User Manual for Lava™ Lab Software 2.6 for Chairside Oral
Contents
1. 3M ESPE User Manual for Lava Lab Software 2 6 for Chairside Oral Scanner This User Manual is intended for licensed users of Lava Lab Software 2 6 for Chairside Oral Scanner This document contains proprietary and confidential information of 3M ESPE No part of this document may be duplicated or transmitted in any form without prior written consent of 3M ESPE Every effort has been made to verify this guide s completeness and accuracy 3M ESPE makes no warranty or guarantee as to its accuracy or applicability for use Information in this guide is subject to change without notice Brontes Technologies a 3M Company 10 Maguire Road Suite 310 Lexington MA 02421 General 1 781 541 5200 Fax 1 781 541 5272 Service and Support 1 877 SCAN LAVA 1 877 722 6528 Customer support email cossupport mmm com 3M ESPE and Lava are trademarks of 3M or 3M ESPE AG 3M 2010 All rights reserved Part No 63 0024 Manual Lava Lab Software for C O S 2 6 Last updated May 12 2010 44000760973 02 User Manual for Lava Lab Software 2 6 for Chairside Oral Scanner User Manual for Lava Lab Software 2 6 for Chairside Oral Scanner 2 LApphicaton Mieri T RETO T TE 3 IB CALCU AN Lon Wil m 3 PA CaS SClECHIOMN iugcui E 5 1 2 T Download and Open CASES uu sia ausu putas iQatu029502892 989 00 90 5 a 0 04010005 0000200 MAP hrii 8 IBS PIN CAC2. button to go back and make the necessary corrections No changes to the margin are allowed in the Review step 2 4 6 Review and Submit the Case In the review step you can manipulate the model with the Scan Model Manipulating Tools discussed in section 2 2 1 to check the margin curve for accuracy and any gross errors Lab notes When a case has been margin marked the lab can add notes which will be submitted with the case and will appear on the prescription when the model arrives Notes are added to the case in the Review step before the case 1s submitted Click on the Lab Notes text box and type to enter your notes Lava Lab Software 2 6 for Chairside Oral Scanner Page 40 Haw fer Sabimei eh Lab notes text box Display hide arches Submit Case button Suto ee roget Mim Cane Last Syved A La 2010 J 6 FH Review Model Screen W i e be Display hide Arches a During the Review step you can also turn the display of the maxilla and the mandible D on or off Submit Case When you are satisfied with the margin curve click the Submit Case button at the bottom of the screen to send the case data for model production After the case is uploaded successfully the case selection list will load so a new case can be marked NOTE This step cannot be undone Make absolutely certain that you are committed to the case before completing this step Lava Lab Software 2 6 for
3. 2 4 Marking the Margin oes ooa EoRE Mu ERR estectes UI RESQUE ON EID I MA NEUE E ONE 27 PAN Selecting hie BIS NN Em 24d 2 4 2 Marsin Marking v MT 28 LRN OTE 4ccassccsteacdensusntasseteacdunstosterasslnaddunseacquetetnctuecouncemeeptneeuncounseuetetneruccouncemeepteetucc anseuetste 36 P N deo Caley Noe NIE TTE DOTT 37 2A Marsin MIKINE serer TORT 39 2 4 6 Review and Submit the Case ccccccccsccsccccccccceccccccccccccccccccccccccccccccccccccccccccccccccccccccccesencees 40 2 4 7 Request Digital File Cleanup seeessseeeeeeeeeeeeeeeeeeeeeenn en nnne nnnm n nennen nsns nnn nnn nns 42 24 6 Practice Cases and Sel Cert MGA OM sec cceccateasnieasanennmsatwinsicanetonemantlenenieanatenamaatweenieanedeartananionnainten 43 For problems or questions contact Customer Support 1 877 SCAN LAVA 1 877 722 6528 or email cossupport mmm com Lava Lab Software 2 6 for Chairside Oral Scanner Page 2 1 Application Interface 1 1 Startup and Log In To start the application double click the 3M ESPE icon on your desktop Desktop icon Using the account information provided by 3M ESPE enter your email address into the User Name field and your password into the Password field Click the Log In button or press Enter Please Log In Lava Laboratory Software for the Chairside Oral Scanner Version z b Weer Mame PO Fassward E i Log in window Lava Lab
4. Et ZUCEEETLSHE TIT CEPIT CDES C543 pg Annotation Tools jpg Email annotation tools a Save the email Add a box to highlight an area of the screen e Add an ellipse to highlight an area of the screen A Add a text box Add a text box with an arrow Clear Clear all objects aiiud Make objects editable Lava Lab Software 2 6 for Chairside Oral Scanner Page 52 Doctor s Annotations If a case has a margin that the doctor thinks may be ambiguous he has the option of suggesting where the margin points can be placed Those points appear on the Lava Lab Software 2 6 screen to aid the lab during the margin marking step A new icon also appears in the toolbar alerting the lab to the existence of annotations The doctor s annotations are small yellow dots on both the scan model and video frames Video frames with annotations are flagged with yellow notepad icons Click on the video frame s thumbnail to display the frame with the yellow annotation dots Note The doctor s annotations are meant as a guide and therefore may or may not be accurate Ultimately the lab must use its best judgment when margin marking LLL i fet Bite Plone me nO 3 Shark 4 Berchit eee eren Frame has ORAE eee jU S9 13 annotation yellow annotation marks z e F J T a F ee Ebr u 3 EI 1 r d o Pp a ae e ny r a AS a a iz i id K f f prem ah s a Ni i j i A ut dj rae
5. Lab Software 2 6 for Chairside Oral Scanner Page 45
6. PM 000529 B3xPM 000505 B3X PM 00051 7 B3XPM 000481 B3X PM 000393 B3XPM 000455 B3XPM 000467 B3 PM 000416 B3xPM 000442 B3XPM 000479 B3XPM 000404 B3X PM 000428 B3XPM 000494 B3XPM 000164 B3X PM 000202 In Progress In Progress New In Progress New New New New New New New New New New New View Ax View Ax View Ax View Ax View Ax View Ax View Ax View Ax View Ax View Ax View Ax View Ax View Ax View Ax View Ax Download Download Download Download Download Download Download 3 Download Download Download Download Download Refresh List Auto refresh every 30 E minutes Download 12 New 3 In Progress Open Next Case selection screen Case Selection Screen Tabs There are three tabs from which to choose e Cases Ready for Marking List of cases see example above ready to margin mark See Section 2 Margin Marking e Review Submitted Cases List of cases already submitted See Section 1 4 Reviewing a Previously Marked Case e Practice Cases For practicing marking skills If you are a new user still training on the system this tab offers five sample cases on which to practice your Lava Lab Software 2 6 skills and qualify to become a Certified User Note This tab is displayed only if there are Practice cases available Lava Lab Software 2 6 for Chairside Oral Scanner Page 5 Case Selec
7. Quod Artxvintor No Ore cuts Defined Tooth selected by doctor for restoration Auto save project fin Case Last Saved 4 15 2010 10 38 AM Die cut screen Lava Lab Software 2 6 for Chairside Oral Scanner Page 23 2 3 1 Define a Die cut Plane Click on the 2D model in the upper box of the arch you want to mark and move the cursor from the lingual to the buccal surface or vice versa and click again Another way to do this 1s to click and drag the cursor Cinta Lash Garad 4 05 0010 10 19 AM Drawing lines creates the planes Please note that you cannot manipulate or reposition the model in the upper box However you can manipulate the scan model in the lower box to see exactly where the planes intersect the scan model Modify delete a die cut plane To modify or delete an existing die cut plane hover the cursor over its corresponding line until the line turns yellow Click to select it and the line will turn purple The line can now be click and dragged left right up or down A selected line can also be nudged via the keyboard arrow keys To change the angle of the plane hover your cursor over an end point until its display turns bold Then click and drag the end point to adjust the plane s angle Lava Lab Software 2 6 for Chairside Oral Scanner Page 24 You can also drag the entire plane by clicking and dragging on the line between either endpoint To delete a plane
8. Software 2 6 for Chairside Oral Scanner Page 3 Proxy Settings If you require a proxy to access the internet click the Settings button on the login screen then select the Use HTTP Proxy check box and enter your server credentials The Case Manager Server must always be listed as https api 3m com Network Settings Case Manager Server Use HTTP Proxy Proxy Settings Proxy Server Address E Pray Server Username po Proxy Server Password OF Cancel Proxy Settings Lava Lab Software 2 6 for Chairside Oral Scanner Page 4 1 2 Case selection screen Select Case rie J Cases Ready for Marking Review Submitted Cases Practice Cases User Role Lab tech restorative Rau Tromp Patient Name Doctor DrRequest Date Case H Status Prescription Action K Patient WK Patient LK Patient K Patient WK Patient K Patient WK Patient LK Patient K Patient WK Patient LK Patient K Patient WK Patient K Patient O LW Patient Doctor K M Doctor K M Dactor K M Doctor K M Doctor K M Dactor K M Doctor K M Doctor K M Doctor K M Doctor K M Doctor K M Dactor K M Doctor K M Doctor K M Doctor N M 06 18 2003 06 22 2003 07 06 2003 07 07 2003 07 08 2003 07 03 2003 07 13 2003 07 16 2003 07 20 2003 07 21 2003 07 23 2003 07 23 2003 08 12 2003 02 02 2010 02 02 2010 B3X
9. attributes color thickness etc of the object e You need to know the doctor s email address The Lava Lab Software 2 6 only has the doctor s email if that address is on his her scanner In such cases the email address will appear in the Send To field e You can email up to five images per email to a doctor Lava Lab Software 2 6 for Chairside Oral Scanner Page 34 aiai Gi Margin Review The Margin Review tool is a quick and easy way to move through margin points one at a time to assess them When a loop is closed to complete a curve the application automatically switches into a mode that enables you to edit the margin curve as necessary There are three ways to move from one point to another e Click on the right or left pointing arrow on the Margin Review tool e Press the right and left arrows on the keyboard e Press the a and d keyboard keys to move to the previous or next placed point Left handers may find this method to be the easiest When a point is selected you can move it up and down along the cutaway view using the keyboard s up and down arrow keys Lefthanders can use the w and s keys For smaller finer movements hold down the Shift key while you move the point Note If the point you re trying to review is off the model and therefore not editable you may need to first select the point with the Edit Margin Curve tool then drag the point onto the model Lava Lab Software 2 6 for Ch
10. model Lava Lab Software 2 6 for Chairside Oral Scanner Page 17 2 2 Setting the Bite Plane Lava Laboralory Soltwure for the Chairside Oral Scanner Jason Bergeron Case Number B34MM 229602 Patient Name Linda Has Doctor Articulator selected In the Setting the Bite Plane step you must perform two tasks 1 First select the articulator type quad or full for the restoration by clicking on it That defines the type of articulator in which the model kit will be created 2 Define the extrusion angle and bite plane of the scan model This 1s the angle relative to the articulator at which the scan model will be placed To manipulate the scan model into the correct view use the tools explained below Note The hinge remains on the left side of the screen as you manipulate the model Lava Lab Software 2 6 for Chairside Oral Scanner Page 18 2 2 1 Scan Model Manipulation Tools pal GN Sed Scan model manipulation tools ra m i I u Pan Moves the model up down left or right Free Rotate Rotates the model in 3D space You can move the model in any of the three views in this step but you can only rotate the model from the left view ES down to zoom 1n x 5 ESI Display upper arch Display lower arch Lava Lab Software 2 6 for Chairside Oral Scanner Zoom Left click and drag mouse up to zoom out left click and drag mouse Zoom area Greatly magn
11. of the scan model Margin points can be placed on the scan model in the Margin Definition frame or directly in the 3D video frame Make sure to zoom in closely and check for anomalies in the margin curve Use the Cut away View frame to adjust points along the cross sectional view of the tooth This frame is extremely helpful in addition to the video frames when marking the margin The cut away frame i1s also helpful if there are not adequate video frames to mark the margin To complete the margin curve place the last margin point on top of the first point and the margin curve will turn from blue to green After the margin curve is complete the Edit margin curve tool will become highlighted so that you can make corrections to the curve as necessary The use of this tool is discussed in section 2 4 2 When you are satisfied with the margin click the Review button at the top to review and submit the case Cross Section Projection During the margin marking step the application displays the Scan Model view which shows a cross section of the cutaway view projected onto the model This feature gives you more information about where you re going thereby making movement and placement easier and more accurate Lava Lab Software 2 6 for Chairside Oral Scanner Page 59 darn case prope tie Cape La ead GD 9 X7 A Cross section If you find any part of the margin curve to be in question click the Mark Margin
12. region you must move the cursor in the same direction you did when you marked the margin So if you marked the margin clockwise you need to mark the ditching region clockwise as well For no ditching click the same point on the margin twice Clear Margin Ditch Ranges This button clears the margin ditch range e C Hide show margin curve Click on this button to hide or display the margin curve on the die The icon displays the margin curve as gray when hiding a margin curve and green when displaying it Margin Curve 1s hidden O Margin Curve is displayed EA Show Hide adjacent teeth This icon will show hide adjacent teeth in the Margin Definition window It is useful for seeing how the margins of adjacent teeth meet the preparation area fsi Email Doctor If you need to contact the doctor with a question or comment you can send him or her an email along with a screen shot of the 3D video frame from the case Click the Email Doctor icon The application displays a screenshot and a form to enter an email Lava Lab Software 2 6 for Chairside Oral Scanner Page 31 rac pn M pm Arnotaten Took fe IB A A ear rx Mate ma Hep ceni cd terest Cic Tach eaga i appara Eas mage la art aad act the ea Drs racha clic herad Hal Tool bar amp wondering you could examene my actachaed images and comment on khe margin i ha pure Suck ior gon or can ke hes merencl uri a
13. to cossupport mmm com Lava Lab Software 2 6 for Chairside Oral Scanner Page 42 2 4 8 Practice Cases and Self Certification Self certification is a process by which lab technicians new to Lava Lab Software 2 6 can practice their skills and become certified in using the software Essentially it involves proving one s knowledge of the software by successfully margin marking cases provided by 3M ESPE Before self certification the technician will practice margin marking on ten practice cases These cases provide helpful feedback if the technician s margin marking steps are incorrect and must be completed before starting the self certification process To access the practice cases click on the Practice Cases tab on the Case Select screen Y Select Case User Role Lab tech restorative Riz Case r Request Date Status E Patient Doctor K M is iuc OOS B3X FM 000529 In Finis E Patient D actor K M OF 06 2009 BPM 000517 In Progress E Patient Doctor K M orr reg B3sFPM 000481 In Progress K Patient Doctor K M 07 08 2008 B3XPM 000393 Mew K Patient Doctor K M 07709 2009 B3XPM D00455 Mew K Patient Doctor K M 0771372009 B3PM O00467 New K Patient Doctor K M 07 16 2005 B3PM O00416 New K Patient Doctor K M 07720 2009 B3XPM 000442 New K Patient Doctor K M 0772172009 B3XPM 000473 Mew E Patent Marta K bd rz x3 209 Aa PR DOCIATIA Men Practice Cases tab Technicians are teste
14. we tes ter Eu MEE PEA zn Ow D m 1 mA lg 1 E JO dan pase propeti tie Cape Lat Goer 418 2008 9 33 A Doctor s Annotations Click the Doctor Annotations icon to toggle the yellow annotation marks on the model and video frame on and off Lava Lab Software 2 6 for Chairside Oral Scanner Page 33 To annotate a screenshot and email it to a doctor 1 Depending on the nature of your highlight or note select a box ellipse text box or text box with arrow from the toolbar to mark an area of the screen You can annotate the model or a video frame 2 Click on the model or a video frame and drag to draw the annotation tool If you re using a text tool add the text after drawing the box 3 Click the Attach Image button to include the image with an email If you need to add more details to different screenshots close out of the Email Screenshot screen after you ve added your first set of notes objects Then add more notes objects to the new screen and select the Attach Image button The Email Attachments box lists all the screenshots you re including in your email 4 When done click the Send Email button to open up your email program then send the email Notes e For the text box with arrow tool after entering the text drag the arrow to point it where needed e After creating an object box ellipse text box or text box with arrow select the Edit button to edit the
15. Chairside Oral Scanner Page 41 2 4 7 Request Digital File Cleanup If a lab cannot mark a margin because of an obstruction debris covering the margin etc and the situation cannot be remedied after talking with or emailing the doctor the lab can request a digital file cleanup The request removes the case from the case list and forwards it to 3M Lava C O S Support If the case can be recovered Lava C O S Support will return it to the case list if not the support team will notify the lab To request a case analysis 1 From the File menu select Request Assistance then Request Digital File Cleanup from the submenu The following screen is displayed Request Case Analysis l 3 Requesting a case analysis will remave the case from your case r list and send it to 3M for examination Tg If recoverable the case will be placed back inta your queue within a few hours If the case is unrecoverable 3M Lava COS support will call ta notify you of this In the text box below please fill in any details about this case that may be helpful for 3M during analysis and click the Submit button Cancel Request Case Analysis form 2 In the text box describe what specifically 3M Lava C O S Support should look for when examining the scan 3 Click the Submit button Note The lab can also use the screenshot email feature available during Margin Marking to capture the areas in question and email the screenshot
16. I OM Mier i etm 9 Me Dey PY PS NI De 1S OL m se sceticd aaah kere dances ee seeaans uate naamueenssoneione 10 1 3 2 Patient Data and Prescription ccccccccccccccccecceeeseesseseeeeeeeceeeeeeeesaaaseeesssseeeeeeeeseeeeeeeeseaeaeeenses 14 133 WOLKTIOW DUTIOMS T 14 Ies Toolbar DUO RR 14 Me VV OL SAC vcaatar stan cicauaseascaanatneonsboee btaac EPUM op PEN U HUE DMc Tq eco RUE P cU biNCUL Lus Mesue edi EPI ca PU SOC CURE 15 1 4 Reviewing a previously marked case eeeseesssssssssssesessseee eee 15 2 The Margin Marking PEOGOSS vcsssesceesiessscceswussssessssecewenssussuvenecuucenssevessaventeestadseveswesuessteaes 17 2 1 Selecting case to download sissssvcssssssscarsececseessicissscesesecssvssercsceceaseveestassstecessesssseaseeeee 17 2 2 Setting the Bite uri 18 2 20 scan Model Miami PU AION BOOMS sicer A E 19 2 2 2 3S MO NG Sse srs cic nadernet DU IN IUS dn IUE T E MNM INMON Ed dem i 20 2 2 Selectine the COPEGL AMICI ALON si 2ssiena iss Oo E siu da mei OE Cena dung EER 21 2 9 Drawing di cut planes ssccccssscessassisscecsusescasseenncecasesesessetescaaevesncesepesncuavestocniesiaassasnceestees 23 Zo Desine o Dicet PES uie unen tud RU HERR UTRAM RedqU d nU RUP BUT Mtm uqUT d Uu ME 24 2 3 3 Adjacent Overhanging EOOLL eese d aiodi eroe erbe o Eee epa Bbu es Opere obe qur PY ER POUR UE e aur E Eo edes abd ogesibruD aU ues 26
17. able case Click the button at the bottom of the Case selection screen This will download and open the case with the earliest Request Date Bulk download To download multiple cases click the button for each case you want to download You can mark other cases for download as cases are downloading in the background Re download To re download a case you do not have to delete the local copy first Just highlight the case in the list and press the button on the bottom of the form Lava Lab Software 2 6 for Chairside Oral Scanner Page 8 1 3 Application Interface Areas of the interface The application interface 1s made up of five general areas 1 Application menus 2 Patient data and prescription 3 Workflow buttons 4 Toolbar buttons D Workspace with one left and two right views Lava Lab Software 2 6 for Chairside Oral Scanner Page 9 1 3 1 Menu Items File Load and save your case work Select Case Loads the case selection screen for accessing cases File d a Edit Mode View Exit Save Request Assistance Start Over Switch Role Log Out File menu Save Save your current case work Request Assistance There are two options e Request a Digital File Cleanup make it work from Customer Service to determine whether a margin obstruction can be digitally deleted See 2 4 7 Request Assistance When Customer Service cl
18. airside Oral Scanner Page 35 2 4 3 Video Frames The 3D video frames on the right of the margin marking screen are a subset of frames taken from the Lava C O S device after the scan is complete These video frames provide a look into the mouth of the patient exactly as the doctor saw on the scanner when the scan was performed Video frame tools lelels culio so Video frame tools and video stills Lava Lab Software 2 6 for Chairside Oral Scanner Page 36 2 4 4 Video Frame Tools Ew w B x amp l9ls usl0o 9 Video frame tools B P Video frame to model synchronization When this tool is active you can select video stills on the right side of the screen to display the desired orientation of the model E GE Scan model to video frame synchronization When this tool is active the application will find the video still that best matches the current orientation of the model If no close match is found try different orientations of the model a Toggle stereographic 3D mode Stereographic mode shows the video frame slide in 3D You need to use stereographic glasses to perceive this effect oo Go w Rotate video still Click on these buttons to rotate the current video still frame 90 degrees clockwise and counterclockwise Lt n Brightness slider You can use this tool to increase or decrease the brightness of the video slide This can help bring out additional features in the scan You can click on the
19. ase screen Enter a value in the field at the top left of the Select Case screen then click the Filter button or press Return The system will display in the current tab only those cases that match the filter value you entered Lava Lab Software 2 6 for Chairside Oral Scanner Page 6 After filtering a list the Filter button will change to Clear Filter Click this button to remove the filter value and to re display the unfiltered list of cases Sorting cases Cases can be sorted by any of the columns except the Prescription column which 1s a column of links to Case Manager Just click the column name to sort its contents in descending order Click it a second time to sort it by ascending order Lava Lab Software 2 6 for Chairside Oral Scanner Page 7 1 2 1 Download and Open Cases There are two ways to open a case download and open an individual case or open the next available case Individual case From the case selection screen click the button under the Action column corresponding to the desired case The button will change to Stating download E which indicates the case is being downloaded Or double click anywhere on the line for the case to download it While the case downloads the button area displays the transfer speed of the download and its progress To cancel a download click the X on the right of the button When the download has finished click the button to open the case Next avail
20. d on e ditch tool e die cut planes e margin curve e bite plane e articulator selection e make it work cases Lava Lab Software 2 6 for Chairside Oral Scanner Page 43 Practice Case Review One or more die cut planes are incorrect Areas where the die cut planes should cross are highlighted green Areas that are crossed by a die cut plane that should not be are highlighted red Use the viewing tools ta inspect these areas Sample Practice Case review feedback The practice cases help the learning process by pointing out errors as you work through the case For example while creating die cut planes for a model correct planes are colored green while incorrect planes are highlighted red If there are a few repeated mistakes the system provides the correct solution The technician must complete these ten practice cases before he or she can proceed to the ten additional cases that comprise the certification process The technician must Lava Lab Software 2 6 for Chairside Oral Scanner Page 44 correctly margin mark those ten cases to be certified Unlike the practice cases the certification cases do not offer helpful feedback Technicians who complete the cases correctly will be certified immediately Those who do not correctly margin mark the cases will receive feedback from a 3M ESPE trainer For problems or questions contact Customer Support 1 877 SCAN LAVA 1 877 722 6528 or email cossupport mmm com Lava
21. eans up the digital file and sends it back to the lab the software will prompt the user to download the latest data before loading e Email Trainer Exit Exits the application Lava Lab Software 2 6 for Chairside Oral Scanner Page 10 Edit Undo redo actions Edit menu Undo Undoes the most recent action Redo Redoes the most recent action Delete Deletes an object that can be acted upon margin curve cut planes die selection etc Mode Change the workflow mode i View Settings Set Bite Plane Die cuk Mode menu Set Bite Plane The first workflow step you enter in the application Die cut Define the die cuts in the scan model Mark Margins Define the margin curve and ditch ranges on the die using video frames and the scan model Review Examine the completed margin curve for any gross errors and submit the case Lava Lab Software 2 6 for Chairside Oral Scanner Page 11 View Manipulate the model view Settings Help Pan 5 Rotate nom Er Zoom Window 1 Reset Zoom View menu Pan Moves the model up down left or right Rotate Rotates the model in 3D space Zoom Left click and drag mouse up to zoom out left click and drag mouse down to zoom in Zoom Window Greatly magnifies the region selected by the rectangular box Left click and drag your cursor to define the area The Lava Lab Software 2 6 will magnify that area Zoom All Retur
22. ection icons After you select and position the articulator and before you move on to the die cut step make sure the model is oriented correctly relative to the HINGE indicator That means the distal sides of the teeth should be facing the hinge It does not matter whether the buccal or lingual sides of the teeth face you Lava Lab Software 2 6 for Chairside Oral Scanner Page 21 Patient Name Unda Harms Doctor Jason Bergeron Case Number B3MMM 229602 e gt 2 Die cut 3 Mark Margins uad Arti f No Ois cuts Defined 2 shine hae Lediahadank Position the Hinge Set the Bite Plane When the articulator has been selected and the extrusion angle defined click the Die cut work flow button to proceed to the next step Lava Lab Software 2 6 for Chairside Oral Scanner Page 22 2 3 Drawing die cut planes The Die cut screen displays a tooth chart The tooth selected by the doctor on the Lava C O S is highlighted in green If the patient 1s missing the tooth the chart displays that tooth 1n dark gray The purpose of this step is to isolate from the rest of the model the tooth or teeth whose margins are to be marked Unlike band saw cuts made in traditional stone models these digital die cuts do not remove any material from the model A Lava lab pad Orar Auc ca i us S7 ir A Me X Mo qwe perg rnv Patient Nome Ai Patent Doctor Doctor x M K Yew Presenetion 1 Set Dito Plane 7 Die cut
23. gin In this step the margin curve is defined for the operative tooth or teeth 2 4 1 Selecting the Die s If the case has only one operative tooth that die will be selected for you automatically when you enter the margin marking step If there are multiple teeth you must first select the die you want to mark in the top left Die cut Selection frame by clicking between the red die cut lines This will prepare the die and place it in the Scan Model frame load the relevant video frames and automatically select the Draw Margin Curve tool to prepare you for marking jl LIBI a m TE j 3 Margin marking screen for single die Lava Lab Software 2 6 for Chairside Oral Scanner Page 27 2 4 2 Margin Marking Tools Margin marking tools Draw Margin Curve When you enter the margin marking step and select a die this tool is selected automatically To begin marking the margin left click with your mouse in the Scan Model view or the video frame window and drag and click to add points to define the margin curve along the scan model A Draw Curve with Margin Assist This tool helps you draw a margin curve Select the Draw Curve with Margin Assist button then create the first three points on the margin yourself This tool also works on both the scan model and the video images Then drag the cursor around the prep just inside of the margin The application will automat
24. ically place points where it thinks they should go that is the sharpest locations on the margin curve You will see the tool creating different colored points as it goes The colors designate the probable accuracy of the point s position According to the application s calculations red points have found a suitably sharp feature to snap to while black points have not Note that just because a point is red does not mean that it is exactly on the margin all points should be reviewed prior to submitting the case To suspend the creation of points while using Draw Curve with Margin Assist hold down the Ctrl key To restart the process place the cursor over the model and release the Ctrl key To reabsorb the points one at a time backtrack the cursor along the path of the dots Lava Lab Software 2 6 for Chairside Oral Scanner Page 28 You can also select Undo from the Edit menu to remove the points one at a time although you may find that a quicker alternative is to press Ctrl z the keyboard shortcut for undo You can also choose to use this tool if you have already drawn part of the margin curve with the standard Draw Margin tool Select the Draw Curve with Margin Assist tool then press and hold the Ctrl key Return to the last point you created on the curve release the Ctrl key then drag the cursor along the prep n Edit Margin Curve When you finish marking the margin by completing a closed loop the application wil
25. ifies the region selected by the rectangular box Reset Zoom Returns the model and articulator to fit in current view 2 2 2 Shortcuts Here is a complete list of the model positioning shortcuts Note that some shortcuts can be activated using more than one key combination Middle mouse button Freely rotate the model in any direction lt Ctrl gt middle mouse button Pan the model Scroll wheel Zoom the model Spacebar Press the spacebar to enter and exit View Manipulation mode View Manipulation mode provides tools that will be familiar to technicians with experience using other Lava software products e Right mouse button Freely rotate the model e eft mouse button Pan the model e Middle mouse button Zoom the model And you can always click on the respective toolbar button to perform these view manipulations Note You can move the model in any of the three views in this step but you can only rotate the model from the left view Lava Lab Software 2 6 for Chairside Oral Scanner Page 20 2 2 3 Selecting the Correct Articulator Quad articulators are typically used when the model consists of molar through cuspid teeth effectively posterior cases A full articulator 1s used either when you have an anterior preparation or when the case contains anterior teeth Select which articulator type to assign to the case by left clicking on an articulator icon Quad articulator Full articulator Articulator sel
26. ight and version information about this software Lava Lab Software 2 6 for Chairside Oral Scanner Page 13 1 3 2 Patient Data and Prescription This space displays information regarding the case including a link to view the complete prescription online Patient Name Wiliam Sherwin Doctor william Sherwin Case Number 36d2 8 R View Prescription Patient data and prescription link Patient Name The name of the current patient Doctor The doctor who created the scan Case Number The 3M ESPE specific case number for the scan model View Prescription A link that will direct you to the Case Manager to view the complete prescription for the case login required Necessary to see which teeth should be marked for the case 1 3 3 Workflow buttons These four workflow buttons are used to move from one step to the next when marking a case After a step is completed the button changes from gray e g the Review button below to a selected state with a green arrow buttons 1 2 and 3 That indicates it can be clicked on to move to the next step 1 Set Bite Plane gt 2 Die cut gt 3 Mark Margins Quad Articulator 2 Die cuts Defined No Margins Defined Workflow buttons 1 3 4 Toolbar buttons This space is for the tools used to work on the case The current workflow step determines which buttons are available Lava Lab Software 2 6 for Chairside Oral Scanner Page 14 1 3 5 Workspace The workspace
27. is where the work on the case happens Each workflow step 1s completed here Again the current workflow step determines which items are displayed 1 4 Reviewing a previously marked case Cases that have already been marked can be retrieved from the server and reviewed after they are submitted From the Select Case screen click the Review Submitted Cases tab to display a list of cases margin marked by your lab within the default date range which is 45 days You can change the date range within which to look by changing the dates in the Date Range s From and To fields on the left side of the screen A Select Case Is User Role Lab tech restorative Rau Tromp Cases Ready for Marking Practice Cases Review Submitted Cases Fill in any of the 3 fields below to Patient Name Doctor Dr Request Date Case Status Prescription Action Dre edt pan them YY EK Patient Doctor N M 02 02 2010 B3XPM 000758 Completed View Rx Download i b B Patient Doctor N M 02 02 2010 B3XPM 000226 Completed View Rx Download n V R Patient Doctor N M 02 02 2010 B3 PM 000214 Completed View Rx Download 3 0 C P Patient Doctor N M 02 02 2010 B3XPM 000191 Completed View Ax Download Patient name i 0 Erich King Ned McClure Conn 02 02 2010 B3XPM 000188 Completed View Rx Download m 0 Gust Wilkinson Ned McClure Conn 02 02 2010 B3 PM 000176 Completed View Ax Download 3 Case number 0 Annetta Kee
28. l switch you into the edit margin curve mode In this mode you can add remove or move points When you place your cursor over a point it turns blue which means it is editable Move a point Place your cursor over the red point and it will turn blue Then click and drag the point to move it Add a point Hold Ctrl click on the margin line Remove a point Place your cursor over the point then hold Ctrl click on the point Delete a margin curve Press the Delete key You will be asked to confirm the deletion Lava Lab Software 2 6 for Chairside Oral Scanner Page 29 Specifying Margin Ditch Range s Depending on the type of restoration a lab may want to ditch certain areas of the SLA die while leaving other areas un ditched After you ve marked the margin you can specify which regions of the margin are to be ditched or unditched Scan Model Auto save project file Specify Margin Ditch Range s To define regions of the margin 1 Select the Ditching Range tool which becomes active after completing a margin loop 2 Click a spot on the model where you want the ditched region to start The spot does not have to be a margin point 3 Move the cursor until you reach the end of the region to be ditched and click that spot Lava Lab Software 2 6 for Chairside Oral Scanner Page 30 Regions marked by a green line will be ditched Regions marked in purple will not be ditched IMPORTANT When selecting a
29. left or right icons to increase decrease the brightness in single steps or click and drag the slide bar to adjust in multiple steps Lava Lab Software 2 6 for Chairside Oral Scanner Page 37 D E OD Contrast slider Use this tool to increase or decrease the contrast of the video slide again to help bring out additional features in the scan You can click on the left or right icons to increase decrease the contrast in single steps or click and drag the slide bar to adjust in multiple steps Video Frame slides These images are stills taken from the scanner device of the patient s mouth Click on an image thumbnail to view a larger version Top Five Frames of the Prep Selected Prep Five clearest viewing angles The Lava Lab Software 2 6 can sort the video images to display the five best angles for any point on the margin of the selected prep Just place your cursor over the scan Lava Lab Software 2 6 for Chairside Oral Scanner Page 38 model and right click The top five clearest viewing angles will be displayed at the top of the stack of thumbnail video images To return to the full list of images for the selected die cut select Selected Prep from the dropdown box above the thumbnails You can also display all available images from the scan by selecting Show AII 2 4 5 Margin Marking Use the Draw Margin Curve tool described in section 2 4 2 to place points along the margin
30. ling Dump er 02 24 2010 B3XPM 000721 Completed View Rx Download 3 Date range 1 Annetta Keeling Dump er 02 24 2010 B3 PM 000644 Completed View Rx Download 3 Doctor name From n K Patient Doctor D E 03 08 2010 B3 PM 000760 Completed View Rx Download 17 4 2000 to 4 1 2010 x 0 Submitted cases Submitted cases for a given date range You can further narrow your search by entering a value in one or more of the fields displayed above the Date Range fields The more search fields you use the narrower your search These fields are e Doctor name e Patient name e Case number Lava Lab Software 2 6 for Chairside Oral Scanner Page 15 Click the button for the case you want to review When it has finished downloading the button will change to L____Feview___ _ J Click that button to bring up the case See the example below i Labarai t it Hob S Pottent ama inaia teeing Doctor Dp ar Case Mumbar Bee 0721 3 kark Maengin a m T MH EE Coe Lact Saeed Screen for review of a submitted case Lava Lab Software 2 6 for Chairside Oral Scanner Page 16 2 The Margin Marking Process 2 1 Selecting a case to download To begin margin marking select a case to download from the case selection screen see section 1 2 Case Selection Screen and open the case A window like the one below displays EE Eee oo Cabs Lact Greet First views of the scan
31. ns the model to its original magnification Settings Global application settings Settings High Quality Display Backface Lighting Auto Save Transparent Margin Curve Preferences Settings menu High Quality Display Unselecting this will render fewer triangles when manipulating the scan model It is recommended to keep this setting enabled Backface Lighting Toggle the lighting on the underside of the scan model on and off Lava Lab Software 2 6 for Chairside Oral Scanner Page 12 Transparent Margin Curve Toggle viewing the margin curve through the die where applicable If the margin curve is behind the tooth enabling this feature allows you to see the curve in a light green shade Help Application help and support Help 43 Contents Update Abnut a Help menu Contents Load the help file document Update Display the Update dialog box where you can choose options for when your system checks for updates to the Lava Lab Software 2 6 You can Check now for updates by clicking the Check now button Or you can direct your system to check for updates automatically check the Enable Auto Update box and select the day and time of day at which to search Enable Auto Update Schedule Check for updates weekly on the following day and tine Monday al BERE Update status Download progress Update dialog box from Help menu About Display copyr
32. select its line then choose Edit gt Delete from the menu or press the Delete key on your keyboard Single unit and multiple adjacent operative teeth Shown below are examples of creating planes for individual teeth and adjacent teeth If there are two adjacent operative teeth three planes are needed If there are three operative teeth as shown below four planes are needed For bridge cases cut planes should be defined around each operative tooth Adjacent teeth with die cuts After creating cut plane s for the case click the Mark Margins work flow button Lava Lab Software 2 6 for Chairside Oral Scanner Page 25 2 3 3 Adjacent Overhanging Tooth In some circumstances an adjacent tooth may overhang the margin When defining a cut plane with an adjacent tooth that overhangs the margin of the operative tooth make sure that the overhanging tooth protrudes the cut plane as shown in the example below Notice that the adjacent tooth forms an island as indicated by the arrow and that the cut plane enters and then exits the adjacent overhang This island portion of the adjacent tooth overhanging the margin will be shown in the margin marking step but is digitally ignored when the case is submitted for production Adjacent tooth protrudes cut plane Acceptable cut plane enters and exits protruding adjacent tooth Lava Lab Software 2 6 for Chairside Oral Scanner Page 26 2 4 Marking the Mar
33. tion Columns There are seven columns in the Case selection screen e Patient Name Name of the patient e Doctor The doctor who took the scan e Request Date The date by which the doctor wants the restoration Note Delivery is assumed to be end of day on the date requested e Case The case number assigned by the scanner to the data e Status One of either New In Progress or Completed o New A case awaiting margin marking o In Progress A case that has been started but not finished marking o Completed A case that has been marked and uploaded e Prescription A link to the Case Manager to view the prescription e Action One of Download Open or Review o Download Click to download the case from the server Note You do not need to delete your local copy before re downloading a case o Open Click to open the case after downloading o Review Click to open the case for Review Refresh List feature You can refresh the case list by pressing the button at the bottom of the screen or by checking the auto refresh box to have the system automatically refresh the list at intervals ranging from 15 to 60 minutes Print button Click this button at the top right corner of the screen to display a printable version of your case list The Filter Button Filtering a List of Cases To make searching for cases easier you can reduce the number of cases displayed by the Select C
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