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1. No rotations necessary Note Be sure to verify the status of the buccal alignment 3 In most cases alignment is done automatically by the software A green dot in the Buccal icon indicates a successful alignment Always verify the alignment before continuing with the next step Evaluate and Adjust the Orientation 1 Click the Margin tab 2 Evaluate and adjust the Orientation using View Controls to change the point of view 3 Click the Orientation icon to accept the current position Mark the Margin 1 Usethe scroll wheel to zoom in on the preparation 2 Click Trace and click on the inside of the margin 3 Moving in small increments click as you move around the preparation Don t worry if you make a mistake while drawing the margin 4 Themartgin is finished when the original point blue dot is clicked to finish the circle 1 8 2015 E4D Technologies All Rights Reserved EDU1110 N o Exercise 2 Molar Crown with Buccal Bite Design Please reference the CAD CAM workflow for design We will use this form throughout the design process 1 Click the Design tab The Tooth Libraries tools automatically appear 2 Turn Autogenesis OFF and click Apply to generate the proposal 3 Click Incremental Change Tools to evaluate the proposal for large adjustments Use the tool options to make changes where needed Click Apply before continuing 4 Click Freeform Change Tools and Material2. Kristi Curtis Customer Account Specialist kcurtis e4d com Faculty Contact List Elizabeth Pastrana RDA CDD CAD CAM Special Markets Manager epastrana e4d com Marcie Howard CDD Education Coordinator mhoward e4d com Matt Dunn RDA CDD Clinical Educator mdunn e4d com Windy Winland RDA CDD Clinical Educator wwinland e4d com Alice DeLuna Customer Solutions Specialist adeluna e4d com For the Education Department call 800 537 6070 option 4 OOS LLL TEACHING STYLE At Planmeca University we incorporate the Tell Show Do teaching style Tell Listen to the instructor giving detailed instructions on the Upcoming material Show Watch the instructor demonstrate the proper technique e Do Perform the action and ask questions HOW IO USE THIS WORKBOOK I This section covers equipment amp guidelines e This section covers scanning amp scanning techniques 7 This section is all about design I This section is for milling and materials This section has resources and information for your success This workbook is yours to keep don t be scared to write in it Words in BOLD are icons or choices within the software You ll also find quick tips and time savers throughout Hover over icons in the software to reveal their names PlanScan System amp Equipment Overview PlanScan System amp Equipment Overview PlanScan Laptop 1 Powering ON and OFF the lapt
3. Erase Brush Tongue Cheek Fingers or Extra data Trace Margin From the occlusal view mark the margin on the shoulder Use Move Margin to Ed adjust placement PlanCAD Workflow HAVE QUESTIONS Contact Support 800 537 6070 Verifying the amount of scan data will ensure a better fitting restoration Use Add Segments sf to redraw a portion Scan Opposing 10096 Occlusal and buccal gingival data Scan Buccal Capture all teeth in prior scans M Bite Alignment Verify before moving to the Margin tab Verify Alignment Verify the orientation of the model with the Green Preview Tooth 5 Use the Green Preview Tooth as a guide to align the model after activating Orientation Follow the design flow Return to a section and repeat any necessary steps when needed Form Refine contours marginal ridges embrasures and cusps Use Freeform Change Tools to make small adjustments to contour Rubber Tooth can be used to adjust Axial Walls Marginal F Ridges Occlusal table and Embrasures Use Move Feature for cusps Smooth Surface to blend and Dropper to add material when needed to modify the proposal CH Werte Mill SIM Check the internal fit of your restoration before milling Function Use these tools to adjust the bite and occlusion to ideal parameters Prepare for Milling Ensure the restoration will mill properly Occlusal table 1 5 2 mm Axial walls 1 1 5 mm
4. Moving in small increments click as you move around the preparation Don t worry if you make a mistake while drawing the margin The margin is finished when the original point blue dot is clicked to finish the circle Practice adjusting the margin with both Move Margin and Add Segments Move Margin is used for minor adjustments Design Add Segments is used to redraw a section of the margin Please reference the CAD CAM workflow for design We will use this form throughout the design process PLANMECA Scan Prep 10096 of Prep and contact zones begin on the occlusal surface of the prep Orientation Automatically active balance the model from the occlusal view to mark the margin PT I Orientation can be de is l activated or activated at any time using this icon Generate Generate proposal is the first step in the design process Customizing the proposed restoration to fit in its place over the prep tL i Use Incremental E Change Tools to i adjust overall fit Clickan arrow next to the desired adjustment Twist Rotate or Expand to fit in place AutoGenesis ON Click Apply AutoGenesis OFF Resize Reposition Apply Some cases may require orientation to be adjusted Block Size Selection Select the block size for the chosen restoration and material Sprue Position FE Adjust the sprue away from margins contacts and occlusion when needed
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6. B3 B4 C1 C2 C3 CA D2 D3 D4 BL1 BL2 BL3 BL4 C16 amp B32 Blocks A1 A2 A3 A3 5 B1 B2 C1 C2 D2 BL1 IPS e max CAD by Ivoclar Vivadent AA PIENE C UNIVERSITY IPS e max CAD by lvoclar Vivadent i i UNIVERSITY IPS e max CAD by lvoclar Vivadent aa WAI A2 Al 43 A35 AA B1 B2 B3 B4 a c2 c3 Ca D2 D3 D4 Pd Pt C UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N IPS e max CAD Impulse by Ivoclar Vivadent Value blocks various brightness values The Value blocks feature different brightness values 1 is the lowest and 3 the highest Opal blocks lifelike opalescence effect The Opal blocks exhibit a decreasing opalescence and increasing brightness value from 1 to 2 The Opal blocks can be used as an enamel replacement material Aesthetic and minimally invasive restorations thin veneers in particular PLANMECA UNIVERSITY IPS e max CAD Impulse by lvoclar Vivadent Advantages Lithium disilicate glass ceramic LS2 with a strength of 360 MPa Opal blocks for highly esthetic minimally invasive veneers with a minimum thickness 300 MPa of 0 4 mm Value blocks for lifelike brightness value in crowns 400 MPa BLAS EET A UNIVERSITY Telio CAD by Ivoclar Vivadent Strength and Endurance Long term temporary bridge material 12 mo Flexural strength of 130 MPa Esthetic Polyacrylate material technology a
7. DZL19 9DIDUD 104 uid bully ay 0 UOI D40 521 2 XIJJD 0 pasn aq IM UMOYS MO aw Aeay uonezi JeysKa 5 i Tle XI422 q 0 fey uoneziiiestuD qv xeura mac aem s as SS 01d U0I EZI9 e1eU s 390 IONH231 073 ALISH3AINO V Xew Sd VOZSIANV Id NN PF LAVYC O LOTTNGA PeMesey siugt IIV seigojouuoe qt3 TOC enuew sN au u punoj aq ue jen zew uonedsibay eig Duiuue s uo uoneuuoJu BION T LI d M n 1 l A il E ar jenu pue je onq u Je aui 0 Je h2ipuadied jenu pue je onq uo nss JPAIBUI WU e z ue uonnuep euumoid uo nss JPAIBUIG LULU e z Kaessa au suone10J ON Kjesso ou io pans ve uDis p 104 e1ep eIxe POOH jou e1ep eAIBu DB pue Jenbur qi ed ubisop 10 ejep eIxe POOH nss PAIBUIP ww e z 4399 jue efpe ay Jo 06 apis eoonq HINC 4393 jue efpe aui Jo 06 6uisoddo y uo anssn IeAIBuIB wu c z J9UUe52S BY Jo uonejoiJ 1ufis Se3Je 1D2e1uo2 euuIXoidi lul pue daud au ul uonnuep au e ease 12e1uoo ELIXO1dIS UI Se3Je 22 U02 PWIXO1dJojUI pue daJd y Jo 96001 JO dens eng au aunide sdsn y Jo 96001 y JO 00 2A21U2e O pue daJd au Jo 96001 suoisse1duij 9 19 e3 ng Huisoddg jeuwixoidiojuy uoneiedaiq S3I9010NH231 193 y gt Su19116 lt cj E S Eo5 ALISUAAINN onblIuu29L SuIuue2s 2015 E4D Technologies All Rights Reserved EDU1110 N V OZSIANY Ic 13V4Q Q 0LLOQ3 pam s SU IIV serbojouuoe A
8. of the preparation the interproximal contact areas and at least 9096 of the adjacent teeth and full cusps Focus on the contact zone not the gingival contours 4 Eraseany interfering data such as extra teeth tongue cheek and cotton rolls 5 Click Generate Model or press M on the keyboard to finish building the model Buccal Bite and 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 opposing model Scan the teeth that are opposing the teeth in the preparation scan Identify the three teeth directly opposing those in the prep scan Note Many dinical operators scan the Opposing while the patient is being anesthetized 2015 E4D Technologies All Rights Reserved EDU1110 N 9 Exercise 1 Premolar Crown with Buccal Bite Scan Opposing 1 Click Opposing in the scan options on the left of the screen 2 Starting with the distal tooth scan the occlusal data 3 Transition to the buccal and scan the buccal surface Include 2 3 mm of gingival data Cusp tip axial wall gingival Lingual data is not necessary Goals of Opposing Scans 100 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 4 Erase interfering data such as tongue cheek and cotton rolls Scan Buccal 1 Click Buccal in the scan options on the left of the sc
9. provided for each practice in your blue take away bag and included in the User Manual Electronic versions are available online NOT UNIVERSITY Additional Resources Can Be Found At iy Learn 7 27 Digital itc Dentistry com A PINE CA UNIVERSITY AA PII E C UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N 41 42 AA PENA CA UNIVERSITY Material Selection Block Size Selection Materials come in a variety of sizes The size of the designed restoration and sprue position will determine the available Size to mill UNIVERSITY IPS Empress CAD by lvoclar Vivadent Beautiful Esthetics IPS Empress CAD offers over 100 combinations of block size shades and translucencies C Multi Shade amp Translucency Cut back and layer esthetics in a monolithic block e Multiple translucencies create the most natural looking esthetic restoration Control incisal translucency and gingival color A Pd Po CA UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N IPS Empress CAD by lvoclar Vivadent High Translucency Excellent chameleon effect Blends easily with existing tooth structure Inlays virtually disappear 20 more translucent than the Low Translucency Block Low Translucency Higher value Block out capability Higher opacity level UNIVERSITY IPS Empress CAD by Ivoclar Vivadent Efficient 200 MPa IP
10. 1 e max Glaze Paste 1 e max Glaze Liquid 1 e max Crystallization Tray 48 FEL AA Pul Pe E DT A UNIVERSITY Premier Starter Kit 1 Diamond Twist Paste Kit 1 Traxodent Sample 2 Sample Prep Burs 1 Milling Tools Sample Pack 2 Ellipsoidal 2 Conical 2 Tapered 1 Sample Knit Pak Cord A Ped PA E DZ A UNIVERSITY Ivoclar Starter Kit IPS Empress CAD 4 IPS Empress CAD Blocks 2 Empress Shades 1 Empress Stain 1 Empress Glaze 1 Empress Glaze Liquid Misc items 2 Multilink Primer 1 Monobond Plus 1 Ceramic Etching Gel 1 Multilink Automix Trans 1 Optrastick 1 Optrafine Promo Pack 1 Object Fix Putty Cementation Navigation DVD BLANMECA UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N 3M Starter Kit Lava Ultimate 5 A2 LT C14 Blocks 5 A2 HT C14 Blocks Misc items 1 RelyX Ultimate Adhesive A1 1 Scotchbond Universal Adhesive 1 3M ESPE Retraction Capsule 1 CoJet Sand Blast Coating Agent 1 Lava Ultimate Guide PLANMECA UNIVERSITY Starter Kit Mill Coolant Defoaming Solution PLANMECA UNIVERSITY What s Next Contact your local representative today o Order blocks in shade values for upcoming patients o Order mill tools 1 sleeve of each Ellipsoidal and Tapered Stains and Shades for characterization Spray Glaze and speed tray for e max depending on order Infection Control Procedures for Scanner Tips HLD or Autoclave Lens tissues KimWip
11. Elements Training Workbook amp Resources PLANMECA UNIVERSITY E4D TECHNOLOGIES LL LL Table of Contents PlanScan System amp Equipment Overview Exercise 1 Premolar Crown with Buccal Bite Exercise 2 Molar Crown with Buccal Bite ss Exercise 3 Onlay Restoration Exercise 4 Pre op Crown Optional Exercise Anterior Crown with Buccal Bite Information Resources nn RegIsUratllollu i nono MIU D Customer Support Information tentent COU POOTI ETT Prep Guidelines amp Materials Material Selection Integration Day amp Starter Kit CAD CAM Supplies ee OU PLANMECA UNIVERSITY E4D TECHNOLOGIES Gary Severance DDS Chief Marketing Officer Jeremy Hiser RDA CDD Manager of E Learning and Documentation jhiser e4d com Angie Heick Senior Technical Writer aheick e4d com Joshua Bradley CDD Clinical Educator jbradley e4d com Leia VanHoozer RDA CDD Clinical Educator lvanhoozer e4d com
12. OM GV Oue d VO3IANYAd 2015 E4D Technologies All Rights Reserved EDU1110 N 56
13. S Empress CAD offers the option to simply mill and polish for maximum efficiency or glaze fire for up to a 50 l 100 MPa increase in strength Clinician s Report October 2009 Volume 2 Issue 10 13 min UNIVERSITY IPS Empress CAD by lvoclar Vivadent Multi A1 A2 A3 A3 5 B1 BL1 BL3 HT High Translucency Ai A2 A3 A3 5 B1 B2 B3 C2 D3 LT Low Translucency A1 A2 A3 A3 5 B1 B2 B3 C2 D3 BL1 BL2 BL3 BL4 AMMETTA UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N 43 44 Beautiful Esthetics IPS e max CAD offers a wide range of shades sizes and translucencies to allow the dental professional to provide beautiful esthetics and the durability to ensure clinical success for all indications The Highlights True to nature shade behavior for highly esthetic solutions Versatile use and comprehensive range of indications Lifelike esthetics irrespective of the shade of the preparation Benefits Durable restorations due to the high strength Adhesive self adhesive or conventional cementation depending on the indication Bridge Materials C16 Ideal for longer dentition and large restorations B32 Up to three unit bridges up to the second premolar as the abutment tooth HT High Translucency A1 A2 A3 A3 5 A4 B1 B2 B3 B4 C1 C2 C3 CA D3 D4 BL1 BL2 BL3 BL4 LT Low Translucency A1 A2 A3 A3 5 A4 B1 B2
14. Thickness in view options to evaluate the proposal The proposal should be blue green with a yellow margin 5 Click Rubber Tooth and adjust the axial walls marginal ridges and embrasures 6 Click View Bite Registration to see the opposing dentition model above the proposal Click View Bite Registration a second time to make the template transparent Adjust the translucency of the opposing model 7 Click View Contacts 8 Click View Contacts Use Contact Refinement to adjust to White Brown Black FE Wa y e Intraoral adjustment will be needed Ideal occlusion slight adjustment may be m needed 9 Click View Bite Registration again to deactivate the template 10 Click Hide Model to remove the model from view 2015 E4D Technologies All Rights Reserved EDU1110 N 1 9 20 Exercise 2 Molar Crown with Buccal Bite 11 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed with Smooth Surface in Freeform Change Tools The goal is dark blue with a hint of aqua Ideal Contact Adjustment Needed Zone No Contact Broadness of Contact Drk Blue Floss Snap Aqua 12 Deactivate Hide Model 13 Deactivate View Contacts 14 Click Material Thickness The desired material thickness is based on the block manufacturer s recommended thickness for your restoration type The desired material thickness for a crown is 1 1 5 mm along the axial wall
15. able for a fee and can be ordered by emailing educationonline e4d com Videos www e4d com videos e Education opportunity details www e4d com education Visit CadCamCan com for additional videos and resources Subscription needed for some sections Please note that cadcamcan com is a separate site To post on their forums you will need to Create an Account on the cadcamcan com website The registration invitation code is PlanScan case sensitive Newsletters Chairside Chat and update information are communicated via email When you create your account in class you may choose to be added to our email list You may unsubscribe at any time Registration To register go to www e4d com register This is usually done while you are at the Elements class in Dallas 1 Doctor is the default selection If you are not a dentist click Team Member It is important that you fill out your information under the correct tab REGISTER DENTIST TEAM MEMBER 2 Filloutthe information carefully Note the fields are different for Dentists and Team Members The dentist information will be used as your listing in Dentist Finder 3 Atthe bottom of the registration are several email subscription checkboxes e Weekly Video Tutorials Send me Product Updates e Dentist Finder on the Dentist registration only e CDD Registration on the Team Member registration only 4 ClickSubmit 2015 E4D Technologies All Rights Reserve
16. al surfaces of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured Use the same scanner orientation as the other two scans Goals Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data No rotations necessary Note Be sure to verify the status of the buccal alignment E Margin 1 Clickthe Margin tab 2 Evaluate and adjust the Orientation Orientation may have to be adjusted a second time after marking the margin Teeth Sr FR LEEY 1 m Align the incisal edge with the bottom of the design screen 3 Click Orientation to accept the current position Mark the Margin 1 Use the scroll wheel to zoom in on the preparation 2 Click Trace and click on the inside of the margin 3 Moving in small increments click as you move around the preparation 4 The margin is finished when the original point blue dot is clicked to finish the circle 5 Adjust with Move Margin and Add Segments as needed 32 2015 E4D Technologies All Rights Reserved EDU1110 N 5 Optional Exercise Anterior Crown with Buccal Bite Design Please reference the CAD CAM workflow for design We will use this form throughout the design process 1 Click the Design tab the Tooth Libraries tools automatically appear Review the available libraries for best fit Available tooth libraries for design Yellow highlight indicates
17. axial walls and 1 5 2 mm on the occlusal table 14 Evaluate the margin The material thickness should be yellow around the margin with no red or orange Good example yellow margin Poor example Red or orange along the margin 15 If there is red or orange around the margin click Move Margin to evaluate the margin for accurate placement Adjust the margin if needed Going back to the Margin tab and making changes to the margin will result in losing your design 16 Ifthe margin is placed accurately and is still red orange use the Dropper tool to add material thickness Congratulations on your first design with the PlanScan system Review the CAD CAM Workflow before continuing to the Mill tab 2015 E4D Technologies All Rights Reserved EDU1110 N 1 5 Exercise 1 Premolar Crown with Buccal Bite Milling 1 Click the Mill tab 2 Evaluate your design and review the material thickness indicators 3 Check the sprue position and use the Sprue Placement wheel to adjust when needed 4 Select the block size also based on sprue positioning High away from margin and contact areas Too close to the margin 5 Click Mill Sim 6 Evaluate the simulation 7 Click Send to Mill click OK Confirm Settings The system defaults to the setting for the restoration type Please confirm settings Standard Full Coverage Crowns Standard Detailed Inlay Onlay and Veneers Q Detaile
18. contact point 90 of the adjacent teeth Good axial data for design 2 3 mm gingival tissue on buccal and lingual Keep your eyes on the screen and use the model and live view to track your progress and current position Evaluate the model 1 Use the mouse to rotate move and zoom in and out to evaluate the model Left Click Right Click Scroll Wheel Q Y Select position the fi Rotate Model press AN Zoom rotate the scroll cursor on an item and and hold the right button wheel to change the size c Click the left button to o while dragging the mouse of the model select on the desktop Move press and hold the wheel to move the model It s important to practice using the mouse Ensure you are comfortable moving the model and zooming in out 2 Rotate the model to look for low data areas in key areas the preparation interproximal contacts etc GENERATE MODEL 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 1 Premolar Crown with Buccal Bite 3 Fillin any required missing data by activating the scanner Use the fill in techniques Mesial Tip Rest the neck of the scanner tip on the mesial neighbor rock the scanner to point the blue laser into the distal interproximal area Distal Tip Rest the end of the scanner tip on the distal neighbor rock the scanner to point the blue laser into the mesial interproximal area Ensure your model has 10096
19. current selection 2 Ifthe library tooth is not a good size in relation to the neighbors use the ALT Up or Down Arrows on the keyboard to resize the library tooth 3 Ifthe library tooth needs to be moved left click and drag the green tooth to ideal position 4 Turn OFF Autogenesis and click Apply 5 ClickIncremental Change Tools to evaluate the proposal for large adjustments Use the tool options to make changes where needed Click Apply before continuing 6 Click Freeform Change Tools and Material Thickness in view options to evaluate the proposal The proposal should be blue green with a yellow margin 7 Click Rubber Tooth and adjust the axial walls ridges and embrasures Activate Move Feature to adjust surfaces incrementally _ u a Adjust axial wall contours by pulling material away from or toward the preparation 8 Click View Bite Registration to see the opposing dentition model above the proposal Click View Bite Registration a second time to make the template transparent Adjust the translucency of the opposing model 2015 E4D Technologies All Rights Reserved EDU1110 N 33 34 Optional Exercise Anterior Crown with Buccal Bite 9 Click View Contacts Use Contact Refinement to adjust to White Brown Black M w j k d k Adjustments needed Ideal occlusion slight adjustment may be needed mi B 10 Click View Bite Registrati
20. d 1 6 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 2 Molar Crown with Buccal Bite Exercise 2 Molar Crown with Buccal Bite Tooth 30 4 6 ISO with bite registration Some images in this exercise may vary from the physical model The same work flow will be used Setup Enter the setup information for this case e Tooth 30 4 6 ISO Crown Buccal Opposing Library A IPS e max CAD LT Select shade B1 Scan Prep Scan prep using the basic scan method for a single unit posterior case Goals of Prep Scanning 10096 of the prep and Interproximal contact point 9096 of the adjacent teeth and good axial data for design 2 3 mm gingival tissue on buccal and lingual Scan Opposing 1 Click Opposing Goals of Opposing Scanning 10096 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 2 Eraseany interfering data such as tongue cheek and cotton rolls 2015 E4D Technologies All Rights Reserved EDU1110 N Co lt Exercise 2 Molar Crown with Buccal Bite Scan Buccal 1 Click Scan Buccal 2 Scan the buccal surfaces of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured Use the same scanner orientation as the other two scans Goals of Buccal Bite Scanning Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data
21. d EDU1110 N 37 38 CDD Program CUSTOMER SUPPORT INFORMATION PlanScan System support E4D Customer Support 1 800 537 6070 866 361 1333 corporate phone 972 234 3557 corporate fax customersupport e4d com 7am 7pm Central Time Mon Thurs 7am 6pm Central Time Friday CDD PROGRAM The self paced Certified in Digital Dentistry Program CDD provides motivated operators with the opportunity to gain professional recognition and establish credibility in proficiency with the latest dental CAD CAM technology Go to e4d com cdd to learn more 2015 E4D Technologies All Rights Reserved EDU1110 N Prep Guidelines amp Materials Prep Guidelines T Tapered Sides 6 to 10 Degree Taper UNIVERSITY Prep Guidelines TR Tapered Sides Rounded Internal Angles UNIVERSITY Prep Guidelines TR Tapered Sides Rounded Internal Angles Equi Supra Gingival Margins UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N 39 40 1 5 to 2 mm 1to 1 5 mm Prep Guidelines TREA Tapered Sides Rounded Internal Angles Equi Supra Gingival Margins Adequate Reduction UNIVERSITY Prep Guidelines TREAT Tapered Sides Rounded Internal Angles Equi Supra Gingival Margins Adequate Reduction Tissue Management J Pd Pa EET A UNIVERSITY ANECA UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N FAR SAMREPARETPN SHIDELIES A copy is
22. e connector of the scanner into the white Thunderbolt adapter 2 Verify the scanner status in the Scan Tab wait until the scanner tip is warming before attempting to scan intraorally 3 Activate the scanner with the Space Bar of the laptop or the Power button on top of the Scanner 4 Disconnect the scanner red firewire connector after moving to the Margin Tab Holding the PlanScan Scanner Hold the scanner close to the tip like a handpiece or overhanded Rest the neck of the scanner on the adjacent teeth The tip of the scanner must point toward the distal of the preparation If you scan in the incorrect orientation you will need to delete those scans and start over Scanning Live View and Model Indicators Live View Model View Scanninig stops when the Live View turns Sepia Return back to a known area im D p a j ZEN iL A i l CAPTURING DATA THROUGHOUT SCALE Touching the surface Floating away from surface 2015 E4D Technologies All Rights Reserved EDU1110 N 7 Exercise 1 Premolar Crown with Buccal Bite Basic Scanning Pattern Begin scanning directly over the occlusal surface of the preparation Move in a gradual continuous motion toward the mesial neighbor Transition from the occlusal cusp axial wall to gingival surfaces The scanner should be held close to 90 while scanning parallel to the buccal surface Goals of Prep Scanning 100 of the prep Interproximal
23. ea will define the area of the tooth structure for design Over selection an area will cause a poor proposal Good Selection Poor Selection 7 Complete the Selection Area and return to the Margin Tool screen 8 Click Hide Model to isolate the preparation and to evaluate and adjust the margin with Move Margin and Add Segments as needed Please reference the CAD CAM workflow for design We will use this form throughout the design process 2015 E4D Technologies All Rights Reserved EDU1110 N 23 J Exercise 3 Onlay Restoration Design 1 Click the Design tab 2 Ensure Autogenesis is ON and click Apply Autogenesis creates a proposal based on the Selection Area designated Click Incremental Change Tools to evaluate the proposal for large adjustments Use the tool options to make changes where needed Click Apply before continuing Click Freeform Change Tools and Material Thickness in view options to evaluate the proposal The proposal should be blue green with a yellow margin 5 Click Rubber Tooth and adjust the axial walls ridges and embrasures Activate Move Feature to adjust surfaces incrementally 6 Click View Contacts Since this case does not have any occlusal contact information we will skip to the interproximal contact 7 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed with Smooth Surface in Freeform Change Tools The goal is dark bl
24. ed EDU1110 N 25 Exercise 3 Onlay Restoration Mill 1 Click the Mill tab 2 Evaluate your design and review the material thickness indicators 3 Click Hide Model and check the sprue position and use the Sprue Placement wheel to adjust when needed 4 Ifnosprue is visible the sprue is positioned on the internal aspect of the restoration Move the sprue to an external position 5 Ensure the total circumference of the sprue is visible 6 Select the block size also based on sprue positioning 7 Click Mill Sim 8 Evaluate the simulation 9 Click Send to Mill click OK Contin Sathings Please confirm settings The system defaults to the setting for the restoration type Standard Full Coverage Crowns Standard Detailed Inlay Onlay and Veneers Detailed 26 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 4 Pre op Crown Exercise 4 Pre op Crown Pre op Crown Tooth 30 4 6 ISO Setup Enter the setup information for this case e Tooth 30 4 6 ISO Crown Buccal Opposing e Pre op IPS e max e Select shade A1 Scan Prep 1 Click the Scan tab 2 Click Preop 3 Follow the basic scan pattern 4 Evaluate the pre op model Goals of Pre Op Scanning 10096 of the pre op tooth 9096 of the adjacent teeth Good axial data for design 2 3 mm gingival tissue on buccal and lingual 5 Click Prep 6 ATime Saver prompt appears Clic
25. ercise Anterior Crown with Buccal Bite Tooth 9 2 1 ISO with bite registration Setup Enter the setup information for this case e Tooth 9 2 1 ISO Crown Buccal Opposing Library A2 Empress CAD Multi Select shade A1 Scan Prep Scan prep using the basic scan method for a single unit anterior case The tip of the wand should face the highest tooth number Begin scanning directly over the occlusal surface of the preparation Move in a gradual continuous motion toward the neighbor Transition from the incisal axial wall and to the gingival surfaces The scanner should be held at close to 90 while scanning parallel to the axial surface Watch as your model builds to see any areas that might require a different rotation or angle Goals of Prep Scanning 10096 of the prep and interproximal contact point 9096 of the adjacent teeth and good axial data for design 2 3 mm gingival tissue on buccal and lingual Scan Opposing 1 Click Opposing 2 Starting in the same scanner orientation as the prep scan scan the incisal data and rotate to the buccal Goals 10096 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 3 Erase any interfering data such as tongue cheek and cotton rolls 2015 E4D Technologies All Rights Reserved EDU1110 N 3 1 J Optional Exercise Anterior Crown with Buccal Bite Scan Buccal 1 Click Buccal 2 Scan the bucc
26. es Lab handpiece and Finishing Kit Sand blaster if using Lava Ultimate Prep Kits recommended not required BLAM MEA UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N 49 CAD CAM SUPPLIES The materials listed below are all items used at Planmeca University They are grouped by item type For new documentation go to www e4d com material bank Documentation Name Vendor User Manual E4D Technologies Milling Center Quick Reference E4D Technologies Mecon Ono Name Vendor Item Number Alcohol Prep Pads Schein 1048298 MaxiCide Plus w Activator Schein 102 5796 Qt 102 2865 Gallon MetriTest Strips Schein 602 3437 Distilled Water Schein 395 0139 Gloves Schein X Small 5654510 Small 5658087 Medium 5657431 Large 5659481 X Large 5651575 Allrap Cover Film 4x6 Clear Schein 1273240 Steri Soaker Schein 6581402 Preparation Design Name Vendor Item Number Two Striper Full Crown Kit Schein 3780210 Premier 2013581 Two Striper Inlay Onlay Kit Schein 3780213 Premier 2013582 Impression anq Model Materials Name Vendor Item Number Earth Stone Quick Set Stone Schein 9662932 Orban 1 2 Perio Blade for trimming bite registration Premier 1004751 Scanning Name Vendor Item Number Scanning Tips HLD pack of 3 Schein 6314915 Scanning Tips Autoclave Standard Schein 4457436 Scanning Tips Autoclave Landscape Schein 4454531 Scanning Tips Autoclave Portrait Schein 4452695 Optical Wipes Kimwi
27. k Yes 2015 E4D Technologies All Rights Reserved EDU1110 N 27 28 Exercise 4 Pre 0p Crown The pre op model is duplicated as the preparation model 7 Click Erase 8 Erase the pre op tooth and the marginal ridges of the neighboring teeth _ ee ee d ptr gt 9 Clickthe Erase tool again to accept the changes 10 Pressthe button on the scanner and start scanning over one of the neighboring teeth When the system recognizes the same data on your prep model it will begin scanning Move over the preparation and the system will fill in the areas that you erased 11 Fillin the preparation data and the interproximal areas 12 Evaluate the model for any missing data 13 Generate the model 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 4 Pre op Crown Orientation 1 Click the Margin tab 2 Evaluate and adjust the Orientation using View Controls to change the point of view 3 Clickthe Orientation icon to accept the current position Mark the Margin 1 Use the scroll wheel to zoom in on the preparation 2 Click Trace and click on the inside of the margin 3 Moving in small increments click as you move around the preparation 4 Themargin is inished when the original point blue dot is clicked to finish the circle Edit the Pre op 1 Click Pre Op Editing PS 2 Use the Trace tool to designate the area of the model that you wa
28. llows for beautiful esthetic results simply by polishing or with the option to apply stains and glaze for a customized appearance Shades A1 A2 A3 A3 5 B1 BL3 A PINE CA UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N 45 Lava Ultimate by 3M Nano Technology High flexural strength 200 MPa adds durability to posterior restoration Excellent wear resistance Brilliant and long lasting polish Excellent stain resistance for color stability Shades A1 A2 A3 A3 5 B1 C2 D2 BL AA PINE CA UNIVERSITY Paradigm MZ100 by 3M Versatile and Easy _ Enamel like wear characteristics are superior a to that of ceramic blocks Easy to finish and polish Easy to repair intraorally Shades A1 A2 A3 A3 5 B3 Enamel AMECA UNIVERSITY Zirlux FC2 by Zahn Dental Advantages of Full Contour Zirconia Flexural strength of 1100 MPa Simple stain and glaze technique High translucency pre shaded zirconia Predictable aesthetic outcome Excellent alternative to PFM s Low wear on opposing dentition To prevent contamination it is required to perform maintenance between milling PLANMECA different materials A sintering oven is required for Zirlux FC2 UNIVERSITY 2015 E4D Technologies All Rights Reserved EDU1110 N Burn out Block BOB by E4D Technologies Advantages Ideal for the lost wax technique allowing the optimal design of the restoration to be used fo
29. material up or down TJ Note Rotate the model to adjust circumferentially From the occlusal view adjust Check the emergence the embrasure shapes profile and adjust 2015 E4D Technologies All Rights Reserved EDU1110 N 1 3 Exercise 1 Premolar Crown with Buccal Bite 6 Click View Bite Registration to see the opposing dentition model above the proposal Click View Bite Registration a second time to make the template transparent Adjust the translucency of the opposing model Intraoral adjustment will be needed Ideal occlusion slight adjustment may be cU needed 8 Click View Bite Registration again to deactivate the template 9 Click Hide Model to remove the model from view 10 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed with Smooth Ideal Contact Surface in Freeform Change Tools b N Adjustments Needed Ty o Contact Zone justments Neede F v The goal is dark blue with a hint of aqua Broadness of Contact Dark Blue Floss Snap Aqua Before Goal 11 Deactivate Hide Model 12 Deactivate View Contacts 1 4 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 1 Premolar Crown with Buccal Bite 13 Click Material Thickness The desired material thickness is based on the block manufacturer s recommended thickness for your restoration type The desired material thickness for a crown is 1 1 5 mm along the
30. ng the scanner are in a later section ie 2015 E4D Technologies All Rights Reserved EDU1110 N PlanScan System amp Equipment Overview Connecting the Scanning Tip If scanning intraorally disinfect the tip before connecting it to the base See the User Manual for full instructions or the insert that is inside the scanning tip box 1 Grasp the body of the scanner with one hand 2 Use the other hand to press the scanning tip onto the scanner as shown A locking click is heard once the tip is fully seated Disconnecting the Scanning Tip 1 Grasp the body of the scanner with one hand 2 With your other hand depress the green button on the underside of the scanner Gently pull the tip from the scanner To prevent damage to the scanner pull the pieces apart gently and without twisting or bending When the scanner is not in use place the non functional protective scanner tip on the scanner Included with the scanner during shipping Failure to follow this procedure may result in damage to the scanner and scanning tip Always follow the manufacturer s instructions for disinfection PlanMill 40 Maintenance of the PlanMill 40 is covered in the Elements course and in the User Manual Each week or every 3 hours of milling the mill fluids need to be replaced e Every other week or every 10 hours of milling the Collets and Spindle Caps require maintenance For Celebration custome
31. nt to use as the Pre op library surface Stay away from rough areas and the margin 3 Clickon the blue dot to finish the pre op area 4 Use Move Curve and Add Segments to edit the Pre op if needed 2015 E4D Technologies All Rights Reserved EDU1110 N 29 Exercise 4 Pre op Crown Design 1 Click the Design tab Note that the Library at the bottom of the screen now includes Pre op 2 Click Apply Autogenesis creates a proposal based on the Pre op area that you designated and Library A 3 Follow the normal design workflow 4 Click View Pre op L to see the combination of the pre op model and the prep model Speckled areas are where the pre op is in close proximity to the proposal Solid stone color shows where the pre op is above the proposal Solid proposal color is where the proposal is above the pre op Click View Pre op a second time to make the pre op model translucent 5 Use Slice Plane and Rubber Tooth to make adustments if needed Milling 1 Click the Mill tab Evaluate your design and review the material thickness indicators Check the sprue position and use the Sprue Placement wheel to adjust when needed Click Mill Sim 2 3 4 Select the block size also based on sprue positioning 5 6 Evaluate the simulation 7 Click Send to Mill click OK 30 2015 E4D Technologies All Rights Reserved EDU1110 N Optional Exercise Anterior Crown with Buccal Bite Optional Ex
32. on again to deactivate the template 11 Click Hide Model to remove the model from view 12 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed with Smooth Surface in Freeform Change Tools The goal is dark blue with some green Final adjustments will be made after the restoration is milled Ideal Contact Intraoral Adjustment No Contact Zone Needed Broadness of Contact Dark Blue Leave a little green in the contact area to finalize after testing the fit 13 Deactivate Hide Model 14 Deactivate View Contacts 15 Click Material Thickness The desired material thickness is based on the block manufacturer s recommended thickness for your restoration type The desired material thickness for a crown is 1 1 5 mm along the axial walls bright green dark green and 1 5 2 mm on the incisal dark green blue 2015 E4D Technologies All Rights Reserved EDU1110 N Optional Exercise Anterior Crown with Buccal Bite 16 Evaluate the margin The material thickness should be yellow around the margin with no red or orange k a Good example yellow margin Poor example Red or orange along the margin 17 If there is red around the margin click Move Margin to evaluate the margin for accurate placement Adjust the margin if needed Going back to the Margin tab to make changes will result in losing your design If the margin is placed accurately and i
33. op 2 Windows 8 Tiles and accessing the desktop 3 Care and general maintenance Connecting the Thunderbolt Adapter Properly connecting and disconnecting the scanner prevents damage to your devices 1 Insert the Thunderbolt adapter into the adapter slot on the side of the laptop The adapter should remain attached even when not in use 2 After opening the PlanCAD 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 hand grasp the Thunderbolt adapter Gently pull apart to disconnect Leave the white Thunderbolt adapter attached to the computer Disconnecting the Thunderbolt Adapter If you wish to remove the adapter from the laptop 1 Disconnect the scanner and exit Romexis to the Windows desktop Navigate to the Eject Media icon in the lower left corner of the desktop A Eject IEEE 1394 Controller pe LLLLI 2 3 Click the icon and choose Eject IEEE 1394 Controller 4 Remove the Thunderbolt adapter from the laptop Failure to follow the Thunderbolt Adapter procedure may result in an inoperable scanner For additional questions or concerns please contact Customer Support at 800 537 6070 PlanScan Scanner e L 1 Scanning Tips P 2 Cradle XM 3 Scanner Cable connecting and disconnecti
34. pes Schein 1017070 Ergotron Cart smaller Schein 1276580 Enovate Cart larger Schein 6310850 2015 E4D Technologies All Rights Reserved EDU1110 N Milling Center Name Vendor Item Number Coolant Schein 6311524 Defoaming Solution Schein 6318999 Two Striper E4D Mill Diamonds Burs Conical Schein 3781031 Premier 2016002 Ellipsoidal Schein 3780560 Premier 2016001 Tapered Schein 3786546 Premier 2016000 Assorted Schein 3780206 Premier 2016004 Restoration Finishino Name Vendor Item Number Two Striper Finishing Kit Schein 3780201 Premier 2013553 Articulatino Paper Name Item Number Accufilm Single Sided Red Articulating Paper Schein 1865309 Clinical materials and accessories cements adhesives stains amp glaze etc Rebecca Spillman MS Bill McGlynn Ivoclar Vivadent 3M ESPE 175 Pineview Drive Amherst NY 14228 716 691 2248 phone rebecca spillman ivoclarvivadent com 3M Center Bldg 275 2SE 03 St Paul MN 55144 1000 651 733 9078 phone bfmcglynn mmm com John Bonner Premier Dental Products Company 1710 Romano Drive Plymouth Meeting PA 19462 610 239 6022 888 773 6872 Ex 1022 jbonner premusa com 2015 E4D Technologies All Rights Reserved EDU1110 N 51 52 NOTES 2015 E4D Technologies All Rights Reserved EDU1110 N RTT T TE NN 7611 LAAJ p A4 s 1 sjubu y seibojouu a ArI SLOZO uonne jainpejnueu M Ni parepuy KINO SNOLLVDIGNI Q35538d HO 15V 101 g08 014
35. posing Library A e Lava Ultimate LT Select shade A1 Scan Prep 1 Click the Scan tab 2 Follow the basic scan pattern 3 Evaluate the preparation model The same basic scan pattern is used for partial restorations Tooth 13 2 5 ISO is also a preparation but we are not designing it at this time The opposing dentition is a preparation so we are not going to scan the buccal and opposing Orientation The pictures for this case are of a different onlay The procedure is the same 1 Click the Margin tab 2 Set the Orientation for the onlay Use the remaining anatomy of the prepped tooth to aid your orientation Mark the Margin 1 2 3 Use the scroll wheel to zoom in on the preparation Click Trace and click on the inside of the margin Moving in small increments click as you move around the preparation The margin is finished when the original point blue dot is clicked to finish the circle 2015 E4D Technologies All Rights Reserved EDU1110 N ju Exercise 3 Onlay Restoration Once the margin is drawn for an inlay or onlay a notification screen appears warring _ m Note If this screen doesn t appear click Selection Area Please define a selection region for the Onlay using the Selection Area tool Z Do not show this message again ES o 5 Click Take Me There to go to the Selection Area screen 6 Click Add to Selection and circle Tooth 14 2 6 ISO Using Selection Ar
36. r lost wax casting or pressing techniques for additional material and restoration utilization UNIVERSITY Options to think about Bridges Block Recommendation Chart T Choose the best option for you j O A F e patient Call your manufacturer 5 representative for more details pent ET X OS d wm O View manufacturer websites for a more specific indications and uses sun IDCM facies PLANMECA UNIVERSITY Remember to always follow the manufacturer instructions provided with each type of material For additional information regarding the content in this presentation Please contact the manufacturer for the product in question 2015 E4D Technologies All Rights Reserved EDU1110 N 47 Integration Day amp Starter Kit Integration Day Day starts at 7 30am and ends 3pm 3 Pre prepared Single Unit Posteriors premolar molar Schedule Patients at 8am 10am and 1pm Allow 3 hours for the first appointment that may overlap the second 2hourappointments are needed for the second and third patients Lunch and Learn Mill maintenance DDX Setup Discuss how to continue with your education No other patients scheduled Focused on those who attended the Elements of Success course in Texas Telio CAD 4 Telio CAD Blocks Telio CS Link Transparent Telio CS Desensitizer 5g OptraPol Test Pack IPS e max CAD 4 e max CAD Blocks 2 e max Shades 1 e max Stain
37. rI SLOZO 7 re papaau N IA OI 6e1u USA i IA pues bui iu a1Ojaq eua1euJ a UBYM uoisn 220 pue ai ayenjeaa oj papaau uaum WII aueld ae ee at 1 one re N S U01 210 S 1 INOA Jo IIIA HLI pue uoneJlojsaJ UBSOUD eui S12e U02 suibDJeuJ WOJ y JO 22eJAns ol BejuI y u a 3 PUI19 UI BY y2 uD Keme anads y ysn py ENT ET nS ee s 5u l Ji lul EUJ9 UI 10 OO MIS II IN uonoojJes ezis H20 g uonisod anids TIW p azsnfpe aq 0 uone1lu lio nlg Pa Aq pepunouns enby Z esodoid y Ajipouu o p p u U93319 JUHI 209 s1281U03 ulJ 1u NT 74 U9UuM jeleu ppe o1 Teddoag pue pu q 0 e e d Ul 11 eij9jeul ppe o1 p p u M d n Re Z 0 e ejans uloouus pue j poW SPE HINS HI0OUS 5o505 0 sume SACI 25 1 o puedx3 10 aje 04 AON YUM JUaWAade d 9pIH asf slool Huey wWuojaad amt seunse1qui3 ASIML 1ueunsnfpe jan aBuesO pay J YM 3e UOD eWIXO1d1aqUI 3snfpy ors ee ESN1220 AE S Pollsap sy 0 p u 11 911nba1 eu sased uuos MO 9A ae SUIBJELU e p l IEUIDIEW SIEM JEIXV sn pe N MoJe ue 52I D Ye UMOIG 93UM 1809 0 p sn aq ue YOO Jeqqny Aiddy uonisoday UJUJ G I Sjem eIXV RS 55 MISC OZISOY 43O SISQUSDHOINY uu Z G qe jesn 220 zx uonessiBay 1 g MOIA YUM aig 1snfpy INOJUOD JY 8190 1sn pe da SSSUDIUL lel 1eW an dale oi sjooLabueys lt gt kiddy 1 No siseussoxny s jool obueu uuojeoJ4 asp amp 3ueureJ5
38. reen 2 Close the articulated model gently If it shifts during the scanning the alignment may be incorrect 3 Scan the buccal surfaces of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured Goals of Buccal Bite Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data No rotations necessary e sure to verify the status of the ae uccal alignment In most cases alignment is done automatically by the software A green dot in the Buccal icon indicates a successful alignment Always verify the alignment before continuing with the next step 1 0 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 1 Premolar Crown with Buccal Bite Evaluate and Adjust the Orientation 1 Click the Margin tab 2 Evaluate and adjust the Orientation using View Controls to change the point of view A Inthe Occlusal View balance the model from buccal to lingual B Inthe Distal View align the buccal cusps of the neighbors wy C Inthe Buccal View evaluate marginal ridge alignment 3 Click the Orientation icon to accept the current position 2015 E4D Technologies All Rights Reserved EDU1110 N 1 1 12 Exercise 1 Premolar Crown with Buccal Bite Mark the Margin 1 2 3 Use the scroll wheel to zoom in on the preparation Click Trace and click on the inside of the margin
39. rs If your mill is inoperative when you return to your office check the back of your Job Server for a dongle that is taped to the back Plug the dongle into the back of your Job Server to enable the communications between the machines 2015 E4D Technologies All Rights Reserved EDU1110 N 5 Exercise 1 Premolar Crown with Buccal Bite Exercise 1 Premolar Crown with Buccal Bite Tooth 5 1 4 ISO Romexis 1 Onthe main screen of Romexis click Add Patient 2 Add your name in the patient demographics screen complete the options in bold 3 Click Save Patient at the bottom of the screen 4 Click CAD CAM in Romexis options to the left of the screen 5 Under Scan amp Design New Restoration click New Scan and Design This will take you to the Setup Tab Setup Tab Enter the setup information for this case then proceed to the Scan Tab 1 Select Tooth 5 1 4 ISO the tooth will highlight and turn orange as you move the cursor away Choose the restoration type Crown Select the bite option Buccal Opposing Choose Library A Pick the material Empress CAD LT gt m de ge Select shade A1 Scan Tab Overview p gt le I Setup Margin Design gt Scanner Status sia a on ET Scan Data Options 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 1 Premolar Crown with Buccal Bite Connecting the PlanScan Scanner 1 After opening the PlanCAD software connect the red FireWir
40. s and 1 5 2 mm on the occlusal table 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 2 Molar Crown with Buccal Bite 15 Evaluate the margin The material thickness should be yellow around the margin with no red or orange 16 w en Good example yellow margin Poor example Red or orange along the margin If there is red around the margin click Move Margin to evaluate the margin for accurate placement Adjust the margin if needed Going back to the Margin tab to make changes will result in losing your design If the margin is placed accurately and is still red orange use the Dropper tool to add material thickness Congratulations on your molar crown with the PlanScan system Review the CAD CAM Workflow before continuing to the Mill tab Milling 1 2 3 4 5 6 7 Click the Mill tab Evaluate your design and review the material thickness indicators Check the sprue position and use the Sprue Placement wheel to adjust when needed Select the block size also based on sprue positioning Click Mill Sim Evaluate the simulation Click Send to Mill click OK 2015 E4D Technologies All Rights Reserved EDU1110 N 2 1 22 Exercise 3 Onlay Restoration Exercise 3 Onlay Restoration Onlay Tooth 14 2 6 ISO Setup Enter the setup information for this case Tooth 14 2 6 ISO e Onlay Buccal Op
41. s still red orange use the Dropper tool to add material thickness Congratulations on your second design with the PlanScan system Review the CAD CAM Workflow before continuing to the Mill tab Milling 1 Click the Mill tab 2 Evaluate your design and review the material thickness indicators 3 Check the sprue position and adjust when needed 4 Select the block size also based on sprue positioning 2015 E4D Technologies All Rights Reserved EDU1110 N 35 Optional Exercise Anterior Crown with Buccal Bite For this exercise IPS Empress Multiblock was selected as the material The amount of chroma and translucency can be adjusted Use the Restoration Positioning arrows to move the restoration up or down to change its value Translucent Use Restoration Positioning to move the proposal up or down ve location Press Send to Mil when ready within the block Chroma 6 Click Mill Sim 7 Evaluate the simulation 8 Click Send to Mill click OK The system defaults to the setting for the Please confirm settings restoration type Standard Full Coverage Crowns EU Standard Detailed Inlay Onlay and Veneers Detailed 36 2015 E4D Technologies All Rights Reserved EDU1110 N Registration INFORMATION RESOURCES There are many resources available for gathering information e Download documentation and marketing materials www e4d com material bank Printed copies are avail
42. u esf Aj4adoud SdajouueJed e pi 0 UOISN 220 sdsn pue sainseiquia daid ay 1840 2e d S Ul 1 01 ssa oJd ubisap y u days III JIM UOH8J01S9J y eunsu3 pue 1Iq ou 1sn pe 0 S 00 esau1 asp sebpu eu Bieuu sinoquo DUIJaY uoneiols i pesodoud y HulziwojysnD 541 BY s esodoJd 1e1 u 5 bury 4103 1ed id uon unj 104 113 ej u D C papaau u uA sd s ess 2 u Aue ze d pue uo2 S e 0 RUP TO ES X MOI UPISSP Y AO O3 N D ME d uonJod e MeJpal O Fe u w ejd 1snfpe Mo MM n pel oi 1 Ic dsnpe ye pajeAnoe Jo pa1eAn e sjueuubes ppy esf 01 ulbieyy AON esf aP aq ue uonedusuQ uoneyusuo buneAn e jaye japow ay ubije UIBJeU ay JEU 0 MalA 0 apinb e se u300 U100 A IA 1d Uu 1D5 Y YUM Jepjnous au uo ulbiew y Iesn 22O y WOJ opouJ y N IA 1d U 1D5 au sn epouu aui JO uonelu uo ou HA JPW MAIA esn 292O SU WOI o ue eq 24 2 F D21 pu0 nV yu uuuDi V Apa uI1eN deLL amp uonejuenQo NIO4VW daid ay Jo DLNS ejep eAIBu 6 qei ulbuey eui sue s iod ejep e1x3 JO esnj220 au uo uibaq s uoz O bui ouJ PS JUSA ul 4329 je 21njde 825nq pue esn 925O 96001 sJobutJ oau enbuo 12e3u0 pue daJd Jo 96001 INIM EH 2 Ie33ng ue g Buisoddo ue g ss ee daig UVS UoneJo1saJ HUI 1 11 q e aunsue IM e ep ue s jo zunowe ou BuIA N VDS 0Z09 Z S 008 oddns 126100 SNOIIS3nO JAVH MOJ
43. ue with a hint of aqua Ideal Contact Intraoral Adjustment No Contact Zone Needed j j Broadness of Contact Drk Blue Floss Snap Aqua 8 Deactivate Hide Model 9 Deactivate View Contacts 24 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 3 Onlay Restoration ET 10 Click Material Thickness 11 Evaluate the margin The material thickness should be yellow around the margin with no red or orange Good example yellow margin Poor example Red or orange along the margin 12 Ifthere is red around the margin click Move Margin to evaluate the margin for accurate placement Adjust the margin if needed Going back to the Margin tab to make changes will result in losing your design 13 Ifthe margin placement is accurate use the Dropper tool to add material thickness In some situations it will be difficult to attain ideal occlusal contact strength and reach minimum material thickness In the example below the red material thickness around the margin indicates the margin is too thin 14 Click Dropper and add material thickness This will result in adequate material thickness strength but may create a strong contact with the opposing dentition This can be corrected intraorally Congratulations on your first partial restoration with the PlanScan system Review the CAD CAM Workflow before continuing to the Mill tab 2015 E4D Technologies All Rights Reserv
44. ww m sie Material Thickness Adjust bite with View Bite Registration x2 View Contacts amp Contact Refinement Goal White Brown Black Adjust interproximal contacts with Freeform Change Tools Use Hide _ Model and Smooth Surface to k refine contacts Goal Light Green Aqua surrounded by Dark Blue Ideal margins are Yellow If red orange verify placement with Move Margin Use Dropper as needed to add material Look for internal interferences in the intaglio surface of the restoration and use Slice Plane when needed to evaluate y se M Overmill Intaglio View 2015 E4D Technologies All rights reserved EDU1103 D DRAFT 2015 E4D Technologies All Rights Reserved EDU1110 N Exercise 1 Premolar Crown with Buccal Bite Margin 1 Click the Design tab The Tooth Libraries tools automatically appear 2 Click Apply to have Autogenesis generate the proposal 3 Click Incremental Change Tools to evaluate the proposal for large adjustments Use the tool options to make changes where needed Click Apply before continuing 4 Click Freeform Change Tools and Material Thickness in view options to evaluate the proposal The proposal should be blue green with a yellow margin 5 Click Rubber Tooth and adjust the axial walls marginal ridges and embrasures Adjust axial wall contours by pulling material Adjust central grooves and cusps by away from or toward the preparation pulling
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