Elements of Success - PLANMECA2.indd
Contents
1. 2014 E4D Technologies All Rights Reserved EDU1110 H 9 Exercise 1 Premolar Crown with Buccal Bite Scan Opposing 1 Click Opposing in the scan options on the left of the screen 2 Starting with the distal tooth scan the occlusal data 3 Transition to the buccal and scan the buccal surface Include 2 3 mm of gingival data Cusp tip axial wall gingival Lingual data is not necessary I Goals of Opposing Scans 100 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 4 Erase interfering data such as tongue cheek and cotton rolls Scan Buccal 1 Click Buccal in the scan options on the left of the screen 2 Close the articulated model gently If it shifts during the scanning the alignment may be incorrect 3 Scanthe buccal surfaces of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured Goals of Buccal Bite Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data No rotations necessary mmm j sure to verify the status of the ae uccal alignment In most cases alignment is done automatically by the software A green dot in the Buccal icon indicates a successful alignment Always verify the alignment before continuing with the next step 1 0 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 1 Premolar2. 2 2AI12e pue uone11s 6 u aug MAIA 410 WNL s 3pD uo2 DuuIxoidi 1u burnsnfpy 72619 UModg SJIUM O1 1sn pe O S9 DJID jeuus yu us ulJ u PLJUC sn en 8A O SJ28 U07 MBIA 9 2AI 2 u u 21M 21 uone41siB ti 9118 MOIA 9121 VY Sa1NS2IQU DIE p p u J ajdeL 1251220 s 6p y eufieuw puz SIEM eX 151 yJ001 12qqn4 NOJ A SUIBIENW U9910 WU G L O1 O L SIJEM eIxV n g u 15S Jeq WU Z 0 S 2 qe jesn 25O SSOUYIIY DH9 DIN uDis p y Purun sul 1NO UOD 0 s1u uu1lsn pe jews SJ001 abupy 10 2314 o2edSs eu ul jesodoid ou un Uuonisod Y 00 0 sjuawsnfpe aber SOOT D Uu uu J32u A ddy ay uontsodau azisay 440 sis eu B5o1ny AlddY 4211 NO wSlseuaboiny SAIIADAQGIT YJOOL N9IS1G Auoud si pou uols Jaquiawea uol12 1 p Uew Ul pasn aq ued pow 273 pinp burjo ulbavyy uol e1u lio AJA 0 Y OO A IA 1d U9916 ou aen S 00 je Bu 1eA 12e p 1Y pinp UOUDIUaLO uoluod e Melpal 0 siu ui8g s ppv sn yju uu 2e d 1sn pe 0 UISILIN SAOW OST seoJe INOJUOD Bi YH Yybiy 0 pie ue se S91n1294 MOUS YD EA e O 1j p nous y uo ulbsew y yAeW MAIA esn 22O y WO4 UIBIDIN 32041 s ppu jeulbiey Ie335ng sdsn gt e 232nq ubily Ie1siq 4 dp jenBur 1252ng I snpao M pou uollisod 0 D MOIA we ou SN 2AU2D j bwonNy h UO I DJUIHOC NIDaVW uolnmei1ols 1 DUDU a Ja
3. 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 2 Molar Crown with Buccal Bite Design Please reference the CAD CAM workflow for design We will use this form throughout the design process 1 2 3 8 Click the Design tab The Tooth Libraries tools automatically appear Turn Autogenesis OFF and click Apply to generate the proposal Click Incremental Change Tools to evaluate the proposal for large adjustments Use the tool options to make changes where needed Click Apply before continuing Click Freeform Change Tools and Material Thickness in view options to evaluate the proposal The proposal should be blue green with a yellow margin Click Rubber Tooth and adjust the axial walls marginal ridges and embrasures Click View Bite Registration to see the opposing dentition model above the proposal Click View Bite Registration a second time to make the template transparent Adjust the translucency of the opposing model Click View Contacts Click Slice Plane Slice icon changes to show the slice direction and the grid measurement Click multiple times to change the slice orientation Click and drag the edge of the slice circle if you want to change its position 2014 E4D Technologies All Rights Reserved EDU1110 H 1 9 20 Exercise 2 Molar Crown with Buccal Bite 9 Zoomin and use Rubber Tooth to adjust the contacts points Intraoral adjustment will be
4. Premier Dental Products Company 1710 Romano Drive Plymouth Meeting PA 19462 610 239 6022 888 773 6872 Ex 1022 jbonner premusa com NOTES 48 2014 E4D Technologies All Rights Reserved EDU1110 H DEE mmm YG6LLL NGA pamasa SuUDU Iy s l5olouu5s qr3ar10Zzo une J inpejnueur M Vi u01 e31pu 1epu02 VA onexpu eu J KINO SNOLLVDIGNI 03SS3ud Y0 LSY 404 404 014 1n0 ung CH XN AI7 AJUQ EU0ISIA01d QV Oljel M gt v s ndul JV Xew S 1 dV XEU 9 Sd LH GV XEU 9 Sd lt D IN sau sq Ny ssedwy dl S LH GV SSaiduu sq EWI PAP i OOLZW whipereg abpug ue duu e u0 e u umo N4 J U A JOUDJUY UMOJ N4 101191S04 101191UV d L uone101s9 F S3I9010NH934 073 Fnn S DI1 D W 1OJ SUONDJYD d JasNJIDJNUD ALISHSAINN yey UOIJEPPUSWIWIODISY y30 g VOUANNV Ic sbuljjas pup suipsbosd ueamjaq asmolg Jeq UODSDIASN Duuu pue ssaidW pd 4 suondo nuau Jayjo pup ss aIbo1d buuy I wesposd u A0 d ck S D paads d upibosd buy papajes au sa D gt IpUuy U93 S UIEW 2 Buly 3A122410 Zd m AUDPOAIA C 4 XDW Sd Ld suviboid 2pun een yeweiBorg pajdajas pub due 2DlUnJ JUIN s D2Ipul RAT LE uoljeuojUu ue16014 seq uoneuuJojul 2014 E4D Technologies All Rights Reserved EDU1110 H ud josnj290 Augboueuw tc sabpu pup sdsm sisosonyy auuM BEAP XPUU Sd Jo u n supi Sdsn gt 2uptJu
5. jesiduy ME oe WEE bulpbys josn20 yasuNsS bupoys paibuib peus ze D e1s 412 pinbry ze D DIE mile U0110101S 1 XDW Sq 104 ADI au Buued id U0I DZIJ D s 1 paads DUOIIPpD UD sI 3434 pasn aq osjo ub Ang xl 12 90 aJON DuulJ 104 01 UONDZIJJOIS D ay ojuo BULLY pub uonozuapoioy 104 urd buriy ay 0 UON D10 SA1 AU 23010 U01 DZI19 2DIDIJD 19 JV U0 D1O Sa Y xUJJp 0 p sn aq JIM UMOYS MOL t un Kea uonezi e3s A1 lt j i P SSN XI4P2fdO LL ke vones echt 8 Biss ayd ISH3AIND IV Xew Sd wWw333IAINVTci LA LE AN FE g LOTTNGA PeMSSSY SIUSIY IIV s lgolouu5891 qt3 TOC IenBuli pue je55nq uo anssi PAIBUIB ww uDis p 10 e1ep jeixe POOH 4399 juo2efpe BY JO 06 se 1e D2e1uo2 euumxoidi lul pue daid au JO 001 suolssaidu 5390 ONH2331 HRZ ve ALISUYSAINN VWOANNV Ic jenuey 125N ay ul punoj aq UeD jen zew uolle11sIB u aug BHuluueds UO uonmeguuuoJu 3 ON Aess 53 u SUOI E OJ ON nss IEAIDUID ww E Buisoddo pue d id au u uollnu p u1 JO dens je22nq ou n1ide gt g eng Ai ssaau jou ejep eAIBuI B pue jenbulq apis P22nq ou uo nss jeAIHuIB ww g Z Sdsn gt y JO 00L Huisoddg U21e ou 0 Je noipu diu d pue uonnu p euumoud y uo JOUUPLDS o 1s t p p u aq II 1 uue25s BU JO Uolje01 1U Dis p Pade 2P U02 euumxXoidi lui DUI JO OOL aBAayre O leuix
6. oni Sethngs The system defaults to the setting for the Please confirm settings restoration type Standard Full Coverage Crowns standard Detailed Inlay Onlay and Veneers ig Detailed 2014 E4D Technologies All Rights Reserved EDU1110 H 27 Exercise 4 Onlay Restoration Exercise 4 Onlay Restoration Onlay Tooth 14 2 6 ISO Setup Enter the setup information for this case e Tooth 14 2 6 ISO e Onlay e Buccal Opposing e Library A Lava Ultimate LT Select shade A1 Scan Prep 1 Click the Scan tab 2 Follow the basic scan pattern 3 Evaluate the preparation model The same basic scan pattern is used for partial restorations Tooth 13 2 5 ISO is also a preparation but we are not designing it at this time The opposing dentition is a preparation so we are not going to scan the buccal and opposing Orientation The pictures for this case are of a different onlay The procedure is the same 1 Click the Margin tab 2 Set the Orientation for the onlay Use the remaining anatomy of the prepped tooth to aid your orientation Mark the Margin 1 Use the scroll wheel to zoom in on the preparation 2 Click Trace and click on the inside of the margin 3 Moving in small increments click as you move around the preparation 4 The margin is finished when the original point blue dot is clicked to finish the circle 28 2014 E4D Technologies All Rights
7. 4x6 Clear Schein 1273240 Steri Soaker Schein 6581402 Preparation Design Name Vendor Item Number Two Striper Full Crown Kit Schein 3780210 Premier 2013581 Two Striper Inlay Onlay Kit Schein 3780213 Premier 2013582 Impression anq Model Materials Name Vendor Item Number Earth Stone Quick Set Stone Schein 9662932 Orban 1 2 Perio Blade for trimming bite registration Premier 1004751 Scanning Name Vendor Item Number Scanning Tips 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 Articulatino Paper Name Item Number Accufilm Single Sided Red Articulating Paper Schein 1865309 Clinical materials and accessories cements adhesives stains amp glaze etc Rebecca Spillman MS Bill McGlynn Ivoclar Vivadent 3M ESPE 175 Pineview Drive 3M Center Bldg 275 2SE 03 Amherst NY 14228 St Paul MN 55144 1000 716 691 2248 phone 651 733 9078 phone rebecca spillman ivoclarvivadent com bfmclynn mmm com John Bonner
8. Crown with Buccal Bite Evaluate and Adjust the Orientation 1 Click the Margin tab 2 Evaluate and adjust the Orientation using View Controls to change the point of view A Inthe Occlusal View balance the model from buccal to lingual B Inthe Distal View align the buccal cusps of the neighbors wy C Inthe Buccal View evaluate marginal ridge alignment 3 Click the Orientation icon to accept the current position 2014 E4D Technologies All Rights Reserved EDU1110 H 1 1 12 Exercise 1 Premolar Crown with Buccal Bite Mark the Margin 1 Use the scroll wheel to zoom in on the preparation 2 Click Trace and click on the inside of the margin 3 Moving in small increments click as you move around the preparation Don t worry if you make a mistake while drawing the margin 4 The margin is finished when the original point blue dot is clicked to finish the circle 5 Practice adjusting the margin with both Move Margin and Add Segments Design Please reference the CAD CAM workflow for design We will use this form throughout the design process Move Margin is used for minor adjustments CAD CAM Workflow QUESTIONS ABOUT DESIGN Contact Support 800 537 6070 SCAN Buccal Bite Scanning am Click Data Density View to evaluate for low data sal Use the Eraser tool to a remove excess scan data Scan Opposing 100 Occlusal and 2mm of buccal g
9. Move press and hold the wheel to move the model It s important to practice using the mouse Ensure you are comfortable moving the model and zooming in out 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 1 Premolar Crown with Buccal Bite 3 Click Data Density View and evaluate the models Captured Data Missing Data 4 Fillin any required missing data by activating the scanner Use the fill in techniques Mesial Tip Rest the neck of the scanner tip on the mesial neighbor rock the scanner to point the blue laser into the distal interproximal area Distal Tip Rest the end of the scanner tip on the distal neighbor rock the scanner to point the blue laser into the mesial interproximal area Ensure your model has 100 of the preparation the interproximal contact areas and at least 90 of the adjacent teeth and full cusps Focus on the contact zone not the gingival contours 5 Erase any interfering data such as extra teeth tongue cheek and cotton rolls Buccal Bite and Opposing The opposing teeth are scanned to acquire bite information for the proposal The buccal bite is scanned to align the preparation model with the opposing model Scan the teeth that are opposing the teeth in the preparation scan Identify the three teeth directly opposing those in the prep scan Note Many clinical operators scan the Opposing while the patient is being anesthetized
10. The adapter should remain attached even when not in use 2 After opening the PlanCAD software connect the red FireWire connector of the scanner into the white Thunderbolt adapter The laptop gives an audible signal to confirm that the connection is fully seated To remove the scanner hold the red end with one hand and with the other hand grasp the Thunderbolt adapter Gently pull apart to disconnect Leave the white Thunderbolt adapter attached to the computer Disconnecting the Thunderbolt Adapter If you wish to remove the adapter from the laptop 1 Disconnect the scanner and exit Romexis to the Windows desktop Navigate to the Eject Media icon in the lower left corner of the desktop Du Dec IEEE 1394 Controller pe LLLLI 2 3 Click the icon and choose Eject IEEE 1394 Controller 4 Remove the Thunderbolt adapter from the laptop Failure to follow the Thunderbolt Adapter procedure may result in an inoperable scanner For additional questions or concerns please contact Customer Support at 800 537 6070 PlanScan Scanner L 1 Scanning Tips Pe 2 Cradle 3 Scanner Cable connecting and disconnecting the scanner are in a later section ie 2014 E4D Technologies All Rights Reserved EDU1110 H PlanScan System amp Equipment Overview Connecting the Scanning Tip If scanning intraorally disinfect the tip before connecting it to the base See the User Manual for full instructions
11. a monolithic block Multiple translucencies create the most natural looking esthetic restoration Control incisal translucency and gingival color by lvoclar Vivadent UNIVERSITY IPS Empress CAD 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 by Ivoclar Vivadent UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 H Efficient IPS Empress CAD offers the option to simply mill and polish for maximum efficiency or glaze fire for up to a 50 increase in strength Clinician s Report October 2009 Volume 2 Issue 10 Multi A1 A2 A3 A3 5 B1 e BL1 BL3 HT High Translucency e A1 A2 A3 A3 5 B1 B2 B3 C2 D3 LT Low Translucency e A1 A2 A3 A3 5 B1 B2 B3 C2 D3 e BL1 BL2 BL3 BL4 Beautiful Esthetics IPS Empress CAD by lvoclar Vivadent 200 MPa 100 MPa 13 min PLANMECA UNIVERSITY IPS Empress CAD by lvoclar Vivadent WEIT E Al A2 A3 ARS aa 81 82 LE c2 D3 UNIVERSITY IPS e max CAD by Ivoclar Vivadent 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
12. mm gingival tissue on buccal and lingual Scan Opposing 1 Click Opposing 2 Starting in the same scanner orientation as the prep scan scan the incisal data and rotate to the buccal Goals 100 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 3 Erase any interfering data such as tongue cheek and cotton rolls 22 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 3 Anterior Crown with Buccal Bite Scan Buccal 1 Click Buccal 2 Scan the buccal surfaces of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured Use the same scanner orientation as the other two scans Goals Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data No rotations necessary Note Be sure to verify the status of the buccal alignment Margin 1 Click the Margin tab 2 Evaluate and adjust the Orientation Orientation may have to be adjusted a second time after marking the margin Close Patent Teeth Sr el Z Align the incisal edge with the bottom of the design screen 3 Click Orientation to accept the current position Mark the Margin 1 Use the scroll wheel to zoom in on the preparation 2 Click Trace and click on the inside of the margin 3 Moving in small increments click as you move around the preparation 4 The margin is fin
13. or the insert that is inside the scanning tip box 1 Grasp the body of the scanner with one hand 2 Use the other hand to press the scanning tip onto the scanner as shown A locking click is heard once the tip is fully seated Disconnecting the Scanning Tip 1 Grasp the body of the scanner with one hand 2 With your other hand depress the green button on the underside of the scanner Gently pull the tip from the scanner When the scanner is not in use place the non functional protective scanner tip on the scanner Included with the scanner during shipping Failure to follow this procedure may result in damage to the scanner and scanning tip Always follow the manufacturer s instructions for disinfection PlanMill 40 Maintenance of the PlanMill 40 is covered in the Elements of Success course and in the User Manual e Each week or every 3 hours of milling the mill fluids need to be replaced e Every other week or every 10 hours of milling the Collets and Spindle Caps require maintenance 2014 E4D Technologies All Rights Reserved EDU1110 H 5 Exercise 1 Premolar Crown with Buccal Bite Exercise 1 Premolar Crown with Buccal Bite Tooth 5 1 4 ISO Romexis 1 On the main screen of Romexis click Add Patient 2 Add your name in the patient demographics screen complete the options in bold 3 Click Save Patient at the bottom of the screen 4 Click CAD CAM in Romexis options to the le
14. used as an enamel replacement material Aesthetic and minimally invasive restorations thin veneers in particular PLANMECA UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 H 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 4mm Value blocks for lifelike brightness value in crowns 400 MPa PLANMECA 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 Shades Al A2 A3 A3 5 B1 BL3 UNIVERSITY Lava Ultimate Nano Technology High flexural strength 200 MPa adds durability to posterior restoration Excellent wear resistance Brilliant and long lasting polish Excellent stain resistance for color stability Lava Uttimate AI LT 14L Shades e A1 A2 A3 A3 5 B1 C2 D2 e BL UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 H 41 42 Paradigm MZ100 by 3M Versatile and Easy e Enamel like wear characteristics are superior to that of ceramic blocks Easy to finish and polish Easy to repair intrao
15. EN Exercise 3 Anterior Crown with Buccal Bite 16 Evaluate the margin The material thickness should be yellow around the margin with no red or orange k SW Good example yellow margin Poor example Red or orange along the margin 17 If there is red around the margin click Move Margin to evaluate the margin for accurate placement Adjust the margin if needed Going back to the Margin tab to make changes will result in losing your design If the margin is placed accurately and is still red orange use the Dropper tool to add material thickness Congratulations on your second design with the PlanScan system Review the CAD CAM Workflow before continuing to the Mill tab Milling 1 Click the Mill tab 2 Evaluate your design and review the material thickness indicators 3 Check the sprue position and adjust when needed 4 Select the block size also based on sprue positioning 26 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 3 Anterior Crown with Buccal Bite 5 For this exercise IPS Empress Multiblock was selected as the material The amount of chroma and translucency can be adjusted Use the Restoration Positioning arrows to move the restoration up or down to change its value Translucent Use Restoration Positioning to move the proposal up or down within the block ue location Press Send to Mil when ready Chroma 6 Click Send to Mill click OK
16. Elements of Success Training Workbook amp Resources PLANMECA UNIVERSITY E4D TECHNOLOGIES Me SEAT Table of Contents PlanScan System amp Equipment Overview Exercise 1 Premolar Crown with Buccal Bite Exercise 2 Molar Crown with Buccal Bite ss Exercise 3 Anterior Crown with Buccal Bite Exercise 4 Onlay Restoration ss Information e Customer Support Information CDD Gre e a a id une Prep Guidelines amp Materials WENNER e e Integration Day amp Starter Kit CAD CAS RO ne ns PLANMECA UNIVERSITY E4D TECHNOLOGIES Gary Severance DDS Chief Marketing Officer 214 432 6378 Direct gseverance e4d com Jeremy Hiser RDA CDD Manager of E Learning and Documentation jhiser e4d com Marcie Howard Education Coordinator mhoward e4d com Matt Dunn RDA Clinical Educator mdunn 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 Faculty Contact List Ashley Truitt Director of Education 214 432 6345 Direct atruitt e4d com Angie Heick Senior Technical Writer aheick e4d com Joshua Bradley CDD Product Trainer jbradley e4d com Audrey McCoy RDA CDD Clinical Educ
17. Reserved EDU1110 H SI Exercise 4 Onlay Restoration Once the margin is drawn for an inlay or onlay a notification screen appears Warring Note If this screen doesn t appear click Selection Area Please define a selection region for the Onlay usinq the Selection Area tool Z Do not show this message again ES ES 5 Click Take Me There to go to the Selection Area screen 6 Click Add to Selection and circle Tooth 14 2 6 ISO Using Selection Area will define the area of the tooth structure for design Over selection an area will cause a poor proposal Good Selection Poor Selection 7 Complete the Selection Area and return to the Margin Tool screen 8 Click Hide Model to isolate the preparation and to evaluate and adjust the margin with Move Margin and Add Segments as needed 2014 E4D Technologies All Rights Reserved EDU1110 H 29 I Exercise 4 Onlay Restoration Design Please reference the CAD CAM workflow for design We will use this form throughout the design process 1 Click the Design tab 2 Ensure Autogenesis is ON and click Apply Autogenesis creates a proposal based on the Selection Area designated Click Incremental Change Tools to evaluate the proposal for large adjustments Use the tool options to make changes where needed Click Apply before continuing gt Click Freeform Change Tools and Material Thickness in view options to evaluate the proposal T
18. 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 H 39 40 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 e C16 Ideal for longer dentition and large restorations e B32 Up to three unit bridges up to the second premolar as the abutment tooth SST Zen d avwe Oe PLANMECA UNIVERSITY IPS e max CAD by Ivoclar Vivadent HT High Translucency A1 A2 A3 A3 5 A4 B1 B2 B3 B4 C1 C2 C3 C4 e D2 D3 D4 aaa Tu At Ai A3 US A st f CR BL1 BL2 BL3 BL4 seu LT Low Translucency e Al A2 A3 A3 5 A4 B1 B2 B3 B4 C1 C2 C3 C4 4 3 J e BL1 BL2 BL3 BL4 C16 amp B32 Blocks At 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
19. al Angles PLANMECA UNIVERSITY Prep Guidelines TR Tapered Sides Rounded Internal Angles Equi Supra Gingival Margins PLANMECA UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 H 35 36 1 5 to 2 mm 1 to 1 5 mm Material Selection Prep Guidelines TREA Tapered Sides Rounded Internal Angles Equi Supra Gingival Margins Adequate Reduction UNIVERSITY Prep Guidelines TREAT Tapered Sides e Rounded Internal Angles Equi Supra Gingival Margins Adequate Reduction Tissue Management UNIVERSITY UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 H AD A sU AM PREPARATION GUIDELINES amp MANAGEMENT TECHNIQUES A copy is provided for each practice in your blue take away bag and included in the User Manual Electronic versions are available online PLANMECA UNIVERSITY UNIVERSITY traxodent eg 3M ESPE Retraction Capsule UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 H 37 38 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 PLANMEC UNIVERSITY IPS Empress CAD Beautiful Esthetics IPS Empress CAD offers over 100 combinations of block size shades and translucencies Multi Shade amp Translucency Cut back and layer esthetics in
20. any interfering data such as tongue cheek and cotton rolls 2014 E4D Technologies All Rights Reserved EDU1110 H Co lt Exercise 2 Molar Crown with Buccal Bite Scan Buccal 1 Click Scan Buccal 2 Scan the buccal surfaces of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured Use the same scanner orientation as the other two scans Goals of Buccal Bite Scanning Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data No rotations necessary Note Be sure to verify the status of the buccal alignment a In most cases alignment is done automatically by the software A green dot in the Buccal icon indicates a successful alignment Always verify the alignment before continuing with the next step Evaluate and Adjust the Orientation 1 Click the Margin tab 2 Evaluate and adjust the Orientation using View Controls to change the point of view La D aB tre e 3 Click the Orientation icon to accept the current position Mark the Margin 1 Use the scroll wheel to zoom in on the preparation 2 Click Trace and click on the inside of the margin 3 Moving in small increments click as you move around the preparation Don t worry if you make a mistake while drawing the margin 4 The margin is finished when the original point blue dot is clicked to finish the circle 1 8
21. aq L NSU IAA e ep ULIS JO jyunowe ajeudoidde y BuI JI A p p u Jl uBi e 1 pue yu uuuDBiI e 822nq HHA E sueds Duisoddo a dad u p zenosse u1 1 IS aime ID22ng UDIS eyep eAIBu B6 e22nq JO wwz pue esn 293O 00L 6uisoddo up3e e ep ULIS SS 2X aAOWAI o joo 1ose13 au aen LAA e ep MO 10 1en eA 0 N IA Ayisuag Lq J2 S19 U09 pue d id 40 00T daid uD2S BuUIUUDDS 2 1g Ip22ng NUDS 0 09 ZES 008 Woddns peluo NDISIA 1008V SNOILSINO MOMOM WW dY 2 2014 E4D Technologies All Rights Reserved EDU1110 H
22. ator 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 OOM SLL TEACHING STYLE At Planmeca University we incorporate the Tell Show Do teaching style Tell Listen to the instructor giving detailed instructions on the Upcoming material Show Watch the instructor demonstrate the proper technique T Do Perform the action and ask questions HOW TO USE THIS WORKBOOK I This section covers equipment amp guidelines Fa This section covers scanning amp scanning techniques E This section is all about design gt This section is for milling and materials This section has resources and information for your success This workbook is yours to keep dont be scared to write in it Words in BOLD are icons or choices within the software You ll also find quick tips and time savers throughout Hover over icons in the software to reveal their names PlanScan System amp Equipment Overview PlanScan System amp Equipment Overview PlanScan Laptop 1 Powering ON and OFF the laptop 2 Windows 8 Tiles and accessing the desktop 3 Care and general maintenance Connecting the Thunderbolt Adapter Properly connecting and disconnecting the scanner prevents damage to your devices 1 Insert the Thunderbolt adapter into the adapter slot on the side of the laptop
23. e View and Model Indicators Live View Model View Scanninig stops when the Live View turns Sepia Return back to a known area CAPTURING DATA THROUGHOUT SCALE Touching the surface Floating away from surface 2014 E4D Technologies All Rights Reserved EDU1110 H 7 Exercise 1 Premolar Crown with Buccal Bite Basic Scanning Pattern Begin scanning directly over the occlusal surface of the preparation Move in a gradual continuous motion toward the mesial neighbor Transition from the occlusal cusp axial wall to gingival surfaces The scanner should be held close to 90 while scanning parallel to the buccal surface d i s Va CF Goals of Prep Scanning 100 of the prep Interproximal contact point A 90 of the adjacent teeth Good axial data for design L 2 3 mm gingival tissue on buccal and lingual Keep your eyes on the screen and use the model and live view to track your progress and current position Evaluate the model 1 Click Generate Model or press M on the keyboard to finish building the model 2 Usethe mouse to rotate move and zoom in and out to evaluate the model Left Click Right Click Scroll Wheel Rotate Model press and hold the right button while dragging the mouse on the desktop Zoom rotate the scroll wheel to change the size of the model Z Select position the cursor on an item and click the left button to select
24. edule Patients at 8am 10am and 1pm Allow 3 hours for the first appointment that may overlap the second e 2hour appointments are needed for the second and third patients Lunch and Learn Mill maintenance DDX Setup Discuss how to continue with your education No other patients scheduled Focused on those who attended the Elements of Success course in Texas Telio CAD 4 Telio CAD Blocks Telio CS Link Transparent Telio CS Desensitizer 5g OptraPol Test Pack IPS e max CAD 4 e max CAD Blocks 2 e max Shades 1 e max Stain 1 e max Glaze Paste 1 e max Glaze Liquid 1 e max Crystallization Tray 44 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 PLANMECA UNIVERSITY Ivoclar Starter Kit IPS Empress CAD 4 IPS Empress CAD Blocks 2 Empress Shades 1 Empress Stain 1 Empress Glaze 1 Empress Glaze Liquid Kit cap CAM Start vum Misc items 2 Multilink Primer 1 Monobond Plus 1 Ceramic Etching Gel 1 Multilink Automix Trans 1 Optrastick 1 Optrafine Promo Pack 1 Object Fix Putty Cementation Navigation DVD PLANMECA UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1110 H 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 Ad
25. en activate View Contacts to evaluate Use Contact Refinement small circles to adjust to White Brown Black Adjusting Interproximal Contacts Turn OFF View Bite Registration and activate Hide Model Rotate to the mesial and distal to evaluate interproximal contacts Return to Freeform Change Tools use Smooth Surface to adjust to Light Green Aqua surrounded by Dark Blue Recheck Material Thickness amp Check Margins Verify that design changes have not affected the appropriate material thickness for milling Margins should be Yellow If Red Orange verify Fj Fj margin placement with Move Margin Use Dropper as needed to add material Add Segments is used to redraw a section of the margin PLANMECA UNIVERSITY E4D TECHNOLOGIES MILL Bright Yellow on the occlusal or axial surfaces indicates low material thickness and should be adjusted in the Design tab de Sprue Position Away from margins contacts and occlusion Initial position is the fastest milling time Verify the end of the sprue is round Mill Sim Check the internal fit of your restoration before milling Block Size Selection Available block sizes depend on sprue position and the material selected Congratulations 2014 E4D Technologies All Rights Reserved EDU1103 B 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 1 Premolar Crown with Buccal Bite Margin 1 Click the Design tab The Tooth L
26. ft of the screen 5 Under Scan amp Design New Restoration click New Scan and Design This will take you to the Setup Tab Setup Tab Enter the setup information for this case then proceed to the Scan Tab 1 Select Tooth 5 1 4 ISO the tooth will highlight and turn orange as you move the cursor away 2 Choose the restoration type Crown 3 Select the bite option Buccal Opposing 4 Choose Library A 5 Pick the material Empress CAD LT 6 Select shade A1 Scan Tab Overview Model Alignment Scan Data Options Scanner Status xb 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 1 Premolar Crown with Buccal Bite Connecting the PlanScan Scanner 1 After opening the PlanCAD software connect the red FireWire connector of the scanner into the white Thunderbolt adapter 2 Verify the scanner status in the Scan Tab wait until the scanner tip is warming before attempting to scan intraorally 3 Activate the scanner with the Space Bar of the laptop or the Power button on top of the Scanner 4 Disconnect the scanner red firewire connector after moving to the Margin Tab Holding the PlanScan Scanner Hold the scanner close to the tip like a handpiece or overhanded Rest the neck of the scanner on the adjacent teeth The tip of the scanner must point toward the distal of the preparation If you scan in the incorrect orientation you will need to delete those scans and start over Scanning Liv
27. he proposal should be blue green with a yellow margin 5 Click Rubber Tooth and adjust the axial walls ridges and embrasures Activate Move Feature to adjust surfaces incrementally 6 Click View Contacts Since this case does not have any occlusal contact information we will skip to the interproximal contact 7 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed with Smooth Surface in Freeform Change Tools The goal is dark blue with a hint of aqua Ideal Contact Intraoral Adjustment No Contact Zone Needed _ j j Broadness of Contact Drk Blue Floss Snap Aqua 8 Deactivate Hide Model 30 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 4 Onlay Restoration 9 Deactivate View Contacts 10 Click Material Thickness 11 Evaluate the margin The material thickness should be yellow around the margin with no red or orange Good example yellow margin Poor example Red or orange along the margin 12 If there is red around the margin click Move Margin to evaluate the margin for accurate placement Adjust the margin if needed Going back to the Margin tab to make changes will result in losing your design 13 Ifthe margin placement is accurate use the Dropper tool to add material thickness In some situations it will be difficult to attain ideal occlusal contact strength and reach minimum material thick
28. hesive 1 3M ESPE Retraction Capsule 1 CoJet Sand Blast Coating Agent 1 Lava Ultimate Guide PLANMECA UNIVERSITY Starter Kit Mill Coolant Defoaming Solution PLANMECA UNIVERSITY What s Next Contact your local representative today o Order blocks in shade values for upcoming patients o Order mill tools 1 sleeve of each Ellipsoidal and Tapered Stains and Shades for characterization Spray Glaze and speed tray for e max depending on order 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 H 45 CAD CAM SUPPLIES The materials listed below are all items used at Planmeca University They are grouped by item type For new documentation go to www e4d com resources and use the Customer Log In to see customer documentation Documentation Name Vendor User Manual E4D Technologies Milling Center Quick Reference E4D Technologies Infection Control Name Vendor Item Number Alcohol Prep Pads Schein 1048298 MaxiCide Plus w Activator Schein 102 5796 Qt 102 2865 Gallon MetriTest Strips Schein 602 3437 Distilled Water Schein 395 0139 Gloves Schein X Small 5654510 Small 5658087 Medium 5657431 Large 5659481 X Large 5651575 Allrap Cover Film
29. ibraries tools automatically appear 2 Click Apply to have Autogenesis generate the proposal 3 Click Incremental Change Tools to evaluate the proposal for large adjustments Use the tool options to make changes where needed Click Apply before continuing 4 Click Freeform Change Tools and Material Thickness in view options to evaluate the proposal The proposal should be blue green with a yellow margin 5 Click Rubber Tooth and adjust the axial walls marginal ridges and embrasures Adjust axial wall contours by pulling material Adjust central grooves and cusps by away from or toward the preparation pulling material up or down TJ Note Rotate the model to adjust circumferentially From the occlusal view adjust Check the emergence the embrasure shapes profile and adjust 2014 E4D Technologies All Rights Reserved EDU1110 H 1 3 Exercise 1 Premolar Crown with Buccal Bite 6 Click View Bite Registration to see the opposing dentition model above the proposal Click View Bite Registration a second time to make the template transparent Adjust the translucency of the opposing model Intraoral adjustment will be needed Ideal occlusion slight adjustment may be e needed 8 Click View Bite Registration again to deactivate the template 9 Click Hide Model to remove the model from view 10 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed
30. iew Bite Registration to see the opposing dentition model above the proposal Click View Bite Registration a second time to make the template transparent Adjust the translucency of the opposing model 24 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 3 Anterior Crown with Buccal Bite 9 Click View Contacts Use Contact Refinement to adjust to White Brown Black Adjustments needed Ideal occlusion slight adjustment may be needed 10 Click View Bite Registration again to deactivate the template 11 Click Hide Model to remove the model from view 12 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed with Smooth Surface in Freeform Change Tools The goal is dark blue with some green Final adjustments will be made after the restoration is milled Ideal Contact Intraoral Adjustment No Contact Zone Needed Broadness of Contact Dark Blue Leave a little green in the contact area to finalize after testing the fit 13 Deactivate Hide Model 14 Deactivate View Contacts 15 Click Material Thickness The desired material thickness is based on the block manufacturer s recommended thickness for your restoration type The desired material thickness for a crown is 1 1 5 mm along the axial walls bright green dark green and 1 5 2 mm on the incisal dark green blue 2014 E4D Technologies All Rights Reserved EDU1110 H 25 S
31. ingival data Scan Prep 100 of Prep and contacts Verify buccal alignment and re align if needed Scan Buccal Capture all teeth associated in Prep amp Opposing scans Verifying the appropriate amount of scan data will ensure a better a fitting restoration et Orientation a Automatically active use the View Circle to position model Occlusal Buccal Lingual tip Distal Align buccal cusps Buccal Marginal ridges al Trace Margin From the occlusal view mark the margin on the shoulder Orientation Guide After deactivating all tools use the green Preview Tooth to verify orientation Margin Marking Guide Click Show Features as an aid to highlight high contour areas Use Move Margin to adjust placement Use Add Segments to redraw a portion ICE mode can be used in margin detection remember stone mode is priority JC Tooth Libraries Autogenesis ON Click APPLY Autogenesis OFF Resize Reposition Re Apply Incremental Tools E Large adjustments to tooth position Fitting the 7 proposal in its space Freeform Change Tools Small adjustments to contour Fine tuning the design Material Thickness Occlusal table 1 5 to 2 mm Dark Green Blue Axial walls 1 0 to 1 5 mm Green Margins Yellow Rubber Tooth a 1st Axial Walls k 2nd Marginal Ridges Occlusal Table if needed 3rd Embrasures Adjusting the Bite Activate View Bite Registration click twice KN th
32. ished when the original point blue dot is clicked to finish the circle 5 Adjust with Move Margin and Add Segments as needed 2014 E4D Technologies All Rights Reserved EDU1110 H 23 lt Exercise 3 Anterior Crown with Buccal Bite Design Please reference the CAD CAM workflow for design We will use this form throughout the design process 1 Click the Design tab the Tooth Libraries tools automatically appear Review the available libraries for best fit Available tooth libraries for design Yellow highlight indicates current selection 2 Ifthe library tooth is not a good size in relation to the neighbors use the ALT Up or Down Arrows on the keyboard to resize the library tooth 3 Ifthe library tooth needs to be moved left click and drag the green tooth to ideal position 4 Turn OFF Autogenesis and click Apply 5 Click Incremental Change Tools to evaluate the proposal for large adjustments Use the tool options to make changes where needed Click Apply before continuing 6 Click Freeform Change Tools and Material Thickness in view options to evaluate the proposal The proposal should be blue green with a yellow margin 7 Click Rubber Tooth and adjust the axial walls ridges and embrasures Activate Move Feature to adjust surfaces incrementally E e m wm wl vm mm PT Adjust axial wall contours by pulling material away from or toward the preparation 8 Click V
33. needed Ideal occlusion slight 10 Move the Slice Plane as needed to adjust the occlusion NU E needed 11 Click Slice Plane multiple times to change the slice orientation and or deactivate it 12 Click View Bite Registration again to deactivate the template 13 Click Hide Model to remove the model from view 14 Rotate the proposal to view the interproximal contacts Adjust interproximal contacts as needed with Smooth Surface in Freeform Change Tools The goal is dark blue with a hint of aqua Ideal Contact No Contact Jone Adjustment Needed LL Broadness of Contact Drk Blue Floss Snap Aqua 15 Deactivate Hide Model 16 Deactivate View Contacts 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 2 Molar Crown with Buccal Bite 17 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 and 1 5 2 mm on the occlusal table A g ZS Good example yellow margin Poor example Red or orange along the margin 19 If there is red around the margin click Move Margin to evaluate the margin for accurate placement Adjust the margin if needed Going back to the Margin tab to make changes will result in losing your design If the margin is placed accurately and is still red orange use the Dr
34. ness In the example below the red material thickness around the margin indicates the margin is too thin 14 Click Dropper and add material thickness This will result in adequate material thickness strength but may create a strong contact with the opposing dentition This can be corrected intraorally Congratulations on your first partial restoration with the PlanScan system Review the CAD CAM Workflow before continuing to the Mill tab 2014 E4D Technologies All Rights Reserved EDU1110 H 3 1 Exercise 4 Onlay Restoration Mill 1 Click the Mill tab 2 Evaluate your design and review the material thickness indicators 3 Click Hide Model and check the sprue position and use the Sprue Placement wheel to adjust when needed 4 If no sprue is visible the sprue is positioned on the internal aspect of the restoration Move the sprue to an external position 5 Ensure the total circumference of the sprue is visible 6 Select the block size also based on sprue positioning 7 Click Send to Mill click OK Contin Sathings Please confirm settings The system defaults to the setting for the restoration type Standard Full Coverage Crowns e Standard Detailed Inlay Onlay and Veneers Detailed 32 2014 E4D Technologies All Rights Reserved EDU1110 H Information Resources INFORMATION RESOURCES There are many resources available for gathering information B The Learning Tools page
35. oidioju jenu pue e onq uo anssi PAIBUIB ww 7 uDis p 104 eyep jeixe POOH 4399 JUBDe pe BY JO 06 sede De UOD PWUIXOI1dISJUI pue daid au JO 001 uoneiedaiq Su19 124 SIP09 nbiuu2 SuIuue2s 2014 E4D Technologies All Rights Reserved EDU1110 H III NX sa g OLLNAI parsasay siybly IIV saibojouyre dri vLOZO isuo e jn e1buo IHA 0 puss IERA CCE IERRA SLD IERA FLO EASA ZH p 12 s jen zew y pue uonIsod anids uo puadap SaZzis y2o q qe IeAV UONIIJAS AZIS YIOs G Buju 1oJj q UO EIO SAI INOA JO Hy PUJS UI SU A2949 wis HIN punou s anids ay JO pus y Aja uul Bu s 1seJ DU SI uollisod Gu uoisn 22o pue s De UOD suIBipeuu Woy Lemy uol isod an4ds qe ubIsag ou Ul paysn pe aq pjnoys pue ssouy1u W IEUSIELU MO SA eDIPU s 2eJins exe JO esn 22O ou UO Ao A 1UDUg TIW S3l9010NH341 Deeg ALISHIAINN VO3NNV Ia enazew ppe o p p u se 19ddo1q SN UIIE SAOW YIM JUDWade d urew F4 Fa Alan BHues1O pey J Wo A q p nous suipiew Bul ituu 104 SsauyDIYY IEUSIEUU Ile ojel1doidde y p 12 JJe jou aAey sabueyd ubisap jeu JH A t SUIBADIN YI2YD 2 SSAUYIIYL JDHA3 DIA Y2aYyIay anjg Jeq Aq papunouns enby U2919 14617 o13sn pp 0 advDJANS uloouus asn sjool abupy W10 2314 0 UINJaY S De UOD euumoudi lul l1en eA o e1sip pue jeis u y 0 2 2 0H J POW 2PIH
36. 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 e Chairside Chats recorded webinars Education Tab e Intermediate and advanced course descriptions e Course planner and calendar e Links to online registration Visit CadCamCan com for additional videos and resources Please note that cadcamcan com is a separate site To post on their forums you will need to Create an Account on the cadcamcan com website The registration invitation code is PlanScan case sensitive Newsletters Chairside Chat 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 e Send me Product Updates e Dentist Finder on the Dentist registration
37. 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 2014 E4D Technologies All Rights Reserved EDU1110 H 33 34 CDD Program CUSTOMER SUPPORT INFORMATION PlanScan System support E4D Customer Support 1 800 537 6070 866 361 1333 corporate phone 972 234 3557 corporate fax customersupport e4d com 7am 7pm Central Time Mon Thurs 7am 6pm Central Time Friday CDD PROGRAM The self paced Certified in Digital Dentistry Program CDD provides motivated operators with the opportunity to gain professional recognition and establish credibility in proficiency with the latest dental CAD CAM technology 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 2014 E4D Technologies All Rights Reserved EDU1110 H Prep Guidelines amp Materials Prep Guidelines 7 Tapered Sides 6 to 10 Degree Taper PLANMECA UNIVERSITY Prep Guidelines TR Tapered Sides Rounded Intern
38. opper tool to add material thickness Congratulations on your molar crown with the PlanScan system Review the CAD CAM Workflow before continuing to the Mill tab Milling 1 Click the Mill tab Evaluate your design and review the material thickness indicators Check the sprue position and use the Sprue Placement wheel to adjust when needed 2 3 4 Select the block size also based on sprue positioning 5 Click Send to Mill click OK 2014 E4D Technologies All Rights Reserved EDU1110 H 2 1 Exercise 3 Anterior Crown with Buccal Bite Exercise 3 Anterior Crown with Buccal Bite Tooth 9 2 1 ISO with bite registration Setup Enter the setup information for this case e Tooth 9 2 1 ISO Crown e Buccal Opposing e Library A2 e Empress CAD Multi e Select shade A1 Scan Prep Scan prep using the basic scan method for a single unit anterior case The tip of the wand should face the highest tooth number Begin scanning directly over the occlusal surface of the preparation Move in a gradual continuous motion toward the neighbor Transition from the incisal axial wall and to the gingival surfaces The scanner should be held at close to 90 while scanning parallel to the axial surface Watch as your model builds to see any areas that might require a different rotation or angle Goals of Prep Scanning 100 of the prep and interproximal contact point 90 of the adjacent teeth and good axial data for design 2 3
39. rally Shades Al A2 A3 A3 5 B3 e 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 To prevent contamination it is required to perform maintenance between milling PLANMECA different materials A sintering oven is required for Zirlux EC 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 2014 E4D Technologies All Rights Reserved EDU1110 H Options to think about patient Call your manufacturer representative for more details View 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 2014 E4D Technologies All Rights Reserved EDU1110 H 43 Integration Day amp Starter Kit Integration Day Day starts at 7 30am and ends 3pm 3 Pre prepared Single Unit Posteriors premolar molar Sch
40. with Smooth Ideal Contact Surface in Freeform Change Tools br Adjustments Needed Se No Contact Zone justments Neede F v The goal is dark blue with a hint of aqua Broadness of Contact Dark Blue Floss Snap Aqua Before Goal 11 Deactivate Hide Model 12 Deactivate View Contacts 1 4 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 1 Premolar Crown with Buccal Bite 13 Click Material Thickness The desired material thickness is based on the block manufacturer s recommended thickness for your restoration type The desired material thickness for a crown is 1 1 5 mm along the axial walls and 1 5 2 mm on the occlusal table 14 Evaluate the margin The material thickness should be yellow around the margin with no red or orange Good example yellow margin Poor example Red or orange along the margin 15 If there is red or orange around the margin click Move Margin to evaluate the margin for accurate placement Adjust the margin if needed Going back to the Margin tab and making changes to the margin will result in losing your design 16 Ifthe margin is placed accurately and is still red orange use the Dropper tool to add material thickness Congratulations on your first design with the PlanScan system Review the CAD CAM Workflow before continuing to the Mill tab 2014 E4D Technologies All Rights Reserved EDU1110 H 1 5 Exercise 1 Premolar Cro
41. wn with Buccal Bite Milling 1 Click the Mill tab 2 Evaluate your design and review the material thickness indicators 3 Check the sprue position and use the Sprue Placement wheel to adjust when needed 4 Select the block size also based on sprue positioning High away from margin and contact areas Too close to the margin Confirm Settings Please confirm settings The system defaults to the setting for the restoration type Standard Full Coverage Crowns Standard sde Detailed Inlay Onlay and Veneers Detailed 1 6 2014 E4D Technologies All Rights Reserved EDU1110 H Exercise 2 Molar Crown with Buccal Bite Exercise 2 Molar Crown with Buccal Bite Tooth 30 4 6 ISO with bite registration The pictures in this exercise are of a different case Follow the same workflow Setup Enter the setup information for this case e Tooth 30 4 6 ISO Crown e Buccal Opposing e Library A e IPSe max CAD LT Select shade B1 Scan Prep Scan prep using the basic scan method for a single unit posterior case Goals of Prep Scanning 100 of the prep and Interproximal contact point 90 of the adjacent teeth and good axial data for design 2 3 mm gingival tissue on buccal and lingual Scan Opposing 1 Click Opposing Goals of Opposing Scanning 100 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 2 Erase
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