Getting to Know Your NEVO
Contents
1. Mr E73 1181 BER ti 3 Click Apply 4 Repeat these steps for the other abutment 5 Repeat these steps for the pontic s Customer Support 800 537 6070 31 When you rotate the model you will notice that the pontics have a solid base and are raised above the gumline 0 75 mm The gingival aspect of the pontic follows the contours of the edentulous tissue and can be adjusted utilizing the design tools Note If you are unsure whether the bridge will fit in the desired material block skip ahead to the Mill tab and verify that it does not say Please reorient the restoration to fit or try a different material Verify and or change your material selection in Settings If the material is correct try moving the sprue position Once you are satisfied that the bridge fits in the block return to the Design tab to finish designing your bridge 6 Follow the normal design workflow with interproximal contacts being the only difference 7 Adjustthe interproximal contacts that touch unprepped teeth to the same contact strength that you normally use The contacts of the bridge teeth will be fused together to form the bridge so the actual contact strength is not a concern but the contact should be heavy enough to ensure a proper connection 8 When you are satisfied with your designs click the Mill tab Spacer Tool Settings on Bridges The default Spacer Tool settings are different on bridges to acco2. Connecting the Scanning Tip After disinfection if scanning intraorally See insert with scanning tips for further details 1 Grasp the body of the scanner with one hand 2 Usethe other hand to press the scanning tip onto the scanner as shown A locking click will be 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 black 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 NOTE Failure to follow this procedure may result in damage to the scanner and scanning tip Customer Support 800 537 6070 11 Design Center Version 5 0 includes the new scanning capabilities of NEVO and the new bridge software For complete instructions see the User Manual Buccal Opposing is the New Default gt Bite registration oh Buccal Opposing With the faster scanning more clinical operators prefer the Buccal Opposing option for capturing the occlusion data Many clinical operators scan the Opposing while the patient is being anesthetized Scan the Buccal Bite after the tooth has been prepped If you are unfamiliar with scanning the Buccal Bite and Opposing see the back of this booklet New Scan Tab Layout The new Scan tab has a different
3. GETTING z TO KNOW YOUR TM E4D TECHNOLOGIES VO ag 1 Watch DVD Learn new scanning techniques and how to disinfect the scanner tips 2 Read Booklet Become familiar with the screen and system changes 3 Go Online Get additional NEVO and Windows 8 information at Learning Tools on www e4d com 4 Additional Questions Email education e4d com to arrange a 1 1 telephone chat and remote access to your NEVO with a trainer x lt Dear ECO Community Members NEVO s hardware and software advances are the direct response to your requests and represent the latest practical technological advances hope you ll agree that they provides even more capabilities and opportunities to use your E4D system for greater satisfaction for you your team and your patients Your NEVO features Faster and easier scanning at video like rate of data capture Plug and play convenience Entirely new wand design with removable tips for no down time between patients Heated mirror in the wand tip that prevents fogging Erase Tool to speed scanning workflow Bridges Scanning designing and milling bridges chairside Plus new materials to be able to take advantage of the advanced software solutions including Telio CAD from Ivoclar Vivadent long term provisional block in 40 and 55 mm sizes new sizes of IPS e max 16 mm longer anteriors and 32 mm anterior bridges and Zirlux FC2 a full contour zirconia single unit for
4. 1 Heating Stage 2 Cleaning the Scanner Tip gt For intraoral scanning systems only s The following instructions are for the removable tip of the scanner It is not for the entire scanner e See instructions below for cleaning the base of the scanner Chemical Disinfection These instructions were validated using MaxiCide Plus w Activator 3 496 Gluteraldehyde disinfectant available from Henry Schein Dental 44102 2865 DO NOT Autoclave DO NOT place in Ultrasonic Cleaner 1 Clean the tip for 2 minutes under running tap water at 22 25 C 4 liters minute to remove debris 2 Testthe potency of your activated MaxiCide Plus prior to disinfection Recommend MetriTest Strips by Metrex HSD 1602 3437 3 Immerse the tip in activated MaxiCide Plus for 120 minutes 2 hours Do not leave the tips soaking overnight 4 Remove tip from the disinfectant 5 Rinse disinfected part in three separate copious amounts of distilled water 1000 ml volume of water minimum of 2 head height while part is immersed 6 Agitate the tip in the water for 30 seconds and then let it stand in the water for another 30 seconds 7 Repeatthe agitation and soak in each of the other two containers with fresh distilled water Customer Support 800 537 6070 7 Storage 1 Wipe water off mirror using non woven optical wipes recommend Kimwipes Lens Cleaning 101 7070 2 Optional Insert tip into a sterilization pouch
5. 8 Activate the wand and begin the scans with the occlusal of one of the proximal teeth Once you have established where you are you can begin scanning the bite registration data Customer Support 800 537 6070 23 9 Scanthe occlusal of the bite registration material and any of the proximal tooth data that was removed and is not covered by the bite registration The Align Bite Registration icon displays a green light if the models are aligned A red light means that alignment must be done manually 10 Click the Align Bite Registration button to verify the alignment See below for how to manually align the models if needed Click the button again to deactivate it and return to the main scan screen Selecting the Bite Registration Instead of drawing the outline of the opposing dentition on the bite registration model you now highlight the opposing dentition 1 Click Bite Selection at the bottom of the screen This icon only appears on the Scan Bite screen 2 Click and drag to highlight the areas of the opposing dentition that would come into contact with the restoration 24 E4D NEVO Version 5 0 10822801 C Your finished highlighting should resemble the following 3 Click Bite Selection again to deactivate it Model Alignment Alignment now occurs on the Scan tab There are no tools to rotate the models It is important to start your scanning in the same orientation for each scan Rescan the model if you scanned so
6. models are aligned A red light means that alignment must be done manually L1 lg 12 Click the Align Pre op button to verify the alignment See below for how to manually align the models if needed Click the button again to deactivate it and return to the main scan screen Time Saver Bite Registration 1 OntheSetup tab select Bite Registration E d Bite registration n Buccal Opposing 2 On the Scan tab click Scan Prep and scan the preparation model first ol 3 Click Scan Bite A Time Saver message appears This message appears when the preparation is scanned first The Time Saver option allows you to duplicate the preparation model and use the same data for the bite registration model 4 Click OK to use the Time Saver If you do not wish to use the Time Saver option the bite registration and proximals can be scanned on their own The following instructions assume the use of the Time Saver option A copy of the preparation model is created in the bite registration model color 5 Click the Eraser Tool 22 E4D NEVO Version 5 0 10822801 C 6 Erasethe preparation and the marginal ridges of the proximal teeth If you erase the buccal and lingual gingival data most of your model will disappear If this happens the other side of your model will reappear as you scan the connection 7 Clickthe Eraser Tool to deactivate it The model is smooth where the data has been erased
7. now bridge block in the works Zirconia restorations require additional hardware sintering oven for final processing but your Henry Schein Zahn and lvoclar Vivadent representatives can inform you of the options Buccal Opposing is the occlusion default With the faster scanning more clinical operators prefer the Buccal Opposing option for capturing the occlusion data Enjoy your E4D NEVO experience Gary Severance DDS Chief Marketing Officer E4D Technologies Customer Support 800 537 6070 3 Table of Contents NEVO SYSTEM me 6 New FAP WW AN fe 7 NEW SCANMER NR TT CIN T NT 7 Chemical DISINTECHION sesssvxxi veas tkvd ko ebur UN FE EYANE FREE AVR YUVA VV VEN ED VE X XEM Y PE VV EN D RUE NUEVE NEE EVEN YN PM V TEN CEN TH DE VER 7 Scanner Cradle Laptop System cacecesescscesssoxssnscawesess neuen 8 Windows Bananen 9 Removable COMDONENE naeh 10 Connecting the Thunderbolt Adapter ccssssccccssssccccssssccccsssssccccsscsccccsscscccccscsscccsssssccsssssssscssess 10 Disconnecting the Thunderbolt Adapter ee eee eere e eee ee eee eee eee esos esee soos eese esse eese esssssete 10 Connecting the Scanning TIDoiupd pd ERIPRERERIEMAESEEHEPUNENVEEUE REDI PHAR EE HIE ING EEE DN EETI ER DON TEN UNS EIER E DE BEALI a QE EEE 11 Discontiecung the Sc
8. recommend Self Seal Sterilization Pouch 5 4 x 10 200 box 4112 4854 3 Store for later use Ensure the tip is dry before connecting it to the base Prior to scanning visually confirm the scanning tip mirror is clean and dry To clean the mirror use a Kimwipe 2x2 gauze or optical cloth with a little alcohol to gently clean the mirror e Dry the mirror with a dry Kimwipe 2x2 gauze or dry optical cloth Cleaning the System For intraoral scanning systems only Protect the keyboard with a disposable barrier Cleaning Cycle Before and after each use clean all areas of the NEVO Warning Before and after each use follow these instructions to disinfect the NEVO Do not substitute any other cleaning solution or procedure Under no circumstances should you use any paint thinner solvents or harsh chemicals Use only a non woven sponge or pre moistened germicidal cloths when cleaning the NEVO 1 Usinga clean non woven sponge that has been saturated with a hospital grade TB rated germicide or pre moistened germicidal cloths apply the germicide to the entire surface of the scanner base scanner holder mouse mouse pad and any other surfaces that you touch that were not covered by a disposable barrier Do not spray the germicide directly on the items and do not submerge the scanner or mouse in the germicide 2 Follow the germicide manufacturer s instructions Scanner Cradle Laptop Systems Laptops come
9. 7 6070 35 Appendix This section is for people that have not previously been using Buccal Opposing scanning The instructions for scanning have not changed in NEVO Scanning Buccal Opposing The opposing teeth are scanned to acquire bite information for the proposal The buccal bite is scanned to align the preparation model with the opposing model Scan Opposing Many clinical operators scan the Opposing while the patient is being anesthetized 1 Onthe Setup tab select Buccal Opposing tp Bite registration Le Buccal Opposing 2 On the Scan tab select Scan Opposing 3 Starting with an occlusal view scan the occlusal surfaces of the opposing dentition Include the same number of teeth as the preparation model Ensure there is good cusp tip data on both the lingual and buccal sides 4 Roll to the buccal and scan the buccal side of the opposing dentition Include gingival data do not stop halfway down the tooth Your model should resemble the following e Good occlusal data e Good buccal data 36 E4D NEVO Version 5 0 10822801 C Good lingual cusps Lingual axial data is not needed 5 Erase extra data from the opposing model Scan Buccal Bite 1 Click Scan Buccal Bite 2 Pressthe articulated model down firmly or have the patient bite down firmly and tell them not to move while you are scanning If they shift during the scanning the alignment may be incorrect Po
10. Tools on www e4d com home page lower right corner E amp D TECHNOLOGIES Questions Call EAD Customer Support 800 537 6070 or www e4d com e mail customersupport e4d com Copyright 2014 All rights reserved 40 E4D NEVO Version 5 0 10822801 C
11. ance Red data is still good data but itis at the far end of the scanner s focus If you are trying to capture data that is beyond something else that is red then you need to get closer or try a different angle with the scanner Normal focal gradient You see If the scanner tip is not resting on the teeth you green close to the scanner and may see red with no green You are still capturing red as it gets further away data but you may need to move closer To capture some interproximal areas it may help to turn the scanner and tilt it to capture the undercut area In the example the focal gradient is red but we are able to capture the interproximal data Customer Support 800 537 6070 15 5 Once you have finished your basic scans turn OFF the scanner The model displays in the raw data form GENERATE MODEL 6 Click Generate Model or press M on the keyboard The 3D model is created Adjust Live View Window Size While the Live View is active The window size can be adjusted By default the Live View is large enough to fill the height of the scanning window To make it smaller place the mouse cursor on the left edge of the Live View Right click and drag the window to the desired size The Live View will return to the default size the next time it is activated 16 E4D NEVO Version 5 0 10822801 C Adjust the Scanning Field of View The Field of View or scanning area can be reduced if the movement of tongue cheek i
12. anning Tip seecsssseccssscecssececcssceccssccoccsecocsssceosssccososecocssscessssecosssseosssscosssscesssseeos 11 DEeSIan Center aa E E E er 12 Buccal Opposing is the New Default ssssccccscssccecccsscceocossccccccssscccecosssececsssseccecssseccecsssssecosssssceeessse 12 New Scan TAD EayOUEL eost ay rx EXERRRA ERR ERRNTAE Y NRRE SERVER ENER S ERRARE V NRRRAS MERE NEEE VERRE S EE VAR SERVARE uses 12 STE m 13 Scanning WIEN ze H H 13 Adpnist Live View Window S1ZC sscncisiscsycassesssccviesvennsssnecotsdarsentisoseusestvasussatssuvesusenseonsiersewnsdsssenveasesentensssuvcaneats 16 Adjust the Scanning Field of VIG Ir ara 17 Evaluat ng ET dp I RR EENE NEEE EEEE 17 Highlight Low Data Areas is now Data Density View sssssscecsssssccosssssccoososssceosssssccosssssccessssssossssssee 17 NOICE ds 18 EGINO NE MOOSE Gs iv Pale enm i VIDI inimi bmi 19 Eraser Replaces Trim Model ssexexe ek vsvX eo Ee FER Ran 19 Te Saver TOO A 20 TG Saver Pre OD odo nennen BRAND 20 Time Saver Bite Begistralti D cies eee ey ed epu o eo E FRRERNE CERE 0E AX CER iana E RETE ERES PARS EE VENE UPN SER TENER V EEE EE 22 Selecting the Bite Registrallohr iiecec iesu eH aeu EE EATEN VR FRE eP nennen 24 Mod
13. cccazenessceucscsccssncescecccencsssxoasdcnesssaestsxceszencutancetssnaveceuscanashisuexonatuscsnvecsssdessssseces 35 ADD DO RET 36 Scanning Bucca OPPOSING euere NARIEEF RO teres QOL POPE DE tirana DN ELO PR SEEK IDEE Fb DDR en 36 New Documentation AvallabDl6 ioo rai oi ota e Fio ee rag Ey dnaE a Fee etg Pel Ek naeh Esp e kPa ERO SEE eher 40 Customer Support 800 537 6070 5 NEVO System The E4D NEVO system includes a plug and play wand and either a laptop or upgraded hardware to the cart What s New With NEVO e Plug and play technology You can now have multiple design stations and move the scanner from one station to another without shutting down the computer The wand can be moved to the next station and be scanning Patient B while you continue designing Patient A The standoff and disposable sleeves have been replaced with solid removable tips The system comes with three tips which means no down time between patients Tips require effective high level disinfection The mirror in the tip is heated to prevent intraoral fogging e Convenient ON OFF button on the wand to start and stop the scanning process e Scanning is faster and easier with video like capture of data You can watch your model build and move accordingly Capture full arches and buccal bite cases faster and easier than before New Time Saver functionality You can copy your Pre op model to create your p
14. el e To DETERIUS 25 Onen AO e M 26 POS RM RTT TETTE C T 26 Bridge Pronar CIO sec ccseccccsavaccccncsasecencsssecesesssassetcehuasecoeusescessetgadessuceustes user Reese 26 Updated Block Recommendation Chart Subject to Release Dates e eeeeeeeeees 27 Bridge Setup Tab M 27 UnlnkK ng a Bdge nenne NR 28 Bridge S CINNE uii eo DHT ae ta aaa a a I Tr E u a ee 29 Bridge Orientation een nr re re 29 Draw ng Ponuc Wal GINS username 30 Designing the BEIGE aa E LE 31 Spacer POOP Settings on Bridges a ececicscessscvscescatveseusotuaseesceusscesdavaeseasouaseessoesseiensosvescetoesvasotsobeseeeeotecseseet 32 Rotating Slice Ple oru cus cesta sanccstndcaseesecnsadevbeoussestansasusn cantsceucuscectasesiecthocsctesdevessctbensanereeeuosavaxcesenvasses 32 Evamiaung the Bridge 00er Ru ER RR 33 4 E4D NEVO Version 5 0 10822801 C Version CompatiDHI Ey cocos eb ono EAR EXRNEURCAS nr QUEARIS ROGTAROWRA TE GA CHI CERE CUN ERA SEU RS COLE FOREN CR DVRUSE DA Y XA TERR NAR CK RS GAME 34 Miina center CliangBs i wes UP EO OUTEEEPOEE PARURE ISSUES UPLIFERROEPEE FON REPE PEDONESEPECAREEEUEPARENREESUEE DLE PAXAN OE EPAT RN NER Ve LEON Vb ME QURE 34 New icon Tora Parked JOD ooetise uses edt a Costa esq in a epRuOV E esso Nea Ya tx ER UER 020003 SF FE SUS VE ava innen Ead FIF Y mine eaa Feci Tags 34 Zirlux FC2 NEIGE TEILE 35 ZIIUPC2 Scale Factor scessec
15. epped neighbors to aid in design and alignment Bridge Orientation Set the Orientation for each tooth tab Good model alignment will aid Autogenesis with the design and is important for the bridge s Path of Insertion Customer Support 800 537 6070 29 Drawing Pontic Margins A margin is drawn for each tooth in the bridge 1 Clickthe tooth number tab for each abutment and draw the margin on the selected tooth An edentulous space does not technically have a margin The margin is drawn on the gingival tissue to aid the design process 2 Click Trace and designate the position and extension of the base of the pontic on the gingival tissue to fit the appropriate contour Note Do not go too far down the curve of the gingival tissue or you may not be able to fit the bridge in the block 30 E4D NEVO Version 5 0 10822801 C Designing the Bridge With any multiples case it is generally best to start the Autogenesis process on a tooth with an existing neighbor In a bridge case that means starting with the abutments 1 Rotate to evaluate the position of the preview library tooth In this example the preview tooth is high because the system is attempting to match the height of the higher mesial data This may result in a distorted initial proposal i Li LP oM F a M 2 wem Lr a le Rm j EE D UE E aiia A a M 2 Resize Alt arrows and move drag and drop as needed E j 5
16. er Support 800 537 6070 9 Removable Components The E4D NEVO system has a set of removable components Connecting the Thunderbolt Adapter Properly connecting and disconnecting the scanner will prevent 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 Afteropening the Design Center software connect the red FireWire connector of the scanner into the white Thunderbolt adapter The Design Center will give 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 the Design Center to the Windows desktop T 2 Navigate to the Eject Media icon in the lower left of the desktop 3 Click the icon and choose Eject IEEE 1394 Controller des Open Devices and Printers 4 Remove the Thunderbolt adapter from the laptop N Eject IEEE 1394 Controller NOTE Failure to follow this procedure may result in an inoperable scanner For additional questions or concerns please contact Customer Support at 800 537 6700 10 E4D NEVO Version 5 0 10822801 C
17. failure Pending Jobs are not parked no jobs Milling Jobs Parked Job 3k Finished Jobs Calibration Jobs Do NOT insert a new block for a Parked Job A new block will result in broken tools To restart the job with a new block use Pending Jobs 2 Touch Select 3 Reinsert the partially milled block if it had been removed 4 Follow the on screen instructions The milling restarts from where it was cancelled 34 E4D NEVO Version 5 0 10822801 C Zirlux FC2 Mill Maintenance It is necessary to clean the mill and change the water before milling Zirlux FC2 If the zirconia is contaminated with other materials it will turn green when sintered Cleaning after milling is recommended because the zirconia acts as a thickening agent with the water Zirlux FC2 Scale Factor See the manufacturer s Instructions for Use provided with the Zirlux FC2 blocks for processing instructions Zirconia shrinks in the sintering oven There are numbers on the side of the box that the blocks come in You must keep this box with the blocks Do not mix blocks from different boxes Each box can have a different amount of shrinking The Milling Center asks for the Scale Factor before a Zirlux FC2 is milled The system will increase the size of the restoration according to this number This means you cannot test the fit of the restoration before sintering P 7 E a cn CANCEL BARCODE Customer Support 800 53
18. fer to your User Manual for more information Bridge Preparation Ensure the preparations for the abutment teeth are not angled in different directions If one is pointed towards the lingual and one towards the buccal there may be problems with path of insertion and overmilling Cantilever and Maryland bridges are not recommended by the material manufacturers 26 E4D NEVO Version 5 0 10822801 C Updated Block Recommendation Chart Subject to Release Dates IPS e max 16 mm block for longer anteriors and 32 mm anterior bridge e Telio CAD blocks are intended for long term provisional restorations maximum wear of 12 months 40 and 55 mm e Zirlux FC2 is full contour zirconia that can be milled with the E4D Milling Center Zirlux requires a sintering oven Individual restoration 20 mm and bridge block 55 mm Restoration Anterior Anterior Posterior Inlay Material E full crown veneer full crown Onlay Paradigm Provisional MZ100 Only e Lava Ultimate Implant Bridges IPS Empress CAD HT IPS Empress CAD LT IPS Empress CAD Multi IPS e max CAD HT IPS e max CAD LT Wvoclar Vivadent IPS e max CAD Impulse Burn Out Blocks For cast or pressed indications only BOB Primary 1 Secondary C With manufacturer indication indication caution Bridge Setup Tab A bridge is made up of two or more restorations that are connected On the Setup tab select each tooth on the anatomical model that is par
19. ks up the data as you move You can watch as the model builds on the left to see what data has been captured and what is still needed Customer Support 800 537 6070 13 4 Watch the model building on the left as you scan The Focal Distance Gradient see following section for more information shows you the most recently applied information and helps you visualize where you need to go In previous software versions the operator s attention was usually on the Live View to watch the shrinking target indicator and to move the scanner in half tooth increments for the next scan Most operators kept the building model on the left in their periphery vision to see where the scans were added With NEVO most operators watch the building model and use the Live View only when they need to alter their positioning With the new video like rate of capture the scanner is almost always moving and the building model shows the operator what they have and what is still needed Watch the focal gradient to see where you are and the blue raw data model shows what is still needed If you move too quickly move too far away or if the system isn t sure where you are the Live View turns sepia Move back to an area that s already been captured and when the system starts capturing data again you may proceed 14 E4D NEVO Version 5 0 10822801 C Focal Distance Gradient The color gradients on the model indicate the location of that data point within the focal dist
20. l scan types 3 Prepare the tooth 4 OntheScan tab click Scan Prep ol A Time Saver message appears This message appears when the pre op is scanned first The Time Saver option allows you to duplicate the pre op model and use the same data for the preparation model 5 Click OK to use the Time Saver If you do not wish to use the Time Saver option the preparation and proximals can be scanned on their own The following instructions assume the use of the Time Saver option A copy of the pre op model is created in the preparation model color 6 Click the Eraser Tool BE 20 E4D NEVO Version 5 0 10822801 C 7 Erasethe tooth that has been prepared and the marginal ridges of the proximal teeth If you erase the buccal and lingual gingival data most of your model will disappear If this happens the other side of your model will reappear as you scan the connection 8 Click the Eraser Tool to deactivate it The model is smooth where the data has been erased 9 Activate the wand and scan begin the scans with the occlusal of one of the proximal teeth Once you have established your position you can begin scanning the preparation DO NOT start your scans over the missing data 10 Scan the entire preparation and any of the proximal tooth data that was removed 11 Click Generate Model or press M on the keyboard Customer Support 800 537 6070 21 The Align Pre op icon displays a green light if the
21. look and a lot of new functionality Scan Type Model Editing Tools Evaluation Tools Alignment Tools 12 E4D NEVO Version 5 0 10822801 C Scan Type The default selection is always Pre op formerly Clone The other available options depend on whether Bite Registration or Buccal Opposing was selected on the Setup tab Click the desired icon to select it Scanning with NEVO The scanning pattern does not need to change Note For multiple anteriors and full arch cases many operators use a saddle pattern to roll back and forth over the straight and long anterior teeth This pattern can help avoid misalignments when dealing with such similar teeth Goal e 100 of the prep and interprox contact areas 90 of the proximal neighbors e Good axial data for design 2 3 mm gingival tissue on buccal and lingual 1 Rest the tip of the scanner on the teeth to achieve the optimal focal distance 2 Click the Power Button on the scanner or press the Spacebar on the keyboard to activate the laser The Live View displays on the right side of the screen 3 Start scanning with an occlusal view of the preparation or proximals The first scan still determines the orientation of the model The system starts scanning as you get into place and stop moving Once the first scan is taken and the model starts to build move slowly in the scan pattern You do not have to stop to take individual pictures The scanner pic
22. mething in backwards The alignment icons are on the right side of the screen There is a different icon for each alignment type Buccal Bite Pre op and Bite Registration The system attempts to automatically align the models as they are generated A green dot means the scans are aligned A red dot means they are not aligned Click the icon to view the alignment All of the alignment icons have a Refresh e button Click Refresh to reset the alignment and manually align the models Automatic alignment should be used in most cases If there is extra data that might be interfering with the scans tongue cheek etc try trimming the extra data before manually aligning The buccal bite has an extra Show Hide Buccal option This enables you to hide the buccal bite model and evaluate the opposing and prep models Customer Support 800 537 6070 25 To align models drag and drop the buccal bite pre op or bite registration over the prep model The models will snap into place To access the menu options at the top or to return to scanning deactivate the selected Alignment icon You cannot proceed if the Alignment icon is active orange Orientation The pink shading for undercuts has been removed from Orientation Bridges Bridge cases are unique in that they are designed as individual teeth and milled as one unit This document assumes familiarity with multiple restoration cases and other intermediate to advanced topics Re
23. nstruments etc is interfering with your scans Most clinical operators do not change the Field of View Click and drag the Field of View indicator to the desired setting In the examples the change in the Live View has been outlined in yellow for emphasis Evaluating the model Highlight Low Data Areas is now Data Density View The button has been renamed but the functionality is the same Click Data Density View to evaluate the model and find any areas that need to be rescanned Customer Support 800 537 6070 17 New ICE View The ICE View now covers the entire model This view is mainly utilized on the Margin tab but is also available on the Scan tab The example below shows an intraoral scan of an implant with a metal crown at the edge of the scans No treatment of the metals was needed before scanning To the left of the ICE View button is the ICE Contrast slider Click and drag within the square up and down left and right to change the brightness and contrast of the ICE View if needed to see part of the model better This is currently only available on the Scan tab To reset the ICE Contrast to the default activate and deactivate the Erase button to regenerate the model 18 E4D NEVO Version 5 0 10822801 C Editing the Model Eraser Replaces Trim Model Trim Model has been replaced with the Eraser Brush With the new Eraser click and drag to remove extra data i e tongue cheeks etc In previous version
24. rep model or you can copy your prep model to create your bite registration model After the model is copied you can erase the pre op or prep and re scan that area Full ICE View The scans are turned into clinically realistic images of the entire model and can even be used in your buccal bite evaluation e New Erase Tool enables you to remove part of the scans Did you spot a tissue tag or retraction cord covering the margin that needs to be removed You can fix the problem erase that spot on the model and re scan that area No need to start over Improved automatic alignment of models e New bridge capability 6 E4D NEVO Version 5 0 10822801 C New Hardware NEVO v5 0 requires a Windows 8 computer and a scanner Design Center carts can be updated to have a new computer and a different attachment for the new scanner The scanner can be unplugged and used on another updated cart or a NEVO laptop New Scanner The new scanner has a removable tip Press the black release button below the scanning window to separate the tip from the wand Do NOT just pull on the tip Tips are consumable products approximately 100 high level disinfections and can be ordered in refills of 3 Tip can be removed and disinfected while the next tip is being used See below for cleaning instructions on the tip and the system itself Icons in the lower left corner of the screen indicate the status of the scanner Disconnected Heating Stage
25. s if you told the system to trim a part of the model then subsequent scans of the same area would be ignored With this new tool you can erase an area that needs to be rescanned If you spot a problem i e the margin is partially hidden by cord or tissue you can erase that area correct the problem on your model or intraorally then rescan just that area You do not have to start over Be sure to erase and rescan ALL areas that were changed The Eraser is also used in the new Time Saver tools see following sections Click the Eraser tool to deactivate it and regenerate the model You can zoom in and out to make the model larger or smaller in relation to the Eraser tool You can also select a different circle size above the Eraser icon Customer Support 800 537 6070 19 Time Saver Tools These Time Saver Tools are recommended for single unit cases For multiple unit cases and bridges you would usually delete more of the model than you would keep Large gaps in the model are not optimal If 5096 or more of the model would be removed it is suggested that you rescan instead of using the Time Saver feature Time Saver Pre op 1 Scanthe Pre op with the normal scan pattern Remember that you can do this while the patient is being anesthetized Time Saver is not recommended for impression scans 2 Useall of the evaluation and editing tools mentioned above Note ICE and Data Density are available for al
26. sition the NEVO tip against the inside of the cheek while the patient is open When the NEVO is in place ask the patient to close and bite down firmly Tell them not to move during scanning Keeping the NEVO tip against the cheek and not rubbing against the gingiva during scanning is typically more comfortable for the patient 3 Scan ata 90 angle to the teeth Scan the sides of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured 4 Click Generate Model or press M on the keyboard The system generates the model and attempts to align to the other scanned models The software should automatically align the models If Align Buccal is red see previous for instructions on manually Model Alignment When the model is finished generating the Buccal Bite model displays from the point of view of the occlusal of the preparation Rotate the model to view the buccal side or click the Buccal arrow in View Controls Your model should resemble the following Ensure there is good data on the buccal sides of the teeth Intraoral scans will most likely have the tongue in the background Model scans will have space filler in the gaps 5 Erase any excess data from the model Customer Support 800 537 6070 37 38 E4D NEVO Version 5 0 10822801 C Customer Support 800 537 6070 39 New Documentation Available NEVO documentation and videos available at the Learning
27. t of the bridge For each tooth you must select the restoration type 1 Select each tooth that is part of the bridge the abutment s and the pontic s 2 Click Link The cursor changes to a chain symbol 3 Click the mesial and distal teeth of the bridge After each end of the bridge is selected the teeth turn purple Customer Support 800 537 6070 27 4 Selecta tooth in the bridge and choose the Library Material and Shade This will set the material and shade for the remaining restorations in the bridge 5 Selectthe remaining teeth in the bridge and designate the Restoration Type and Library Ensure each pontic is designated as such Library must be chosen for each restoration before you can continue to the Scan Tab Note If Library Material and Shade are chosen before linking the bridge the software will replace the Material and Shade of the remaining restorations with that of the highest tooth number after the link Your anatomical model will resemble the following Multiple bridges can be created on the same arch Repeat the steps above to create another bridge Unlinking a Bridge If there is an error in how the bridge was linked click Unlink and click on any of the teeth in the bridge 28 E4D NEVO Version 5 0 10822801 C Bridge Scanning The scanning procedure for a bridge is the same as that for a multiple restoration case Scan the prepped teeth the edentulous area and two or more unpr
28. te the model to view the slice 6 Ifthe slice is red adjust your embrasures and or contacts and try the simulation again Note that when the model is hidden the Slice Plane icon displays the mm area Minimum required thickness Zirlux FC2 9 mm Telio CAD 12 mm o IPS e max 16 mm 7 ClickView Model to activate it 8 Clickthe Gingival View Control arrow to view the model from underneath 9 Lookfor internal hangups blue seen through the stone model on the axial walls or occlusal surface Blue around the margin is expected due to the margin ramp If there are any hangups adjustments need to be made to the Spacer on the Design tab Call Customer Support for help on your first few cases if there are hangups on Bridges Customer Support 800 537 6070 33 Version Compatibility Cases from previous versions can be opened in NEVO but the Scan tab is disabled Older models cannot be trimmed or aligned Milling Center Changes New Icon for a Parked Job The Parked Job feature was introduced in Version 4 5 In this update a new icon has been added to indicate that a job has been saved When a job is interrupted by an error message or a manual cancellation of the job iti is Eee in Parked Job Only the most recent job is available in Parked Job en When a job has been saved an icon will appear in the corner to notify you 1 To restart the interrupted job touch Parked Job Jobs interrupted by a power
29. unt for the larger Path of Insertion The normal maximum for the spacer is 0 20 mm On bridge cases the spacer defaults to 0 20 mm and can be increased to 0 30 mm A larger default margin ramp of 1 mm is used to aid in stability Rotating Slice Plane The Slice Plane can now be rotated Place the center of the Slice Plane approximately where you want it and then hold down the Ctrl key while moving the mouse to rotate 32 E4D NEVO Version 5 0 10822801 C Evaluating the Bridge It is important to evaluate the connections on the bridge and look for possible hangups The sprue will be on the mesial or distal side of the bridge 1 Click View Model to hide the model 2 Click Sim When the Simulation is run the connections between the teeth are displayed 3 Click Slice Plane twice When Slice Plane is activated on a bridge mill simulation the system measures the slice width If the slice is thinner than the material guidelines the slice displays as red It is important to slice the simulation through the thinnest part of the connectors yellow lines in the examples Posterior cases tend to have wider contacts with smaller embrasures and are unlikely to be thin Anterior cases have smaller contacts and larger embrasures Any thin area should be evaluated 4 Movethe Slice Plane to a connector If the Slice Plane needs to be rotated to slice through the thinnest part hold down the Ctrl key while moving the mouse to rotate 5 Rota
30. with a standalone cradle for the scanner 8 E4D NEVO Version 5 0 10822801 C The cradle can be separated and inserted into a 5 8 inch 16 mm holder in your operatory equipment i e the slow speed suction holder Windows 8 The E4D NEVO system uses the Windows 8 operating system This section is for people who may be unfamiliar with Windows 8 Start Screen When the laptop starts up a Start screen appears with several tiles Click the Design Center tile to open the Design Center software The Desktop is also a tile on the Start screen A warning will appear when you start the E4D software This is a normal warning because of virus scan protection Click Yes to continue If you click on another tile and don t know how to exit press the Windows key to return to the Start screen Screenshots You may wish to save an image of the screen for communicating with associates or EAD Customer Support To take and save a screenshot 1 On your keyboard press the key and Prt Sc key 2 Thecomputer takes a screenshot and saves it in Libraries Pictures Screenshots 3 The screenshots are automatically numbered You can rename them if desired Shutting Down in Windows 8 The Start button is no longer on the desktop taskbar in Windows 8 1 1 Move the mouse to the top right corner or the bottom right corner of the monitor to bring up the slide out menu 2 Click Settings 3 Click Power 4 Click Shut Down Custom
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