Elements of Success - PLANMECA.indd
Contents
1. Proceed with the normal Margin tab and Design tab workflow 32 2014 E4D Technologies All Rights Reserved EDU1110 F Prep Guidelines amp Materials Prep Guidelines T Tapered Sides 6 to 10 Degree Taper PLANMECA UNIVERSITY Prep Guidelines TR Tapered Sides Rounded Internal Angles PLANMECA UNIVERSITY Prep Guidelines TR Tapered Sides Rounded Internal Angles Equi Supra Gingival Margins PLANMECA UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 F D a D A D or Q a u 33 Prep Guidelines TREA Tapered Sides Rounded Internal Angles Equi Supra Gingival Margins 1 5 to 2 mm 1 to 1 5 mm Adequate Reduction PLANMECA UNIVERSITY Material Selection Prep Guidelines TREAT Tapered Sides Rounded Internal Angles Equi Supra Gingival Margins N g g N U de A Adequate Reduction Tissue Management PLANMECA UNIVERSITY PLANMECA UNIVERSITY 34 2014 E4D Technologies All Rights Reserved EDU1110 F SE MISS PECHMIQUEE A copy is provided for each practice in your blue take away bag and included in the User Manual Electronic versions are available online UNIVERSITY D D A D or Q a u UNIVERSITY amesre Retraction Capsule UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 F 352. Goafs 100 of the prep and interproximal contact areas 90 of the adjacent teeth Good axial data for design 2 3 mm gingival tissue on buccal and lingual m D D A i un A A D A A The model is inverted since you scanned an impression Rotate to view the negative image 3 Click Impression Mode to create a positive version of the model il Pierce Ro 25078 PP Dela Presses dokn Liverrioed kee Pirraci Poucet Creciogeseni FOUT HOt RPSALE SD Sata Sunni Margen eal mi En 74 4 Click Data Density View and evaluate your model This can be done either before or after activating Impression Mode 2014 E4D Technologies All Rights Reserved EDU1110 F 27 For this exercise we are not scanning the opposing dentition In clinical cases the data needs to be scanned using one of the following methods Pre Op In Scan Pre op scan the preoperative tooth intraorally or take a preoperative impression e Intraoral Bite Registration Apply bite registration material and scan intraorally Model Bite Registration Take a bite registration scan the impression pour up the impression to create a model and scan the bite registration on the model Articulated Model Buccal Bite Create an articulated model using both sides of the impression Use the articulated model to scan the buccal bite End of exercise VW un YU LJ 2 un t O un
3. 2 Starting with the distal tooth scan the occlusal data 3 Transition to the buccal and scan the buccal side of the opposing dentition Include 2 3 mm of gingival data do not stop halfway down the tooth Cusp tip axial wall gingival Goals 100 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 4 Erase any unnecessary data such as tongue cheek and cotton rolls 8 2014 E4D Technologies All Rights Reserved EDU1110 F Scan Buccal 1 Click Scan Buccal 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 Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data No rotations necessary LL D D un Q un em A A D A A Note Be sure to verify the status of the buccal alignment In most cases alignment will be done automatically by the software A green dot in the Buccal icon indicates a successful alignment NOTES 2014 E4D Technologies All Rights Reserved EDU1110 F 9 Evaluate and Adjust the Orientation 1 Clickthe Margin tab 2 Evaluate and adjust the Orientation using View Controls to change the point of view A Inthe Occlusal View balance the model fr
4. 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 ANMEC UNIVERSITY IPS Empress CAD by lvoclar Vivadent Beautiful Esthetics IPS Empress CAD offers over 100 combinations of block size shades and translucencies a 7v v un g QG un g mm A Multi Shade amp Translucency Cut back and layer esthetics in a monolithic block Multiple translucencies create the most natural looking esthetic restoration Control incisal translucency and gingival color PLANMECA NIVERSITY IPS Empress CAD by Ivoclar 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 PLANMECA i il j NIVERSITY 36 2014 E4D Technologies All Rights Reserved EDU1110 F IPS Empress CAD by Ivoclar Vivadent Efficient 200 MPa IPS Empress CAD offers the option to simply mill and polish for maximum w 2 A efficiency or glaze me for up to a 50 400 MPa increase in strength Clinician s Report October 2009 Volume 2 Issue 10 13 min UNIVERSITY IPS Empress CAD by lvoclar Vivadent Multi Ai A2 A3 A3 5 B1 A BL1 BL3 H HT High Translucency e A1 A
5. QG z K LLI Onlay Restoration Tooth 3 1 6 ISO This case has already been scanned Setup On the setup tab note that the Restoration Type is Onlay No actions are required on this tab Inlay Onlay Veneer Pontic Bite registration Scan 1 Click the Scan tab 2 Evaluate the preparation model The same basic scan pattern is used for partial restorations 3 Click Buccal to view the previously scanned buccal bite model and evaluate Margin 1 Click the Margin tab 2 Set the Orientation for the onlay Use the remaining anatomy of the prepped tooth to aid your orientation lt a lt Va is ka JA Occlusal View Distal View Buccal View 28 2014 E4D Technologies All Rights Reserved EDU1110 F 3 Activate Show Features 4 Draw the margin Once the margin is drawn a screen appears This only appears for inlays and onlays 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 5 Click Take Me There to go to the Selection Area screen 6 Click Add to Selection and circle Tooth 3 1 6 ISO 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 2014 E4D Tech
6. 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 e BL UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 F 39 Paradigm MZ100 by 3M Versatile and Easy Enamel like wear characteristics are superior to that of ceramic blocks Easy to finish and polish Easy to repair intraorally Shades Al A2 A3 A3 5 B3 Enamel PLANMECA 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 un g lt Y un g de A To prevent contamination it is required to perform maintenance between milling PLANMECA different materials A sintering oven is required for Zirlux FC2 UNIVERSITY Burn out Block BOB by E4D Technologies Advantages Ideal for the lost wax technique allowing the optimal design of the restoration to be used for lost wax casting or pressing techniques for additional material and restoration utilization UNIVERSITY 40 2014 E4D Technologies All Rights Reserved EDU1110 F Options to think about Choose the best option for your patient Call your manufacturer representative for more details Vi
7. C16 amp B32 Blocks e Al A2 A3 A3 5 B1 B2 C1 C2 D2 BL1 PLANMECA UNIVERSITY IPS e max CAD Impulse by Ivoclar Vivadent Value blocks various brightness values ce max cAP The Value blocks feature different brightness values 1 102 14 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 38 2014 E4D Technologies All Rights Reserved EDU1110 F IPS e max CAD Impulse by Ivoclar 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 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 allows for beautiful esthetic results simply by polishing or with the option to apply stains and glaze for a customized appearance D D A D or Q u Shades A1 A2 A3 A3 5 B1 BL3 UNIVERSITY Lava Ultimate by 3M Nano Technology High flexural strength
8. 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 and Model Materials 2014 E4D Technologies All Rights Reserved EDU1110 F w Name Vendor Item Number s Earth Stone Quick Set Stone Schein 9662932 Orban 1 2 Perio Blade for trimming bite registration Premier 1004751 a U Scanning Name Vendor Item Number Scanning Tips Pack of 3 Schein 6314915 Optical Wipes Kimwipes Schein 1017070 Ergotron Cart smaller Schein 1276580 Enovate Cart larger Schein 6310850 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 Finishing Name Vendor Item Number Two Striper Finishing Kit Schein 3780201 Premier 2013553 Articulating 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 McGly
9. 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 un un g U un Ve un lt Q a LL 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 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 2 2014 E4D Technologies All Rights Reserved EDU1110 F Introduction These instructions are intended as an outline to go along with the presenter s instructions and demonstrations For complete step by step instructions see the Exercise Workbook and User Manual Premolar Crown with Buccal Bite Tooth 5 1 4 ISO Home 1 On the main screen click Add Patient and add your name in the patient demographics screen 2 Complete the options in bold 3 Click Save Patient at the bottom of the screen Uj H lH HE a i ay i ee H SAS GENE Sele 4 E 4 Click CAD CAM CADICAM 5 Under Scan amp Design New Restoration click New Scan and Design The Setup tab displays A User Acco
10. All Rights Reserved EDU1110 F Multiple Posterior Crowns Tooth 28 and 29 4 4 and 4 5 ISO pre scanned case Setup This case has already been created On a multiple restoration case each tooth requires a restoration type library material and shade Note that the currently selected tooth is orange while the other selected teeth are green Crown LL D D A Q un em A A D A A Inlay 2 Onlay z VWeneor gt Ponte r Bile registration To BuccallOpposing Margin tab Since this case has already been scanned we are going straight to the Margin tab 1 Click the Margin tab 2 Click Orientation to activate it 3 Adjust the Orientation for Tooth 29 4 5 ISO The highest tooth number is selected by default 4 Click Orientation to accept the position for the selected tooth 5 Click the Tooth 28 4 4 ISO tab 6 Click Orientation to activate it 7 Adjust the Orientation for Tooth 28 4 4 ISO 8 Click Orientation to accept Note The margin for Tooth 29 4 5 ISO has already been marked 9 Click Show Features to activate it The tab for Tooth 28 4 4 ISO should still be selected 2014 E4D Technologies All Rights Reserved EDU1110 F 1 9 20 10 Click Trace Mark the margin where it can be seen on the stone model The mesial side of the preparation is not supragingival and cannot be clearly seen on the stone model 11 Clic
11. Glaze Liquid IPS e max CAD Misc items 4 e max CAD Blocks 2 Multilink Primer 2 e max Shades 1 Monobond Plus 1 e max Stain 1 Ceramic Etching Gel 1 e max Glaze Paste 1 Multilink Automix Trans 1 e max Glaze Liquid 1 Optrastick 1 e max Crystallization Tray ee Pack Cementation Navigation DVD PLANMECA UNIVERSITY 42 2014 E4D Technologies All Rights Reserved EDU1110 F 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 zA AAN he eT cs s Mill Coolant Defoaming Solution D D A D or Q u 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 High Level Disinfection choose one Deionized Water and Cidex Plus Distilled Water and MaxiCide Plus Lens tissues KimWipes Lab handpiece and Finishing Kit Sand blaster if using Lava Ultimate Prep Kits recommended not required PLANMECA UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 F 43 Information Resources There are many resourc
12. SODEJINS jelxe JO esn 22O BY UO MOJJ A JUHU TW SaJI90 TO0NH231 O73 ALISHIAINN V 3llAIN V Id e119 eu ppe o p p u se soddoig sr UISALIA IAOW U IM Ju uu 2oe d ueu F4 Fa Aja bueio p u Jl Wo A q pynoyus suie Bul iuu 104 ss uy3liu1 eze W eludoidde ay papaye jou sAeu soBueup ubisap jeu HUA SUIBADIA YI9YD 2 SSSUHIIUL DIA3 DIN Y2aYyIay n g y4eq Aq papunouwins enby U8919 3467 0 1sn pp o 32pJuns yJOOWS asn joo Dupu2 ulioJ 4J o1 Unjoy S De UOD euuioudiu lu l1en eA 0 e1sIp pue eISAW SU 0 2 2 0 J POW 2PIH 1eAl12e pue uone11sIDB u 1 g MOIA dJjJO WNL s 3pD uo2D buuiixoidu 1u Bunsnfpt 2819 UMOJg SJIUAA 0 1sn pe O S21D1D jeuus JUBWIDUIZSY 3De UOD sn OJEN CAD O DHPZUO MBIA 918A11 28 UD 291M 3D1 2 uone asiB ti 931g A IA OPPAIPY s nsesqw PIS p p u J a qe esn 290 sebpry jeulbseyy puz SIEM Je Xy SL YOO 19Qqn4 NOJ J A SUIBIEW U 15 WU S O1 O L SIJEM elxV n g u 15 Jeq WW Z 0 qe1 JeSN DIO SSOUYIIY DI19 D AJ uDis p y Purun sul Inoluo2o o1 sju uu sn pe jews sjoo abupy Wuojaas4 adeds s ul jesodoid ou uI uonisod uloo1 0 sju uulsn pe aie i SJOO ID u ul J3u p ddv u uoisoday azisay 440 sissuabojny Add 11 NO wStiseuaboiny SOLADAQGIT U OO ND1SIG Auoud si apow uols Jaquiawe
13. finish building the virtual model Occlusal scans 1 Begin scanning directly over the preparation 2 Keep the scanner parallel to the occlusal table Move in a gradual continuous motion toward the mesial neighbor 3 Be sure to focus on the building model in the software Note You do not need to look at the model during scanning Keep your eyes on the screen and use the building model and the live view to track your progress and current position 2014 E4D Technologies All Rights Reserved EDU1110 F 5 Buccal scans 1 Use small rotations over the mesial neighbor transition from occlusal cusp tip buccal wall to gingival 2 Scan along the buccal surface 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 un un YU W un Ve O VW lt QG K LLI Distal Tooth To capture the occlusal data of the distal tooth transition across the occlusal table until you reach the lingual surface Lingual scans 1 Scan along the lingual surfaces of the teeth Rotate the scanner to almost 90 from the occlusal table 2 Complete the scan pattern at the lingual of the mesial neighbor 6 2014 E4D Technologies All Rights Reserved EDU1110 F Evaluate the model 1 Click Generate Model or press M on the keyboard to finish building the model 2 Usethe mouse t
14. 2 A3 A3 5 B1 B2 B3 C2 D3 D D A D or Q u LT Low Translucency Al A2 A3 A3 5 B1 B2 B3 C2 D3 BL1 BL2 BL3 BL4 PLANMECA UNIVERSITY IPS e max CAD by Ivoclar Vivadent 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 UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 F 3 7 IPS e max CAD by Ivoclar Vivadent Benefits Durable restorations due to the high strength Adhesive self adhesive or conventional cementation depending on the indication New Materials C16 Ideal for longer dentition and large restorations e B82 Up to three unit bridges up to the second premolar as the abutment tooth PLANMECA UNIVERSITY IPS e max CAD by Ivoclar Vivadent HT High Translucency e A A2 A3 A3 5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 a iii iai st a BL1 BL2 BL3 BL4 LEET ETE LT Low Translucency e Al A2 A3 A3 5 A4 B1 B2 B3 B4 C1 C2 C3 C4 4 3 3 BLi BL2 BL3 BL4 un g QG un YU de A
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16. Click Opposing 2 Starting with the distal tooth scan the occlusal data 3 Transition to the buccal and scan the buccal side of the opposing dentition Include 2 3 mm of gingival data do not stop halfway down the tooth Cusp tip axial wall gingival oe in a I Goals 100 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 4 Erase any unnecessary data such as tongue cheek and cotton rolls 1 4 2014 E4D Technologies All Rights Reserved EDU1110 F Scan Buccal 1 Click Scan Buccal m 2 Close the articulated model gently If it shifts during the scanning the alignment may be incorrect D 3 Scan the buccal surfaces of the teeth that were captured in the preparation and opposing models Ensure some 2 gingival data is captured a Goals Capture the buccal surface of the dentition in the prep and h opposin un 3 2 3 mm gingival data Note Be sure to verify the status of A No rotations necessary the buccal alignment Le un a Margin 1 Click the Margin tab 2 Evaluate and adjust the Orientation using View Controls to rotate the model A Inthe Occlusal View balance the model from buccal to lingual ER Isid a f s B Inthe Distal View align the buccal cusps of the neighbors TN Pull Wg 1 3 Click Orientation to accept the current position 2014 E4D Technologies All Rights Reserv
17. Note Select Pre op as the Library tooth when the w C2 patient s existing dentition or a wax up is being used as the model for creating the restoration F gt gt Shani Scan 1 Click the Scan tab Pre op is active Evaluate the Pre op model Click Scan Prep oe D Evaluate the prep model Note that the same amount of data was captured on both models You need sufficient data on the adjacent teeth to match your preparation model Note There is no bite registration or buccal bite for this case because the Pre op scans will be used for occlusion In your office Time Saver prompts you to copy the data when moving from the Pre op to Prep scans This enables you to erase the pre op tooth and scan in the prep 2014 E4D Technologies All Rights Reserved EDU1110 F LL D D un Q un em A A D A A 23 Margin 1 Clickthe Margin tab 2 Evaluate the Orientation e Are the surface indicators correct If you accidentally scanned with the wand pointing towards the mesial instead of the distal the surface indicators will be incorrect If this happens rotate the model until the Lingual Mesial Distal and Buccal labels are correct e Are the marginal ridges of the adjacent teeth straight across from mesial to distal Orange line used as an illustration below Margin N N U Le Wd Z t O N end Q Tr 3 Click Orientation when you are s
18. PLANMECA UNIVERSITY 4D TECHNOLOGIES Elements of Success Training Workbook amp Resources Removable Components Introduction Premolar Crown with Buccal Bite Posterior Crown with Selection Area Multiple Posterior Crowns Anterior Crown Using Pre op Posterior Crown Impression Onlay Restoration Posterior Crown with Bite Registration Prep Guidelines amp Materials Material Selection Integration Day amp Starter Kit Information Resources Customer Support Information CDD Program CAD CAM Supplies and Documentation PLANMECA n E4D TECHNOLOGIES Gary Severance DDS Chief Marketing Officer 214 432 6378 Direct gseverance e4d com Marcie Howard Education Coordinator mhoward e4d com Joshua Bradley CDD Product Trainer jbradley e4d com Elizabeth Pastrana RDA CDD Clinical Educator epastrana e4d com Donna James Customer Account Specialist 214 432 6340 Direct 972 375 8725 Cell djames e4d com Table of Contents Jeremy Hiser RDA CDD Manager of E Learning and Documentation jhiser e4d com Angie Heick Senior Technical Writer aheick e4d com Audrey McCoy RDA CDD Clinical Educator amccoy e4d com Windy Winland RDA CDD Clinical Educator wwinland e4d com Debbie Parker Customer Account Specialist 214 432 6438 Direct 214 901 4715 Cell dparker e4d com Removable Components The PlanScan system has a set of removable components Connecting the Thunderbolt Adapter Properly c
19. a 4 Click the arrows next to Material and select IPS Empress CAD Multi 5 Click Save 2014 E4D Technologies All Rights Reserved EDU1110 F ant D D A un lt A A D A A 25 6 Because the 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 within the block un un QG J W _ un Ve un lt Q a LL End of exercise Do not Send to Mill Posterior Crown Impression Tooth 2 1 7 ISO Setup Enter the setup information for this case This is a scanning exercise The case will not be fully designed and milled e Tooth 2 1 7 ISO Crown Library A Select any material Select any shade Scan 1 Click the Scan tab When scanning the impression ensure the tip of the scanner is pointing towards the distal so that the orientation of the model will be correct Be careful not to squeeze the impression while scanning or the scans will be distorted Note that this impression has already been trimmed Starting position Perpendicular for interproximals Backwards starting position 26 2014 E4D Technologies All Rights Reserved EDU1110 F 2 Scanthe impression Make small rotations to capture the data on the buccal lingual walls Note Hold the scanner perpendicular to the impression rotate left and right to capture data
20. al uol 2 1 p u DBueuu Ul p sn aq ued pou DI pinp burjo ulbsviy uol e u lio JH A 0 U 00 A IA 1d U991 ay sn s oo je Bu 1eA 12e p 1 1JV pinp UOI D U2UQ uol 1od e MeJpaL o su uimg s ppv SN ju uu o2e d jsnfpe O UISAUIAI SAOW SN se 1e JNOJUOD Blu 1uBiluBiu 0 pie ue se s in1e 4 MOUS YD 1 p nous ay uo ulbiew ay JLU M JESN ay WO4 UIBIDIN 22041 s Dpu jeurbsey e22ng sdsno je gt 2nq uly e3s1q di jenbul 1825ng eSn 220 l pouu uonisod o1 D MalA y sn 24 20 D3I puuo nv s UOIJDJUIHO NIDdVN uoneJoysau Buy WA 19 q e aiNsua IM e1 ep ue3s JO yunouue ayeldoidde y BuI JH A p p u Ji uBi e 21 pue u uuuBDBi e e232nq Aja d sueds Duisoddo X d ud ul p zeposse u1 1 e aunjde gt ID3232ng UDIS ejep jeaibulb e gt onq JO WLU pue esn 925O 001 buisoddo ub3 s e ep MOI 10 en eA O N IA Ayisuag Lq JP s1 9e1uoo pue dald JO OOT daid uD2S Buluup3 ajig D22ng NUDS 0 09 ZE5 008 Hoddns peluo 5ND1S1Q LNOGV SNOILSINO MO PHOM WV2 V2
21. ated a username and password for e4d com then they can go to e4d com training course 301 and scroll to the Register option at the bottom of the page Learn about the program via online resources Scan and design several cases using the Elements model provided in class or using your own models must fit the exercise criteria Complete 20 CAD CAM restorations and fill out the Doctor Signoff Form included online as you complete them Email the completed form to CDD e4d com or fax it to 972 234 3557 Attn Education Department Take Before and After pictures of 4 E4D restorations Email the photos and bite wing x rays of the seated restorations to CDD e4d com Please combine these attachments into one email if possible Satisfactory completion of a Final Design Case Satisfactory completion of the Final Exam JJ D A e c A D un 2014 E4D Technologies All Rights Reserved EDU1110 F 45 CAD CAM Supplies and Documentation 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 resources and use the Customer Log In to see customer documentation 46 Documentation Name Vendor User Manual E4D Technologies Milling Center Quick Reference E4D Technologies Infection Control Name Item Number Alcohol Prep Pads Schein 1048298 MaxiCide Plus w Activator Schein 102 5796 Qt 102 2865 Gallon MetriTest Strips Schein 602 3437
22. atisfied with the position of the model 4 Click Show Features 5 Draw the margin 6 Click Pre op Editing 7 Use the Trace tool to designate the area of the model that you want to use as the Pre op library surface Stay away from rough areas and the margin Use Move Curve and Add Segments to edit the Pre op if needed 24 2014 E4D Technologies All Rights Reserved EDU1110 F 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 3 Click View Pre op to see the combination of the pre op model and the prep model The speckled area is where the proposal was created from the pre op designation The solid area around the margin is where Autogenesis used Library A to fill in any gaps 4 Click View Pre op a second time to make the pre op model translucent 5 Continue designing the proposal Follow the standard workflow 6 Click Ctrl Alt to view the proposal in Medusa View This turns the proposal the same color as the rest of the model making it easier to evaluate the overall shape Click Ctrl to deactivate Medusa View Mill tab 1 Click the Mill tab For this exercise we will change the material to an IPS Empress Multiblock 2 Click Settings in the upper right hand corner 3 Click Material Shade Settings em Material SHIRGRE Farado mi MST LL
23. e B1 Scan 1 Scan prep using the basic scan method 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 at close to 90 while scanning parallel to the buccal surface Use small rotations over the mesial proximal neighbor transition from occlusal cusp tip axial wall to gingival Scan along the lingual surface of the teeth Rotate the scanner to almost 90 from the occlusal table Watch as your model builds to see any areas that might require a different rotation or angle 2014 E4D Technologies All Rights Reserved EDU1110 F 3 1 2 Erase any unnecessary data such as tongue cheek and cotton rolls 3 Apply bite registration material e Apply enough material vertically and horizontally e Donot smooth with fingers un un y J J Y e Evaluate model and trim material away from adjacent teeth un endl lt E LLJ Good The marginal ridges are covered Poor There are gaps between the bite occlusal tables of the adjacent teeth are registration and the neighboring teeth visible 4 Scan the bite registration and evaluate model for sufficient data Goals 100 occlusal data No lingual or buccal data necessary 5 Click Bite Selection 6 Paint the area of the opposing dentition within the bite registration material
24. ed EDU1110 F 1 5 In some cases the adjacent teeth are close enough to the preparation to make the identification of the margin in the interproximal areas difficult For this exercise Selection Area is used to isolate the preparation This is an optional step for full coverage crowns Selection Area is required for partial restorations and will be discussed more later 4 Click Selection Area on the left side of the screen New options appear at the bottom of the screen un un Q Le Z Z En a ead Q TT Add to Selecion Remavefrom Reset Selection 5 Click Add to Selection Left click and hold to draw 6 Draw a circle around the preparation Do not include any part of the adjacent teeth 7 Release the mouse button as you finish the circle The selected area is highlighted 8 Toadd more to the designated area click Add to Selection Ensure all of the margin is in the highlighted area 1 6 2014 E4D Technologies All Rights Reserved EDU1110 F 9 Rotate and evaluate the Selection Area Ensure portions of the adjacent teeth are not in the highlighted area Click Remove from Selection and circle the extra information if needed LL D D A i un lt A A D A A Poor Selection Area includes part of If part of an adjacent tooth is selected This piece of the adjacent tooth can the adjacent teeth This is sometimes that selection is part of what displays make it diff
25. es available for gathering information B The Learning Tools page on our website www e4d com learning_tools includes e Documentation available for download Printed copies are available for 25 each and can be ordered by emailing educationgroup e4d com Chairside Chats recorded webinars e Link to 3C Learning Library links to cadcamcan com ability to search content by subject 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 e Training Videos Newsletters Chairside Chat update information and more is usually communicated via email When you create your ECO Member account in class you are automatically added to our email list You may unsubscribe at any time E4D com 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 Fill out the information The fields are different for Dentists and Team Members 3 Atthe bottom of the registration are several checkboxes You can edit these at a later date if needed e Weekly Video Tutorials Send me Product Updates e Dentist Finder on the Dentist registrat
26. ew manufacturer websites for more specific indications and uses 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 D T D or Q a u 2014 E4D Technologies All Rights Reserved EDU1110 F 41 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 Mil 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 PLANMECA 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 traxodent un g QG un YU de A PLANMECA UNIVERSITY Ivoclar Starter Kit Telio CAD IPS Empress CAD 4 Telio CAD Blocks 4 IPS Empress CAD Blocks Telio CS Link Transparent 2 Empress Shades Telio CS Desensitizer 5g 1 Empress Stain OptraPol Test Pack 1 Empress Glaze 1 Empress
27. icult to see the margin on not noticeable from the occlusal view when Hide Model is activated that side of the tooth Outlined in red above Poor If too much of the gingival tissue is selected the proposal will be distorted Selection Area should be close to the size of the final proposal 10 Click Margin Tool on the left The options on the bottom of the Design Center appear for marking and editing the margin 2014 E4D Technologies All Rights Reserved EDU1110 F 1 7 11 Click Hide Model Only the designated Selection Area displays The rest of the model is hidden 12 Click Show Features Areas with high contours are highlighted This can help identify the margin a Paian King ichaia Margin un un Q Me Z T t N head Q sa Tr 13 Click Trace and mark the margin from the occlusal view Verify placement by rotating the prep model in different views 14 Edit the margin if needed Design Click the Design tab Follow the CAD CAM Workflow sheet Mill 1 Click the Mill tab The proposal turns white and shows the default position for the sprue 2 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 End of exercise Follow the instructors direction for Material Block Size and Milling 1 8 2014 E4D Technologies
28. in to evaluate the margin for accurate placement The proposal becomes transparent so that the margin is visible Do NOT go back to the Margin tab to make the changes or you will lose all of the design work that has been done 17 Adjust the margin if needed 18 Ifthe margin is in the correct place use the Dropper tool to add material thickness End of exercise Do not proceed to the Mill tab 2014 E4D Technologies All Rights Reserved EDU1110 F 1 3 Posterior Crown with Selection Area Tooth 30 4 6 ISO with bite registration Setup Enter the setup information for this case Tooth 30 4 6 ISO Crown Buccal Opposing Library A un un QG W un Ve un lt g z K LL e max HT e Select shade B1 Scan Prep Scan prep using the basic scan method 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 at close to 90 while scanning parallel to the buccal surface Use small rotations over the mesial proximal tooth transition from occlusal cusp tip axial wall to gingival Scan along the lingual surfaces of the teeth Rotate the scanner to almost 90 from the occlusal table Watch as your model builds to see any areas that might require a different rotation or angle Scan Opposing 1
29. ion only e CDD Registration on the Team Member registration only 4 Click Submit Sign in to the website as a customer with the login you created in class The Member Resources page includes e Create Edit your Dentist Finder information Dentist Finder is a tool on the website that enables the general public and potential patients in your area to locate you e Resources page Download Patient Marketing materials 7 U U tes Q vi U 44 2014 E4D Technologies All Rights Reserved EDU1110 F 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 CAD CAM Dental Designer Program CDD provides motivated operators with the opportunity to gain professional recognition and establish credibility in proficiency with the latest dental CAD CAM technology Home Study Elements Registering for the CDD is normally done when you register for the website If you need to sign up after registering go to e4d com training course 301 and scroll to the Register option at the bottom of the page Email CDD e4d com at the completion of each step How to register a new team member Register the new team member on the E4D website at www e4d com register and ensure they check the CDD checkbox at the bottom If they have already cre
30. k View ICE ICE appears over the model 12 From the occlusal view zoom in Use the ICE view to draw the remainder of the margin directly along the margin of the preparation Note ICE View can only be used on intraoral scans and should only be viewed from the occlusal angle 13 Deactivate ICE View 14 Evaluate and adjust the margin 2014 E4D Technologies All Rights Reserved EDU1110 F Design Tab 1 Click the Design tab m 2 Click the Tooth 29 4 5 ISO tab D The preview tooth displays as an overly large tooth It must be resized and repositioned OM q a vain Er Se un A A A s D un 2 gt Z a DU 29 gs Change library or modify shape by selecting a tooth library or moving slider s and then Apply Occlusal eR G RSS Click other libraries to view or change the anatomy 3 Press the Alt key and the up or down arrow on the keyboard until the preview tooth is similar in size to a premolar 4 Reposition the preview tooth over the center of the prep Rotate the model to the buccal view to verify positioning 4 W a x A l ha gt at fir WI ine Tet NTI Wl hee 5 Deselect Autogenesis If Autogenesis is active for the first proposal it will attempt to make contact with the preparation of the neighboring tooth and become distorted ET Ah 6 Click Apply 2014 E4D Technologies All Rights Reser
31. nn Ivoclar Vivadent 3M ESPE 175 Pineview Drive Amherst NY 14228 716 691 2248 phone rebecca spillman ivoclarvivadent com John Bonner 3M Center Bldg 275 2SE 03 St Paul MN 55144 1000 651 733 9078 phone bfmclynn mmm com Premier Dental Products Company 1710 Romano Drive Plymouth Meeting PA 19462 610 239 6022 888 773 6872 Ex 1022 jbonner premusa com JJ D A e c rx D A 2014 E4D Technologies All Rights Reserved EDU1110 F 47 48 NOTES 2014 E4D Technologies All Rights Reserved EDU1110 F 2014 E4D Technologies All Rights Reserved EDU1110 F NOTES 49 50 NOTES 2014 E4D Technologies All Rights Reserved EDU1110 F SN 7 D 6LLL NG pamasa s ypu y s lbolouu5 l ArI v LOZO uone 3NPeJnueu IM W u01 e31pu 1e puo uopesipuj Lewd J KINO SNOLLWDIGNI 03SS38d HO LSY 804 909 2019 1n0 ung y y y wv DpZ AJUQ PU0ISIA01d W W W W W dy Ollel a J V f f f s ndui qy xew Sd Kjug 10L3JUY S VA S S 1 dV XEU 9 Sd gt IH AW xewasdi Y gt f f HIN ssaudwa Sq VW f Z JS nmWV s dujsd s y S LH Gy sseudwy Sd f Vs f Vas A ILLUN PAP U0 PU0ISIA01d S S W OOLZW ubIpereq abpug yuejdw e u0 e ul uMod N4 J U A 10119 UV UMOJ N4 0119 S0d J0119 UV odA L uoneiols u S3I9010NH331 073 SJDH2 DJ 104 Suo D32UI2 d 1 In 2pJjnup iW ALISH
32. nologies All Rights Reserved EDU1110 F Au D D A un lt A A D A A 29 Design 1 Clickthe Design tab Autogenesis creates a proposal based on the Selection Area designated un un Q z U Z t O N head Q Tr 2 Follow the basic design workflow to design the onlay 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 i ere E El i s z 5 i 3 Click Dropper and add material thickness This will result in adequate material thickness strength but a strong contact with the opposing dentition This can be corrected intraorally 30 2014 E4D Technologies All Rights Reserved EDU1110 F Mill 1 Click the Mill tab Click Hide Model The sprue is hidden when the model is visible Sprue placement options are limited In this situation the sorue must be placed on the interproximal contact area r Ensure the total circumference of the sprue is visible LL D D A Q un em A A D A A End of exercise Do not Send to Mill Posterior Crown with Bite Registration Tooth 30 4 6 ISO with bite registration Setup Enter the setup information for this case Tooth 30 4 6 ISO Crown Bite Registration Library emax HT e Select shad
33. o rotate move and zoom in and out to evaluate the model Select position pointer on item and Rotate Model press and hold the right click left button to select button then drag Zoom Model rotate the wheel button Move Model to change the size of the model on the up down left right screen press and hold the wheel button then drag m D D e A un lt A A D A A 3 Click Data Density View Dark areas indicate low data There should be NO dark areas on the margin or axial walls of the preparation or on the contact areas of the neighboring teeth circled below 4 Fillin the required missing data Ensure your model has 100 of the preparation 100 of the interproximal contact area and at least 90 of the adjacent teeth Be sure to capture the full cusp tips of the adjacent teeth 5 Erase any unnecessary data such as extra teeth tongue cheek and cotton rolls 2014 E4D Technologies All Rights Reserved EDU1110 F 7 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 all of the teeth that are in opposition to the teeth in the preparation scans VW un YU LJ 2 N t O un QG K LLI Note Many clinical operators scan the Opposing while the patient is being anesthetized Scan Opposing 1 Click Opposing
34. om buccal to lingual RA In the Distal View align the buccal cusps of the neighbors 3 Click the Orientation icon to accept the current position un un VU W J un Ve VW lt YU K LLI 1 0 2014 E4D Technologies All Rights Reserved EDU1110 F Mark the Margin 1 Click Show Features Show Features highlights areas of high contour which helps define the margin Zoom in on the preparation Click Trace and click on the inside of the green line along the margin m P yN Moving in small increments click as you move around the preparation Don t worry if you make a mistake while drawing the margin It is easy to edit the margin 5 The margin is finished when the original point blue dot is clicked to finish the circle m D D A un lt A A D un A 6 Practice adjusting the margin with both Move Margin and Add Segments Add Segments is used to redraw a section of Ei Move Margin is used for minor adjustments ef g the margin Design 1 Click the Design tab The Tooth Libraries screen appears C a Change library or modify shape by selecting a tooth library or moving slider s and then Apply _ a 2 s 4 t l I gt mes ta z w 2 Click Apply to generate the proposal 3 Click Incremental Tools for large adjustments 4 Click Freeform Change Tools a 2 for
35. onnecting 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 SS 22nGS JO S u ul 3 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 m 2 Navigate to the Eject Media icon in the lower left corner of the desktop 3 Click the icon and choose Eject IEEE 1394 Controller ae 4 Remove the Thunderbolt adapter from the laptop Failure to follow this procedure may result in an inoperable scanner For additional questions or concerns please contact Customer Support at 800 537 6070 2014 E4D Technologies All Rights Reserved EDU1110 F 1 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
36. small adjustments 5 Click Material Thickness the proposal should be blue green with a yellow margin 2014 E4D Technologies All Rights Reserved EDU1110 F 1 1 Click Rubber Tooth A and adjust the axial walls marginal ridges and embrasures 7 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 F N N U L 4 T t O a end Q Tr 8 Click View Contacts 9 Click View Bite Registration again to deactivate the template 10 Click Hide Model to remove the model from view 11 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed The goal is dark blue with a hint of aqua 12 Deactivate Hide Model 13 Deactivate View Contacts 1 2 2014 E4D Technologies All Rights Reserved EDU1110 F 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 walls bright green dark green and 1 5 2 mm on the occlusal table dark green blue LL D 3 D ph un e un lt f A D A N 15 Evaluate the margin The material thickness should be yellow around the margin with no red or orange 16 Ifthere is red around the margin click Move Marg
37. unt Control dialog may appear choose YES to continue Setup Enter the setup information for this case iniay Tooth 5 1 4 ISO kk onlay Crown Venger y Pontic Buccal Opposing Library A s BuecalOpposing Empress CAD LT e Select shade A1 2014 E4D Technologies All Rights Reserved EDU1110 F LL D D un Q un em A A D A A For Your Information e Hold the scanner close to the tip like a handpiece or overhanded Rest the neck of the scanner on the adjacent teeth un un YU LJ 2 un t un G K LLI 4 2014 E4D Technologies All Rights Reserved EDU1110 F 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 as close to 90 while scanning parallel to the buccal surface LL D D A un A A D A A 100 of the prep and interproximal contact areas 90 of the adjacent teeth Good axial data for design 2 3 mm gingival tissue on buccal and lingual Overview 1 Clickthe Scan tab 2 Pick up the scanner 3 Activate Deactivate the scanner by clicking the button on the scanner or pressing the Spacebar on the keyboard 4 Scan the model 5 Click Generate Model or press M on the keyboard to
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39. ved EDU1110 F 2 1 e _ o EEE i r un un Q z U T t O N end Q TT 7 Use the design tools to create a good contour shape for the first tooth before generating the proposal for the second tooth 8 Click Tooth Library 9 Click the Tooth 28 4 4 ISO tab The proposal for Tooth 29 disappears from view but the proposal has not been lost 10 Click Autogenesis to activate it Since the first tooth was already generated Autogenesis will create contact with the first proposal instead of the preparation 11 Click Apply The second proposal is generated and both proposals appear i bos ep Tee V kaki EN q e ia TM ae TR ae ef 22 2014 E4D Technologies All Rights Reserved EDU1110 F Follow the design workflow sheet You can adjust each proposal individually and some tools are available with the ALL tab Do NOT use Material Thickness on the ALL tab Manipulate individual proposals without Tools that you CANNOT use with ALL switching tabs e RubberTooth Material Thickness e Dropper Paint Feature e Smooth Surface Define Feature Contact Refinement Move Feature Move Margin 12 Finish designing both proposals End of exercise Do not proceed to the mill tab Anterior Crown Using Pre op Tooth 8 1 1 ISO This case has already been scanned Setup On the setup tab note that the Library is Pre op No actions are required on this tab ES
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