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1. r Status LAII Protheses Prosthesis D Dentist amp Patient Product a DR Dentist E Patient Pati Z tenon als Order tems E com 121113 4 1 ep Prosthesis 27 g Status All Protheses Dentist B Patient Product n E OR Dentist E Patient Pati p zerion als Prosthesis D 67 68 Atter all prostheses are calculated open the CAD station To select an order drag and drop it into the main window or double click on the order number and the design pro posal will be displayed 6 1 2 Multi Designer The MultiDesigner is available on the anatomy and the overlay Access the MultiDesigner by a rightclick on the restoration to open the context menu The Multi Designer contains various tabs depending on the type of restoration Pa Bee eget g ooa CAD module 6 1 2 1 Transforms Use the colored grippers to transform Different gripper col ors represent different functions It is possible to enable ap propriate measures as well as the 2D clip view Within the subs tooth scale and tooth translation the restoration can be sized incrementally by a given value 6 1 2 2 Add remove material The Add Remove Material function can be used to individu alize the design by selecting a tool or using the shortcuts Open the sub menu to activate the spline edition tools Mark a line through points The adjustment will be per formed along the line CAD module Display No Color
2. Anatomy Overlay Recompute Adjust Axis Edit Margin Line Edit Order Nesting Block FO beere en Fem i l irmi Bee Lee ee The anatomy can be re adapted mirrored or even adjusted enn Bon A at the contact points The overlay is recomputable Both of ter the possibility to change the design within the Multi Designer A clip view will be displayed when opening the Multi Designer The Anatomy or Overlay Multi Designer contains various tabs Transformation tab Measurements Scale Translation Adjustments can also be made with the help of the grippers Add Remove material tab with modeling tools for surface adjustment CAD module 99 100 Handle edition tab with specific functions for implantborne restorations such as Project on gingiva 2D Cut plane mode Both tools will attect the emergence protile The 2D Cut Plane tool flips the design into a 2D cut view with the pos sibility to move the 2D cut view sectionwise using the blue arrows Such movement will affect the curve of the emer gence profile The emergence profile gripper may also be moved as appropriate 6 2 2 2 Reduced crown on implant The reduced crown manages the reduction trom the full mor phology in order to compute the required space for veneer ing material all around the coping Straumann CARES abutment The minimum thickness of material for the overlay will be respected and the anatomy will b
3. CARES Visual 8 0 validated workflow supports only validated import sources ADMINISTRATIVE APPLICATIONS dG0s9eeq0 4 e Order details 2 5 e amp a Patient Lockup A Or Dentin DB Patient Patient M mms A ssn patent manuaty Dateiname 7 ox 3G conca nn ny Y 121 122 9 ADDITIONAL FUNCTIONS 9 1 Material management The Material Management application defines all the paro meters related to materials Straumann material paramet ers are preset validated and related to the Straumann CARES Visual 8 0 Validated Worktlow All third party ma terials which can be set up in the Straumann CARES Visual 8 0 External Worktlow require a parameter setting in the Material Management application To start the Material Management application press the Settings icon in the main toolbar and select Material Man agement e amp Order Management l 3 as i o 9S x Dentist Management Dentist Preferences Attachment Kits Implant Kits Anatomy Kits User Management ADDITIONAL FUNCTIONS The Material Management application displays the list of accessible materials and the table of all parameters Para meters are grouped by topics each group can be expan ded by pressing the arrow on the right side or in the green banner 9 1 1 Elements available This function is available in the external workflow only The table defines the maximum span of a bridge and
4. cumterence is included Avoid including any connectors Detine each clinical point by clicking its position Follow the order suggested in the illustration The list of points will ad just to your tooth number Clinical points to be set may vary depending on the tooth As a rule proceed as follows 1 Set the orange points in the fossa 2 Set the green points on the ridge 3 Set the red points on the cusp Once all points have been placed you can move them When finished select Adapt Anatomy on Wax Up Use the Smooth button to apply a global smoothing on the res ulting anatomy LL Note If you are not satisfied with the adaptation result click the Project button it simply projects the anatomy on the contour of the waxup without considering the defined clinical points Take note that you won t be able in this case to fur ther manipulate clinical points in other functions as they won t be located in their real position SCANNING amp G2 Set extraction axis amp Adapt Anatomy On WaxUp K Reset Waxup Info 59 To remove points and area definitions use the Reset Wax up Info button Click OK when you are satisfied with the result Finalize your design by using Transforms To do so right click and select Overlay gt Transforms from the context menu a Re Adapt Anatomy Ds Recompute Overlay Adapt Anatomy On WaxUp Recompute bart Mirror Anatomy Edit Margin Line ea WD Add Remove Mate
5. PA 4 u a u ul 23 24 Default parameter setting is available in the external work tlow only 2 5 3 Customized parameters The detaults specitied within the Material Management or preset by the validated workflow can be further adjusted for individual dentists and materials Customized adjust ments are possible within a certain range of values Materi als are always linked to a dentist To customize your parameters open the Settings menu and select Dentist Preferences See the Dentist preferencesO chapter 2 5 4 Local adjustment All parameters can be further adjusted when designing a given prosthesis During scanning parameters are queried by the software In the CAD station press Recompute to adjust parameters and recompute the initial proposal It is also possible to ad just parameters when setting the insertion axis manually The margin line can also be edited at a later time 2 6 Exiting the software There are two methods to exit the Straumann CARES Visual 8 0 software The first is to click on the red Exit icon within the main toolbar as shown below va Sao QD GENERAL OVERVIEW The second method is to use the Close button x within the upper right corner of the main window With both methods contirmation of your intention to quit the session is required To confirm select the Yes button as shown Once confirmed the exit request closes the Strau mann CA
6. fore closing the scan application 5 5 Special scan applications 5 5 1 Scanning with auxiliaries 5 5 1 1 Sleeve holder Scanning with a sleeve holder is only possible with a re gistered sleeve holder see chapter Sleeve holder registra tion for further information Scanning with a sleeve holder will only be possible if Custom abutment with wax ing has been specitied in the Order creation step Click the Cylinder sean icon Rightclick on the order and select Auto assign The order is automatically placed in the sixth cylinder This can also be done manually via drag amp drop Initiate the scan session by selecting the Start scanning and autocomputation icon The system will automatically detect the margin calculate the insertion axis and generate the CAD abutment design Routing the order has the same ef tect as a cylinder scan LL Note Place the sleeve with the waxing in the appropriate sleeve holder The sleeve holder must be placed into the cylinder adapter with the pin placed towards the white line on the cylinder Only one sleeve can be scanned at a time If your order has more than one abutment to be scanned in the sleeve holder scan each abutment separately Finished scans are represented by a green icon SCANNING 5 5 1 2 Wax up The following chapter describes how to adapt the anatomy of a prothesis on a waxup To scan a waxup create your order with the required pros thesis type Any prosth
7. 01 0 02 mm 144 ANNEX Preparation with parallel walls without shoulder Increase Cement gap to achieve a looser fit Reduce Cement gap if a tighter fit should be achieved Preparation with parallel walls and shoulder Reduce Extra vertical gap Increase Cement gap to achieve a looser fit Reduce Cement gap if a tighter tit should be achieved Parallel walls on bridges Reduce Collar position Increase Cement gap to achieve a looser position ANNEX by approx 0 01 0 02 mm by approx 0 01 0 02 mm by approx 0 0 0 02 mm 145 146 ANNEX INDEX Administrative application 109 Anatomy Adjustments Z Anatomy Editor 135 Libraries 70 Mirror anatomies 7 Readapt anatomies 70 Antagonist Scan 48 Arch Scan Application Toolbar 18 Archiving 117 Attached documents 119 Attachment Insertion Axis Editor 9 Attachment Items 9 Bonding base creator 6 Bridges 86 101 CAD design 67 Calculation 67 Clinical parameters Adjusting clinical parameters 23 Customized parameters 24 Default parameters 23 Units 23 Clip plane 16 Closing the system 24 Collar OA Contact points 73 CS2 Minitool 63 Custom abutments MultiDesigner 99 Custom abutments with waxing Implant borne 101 Cylinder Scan Multidie scan 50 Single waxups 64 Cylinder Scan Application Toolbar 18 Dentist 26 Dentists Management J32 Preferences I3 Design types A Diagnostic crowns 90 Display buttons Arch s
8. 2 1 Undercut bridge 5 2 2 Dual arch scan Multidie scanning 5 3 1 Scanning procedure 5 3 2 Check up 5 3 3 Sleeve holder mplantborne restorations 5 4 1 Implantoorne from model Special scan applications 5 5 1 Scanning with auxiliaries Single wax up Scan import CAD module CAD principles 6 1 1 Calculation and proposal editing MultiDesigner Tooth anatomies Mirroring anatomy of a natural tooth Adjust contact points Oo OMmKR wWwNn 6 Clinical parameter definitions Design 6 2 1 Tooth borne restorations 6 2 2 mplant borne restorations 6 2 3 Screw etained bars and bridges SRBB 6 2 4 Virtual articulator PRODUCTION MANAGEMENT ADMINISTRATIVE APPLICATIONS Order Management Retrieving tiles 8 2 1 Retrieving scan files 8 2 2 Retrieving manufacturing tiles Exporting importing orders Archiving saving and purging AS A3 44 Ar 48 50 50 32 os 53 54 56 30 64 O3 8 5 8 6 8 7 9 2 9 3 9 4 9 5 Attached documents Refreshing data from server Importing third party order ADDITIONAL FUNCTIONS Material management 9 1 1 Elements available Virtual die spacer parameters Manufacturing parameters Minimum thickness parameters Telescope parameters Collar parameters Adaptation parameters Custom abutment parameters 10 Material display parameters 1 1 Reduction parameters 12 Connectors parameters 2 2 4 5
9. 8 Adaptation parameters This function is available in the external workflow only This table defines the default value tor contact point occlu sion adjustments This material parameter table will attect the Adjust Contact Points window ADDITIONAL FUNCTIONS Adjust Contact Points x Options ENE v Contact Point mm 0 015 Use Contact Area g K Adjust Contact Points Occlusion Occlusion Thickness mm 01 Re Adjust occlusion Za 127 9 1 9 Custom abutment parameters This function is available in the external workflow only This table defines the default value for customized abut ments 9 1 10 Material display parameters This function is available in the external workflow only Material Display Parameters allow defining the color and retlection mode that will be used for displaying the material in the CAD station To define a color click on the chromatic circle and select the color y oK f F Cancel ADDITIONAL FUNCTIONS 9 1 11 Reduction parameters This function is available in the external workflow only This table defines the default value for clinical coping and reduced crown computation This material parameter table will affect the Reduction Parameters window 9 1 12 Connectors parameters The predefined connector shape can be added by press ing Edit Shapes With the help of the Connectors Shape Editor you c
10. Nobel Rpl wP 50 AUMANN CARES Products amp Service 63 5 6 Single wax up Create a new order and define a simple coping with wax ing Open the Cylinder scan Right click on the order and se lect Auto assign to plate First scan the die without the waxup Start the scan with Start scanning the assigned dies After completion the software will ask you to place the waxup onto the die Close the scan lid do not move the die and start the second scan Define the margin line Right click on the prosthesis and start Waxing mesh reposi tioning by selecting it from the menu 64 wS a Y s amp t ta ER dvi al 4 YN Arts nia Segu GT sewot isr fer Veneta nese 7 Soret Gorg WO Amg otepe M TAG Wiii e 20008 Ty SCANNING Pertorm a three point matching to position the waxup If you are not satisfied rightclick on the prosthesis and se lect Add remove material to finish your design After com pletion route the order forward to merge the surtaces Use the Route order icon to send the order to the Produc tion Management 5 7 Scan import Straumann CARES Visual 8 0 software allows importing STL files created by other open scanners as well as using imported orders from the Inbox To import STL tiles select the Scan Import Application avail able in external worktlow only by clicking on its icon in the main toolbar The main
11. Scan Import window will open The Sean Import window displays the list of orders which are ready to be imported An order needs to be created before STL import or is imported from the INBOXD 35 LL Note Always define orders correctly e g number of dies etc SCANNING 65 Drag and drop the order to be imported or doubleclick on the order to start importing You can import STL files for the preparation arch the antagonist arch and a waxup Antag onist and wax up are optional Detine the path where the STL shall be stored a 3D pre view window will help you to identity the STL tiles Depending on the scanner used for creating the STL tiles the elements are not oriented in the same reference system Use the Options section to automatically align the elements Do the same with antagonist tiles if existing The imported elements will be displayed They should be in occlusal view It this is not the case adjust the orientation by answering YES to the following question Detine the new axis by 3D rotation of the view until you are in occlusal position Then press OK Next define the clinical orientation using the same proced ure as for the scan application and tooth number assigning Select a SIL files Axis definition a Clinical orientation Assign the tooth number and location You can also adjust antagonist position or clean the surfaces Define the margin lines as usual after validating The
12. available for new orders However existing or ders for such dentist or patient will not be deleted within this process Editing or deleting a dentist To edit or delete a dentist within the Select dental cus tomer window rightclick on the customer list to access the local menu Then select Edit or Delete If editing a dentist modifications can be made to the fields within any of the four tabs Identification Billing only available in the external workflow Shipping Preferences Click on the respective tab to activate it When changes are complete click OK to save your changes If you want to delete a dentist rightclick on the dentist and select Delete The system will ask for confirmation Select dental customer Order number E Order number COM 121113 3 Dental customer Customers E Customer ID F J9 Customers Laboratory e R DEN 001 P i od Remot las Delete Master dataDR Dentist Management CustomerID DEN 121024 134506 Identification Name AK HG cancel ORDER MANAGEMENT Click the Yes button to delete A red cross will be dis played with the entry in the list displaying that the dentist has been deleted Next select OK from the Select dental customer panel to exit The dentist entry will be removed from the Customers list of defined dentists Editing or deleting a patient To edit or delete a patient within the Order creation win dow rightclick on the custo
13. clicking on the OK button w e a Order Management y Material Management amp Dentist Preferences D Attachment Kits Implant Kits S Anatomy Kits x User Management Dental customer 7 RPS CRE is ECE Orem Customers Customer ID pax dental laboratory o pa wy New Country FX New Clinic DEN 001 A New Dentist DEN 121115 DEN 121115 ADDITIONAL FUNCTIONS 9 3 Dentist preferences The Dentist Preferences application permits you to custom ize prosthesis parameters per dentist By default all the prostheses have the parameters defined within the material manager It preterences are defined for a dentist such preterences will supersede the material parameter To start the Dentist Preferences application press the Set tings icon in the main toolbar and select Dentist Prefer ences Preferences are defined per dentist and per material The preferences window looks as shown on the right 1 Parameters can be customized per dentists which are organized by groups They are a subset of the material parameters To expand a group click on the arrow at the right side of the banner 2 For customizing a parameter expand a group A win dow pops up 3 Select the corresponding Add Value button and enter the customized value 4 Ifyou want to set the default value again select the Switch back icon ADDITIONAL FUNCTIONS s S e a Order Management W Material Manageme
14. from the Clip Planes menu When using Clip Planes you can display a measuring grid To do so select Clip Grid in the view toolbar The grid provides the user with a user detinable reference grid default is 0 5 mm To change the grid size overstrike the numeric value e g 0 5 mm to 1 0 mm or simply drag the slider to increase or decrease the grid box sizes Press and hold the CTRL key while scrolling the mouse wheel to move the clip grid GENERAL OVERVIEW d Catal ee Citin e A T oe B fetes Che teres View Type a ee ee 17 18 2 4 3 2 Display buttons Use the Display buttons at the top center of the main appli cation pane to display or hide parts of the clinical situation and or prostheses The list of Display buttons changes ac cording to the Straumann CARES Visual 8 0 application and the clinical situations Each Display button except for the transparency button toggles as follows An up blue arrow displays the part A down red arrow hides the part Show hide clinical situation jaw Show hide undercut scan application Show hide friction scan application Show hide antagonists Show hide anatomies Show hide prostheses including connectors Show hide connectors Show hide waxup GENERAL OVERVIEW Show hide dynamic occlusion Show hide virtual articulator Show hide gingiva Show hide implants The Transparency button allows you to adj
15. mouse button Erase Tick Eraser and use ALT left mouse button Adjust current size Press left mouse button scroll mouse wheel Adjust amplitude Up down arrow keys Undo last design step CTRL Z Redo last design step CTRL Y GENERAL OVERVIEW 15 2 4 3 Display management 2 4 3 1 View type clip plane slice views The Straumann CARES Visual 8 0 software displays in full 3D allowing you a complete view of the clinical situ ation and prosthesis under design Use the View Type menu in the view toolbar at the bottom right of the screen to switch between predefined view ori Occlusal entations Cervical Buccal Lingual Mesial Distal iso Use Clip Planes in the view toolbar to generate a cross sec PO tional view that is perpendicular to the selected axis Mesial Clip Lingual Clip Occlusal Clip Clip View Invert Unclip 16 GENERAL OVERVIEW An example of a cross section in the mesial axis is shown Press and hold the CTRL key while scrolling the mouse wheel to move the cross section When using Clip Planes you can also use another measur ing tool by selecting the Measure button in the view tool bar Then click and hold the lett mouse button to detine the start point of the measure while dragging the mouse to the desired end point The measurement is dynamically dis played as the mouse is being dragged The measure is made in the plane selected for the clip To exit trom Clip Planes select Undip
16. order will be routed to the next step and will be processed by the Calculation when ready Question x Q Do you want to adjust current case s main vertical axis SCANNING 6 CAD module 6 1 CAD principles 6 1 1 Calculation and proposal editing The CAD prosthesis design function is divided in two steps Calculation which converts scanned data to submit to the CAD design for prosthesis design CAD station which provides editing tools to customize the auto generated proposal Both Calculation and CAD station can be accessed in the main toolbar The Calculation icon The CAD station icon To edit an order in the CAD station open Calculation When selecting the Calculation function the computation of all scanned cases automatically begins and the progress will be displayed The status Prosthesis Done means the computation of a par ticular item on an order has been completed The status All Prostheses Done is displayed when the com putation of an entire order has been completed This com putation must be completed on each order before continu ing onto CAD station CAD module Orders in Computation Order itens YW com 121113 4 1 ep Prosthesis 27 Orders in Computation Order items W com 121113 4 1 Prosthesis 27 Orders in Computation la Status Waiting for c i Dentist Patient S Product A OR Dentist a Patient Pati Z zerion als lOverlay Watti
17. production select the Route to the next operation icon _ A Reset selection ba EES 1S Edit current margin design Add Remove Materal Remove Scan Faces gP Fill holes z Repeat the scan process So Route Order LJ Export scan SCANNING 5 3 3 Sleeve holder To scan with a sleeve holder the holder must have been re gistered before See the Sleeve holder registration chapter for further information Scanning with the sleeve holder will be possible only if Custom abutment with wax ing has been specitied in the order creation step Click the Cylinder sean icon Rightclick on the order and select Auto assign The order is automatically placed in the sixth cylinder This can also be done manually via drag amp drop Initiate the scan session by selecting the Start scanning and auto computation icon The system will automatically de tect the margin calculate the insertion axis and generate the CAD abutment design Routing the order has the same effect as a cylinder scan Note Place the sleeve with the waxing in the appropriate sleeve holder The sleeve holder must be placed into the cylinder adapter with the pin placed towards the white line on the cylinder Only one sleeve can be scanned at a time It your order has more than one item to be scanned in the sleeve holder each item has to be scanned separately Finished scans receive a green Icon 5 4 Implant borne restorations There are
18. that all attach ments of this arch will have to be repositioned manu ally to set effectively the new insertion axis Click Yes and proceed with the next step Prehension items You can add prehension items from the context menu CAD module 93 9A Define the prehension position by a left click The prehen sion item will be perpendicular to the view rotate the view to detine the appropriate orientation The prehension item is immediately displayed Several prehension items can be created Prehension items can be deleted via the local menu which is accessible with a right click on the item When you are satistied validate the items by rightclicking on the background or select OK in the parameter window Collar Straumann CARES Visual 8 0 offers an advanced Collar mode that submits an automatic proposal for a collar com puted trom the anatomy When selected the proposal of the collar with handles and a parameter window will be displayed You can modity the position of the handles on the collar or add new handles CAD module You can also change collar parameters and request new proposals by selecting the Recompute Collar button The emergence angle will affect your collar mainly if you deselect Use Anatomy Otherwise the emergence profile of the collar will take account of the anatomy The collar can be moditied or deleted using the local menu which is accessible by a right click on t
19. the clinical case the software will highlight the occlusion contact zones in red and the dynamic occlusion will appear in blue CAD module Virtual Articulator Exploration Parameters Transforms C reaa 10 2 10 P a tig Explore Options Update Upper Dynamic Surface Py Update Lower Dynamic Surface Store Contact Infos u Display Options Show Upper Dynamic Occlusion _ Upper Contacts Show Lower Dynamic Occlusion _ Lower Contacts wu O Baeratone _ Y OK HK Cancel 105 7 In the CAD station if this option has been selected at step 5 the Dynamic Occlusion icon will show Activ ate it to see the reference to your model and pros thesis 8 The dynamic occlusion will allow you to see if occlu sion adjustments are needed for your design 9 To adjust the occlusion rightclick on the prosthesis and select Anatomy gt Re Adjust occlusion 10 Get back to the design process 106 bl Recompte o KY Adapt Anatomy On WaxUp 8 Transfon Edit Margin Line eas a Re ateria wD Add Remove M Prehension items gt amp 33 Clinical Handles 0 Attachment items gt j KJ Adjust Contact Points amp Edit Order Show Nesting Block CAD module PRODUCTION MANAGEMENT The final production management process contains several steps to complete the order and send it to a validated Strau mann milling center 1 Click on the Pro
20. to match the dies to the positions displayed on the screen and to insert them with the vestibular side pointing in the same direction as the white line on the cylinders The dies will disappear from the display on the left side after they have been loaded into the cylinders Initiate the scan session by selecting the Start scanning and auto computation icon The system will automatically detect the margin calculate the insertion axis and generate the CAD station for all dies in the cylinders The scanner will then begin scanning and stops when all six die designs have been completed You can then leave the scanner unattended SCANNING Sa SSB SBS Bt FF ee 51 LL Note If you have more than six teeth to scan these do not have to be from one order click the Clear plate from assigned dies button after the first six dies are computed and assign the next teeth to the dies VWhen the dies are computed the Tooth icon turns from red to green When pressing the Routing icon to route the dies to produc tion only those with the green icon will be routed The green icon shows that the tooth is finished scan and margin line definition 5 3 2 Check up You can verity and adjust if necessary the margin line and the design To do so rightclick on each design and select Edit current margin design or Edit CAD design that will either open the standard margin line editor or the coping design view To route the jobs to
21. 6 Implant System Sturman Geese Code TissueLevel NN 00 1939 p00 pid TisuseLevel EH Tinneke WH Bonel ewei HE Bomelevel RE M 10223 poi p Borel evel HNIC Simple Coping With Waxing E Use minimum hesght for simple coping with wing 15 General Preterences TT ee ae a ee ae Ts ADDITIONAL FUNCTIONS 9 5 3 Prenesting Use the prenesting tool to position the sprue on the restora tion The prenesting tool is available in the context menu The restoration is set by rotation Optimize the location by using the arrows to highlight the sprue ADDITIONAL FUNCTIONS 139 140 10 DISCLAIMER The content of this manual is designed for users of the Straumann CARES Visual 8 0 sottware who have certain experience with CADCAM systems and are now looking for more detailed information on certain topics Depending on the regulatory registration in different countries not all of the functions may be available in all countries The Straumann CARES Visual 8 0 is based on the DWOS Dental Wings Open Software architecture and contains the principal functions If required Straumann can provide further detailed information DWOS is a registered trademark of Dental Wings Inc Canada In general if you have further questions about the Straumann CARES Visual 8 0 software please contact Straumann via www straumann com DISCLAIMER 11 ANNEX 11 1 Prosthesis family overview E mB
22. 6 Inlay onlay parameters 8 9 CS SS a a aS a a 13 Exporting importing and updating materials Dentist management Dentist preferences Managing users Other functions 9 5 1 Anatomy editor 9 5 2 Sleeve holder registration 9 5 3 Prenesting DISCLAIMER ANNEX Prosthesis family overview Product material matrix Instructions for setting parameters 140 141 14 143 144 I INTRODUCTION 1 1 Foreword The Straumann CARES Visual software is a CADCAM system for use in dental laboratories The system supports the dental technician in acquiring accurate digital data on the jaw and die in modeling corresponding trameworks and transferring automatically generated milling information in a controlled digital workflow to a Straumann CADCAM milling center The system also allows sending automatically generated milling information to other milling centers through an open STL tile 1 2 About this manual This user manual is intended to give a basic understanding and overview of the Straumann CARES Visual 8 0 soft ware which is based on the Dental Wings Open Software DVVOS architecture 1 3 Validated workflow Straumann is committed to provide its customers with high quality products and services The Straumann CARES Visual 8 0 Validated Workflow gives customers access to the Straumann milling centers and is designed to offer a com trolled and predictable product outcome The parame
23. Ana tomy Editor function in the Straumann CARES Visual 8 0 sottware Start the Anatomy Editor by opening the Settings menu and select Anatomy ADDITIONAL FUNCTIONS Material Management m Dentist Management amp Dentist Preferences y Attachment Kits Implant Kits he User Management 135 136 The duplication of a Default Anatomy Kit starts the creation of a new family For that purpose select an Anatomy and click on Duplicate Kit The chosen Anatomy Kit will be the template for the adaptions Enter the name of the new Anatomy Family The new Ano tomy family appears in the Anatomy Editor menu Drag amp drop the new Anatomy Family into the main window to select an order While the new Anatomy Family is selected thumbnails are displayed at the bottom of the main window To load the desired Tooth Anatomy click on the equivalent thumb nail Use the vertical toolbar in the Anatomy Editor to modify the morphology of the tooth Anatomy Kits Editor is Default Manufacturer tg Set as Default Kit yw Auto Scale m Export Anatomy Kit S Update Anatomy Kit Duplicate Kit x Duplicate Kitt New Kit Name Training Anatomy ovs 0 dpo ovi oo F DDD DOIS ADDITIONAL FUNCTIONS Add remove material see chapter Add remove materials for further information Clinical handles see chapter Handle edition 79 for further information Reload last saved anatomy Reload anatomy tr
24. Click the Edit margin on next available preparation icon to automatically identity the margin and select the full automatic mode or set the margin line manually by pressing Switch design view and click on the die margin to set a line Click OK Click the Edit margin on next available preparation icon on the right toolbar SCANNING Anahe items Te coann E Bmnpie Caping Wih Angier li impi Coping With Anity 71 Riiicid Oii H Reduced Cree 45 46 13 Review and evaluate the results If required select the individual preparation points and change the dir ection of the green line as appropriate 14 To confirm click OK 15 The definition of the insertion direction can be done manually or automatically 16 If required you can also change the design paramet ers and prosthesis type 17 To confirm click OK Repeat steps 10 17 for each die 18 When done exit the Scan Application by selecting the blue button on the lower right LL Note If you have chosen the Cylinder Scan multidie scan without model you will not automatically get to the CAD station for designing All functions of the Calculation and CAD application are available in the Scan module This will take two individual steps after scanning and both are only included it dies are scanned with the Cylinder scan function without model The Jaw scan does not include Calculation nor the CAD ap plication Complete all scanning act
25. J straumann STRAUMANN CARES VISUAL 8 0 SOFTVVARE MANUAL Z Aj i N i hy i i Ls a e my A s gt gt COMMITTED TO SIMPLY DOING MORE FOR DENTAL PROFESSIONALS CONTENTS J l na d amp olrm ied 2 2 2 0 2 4 ae 20 w W INTRODUCTION Foreword About this manual Validated workflow External workflow General precautions GENERAL OVERVIEW Starting Straumann CARES 8 0 system my Straumann CARES Desktop Order identification and process 2 3 1 Order number 2 3 2 Routing Basic user interface principles 2 4 1 Software general concept 2 4 2 Mouse handling and view manipulation 2 4 3 Display management Parameter settings 2 5 1 Units 2 5 2 General adjustment 2 5 3 Customized parameters 2 5 4 local adjustment Exiting the sottware ORDER MANAGEMENT Dentist patient and order management 3 1 1 Creating a new order 3 1 2 Routing INBOX SCANNING Scanning in detail with Straumann CARES Scan CS2 5 1 1 Requirements of the cut model 5 1 2 Rules for scanning models 5 1 3 Rules for scanning with the scan cylinder CO COP NI NINN NO NO NOTNMD HH HS KR uolo Oo KR NIN O OO WO O 0O wo NON KR A 26 26 26 34 35 39 39 AO 4 42 5 2 5 3 gA T 0 57 6 2 00 8 3 8 4 5 1 4 Starting the Scan Application 5 1 5 Setting your scan options Full jaw scan 5
26. OVERVIEVV 2 1 Starting Straumann CARES 8 0 system Turn on the workstation and the scanner using the power switch After switching on the system the left green LED on the scanner will light up Windows operating system will start and asks for your login to start the applications 2 2 my Straumann CARES Desktop The my Straumann CARES Desktop is built on the dental expertise of Straumann and navigates you through the vari ety of options within the Straumann CARES Visual 8 0 System it starts when you turn on the workstation and or the scanner Use your mouse to switch between the tiles Click on the symbols on the tiles to open an APP or click on an icon to access intormative links 2 3 Order identification and process 2 3 1 Order number To use the Straumann CARES Visual 8 0 software everything is associated to a unique order number Genera tion of this order number is the first of four main steps most commonly used in the system The four main steps are GENERAL OVERVIEW 10 1 Create an order 2 Scan a physical model to create a 3D digital model 3 Generate the prosthesis design using the Straumann CARES Visual 8 0 software 4 Initiate an intended production choice Validated Workflow with access to Straumann milling center see chapter Validated workflow External Workflow with open STL for third party milling option see chapter External workflowH8 The order number is us
27. Precise Repositioning on the lower left of the window and allow the software to pro cess precise positioning Contirm repositioning by clicking OK Repeat the reposition with the opposite jaw LL Note Check occlusion position If needed use Adjust Arch Posi tion from upper or lower arch scan or Reposition Upper or Lower Arch on occlusion key from Occlusion Key Scan Select the upward blue arrow to activate the upper model Hide the model scan to further facilitate jaw repositioning LL Note At this point the only image on the screen is the lower model If you select the blue upward arrow to activate the upper model the lower model turns to a tan golden color while no upper model shows You have to click the Die icon in the top center of the screen to visualize the upper model scan and occlusion key scan SCANNING 49 50 5 3 Multidie scanning 5 3 1 Scanning procedure For multidie scanning click the Cylinder scan icon Assign die position on the plate two options are available Auto assign feature Right click on the order and select Auto assign to plate Each slot will be assigned with a die starting from top down as displayed within the figure Drag amp drop a die into an empty slot Tooth 26 Tooth 25 COM 121114 3 RI Tooth 16 W Dentist e a Auto assign to plate SCANNING When positioning dies in the scan cylinder it is important
28. RES Visual 8 0 software client application on the current computer If you are running a multistation con figuration repeat the exit procedure on all PCs to com pletely shut down the Straumann CARES Visual 8 0 appli cation GENERAL OVERVIEW Fee Lome Vows OF Vaaa Settee ate mee tet Vw usa ngae 8 oa x 25 26 a ORDER MANAGEMENT 3 1 Dentist patient and order management The Straumann CARES Visual 8 0 software provides a default laboratory dentist and patient for your convenience To begin using the system it is recommended that you define a new dentist VWWhen a new order is opened a new patient can conveniently be entered for a given dentist The following section describes the procedures for entering a new dentist patient and opening a new order But first there is a brief overview of the relationship of these three components The Straumann CARES Visual 8 0 software manages data using a threelevel architecture which is easy to use and is linked automatically dentist patient and order A patient is linked to a dentist and an order is linked to a pa tient A patient and order cannot exist without these links A dent ist can be organized by country and clinic An order can contain several prostheses designs For ex ample within the same model you may produce a single design on tooth 12 and a three unit bridge design with teeth 15 16 17 all within the same order 3 1 1 Creating a n
29. Simple coping Simple coping with consistent wall thickness The design can be modified by transforming tool add remove material and by adding a collar Clinical coping Clinical coping is built up against the designed anatomy You can change it by using the clinical handles add remove material and by adding a collar Simple coping with Simple coping with displayed anatomy Changing the anatomy does not affect anatomy the coping You can modify it by using the wax tools or add a collar This will be adapted to the surface of the displayed anatomy Reduced crown The reduced design is attected by changing the anatomy You can also modity the object by add remove material and the clinical handles The metal backing will be adapted to the anatomy surface Full anatomic crown without reduction for veneering You can use all available tools Telescopic coping Use this type to design telescopic crowns with defined angled friction surfaces Reduced pontic Reduced pontic with detined space for veneering Full pontic Full anatomic pontic design which can be modified with all available tools Buccal veneer Full anatomic veneer design on Buccal surface without overlapping incisal edge Veneer shell Veneer shell as base for future veneering Inlays ANNEX 141 Reduced incisal veneer Reduced full anatomic veneer design with overlapping Incisal edge for future veneering Reduced buccal veneer Reduced full anatomic
30. Sleeve holder Screw retained bars Screw retained bars and bridges Requirements Sleeve holder 3 53 56 Register Slice view Software assistants Telescopic crowns Tooth borne restauration Attachments Bridges Collar Design types Diagnostic crowns Full crowns Inlays Margin cutback Metal backing Onlays Partial crowns Pontics Prehension items Prenesting Prosthesis families Telescopic crowns Veneered crowns Veneers Waxups Undercut bridge Users Create Delete Edit Password Veneered crowns Clinical coping Reduced crowns Simple coping Simple coping with anatomy Veneers Anatomical Buccal Reduced Shell View type Virtual articulator Waxups Workflow External Main modules Validated FO AF 0 y 82 wWwww straumann com International Headquarters Institut Straumann AG Peter Merian Weg 12 CH 4002 Basel Switzerland T l phone 4 0 61 965 11 11 Fax 4 0 61 965 11 01 Institut Straumann AG 2013 All rights reserved Straumann and or other trademarks and logos from Straumann that are mentioned herein are the trademarks or registered trademarks of Straumann Holding AG and or its affiliates All rights reserved 02 13 152 826 en
31. an cre ate your own connector shape After being saved the shape will appear in the shape list ADDITIONAL FUNCTIONS Proethenn 34 banen Aon Copeng Pereresten edion Seemete orion lype Reduction Parameter Parameters A N N E Enable Symmetrymode o Saves J SaveShape DeleteShape RevetShape 7 vene gt 129 130 Connector parameters also detine the values for minimum and maximum diameter of a connector Different values can be managed for anteriors and posteriors This material parameter will affect the colors of the connect Ors 9 1 13 Exporting importing and updating materials This function is available in the external workflow only A material definition can be imported and exported Rightclicking on a material gives access to an Export Ma terial option Material definitions are saved as XML files Anteriors Posteniors Default Shape O cera snape i Default Shape C Defaut shape x mm Connector Max Ares 10 mm mm Connector Min Area 9 mm Edit Shapes Connector Max Area 10 mm Connector Min Area 9 mm Materials Teilekatalog kry Default lt S pwos E Rename Material gt Copy Material Metal Q Delete Material ig Wax R y Set As Default a S Lava D A iim amp Update Material ea Lava Ultimate ea Lava Wax Q Lava Zirconia Ga Zirconia ADDITIONAL FUNCTIONS The Import ma
32. and select a margin cutback type None no margin cutback Buccal cutback on the buccal side of the die Full cutback all around the die Additionally enter the margin cutback value CAD module Margin CutBack Type D Margin CutBack Value Buccal v A 1 2 w 97 98 It the prosthesis has an anatomy the cervical part of the anatomy will be adapted to the real margin not the cut back The cervical part of the overlay will be adapted to the cutback margin 6 2 2 Implant borne restorations This chapter describes all the restorations which are based on Straumann implants and have been tested in the valid ated workflow Z Precaution Abutment angles of more than 30 may cause the abutment to break Abutment angles are controlled in the validated CAD workflow In a waxup workflow the user must control the abutment angle through manual measurements Z Precaution Inaccurate scanbody reconstruction may lead to an incorrect prosthesis angle or position Therefore thoroughly follow all the instructions for the scanbody 701149 IFU CARES Mono Scanbody and 150 771 IFU Straumann Scanbody CAD module 6 2 2 1 Custom abutment EO e e e U AA a e a a The custom abutment shows the initial proposal atter drag eo mee sonas ee ging and dropping the order into the CAD station view win dow Rightclick onto the restorations to show the context menu with multiple selections such as
33. are accessible on a reduced crown CAD module 83 84 6 2 1 7 Full crown The full crown overlay is a duplication of the full morpho logy No specific parameters define the full crown overlay Obviously the minimum thickness of material will be respec ted For information on how to adjust parameters see chapter Local adjustmenth24 CAD module All the tools allowing to customize the morphology are ac cessible on a full crown 6 2 1 8 Telescopic crown The Straumann CARES Visual 8 0 software can produce an automatic proposal of a telescopic crown It design moditications are necessary select the Edit Tele scopic Crown menu CAD module Sp Adjust Axis j a Recompute Edit Margin Line ed Edit Order Show Nesting Block 85 86 The editing tool provides handles to adjust the design Dur ing adjustment distances will be displayed in real time and the telescopic angle will be kept automatically 6 2 1 9 Pontics Straumann CARES Visual 8 0 software offers two differ ent pontic options for your bridges Reduced pontic Full pontic CAD module Reduced pontic The reduced pontic manages the reduction trom the full mor phology in order to compute the required space for veneer ing material all around the coping An anatomy will be com puted Full pontic The full pontic is a duplication of the full morphology CAD mo
34. art importation An information window will pop up when done Please select an order file Ongena Order dormeton E dentai tabceatory m Order dental laboratory COM 129005 1 STMNOrder E cominus Order_dertal laboratory COM 121113 5 Order dental laboratory COM 121114 2 STMNOrder uas Order_dental laboratory _COM 121114 6 STMNOnder Pres Opat eu el COM 421115 LSTMN Order Saheim Ode Import Scan Peewiew Patient Lookup AD 0 Dever i Patiers Patient j E Assign patiant enoruslly Bridge 25 26 27 lt cron Recommended v Fd nene gt 25 Reduced Crown I i Reduced Crowe H Reduced Ponti Osteiname Order dental laboratory COM 121119 LSTMNOvder Osteity Accepted formats STMNOrdar 1pm Z emi P wem y ox FE concet Singe 21 F renon atso fer Varicbase Fecommensed v FA nene 22 Simple Coping Patient Lookup amp Dr Dentist amp Patient Patient Patient Lookup amp Dr Dentist amp Patient Patient Confirm x S Order imported successfully ss COM 121119 2 y ox eee ae ADMINISTRATIVE APPLICATIONS 8 4 Archiving saving and purging Archive save and purge are accessible at order level Archive removes the order from the list of orders in the pro duction process i e it routes forward the order to the ulti mate operation step The Archive is always accessible in the Or
35. at only Straumann materials and restorations will be sent to the validated Straumann milling center The Straumann CARES Visual 8 0 software will verify that all required sending details are correct and saved com pletely Delivery address Firstname Not Sumame Set Street Zipcode City Country AE w United Arab Emirates optional information EMail Fax PRODUCTION MANAGEMENT 8 ADMINISTRATIVE APPLICATIONS 8 1 Order Management The Straumann CARES Visual 8 0 software includes an Order Management that provides global access to your Straumann systems The Order Management will allow View all orders Manage operational steps of an order Manage production Additional advanced functions such as purge archive export and import order For starting the Order Management select Settings in the main toolbar and select Order Management Material Management a Dentist Management amp Dentist Preferences The Order Management window appears e oma 9 ee 6 oo pana off Coma Pemi So ME miany Gi hma i a Pain hi ILII A specific icon allows filtering the orders displayed by date 1 for today 2 for the last 2 days or operation steps A search button permits an advanced search by criteria and dates ADMINISTRATIVE APPLICATIONS 109 110 A table view lists all the orders which meet the filtering cri teria and displays further details such a
36. b ject Select Recompute and switch to the Coping para meters tab t is also possible to manage the tool parameters e g Collar See the chapter Collar4 4 6 2 Design 6 2 1 Tooth borne restorations 6 2 1 1 Differences between anatomy and overlay The Straumann CARES Visual 8 0 software uses an out side to inside design strategy This approach allows to design tull contour crowns by designing the full clinical situ ation in the first design step Once the crown design is done any underlying framework can be computed automat ically trom the tull prosthesis Emergence Angle Parameters NR er Height of Collar Minimum Thickness oe H So z gt CD EDH External Surface Offset i on tori Use Straight Transition ui Transition Angle 10 ie Recompute Collar BE oaS y oK SK Cancel CAD module To achieve this the Straumann CARES Visual 8 0 soft ware works with two different elements Overlay Design of a frame for example a simple coping Anatomy Fullkcontour morphology design The Straumann CARES Visual 8 0 software includes ad vanced display features that assist the user when working upon these two elements Transparency view CAD module 75 76 Cross sectional view where a slice of each element is vis ible Anatomy and overlay Anatomy and Overlay designs have contextsensitive ad justment options The O
37. butments polycon ae NC RC temporary abutment also for Variobase NNC RN WIN Reduced crown on implant Custom abutment with waxing Full crown on implant CARES Variobase Abutments polycon ae NOBEL Custom abutment with waxing coping also for Variobase CAMLOG CARES screw ret bridge Abutments CARES SRBB Ti NC RC Full crown on implant reduced CARES SRBB coron RN WN crown on implant CARES screw ret bridge Pontics CARES SRBB Ti n a Reduced pontic Full pontic CARES bar Abutments CARES SRBB coron NC RC Bar pillar RN WN ANNEX 143 11 3 Instructions for setting parameters The following intormation are supposed to help you on setting the die parameters for the Straumann CARES Visual 8 0 software These information apply to all materi als and are provided to optimize the individual tit VVe generally advise you to use detault settings or to make only minor adjustments Parameters settable parameters 1 Cement gap a Collar position 3 Extra vertical gap Normal preparation no parameter adjustments necessary Sharp incisal edge increase extra vertical gap LL Note Increase collar position additionally by extreme shoulder by approx 0 01 0 02 mm Flat preparation very conical preparation Increase Collar position up to max 2 3 of die height to achieve friction a Reduce Cement gap for a tighter fit by approx 0
38. can application 18 Cylinder scan application 18 General Transparency button Export Materials Orders Full crowns Implant borne Tooth borne Full jaw scan Implantbome restaurations Custom abutments Custom abutments with waxing Full crowns Reduced crowns Import Materials Orders Third party order Import scans Inbox Inlays Laboratory Local menus Margin cutback Material management Materials Export Import Update Metal backing Multi Designer Add Remove materials Custom abutments Edit handles Transform Multidie Scan Scan with sleeve holder Verification my Straumann CARES Desktop Occlusion Key Scan Onlays Order number Orders Defining dentists patients Download Editing dentists patients Export Import 69 99 Ae 69 ou 53 52 48 88 147 Orders layer management Order sheets Specitiying details Overlays Adjustments Parameters Adaptions Clinical coping Connectors Custom abutments Dental bands Inlays Onlays local Manufacturing Material display Minimum thickness Reductions Telescopes Virtual die spacers Partial crowns Patient Pontics Full pontics Reduced pontics Prehension Items Prenesting Production management Prosthesis families Overview Prosthesis subtypes Purging Reduced crowns on implant Retrieving Manufacturing files Scan files Routing Backward Forward Saving Scan Bodies Scanning with auxiliaries Bonding base creator CS2 minitool
39. ch consists of several order items all the items of such an order will be routed within this process ORDER MANAGEMENT ie CY ay i 2 ae wie Otay s t b em s m PERET VENKI Bev eg eset a ii G N j ee ee we fee Seg Le ar Wee Poy bas 33 34 3 1 1 6 Layer management To create multiple layers define the specific layers in the layer manager by clicking the plus icon to the right After creating the base layer e g abutment add another layer for the restoration on top 3 1 2 Routing To change from one operational step to another orders have to be routed between the modules of the software Orders are routed to the next step with the Route order button For more details and options for manual intervention see chapters Routing419 and Order Management Hes ine eel ae bergi primei sm imha byn are GL d Bii iat Crone ae om T ttai bis te Te 7 tas tow yee Jo wl A er cS wa p 7T o Ah Wha K Overlay PP Recompute Overlay bl Recompute Edit Margin Line tw Reset Position X Delete QA Prehension items gt ed Edit Order Show Nesting Block ORDER MANAGEMENT 4 INBOX The Inbox application allows you to import intra oral data trom a shared server to your Straumann CARES Visual 8 0 system Click on the Inbox icon and go to Manage Connections Enter your personal login when importing i
40. ctivated Place the Sleeve holder into the cylinder and close the lid The scan will start automatically Once the scan is finished and the results are acceptable click the Save button and close the application if no further Bonding bases have to be scanned When the Bonding base creator is closed the CARES Server needs to be restarted Restart the server by pressing the right mouse button on the CARES Server icon located in the Windows Taskbar and select Quit 62 f License Manager fl Console Disconnect Client gt id Dump Database Customize SCANNING Once the server has been closed re open it by pressing the CARES Server icon on the Windows desktop After the Straumann CARES Visual 8 0 client has started the Implant Kits with the scanned Bonding bases are now selectable at the Order Creation as well as the Implant Kit Editor 5 5 1 4 CS2 Minitool The CS2 Minitool helos you with your CS2 scanner even when the Straumann CARES Visual 8 0 software is not open The tool allows you to open the scanner lid abort scans see information or instruct information to wait for fur ther actions Open the CS2 Minitool It is located at Products amp Ser vices on the Dental Desktop SCANNING o se Straumann Variobase Coping amp Camlog 33 amp Camlog 38 amp Camlog 43 amp Camlog 50 amp Camlog 60 amp Nobel Rpl 60 amp Nobel RpI NP 35 amp Nobel Rpl RP 43 amp
41. d trom the ig Download server meit The file is being imported Importing Imported The tile has been completely imported into your local system y Imported with material and implant kit information To download an order click on the Download field in the Actions column The blue Download icon will change into the orange icon for Downloading LL Note To download multiple files press CTRL or SHIFT on your keyboard and select the tiles to be downloaded A Peewee Laren Fass Lt Fenton Dettes lots toms mate Atter a download is complete the order status will change ane bub eo a to Import Select the order and transter the material as well as the implant kit information trom the preview to the table columns Click on Import in the Action column The order has been completely imported if the Action column has changed to Imported INBOX 37 38 LL Note You have to transfer the information for each single abut ment After successful completion of order import switch to the Scan Import application Drag amp drop the imported order into the main window f Dee Com me Bf Femina Boate ete tems meee Caw amg agat g 28 INBOX gt SCANNING 5 1 Scanning in detail with Straumann CARES Scan CS2 The following items can be scanned with the Straumann CARES Visual 8 0 software Complete model Up to six dies simultaneously up to 32 in total Neighboring teeth in cylin
42. der or on model Bite registrations Wax matrix Dies with knite edge shoulder chamfer and inlay prepa ration according to type of restoration VWax ups Abutments For copings you have to scan only the associated dies To model bridges you must scan the following items 1 The model 2 The associated dies and if required the neighboring teeth 3 If necessary a corresponding bite registration antagon ist model or wax matrix SCANNING 39 40 5 1 1 Requirements of the cut model The following conditions should be fulfilled and the preparo tion types must be approved Knife edge preparation Shoulder preparation Chamter preparation Inlay preparation The preparation margins must be completely visible The surface of the dies should have the following features Matt nonretlecting surface Homogeneous color gradient The design height must not exceed the material specitic blank height SCANNING LL Note The design height can be checked and compared to the blank height at any time by clicking on the Construction di mension icon 5 1 2 Rules for scanning models Please perform the following steps before starting the scan ning process Step 1 Use the acrylic template to find the optimum position for the model The model should be aligned according the follow ing criteria f the vestibular cusps or incisal edges are occlusal adjus ted to the red line the preparatio
43. der view A contirmation is requested The operation step will be set to Archive ADMINISTRATIVE APPLICATIONS kp Route Forward qo Route Back m Retrieve Scan Files E4 Customer Details S Export Order A Duplicate Order N Save and Purge ey Purge Only ia Attached documents iy Unlock Confirm x Q Are you sure you want to archive these orders 117 118 To access the order use the Archive button in the Order Management Define the path where the order will be saved Save and Purge exports the order and removes it com pletely trom the CARES system Now the order will only be reaccessible through the Import Order function gt Route Forward lt gt Route Back LJ Retrieve Scan Files 4 Customer Details S Export Order s Duplicate Order N Save and Purge a Purge Only ia Attached documents x Unlock c gt Route Forward lt 5 Route Back Retrieve Scan Files E Customer Details S Export Order s l Duplicate Order 4 Archive ey Purge Only iz Attached documents ty Unlock ADMINISTRATIVE APPLICATIONS Purge Only removes the order completely from the CARES system A contirmation is requested LL Note Atter Purge Only order data cannot be retrieved 8 5 Attached documents Attached documents are accessible at order level ADMINISTRATIVE APPLICATIONS amp gt Route Forward o gt Route Back LJ Retrieve Scan Files E Customer Details S Ex
44. duction Management icon Pa Oe EX 2 Select your order and open the context menu 3 Choose Send to Straumann A summary of your order will be displayed O Summary T Customer Code 11122233 Patient Code Patient Patient Project Number COM 121114 3 Orderlist 1 CARES Crown 16 Object Material zenon HT Object Materialcolour pure preferred contact for support informations Phone D Fax PRODUCTION MANAGEMENT 107 108 Check the order and choose the delivery address With the editing function you can adjust the selected address Accept the Straumann General Terms and Conditions For ward the data by clicking OK Remark In the Production Management module you can select and send either a complete order or individual objects within an order The Straumann CARES Visual 8 0 software will al locate to each order a special ID number This ID will be re quired in case of any questions with regard to the sent or der You may wont to send one or more objects out of an order again Before resending them first create a copy of your or der through the Order management and have a new ID number generated The ID number can be found in the Order management and in the Production Management module The Straumann CARES Visual 8 0 software will inform you about the data transfer status during and atter the data transfer Verification The Straumann CARES Visual 8 0 software ensures th
45. dule 87 88 6 2 1 10 Inlay onlay partial crown The Straumann CARES Visual 8 0 sottware allows you to construct inlays and onlays These restorations are available depending on the selected material Atter scanning determine the green line between gingiva and tooth as shown in the picture VVhen ready click OK Next define the preparation line click OK and set the in sertion axis VVhen finished route the order forward After calculation open the CAD station and drag your or der in the main workspace The Straumann CARES Visual 8 0 software computes an automatic proposal You have the option to readapt or mir ror the anatomy Further you can model both the anatomy and the overlay using transtorms clinical handles or add remove material To adjust parameters see chapter Local adjustmentO24 for turther information Depending on the selected material you can edit different parameters For information on prenesting see chapter PrenestingO e a CAD module 6 2 1 11 Veneers The Straumann CARES Visual 8 0 software offers the fol lowing veneering options Anatomical veneer Reduced veneer Buccal veneer Veneer shell for Maryland bridges only These options are available depending on the selected ma terial Atter scanning determine the green line between gingiva and tooth When ready click OK Next define the preparation line and click OK Adj
46. e Order Management For a detailed description see the Order Managementh chapter 2 4 Basic user interface principles 2 4 1 Software general concept The Straumann CARES Visual 8 0 software is mainly icon driven The horizontal main toolbar is always displayed and allows you to access the main modules of the software such as Order creation Arch or Cylinder scan Calcula tion CAD station Production management etc These mod ules describe trom left to right a workflow Cad Design View GENERAL OVERVIEW 1 Order creation 2 Inbox 3 Arch scan 4 Cylinder scan 5 Scan import 6 Calculation 7 CAD station 8 Production management 9 Settings 10 Refresh data from server 11 Detault browser application 12 Exit The window which is displayed when accessing a module and opening a tab can vary trom module to module but typ ically consists of the following three areas 1 Order list vu osu 59 5 amp soo 2 Order summary Both panes are used to display information 3 Main application pane used for instance for the CAD station This is your main workspace To resize a pane grab and move the separation bars GENERAL OVERVIEW 13 14 In the Order creation module the organization of columns can be changed by a right click on the column header You can remove columns or change column order by dragging columns The new organization can be saved by going to Columns and then click
47. e computed Parameters are accessible for the user to define the veneer ing reduction on the mesial distal buccal and lingual sides on cusp and equator line Cervical and occlusal reductions are also accessible A cross section shows the reduction for veneering material and also the respect of the minimum thickness of material These clinical functions are accessible on a reduced Crown oe a ee Bo ar a a a Ca BES SHS Bt fF Be CAD module 6 2 2 3 Full crown on implant The full crown overlay is a duplication of the full morpho logy No specific parameters define the full crown overlay The minimum thickness of material will be respected All the tools allowing to customize the morphology are ac cessible on a full crown 6 2 2 4 Custom abutment with waxing The custom abutment with waxing is utilizing the waxup sleeve holder within the scan process After the digitization of the customized wax up of an abutment design the abut ment will be computed fully automatically Routing will end up in the production stage 6 2 3 Screw retained bars and bridges SRBB Z Precaution Incorrect implant bridge or bar design parameters may lead to a breakage of the prosthesis Always check the dimensions of the bridge or bar If an element is colored red or yellow then it is too small A too large bridge span between implants may lead to damage Do not exceed the specifi
48. ed by the Straumann CARES Visual 8 0 modules to manage the case through the entire process The number can be manually adjusted by the cus tomer However with the tinal manufacturing management step the order number will automatically get an additional Straumann CARES Visual order number remote ID in the Order Management menu to manage the order verification on the Straumann milling center side 2 3 2 Routing The Straumann CARES Visual 8 0 sottware provides tools to manage the progression of the order through the full CADCAM process The software manages several opera tional steps after an order is created Scan The order is ready to be scanned automatically atter an order is created Calculation Once an order is scanned the data is ready to be processed by the Calculation module to automatic ally generate a proposed prosthesis CAD Station The proposal of the prosthesis is ready to be checked and customized Production Management The completed prosthesis design is verified and ready to be produced either intern ally or electronically subcontracted The change trom one operational step to another is referred to as to route GENERAL OVERVIEW Route forward usual production process from one step to the next e g trom scan to CAD Route back from the given step fo the previous This is most commonly used to check for potential design adjust ments e g routing trom production to CAD to pote
49. ed number of pontics CAD module 101 102 Precaution For a bridge or bar the maximum deviation between all im plants should not exceed 36 with only tissuelevel interfaces 24 for bonelevel interface or a mix of bonelevel and tissuelevel implants The software will check that these angles are not ex ceeded Bridges that exceed these angles may damage the implant interfaces The SR Bar initial proposal can be adapted by a right mouse click on the restoration within the following context menu Edit implants Bar Recompute bridge Edit order Edit implants bar opens an option window in order to ma nipulate the bar or bar type the segment and the pillar Within the Options window the user can enable some help tools as well as the preferred bar protile Additional grip pers can be defined by a left click on the bar segment Depending on the view these grippers can be moved within certain limits LL Note The set bar axis will be performed in the currently used view plane The user chooses an appropriate occlusion view to define the insertion axis of the bar Cremeans Comms Vem LA Vaad Cette ate See mete Cw Bea ngae g oa CAD module The segment option allows the user to define the main pro tile type of the bar however a segment profile can be as signed to each segment by highlighting the segment on the bar proposal The pillar option allows the user to individual
50. er Diagnostic prosthesis family not available in the validated workflow Diagnostic pontic Diagnostic crown CAD module 77 78 LL Note For more intormation on the prosthesis subtypes as well as their explanations see chapter Prosthesis family over viewD 6 2 1 3 Simple coping The simple coping is the simplest type of prosthesis It is a coping with even thickness of material over the preparation Simple coping detinition does not include any parameters The minimum thickness margin thickness and emergence angle are defined when defining friction parameters For information on how to adjust parameters see chapter Local adjustmentO24 A cross section shows the thickness of the simple coping CAD module The actions visible on the screenshot to the right are access ible by simple coping 6 2 1 4 Simple coping with anatomy A simple coping with anatomy is very similar to a simple coping The coping will be the same with even thickness of material The difference is that an anatomy is computed For information on how to adjust parameters see chapter Local adjustmentO24 CAD module 79 The functions visible on the screenshot to the right are ac cessible on a simple coping with anatomy 80 CAD module 6 2 1 5 Clinical coping The clinical coping manages the homothetic reduction trom the tull morphology in order to compute the required space for the porcelain all aro
51. esis type that has an anatomy will work Open the Arch Scan Parameters and select Wax Up trom the Scan options Proceed as follows Scan the model without waxup Scan the model with wax up Scan the dies in the cylinder SCANNING Arch Sean Upper Arch Scan Parameters Loe Ripa a agv Normal scan Partial Arch Scan J Use 3D Scan File Scan type B Wax up C Emergence prefile s Antagonist data needed Antagonist type Checkbite D Positive model with occlusion key scan 57 58 Edit margin and insertion axis of all dies atter the scan Click the Exit current design button to continue After calculation open the CAD station and drag your or der into the main workspace The computed proposal for the anatomy is not yet based on the waxup information Now use the Adapt Anatomy on Wax up function Rightclick on the prosthesis and select Overlay gt Adapt Anatomy on Wax up from the menu In case of an order with a full anatomy bridge you will find it under Overlay otherwise in the Anatomy context menu GP Recompute Mirror Anatomy Edit Margin Line E Transforms Q Preh ees Add Remove Material Attachmentitems gt S33 Clinical Handles Recompute Bridge J mee EONS W Edit Order Show Nesting Block SCANNING Define the area of the waxup to be used for adaptation by moving the yellow dots Make sure that the entire tooth cir
52. ew order 3 1 1 1 Opening the order sheet To create a new order select the Order creation applico tion icon within the main toolbar as shown below la QD W ORDER MANAGEMENT The main window of the Order creation application will then appear Next click on the New order icon The order sheet will appear Note that an automatic order number is generated with the following format CO Meyymmdd order number of the day Where yy is the year mm is the month and dd is the day followed by an increased number for each case opened that day to keep each order number unique Optional The order number can be changed by overstrik ing the number within the field shown This can also be done with the dentist name and customer intormation Data will be transferred automatically to the customer database Proceed to the dentist and patient information 3 1 1 2 Laboratory information customization You can customize the information related to your laborato ry Rightclick on myLaboratory and open Master data ORDER MANAGEMENT AECT iy AS gt iw Cs ov veo gt ay a Life cycle 27 A window appears where you can modity the name of your Master datacustomers Laboratory laboratory eT senerat E identification Life cycle model 9 No reference Name dental laboratory Short Description The laboratory name is then updated as shown This name will be used t
53. he collar If you are satisfied with the collar validate it by rightclick ing on the background or selecting OK in the parameter window A collar can additionally be designed by using the follow ing procedure Rightclick on a prosthesis and select Overlay gt Collar The Collar tool is similar to the Add Remove Material tool CAD module Edit Margin Line amp 3 Clinical Handles GA Prehension items gt f Attachment tems gt w Edit Order Ce Show Nesting Block 95 96 Apply material on the overlay where you want to have the collar The collar defines the space between overlay and anatomy The minimum thickness surface will be shown during modific ation The overlay becomes visible when you add material The final overlay will be the result of merging the defined surface with the minimum thickness surface You can adjust or smooth the design with the Add or Re move tool For more detailed information on using these tools see the MultiDesigner468 chapter If you are satisfied with the design validate it by right click ing and route the order forward CAD module Margin cutback It the prosthesis has a porcelain margin the reduced mar gin has already been detined during the margin edition step see chapter Full jaw scan D44 This margin line can be modified in the CAD station Use edit margin line in the local menu Open prosthesis parameters
54. ing on the System save icon However the order mask is fixed and columns cannot be edited there 2 4 2 Mouse handling and view manipulation The Straumann CARES Visual 8 0 software requires a mouse with two buttons and a wheel The options available for mouse interaction depend on the software module and or tab Select menu or icon define Click left mouse button point Validate definitions access Click right mouse button local menu Translate view Press and hold mouse wheel drag the mouse Rotate view Press and hold right button drag the mouse Generate cross section of Press and hold CTRL scroll view mouse wheel g EH Patient E y Tooth Product a amp Implant Kits a w Scan System a Prosthesis Type a FD Tooth Color a g Remote Status g Remote ID a 8 Creation Date aj Operation a Customer Ca New property ka System save amp Patient a Enabling column creation A Reset GENERAL OVERVIEW Center and resize view Doubleclick left mouse but ton Toggle perspective and par Doubleclick right mouse but allel projection ton sm T Activate clip plane CTRL scroll mouse wheel To deactivate clip plane click Unelip in the view tool bar Add material Tick Add and press left mouse button Undo Tick Add and use ALT left mouse button Remove material Tick Remove and use CTRL left mouse button Smooth Tick Smooth and use SHIFT left
55. is type To define a different prosthesis type first change the active type that is displayed to the desired type and then select the desired tooth LL Note The American Numbering System can be set within the User Preferences Click the globe icon located at the lower right of windows main screen switch to the User Preferences tab and specify the Numbering standard The anatomy that will be used can also be changed during the CAD station Details on each tooth definition are dis played as a list Base Layer Bridge 24 25 26 coron none Z 24 Reduced Crown lvoclar Vivedent Postaris 25 Reduced Pontic voclar Vivedent Postaris 26 Reduced Crown lvoclar Vivedent Postaris Single 14 coron none 14 Reduced Crown VPH Typ T3M L3M ORDER MANAGEMENT To create a bridge select all the desired teeth Leftclick on each tooth included within the bridge A green lasso will be shown around each active tooth intended for the bridge Click the Create Bridge button A gray lasso will be gener ated grouping the entire bridge ink uta if To reverse such a grouping select the attected teeth and press Undo bridge F a thia a Press the Route Order button to route the order forward i gt jo te ee antah e via Sv Pee Contirm with Yes The new order creation procedure is Route foward now completed LL Note When you route an order whi
56. ivities for each order betore you leave the module because the individual scan ning steps will not be saved SCANNING If you have chosen the Partial Jaw scan the procedure will be the same the model will be cut so that only the import ant parts remain 5 2 1 Undercut bridge The Undercut bridge function allows building bridges for very complicated preparations This is necessary since one of the dies insertion axis can deviate up to 10 degree trom the global insertion axis Follow these steps to build an undercut bridge 1 Set the global insertion axis of all teeth as usual and choose Enforce 3 axis 2 Select the insertion axis of the desired tooth ot Choose now Enforce 3 5 axis 4 Change the insertion axis of the die by clicking on the gripper and move it to the desired position The angle veritication will help you not exceed the maximum angle 5 The Set insertion axis as well as the Auto insertion axis button will set the insertion axis to the die when the grip per has been activated LL Note The Undercut bridge function can be set in the Arch Scan It is also accessible in the CAD station via Recompute SCANNING ee we eee 47 48 5 2 2 Dual arch scan The dual arch scan will be activated when the scan type Antagonist with positive model is chosen Check Antag onist data needed when selecting the scan type The initial scan has to be done in the same order as a full ja
57. le Antagonist Checkbite Positive model see double arch SCANNING Tu BSS SBE Bt 43 44 LL Note Scan options can be changed afterwards You can add fur ther scans or remove them if they were not chosen the first time by clicking the Edit scan options dialog button When scanning a waxup or checkbite you will be asked to place the waxup or checkbite after the initial jaw scan 5 2 Full jaw scan The scan process comprises several steps which have to be completed before starting the design module 1 Click on the Arch Scan Application icon 2 Drag amp drop the case into the scan window 3 Create a jaw scan by selecting Normal scan 4 Set your scan options 5 Click OK 6 Assign the dies and pontics as the tooth numbers are displayed 7 Click the Start scanning the assigned dies icon on the right toolbar Fa nma agana g ap a iii SCANNING 10 11 12 Place the dies as displayed in the scan window into the cylinders in your scanner Click the Start scanning the assigned dies icon in the vertical toolbar It is im portant to match the dies with the positions displayed on the screen and to insert them with the die s vestibu lar side pointing in the same direction as the white line on the scan cylinder If your sixth cylinder has an ad apter for the sleeve holder activate the reservation by clicking the checkbox Click Start Scan
58. ly adjust the implant pillars by highlighting them Adjustments can be made with regard to Base angle Base height Top cone angle 6 2 4 Virtual articulator 6 2 4 1 Using the virtual articulator 1 Design the prosthesis with the CAD software 2 Click the Virtual Articulator icon to activate the virtual articulator CAD module 103 104 3 Choose the Parameters window select the proper ar Virtual Articulator x ticulator and set the parameters Exploration l Parameters Transforms Virtual Articulator Condylar Options Right Condylar Slope 0 Bennett Angle Immediate Side Shift Symetrical wu Y ok F canca 4 Inthe Transforms window you can adjust the model positioning in the articulator space LL Note Since the models are scanned by the occlusion key scan and with the help of the external positioning aid the initial positioning can be adjusted within the transformation tab for a sufficient position in the virtual articulator CAD module 5 To articulate the virtual articulator you can either move the incisal shat directly or use the Exploration tab Set all the protrusion and laterality parameters and ac tivate the movements by clicking the Explore button LL Note If you intend to use the dynamic occlusion as reference for the design you must activate the proper display options be fore clicking Explore 6 Following the simulation applied to
59. me COM 121114 3 STL files 05 E Options O include Anstomies D include Manufacturing O include Antagonist include Scan Data Speichern Abbrechen CSi OWOS Ceramic A CSPE DWOS Ceramic A rd coron g zerion also for Vari coron 113 114 Define the directory where the file s shall be saved File names are generated automatically as follows laboratory name_dentist name_patient name_footh number At order item level Retrieve manufacturing files will save only the tiles of the order item Detine the path You can change the automatically gener ated file name Depending on your manufacturing settings you may select the tile type Accordingly different tiles will be generated to fulfill the requirements of the manufacturing solution 8 3 Exporting importing orders Export order ond Import order in the validated worktlow only with the Straumann CARES users allow exchanging orders with other DWVOS system user Export and import order functions safely and restore all the data related to an order scan prosthesis design manutacturing and adminis trative data Dateiname dental_laboratory_Dr_Dentist_Patient_Patient_single_14 stl Dateityp Alle Dateien _ x _Speichem Abbrechen ADMINISTRATIVE APPLICATIONS Export order is accessible in the Order Management main window through the local menu of an order LL Note Export o
60. mer list to access the local menu Select Edit or Delete If you click Delete the patient will instantly be deleted without any further confirmation It editing make the desired changes Save your changes with OK 3 1 1 5 Specifying order details Once the dentist and patient are defined you can create a new order and the order creation window appears Depending on the application and the clinical situation the Straumann CARES Visual 8 0 demands the following definitions ORDER MANAGEMENT Dental customer Customers E Customer ID _ k BR Customers Laboratory hs Dentist information Dentist amp DR Dentist CustomerID DEN 121024 134508 Search Results i Firstname Lastname Patient ID A Patient 8 A PAT 121107 Patient identification Firstname My Last name Patient Patient ID PATOO1 a tar av gt gt So vw tb E r p E aS ey ote ah vis 31 Prothesis family for further information see Prosthesis family overview in the annex Material Color Implant kit Prosthesis subtype Anatomy family Define the tooth number by leftclicking on the tooth The tooth will then be display as a representation of the selec ted type of prosthesis It reselected using the right mouse button the tooth selection is canceled The selected tooth will be display as a picture of the chosen prosthes
61. milling tool in order to achieve proper milling of the ele ment For example on sharp anterior according to the smallest tool used for milling it is sometimes necessary to generate additional space over the die 9 1 4 Minimum thickness parameters This function is available in the external workflow only This table defines the default minimum thickness of material ADDITIONAL FUNCTIONS Proathenis 14 harton se org Pererenen Recuctes Passaten Prosthasa Type Caga Pa ometen Parameters W Comert Gap l Yoa Spee I honores tper Cote poten Ney Minema Thc teneest U Magn waten Y tmengence Angie lD Pi tren 2 Morgen Cariad Type E Bete Ungercts GB A ppty Tent Corrpensacne 125 126 This material parameter table will affect the Coping Para Cogeng Fe etera meters window 9 1 5 Telescope parameters This function is available in the external workflow only konon im Copeng Prrareaten fleducbon Peremeter Prorheme ype This table defines the parameters used for telescopic crowns 9 1 6 Inlay onlay parameters This function is available in the external workflow only This table defines the parameters used for inlays onlays 9 1 7 Collar parameters This function is available in the external workflow only This table defines the default value for an advanced collar ADDITIONAL FUNCTIONS This material parameter table will affect the Collar para meters window 9 1
62. n lines must be aligned horizontal to the red mark If the vestibular cusps or incisal edges are adjusted to the green line the preparation lines must be aligned to the metal rod If the vestibular cusps or incisal edges are adjusted to the blue line the preparation lines must be aligned to the blue mark LL Note Make sure that the mounting plate is engaged according to the positioning aid SCANNING 4 42 Step 2 After opening the Arch scan application and dragging amp dropping the order into the scan window the lid will open Place the model on the small plate in the scanner Follow the instructions of the scan manager Close the lid and start the scan LL Note We recommend to position the model with the best pos sible insertion 5 1 3 Rules for scanning with the scan cylinder Each die should be positioned centrally The preparation line has to be at least 1 mm above the edge ot the scan cylinder SCANNING The vestibular side has to be aligned with the white mark on the scan cylinder 5 1 4 Starting the Scan Application Start the appropriate Scan Application arch scan or cylin der scan and select the desired order according to the or der management process 5 15 Setting your scan options Use the Arch Scan dialog box to set your scan options such as Full Jaw Scan Normal Scan Partial Jaw Scan not for screw etained bars and bridges s VVaxup Emergence Profi
63. nt amp Dentist Management Y Attachment Kits Implant Kits S Anatomy Kits he User Management 133 9 4 Managing users The User Management application allows you to create additional user accounts and define for each user the au thorized actions within the Straumann CARES Visual 8 0 software To start the User Management application press the Set tings icon in the main toolbar and select User Manage ment The User Management window looks as follows 1 User list 2 User privileges Entering a new user Press the Add button 3 Enter a username in the pop up window Use the User privileges list to define the actions the new user will be authorized to perform Changing the password Press the Change Password button 4 and enter the new password twice to avoid mistake LL Note The User Management application acts case sensitive 134 Cra Pml iE Se Order Management Material Management Dentist Management Dentist Preferences Attachment Kits Implant Kits Anatomy Kits ADDITIONAL FUNCTIONS Editing user privileges Click on the user name in the user list Adjust the user privileges as appropriate Deleting a user a Rightclick on the user name in the user list Select the appropriate action from the context menu 9 5 Other functions 9 5 1 Anatomy editor Create and modify personal anatomy families with the
64. nt that guides you through a procedure For example during the scan process assistants will prompt you through the scanning process Prehension items 1 Attachment items Edit Order Show Nesting Block Arch Scan Lower Arch Scan Parameters Arch Parameters Normal scan Partial Arch Scan Use 3D Scan File Scan type _ Wax up _ Emergence profile s _ Antagonist data needed Antagonist type D Checkbite Positive mode with occlusion key scan WZ oK FE cance GENERAL OVERVIEVV 2 5 Parameter settings The Straumann CARES Visual 8 0 sottware allows you to set the clinical parameters for the intended prosthesis design such as type of prosthesis thickness of coping etc These parameters are accessible through assistants Para meters can be adjusted at diferent levels Parameters tor Straumann materials can be adjusted within a certain range of values depending on the specific mater ial selected LL Note More specitic settings will override more general settings for the given order material or dentist 2 5 1 Units All dimensions such as size thickness distances etc are set as default and interpreted in millimeters All measured angles are provided in degrees 2 5 2 General adjustment Default parameters used for all the cases within your lab can be adjusted using the Material management0 mod ule GENERAL OVERVIEW Parameters
65. ntially modity the anatomy Use the Order Management to route orders back to a previous step LL Note When routing back from Calculation to Scanning design and scan data will be lost in the process The Straumann CARES Visual 8 0 software automatically manages operational steps and routes forward You can manually route an order forward or back To start the arch scan cylinder scan scan import calculation or the CAD Station press the appropriate icon within the main toolbar as shown below Arch scan Cylinder scan Scan import Calculation CAD Station Production management YS SYS GENERAL OVERVIEW HEL 1 3 4 6 11 12 The Straumann CARES Visual 8 0 software automatically Ge ang ee eS s a starts the selected application and displays the main win dow of that application For ease of use the applications follow the same format 1 List of orders that can be processed by the application 2 Information area of a selected order 3 Several applications can be open simultaneously To switch between applications select the desired ap plication Tab 4 To exit an application click on the Exit icon on the far right of the application tabs Double lettclick on an order or drag and drop the or COM 121104 A Dr Dentist My E COM 121103 2 Dr Dentist My E4 COM 121103 1 Dental Lab EA COM 121004 444 Dental Lab der into the main view for use Orders can also be routed with th
66. ntraoral data for the first time Login data will be stored When you are logged in all downloadable projects trom the shared sever will be displayed INBOX f eume Lees eee Lf tohto Mettee etm fees mnte Sea agant g oa Please choose a connection from the buttons on the left 35 Adjust your preferences if necessary The Hide Patient and Hide Dentist options are not available for user adjustment AutoRefresh Defines the interval in seconds for reading data from the server Auto Download If ticked all files will be automatic ally downloaded trom the server depending on the selected CARES links Auto Accept If ticked all downloaded orders will be automatically imported without any changes by the user Auto Save Import File After successful import the xorder tile will be copied to the specitied directory At a later point of time the user can load and reimport the xorder tile using the Order Management Enter your CARES user name and password and click Save Select All Cases to open the Inbox and to list all files The status of the individual orders can be read from the Actions column Saco gg LIWII 1d PM LTO IIH AM LU i AM INBOX The following status messages can be displayed Download The tile on the server is ready for download The file is being downloaded from the server Downloading Import The file is ready to be imported after downloa
67. o generate automatic file names for the pro d duction design tiles you create E oms royre 3 1 1 3 Defining dentist and patient Next define the dentist and patient for your order Click on Dentist The Select dental customer window opens Select a dentist and a patient from the list 28 i Information Search amp Dentist Q Patient items ORDER MANAGEMENT Defining a new patient For a new patient press the New button in the Patient list The New patient window appears Enter the patient s first and last name and press OK Defining a new dentist Rightclick on the customers country or clinic level to access the local menu Then select New Dentist The Master data dentist window appears Enter all the necessary data and press OK ORDER MANAGEMENT Dertet etermeten Content E DR Contes Cuterer OGN LI090 1 0300 Search Peude Pera Tm 3 Praet posege Fam P G Prent Paea New patient Patient identification First name new Lastname patienti Patient iD PAT 121114 091231 WA OK BG cance Select dental customer Order number 2 Order number COM 121113 3 Dental customer E Customer ID Customers BR Customers Laboratory DEN 121024 DEN 001 29 30 3 1 1 4 Editing dentist or patient data Data associated to a dentist and a patient can be changed or deleted LL Note When you delete a dentist or patient such dentist patient will not be
68. odel displays a preview of the prosthesis at the bottom of the screen Open application starts the appli cation corresponding to operation step 8 2 Retrieving files 8 2 1 Retrieving scan files Retrieving scan tiles allows saving scanned data as an STL tile The function is accessible at order level Master dataDr Dentist Dereal CIREAN Management Customer D DEN 12i114 00232i kientification Dr Dentist WOK FE cancer c gt Route Forward lt gt Route Back 7 Customer Details S Export Order P l Duplicate Order 4 Archive N Save and Purge ey Purge Only E Attached documents iy Unlock ADMINISTRATIVE APPLICATIONS Detine the path where the STL tile will be saved Automatic tile names are generated with _prepscan added for prepa ration arch and _bitescan added for antagonist arch it exist ing LL Note Additional data can be included in the STL This can be use ful for advanced prostheses designed in several sessions e g exchange of data with partial framework 8 2 2 Retrieving manufacturing files Retrieving manufacturing tiles allows saving data necessary for manufacturing The manufacturing files organization will depend on your manufacturing solution The function is ac cessible at the order and order item level At order level Retrieve manufacturing files will save the files of all order items included in the order ADMINISTRATIVE APPLICATIONS x Dateina
69. om anatomy kit Save the modifications applied to the anatomy LL Note The Anatomy Editor has only limited functions in the valid ated worktlow LL Note The Anatomy Editor automatically generates the symmet rical anatomy when a tooth is selected i e ifa 14 is cre ated the 24 will be automatically generated 9 5 2 Sleeve holder registration To be able to use the wax up abutment function in the Strau n mann CARES Visual 8 0 software you have first to re gister your waxup sleeve holder by entering its code All waxup sleeve holders supplied have been individually measured after manufacturing and given a unique code This code ensures the correct alignment of the milled abut ment ADDITIONAL FUNCTIONS 137 Betore creating the first order for a wax up abutment Start the Straumann CARES Visual 8 0 software and select the User Preferences icon at the bottom right of the screen In the new window switch to the User Preferences tab Choose a manufacturer and enter the codes of your personal wax up sleeve holders a Click Save to finish registration 138 Ro asg sg ss Z straumann User eemections T User Preferences Lava Design Software 7 CAM Module Defaul Output Folder C Usery Public Decumenty LevaData Expert av oa Default Output Folder CiU Pubie Documents LavaDaba Expert Screeniort Output Felder Default Output Folder CAProgram Filet 8
70. port Order A Duplicate Order 5 Archive N Save and Purge ia Attached documents iy Unlock Confirm x Are you sure you want to purge completely from the Database all the archived orders The information will be removed forever from the system Ares ro md Duplicate Order S Archive Save and Purge aw Purge Only ie Unlock 119 120 Attached documents allow managing images or documents related to a case All images generated by the camera but ton are automatically attached Attached documents display a window listing all attached documents and allow viewing adding and accessing to a content panel 8 6 Refreshing data from server Straumann CARES Visual 8 0 software offers compre hensive data management and multi station configuration This may sometimes lead to delay between actions and the update of the displays A specific icon exists to refresh data trom the database which is stored on the server For refresh ing data from the server click on the icon in the main tool bar Attached documents E ADMINISTRATIVE APPLICATIONS 8 7 Importing third party order Straumann CARES Visual 8 0 sottware can process data coming from third party solutions To import such data click the Import third party order button in the Order Manage ment A window appears allowing to select import type and file location The Straumann
71. pros thesis type accessible for the material ADDITIONAL FUNCTIONS SSBBABAES CARES Abutment Zr P CARESD Abvament Ti CARESS SRSS Ti CARESS SRED coron F polyamide f zenon HT P PS emat CADLT PS emax CADHT P PS emat CAD MO WS Empress CADLT J WPS Emprens CAD HT PS Empress CAD Muki P IA ESPE Lava Uti A ESPE Lava Ui VITA Mak VITA Trilume STMN dev SagieObject STMN dev SPBarBridge rd corong J polycon se also for f polycon cait toon zernon also for Vano is r rrea Hi a 123 This material parameters table will affect the Order pera Creation and Prosthesis Type windows ECS amp S gt T ve te erty A i A ra yi a yas a he he A gt oT um eae A k yC si 9 1 2 Virtual die spacer parameters gt j f JULU This function is available in the external workflow only This table defines the default value for cement gap virtual spacer margin thickness and collar lines ADDITIONAL FUNCTIONS 124 This material parameters table will attect the Coping Para meters window 9 1 3 Manufacturing parameters This function is available in the external workflow only This table defines advanced parameters related to the man utacturing process It manages the accessibility restriction of the
72. rder is accessible at order level not at order item level Export order requests you to define the path where the file shall be saved A tile is created in the defined location with the order ex tension This order tile can be managed as an usual file e g email or upload to FTP site Import order is accessible in the Order Management main window through the Import order button ADMINISTRATIVE APPLICATIONS eS Route Back T Retrieve Scan Files 451 E Customer Details Dateiname Order_dental laboratory COM 121114 2 Straumann CARES Orders Speichern Abbrechen Dateityp E Archive GP Save and Purge ey Purge Only _ Attached documents G Unlock 115 In the Import order window select the path where the or der files shall be saved The Import order window summar izes information about the original order such as Original administrative information m Scan preview Material information Tooth numbers Prosthesis preview LL Note Should several order items be included in the order each of them is available as preview When importing an order you decide if you want to auto assign patient and dentist i e the order will be automatic ally attached to the corresponding patient and dentist or if you want to assign the patient manually In case of manual patient assignment detine the corres ponding patient and dentist Press OK in the Import order window to st
73. rial Y Attachment items gt S Clinical Handles 7 E Adjust Contact Points gt Recompute Bridge wW Edit Order Show Nesting Block When ready press Exit current design button The order and related files are now available in the Order manage ment for you to assign a manufacturing request 60 SCANNING 5 5 1 3 Bonding base creator The Bonding Base Creator is not available in every coun try Open the Bonding Base Creator Ti Base Creator located STRAUMANN CARER in the Validated Workflow of the Dental Desktop Validated Workflow 9g O CARES Visual E0 Bonding Bast Creates STRAUMIANA EXPERTISE ry CARES Elements CARES Abutment Register the sleeve holder by clicking Extra and then the Holder registration icon in the toolbar at the top ccc ear Teper 1 3 HMI tot kpina 1 6 2146267501 inimi 4 3 22862 aise Impar 5 0 THM odpik panim 6 0 Pe 2 Before scanning the Bonding base make sure the screw hole is closed i e with wax and the surface is matt and ho mogenic The Bonding base has to be placed into the appropriate Sleeve holder which needs to be put into the sixth cylinder See chapter Sleeve holder456 for placement instructions SCANNING remand 61 Press the New Titan Base button and the Scan Dialog will appear Choose an implant which you want to scan the Bonding base from and click OK The scanner lid will open after the scanner is a
74. s C Display False Colors Anatomy Multi Designer BTS 3 ee Add Mouse Left Button CI Remove Ciri Left Button D Smooth Shift Left button O Wax up teal D Eraser AH Left Button Display Minimum Thickness Color O Display Opposite Tooth Colors x He cont 69 70 6 1 2 3 Handle edition It is possible to add handles Within the subs menu the res toration can be sized incrementally by a corresponding value Otherwise use the colored grippers to transform the shape Different gripper colors represent different functions 6 1 3 Tooth anatomies The Straumann CARES Visual 8 0 software contains vari ous anatomy libraries of Straumann cooperative partners If you want to change the anatomy in the CAD rightclick on the prosthesis and select Anatomy gt Re Adapt Anatomy from the menu CAD module Choose the anatomy kit and click OK 6 1 4 Mirroring anatomy of a natural tooth Replicate an anatomy in the CAD with the mirror anatomy function When scanning make sure to include the anatomy to rep licate in the area of interest CAD module Prosthesis Parameters 7 In the CAD module right click on the prosthesis on which to apply a natural anatomy and select Mirror Anatomy An editor window will appear which guides the user through the application First draw an extraction line on the model as shown in the screenshot At
75. s order number and attached order items The bottom part shows a summary of the order a preview of the prosthesis can be displayed Multiple orders or order items can be selected simultan eously using the CTRL or SHIFT key It necessary the column organization can be modified by a right click in the header Actions are available for order and item by a right click The list of possible actions is different for an order and or der item and varies according to the operation step e g for an order waiting for scanning you cannot retrieve scan ning and manufacturing files S Cx Dentist o x Patient S WZ Tooth S Product Implant Kits A Scan System Prosthesis Type S FD Tooth Color o o Remote Status o Remote ID 3 Creation Date A Operation x Customer New property Sort Columns ADMINISTRATIVE APPLICATIONS The actions shown on the screenshot are accessible within the Order view Use this for instance to manually Route Forward or Route Back between procedural steps com 121119 COM 1211 Retrieve Scan Files L COM l21 2 Customer Details S Export Order a Duplicate Order Archive EN Save and Purge a Purge Only ia Attached documents An Unlock The actions shown on this screenshot are accessible within the Item order view ADMINISTRATIVE APPLICATIONS 111 112 Customer details display information on the dentist The Preview M
76. te scanbody recom struction If chosen recommended now scan your gingiva profile emergence profile using the global gingiva scan over whole jaw with the Sean gingiva button To reduce size of the gingiva scan choose Delete faces and only the new parts will remain otherwise clean your scan with Remove scan faces f only a part around the implant has to be scanned choose Sean gingiva from the implants local menu Press the Open lid button to open your scan ner 9 Click Edit Margin to select the margin line manually by clicking on the gingiva scan or compute the line automatically 10 Click OK 11 Review and evaluate the results 12 To confirm click OK Repeat the steps 9 12 for each implant 13 When done exit the scan application by selecting the blue button on the lower right SCANNING Compute Line Options x Compute Line Options w Radical Height mm 2S Angulation deg 7 gt ene ern n Cheating o O Cv 0 96 cone 55 56 LL Note For a screwtetained bar a margin does not have to be placed It a gingiva mask is located on the model remove it before scanning the initial scan and place it back on the model when performing a gingiva scan If the gingiva is not aligned use the Reposition gingiva button from the Gingiva scans local menu If your order has a mixture of implant and tooth borne restorations continue with the cylinder scan be
77. terial function is accessible at the bottom of the material list Create manufacturer amp Delete manufacturer Q Add material L 2 Wax Resin inn Lava Ca Lava DVS a Lava Plus Ga Lava Ultimate ew Lava Wax ea Lava Zirconia al Zirconia The material definition can also be updated with data sent Occ ee by a DHS production center with the Update Material op E aterials tion Teilekatalog G2 Default E Rename Material DWO f Copy Material S Metal 8 Delete Material CS Waw A Set As Default es Lava Stan a Export Material a E i i ea Lava Ultimate Ca Lava Wax end Lava Zirconia oe Zirconia ADDITIONAL FUNCTIONS 131 132 9 2 Dentist management The Dentist Management application permits you to organ ize dentists and patients To start the Dentist Management application press the Settings icon in the main toolbar and select Dentist Man agement Dentists are organized by countries and clinics Independ ent dentists can also be managed The main Dentist Man agement window looks as shown on the right side Dentists can be sorted by country clinics and names You can add countries clinics and dentists by clicking the right mouse button the window will appear and the respective icon can be selected You are either requested to choose a country when the window appears or to complete the im formation for the new clinic or dentist You always need to contirm by
78. ters in the Straumann CARES Visual 8 0 Val idated Workflow are preset and validated and achieve cus tomers high quality milled products Some functionalities described in this manual may not be available in the validated worktlow INTRODUCTION 1 4 External workflow The Straumann CARES Visual 8 0 sottware is built on the Dental Wings Open Software architecture Straumann CARES Visual 8 0 has a supported validated worktlow In addition Straumann is offering its customers the Straumann CARES Visual 8 0 external workflow This provides our customers the opportunity to get access to third party milling centers by using open STL 1 5 General precautions The CARES Visual software contains several precautions which are developed to inform you about incorrect use of the CAD modules and its tunctionalities Please be aware that critical design parameters are pre set for correct and predictable outcome incorrect use could lead to breakage or damage of the prosthesis The visual information which occurs on the design in red or yellow colors refers to an incorrect dimension and em forces you fo perform corrective action Further precautions can be found under the respective chapters in this manual please ensure you have read them betore using the software To ensure that the design is as expected always check the prosthesis on the model before placing it in the patient s mouth INTRODUCTION 2A GENERAL
79. terwards adjust the position of the extracted anatomy over the overlay and finish the mirroring by veritying the ad apted anatomy 72 RP Re Adapt Anatomy J Adapt Anatomy On WaxUp W Add Remove Material S3 Clinical Handles o eons KI Adjust Contact Points Show Nesting Block CAD module 6 1 5 Adjust contact points The Adjust Contact Points function is available in the Over lay context menu Click the Mesial and Distal buttons in or der to mark the contact points on the adjacent teeth and se lect Adjust Contact Points 6 1 6 Clinical parameter definitions The Straumann CARES Visual 8 0 software is clinically oriented and allows to set the coping parameters needed for the design The parameters are managed in two different ways For de tailed intormation on the worktlow see chapter Local adjust ment 24 CAD module Adjust Contact Points x Options ov Q Clear Proxamat Info Contact Point men Use Contact Area ER Project Proximal Areas heron Occ Occlusion Thickness men Gs o K Pe Adjust occlusion j 7 ox HE cance 73 74 Parameter tables for general prosthesis parameters e g prosthesis type and minimum thickness Parameter tables will differ according to prosthesis type These parameters will be used for the computation of the automatic pro posal of the prosthesis To access the coping parameters rightclick on the o
80. to a design Rightclick on a prosthesis and select Attachment Item gt Add Attachment Item CAD module 91 92 A Parameter window opens Select an attachment from your library Select female male from the kit Activate deactivate gingival correction When activated any part of the attachment which in terferes with the gingiva will be cut Use the incre mental menu to define the distance to be kept between attachment and gingiva Display a preview of the attachment Grippers are provided to transform and move the attach ment Scale the attachment with the green and blue handles Move the attachment with the pink handles Adjust the orientation of the attachment with the yel low handles R Delete attachment item BB Reposition attachment item SI Set insertion axis Click OK to merge the attachment with the prosthesis In case of turther adjustments at a later point of time right click on the attachment and select Reposition attachment item from the menu to readjust size position or orientation of the attachment CAD module Modify the attachment insertion axis by selecting Set inser tion axis from the same menu If the model contains two at tachments the Attachment Insertion Axis Editor will dis play both Click the Set Insertion Axis button at bottom lett and define the insertion axis Click OK to exit the editor A window will open and inform you
81. two ways to scan implantborne restorations 1 Onacast model 2 With a sleeve holder SCANNING 53 54 Requirements for the model with implants for screw retained bars and bridges Only whole jaw models can be scanned body or Mono Scanbody Make sure that angular deviation between the implants does not exceed the limit Make sure that your scanbodies are placed correctly and are screwed to the implant LL Note Place the model on the putty and set the height of the rod to the level of implant interfaces Scanbodies Scanbodies can be used to determine the abutment posi tion ZA Precaution Inaccurate scanbody reconstruction may lead to an incorrect prosthesis angle or position Therefore thoroughly follow all the instructions for the scanbody 701149 IFU CARES Mono Scanbody and 150 771 IFU Straumann Scanbody 5 4 1 Implant borne from model The scan process contains several steps which have to be completed before starting the CAD station LL Note Be sure to adjust the Mono Scanbody with the flat side to wards the buccal side Make sure that you do not mix the scanbodies only scan SCANNING oS SP Click on the Sean Application icon Drag amp drop the case into the scan window Create a jaw scan by selecting Normal scan Set your scan options Click OK Click the top surfaces of the scanbodies as the tooth numbers are displayed Click the green checkmark to initia
82. und the coping Obviously the min imum thickness of material for the overlay will be respec ted An anatomy is computed Parameters are accessible to the user to detine the porcel ain reduction on the mesial distal buccal and lingual sides on both cusp and equator line Cervical and occlusal reduc tions are also accessible For information on how to adjust parameters see chapter Local adjustmentO24 A cross section shows the reduction for porcelain and also the respect of the minimum thickness of material CAD module 8 82 The clinical tunctions visible on the screenshot to the right are accessible on a simple coping with anatomy 6 2 1 6 Reduced crown The reduced crown manages the reduction trom the full mor phology in order to compute the required space for veneer ing material all around the coping Obviously the minimum thickness of material for the overlay will be respected An anatomy is computed Parameters are accessible to the user to define the veneer ing reduction on the mesial distal buccal and lingual sides on both cusp and equator line Cervical and occlusal reduc tions are also accessible CAD module For information on how to adjust parameters see chapter Local adjustmentO24 A cross section shows the reduction for veneering material and also the respect of the minimum thickness of material The clinical tunctions visible on the screenshot to the right
83. ust the current incisal edgeline as shown in the picture and click OK VVhen you have set the insertion axis route the order forward After calculation open the CAD station and drag your order in the main workspace CAD module 89 90 The Straumann CARES Visual 8 0 software computes an automatic proposal You have the option to readapt or mir ror the anatomy Further you can model both the anatomy and the overlay using transtorms clinical handles or add remove material Depending on the selected material you can edit different parameters For information on how to adjust parameters see chapter Local adjustmentO24 6 2 1 12 Diagnostic crown A diagnostic crown can be used as a temporary prosthesis until the patient s next appointment It is also usetul to show the patient a virtual model and to obtain the patient s ap proval for the treatment To create a virtual preparation select Diagnostic Crown as prosthesis The software will create a virtual margin CAD module Procedure Specify the tooth and create an order for a diagnostic Crown Scan the diagnostic crown Replicate the order and adapt the diagnostic crown to the anatomy of the model s Mirror the anatomy LL Note Diagnostic Crowns are only available in the external work flow 6 2 1 13 Additional functions for tooth borne restorations Attachments During a CAD design you can place an attachment trom the library in
84. ust the degree of transparency of the component parts of the clinical situation and or prostheses To adjust use the slider as shown The Scan Application has a separate additional vertical toolbar for Arch Scan and Cylinder Scan with the following functions GENERAL OVERVI EVV Gingtva M Anatomies e Overlays F wu Interference colors iv Display Effects Set adjacent points Scan gingiva global Scan waxup Scan in cylinder Set margin line Occlusion key scan Scan antagonist Set scan options Open scanner lid Cancel scan a n roae _m 20 GENERAL OVERVIEW Start auto computation Scan assigned dies Set next available margin line Open Scanner Lid 2 4 3 3 Local menus In the course of the scan and design processes you will have to perform specific tasks on particular clinical elements e g editing the margin line adjusting contact points etc These tasks can be done using specitic local menus that are context sensitive GENERAL OVERVIEW 21 22 For example the local menu of a die allows you to edit its margin while the local menu of a prosthesis will allow you to adjust its contact points To access these menus place the cursor of the mouse over the element and press the right button of the mouse The header of the local menu displays the tooth number 2 4 3 4 Assistant The Straumann CARES Visual 8 0 software includes a sottware assista
85. veneer design on Buccal surtace without overlapping in cisal edge Abutments Full crown on implant Full anatomic abutments design The implant position is detected via the scan body detection within the model scan only available with SR Bridge Reduced crown on im Reduced anatomic abutment design The implant position is detected via the plant scanbody detection within the model scan Bar pillar Pillar to design screw retained bars The bars will be inserted automatically between the defined pillars Custom abutment Customized abutment via scanbody detection The design of the meso structure is adapted to the displayed anatomy surface Custom abutment with Create the customized abutment via scanning your wax design with the corres waxing ponding abutment holder Waxings W Simple coping with Design a simple coping by scanning your wax design waxing 142 ANNEX 11 2 Product material matrix CARES abutment ZrO2 Abutments CARES Abutment ZrO2 NC RC NN RN Reduced crown on implant Custom abutment with waxing CARES abutment Ti Abutments CARES Abutment Ti NC RC NN ZRN WIN Custom abutment with waxing CARES Variobase Abutments zerion ZrO2 NC RC abutment also for Variobase NNC RN WN Reduced crown on implant Custom abutment with waxing CARES Variobase Abutments zerion ZrO2 NOBEL Custom abutment with waxing coping also for Variobase CAMLOG CARES Variobase A
86. verlay is computed with respect to the Anatomy design Consequently if a modification is applied to the Anatomy the Overlay will be automatically updated For example in the case of a clinical coping the Straumann CARES Visual 8 0 software will update an overlay to com pensate for the porcelain thickness However a modification applied to the overlay will not af fect the anatomy The overlay s defined ceramic interface will always respect the minimum thickness followed by the cement gap which are defined within the material In the case of an anatomical coping the overlay will be projected on the minimum surface trom the equator down to give space for the ceramic even if an equator space of Q mm is set CAD module 6 2 1 2 General design types The Straumann CARES Visual 8 0 software offers a broad selection of general design types Based on the se lected material the following design types are available Crowns prosthesis family Simple coping Simple coping with anatomy coping with virtual anatomy Clinical coping coping with pre defined reduction Reduced crown Full crown Telescopic crown Pontics prosthesis family a Pontic Full pontic Waxing prosthesis family s VVaxing copy Simple coping with waxing Inlays prosthesis family Inlay s Onlay Partial crown Buccal veneer Veneer shell for Maryland bridges Anatomical veneer a Reduced vene
87. w or partial jaw scan When the Occlusion Key Scan window appears place the opposite model in occlusion on the other model secure the models e g with rubber band and click OK to start the Occlusion Key Scan In order to scan the opposing model switch by selecting the blue arrow Click the Sean Antagonist button place the model into the scanner and start the scan During the scan of the opposite model reposition the occlu sion key scan with your first scanned jaw by clicking the Occlusion Key Scan with the right mouse button and select Reposition to lower upper jaw t is recommended to post pone this action during high level processor and memory us age of the computer Arch Scan Upper Arch Scan Parameters Arch Parameters Normal scan Partial Arch Scan Use 3D Scan File Scan type _ Wax up _ Emergence profile s E Antagonist data needed Antagonist type Checkbite Positive model with occlusion key scan Occlusion ley scan Occlusion key scan Ke Please add the antagenist arch in occlusion position in the scanner Use a rubber band to make sure that the two arches ore tightly held together Invert Normals LJ Export scan SCANNING To perform three point matching place three points at prom inent positions which exist in both scans LL Note Ideally the three points build a triangle by remote posi tions Once all points are placed select

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