Planmeca Romexis® 3D Ortho Studio EN
Contents
1. Click OK When finished click this button 46 Planmeca Romexis 3D Ortho Studio User s Manual GENERAL MENUS For the changes to take effect click OK and restart Planmeca Romexis 3D Ortho studio 10 4 2 Numeration of teeth 1 Select the teeth numeration system by checking the appropriate checkbox Co Settings a Color preferences T Numeratonoftheteeth Language International Numeration 3 American Numeration UA 2 Click this icon 10 4 3 Language 1 Select the language of the user interface from the drop down menu ten EMEND EED 57 Color preferences 123 Numeration of the teeth a UA 2 Click this icon User s Manual Planmeca Romexis 3D Ortho Studio 47 PLANMECA ROMEXIS 3D ORTHO STUDIO VIEWER APPENDIX PLANMECA ROMEXIS 3D ORTHO STUDIO VIEWER The Planmeca Romexis 3D Ortho Studio Viewer can be distributed freely with ortho cases created in Planmeca Romexis 3D Ortho Studio The Viewer can be used to open ortho cases created with the full version of the software for making dental model analyses and visualization of the virtual setup treatment stages using the models builder Storing of measurements or modifications performed in the virtual setup treatment plan is not possible The Viewer is located in the zip archive ProgramFiles Planmeca RHomexis viewer Planmeca Romexis 3D Ortho Studio Viewer zip The Viewer requires a free workstation dedicat2. ii Upper jaw Upper jaw ul Transition modals Layer iR Transition modals Planmeca Romexis 3D Ortho Studio 43 TREATMENT PLANNING IN 3D VIRTUAL SETUP 3 To choose the maximum movement of the teeth for each of the transition models select the transition models and use the slider or controls In the following window the models builder information is shown in detail Start and end position from The average movement layer n to of all teeth ey a in Maximum movement of a tooth IS example between first and last model from upper jaw to layer Desired value of the maximum movement of the teeth for each virtual model The number of virtual models automatically generated Real value of the maximum movement of the teeth for each virtual model The template model for attachments brackets 44 Planmeca Romexis 3D Ortho Studio User s Manual 10 10 1 10 2 10 3 User s Manual GENERAL MENUS GENERAL MENUS Planmeca Romexis 3D Ortho Studi Planmeca Romexis 3D Ortho Studio lt Fie v e W Snapshot w x Settings File menu In the File menu you can Select the view mode Fullscreen Windowed Exit the application 2 gt File e 7 w Sni I Fullscreen Windowed fo Exit Help menu In the Help menu you can View the software version of the Planmeca Romexis 3D Ortho Studio by selecting About e v I Snapshot S Settings About Snaps
3. Parallel projection Key O Perspective projection Key P Smooth shading Key S Flat shading Key F Show hide triangles Key E Show hide edges Key E Show hide vertices Key V 12 Planmeca Romexis 3D Ortho Studio User s Manual ADDING AND EDITING DATA ENTRIES 5 ADDING AND EDITING DATA ENTRIES 5 1 Adding new entries Click the New Case icon on the main toolbar To add a new clinic click this button Cs Add new clinic 2 Fill in the necessary data Planmeca Romexis 3D Ortho Studio Planmeca Romexis 3D Ortho Studio rie v 9 I Snapshot v G E Analysis and measures gt Virtual Setup es Add new clinic Clinic ID S 002 Name Search patient Address City Zip Postal Country Save the clinic to the database by clicking this icon at the bottom of the screen To clear the form click Clear To add a new doctor click the Add new doctor button and fill in the necessary data p Add new doctor To add a new patient click the Add new patient button and fill in the necessary data ve Add new patient 4 Select the clinic from the drop down menu To delete the clinic currently selected click the Delete icon NOTE Clicking the Delete icon removes the selected clinic from the Planmeca Romexis Database User s Manual Planmeca Romexis 3D Ortho Studio 13 ADDING AND EDITING DATA ENTRIES 5 2 Assigning doctors with clinics To add a new doctor to a cli
4. Rotating tooth Press and hold down the Ctrl key while dragging the tooth with the left mouse button If a tooth is selected a Tooth manipulator can be activated to control the movements of the tooth User s Manual Planmeca Romexis 3D Ortho Studio 33 TREATMENT PLANNING IN 3D VIRTUAL SETUP 9 2 2 Adding layers Layers can be created for simulation of different stages of treatment For example if the posterior teeth need to be moved first you can build Layer 1 For moving the rest of the teeth anterior Layer 2 can be created To add a layer press the button in the layers group a H dii Upper jaw Upper jaw Layer El lll Lower jaw Lower jaw Layer To delete a layer press the X button The starting point for a new layer is the last existing layer which is the only layer that can be edited 34 Planmeca Romexis 3D Ortho Studio User s Manual TREATMENT PLANNING IN 3D VIRTUAL SETUP 9 2 3 Main toolbox New virtual setup The existing virtual setup will be cleared c Open existing virtual setup Virtual setup project can be imported to the current patient in vsProj format a Export virtual setup I The virtual setup project can be exported in vsProj format Divide the screen d ov j p Divide the screen into 1 part E Divide the screen into 2 parts Divide the sereen inta 4 parte Show hide tooth manipulator Animation Adjust teeth gum transparency Us
5. YE 15 Launch the models in Planmeca Romexis 3D Ortho Studio by clicking the Ortho Studio icon Patient data patient ID first and last name date of birth is automatically transferred to Planmeca Romexis 3D OrthoStudio as a new case under default clinic and default doctor NOTE Close the Planmeca 3D Ortho Studio before starting the transfer NOTE The models are always transferred to Planmeca Romexis 3D Ortho Studio as new models when the quick launch button is pressed For continuing a previous case see section CONTINUING WITH AN EXISTING CASE IN PLANMECA ROMEXIS 3D ORTHOSTUDIO on page 7 16 To adjust the orientation of the models click Yes Planmeca Romes 31 XH HEN am Before you can complete this function you must change the local origo D ofthe models Execute now the changing of the local origo 17 Select either mandibular or maxillary model User s Manual Planmeca Romexis 3D Ortho Studio 5 STARTING A NEW CASE FROM PLANMECA ROMEXIS 18 Mark the three points on the model 19 Select another model mandibular or maxillary and mark the three corresponding points on the model UA 20 Click Next If necessary fine tune the orientation of the models and the occlusal plane by moving the coloured arrows pem 7 amd nnn ias Sagittal Y Axis Axis Re Axit i x 2 0T 3 X d y ij A m DA rens QI nex X Cancel 6 Planmeca Romexis 3D Ortho Studio User s Manual CONTINUING WITH AN
6. 3D Ortho Studio User s Manual ADDING AND EDITING DATA ENTRIES 9 4 Editing clinic doctor and patient data To edit clinic doctor and patient data click the respective drop down menu and fill in the necessary data Clinic 5 001 Clinic Planmeca w Doctor D 001 Doctor Planmeca w Patient P 001 Patient Planmeca ca Case E When finished click the Next icon to proceed to dental model import for the current patient see section 6 IMPORTING CASES on page 16 User s Manual Planmeca Romexis 3D Ortho Studio 15 IMPORTING CASES 6 IMPORTING CASES 1 Click the New case button e To import a case for an existing patient select the patient from the drop down menu EHH Clinic _ 5 001 Clinic Planmeca Er x ne Doctor 4 D 001 Doctor Planmeca ca 6 Delete 4 P 001 Patient Planmeca wo io Delete e To import a case for a new patient first add the necessary data entries see section 5 1 Adding new entries on page 13 vA 2 Click Next 3 Import the models from an external folder either in e sti file format by clicking the Open files from disk icon or in ic e ortho file format click the Import icon 4 After successful import the following window appears Click OK Planmeca Romexis 3D Ortho Studio 5 To start preparing models continue to section 7 PREPARING AND ADJUSTING DENTAL MODELS on page 17 16 Planmeca Romexis 3D Ortho Studio User s Manual PREPARING AND ADJUSTING DENTAL MODELS 7 PREPARING AND
7. EXISTING CASE IN PLANMECA ROMEXIS 3D ORTHOSTUDIO Cirthoestudia User s Manual CONTINUING WITH AN EXISTING CASE IN PLANMECA ROMEXIS 3D ORTHOSTUDIO If the models have been already aligned and transferred to Planmeca 3D Ortho Studio you can start from this section If you need to align the models and the bite index see section STARTING A NEW CASE FROM PLANMECA ROMEXIS on page 2 Click the OrthoStudio icon on your desktop In the following window click the Open case icon Select the existing case from the tree view under default clinic and doctor and the patient in question EF Cases of patient P 001 C 00008 22 03 2013 13 08 C 00010 22 03 2013 13 08 LL C 00011 22 03 2013 13 08 C 00012 22 03 2013 13 08 Ee Cases with unknown patient To view all the cases of the selected patient click the Select patient icon If necessary you can modify the clinic doctor and patient data and add a new clinic doctor and patient TO move a case to another patient click the case in the tree and drag it to the patient folder where you d like to move the case to Click Next The case opens in the following window Planmeca Romexis 3D Ortho Studio ric v amp v f Snapshot gt lt Settings ini oa U Analysis and measures Virtual Setup Planmeca Romexis 3D Ortho Studio 7 USER INTERFACE 4 USER INTERFACE The Planmeca Romexis 3D Ortho Studio user interface con
8. axis 3 To update the articulation click Next 4 Click Save 18 Planmeca Romexis 3D Ortho Studio User s Manual PREPARING AND ADJUSTING DENTAL MODELS 7 3 Smoothing and sculpting the models The sculpting and smoothing tools can be used to remove artifacts and excess material from the digital dental models and to smooth the surface of the models In order to make some modifications on the models click the Sculpting icon a Add remove material Click this icon to add or remove material from the surface of the models Adjust the size amplitude of the brush and Maximum amount of material to be removed Smooth surface Click this icon to smooth the surface of the models Adjust Size and Amplitude of the brush Size of the smoothing tool Size 8 1280 O Amplitude J 220 RO Max material Undo redo Use these buttons to undo and redo operations User s Manual Planmeca Romexis 3D Ortho Studio 19 PREPARING AND ADJUSTING DENTAL MODELS 7 4 Adding virtual base To add the virtual base for maxillary and mandibular models click the Add virtual base icon Defining the cutting line The cutting line needs to be defined for the models so that they can be later used as base lines for the virtual bases To add control points on the line 1 Press and hold down the Shift key while clicking double clicking or dragging with the left mouse button UA 2 When finished cli
9. the STL Select lower stl Browse User s Manual Planmeca Romexis 3D Ortho Studio 3 STARTING A NEW CASE FROM PLANMECA ROMEXIS 10 Select first the UPPER model and click OK Planmeca Romexis select Imported STL Image Exposure Date Comments 29 5 2013 14 22 trimmed upper 29 5 2013 14 21 trimmed lower Threshold 118 11 Lower the threshold value as much as possible down to 100 to better visualize the bite index surface To zoom in out the image scroll the mouse wheel 3 12 Mark the corresponding points on both the model and the index by right clicking on the corresponding areas The points are colour coded red green and blue so that it is easier to see which point in the index corresponds to which point in the model 4 Planmeca Romexis 3D Ortho Studio User s Manual STARTING A NEW CASE FROM PLANMECA ROMEXIS NOTE Make sure that you have selected the correct occlusion side from both the model and the bite index Note that the model and bite index are each other s mirror images Import STL Open a STL file for import Choose three corresponding points by right clicking from the STL and the rendered volume data m lower stl Browse Select Click Done to Finish or the Back Arrow to redo any steps Direction Allow Scaling v Fine Tune Match Done Cancel 13 Click Done 14 Repeat the steps from 8 to 13 selecting the lower model in the Import STL dialogue
10. ADJUSTING DENTAL MODELS 7 1 Adjusting the orientation of the models If necessary you can adjust the orientation of the models as follows 1 Click this icon 2 Indicate three points on the model by double clicking with the left mouse button on the points shown in the help image on the left Click Next 3 Select the maxillary model and repeat the same step Click Next 4 Translate and rotate the models by dragging the coloured arrows or circle lines until the models are correctly orientated e the centre marks the origin of the coordinate system e the red arrow marks the X axis e the green arrow marks the Y axis e blue arrow marks the Z axis UA 5 To update the local origo click Next 6 Click Save User s Manual Planmeca Romexis 3D Ortho Studio 17 PREPARING AND ADJUSTING DENTAL MODELS 7 2 Adjusting teeth articulation If necessary you can adjust the contact relationship of the occlusal surfaces of the teeth during jaw movement 1 Click this icon 2 In the following window adjust the articulation by moving the arrows Planmeca Romexis 3D Ortho Studio Fie v amp v E Snapshot v X Settings 4 i Analysis and measures gt Virtual Setup Bully aan i zzrz9a z av O EN Z H SDN yE e the centre marks the origin of the coordinate system e the red arrow marks the X axis e the green arrow marks the Y axis e blue arrow marks the Z
11. IS Occlusion visualization This tool can be used to view and analyse the occlusion distance in millimetres between maxillary and mandibular arches Click the Occlusion visualization icon The colours on the arch represent the occlusion distance between the teeth on maxillary and mandibular arch 2 To view the occlusion distance at the exact point on the arch double click at the point where you would like to view the distance The colour scale is displayed at the right side of the screen The distance can be shown only on the colored areas The occlusion distance is visualized on both models To show the occlusion distance on both arches with mouth open click the Open mouth icon To show the occlusion distance only on the maxillary arch click the Show Maxillary icon To show the occlusion distance only on the mandibular click the Show Mandibular icon 24 Planmeca Romexis 3D Ortho Studio User s Manual DENTAL MODEL ANALYSIS 8 2 Cross section analysis In the cross section analysis 2D measurements can be done on cross sectional plane aligned to one of the main axis The cross sectional plane can be slid through the model WE 1 Click the Cross Sections icon 2 o change the plane and the transparency of the model use the Move plane and Dental model icon slides d wii L Lgs Mt ty Ty dT Wiad H 5 Previous To add a point into a 2D grid double click it with the le
12. PLANMECA Planmeca Romexis Ortho Studio rie v 7v rz snaps v 3 x E E Rr st mm Wm SAE ww ower jaw Buccal Lingual 0 000 Extrusion ntrusion 0 000 Mesial Distal 0 000 46 HN naak maxusnus woasweup 4 000 weas pia 0000 Planmeca Romexis 3D Ortho Studio user s manual L vZOEEOOL TABLE OF CONTENTS 1 INTRODUCTON 5E RS ERN EUIS p EIE MEI 1 2 STARTING A NEW CASE FROM PLANMECA ROMEXIS 2 3 CONTINUING WITH AN EXISTING CASE IN PLANMECA ROMEXIS 3D ORHTHOSTUDIO 5 rr dont Y Eo masikuc eaa eeuae Eu suUw ee essa rca skcF o Ucet vna xuEu utu uar vasi aE assu x aUe 7 4 USER INTERFACE ineo envois o aded oisi e s ea Dee s 8 AA VisuallZalloli dI Qa 4o Meet Tent ene Sete es ee etcetera bee Re bad heer eee N 8 42 linee v MR oT 9 A vc Ameelo gemc En 10 5 ADDING AND EDITING DATA ENTRIES e eeeeee reete tenente tnetaetnotuaes 13 51 Adding new entries 5 i onion red eto m sh EUrtub dc um eo M UN T CE 13 52 ASSIGNING doctors WITMECIIIICS E S 14 5 9 Assigning patients With GOCIONS ccs sorcniscnsisesan Erit s oak kr TR od vv eua eo ERU ceu RE reve S E rU miden 14 5 4 Editing clinic doctor and patient data seeesseesseseeennennn enn 15 6 IMPORTING CASES ioi SU dE Hie e E Hu aH uS 16 7 PREPARING AND ADJUSTING DENTAL MODELS e
13. Reset icon To save the measurement click the Next icon and then the Save case icon User s Manual Planmeca Romexis 3D Ortho Studio 27 DENTAL MODEL ANALYSIS 8 4 Measuring arch length aN Ivi 1 Select the arch to measure by clicking the Show Maxillary or Show Mandibular icon i 2 Click the Measure arch icon 3 Mark three points on the arch by clicking with the left mouse button a mi mi le ae n__n r NOTE Mark first point on the side the second one in front and the third one on the other side NOTE If necessary more than 3 points can be added by double clicking on the blue line with the left mouse button Double click an the model to add the control point 28 Planmeca Romexis 3D Ortho Studio User s Manual DENTAL MODEL ANALYSIS 8 5 Free measurements To freely measure lengths or angles on the models Click on the Free measurement icon Select the arch to measure by clicking the Show Maxillary or Show Mandibular icon 3 Select Distance or Angle measurements and the appropriate measuring unit E Distance Ange millimeters O inches e 4 Mark a point on the arch by double clicking with the left mouse button e 10 8185 millimeters N C Pi A F LI D 4 SSE PARERE s mm t User s Manual Planmeca Romexis 3D Ortho Studio 29 TREATMENT PLANNING IN 3D VIRTUAL SETUP 9 TREATMENT PLANNING IN 3D VIRTUAL SETUP The virtual setup can
14. TUAL SETUP User s Manual Planmeca Romexis 3D Ortho Studio 41 TREATMENT PLANNING IN 3D VIRTUAL SETUP 9 3 Creating a series of digital dental models using models builder The models builder is intended to be used for creating a series of models which can be printed e g using a 3D printer The 3D printed models can then be further utilized to create custom orthodontic appliances The number of models and the maximum tooth translation between each model can be freely defined 1 Select the arch by clicking the Show Maxillary icon or Show Mandibular icon uy 2 Click the Models builder icon The Layers menu shows the different layers and the transition models between each layer iB upper jaw Upper jaw gt Transition models Layer B Transition models Layer Current situation amp ul Upper jaw Upper jaw Layer P Transition models Layer Transition models between the current situation and the first layer 42 Planmeca Romexis 3D Ortho Studio User s Manual Layer 1 Transition model l uii Upper jaw between the first Upper jaw layer and the final layer The last layer of the treatment i e the final positions of the teeth User s Manual TREATMENT PLANNING IN 3D VIRTUAL SETUP H di Upper jaw Upper jaw Ir Transition models ip Transition models Layer iB Transition models Layer Layer
15. XIS 3D ORTHOSTUDIO on page 7 Save case Click this button to save the case you are currently working on Ju Exports TL e Stl exports Exports the case data and the maxillary and mandibular models in Stl file format e Ortho export Exports the case in ortho file format Change Local Origo Use this tool to adjust the orientation of the models see page 17 TUS Change Articulation See section 7 2 Adjusting teeth articulation on page 18 Add Virtual Base See section 7 4 Adding virtual base on page 20 Sculpting See section 7 4 Adding virtual base on page 20 User s Manual Planmeca Romexis 3D Ortho Studio 9 USER INTERFACE 4 3 View toolbar E d UM Tr NT Pr ew Multiple Views Front view ET Rear view uif Right side view Left side view Top view Bottom view Open mouth Close mouth Show maxillary mandibular all Show mandibular all im wi Show all Change the view from maxillary to mandibular or to all Changing the view from all to maxillary or vice versa enables or disables some features of the software Exit the software uf 10 Planmeca Romexis 3D Ortho Studio User s Manual 4 3 1 4 3 2 x d uw User s Manual USER INTERFACE Analyses and measurements tab Occlusion visualization Calculates the distances between maxillary and mandibular arches See section 8 1 Occlusion visualization on page 24 Cross sections S
16. be used for making a staged treatment plan e g by displacing rotating and extracting teeth The plan can then be utilized in the models builder for creating a series of STL models of the treatment plan 9 1 Tooth segmentation The tooth segmentation consist of defining outlines for single teeth combining teeth outlines and defining local origo for all teeth FL 1 Select the arch to use for segmentation by clicking the Show Maxillary or Show Mandibular icon NOTE Tooth measurements have to be done before the segmentation of the teeth kd 2 Click the Tooth Segmentation icon 3 To mark the outlines of the tooth double click with the left mouse button on all four directions distal buccal mesial lingual Double click to add the points in the margin of the tooth as shown in picture CTRL Z or the Undo button to undo the last autocompletion line 30 Planmeca Romexis 3D Ortho Studio User s Manual VA User s Manual TREATMENT PLANNING IN 3D VIRTUAL SETUP To fine tune tooth margin line move a point on the outline by dragging it using the left mouse button remove a point from the outline by double clicking on it with the left mouse button add a point between two points on the outline by double clicking on the outline add a new point by clicking the Undo button and clicking on another spot in the outline area To define the outlines for all teeth repeat the procedure from step 3 on page 30 When you have de
17. ck Next 3 In the following window adjust the size and distance of the base in relation to the models by pressing and holding down the Shift key while dragging the base from the arrows with the left mouse button Y Axis Tm Previous WA Next Cancel Ac Left Button Rotate Wheel Zoom Right Button Pan 2 9 OTRE oo gag 20 Planmeca Romexis 3D Ortho Studio User s Manual PREPARING AND ADJUSTING DENTAL MODELS 4 Select the type of the virtual base Parallel ABO Tweed Ricketts from the drop down menu on the lower left corner of the screen Base Position i Parallel Ww a Default border ES m mme ro Ot Parallel I n ABO Tweed a Ricketts Changing shape of virtual base border To change the shape of the virtual base border drag the points at the virtual base border To add remove points use hold down the Shift key while double clicking with the left mouse button To draw the base border hold down the Shift key and click with the left mouse button dragging near to the base border To move the border up and down drag the arrows of the virtual base border Changing shape of virtual base To change the shape width and length of the virtual base drag the points and arrows at the corners of virtual base During editing constraints between angles sides of base are preserved Changing virtual base height To change the height of virtual bases drag the arrow at t
18. ed license which is prompted at first start up 48 Planmeca Romexis 3D Ortho Studio User s Manual PLANMECA Planmeca Oy Asentajankatu 6 00880 Helsinki Finland tel 358 20 7795 500 fax 358 20 7795 555 sales planmeca com www planmeca com PLANMECA Oy s PLANMECA Oy s Environmen ital Quality System Management System Certificate awarded in 1994 Certificate awarded in 2000 y Det Norske Veritas by Det e Veritas by Det ki fulfils the highest acknowledged s i icknowledged international standards international standards
19. ee section 8 2 Cross section analysis on page 25 Teeth measurements oee section 8 3 Teeth measurements on page 26 Arch measurements See section 8 4 Measuring arch length on page 28 Free measurements See section 8 5 Free measurements on page 29 Virtual setup tab Tooth segmentation menu Tooth segmentation draw an outline for each tooth Cutting line separates the tooth from the gum and combines the outlines of separated neighbouring teeth The maximum distance under which the outlines of the adjacent teeth are automatically combined can be freely defined Change local origo adjust local origo axes and root for each tooth Virtual setup See section 9 2 Virtual setup on page 33 Models builder See section 9 3 Creating a series of digital dental models using models builder on page 42 Cut and close See section 7 5 Removing extra surface material from the models using cut and close on page 23 Menu list of all virtual models Show hide attachments brackets brackets key labels Animation Planmeca Romexis 3D Ortho Studio 11 USER INTERFACE Exports PDF Exports Exports the treatment plan report in PDF format 3 ise tid XIs Exports Exports the treatment plan report in MS Excel format xls 4 3 3 Bottom toolbar The bottom toolbar contains tool for adjusting the visual settings of the viewing area Zoom in W p Zoom out Show hide trackball Reset trackball Key R
20. ent by pressing and holding down the Shift key and double clicking the tooth Attachments em X attach List of available attachments x tO Add new attachment Remove selected attachment Thickness EL Attachment thickness Planmeca Romexis 3D Ortho Studio 39 TREATMENT PLANNING IN 3D VIRTUAL SETUP 9 2 8 Adding label 9 2 9 To identify each model e g in case a series of models is created a numbered text label can be attached to the model To add a new label press and hold down the Shift key and double click over gum or teeth Add new label di px ___ BH Remove label Thickness Prefix of label i e patient s initials i JI t 37 Label thickness adjustment The written 123 will be replaced with the correct numbering after building of virtual models A 5423 Visualizing intersection distance When making a change to virtual setup recalculate the intersections every time To recalculate the intersections for a single tooth right clicka given tooth and click the Intersection icon Distance Intersection 1 Show hide colour map RATS EX j Show Hide over teeth 08mm Measurement scale 0 6 mm C Distance Teeth distance 0 4 mm l mtersection 0 2 mm mm 40 Planmeca Romexis 3D Ortho Studio User s Manual TREATMENT PLANNING IN 3D VIR
21. er s Manual Planmeca Romexis 3D Ortho Studio 35 TREATMENT PLANNING IN 3D VIRTUAL SETUP 9 2 4 Fine adjusting a single tooth In the Movement overview menu you can select and fine adjust a single tooth TIP rotation and torque can be adjusted in degrees and the buccal lingual extrusion intrusion and mesial distal translations in millimetres 1 TIP 2 410 Rotation 7347 Torque 8 357 Buccal Lingual 3 894 Extrusion lntrusian 1 743 Mesial Distal 1 282 Intersection Teeth list 42 Reset tooth position do Reset the position of the selected tooth Extract tooth Extract and restore the selected tooth 36 Planmeca Romexis 3D Ortho Studio User s Manual TREATMENT PLANNING IN 3D VIRTUAL SETUP Intersection a Visualize the intersection of the selected tooth in different directions Romexis 3D Ortho Studio ce 97v et v EXER A a S QO 06100 eae SESS ne Left Button Rotate Wheel Zoom Right Button Pan 9 2 5 Inter proximal reduction IPR Inter proximal reduction is the mechanical removal of some of the outer tooth surface called enamel between adjacent teeth The space created by inter dental reduction can then be used to straighten the teeth 1 To active the IPR click the tooth with the right mouse button 2 Select the neighbouring teeth for IPR 22 Reset tooth p
22. fined the outlines for all teeth verify that the teeth are correctly outlined To readjust the outlines you can add a new point between two consecutive points by double clicking near the edge of the two points remove a point by double clicking on it move a point by clicking and dragging it using the left mouse button define the maximum distance between the outlines of adjacent tooth to be combined using the Join slider Join 0 500 O UA Apply If you need to re define the outlines return to step 3 on page 30 To continue to definition of local origo click Next Planmeca Romexis 3D Ortho Studio 31 TREATMENT PLANNING IN 3D VIRTUAL SETUP NOTE Before proceeding complete the cutting line procedure 9 7 From the Tooth segmentation menu select Change local origo 8 Double click on the tooth and use the manipulator to change the origo if necessary NOTE When changing the local origo the virtual root of the tooth changes direction To change the root dimension select the tooth and use the left toolbox 32 Planmeca Romexis 3D Ortho Studio User s Manual TREATMENT PLANNING IN 3D VIRTUAL SETUP 9 2 Virtual setup bd 1 Click the Virtual Setup icon 2 Select a tooth by clicking it with the left mouse button 9 2 1 Displacement of teeth Translating tooth 1 Click the tooth with the left mouse button 2 Press and hold down the Shift key while dragging the teeth with the left mouse button
23. ft mouse button To pan the cross sectional grid right click and drag it To zoom in and out scroll the mouse wheel To save a measurement view click the plus icon on the left side of the screen after making the measurement and click the Next icon User s Manual Planmeca Romexis 3D Ortho Studio 25 DENTAL MODEL ANALYSIS 8 3 Teeth measurements rx LJ 1 Select the arch you want to measure by clicking the Show Maxillary or Show Mandibular icon Click this icon To start making the measurements tooth by tooth 3 Starting from the most posterior tooth on the left side of the dental arch double click on the distal and mesial points of each tooth with the left mouse button 4 lf necessary correct the tooth number via the drop down menu next to the tooth measurement 4 18 999mm A EEE aaa a aan a A For each tooth width measurement the current length is shown To adjust length drag either of the two points with the left mouse button 26 Planmeca Romexis 3D Ortho Studio User s Manual DENTAL MODEL ANALYSIS The total and average length of the segments are shown in the dental map on the left side of the screen Average 9 31485 mm Total 111 778 mm Average 8 10337 mm Total 113 447 mm When all tooth measurements of the upper and lower arches are done Bolton overall and anterior ratio are shown in the upper part of the screen S Use these icons to Undo Redo tasks To clear the measurement click the
24. he bottom of the base This option is disabled for ABO bases To edit both bases simultaneously check the Symmetrical changes check box When finished click the Next icon The defined bases will be merged with maxillary and mandibular models User s Manual Planmeca Romexis 3D Ortho Studio 21 PREPARING AND ADJUSTING DENTAL MODELS Editing base height Editing base shape yf Editing base border shape onm x co uet Buts ona Viet Deom gt Puts Pa aves Ea 559 n o aj Ou iss biag EO enms a 22 Planmeca Romexis 3D Ortho Studio User s Manual PREPARING AND ADJUSTING DENTAL MODELS 7 5 Removing extra surface material from the models using cut and close Using the Cut and close tool any excess material can be removed from the digital models by indicating a plane under which all the material is cut off This way the material can be saved when printing the models with a 3D printer 1 Select the arch using the Show Maxillary or Show Mandibular icon Click the Cut and Close icon Rotate the plane with the green circles and rotate the plane with the red arrows Left Button Rotate Wheel Zoom Right Button Pan ee atio LH e oo gue di To cut off all material below the indicated plane from all virtual models click the Next icon User s Manual Planmeca Romexis 3D Ortho Studio 23 DENTAL MODEL ANALYSIS 8 8 1 PA 1 DENTAL MODEL ANALYS
25. hot menu In the Snapshot menu you can Take a snapshot of the current screen Take and send a snapshot by e mail in png jog or bmp formats Print snapshot W Snapshot w x D l Snapshot to mail Png i Snapshot to mail Jpg E Snapshot to mail Bmp Print snapshot Planmeca Romexis 3D Ortho Studio 45 GENERAL MENUS 10 4 Settings menu Si Settings To access the user interface settings click the Settings in the Home window 10 4 1 Colour references In the Settings window you can select the background colour for the upper and lower viewing area as well as for the dental model Click the square next to the background or the model you would like to modify E 23 Numeration of the teeth d Language N Background colour upper t Background colour lower t Color Model t d wallpaper O1 pnag am Wallpaper 01 png Wallpaper 02 png an wallpaper 03 png Select the desired colour mm clicking in the Basic colours field or in the colour window al Red 90 al Green 117 WS i TB TE Beene LLL ier LLED LLLE LLLE LLL LLLEE TENE T Custom colors Defne Custom Colors gt gt Cancel Add to Custom Colors To define a new custom colour with exact shade enter the values for hue saturation luminescence as well as for red green an blue shades in the respective fields Click the Add to custom colours button The colour now shows in Custom colours
26. nic select a doctor from the Other doctors drop down menu and click the Add icon To remove a doctor from the list of Doctors associated with a certain clinic without deleting the doctor from the database clicking the Delete button next to Doctor drop down menu peu Earl Clinie 4L S 001 Clinic Planmeca Em 4 D 001 Doctor Planmeca ae ae g Patient U P 001 Patient Planmeca Delete To delete a doctor from the database select the doctor from the Other Doctors menu and click Delete NOTE Clicking the Delete icon removes the selected doctor from the Planmeca Romexis 3D Ortho Studio database Other doctors 4 D 002 Maria Doe 5 3 Assigning patients with doctors To assign a new patient to the currently selected doctor select the patient from the Other patients drop down menu and click the Add button To remove a patient associated with a certain doctor without deleting the patient from the database select the patient and click the Delete button next to Patient drop down menu pee ag Clinic 5 001 Clinic Planmeca 3 Doctor YY D 001 Doctor Planmeca wo Delete Patient uU P 001 Patient Planmeca w To remove the patient from the database click the Delete button next to the Other patients drop down menu NOTE Clicking the Delete icon removes the selected patient and all its data from the Planmeca Romexis 3D Ortho Studio database Other patients P 002 Patient Planmeca 2 14 Planmeca Romexis
27. osition Extraction Bh Paste Attachments ntersection IPR 22 24 IPR 22 23 E Save Tooth Save Tooth Root User s Manual Planmeca Romexis 3D Ortho Studio 37 TREATMENT PLANNING IN 3D VIRTUAL SETUP A blade appears in between the selected teeth 3 Define the thickness for the IPR and click the IPR icon You can also undo or cancel the IPR using the X or back arrow buttons IPR must be applied at the beginning of each layer before any tooth has been moved The IPR cutting plane is automatically calculated By choosing 1 mm of IPR between two teeth e g between the teeth 22 23 0 5 mm is applied to the tooth 22 and 0 5 mm to the tooth 23 38 Planmeca Romexis 3D Ortho Studio User s Manual TREATMENT PLANNING IN 3D VIRTUAL SETUP 9 2 6 Show hide ideal arch List of available arches 9 2 7 User s Manual Ideal arch The ideal arch can be used as a visual guide to move the teeth The arch can be rotated scaled and translated to find the correct position An example of an ideal arch is show below Ideal arch Mone Rotate e 1000 Scale X zm 100000 ef Scale Z em 100000 C Translate X 0 000 a Q Translate i 0 000 P Q Translate Z 0 000 4p Adding a new arch Add new images as 32 bit png file with alpha channel to use transparency into the following folder C Program Files Planmeca Romexis clientiorthostudio idealarch Adding attachments Add a new attachm
28. res 17 7 1 Adjusting the orientation of the models eeessesseesseeeeeneeenn enn 17 2 Adjusting teeth articulat ie ra rine ESL re E CUR ERR ce dum sea eva ele eae 18 7 3 Smoothing and sculpting the models ccceccceececeeeeeceececeeeeeceueeceaeeecsueeeseesesseeeenees 19 TA WAGGING VIR Wal IDSC erem 20 7 5 Removing extra surface material from the models using cut and close 23 8 DENTAL MODEL ANALYSIS 5E ERR RR REI RR ABE 24 9 1 Qcolusion vISualiZauorl xao en Cote a oy tea he eal et ad eei pRU E MED LA 24 92 GIOSS SecHon aralySiS t eibus ineat bobine unb ec use ioo Love ld a ote tu Le Cuneo Lb t debian 25 5 9 Teeth MeEASUISIMGING essussisseUunidnnidtedents elc stau Sie ub iseDn i pouce nti R Ode idte masc 2M cate e b subi SU usus 26 9 4 Measuring eren deriglll cceesssssr atri pex set depu ER quet eo E eO ale tantin cusk das vo tae inea os rima Dod BER id 28 SO JIOemeasuremelll icno a E 29 9 TREATMENT PLANNING IN 3D VIRTUAL SETUP c eeeeeeeeeee 30 S E ootE I ead Miizillo NERO a NUUS 30 Oe NPRM SOU om m 33 9 3 Creating a series of digital dental models using models builder 42 10 GENERAL MENUS sonant ERIS OUO 45 TOST Fie MENU caresses encanto ete eae kee Oh ete leues cout rcp enact eae mE LEA 45 10 2 WAC IO AIC nU TTE a 45 13 SnapShot MEN is asco TT Uu T T bce nase eee eas dceuaaasednie
29. sing the Planmeca Promax 3D model scanning program 3D of your Planmeca X ray unit selecting 3D capture from Planmeca Romexis Capture The image of the bite index is in DICOM format and the mandibular and maxillary models are in STL format 4 3 Open the upper model from the Planmeca Romexis Volumes list Paint ROI to trim The model opens in Romexis ProFace Surface module So ad 4 Select the Paint ROI to trim tool 5 Mark the area to trim on the image 2 Planmeca Romexis 3D Ortho Studio User s Manual STARTING A NEW CASE FROM PLANMECA ROMEXIS When the trimming is completed the marked area will be automatically removed from the image 6 Repeat the procedure for the lower model from steps 3 to 5 7 Open the image of the bite index from the Volumes tab volumes _ p em P g B Hos x mo 23 CD a mE f Ls E b Jj gine yay ha 2D 9 a mE EP um EN Exposure Date Image size Voxel Size um Serial Number kV mA s DAP mGyxcm Comments 23 4 2013 14 54 400 x 400 x 400 200 TFM770101 80 14 22 828 E bite index Aquasil 23 4 2013 13 5 2013 15 16 179901 x 3 0 ProFace TMJ Implant Pan Explorer Volumes 13 5 2013 15 16 179967 x 3 0 EY lO Scan Import 8 Click IO Scan import button 9 Open the digital impressions one by one by clicking the Select button Import STL Open a STL file for impart Choose three corresponding points by right clicking from
30. sists of the following elements e Visualization area e Main tool bar e View tool bar for viewing the object from different directions e Bottom tool bar e Info field Planmeca WEGE 3D Ortho Studio lt Fie v e 9 v tx sra v D lt Settings a rei PLANMECA Info field C 00008 28 09 2011 Qs Qo I A L D Bottom toolbar 4 1 Visualization area The images and models are opened and edited in the visualization area In the visualization area it is possible to create virtual bases show the occlusion visualization between maxillary and mandibular arches measure distance between teeth and perform virtual setup To view and examine the models displayed in the visualization editing area you can set camera parameters position scale and rotation using the instrument trackball tool To rotate around the model use the left mouse button To Zoom in out scroll the mouse wheel To move pan the camera use the right mouse button The info area of the screen shows the info related to the current Case In particular the info about clinic Doctor and Patient are displayed also with the Case ID 8 Planmeca Romexis 3D Ortho Studio User s Manual USER INTERFACE 4 2 Main toolbar 4 2 1 Home tab New case See sections 6 IMPORTING CASES on page 16 and 5 ADDING AND EDITING DATA ENTRIES on page 13 m Open existing case i4 See section 3 CONTINUING WITH AN EXISTING CASE IN PLANMECA ROME
31. taenceeae 45 ju Er uilge ani upe etc tt 46 User s Manual Planmeca Romexis 3D Ortho Studio TOC 1 TABLE OF CONTENTS The manufacturer assembler and importer are responsible for the safety reliability and performance of the unit only if installation calibration modification and repairs are carried out by qualified authorized personnel electrical installations are carried out according to the appropriate requirements such as IEC 60364 equipment is used according to the operating instructions Planmeca pursues a policy of continual product development Although every effort is made to produce up to date product documentation this publication should not be regarded as an infallible guide to current specifications We reserve the right to make changes without prior notice COPYRIGHT PLANMECA Publication number 10033024 Revision 1 Released 14 June 2013 TOC 2 Planmeca Romexis 3D Ortho Studio User s Manual NOTE NOTE NOTE NOTE NOTE NOTE NOTE User s Manual INTRODUCTION INTRODUCTION The Planmeca Romexis SD Ortho Studio is a software module designed for orthodontists and dental laboratories It can be used for preparation of digital dental models making dental model analyses treatment planning in 3D virtual setup and export of digital dental models in STL format This manual describes how to use the Planmeca Romexis 3D Ortho Studio software Read this manual carefully before using the s
32. ystem This manual is valid for the following software revisions Planmeca Romexis 3 2 R Planmeca Romexis 3D Ortho Studio can be used with Microsoft Windows 8 7 XP Vista Business Windows 2003 and Windows 2008 Server operating systems Planmeca Romexis conforms to Windows user interface standards User organization must take care of protecting the computer and the network by using up to date virus and malware protection software and fire wall If necessary save the following for backup of ortho studio data C Program Files Planmeca Romexis client orthostudio In order to use the software Planmeca Romexis 3D Ortho Studio USB license dongle has to be inserted into the client computer USB port The software is created by AGE Solutions S r l Planmeca Romexis 3D Ortho Studio 1 STARTING A NEW CASE FROM PLANMECA ROMEXIS 2 STARTING A NEW CASE FROM PLANMECA ROMEXIS Dr 9 The following procedure describes how to align digital dental models captured with Planmeca viis Promax 3D model scanning program and transfer the models in occlusion to Planmeca Capture Romexis 3D Ortho Studio as a new case 1 Take an exposure of both the mandibular and maxillary models using the Planmeca Promax 3D model scanning scan program selecting Model capture from Planmeca Romexis NOTE For full details on how to use the Planmeca Promax 3D model scanning program refer to your Planmeca X ray unit user s manual B 2 Take an exposure of the bite index u
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