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user's manual - Eki'p Dental

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1. PLANMECA Romexis Cephalometric Analysis module user s manual 8ZZLEOOL TABLE OF CONTENTS 1 INTRODUCTION innsinn O O 1 2 STARTING AN ANALY SIS rrnonnunnocinnnoen aid arian aia 2 2 1 Accessing Cephalometric Analysis module from Planmeca Romexis ccsseeeee 2 22 Sanna MEW AIVALY SES nenea E a ca ehodaatieaueeneanne 5 2 3 CONUNUING a previous analysis vecviwnsnvscaiwsshedivauscensnadacnitanhidvwutectnenavasadtachvdvaviedianmamnitankin 7 3 DOCUMENTS TAB nennen R accesses asa aes ees 8 Se PENCAUNCIISSlACCS arnet an eavaa dtm tamonass a ckiuad aoe pau peenaceaue bands wets aeaaneoa abel 9 S2 UDC TIMIDOSIIOIN ensa sae te eee gee ie tm ee es ede ee eee et aeeee 9 eC ae 1 deneenerrenrer crs Toner inn eect rene er sr etn nen ee en Teer ere Senne 10 34s CODY TOPCO ail a icteetsen cote mateteate N a a N cehaa ial aindatess 10 39 a gt renee Rea re ee Ee Pee ce 10 A VEW SE NGS sere csccs ach pis sees e eens a eee 11 A Background sensona yates evidential aa E a EN 11 4 2 Colour for unmoved elements ccccccecsssccceseeceeeeeceuceceeeecsuseecsusesseeeessusesseeeesseeessees 11 4 3 Brightness contrast and transparency s ssssssssssrserresresrrsrrrsrrsrrrrrrerrrrrrrrrrnnrenrrsrrenne 11 Adl IMAGES O a a O 12 4 5 Adjusting window layout cc eeccceeeceeeeeeeeeeeeeeneeeenaeeseaeeseeeeeeeeseeeesaeeesaeesneeseeeeaeeeneeeenes 12 5 USING THE ANALYSIS TOOLS sicctecctadeccestectvc
2. Point 1 E a 4 a Zs a ae a Point 1 on ee Fontz n 25 pper incisor 3 NS F User s Manual Planmeca Romexis Cephalometric Analysis Module 29 USING THE ANALYSIS TOOLS Point 2 Point 2 T Point 2 Point 2 To align on outline with other elements in the analysis Right click on the outline point and select Align Click on the point with which the outline point is to be aligned Also other elements can be aligned with the points of the outline E g A plane is connected to the apical point and incision inferius Point 1 Point 2 Right clicking an outline opens a menu where you can select the Align silhouette option Show Hide Align silhuette Delete 30 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS The corresponding alignment tool is opened depending on the type of the selected silhouette see follow up for interfaces on silhouette alignment Tissue alignment Tissue alignment PA point i PA point PB point Upper incisor Lower incisor Tissue alignment Tissue alignment PA point PA point PB point PB point Upper first molar Lower first molar Tissue alignment Tissue alignment PA point al uh G e PB point Sphenoid Orbit Tissue alignment Tissue alignment PA point PB point T Nasal bone Acoustic meatus User s Manual Planmeca Romexis Cephalometric Analysis
3. User s Manual Planmeca Romexis Cephalometric Analysis Module 67 CREATING REPORTS Image To display the patient s radiograph and print layer in the Analysis worksheet do the following 1 Select cells of the image in the Image worksheet or delete the image to make selecting easier The radiograph contains cells from A1 top left corner to D14 bottom right corner 2 Mark the cells Calibri 1 A ga BA o F aaa r catiri 11 0 ee ae oe ee lt 3 TLL y GP Paste Formulas Paste Paste Values Paste Special No Borders Insert Transpose Delete Paste Link Clear Contents 4 Paste Special Filter Sort Copy as Picture Insert Comment Paste as Picture Format Cells Pick From Drop down List Name a Range amp Hyperlink 3 Right click outside the image and somewhere inside the marked fields area for example on the red x point in the above rightmost picture 4 Select Copy from the drop down menu 5 Select the Analysis layer and choose appropriate field for pasting 6 Paste the copy by using Paste gt As Picture gt Paste Picture Link Changing anything in cells from A1 to D14 will reflect in this linked copy Proceed in the same way with analysis image Measurements You can copy other measurement values that is standard values names plus patient information and examination data date the radiograph was taken
4. An analysis opens in the screen The analyses are added one by one and displayed side by side so that the analysis you opened latest is always right most on the screen User s Manual Planmeca Romexis Cephalometric Analysis Module 45 ANALYSIS SUPERIMPOSITION To keep track of the superimposition process it is recommended to superimpose each added analysis one after another The analyses are opened with default colours The first analysis shows in red the second in green then third in sky blue the fourth in purple and so on Bm cz 10 2011 ro a a re Pee 7 v Visible Color SE w Fill teeth ig To change the colours permanently go to File tab select Settings and Colors tab Settings 6 Select an analysis in the tree to superimpose it over the first analysis 46 Planmeca Romexis Cephalometric Analysis Module User s Manual ANALYSIS SUPERIMPOSITION P 7 Click on the Link 1 under the respective analysis 8 Select among four superimposition types See image below Link s Link Settings ie Profile link Pri Pg The linked fields will appear in yellow 11 To return to the window for linking more analyses click the arrow on the Link button and select Add then repeat the procedure NOTE By using predefined superimposition links the link is applied immediately after the second analysis is added To use predefined superimposition links see se
5. Planmeca Romexis Cephalometric Analysis Module Tehnoloski park 18 51 1000 Ljubljana Slovenia Wr audax si 13 1 User s Manual Planmeca Romexis Cephalometric Analysis Module 95 SETTINGS 13 1 1 General Anti aliasing is a technique of minimizing the distortion artifacts known as aliasing when representing a high resolution image at a lower resolution 13 1 2 InfoBox In this field you can define the font properties type formats and size used in the InfoBox texts 13 2 Colours The colour of an element type in an analysis can be modified 1 Go to the Colors tab 2 From the Element column select the element type you want to modify 3 In the Color column select the colour you want to use for the element type and click OK NOTE Colours can be set separately for reports To change the default colour of a certain element click the colour you want to change Choose the new default colour from the drop down menu OR Click the square button next to the menu Settings Image Formats E mail Color for reports Sihouette Teeth Arc pick pick Arc point pick Arc point point Arc arc Wrapping edge Info Box Inside 1 std dev Inside 2 std dev Inside 3 std dev Outside 3 std dev Wiggle Chart Wiggle Chart Line Wiggle Chart Line VTO Original Image background Patient label color Unmoved elements 1st analysis in superimposition 2nd analysis in supenmposition 3rd anal
6. 4 Click the Ceph module button 5 The image opens in the Analysis tab and is now ready for analysis The elements of the last analysis type will automatically open with the image User s Manual Planmeca Romexis Cephalometric Analysis Module 7 DOCUMENTS TAB 3 DOCUMENTS TAB The Documents tab displays patient data cephalometric radiographs analyses Superimpositions VTOs and reports Planmeca Romexis Cephalometric Analysis Planmeca 1 Planmeca Cephalometric Analysis M 38 years 7 tammikuuta 1976 F 15 4 2014 17 3 20 an e a Image i Undefined periz Demo_Analysis_VTO 17 3 2014 eg 2014 Superimposition 31 5 2012 lyr 10 mo 17 3 2014 Add Stage To access the Documents tab click the Documents button at the bottom of the screen on the left 8 Planmeca Romexis Cephalometric Analysis Module User s Manual DOCUMENTS TAB 3 1 ee mmm Add e stage Add Stage 2 Remove Stage 3 2 Superimposition Treatment stages Patient records are automatically organized in stages based on the record dates Records can be dragged and dropped between different stages To add anew treatment stage Click Add Stage button on top toolbar OR Click the Add Stage text Click on the Date field and select the desired date from the calendar Stage Properties lyr mo 12AANA Date 12 2 2014 D 4 helmikuu 4 2014 m tk tp ls 27 28 29
7. The analysis layer enables you to visualize together all required elements for the analysis making When starting an analysis the layer is visible but all the other elements are hidden When creating a new analysis type from the beginning or when creating a new element the element is not automatically added to any layer it is recommended to add all the elements that need to be visible when making an analysis to the analysis layer For more information see section 9 CREATING A CUSTOM ANALYSIS TYPE on page 77 Report The report layer enables you to combine all elements shown in the printout report image for printing an analysis In other words if you want an element to be shown in the printout it has to be included in the report layer It is recommended to add elements to the report layer when creating the analysis type Outlines are by default included in the report layer User s Manual Planmeca Romexis Cephalometric Analysis Module 13 USING THE ANALYSIS TOOLS To show or hide elements and to use group save function use the top window buttons gt Analysis Demo Analysis 4 2 2013 All Ares All Tissue All Deltaboxes Al Measurements All Wiggle Charts Radiograph ne All Elements bee Analysis me Fam Mandible Maxilla 5 1 1 Showing hiding layers and elements in groups To show the layer elements in specific groups of elements check the Visible box next to the selected layer To hi
8. When closing the Cephalometric analysis module with Admin user the analysis types without the _local extension are again scanned If the local files differ from the files on the server the software prompts the user if the server files should be overwritten with the local files If the user answers YES the analysis type on the server will be updated with the analysis type on the local workstation If the user answers NO the analysis type on the server wont be updated with the analysis type on the local workstation and the analysis type will be stored locally with the extension _local 86 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE 12 CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE Below you can see the process for creating an analysis type Caletlations ig Standard Values Create report 12 1 Choosing phantom aF To display a lateral view of the phantom image click Phantom button Phantom 12 2 Positioning landmarks 1 Set four single points 2 Rename the points as follows Sella Turcica S Nasion N Point A A Point B B User s Manual Planmeca Romexis Cephalometric Analysis Module 87 CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE 12 3 Creating planes Connect points S N N A and N B to create planes SN NA and NB 12 4 Creating measurements Set two angles between
9. 2 2014 10 03 Findings Study 0 hments 0 AllDates Image opens in the Analysis tab File Analysis Design i 4 4 7 1X el lt i Demo Analysis i i Ng a New Open Save Clear Print Excel Snapshot Info Analysis mixed dentition X Group Calibration X s i pe reposition Layers Tree gs fal e A a Name Visible Element On L Analysis Demo Analysis F Z Entity _ Radiograph z All Elements Analysis v Report c Mandible Maxilla Thumbnail zA ae Print Color 74 BE v Print Fill Color al vTo Documents Analysis Y Superimposition J vro Analysis type Background J unmoved v Brightness Reset Contrast Reset Transparency 49 100 Fit 4 Planmeca Romexis Cephalometric Analysis Module User s Manual STARTING AN ANALYSIS 2 2 Starting a new analysis 1 Select a radiograph 2 Click on the arrow on the New Analysis button or right click on the radiograph and select New Analysis r Analysis _ New New New Analysis Superimposition WTO Document Related Documents 8 3 2013 Edit Copy to Clipboard Open Remove Stage New Analysis Document Format Select Type Undefined png Llyrimo 15 4 2014 15 4 2014 6 3 2014 Undefined Analysis Demo Analysis Remove Stage NOTE The next time this image is opened the ongoing analysis automatically opens with the image User
10. 28 3 2014 8 58 File folder di Wondershare PDF Converter 17 2 2014 9 13 File folder Libraries Ea Documents a Music Pictures Videos j Computer amp System C lu BD RE Drive D Planmeca Romexis Viewer GA Software SrvFiHkifil02 pmgroup local J G2 Planmeca2 SrvFiHkifil02 pmgroup local G Planmeca SrvFiHkicumulus M C ean A Srv FIHbifil1 AA File name Save as type Portable network graphics png v a Hide Folders Cancel 52 Planmeca Romexis Cephalometric Analysis Module User s Manual VISUAL TREATMENT OBJECTIVE VTO NOTE 7 1 NOTE VISUAL TREATMENT OBJECTIVE VTO VTO and prediction image are tools with which the user can simulate and estimate treatment outcome They are not meant to be taken as accurate treatment outcome predictions Making a VTO from analysis workflow Check for VTO readiness of the analysis type in the Analysis tab Start a new VTO Add a lateral image to VTO Simulate by moving elements to desired position calculating prediction It is not necessary to place a lateral image to VTO in order to create a simulation and treatment plan Check for VTO readiness optional Analysis Initial VTO Simulation Lateral photo User s Manual Planmeca Romexis Cephalometric Analysis Module 53 VISUAL TREATMENT OBJECTIVE VTO 7 2 Preparing for VTO NOTE Not all analyses include all the e
11. 30 31 1 2 3456789 10 11 Beis 14 15 16 17 18 19 20 A 22 233 24 25 26 27 26 1 2 A new stage is created The records can now be dragged to the new stage To remove an empty stage click on the Remove Stage button at the end of the stages list Superimposition To create automatic superimposition drag and drop one analysis over the other 11 3 2014 Undefined 4 2 2013 Analysis Demo Analysis The analyses are superimposed using predefined superimposition links of the used analysis type Alternatively select first an analysis and then click on the New Superimposition button on the Main Toolbar or right click on the analysis and select New Superimposition For more information on superimpositions see section 6 ANALYSIS SUPERIMPOSITION on page 44 User s Manual Planmeca Romexis Cephalometric Analysis Module 9 DOCUMENTS TAB 3 3 3 4 3 5 ile op New Save i Open ES Clear Save export Help VTO To create a new VTO select the analysis that is used as a basis for it and click New VTO button from the Main Toolbar or right click on the analysis and select VTO For more information see section 7 VISUAL TREATMENT OBJECTIVE VTO on page 53 ia Documents Analysis zo Re Related Documents E Planmeca Romexis Cephalometric Analysis Plan 1 Planmeca Cephalometric An 31 5 2012 15 4 2014 15 4 2014 Undefined Undefined Copy to clipboar
12. Analysis module In the Planmeca Romexis Cephalometric Analysis module cephalometric analyses superimpositions and VTOs Visual treatment objective can be composed of 2D cephalometric images facial photos and views of the dental arch The analyses are used e g in orthodontic growth analysis diagnosis treatment planning and monitoring as well as in treatment outcome evaluation The Planmeca Romexis Cephalometric Analysis module contains several analysis types including Ricketts Downs and Steiner among others To suit the different needs of dentists orthodontists or surgeons additional customised analyses can be created The software is created by Audax d o o and fulfils the requirements of Directive 93 42 EEC This manual is valid for the software revision Planmeca Romexis 3 6 0 R The analyses or analysis types saved with Planmeca Romexis version 3 5 0 R or later are not compatible with previous versions of the software The predefined analysis types that come within the software are created by the software manufacturer upon user requests Therefore it is recommendable to review the predefined analysis type content before analysis making to make sure that the predefined version of the analysis type included within the software corresponds to user s view of the respected analysis Regarding compatibility with MS Windows operating systems refer to Planmeca Romexis installation manual for more information Planmeca Romexis Cephalo
13. Field Relations 20 Facial depth 7 87 29 86 50 0 79 21 Facial axis kal 92 88 90 00 2 88 22 Facial taper F227 63 00 427 2 2 Click the arrow pointing upwards under the Measurements field j Delete measurement fro 3 The selected measurement is now deleted from the printout and shows in the Measurement field User s Manual Planmeca Romexis Cephalometric Analysis Module 73 CREATING REPORTS 8 5 3 Adding groups for printouts 1 To open a window for editing groups click this button Intramandibular relations Interjaw relations 2 To add anew group click the button Enter the name for the new group and click OK Groups Dental Relations Skeletal Relations Dental to Skeleton Relations Esthetic Relations Field Relations Internal Structure Relations 3 The new group will now show in the Print field 74 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING REPORTS 8 5 4 Deleting groups from printouts 1 Open the Groups window by clicking this button Facial lenght Projections to TVL Intramandibular relations Interjaw relations Orbit to jaw Full facial balance The deleted group does no longer show in the Print field Editing groups in printouts Select the group you want to edit and click this button In the following window enter the new name for the group Click OK Groups Dental Relation ge record Skeletal Relations Den
14. K2 Apex K1 K1 Apex Apex K2 Ke 2 The angle can be determined by two planes p1 p2 That is first click plane 1 p1 and then the second one p2 gg v 9 gr Ase i ge The planes intersect each other forming two adjacent angles Q and B The following calculation A 180 can be used To recalculate simply select the corresponding adjacent angle holding down lt CTRL gt and clicking the adjacent angle The angle consists of dependent elements Deleting the elements deletes the measurement User s Manual Planmeca Romexis Cephalometric Analysis Module 39 USING THE ANALYSIS TOOLS 5 9 3 Calculations TO open a window for creating calculations click the Calculated value button Enter the name of the calculation tag label description comment and select unit of measurement Select between millimetres mm degrees percentage or leave the field empty On the Measurements in analysis field are displayed all measurements and calculations included in the analysis type On the Measurements in calculation field are displayed all measurements used for creating the calculation in question The Add number can be used to add number constant to the calculation The arrow buttons between these two fields can be used to select whether or not to include the measurements in the calculation The other 5 4 X are calculation buttons The Calculation field displays the formula used
15. Module 31 USING THE ANALYSIS TOOLS C point PD point a PB point PA point PE point Pterygomaxillary fissure Nasal spine PA deepest point of ti PA point Ne PA point PD point l e e Mandible After the point is selected for silhouette alignment it is displayed on the list All points must be entered To remove any point from the alignment list click the adjacent dash sign Silhouette alignment selected points a one point b two points PA point PB point PB point Two points One point 32 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 5 6 Wiggle chart The wiggle chart contains analysis report measurements and displays the relations between the current measurement values and the reference values expressed in deviation from of each reference value To open a wiggle chart click this button The wiggle chart opens on top of the current image NOTE The wiggle chart should always be placed on the report layer User s Manual Planmeca Romexis Cephalometric Analysis Module 33 USING THE ANALYSIS TOOLS 5 7 InfoBox settings The measurement values can be shown while making the analysis by placing an InfoBox with the respected measurements on the image 1 Select InfoBox in the main tool bar and click anywhere in the image 2 The box now shows in the analysis To modify the element settings double click th
16. Planmeca2 Patient Test Planmeca4 Monitor Test p003 Planmeca Prohlax 3D 123456 Doe Anna 1212 Planmeca Cephalometric Analysis j 2 Click the Imaging button 3 Click the Cephalometric Analysis button on the main tool bar The following window opens starting Starting Cephalometric Analyses module please wait 4 Depending on whether or not the image is opened in the Imaging module it will open either in the Documents tab or in the Analysis tab of the Cephalometric Analysis module 2 Planmeca Romexis Cephalometric Analysis Module User s Manual STARTING AN ANALYSIS Image is not opened in the Imaging module Image opens If the image is NOT open in the Imaging Module it will open on the Documents tab as illustrated below Continue to section 2 STARTING AN ANALYSIS on page 2 RE a Ea or a Pan cev EEGA Proto intra S a 3 a 12 2 2014 10 41 12 2 2014 10 41 12 2 2014 9 58 12 2 2014 10 03 12 2 2014 9 58 hments 0 Findings Study 0 tab 31 5 2012 Oyr8mo 4 2 2013 12 2 2014 4 2 2013 Undefined Analysis Demo Analysis lyr8mo 12 2 2014 c 12 2 2014 Undefined Type Image Undefined Container Add Stage 12 2 2014 10 41 Superimposition Close Patient Planmeca Cephalometric Analysis n E E gt mi x F gis J 4 Export DICOM DICOM Print DICOM DICOM Launch Cloud Ceph Image Export DIRExp Editor Print Stor
17. amp sex 0 3 1 amp sex 3 8 4 1i Avert Ssex 5 3 5 Ssex 2 1 5 1i APog amp sex 2 3 2 Bsex 2 1 L Standard values ABO American Board of Orthodontics Arnett STCA short report facial convexity SN FH Cabinet_B chler_2_Silhouettes NL NSL ind max sapere ML NL interbasal angle McNamara Carona PFH AFH Holdaway soft tissue Bjork Gonial angle ies 1 NA HINA distance Bs ie 1 NB McLaughlin McNamar Ricketts 1 NB distance Sassouni Steiner 2ugrr sggeyg B Ricketts PA 1 A Pg he interinc angle Roth Jarabak ie upper lip E line 4 3 2 2 5 3 2 2 3 5 5 4 64 4 4 7 6 6 2 6 6 2 1 1 9 2 2 NN OF FY HY NeFP EP NDY PPP HP PRWNHNN YW PON N NY lower lip E lin Soft tissue User s Manual Planmeca Romexis Cephalometric Analysis Module 81 EDITING STANDARD VALUES 10 1 Using the buttons in the Standard values window Use the following buttons to Save table Add a standard value Delete a standard value Add a new patient type for example mixed dentition adult Export to Excel Import from Excel To add standard values in an analysis at least one patient type need to added by selecting this button New window is opened Patient type lt No data to display gt To add new patient type click this button and enter name for patient type When patient type s have been added you can start adding standard values Pa
18. click anywhere in the image Based on a single point click an existing point and then anywhere in the image Based on two points click two existing points in the analysis To switch between inner and outer arc press and hold down the Ctrl key and select inner or outer line with left mouse button See the example below T a gt a Concentric arc To draw a concentric arc select Concentric arc tool and click on an existing arc Measure 2 Ls curvature Help perp plane 1 Help perp plane 2 o1 Help par plane 1 NP oz Help par plane 1 A 3 AANPg distance o o1 s1 Pn Help par plane 2 s2 HL Help par plane 2 5 Pn HL distance st s Concentric Arc radius can be set as Radius portion radius portion of independent arc as distance from independent arc or as parameter Parameter in Concentric Arc settings is set in parameter settings For additional information on parameter settings see section Parameter on page 41 User s Manual Planmeca Romexis Cephalometric Analysis Module 27 USING THE ANALYSIS TOOLS 5 5 5 Silhouette 1 Click the Silhouette button in the main tool bar Silhouette kui 2 Start creating the outline by clicking on the image Additional clicks create new nodes to the outline 3 To finish the silhouette double click in the image where you want the silhouette to end To reshape the outline you can move the nodes by dragging To add
19. in calculation Calculated value Angle SN Pg SN NFg wa A auxiliary Wits Point aux Wits wh E auxiliary Wits Point aux Wits Wits wat wb Cony APntKony PntCony aux A konv NPg NPg PotCony aux Fadal convexity Cony APntKony KonvNPa ML NL Interbasal Angle NL ML ML NSL Mandible incination SN ML Facial axis NBa PtGn S i T _ hore ify a ste i f 5 ie K _ e m pa a D E La Ot a i r e t _ f _ 40 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS Parameter To open a window for adding parameters click Calculated value and from the appearing drop down menu select Parameter E Parameter ants Enter the name of the parameter tag label description comment and set measurement unit Select between millimetres mm degrees percentage or leave it blank Parameter value may depend on patient s sex and or age check the corresponding boxes Calculated value User s Manual Planmeca Romexis Cephalometric Analysis Module 41 USING THE ANALYSIS TOOLS 5 10 Calibration If there are some distance measurements in the analysis the image must be calibrated before amp printing iN The images taken with Planmeca X ray units are automatically calibrated The green point on the Calibration calibrati
20. measurement unit and equation 9 Select wa e Double click it or 92 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE Click this button to move it to the Measurement in calculation field 11 Select wb e Double click it Or Click this button to move it to the Measurement in calculation field 12 To finish click OK Calculated value g we oaoa p gt Measure SNA angle SN NA Z wa Plane Pntiits SNE angle SN NB lt wh Plane PntWits ANB angle SNA angle SNB angle bel E f User s Manual Planmeca Romexis Cephalometric Analysis Module 93 CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE 13 The new measurement are now shown in the image and in the tree Tree a 8 29 3 2012 bd Active picture C AxCeph2 2_release Calibration Geometry lt S Pick N Pick a SN S N eS a Plane Perp OcP A 7 Plane Perp OcP B O ang cu de soeccceopoceceocesecooooccesoceeseooosocsocoscesoscocosescoscecosesseseseesesessog sessccceoosseesesesecossseocosssseseosseoseosescososeososesssseseseeososessssoses A 11 62 pix wits wa wb 94 Planmeca Romexis Cephalometric Analysis Module User s Manual SETTINGS 13 SETTINGS To access the Settings dialogue go to File tab click the Configure button
21. remove nodes from the outline double click on them NOTE Deleting any of the two end nodes will delete the whole outline All outlines are by default on the print layer and therefore appear on the printout NOTE Silhouette outlines cannot be connected to other elements To move the outline click and drag anywhere between the endpoints and nodes To change the label name description colour or layer of the outline see section 5 4 1 Element settings on page 19 28 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 9 9 6 Predefined silhouettes Planmeca Romexis Cephalometric Analysis module comes with predefined silhouettes There are four predefined teeth outlines and seven hard structure outlines available FPane Tsu ett pre Arc g Teeth lt Silhouette O Upper incisor ooon Lower incisor Upper first molar Lower first molar Other tissue Sphenoid Orbit Nasal Bone Acoustic Meatus Pterygomanxillary Fissure Nasal Spine Mandible An outline consists of points and the outline The outline is dependent on the points and thus deleting a point also deletes the outline The outlines have predefined default positions in the analysis A newly added or selected outline is marked with a blue dashed bounding box around it The position of an outline can be adjusted by dragging its points to the desired position To change the width of the outline move the blue squares
22. s Manual Planmeca Romexis Cephalometric Analysis Module 5 STARTING AN ANALYSIS NOTE 3 Click on the Analysis type button 4 In the following window select the appropriate analysis and patient types and click OK Type Patent type ABO American Board of Orthodont Downs ideal Alexander Alewander_1 acwT Arnett STCA short report Arnett s Bern Bern acxT Bjork Bjork_1 acxT Burstone Burstone acxT Cabinet _Boichler_ 1 Silhouette Cabi Cabinet_Biichler_ Silhouettes Ca Downs Downs acxT McNamara drMafalda_Branquinho European Board of Orthodontists E Holdaway soft tissue Holdaway_ LJ shiza Ljubljana _Shiza acxT Macedonian Macedonian_1 acxT McLaughlin McLaughlin_1 acxT McNamara McNamara _1 acxT New Analysis New Analysis lacxT New Analysis New Analysis 2 acxT Ricketts Ricketts_1 acxT Ricketts PA Ricketts PA acxT Roth Roth_1 acxT Roth Jarabak Roth Jarabak_1 ac Sassouni Sassouni_1acxT Soft tissue Soft_tissue acxT Steiner Steiner_1 acxT Tollaro floating norms Tollaro floati Tweed Merrifield Tweed Merrifield Uni_Ljubljana UniLjJENG acxT Uni_ Ljubljana Uni_Ljubljana acxT Verband sterreichischer Kieferorth Zagreb 82 MOD Zagreb_82_MOD a zagreb 82 MOD WITS Zagreb_8 Zuerich Zuerich_1 acxT The analysis template appears on the image Once analysis type is selected and the analysis template is
23. s Manual Planmeca Romexis Cephalometric Analysis Module 69 CREATING REPORTS NOTE 8 5 NOTE It is recommenced to select the Analysis worksheet before saving for it to open on export a ON ed e gt AnalysisTemplate1 Compatibility Mode Microsoft Excel x Ea gt Home Insert Page Layout Formulas Data Review View Add Ins x FFE i ee z z B amp ve le a General Fa Conditional Formatting g Insert rN rs Ga aa Le 9 ij Format as Table 3 Delete a x Paste Bal E N N ible i M E E E E s ear TA Sort amp Find amp ae ua A SS Slee E E Cell Styles E Format lt 27 Filter Select Clipboard Font la Alignment pj Number Styles Cells Editing IF ISBLANK D51 IF AND D51 gt C51 1 D51 lt C51 1 NORMAL INCLINATION IF AND D51 gt C51 2 D51 lt C51 SLIGHT RETRUSION IF AND D51 gt C51 0 5 D51 lt C51 3 SLIGHT PROTRUSION IF D51 gt C51 3 PROTRUSION RETRUSION 7 A 5 c MO E H Patient name sex age Bernice Haus F 32 analysis date 14 4 2010 status Beginning x ray date 12 4 2010 WO o NODU Be wN e 29 PARAMETER NORM VAL VALUE en CEPHALOMETRIC ANALYSIS 30 SAGITAL RELATION 31 SNA 82 ORTHOGNATIC MAXILLA 32 SNB 79 ORTHOGNATIC MANDIBLE 35 SN Ba ROGNATIC FACE TYPE 36 i SN Pg 31 73 81 ORTHOGNATIC CHIN POSITION 37 Facial convexity 2 i 1 NORMAL RELATION RI Cus
24. this command to toggle a label s visibility Rotate to horizontal The image can be rotated to horizontal according to a plane Select and right click the plane Then select Rotate to Horizontal from the context menu This turns the selected plane horizontal and the whole image is rotated to match Hide Show text Tag Value Rotate to Horizontal Aligi Add to print layer Remove from print layer Add to analysis layer Delete from analysis layer Delete User s Manual Planmeca Romexis Cephalometric Analysis Module 19 USING THE ANALYSIS TOOLS 5 5 Analysis elements The analysis elements consist of points planes arcs and silhouettes They appear as independent elements or are dependent on other elements e g a point on a plane Some tools are divided in two parts a button and a drop down menu NOTE The tools can be found on Design tab To add individual points planes arcs and silhouettes to the analysis click the corresponding button To select a different type of point plane arc or silhouette click the arrow under the button and select the appropriate type me SX Point Plane Arc Silhouette a ka kai kai NOTE To repeat element creation you can use the F4 on your keyboard instead clicking the element button or menu 5 5 1 Point Point on plane Point on crossection Convergence To add a point click the Point button and set it anywhere you want in the image The point can be mov
25. while the link window is open Link Settings 6 3 1 Moving images Select the analysis or the photograph and drag it anywhere on the screen while holding down the left mouse button 6 3 2 Rotating images Rotate the analysis or photograph by clicking the green cross hairs by the First point while holding down the left mouse button The analysis or image will be rotated around the First point To resize and rotate an image or superimposed analysis grab and drag it from its corner User s Manual Planmeca Romexis Cephalometric Analysis Module 49 ANALYSIS SUPERIMPOSITION 6 4 lal Save analysis and return To reset the position of the analysis or image click the button which can be found in the Link box in the dashboard CLICK HOLD AND MOVE F R io RELEASE f ROTATION AND RESIZE Analysis and superimposition relation Any changes made to the analysis can be observed in the corresponding superimposed image Moving the linking points will modify the interrelated positions of the superimposed analysis An analysis can be modified by Saving it in the Analysis tab and then opening the corresponding superimposition containing the analysis Clicking Analysis and Edit in the Superimposition tab A window is opened where you can make changes to the analysis To accept the changes and return to the previous window click Save analysis and return otherwise click Cancel Having deleted the linking po
26. Fill Color In the element settings window you can adjust the element ID name tag define whether it is visible in the analysis add a description adjust the colour or print colour of an element 78 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING A CUSTOM ANALYSIS TYPE 9 2 1 Storing elements to the predefined database NOTE The elements are stored in the folder Romexis client cephmodule PredefinedElements on the client workstation If the user wants to use the new elements on another computer the new elements should be copied to the same folder on the other workstation Each newly created element can be stored into the Predefined database by clicking this button in the Element Settings window If the element has not been saved to predefined elements the Element ID field is empty Element Settings When an element is saved it is assigned a unique Element ID Should you choose to save a more complex element or measurement also all its constituent elements that have not been saved as predefined will be saved Element Settings After saving the predefined element it can be updated Confirm the update by clicking OK Confirm gt E bed User s Manual Planmeca Romexis Cephalometric Analysis Module 79 CREATING A CUSTOM ANALYSIS TYPE 9 2 2 9 3 9 4 NOTE Adding and deleting element images To add a new element image for a new ele
27. G THE ANALYSIS TOOLS In case the position of a parallel plane is defined with a point moving the parallel plane also moves the point Perpendicular plane Through a given point 1 Select a plane to which you want to create a perpendicular plane 2 Select a point through which the perpendicular plane should go OR Custom plane First select an existing plane and then click anywhere in the image to add the perpendicular Moving perpendicular planes A perpendicular plane is coloured brown The perpendicular of a selected plane turns purple Move the plane by clicking and dragging anywhere between the endpoints In case the position of a perpendicular plane is limited with a point you can move the perpendicular by moving the point Plane Plane 24 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS Moving a plane crossing one point If the plane is dependent of the point it can be moved in two ways By moving the green endpoint The point remains in place the plane is resized and rotated to follow the moving endpoint By moving the independent point Select and move the point as described above The green endpoint remains in place the plane is resized and rotated to follow the moving point Such planes cannot be selected as a whole and moved around Plane om re Move point to lt either direction 2 a Point Plane Moving a plane crossing two po
28. N Superimposition tools allow comparing one analysis with another analysis or a photograph with an analysis Any number of analyses and photographs may be superimposed TO superimpose analysis over analysis the used cephalometric landmarks need to be selected For example by selecting the landmarks S Sella turcica and N Nasion both analyses are Superimposed according to these two points as superimposition reference points The size of images and image rotation are adjusted accordingly Starting a new superimposition Select an analysis in the Documents tab 1 Planmeca Cephalometric Analysis M 38 ye 31 5 2012 13 2 2014 8 2 2011 8 2 2011 Undefined Analysis Demo Analysis VTO Document Format Trace ax 0 yr 8 mo 4 2 2013 g Edit Duplicate Export remoF amp Delete eMail Superimposition VTO Extract Image OR Click the New Superimposition button in the Main Toolbar 44 Planmeca Romexis Cephalometric Analysis Module User s Manual ANALYSIS SUPERIMPOSITION 3 The following window opens To add another analysis for superimposition click the Analysis button on the Main Toolbar and then click Add A list of analyses appears 5 Select an analysis by double clicking on it W Please select analysis 15 4 2014 Analysis Planmeca DEMO A 1 yri mo 15 4 2014 6 3 2014 Analysis Demo Analysis Add Stage
29. NALYSIS Distance 1 NB 5 4 1 659466mm mm 8 DENTAL ANALYSIS Angle 1 A Pg 29 22 7 6616 28 62 7 9 DENTAL ANALYSIS Distance 1 APg 1 1 0 396 1 40 10 DENTAL ANALYSIS Interinc angle 118 135 17 3457 117 71 11 SOFTTISSUEANALYSIS Upper lip E line 5 4 1 715 5 43 mm mm 12 SOFT TISSUE ANALYSIS Lower lip E line 2 2 0 318250426 159 2 32 mm mm 66 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING REPORTS 8 4 2 Creating Excel templates To create a template click the Excel button oR BE efa New Open Close Save Save Ei Print aS An Excel document opens and displays the following worksheets 44k H OP ey oP OH Fo Ready Measurements where all measurements are exported according to the print customization Image where the X ray image and analysis image are exported Patient where the patient data is exported Adding a new customized worksheet Add a new worksheet Shift F11 and rename it as Analysis Use the Insert Worksheet button to insert a new worksheet Measurements Image Patient AF il oltock Ed Insert Worksheet Shift F11 Right click on a new sheet tab and rename it as Analysis Drag the Analysis worksheet to the first position you may leave it where it is as well Insert Delete Move or Copy Gel View Code itty Protect Sheet Tab Color H Hide Select All Sheets Jatient
30. able format in another Tracing image report User s Manual Planmeca Romexis Cephalometric Analysis Module 65 CREATING REPORTS 8 4 8 4 1 Creating Excel reports Exporting analysis to Excel The excel tool can be used to export measurements patient information radiograph and report layer to MS Excel The data is exported in to three different worksheets Measurements Image and Patient The Measurements worksheet shows measurements and calculations The Image worksheet shows the radiograph and print layer and the Patient worksheet shows patient information To export an analysis to Excel click the Excel button The data is automatically saved To select another template click the arrow under the Excel button to show other template options A predefined Excel template can be included in each analysis type The worksheet shows the radiograph patient information and measurements A B c Viti 1 Patient s name Patient s birthday Date of image Sex Status Age Date of analysis 2 Bernice Haus 1 5 1977 12 4 2010 F Beginning 32 14 4 2010 A B G D E lanh G H 1 Group Name Value Normal value Difference Bias ValueS Measure 2 DENTAL ANALYSIS Angle 1 NL 119 109 10 4862 118 72 3 DENTAL ANALYSIS Angle 1 NA 31 22 9 4669 31 34 7 4 DENTAL ANALYSIS Distance 1 NA 4 4 0 342 3 66mm mm 5 DENTAL ANALYSIS Angle 1 ML 107 90 17 16681 106 68 6 DENTAL ANALYSIS Angle 1 NB 28 25 3 1488 27 98 7 DENTAL A
31. acial taper i 4 27 23 Mandibular plane to FH 5 56 2 In the Measurements field select the measurement you want to add to the printout 3 Click the arrow pointing downwards Printout customization Add measurement to printout 72 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING REPORTS 4 The selected measurement will now show in the Print field under the selected group h oan tue i 13 1 APg 7 03 14 Xi Occ mm 10 53 1000000 00 999989 47 0 15 Xi PM Occ 7 9 08 1000000 00 1000009 08 0 Group 3 Esthetic Relations 16 Lip protrusion mm 2 19 4 00 6 19 3096 feet A EEE 17 Upper lip length mm 22 63 24 00 L 3 684 18 Lip embrasure mm 2 02 3 00 0 98 483 19 Nasolabial angle 114 42 115 00 0 58 290 E Group 4 Field Relations 20 Facial depth 7 67 29 86 50 0 79 262 21 Facial axis kal 92 88 90 00 2 88 822 22 Facial taper F227 63 00 4 27 1220 Brie 8 5 2 Deleting measurements from groups 1 In the Print field select the measurement you want to delete from the printout ie aap TE EEEN Frnt 13 1 AFg 1 14 Xi Oc mm 29 03 22 00 7 03 10 53 1000000 00 999989 47 15 Xi PM Occ 7 9 08 1000000 00 1000009 08 t Group 3 Esthetic Relations 16 Lip protrusion 17 Upper lip length 18 Lip embrasure mm 2 02 3 00 0 98 19 Nasolabial angle 114 42 115 00 0 58 E Group 4
32. age Ext App Export Module 2012 31 5 2013 4 2 Ss 3 2014 E 1 12 2 2014 9 58 12 2 2014 10 03 4 2 2013 16 26 12 2 2014 9 57 4 2 2013 16 26 12 2 2014 10 03 12 2 E All Dates 1 Planmeca Cephalometric Analysis M 38 years 7 tammikuuta 1976 Pe o 8 2 2011 8 2 2011 Undefined Type Image Analysis Demo Analysis VTO Container 4 2 2013 Undefined Type Image Container User s Manual Planmeca Romexis Cephalometric Analysis Module 3 STARTING AN ANALYSIS e If the image in the Imaging module is OPEN it will open directly in the Analysis window as illustrated below Continue to section 2 STARTING AN ANALYSIS on page 2 Close Patient Planmeca Cephalometric Analysis I oe R o 5 my gt f aA J y Za ase cee ABQ ans Q Qe U l 1 4 _ Ceph Intra a intra Pi NAN TWAIN Import DICOM DICOM New Ir Sel nant Export DICOM DICOM Print DICOM DICOM Launch Cloud Ceph 7 joules Exp wiStudy le Cam up Capture Image Import DIR Imp Study Browse Layout aoe Image Export DIRExp Editor Prit Storage Ext App Export Module Lt La ra Image or photo gt S I gt is open in the Imaging module Browser 8 aa Bn a s at 12 2 2014 10 41 12 2 2014 10 41 12 2 2014 9 58 12 2 2014 10 03 12 2 2014 9 58 12 2 2014 10 41 12 2 2014 9 58 12 2 2014 10 03 4 2 2013 16 26 12 2 2014 9 57 4 2 2013 16 26 12
33. analysis date 1 Copy exported values in the following way 2 Select a cell in the Analysis worksheet and enter the equals sign 3 Select for example the Patient worksheet and the desired data and press Enter 4 The cell value in the Analysis worksheet is Patient A2 if you copied the patient s name 5 Edit the exported values according to personal preferences by changing font using them in calculations etc 68 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING REPORTS In the same way you can also copy for example the names of measurements measurement values etc Patient H l Patien Patfent a2 Patient Bernice Haus J 6 Before saving the template delete all data in Measurements Images and Patient worksheets 7 Leave the Analysis worksheet as is lll 8 Click Save Save 9 Select template and save analysis type as xlt file NOTE You need to save a template as template file format xlt 10 Quit Excel and load the saved excel template by clicking the Choose template button in the Analysis type or Analysis tab iy fm l zi Prepare New Open Close Save Save i Print AS ws Analysis type Choose template NOTE To make the template file smaller and faster to load delete both images from Image worksheet before saving NOTE If the template is chosen in the Analysis type tab it will be available next time when the same analysis type is used User
34. circle around the rotation centre 7 3 3 Moving maxilla and mandible as a group To move maxilla and mandible as a group with all linked elements such as click on the Group a Mx Md button Grou l Wik zn The selected regions turn blue 58 Planmeca Romexis Cephalometric Analysis Module User s Manual VISUAL TREATMENT OBJECTIVE VTO i Connections ole Some elements are connected which means that the elements that are dependent of the element Mx Mq thatis been moved This is valid for both translation and rotation Mx Mx posterior par Mx frontal part Md posterior part Md frontal part Chin For example if the Mx Blue Mx orange is moved the upper incisor will follow 7 3 4 Moving a Deltabox To move a deltabox simply drag it to the desired location The created deltaboxes are automatically added to the treatment plan on the Additional layer User s Manual Planmeca Romexis Cephalometric Analysis Module 59 VISUAL TREATMENT OBJECTIVE VTO 7 3 5 Prediction image th Soft tissue prediction image can be generated after a lateral photograph of the patient is inserted Prediction Before After After any changes to the treatment simulation the soft tissue prediction image has to be generated again using the prediction button 60 Planmeca Romexis Cephalometric Analysis Module User s Manual VISUAL TREATMENT OBJECTIVE VTO If the user is not satisf
35. cissesseasiesoustaeiedeleeaieinveideke 13 Sl WAN CNG pce emtean estore sce tesichietediu A E E 13 5 2 SCIECIING eleme Senesni ie Loieeaed we a a aaa 16 59 ZOOM Meda G Cctssohniehcauiant snesassosbiandanecdeneesannewiauwibotetesheacenressieagabauen tonto seanaueeta ian 17 5 4 Element information Window cccccccccsscecsecceececeececeuceseeeceueeceueeseeeesueeseueessueeseeesseess 18 5 5 Ahalysis elemenl serue cessor heaemaceete dine widen ieoreatseateeeva deel de edencteale tetas 20 SO WGE HC Nan wee hes teeeiketes ab acai acceded a Anette pans cee ana ien ae ea ea aial 33 ee WMO BOXCCIINGS Crete teanennontoun Mea Meraaiecasinee Antoun O 34 BiG GROUP TEDOSIMIOM weteiec iiss cek cn ea edassies E liuens une T S 36 5 9 IVIGASUPCINGING wiccetevsacteiedatenre es ttums asad luaanmerenter cteueeeaanataee carci aseteiawsantwi det hvuntaetiteamates 38 SAO CAD FAUOM cjcteehscentaatccenseian a a e a CNet ole a 42 6 ANALYSIS SUPERIMPOSITION uu ccceccecescescscsscecsssssssessssecsasseseeseeses 44 6 1 Starting a NEW superimposition cece cc eececeeeeceeeceeeecaeeseueeceeeeseeeeseeesaueesueeeseeeseeeeees 44 6 2 Superimposing photographs Over analysis ccccceeccseeeceeeeceeeeceeeceeeesueesueeeaeeseeeaes 48 6 3 Manual positioning of images ANd analyses ccccceecccseeeeceeeeeceeeeeseeeeseaeeesseeesseeenees 49 6 4 Analysis ANd superimposition relation ccccecceeecseecceecceeeeeeeseeeseeeseeeseeeseeeesees
36. ction 5 8 1 Defining superimposition links on page 37 User s Manual Planmeca Romexis Cephalometric Analysis Module 47 ANALYSIS SUPERIMPOSITION 6 2 Superimposing photographs over analysis H 1 To add a photograph click the Add image button eie 2 A list of photographs and radiographs is opened 3 Select the photograph for superimposition 4 Click OK 5 The image opens with two marked points First point and Second point 6 Drag the both points to the positions that will be used as superimposition reference points Typically these points are included in the analysis with which the photo is superimposed 7 Click the Save analysis and return button to return to the Superimposition window NOTE In case the first analysis does not include points included in the superimposed photograph select it from the tree and click the Change analysis button A window is opened where you can change elements as desired They can be added and deleted All changes can be viewed in the Superimposition window see section 6 4 Analysis and superimposition relation on page 50 48 Planmeca Romexis Cephalometric Analysis Module User s Manual ANALYSIS SUPERIMPOSITION 6 3 Manual positioning of images and analyses The analysis or the photograph can be positioned manually for more precise match Click on the profile link and select Free after which the superimposed analysis can be manually dragged rotated and scaled
37. d 1 Right click on the image you would like to copy to clipboard and select Copy to Clipboard lt Configure e EJ Exit Oat Remove from Stage Delete eMail 17 2 2014 Undefined opy to Clipboard Open Paste the image to the desired location File tab In the File tab by clicking the illustrated buttons you can Create a new analysis superimposition or a VTO depending on which tab is open Save the current document Open an existing document Clear the screen and close the document Configure current application settings For more information see section 13 SETTINGS on page 95 10 Planmeca Romexis Cephalometric Analysis Module User s Manual VIEW SETTINGS 4 1 4 2 4 3 VIEW SETTINGS Background Select the colour for background by moving the slider up and down and clicking on the desired colour P E Background MEM Colour for unmoved elements Select the colour for unmoved elements by moving the slider up and down and clicking on the desired colour Brightness contrast and transparency Brightness contrast and transparency can be adjusted by moving the corresponding slider to the right increase or to the left decrease To reset the previous setting click Reset User s Manual Planmeca Romexis Cephalometric Analysis Module 11 VIEW SETTINGS 4 4 4 5 4 5 1 Image size To adjust the size of the image on the screen click the a
38. de it uncheck the box Multiple layers can be set visible simultaneously Adding layers To add a new layer click this button A new row appears on the list 2 Enter a name for the new layer BPE 74 oS Name Visible Element On Layer Analysis Demo Analysis 4 2 2013 Entity Radiograph y All Elements NOTE In order the new layer to be available next time the same analysis is performed it should be added and stored to the analysis in the Analysis type tab 14 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 5 1 3 1 2 5 1 4 l 1 Eee 2 Ty 3 4 Deleting layers Select the layer to delete and click this button The following message appears Confirm Click Yes to confirm delete Adding removing elements to from a layer The window layout appears different depending on whether any element is selected or not After selecting an element the boxes in the Element on layer column are checked for layers containing the selected element To add an element to a layer first select the element and then check the box in Element on layer column of the layer on which you want to place the element INS amp P Visible Element On L gt Analysis Planm Entity ogee od Analysis aes Mada 3 Wiggle To add e g all points to the analysis layer Hide all layers except Radiograph Click on the S
39. e box The following window appears You can select measures showing in InfoBox and modify font settings By checking unchecking the Show measurement tag box you can select whether the name of the selected measurement will be visible in the analysis Info Box Settings Angle SN Ba SBa SN Angle SN Fg SN NP wa A auxiliary Wits Point aux Wits wb B auxiliary Wits Point aux Wits Wits wal wb Conv APntKony PntCony aux A konv NPg NPg PotCony aux Facial convexity Cony APntKonv KonvNPg ML NL Interbasal Angle NL ML ML NSL Mandible inclination SN ML Facial axis NBa Pttn Posterior Facial Height 5 too Anterior Facial Height NW Me PFH AFH PFH AFH Bjoerk ML NSL 360 Angle 1 NA 1 NA Angle 1 NL 1 NL Gonial angle ArtGo ML Angle 1 ML 1 ML Angle 1 MB 1 NB aux 1i aux aux APg aux Distance 1 APq aux aux he q AngleSNA SN NA Angle SNB SN NB 34 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS Aligning InfoBox After selecting the element InfoBox you can select Align InfoBox option from the context menu Select the point to which you want to align the InfoBox The information on the selected point is automatically displayed in InfoBox Linking InfoBox To move the InfoBox on the screen press the Ctrl key on your keboard and move the I
40. e nose on the image and on the initial landmarks by default the grey one e Drag the image from a corner to resize and rotate until correctly aligned use soft tissue profile as reference User s Manual Planmeca Romexis Cephalometric Analysis Module 55 VISUAL TREATMENT OBJECTIVE VTO 7 3 7 3 1 Simulation Elements There are element in three different states Unmoved Highlighted The mouse pointer green crosshairs is on top of it the element turns light blue An element can be highlighted by moving the mouse pointer next to it Selected after left clicking on a highlighted element The element turns red The elements in VTO are predefined and the analysis should be VTO ready so that a VTO can be created Elements in maxilla You can move The whole maxilla by selecting a region of posterior part of maxilla as in image A The anterior part of maxilla and upper incisor as in image B The upper incisor as in image C Elements in mandible You can move The whole mandible by selecting the posterior part of mandible as in image A The anterior part of mandible by selecting the upper incisor and chin as in image B The lower incisor as in image C The chin as in image D Lg Lulul 56 Planmeca Romexis Cephalometric Analysis Module User s Manual VISUAL TREATMENT OBJECTIVE VTO 7 3 2 Moving an element Hard tissue elements can be moved using the mouse or the keyboard and the soft ti
41. ed anywhere in the image Single points are not dependent on any other geometric elements and can be moved freely in the analysis To move a single point left click the point and drag it to the desired position When a predefined element has been moved to a new position it turns red Alternatively the point can be moved by clicking the point s label and dragging the point to the desired position ai Pi 20 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS NOTE Point on a plane To move a point on a plane select Point on plane and place the point on the desired plane A point that is on a plane is distinguished from single type points by its colour A point on a plane is by default cream coloured with olive green label and outline To differentiate between elements it is recommended to set different colours for same type of elements but with different characteristics If default colours have been modified these colours are not valid If the point is added on the plane the plane is added first deleting the plane also deletes the point Similarly moving the plane also moves the point pianki Point piani Paint To position the point between end points of the plane and the plane by percentage value double click the point on a plane which you want to position The following window opens Settings a __ Fiane Point To set the value check the Fixed cu
42. eeeeeeees 50 6 5 AQIUSIIMG ANalYSIS SCUINGS rreran meat aciannts 51 6 6 Exporting superimposed images isscse icc ns laenhe dae teeec es sald oeBik ed ee dae 52 7 VISUAL TREATMENT OBJECTIVE VTO sessesesosoesesesoesesesossesesosoesesosoesesesosossese 53 7 1 Making a VTO from analysis workflow scccccseeecceeeeeeeeeeseeeeeeeeeeeeueesseeeeseeeeseneesees 53 hie Preparing for VTO casercicrtvunavemadaeiagn sieae eeivas horgukanqns sures neces t anaE u enc tuuseus ieina atanan 54 Vo SMa ON isha ioe teeters tee etal ie do ee aoe ieee elon ets 56 User s manual Planmeca Romexis Cephalometric Analysis Module TOC 1 TABLE OF CONTENTS TA SAWING VTO iaa E O E ENS 62 6 CREATING REPORTS rizoniicorn eerie ee eee 63 Sl Cheatin lt a KODON iraire E E ceca aaeieieahadaddt eg cat a iateeneieadenetins 63 8 2 gt SAVING reportas PDF rieira e iioii 64 8 3 Automatic report creation cccccccseccsseccecccecceececeeecseesaueceeeseeeseeeseeeseeesaeeseeeseeeseeesaeees 65 84 Creating ExcelreponS sorcier a 66 ro sCUStOMISING MC DONS rrura A A E T edemattenemats 70 9 CREATING A CUSTOM ANALYSIS TYPE sesoooesesesesosossesesesesosossesesesesosesososeeses 77 9 1 Making an analysis by modifying a previous analysis cccccseeeeeeseeceeeeeseeeeeeeeeesees 77 g2 Elemen SENINGS arr a aah aes ree aN SN eas dear paneeaa ean se aunacen etme od ae 78 9 3 Creating an analysis from the beginning cccceeccceeee
43. eseseeceeeeeseeeeseeeesseeeseueeeseeeesaes 80 9 4 Modifying an existing analysis type ccceecccseececeeeeeeeeeeceececseeeeeaueesseueeesaeeesaueessaeeesags 80 10 EDITING STANDARD VALUES cicisisecccicsxacescessceciseestciss anes ieee 81 10 1 Using the buttons in the Standard values window ccccceecceeeeeeeeeceseeeeeeceeeseeeesaees 82 10 2 Linking standard values with analysis measurements cccceecceeeceeeceeceeeeceeeseeenees 83 11 SHARING AND BACKING UP ANALYSIS TYPES uu ecceceeceeceeeeeeees 85 11 1 Backing up instruction for the regular user cccceecccseececeeeeceeeeeceeeeseaeeeceueesseeeeneeens 85 11 2 Backing up instruction for the admin user cccccseeeeceeeeceeeeeeeeeeeeeseesseeeeaeeeessueeesaaees 85 11 3 Manually synchronising analysis types tO server ccceceeccceeeeeeeeseeeneeeseeeesaeeeneeenaees 86 12 CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING ESA NP EE eee ee een eo Po 87 12 ll Choos NO PNAN ON nese R a saanedsnaneeaumesaameasumiey mation 87 12 2 Positioning landmarks sixxccte0e aaerdsuctviciauiantdtvaichhcsd ana aiapeod vate binideesten atedevates 87 129 Orcan Plane S acne niaan a ENT E 88 12 4 Creating measurements nciiisnceitdaiwnicniiaoiiaiiadntuianien desheaetieiehiehibnoiainies eta iwdaehiiaiduds 88 125 CE AUMG calculation sr Sater n E E Ea a E 89 139 SETTINGS sirriga A A AS 95 Ta SEUNS anaraoerae a a nr tuaseacteranuw nnacu erate axncawealoweed ty ara t
44. ferred to Planmeca Romexis Creating a report If you need to calibrate the image the button is red see section 5 10 Calibration on page 42 for more information To print a report Click this button A preview window is opened with the last used printout option To print the report click this button on the top left corner of the window In the following window select the necessary settings and click OK Type SH 172 26 0 234 PMSDOKUMENTOINTI_HPLI4250 S 172 26 0 234 PMSMAINOS_XEROX700i 38 172 26 0 234 pmS5talous_ricoh3350 Enter page numbers and or page ranges separated by commas For example To edit printout continue to section 8 5 Customising reports on page 70 User s Manual Planmeca Romexis Cephalometric Analysis Module 63 CREATING REPORTS 8 2 saving report as PDF j To save report as PDF in the databox click on this button PDF The report opens on the screen The report will be visible in the Documents tab in the Related Documents view when the respective analysis is selected and when closed it will be moved to the Attachments tab of Planmeca Romexis 2D imaging module Related Documents Document Format Trace ac PDF Report DefaultPDF pdt Layers Mandible Maxilla emf Layers Report emf Layers Wiggle emf Add View Save Inactivate E File Name Format File Date Attachment Date By Comment io m m F Cephalomet
45. fter when switched on will show treatment prediction photograph If no prediction image has been calculated the After button will initiate the calculation X ray Shows an x ray image from initial analysis If no tools are selected no image is shown or the view state is controlled from the Layers tab Layer management and element view toggle buttons Reports Mi aa EF mE uw eS UD Layers Buttons are divided into three groups Layer management buttons manipulating layers in Treatment Plan only Element view button toggle view states for elements both in Analysis and Treatment Plan Tag view button toggle view states for element tags both in Analysis and Treatment Plan For more information on using the visualization tools see section 8 9 Layers and element visualization Saving VTO To save the VTO click this button 62 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING REPORTS CREATING REPORTS If there are some distance measurements in the analysis the calibration needs to be done before printing The images taken with Planmeca X ray units are automatically calibrated The yellow calibration button indicates that no calibration is required For more information see section 5 10 Calibration on page 42 The saved reports show in PDF format in the Planmeca Romexis Imaging module in the Imaging browser s Attachments tab The views can also be saved and automatically trans
46. how hide points button Click on the Save snapshot on one of the existing layers Select the Analysis layer User s Manual Planmeca Romexis Cephalometric Analysis Module 15 USING THE ANALYSIS TOOLS 5 2 Selecting elements To select an element click on it on the image or in the tree The selected element is highlighted in the tree and coloured red in the image Element Settings When the selected element depends on other elements all these other elements turn purple Red colour in the element indicates that the element has not been placed into the layout Yellow indicates an element in its initial position Green indicates an element moved to the designated position NOTE If default colours have been modified these colours may not be valid 16 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 5 3 Zooming the image 1 Open the Zoom window by clicking the Zoom button on the main tool bar alternatively you may press the F2 key on your keyboard C Zoom The window can be resized and moved around the image The window opens in the size and at the location it was used latest 2 Place and move the mouse pointer on top of the area in the image where you would like to zoom in The Zoom window displays a magnified view around the mouse pointer NOTE No elements are displayed in the zoom view However if a point is selected the Zoom window displays a cross hairs ma
47. ied with the prediction result the predicted soft tissue profile can be manually adjusted by dragging and dropping the points of the predicted soft tissue silhouette 7 3 6 Creating measurements Measurements can be created in the same way as described in section 5 9 Measurements on page 38 They can be created between elements inside VTO but also between initial and VTO analysis When created they are automatically added to the treatment plan into the Additional layer 7 3 7 Layers Layer tree consists of the following elements e Analysis initial analysis used to start the simulation shows usually in grey e Treatment plan at the beginning the same as analysis used shows usually in green e Profile image if inserted The same rules apply for layers as described in section 5 1 Layers on page 13 User s Manual Planmeca Romexis Cephalometric Analysis Module 61 VISUAL TREATMENT OBJECTIVE VTO 7 3 8 93 Before After e Tracing Before After 7 4 Save View states The following tools can be used for visualisation of the before and after views of treatment simulation and prediction Tracing Before initial analysis state After treatment goal Both selected shows both initial state and treatment goal If no tools are selected no image is shown or the view state is controlled from the Layers tab Image Before when switched on will show initial lateral photograph A
48. ints A plane that is dependent on two points can only be moved by moving one of the two points Such planes are coloured blue by default Point User s Manual Planmeca Romexis Cephalometric Analysis Module 25 USING THE ANALYSIS TOOLS Vertical and horizontal planes Vertical and horizontal planes are always vertical or horizontal no matter how the image is rotated Vertical and horizontal planes can be moved by clicking anywhere between the endpoints and by dragging the plane to the desired position 5 5 3 Split angle 1 To draw a plane which runs under a certain angle together with the plane or intersects the angle in a set percentage ratio select the Split angle option from the drop down menu 2 Tocreate the plane splitting an angle select the angle The image shows a plane which intersects the angle Two planes and an angle are required F4 Farallel plane Ferpendicular plane e Horizontal plane Vertical plane Double clicking the dividing plane opens the Settings window where you can define the plane properties You can set a half angle angle portion in percentage value or exact angle value e g when defining a horizontal plane in the Burstone analysis settings G 26 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 9 9 4 NOTE Arc An arc can be drawn in three different ways Independent on other structures simply
49. ints by mistake the original version of the analysis will be kept 50 Planmeca Romexis Cephalometric Analysis Module User s Manual ANALYSIS SUPERIMPOSITION 6 5 Adjusting analysis settings In the Superimposition tab you can adjust e Visibility of the analysis by selecting deselecting the Visible check box e Filling of teeth by selecting deselecting the Fill teeth check box a e Colour by selecting the new colour from the drop down menu or by clicking this button e Transparency levels by moving the slide bar You can also select whether to show hide points planes measurements InfoBox and layers BRE BSYVOR ODE User s Manual Planmeca Romexis Cephalometric Analysis Module 51 ANALYSIS SUPERIMPOSITION 6 6 Exporting superimposed images 1 Click the arrow on the Snapshot button and select Save as 2 In the following window select the folder where you want to save the image enter the name with sea which the exported image will be saved and select Save Jud Save As xm Organize v New folder Fr Favorites Documents library E Desktop Includes 2 locations Arrange by Folder J Downloads Name Date modified Type Size Recent Places J Adobe 13 1 2014 13 11 File folder J Adobe Scripts 15 1 2014 16 10 File folder ad Bluetooth Exchange Folder 10 1 2014 12 19 File folder J CyberLink 3 1 2014 9 08 File folder od Downloaded Installations 21 1 2014 16 03 File folder d Personal
50. lated value FJ Parameter Both distance or angle measurements can have two statuses Each measurement is undefined when newly added The measurement was inserted in the structure and has undefined status coloured in red Pay A Tuto CoLd The measurement was inserted in the structure and has defined status coloured in green 5 9 1 Distance Distance measurement can be determined as between two points between a point and plane and between two parallel planes 1 Distance between two points Click Distance and measure the distance between two points 2 Distance between a point and a plane Click Distance and measure the distance between a plane and a point The order of selection does not matter You have obtained a perpendicular distance that is the shortest distance between the point and plane 3 Distance between two parallel planes Click Distance and measure the distance between the two planes 3 3 a ah ge Ys Point Point 38 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 5 9 2 Angle Angle measurement can be determined between three points or between two planes 1 Angles are determined by three points The first point determines the first ray the second point determines the apex and the third determines the second ray The order of setting the points must be observed On the left hand side select K1 Apex K2 and on the right hand side select
51. lements and data needed to create a VTO To check if an analysis is prepared for VTO use the VTO ready button in the Analysis view s gt Design tab 7 2 1 Selecting an analysis 1 Start a new VTO by clicking the New VTO button in the VTO tab New 2 In the opening dialogue select the desired analysis and click OK W Please select analysis 8 2 2011 Analysis Demo Analysis 4 2 2013 Analysis Demo Analysis Add Stage 54 Planmeca Romexis Cephalometric Analysis Module User s Manual VISUAL TREATMENT OBJECTIVE VTO 7 2 2 Adding an image In order to create a prediction a lateral photograph of a patient before the treatment must be added 1 Click this button in the Visual Treatment Objective tab Image 2 In the opening window select the desired image and click OK H Please select image 13 2 2014 13 2 2014 Undefined Undefined 13 2 2014 Undefined 1 yr 8mo 12 2 2014 3 The added image does not necessarily fit directly into the initial landmarks 4 Position the image by using a prominent feature of the face for example the tip of the nose as a guide 5 Align the tip of the nose on the image and on the initial network by default the grey one as Ab corner point image and otate and resize image and move b tips of nose are e Place the red dot of the alignment tool on a prominent place of the face for example the tip of the nose e Align tip of th
52. ment in the analysis click the button in the Element Image window Element Image he In the following window browse to the folder where the image is stored Select the image and click OK To delete an element image from the analysis click the button Element Image as nm Creating an analysis from the beginning Repeat the procedure in the above section but do not choose any analysis type Modifying an existing analysis type Open an existing analysis type in the analysis type tab The analysis opens and can now be freely modified For more information on how to share or not to share the updated analysis types with other users see section 11 3 2 Synchronising analysis types to the server on page 86 80 Planmeca Romexis Cephalometric Analysis Module User s Manual EDITING STANDARD VALUES EDITING STANDARD VALUES To open the window for editing standard values and deviations click the Edit button NOTE The content in the window may vary depending on from which tab the Edit standard values window is opened NOTE When modifying the values from the Analysis tab the changes will affect only the current analysis To permanently modify the values the window must be opened from the Analysis type tab Set standard values for each analysis separately Standard values Cond A Cond Gn Max Mand ANS T4e 74 6 SpP GoMe amp sex 21 3 2 amp sex 3 9 4 NBa P ttn 90 amp sex 3 5 3 Pnoq
53. metric Analysis module conforms to Windows user interface standards The Mac OS operating systems are not supported User organization must take care of protecting the computer and the network by using up to date virus and malware protection software and fire wall Some screen shots may have been taken in earlier software versions and may not exactly match your screen IMPORTANT SAFETY NOTICE Planmeca claims no responsibility for the end user s data security or for any malfunction in the computer system that may lead to data loss Since image processing and digital subtraction radiography can significantly alter the visibility of both large and small structures i e bone loss and caries which may result in either too many false positive or false negative findings Planmeca claims no responsibility for the software use actions or diagnoses made by the end user The qualities of the monitor can strongly affect the image quality The monitor qualities change when it gets older User s Manual Planmeca Romexis Cephalometric Analysis Module 1 STARTING AN ANALYSIS 2 STARTING AN ANALYSIS 2 1 Accessing Cephalometric Analysis module from Planmeca Romexis 1 Open the patient from the Patients module by double clicking the patient name PLANMECA All Patients DICOM Worklist DICOM Quer Retrieve Find by Image Cloud Management Find by Person ID Find Find Person ID Last Name First Name BD i
54. n You can also export linked standard values by selecting Export to Excel button on bottom side Standard values linking Analysis x Measurements a Standard values Measurement tag Measurement name Standard value name Ne ANB angle ANB angle wa wa wb wb wits wits Links l Measurement tag Measurement name Standard value SNA angle SNA angle SNA Export to Excel a OK 2 Cancel User s Manual Planmeca Romexis Cephalometric Analysis Module 83 EDITING STANDARD VALUES 10 2 1 Editing standard values from Standard values window a Once this button is clicked in Standard values window a new window where you can edit standard values and patient type appears The values can also be exported imported to excel sheet via for export and for import from excel sheet Standard values _ PMIA IMPA Convexity Interincisal Angle 1 to APg Holdaway Ratio To export values to a spreadsheet application click this button Select the name and location where to save the exported values and under what will they be exported Click Save Ep 11 IMPA 95 6 3 1 Convexity 3 43 Interincdsal Angle 132 10 7 14 1 to APg 1 3 15 Holdaway Ratio 1 1 16 Y Axis 55 4 6 17 Lower Lip to Harmony Line 1 W Alexander 2 A m To import values from Excel sheet click this button System will then offer you to select previously E3 exported excel file or any other by selecting a
55. n buttons or move the slider to the left or right by clicking and dragging it with the left mouse button To fit the image to the size of the screen click Fit The image can also be zoomed by scrolling the mouse wheel Adjusting window layout The windows on the layout can be moved resized and hidden according to personal preferences Hiding Element Settings window The window can either float on top of the main application window or they can be hidden on the side rc To hide the window click this button on the top right corner of the window Element Settings The window is now hidden on the side EJ To restore the window to its original place click the corresponding tab an re click this button 12 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 5 1 USING THE ANALYSIS TOOLS Layers An analysis visualized on the screen is composed of different layers In the Layers window you can select which layers are visible in the image which elements are visible in each layer or add new layers The window for layers and displaying elements is located both in the Analysis and Superimposition tabs The following layers have been predefined Radiograph Contains the radiograph When hidden the radiograph image is not visible 100 transparency All elements Contains all geometric elements including measurements When selected all the elements are shown Analysis
56. nd open it After importing standard values and deviations Standard values window will be populated with them 84 Planmeca Romexis Cephalometric Analysis Module User s Manual SHARING AND BACKING UP ANALYSIS TYPES 1 11 2 SHARING AND BACKING UP ANALYSIS TYPES To save the analysis type under the name you specified before creating it click the Save button B Ej LiPrepare 3G Save New Open Close Save d Print Excel aS se Analysis type To save the analysis with different name click Save as and enter a new name for the analysis Backing up instruction for the regular user ae New Open x la Close Save When an analysis type is edited or a new analysis type is created by a regular user without admin permissions the analysis type is saved as a local copy to the client workstation under the folder Program Files Planmeca Romexis client cephmodule Analysis Types To save a back up copy of the analysis type a back up copy of the folder needs to be taken Backing up instruction for the admin user When an analysis type is edited or a new analysis type is created by the admin user the Planmeca Romexis prompts when closing the Cephalometric Analysis module whether to update the edited analysis types to the server one by one By selecting Yes the updated analysis type is uploaded to the server and the existing analysis type at the server are updated with the client versions The analysis types a
57. nfoBox while holding down the left mouse button to a new relative position in relation to the point of reference If you delete the point to which the InfoBox is linked the InfoBox becomes a floating element and cannot be deleted User s Manual Planmeca Romexis Cephalometric Analysis Module 35 USING THE ANALYSIS TOOLS 5 8 Tr Group 1 reposition NOTE Group reposition Group reposition tool is used to move all landmarks simultaneously as group for approximate positioning Click the Group reposition button from the main tool bar When making a new analysis the group reposition tool is active by default The repositioning grid appears To resize the group reposition layout click and drag the points at the corners and on the sides of the dashed frame Click somewhere in the group reposition area to move the elements as a group When satisfied with the approximate positioning turn off the group reposition tool by clicking outside the group positioning area or re click the Group reposition button in the main tool bar To fine tune the landmark locations click and drag the landmark using the left mouse button When the landmarks are accurately positioned continue to section 8 CREATING REPORTS 36 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 5 8 1 Defining superimposition links EEE Superimposition links are used to predefine link s
58. on button indicates no calibration is required Ne If calibration is necessary there is a point on the calibration button Calibration Calibration information may not be available for e cephalometric images imported to Planmeca Romexis e images that are not in DICOM format and for e images acquired with other manufacturers imaging devices To calibrate the image 1 Click the Calibration button 2 On the ruler click the first and second points 3 In the following window enter the distance between the first and the second point Calibration Firstpoint X 1879 00 Y 551 68 Second point X 1876 00 Y 212 00 Manual Calibration Remove Calibration Original image size 2000 x 1884 Current image size 2000 x 1884 Preset found for image size save to preset Done 42 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 4 Click Done By selecting Save to preset the next time when importing an image of the same size the image is automatically calibrated The calibration info is visible in Image format window see section 13 3 Image formats on page 97 NOTE The calibration is executed only in the Analysis tab not in the Analysis type tab The analysis type cannot be calibrated User s Manual Planmeca Romexis Cephalometric Analysis Module 43 ANALYSIS SUPERIMPOSITION 6 6 1 New Superimposition ANALYSIS SUPERIMPOSITIO
59. phalometric Analysis Module User s Manual CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE 12 5 1 Occlusal plane Measuring WITS appraisal example The method entails drawing perpendicular planes from points A and B on the maxilla and mandible respectively onto the occlusal plane The points of contact of the perpendicular planes onto the occlusal plane are labelled A and B respectively The Wits appraisal is the distance between the two planes The appraisal can be assigned positive or negative value In the illustrated case the value is negative If the plane crossing the point A goes through the point B the value is positive Proceed as follows The analysis includes points A and B Select plane and set it in the direction of the occlusal plane as shown on the image Enter the name Ocp Click on a point and place it on the occlusal plane Enter the name PntWits User s Manual Planmeca Romexis Cephalometric Analysis Module 91 CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE 5 Set planes perpendicular to the occlusal plane Ocp through points A and B uu oP ed a P nti ts aT z F Tai 6 Enter names A PIn Wits and B PIn Wits 7 Create two distance measurements e from point PntWits to plane A Pin Wits Name the distance as wa e from point PntWits to plane B PIn Wits and enter the name wb 8 In the following window enter the name tag
60. placed onto the radiograph all landmarks are in Group reposition mode For additional information see section 5 8 Group reposition on page 36 6 Planmeca Romexis Cephalometric Analysis Module User s Manual STARTING AN ANALYSIS 2 3 Continuing a previous analysis 1 Open the patient in Planmeca Romexis Patients module by double clicking the patient name P 2 Click the Imaging button 3 Open the image onto the screen by double clicking on it in the Browser tab mi D Pal D ma O BES iO EY Pan CBVT RAIO Photo 2 12 2 2014 10 41 12 2 2014 10 41 12 2 2014 9 58 12 2 2014 10 03 The previously made analysis superimpositions VTOs and prediction images are marked with T Close Patient Planmeca Cephalometric Analysis Ja 22a as EErEE qe t DICOM DKC ICOM DICOM La me p V Z Import DI Prit Storage Ext DK 1 12 2 2014 9 58 28 3 x a Ta Pe Ll WW Da x my CAL Ta R 7s L wa Z E i E T T a aie Ji sO view Selected Clear Selection Selected 0 Refresh 3 F 2 z 2 a j li Ss te Boe p r r 5 poa gt r eS 3 2 E gt d a f A p b 4 gt C y oS 4 12 2 2014 10 41 12 2 2014 10 41 2 2 2014 9 5 2 2 2014 9 58 12 2 2014 10 41 12 2 2014 9 58 12 2 2014 10 03 4 2 2013 16 26 12 2 2014 9 57 4 2 2013 16 26 12 2 2014 10 03 S E hments 0 G
61. re saved to the Program Files Planmeca Romexis Server share Analysis Types folder on the Planmeca Romexis server computer To store back up copies of the analysis types a back up copy of the folder is required By selecting No the new and edited analysis types are saved as local copies with the file extension _local in the client workstation folder Program Files Planmeca Romexis client cephmodule Analysis Types User s Manual Planmeca Romexis Cephalometric Analysis Module 85 SHARING AND BACKING UP ANALYSIS TYPES 11 3 NOTE 11 3 1 11 3 2 Manually synchronising analysis types to server If the user does not have admin rights or does not want to synchronise analysis types with server the analysis types are stored locally in the Planmeca Romexis client computer folder ProgramFiles Planmeca Romexis client cephmodule AnalysisTypes with a file name extension _ ocal The admin user can later synchronize analysis types to server by removing the _ oca extension from the analysis type filename Note that this should be done while the module is running The analysis types are synchronised to the server when the module is closed Synchronising analysis types from the server When the Cephalometric Analysis module is started the analysis types are synchronized from the server to the client the client copies will be overwritten excluding the analysis types with _local extension Synchronising analysis types to the server
62. ric_Report pdf Adobe Acrobat 23 1 2013 16 26 31 1 2013 10 41 Provider Default Cephalometric Report 0 Study 0 Findings Attachments 1 64 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING REPORTS 8 3 Automatic report creation To generate and or export an automatic analysis report click the Auto reports button All listed iia a reports will be automatically generated every time the analysis is saved NOTE Itis recommended to configure automatic reports when creating the analysis type Then it will be automatically applied to all analyses made with the same analysis type To add remove or modify a report use the following buttons Clicking the add button opens a new window where you can select between Report or Export options For additional options see image below Analysis predefined reports exports definition Analysis predefined reports exports definition One page report No image report Two page report Trading on image report 8 3 1 Report options There are three different report options to choose from One page report One page report includes patient information radiograph elements on the report layer and measurement groups in table format No image report One page report including measurement groups in table format Two page report Two page report including patient information and elements on the report layer on one page and radiograph and measurement groups in t
63. rking at the centre of a point Negative To invert the vicinity of the cross hairs click the Negative button To change magnification ratio use the magnification buttons 1 3 3x dx 5x in the upper right corner of the Zoom window HH User s Manual Planmeca Romexis Cephalometric Analysis Module 17 USING THE ANALYSIS TOOLS 5 4 Element information window To open the Element window press the F3 key on your keyboard The Element window displays information about the currently selected element name image and note Element Sella turcica The geometric center of the pituitary fossa sella turcica The window can be freely positioned by dragging it on the screen The next time the window is opened it opens in the position where left in the latest session 18 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS 5 4 1 Element settings Elements offer a number of advanced options To show the options select and right click the element in the tree or on the image Show Show Hide Hide Show text Show text Settings Info Box Rotate ta Horizontal Align Into Box Delete Delete An element s context menu a InfoBox b Point c Plane d Silhouette Show Hide elements Elements can be hidden and re shown as necessary The element s button in the tree changes accordingly Show text All element labels can be visible or hidden in the analysis Use
64. ssue profile adapts accordingly When moving an element a box indicating the relative distance and rotation in relation to the dependent element or global origo is shown AY 2 1 A 4 3 a 0 0 Translation Select an element When moving it with the left mouse button the element will follow Double clicking on a box opens a dialog box where X and Y distances can be manually entered Rotation Select the point of rotation by holding down the Ctrl key and clicking with the left mouse button on the desired element The element rotation centre is marked with a red point To change the location of the rotation centre drag it anywhere in the image using the left mouse button By dragging the red point of the red circle around the rotation centre the element can be rotated with the mouse Right clicking on the element and selecting VTO Rotate or double clicking on the Delta Box which contains the rotation information the element rotation angle can also be manually entered amp Show Hide VTO Rotate VTO Delta Box f Delete User s Manual Planmeca Romexis Cephalometric Analysis Module 57 VISUAL TREATMENT OBJECTIVE VTO For example to rotate the frontal part of the mandible using maxillary incisor incisal edge as the rotation centre Ctrl left click on the element drag the element rotation centre red dot to the maxillary incisor incisal edge and rotate the element by dragging the red point on the red
65. tal to Skeleton Relations Esthetic Relations User s Manual Planmeca Romexis Cephalometric Analysis Module 75 CREATING REPORTS 8 5 6 Print preview To view a preview of the printout click this button h Preview The printout shows the radiograph elements on print layer and measurement groups in table format Patient Status Beginning Date of birth 5 3 1992 Patie n E Date ofimage 26 3 2012 Date of analysis 26 3 2012 MEASUREMENT NORMAL VALUE VALUE DIFFERENCE BIAS sagittal position of the maxilla 2 FH NPg angle 3 SNB angle 4 SNPg angle 5 ANB angle 6 AB NPg angle 7 Convexity axial inclination of teeth 8 1 SN angle g 1 NA angle 10 1 NA distance 11 1 NB angle 12 1 NB distance maxillary length 13 ANS PNS distance mandible length 14 Xi Pm distance 15 Go Ar distance 16 Go Pg distance facial height 17 N Gn distance 18 N ANS distance 19 ANS Gn distance facial relationships 20 BaSN angle 21 ANS Xi Pg angle 22 NPg ML angle 23 Ar So Gn angle 24 1 1 angle 76 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING A CUSTOM ANALYSIS TYPE 9 NOTE NOTE 9 1 1 CREATING A CUSTOM ANALYSIS TYPE If the user does not have admin rights or does not want to synchronise analysis types with server the analysis types are stored locally in the Romexis client computer folder client cephmodule analysistypes wi
66. th a file name extension _ oca The admin user can later synchronize analysis types to server by removing the _ oca extension from the analysis type file name and starting and closing the Planmeca Romexis Cephalometric Analysis module For more information see section 11 3 2 Synchronising analysis types to the server on page 86 The synchronised analysis types are stored in the Romexis server folder server share AnalysisTypes see chapter 11 SHARING AND BACKING UP ANALYSIS TYPES on page 85 for more information A custom analysis type can be created either by modifying a previous analysis type or from scratch Making an analysis by modifying a previous analysis To create a new analysis type select New from the Analysis type tab New Open Close Save Save a5 wee Analysis type E Print Exc The following window opens 2 Enter the name for the New analysis type 3 Select the desired analysis type from the list New type of analysis x ABO American Board of Orthodontics ABO_American_Board_of_Ortt Alexander Alexander_1 acxT T Arnett STCA short report Arnett_STCA_1 acxT _ Bern Bern acxT _ Bjork Bjork_1 acxT C Burstone Burstone acxT _ Cabinet_Biichler_1_ Silhouette Cabinet_Biichler_1_Silhouette acxT Cabinet Biichler_ Silhouettes Cabinet _Biichler_ Silhouettes acxT Downs Downs acxT C McNamara drMafalda_Branquinho acxT _ European Board of Or
67. the created planes that is between planes SN and NA and between planes SN and NB To select adjacent angles use lt Ctrl gt and click the corresponding adjacent angle Enter names for measurements SNA and SNB Name SNA SNB Label SNA SNB 88 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE 12 5 Double click it or click the Click this button Creating calculations Start by entering the name label and the unit of measurement Calculate in the following way Select SNA _ button to move it to the Angles in calculation field ifr 4 T Select SNB Double click it or click gt to move it to the right hand side box Confirm the result by clicking OK Calculated value T Ja Er e PE a aan ee Anc Siji ulation lt Ti 4 gt Measure SNL SN ML EA FMA FH ML OM Occ ML 1 SN 1 SM FMIA FH 1 IMPA 1 ML ai Hor help plane NA az Hor help plane AP ee E E Z O AngleSNA SN NA sl lt Angle SNB SN NB User s Manual Planmeca Romexis Cephalometric Analysis Module 89 CREATING A CUSTOM ANALYSIS TYPE FROM THE BEGINNING EXAMPLE The new ANB angle calculation now shows in the tree under Measurements and in the image amp 79 69 SNB angle SN NB 1 60 ANB angle SNA angie 90 Planmeca Romexis Ce
68. thodontists European_Board_of_Orthodontists a _ LJ shiza Ljubljana_Shiza acxT _ Macedonian Macedonian_1 acxT _ McLaughlin McLaughlin_1 acxT C Miri raiMtamara Lact F ay OK E Cancel User s Manual Planmeca Romexis Cephalometric Analysis Module 77 CREATING A CUSTOM ANALYSIS TYPE Phantom 9 2 4 Enter a new name for the analysis and click OK The following window with phantom picture is opened Analysis Superimposition Analysis type ORIK amp Prepare ag sii A gt 8 Silhouette jE New Open o e rc Tissue El gi Predefined Wiggle Info Group _ Superimposition Ch Box reposition Type Name My analysis Date 8 5 2012 2 ee bd Active picture C Program Files Planme Calibration Geometry gt Po Pick a or a FH Po Or T N Pick Help perp plane 1 Perp FH A Help perp plane 2 Perp FH Ls lt N Pik lt gt Pg Pick NPg N Pg T A Pick lt 5 Pick Help par plane 1 Parall NPg plane a HL Po Ls s Help hor plane 1 Horiz through Poi Pn Pick a Help par plane 2 Parall HL Nasi a SN G N a Help perp plane 3 Perp SN N a CHP Split angle Angle a Plane Perp CHP A Le Sn Pick 5 To switch views click the Phantom button Element settings Element Settings Element ID B Pee ee ee Print Color Print
69. tient type To delete patient types select the type you would like to delete and click this button In the following window select OK Confirm 82 Planmeca Romexis Cephalometric Analysis Module User s Manual EDITING STANDARD VALUES NOTE Newly added patient type s will show in standard value window mixed dentition adults Standard value Mean 5D Mean SD To add standard value simply click in each cell and enter data NOTE You can add standard values manually or import an excel document with these values 10 2 Linking standard values with analysis measurements To open a window for linking standard values and standard deviations with measurements click the Link button In the Measurements field are listed all measurements included in the analysis or analysis type In the Standard values field are listed all standard values included in the analysis or analysis type To open the window for editing mean values click this button Anew window with standard values appears For detailed information see section10 2 1 Editing standard values from Standard values window on page 84 To link measurement with standard value select the measurement in the Measurements field on the left and the standard value in the Standard values field on the right Click the blue arrow pointing downwards to link measurement with standard value To remove a link select the measurement and click this butto
70. tomising reports By customising reports you can define which measurements and groups show in the final report If the print customizations are done in the Analysis type tab they will be available next time the same analysis type is used If they are done in the Analysis tab they wont be available later To open the Print customization window click the Page button Page The customization window opens In the Measurements field are listed all the measurements included in the analysis type In the Groups field are listed all the available groups 70 Planmeca Romexis Cephalometric Analysis Module User s Manual CREATING REPORTS The Print field shows which measurements and groups have been selected for the current printout Printout customization lt No data to display gt ol Calibration k3 e2 29 03 22 00 7 03 10 53 1000000 00 999989 47 9 08 1000000 00 1000009 08 17 Upper lip length 19 Nasolabial angle Group 4 Field Relations 20 Facial depth 21 Fadal axis 22 Facial taper 23 Mandibular plane to FH User s Manual Planmeca Romexis Cephalometric Analysis Module 71 CREATING REPORTS 8 5 1 Adding measurements to groups 1 Inthe Print field select the group to which you want to add the measurement Printout customization lt No data to display gt 17 Upper lip length 19 Nasolabial angle E Group 4 Field Relations 20 Fadal depth 21 Facial axis 22 F
71. ts button Settings Settings Colors video Image Formats Emai CAL PIXELS Format 1 See EEEL EETT EELE EELEELLLLLLELLIELLELLLLLELELLLLELLLELELLELELLL LLT ELLLTLELLELLLELLELLLLLLLELLELTELLLLLLLELTELT KE wv seas etaus oK 2 cnca User s Manual Planmeca Romexis Cephalometric Analysis Module 97 SETTINGS 13 4 E mail To avoid entering the data separately for every e mail you can create a template containing information repeating in all e mails Fill in the Subject and Body field with the information repeating frequently The text in the fields can be modified at any time To save the e mail template as default click the Save as Defaults button Best regards 98 Planmeca Romexis Cephalometric Analysis Module User s Manual PLANMECA Planmeca Oy Asentajankatu 6 00880 Helsinki Finland tel 358 20 7795 500 fax 358 20 7795 555 sales planmeca com www planmeca com PLANMECA Oy s PLANMECA Oy s Environmen ital Quality System Management System Certificate awarded in 1994 Certificate awarded in 2000 y Det Norske Veritas by Det e Veritas by Det ki fulfils the highest acknowledged s i icknowledged international standards international standards
72. tting coefficient box Fixed cutting coefficient can have a value between 0 200 The value represents the distance of the added point from the starting point of the plane Value 100 is equal to the distance between the start and end point of the plane Set the percentage by typing the suitable number in the percentage field or click the arrows to select appropriate percentage Point on cross section convergence To place the point on the cross section of two planes select Point on cross section To add convergence points and select two or more planes click on Convergence button in the analysis press and hold down the Ctrl key while selecting a plane The default colour changes according to the type of point whether on the plane or cross section By default a point at the intersection of planes is cream coloured its label and outline are dark grey If the intersecting planes are deleted the point that is in the intersection is also deleted User s Manual Planmeca Romexis Cephalometric Analysis Module 21 USING THE ANALYSIS TOOLS NOTE If default colours have been modified these colours are not valid Similarly moving any of the planes also moves the point to the new intersection Point on cross section share NOTE Planes are infinite in length in both directions However they are displayed as plane segments with small extensions at both endpoints The intersection of two planes can therefore be outside the displa
73. uaeeactawadinnnacunnatenss 95 De A OLOUING pec tictntrreniee nets taatmers ihe tare E imimerner oman enamine 96 15S Mage tormas shines aadetetiseisnerina autos sndeialoedipunanctonbelsiadwa E 97 PA E ee dresr estes terse sete E sehen aan a eee recon Gece ne amet ean Oneness 98 TOC 2 Planmeca Romexis Cephalometric Analysis Module User s manual TABLE OF CONTENTS User s manual Planmeca Romexis Cephalometric Analysis Module TOC 3 TABLE OF CONTENTS The manufacturer assembler and importer are responsible for the safety reliability and performance of the unit only if installation calibration modification and repairs are carried out by qualified authorized personnel electrical installations are carried out according to the appropriate requirements such as IEC 60364 equipment is used according to the operating instructions Planmeca pursues a policy of continual product development Although every effort is made to produce up to date product documentation this publication should not be regarded as an infallible guide to current specifications We reserve the right to make changes without prior notice COPYRIGHT PLANMECA Publication number 10031278 Revision 3 Released 12 May 2014 TOC 4 Planmeca Romexis Cephalometric Analysis Module User s manual INTRODUCTION CE NOTE NOTE NOTE NOTE NOTE NOTE INTRODUCTION This manual describes how to use the Planmeca Romexis Cephalometric
74. which will be used in superimposition Link s P defined in analysis type will be applied in all analyses using selected analysis type You can also define superimposition link s at analysis level In that case the links are not available next time when making a new analysis To create superimposition link click the Link button In the following window you can add remove and edit links To add a link select e two points on analysis type or analysis OR e one point and one plane The selected points and the names of the planes will be displayed under Element 1 Point and Element 2 column in the Superimposition Links Definition window Two examples are shown below IA Superimposition Links Definition xg Point point Taly o me S ify oe a es ed A P m m Sten jen ei na Point plane FR Superimposition Links Definition Use Calibration aye OK a Cancel User s Manual Planmeca Romexis Cephalometric Analysis Module 37 USING THE ANALYSIS TOOLS 5 9 Measurements The measurements can be used to measure distances and angles between geometric elements included in the analysis and to create calculations based on the measurements The name label description and image of the measurement can be edited Also visibility and colours can be modified The measurement can also be hidden or it can be used only in calculation or printout Distance HE Angle a Calibration FQ Calcu
75. yed plane segments Ay a Convergence point 5 5 2 Plane Parallel plane Perpendicular plane Horizontal plane Vertical plane Split angle Independent plane Use one of the following plane types 1 Independent simply click any two points 2 Dependent on a point click an existing point and then anywhere in the image 3 Dependent on two points click two existing points in the image An independent plane can be moved in two ways 22 Planmeca Romexis Cephalometric Analysis Module User s Manual USING THE ANALYSIS TOOLS e By moving one of the two green endpoints The other endpoint remains in place the plane is resized and rotated to follow the moving endpoint e Selecting a plane anywhere in between the endpoints moves the whole plane without resizing it o poera a ee Parallel plane Through a point 1 Select an existing plane to which you want to create a parallel plane 2 Select a point through which the parallel plane should go OR Custom plane Select an existing plane to which you want to create a parallel plane and click anywhere in the image to add the parallel plane Moving parallel planes A parallel plane is coloured brown The parallel of a selected plane turns purple Move it by clicking anywhere between the endpoints and drag it around NOTE _ If default colours have been modified these colours are not valid User s Manual Planmeca Romexis Cephalometric Analysis Module 23 USIN
76. ysis in superimposition 4th analysis in supenmposition 5th analysis in supenmposition VTO Original VTO Analysis gt Load Defaults wo SaveasDefauits ok Cancel 96 Planmeca Romexis Cephalometric Analysis Module User s Manual SETTINGS 13 3 NOTE In the opening window select the colour by clicking in the colour matrix window Also hue saturation and luminosity of the colour as well as red green and blue tones can be adjusted When you are satisfied with the new colour click the Add to Custom Colors button The color now appears in the custom colors window To save the settings and quit the window click OK To discard the new settings click Cancel To define new custom colours click the Define Custom Colors button Hue 107 Red 37 Sat 170 Green 218 Colorisolid Lum 120 Blue 159 Add to Custom Colors To set new default colour select a custom or basic colour and click OK In the following window click the Save as defaults button Image formats When using Planmeca X ray units for image acquisition it is not necessary to define image formats Image format list includes a list of calibration information for different size images To add a new image click the button and enter the name of the image t in the description field Define width height calculated pixels and millimetres Click OK To save the formats as defaults click the Save as Defaul

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