too far and the system needs data overlap
142. seseacsesseseseees 72 E4D Studio Satellite Design Station ssssssssecceccecccccceccccscssosssscceccceccececceceeseo 73 Orienta tiON sissctasseicscresicscasssucisausesesecs maasteissvsisassiersninasaieesions 7 4 VIEWING TNE MOE scsi cvssssiouscidesvscdncesaveiacniedveivaestidedeedusiveustsonscncussevassunucvaveswaniveees 76 MOVING TNE central DOMME iissiscsnisasescvciiccanissadavessesdutucsiacsscesvsvenenticensavedsesecesscesedeuse 77 Single RESTOFACIONS ses sscisvsscscvssvevsscdaabsiedbesscissswaccnssviaesncdsacuucensonsbsiecaietseacueddcosecsaes 79 Occlusal View esessssssssesssscsesssesssssscscscsssessssssesescsesessssesesescsesesessesesesesessecseseseaescsesseseseseaesees 79 DiE W ei rE E E E E E EE E ERER 80 Verifying OMONLATION ossissc sesissssscevcrsecinsenscesdscdesssssenisdvecacesdevssidvideriveicessevetuessesenss 81 Resetting the Orientation sssececcssscceccssccecessscccoscsescocssssecesssssceessssecesessseceosso 83 ROCACING the Model sicssiscsnnnsniosusirnscosinn nananana anir naNO EANES 84 Multiple Restorations sssecescssssccccssescoocsssecoscssscoecsssececossssccosssssecessssecesssssseeosso 85 Margin TOD sesasesisasaucszencieaisarscsnsrassessassosistasteaceerststsistaeieennes O Margin TOON cicsscsssucciscecesiegvacncssaicdcctvasvscetsewsvssseeacaseseiaveves aaa a i a aaa 91 ALTELE E E E N A A E N T 91 VIEW ICE Pre paratiOTi spessreciarjeas ti ay niup trenini T 91 11515600 B 3 FOr MAGE AOK al CASES ONY racaras
143. sign and manufacture physical models of the teeth It may be used in conjunction with production of orthodontic appliances retainer and accessories Contraindications The E4D NEVO system is not indicated for orthopedics or any indication beyond dentistry Turn ON Laptop Press the power button to start the laptop The Windows 8 Start screen appears On your keyboard press the a key to make the standard desktop appear if desired DentaLogic Software S Once the desktop is visible double click the Design Center icon A warning may appear from Windows Do you want to allow the following program to make changes to this computer Click Yes This is a normal safety feature of Windows The software opens to the Home screen 10 Introduction Version 5 0 User Manual NEVO Scanner 11515600 B Removable Components The NEVO system has a set of removable components Connecting the Thunderbolt Adapter Properly connecting and disconnecting the scanner prevents damage to your devices Insert the Thunderbolt adapter into the adapter slot on the side of the laptop The adapter should remain attached even when not in use After opening the scanning software connect the red FireWire connector of the scanner into the white Thunderbolt adapter The laptop gives an audible signal to confirm that the connection is fully seated To remove the scanner hold the red end with one hand and with the other
144. signate an area of the proposal that you want to move This is often used to designate a contact area that you want to move Click Paint Feature and paint the desired area of the proposal Use the arrow controls to move the highlighted area in the desired direction As an alternative use the Rubber Tooth to pull or push the feature to the desired position or shape Designing the Restoration Version 5 0 User Manual Contact Refinement Contact Refinement enables you to set the strength of the occlusal and or interproximal contacts It also enables you to broaden the interproximal contacts by making the proposal more square Camada Strenglh ik jew pew Erlinr Broodem firoadan Diatally Pre siy 1 Select the desired Strength for the Bite and or Contacts 2 There are two ways to make the adjustment to the selected strength e Click Refine to automatically change the occlusal table or the interproximal contacts e Circle the desired area Another way to change the interproximal contacts is to make the proposal more square 3 Click Occlusal in View Controls 11515600 B Designing the Restoration 119 4 Click Broaden Distally and or Broaden Mesially to make the proposal more square This will usually be utilized on posterior crowns Note The Broaden buttons change the proposal in set increments It is not connected to the selected Strength Be careful when using this feature Overuse will m
145. ssscsscsccccccccccccsccccsccssssseees 225 Export and Send Buccal Bite Case stl ccccccssssssscccssssssccccccssssscccscssssscees 227 TFANSIMILEING CASES desis scierssaracecscancssersencsssesunesesssacsessctesesscessnadwanueass seusecsucuassessons 228 Downloading from EAD SKY sijesecccscsscccsesseseccssssncvensivessstaverevecseseccepocesssonecedesnesss 230 OSS CI Y sonra N 2 UG OX OONA E AAEE EE EA EAE E A E EEA IAR o gt Version 5 0 User Manual 11515600 B Introduction E4D technology is available as a complete CAD CAM system as well as a range of Scan Design and Mill configurations to fit the needs of any dental office or laboratory Note Caution US Federal law restricts the E4D scanner to sale by or on the order of a dentist e NEVO Scan a scanner that takes digital impressions which can be designed on the NEVO Design or sent via NEVO Sky to E4D Digital Services or a certified laboratory for design and milling or exported to a third party The scanner is referred to in documentation as the scanner or wand e NEVO Design design software enables the operator to customize digital impressions from NEVO Scan or other scanners e Milling Center E4D Mill can fabricate restorations from a variety of materials using data from E4D DentaLogic design software or other applications This User Manual the online Help system Exercise Workbook and accompanying Quick References are the components in a set of i
146. sssssssesessssssessssssssescscsessssssssescsesessseeseseacaessseeseseseseaeessseseseacaessess 133 OMINID a DIOGEN EAE E EE O 134 Scanning Bridges secassssesscscasiccsnssveveasceudscncsuccsiasuceuncsuisdscscesvisessersesvadeseusdecesuscusans 135 Bridge Oricntation eisssscssiccsscsctcssccasvcssiessarwscuuvavdsdhasnceaatevesuveedesvsesucvssieussetedenives 135 Drawing Pontic Margins vis sccssscciecesecsssssscndescoscdcsessannedesconessssseuessssentesssesteedssaesess 136 Designing the BIA Ge wcsaissscscccsvessscsscssrcdecdscacisessessveunesstssessuccacdsdenuiescasbucdsncedensets 137 Evaluating the Connectors sssscecessssecossssccoosossccecosssecccsssececossssecossssseeesssseeeo 139 Spacer Tool Settings on Bridges eescsssccccssssceoososcccossssscocssssecessssseceosssesesoso 140 Data Management sssessossosessoscosecsossoscoseososeosessosessossoss 147 11515600 B 5 Archiving Patient Data sissssiesscccsecssenscesccvieetucscusivesdevedsdetestsscctuctecssaiaceuvuadecsoasiis 141 Backing up Patient Data sicissscctsscsssvesscssccdsssonscassvscscadescecsvesieeiessevonscsaistietisseasies 143 Restoring Patient Data ssssaicecsvsscsccvcavcsdssantedebsedecssianasdsdcecesssvaecessssevesessasvecessanee s 143 Scanner SpecificatiOnS esseecsccccccccsccccoccccocccccecccsecccceccseeee 144 CDE E EE E EA E EAE E TES 144 Applicable Standards sccidssnccivessiscacesiesasssceiidescasscuciecesedessdisacsausrsedessessviansecssentes 145 Producto a V a a
147. t Block screen specifies the block orientation Notice the notches face right in the examples below If the notch is pointing to the left you will not be able to insert the block Round blocks use the vertical orientation of the mandrel Note The mandrel is the metal piece of the restoration block that is inserted into the mill to hold the block steady during milling Horizontal Orientation For the horizontal orientation the wide side of the rectangular block faces up with the mandrel notch points to the top right This side will usually have the printed label Note the position in the picture below Operating the Mill 169 Vertical Orientation For the vertical orientation the narrow side of the rectangular block faces up with the mandrel notch points to the bottom right The round blocks are inserted with vertical orientation 1 Insert the Mandrel T Handle into the cam and turn 180 degrees counter clockwise to loosen the cam 2 Insert the block in the correct position and lock the block in place by tightening the cam To view a video that demonstrates the block insertion procedure touch the movie icon Use this process in reverse for unloading the finished restoration 170 Operating the Mill Version 5 0 User Manual Composite Block Defoaming Solution A Composite Block Defoaming Solution is used with 3M s Paradigm MZ100 blocks Due to the nature of the composite material when milled it is necessary to use this
148. t is not already open select the desired case and proceed to the Margin Design or Mill screen If you are on the Margin screen and Orientation is active deactivate it Sky is not available while Orientation is active Click Sky in the top right corner of the screen The Sky options appear Also Upload All Scans to Sky is shown on this screen but it does not apply to the Export function Click Export and Send Buccal Bite Case stl A new window appears with the patient details and the Payment Details Fill out the Patient and Payment details E4D Sky 227 6 In the Save and Send Options section select E mail STL File The STL Export creates very large files It is recommended that you use the e mail function to create a downloadable link from DDX and include yourself in the e mail Click Submit Case STL files are saved on your hard drive at C D4D STL with the patient name as the beginning of the file name If E mail STL File was selected you are prompted to select the files you want to send and enter the recipient address es An e mail will be sent containing a download link to retrieve the files from the DDX exchange service A message appears Coen STL Folded k Click Open Folder to view the files or click Done to continue working If you did not e mail the link to retrieve the files from DDX you can copy these files onto your network upload via the internet or save to a USB drive Transm
149. the Restoration Version 5 0 User Manual Tooth Libraries 11515600 B On the Design tab the system defaults to the Tooth Libraries page You can change the tooth library that was selected earlier in the Setup tab This may be useful to find a better match with the actual anatomy You can also resize move the preview tooth change the anatomy levels and or deactivate Autogenesis for this restoration The library thumbnails appear in the Options box below the restoration A green preview tooth display The selected library is highlighted in yellow Select a Library If desired click another library to view the preview tooth Select the library with the closest anatomy Resize the Library Tooth The preview tooth can be resized to aid in Autogenesis Hold down the ALT key and use the UP or DOWN arrows to resize the preview tooth It should be close in size to the adjacent teeth Designing the Restoration 105 Move the Library Tooth The preview tooth can be moved to aid in Autogenesis Click and drag the tooth into closer alignment with the adjacent teeth Anatomy Levels The anatomy levels enable you to deactivate Autogenesis and or select different anatomy details for this proposal Most restorations will use the default settings Note The red line on the Detail slider represents the maximum amount of detail that can be milled into the restoration 1 If desired use the sliders to change the amount of Detail Slope
150. the model in a more fluid way than the mouse The use of this controller is optional The mouse can be used alone if preferred Manipulating the Model The Spaceball enables you to pan zoom and rotate separately or at the same time The base of the Spaceball does not move only the top half called the cap moves Place the Spaceball with the cord facing away from you Place your fingers on the raised areas of the cap This helps orient you to match the up down left right of the cap to what s on the screen Pan Zoom Rotate e Pan Use side to side motions to move the model straight up and down or left and right e Zoom Pull up or push down on the cap to zoom in and out e Rotate Tilt the cap in the direction that you want to rotate the model Introduction 15 Press the right button on the Spaceball to re center the model on the screen This also re enables the mouse for moving the model However once the Spaceball is used the mouse is deactivated By default the center of the model is the central rotating point If you want a different rotating point move that area to the center of the screen and click on the left mouse button Models with multiple restorations will automatically rotate around the prep for each tab once the margins have been drawn System Options and Default Settings Individual tabs are used to design the restoration Home Setup Scan Margin Design and Mill The tabs are dynamic The
151. tool in each spindle three extras in the tool changer and one empty slot green outline There are two vacant places shown in the tool changer that do not have the green outline The tools in the spindles will be placed there when they are being exchanged for another tool in the changer Empty Tool colored stripes represent tool shape lt _ a Toudh a boul bo replace i SELECT Old Tool a Worn Tool T Broken Tool 3 Touch the desired tool or empty slot The tool or empty slot changes color when selected The bottom of the screen details the position diameter and elapsed time of the selected item The tools are color coded to match the legend at the bottom of the screen 180 Operating the Mill Version 5 0 User Manual 4 Touch Select 1A Men Sb ree 5 Highlight the shape of the new tool or touch empty to remove the tool without a replacement 6 Touch Select Replace tool Remove old round tool from night collet Fully seat new round tool iin rignt collet Close the lig Right kom r leaded 7 Remove the old tool from the collet 8 Place the new tool in the collet Ensure it is pushed all the way in fully seated 9 Close the lid 10 The Mill seats and clamps the tool profiles the new tool and returns to the Mill Options screen when finished 11515600 B Operating the Mill 181 If the wrong tool shape was inserted a message will appear Click OK t
152. u can increase the spacer or make any other necessary design changes 1 On the Mill tab click Sim located under Send to Mill 2 Confirm the desired setting e Standard is recommended for full coverage ap O Standard restorations a P Detailed e Detailed is recommended for partial coverage restorations 3 Click OK The system takes a few seconds to create the simulation Evaluate the simulation e Are there hangups Hangups are areas where the tools cannot completely remove the material for the interior of the proposal e Is there overmilling Overmilling is caused by areas of the preparation that are smaller than the tools The tools must overmill and remove extra material so 128 Mill Tab Version 5 0 User Manual 11515600 B that there is no hangup Is the overmilling drastic enough to cause a loss in retention Click Hide View Model and click the Gingival arrow to view the interior aspect of the proposal The simulation will show swirl marks in areas where the milling tools have to overcompensate for small prep areas Sharp areas of the preparation that are smaller than the milling tools Swirl marks indicate overmilling can result in overmilling The rest of the proposal s interior is relatively smooth Click Hide View Model to activate the model again Click Slice Plane once or twice to get the desired slice direction Drag the slice to the approximate area of the overmillin
153. use of Margin Thickness 122 Designing the Restoration Version 5 0 User Manual Designing Multiples 11515600 B On cases with multiple proposals click the desired tooth number tab to designate which tooth is being designed The ALL tab enables certain design tools to manipulate every proposal at the same time or activates all proposals at the same time to enable individual manipulation without switching tooth tabs Anterior Multiple Crown Setup Manipulate ALL proposals at Manipulate individual proposals the same time without switching tabs Incremental Change Tools Freeform Change Tools e Move e Rubber Tooth e Rotate e Dropper e Expand e Smooth Surface Note When using the Incremental Change tools The margins do not adjust to the new position until Apply is clicked or another tool is selected Designing the Restoration 123 124 Mill Tab Mill Tab On the Mill tab of the design software select a block choose a size and location for the sprue position for the restoration in a multiblock specify tool path settings view mill simulation send the design data to the mill At the mill you will load the block ensure the milling tools are in place verify the fluid is at the correct level and then start the mill process Version 5 0 User Manual Setting up the restoration for milling Final restoration setup is done on the Mill tab Note Yellow or red shading on the restoration indicates the mate
154. wn in the example a ee E ee an Lab Exea Lab Exampee 16 Fake Lab 4 Lab Details Anges Lab Erama 23 Main Hirem Fihan TH feb 5 Select the desired laboratory If you select a new laboratory they may require that you send an account request The Lab Details appear when a lab is highlighted 6 Click Use Lab A new screen appears with the patient details filled in By default when the patient name is imported for the case form the system assumes the first name is first and last name is second If the patient has more than one name only the first two are imported p Patent Details First Mame AN ged Tender Last him iiih Paier Shari Bin Date m Send Oaie Ap i Ait m Proredue Select Farreidae Add Chania teas 7 Select a Procedure from the drop down list 8 Fill out the form details 226 E4D Sky Version 5 0 User Manual 10 Click Add Procedure to add another service if desired When a second procedure is added the first procedure is summarized Double click a summarized procedure to edit it or click the minus sign to delete a procedure Click Submit Case or to exit without submitting your case click Close See Transmitting Cases on page 228 for more information about the cases as they are uploaded to E4D Sky Export and Send Buccal Bite Case stl 11515600 B 4 5 Important Ensure you have aligned the buccal bite scans on the margin tab in NEVO prior to exporting If i

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