User's guide teknika3D software
Contents
1. Go to the record in Go to then DIAGNOSTIC FILES euro gy teknika Ssss 37 File Edit View Practice Patient Capgffe Window Help User TRAINING 2 Home Records Patient Files Folder Select the record and double click 4 Y File Edit View Goto Practice Patient Capture Window Help User TRAINING 2 TEKNIKA i User X 86 Years 6 Months Series Viewer Series All Records XRay Intraorals Scanner Open records 02 07 2014 Your case appears on the screen File Edit View Goto Practice Patient Window Help No user Active TimePoint d A ac c 86 Years 6 Months v EE View Operations E a Treatment Plan G Surg Box 4 E Tr Y Treatment Options Option de Traitement 1 Edit Export Import Implants ld Serial N Plat Length C i AIEP3 480 12 00 MN 2 AEIP4 480 10 00 3 AEIP4 6 50 10 00 IN 4 AEIP4 480 12 00 Into me Anchor Pins ld Serial N Plat Length C Info m Validations Show Validations Previous Next Cancel 4 Home Templates Designer Records Notes A global solution FOR SURGERY euroteknika teknika3D 726 rue du G n ral De Gaulle 7147 00 SALLANGHES France Tel 33 0 4 50 91 49 20 Fax 33 0 4 50 91 98 66 salesQeuroteknika com www euroteknika com www teknika 3d com JE ge l MU Log2. Treatment Options Implants List of the implants of the selected treatment option List of anchor pins to fix the guide Validations Check the planning Previous Next Finish You should first fully explore the maxillary anatomy You can use the arrow command of your keyboard to move the paraxial slices and view the bone anatomy and the case quantity and quality You can do some measurements of the available bone surface 4 Click on the icon and mark two points v sss 23 You can mark a point on the crest and another one at the nerve limit The software will calculate the distance between the two points and give you a result euro Once you have done this you can place your implants 1 Select the tool Add implant by clicking on the Operations command or you can use the keyboard shortcut by clicking on I 2 Place the mouse on the paraxial slice where you want to place your implant platform By placing the cursor on the plier in the apical region and dragging it you can increase the implant length if available by the manufacturer holding the apex position By placing the cursor on the plier in the central vestibular region you increase the diameter of the implant 3 Place the mouse on the paraxial slice where you want to place your implant apex By moving the cursor to mark this position the software will draw the implant outli
3. zm 6 UHD 36 41 100 Rai na P 4 10 L 10 00 tantan j a L4 B 45 UHD_36_41_080 P 4 10 L 8 00 ih 44 UHD_36_41_100 pi p 10 L 10 0 E wW E ED teknika This manual s purpose is to explain the different steps regarding the DEMO teknika3D software s installation Please observe carefully these instructions for a good functioning of the software What is teknika3D teknika3D is an advanced software of guided surgery diagnostics and treatment plan for restoration of prosthesis on dental implant based on pictures originating from tomography The software e mports organizes and stores CT pictures in DICOM format Presents and treats pictures using a large variety of tools Shows pictures in their original format e Reformats pictures according to the maxillary or mandibular arch curves e Allows to import and register radiographic guides e Allows to import and register study models e Allows to produce surgical guides based on the proposed implant planning e Allows to print information about planning SUMMARY 1 IMPORT A DICOM FILE Page 3 2 CASE PLANNING Page 10 Step 1 Radiographic guide Model Page 14 Step 2 Volume reorientation and resize Page 17 Step 3 Trace the arches Page 18 4 Step 4 Add nerves sinus Page 21 4 1 Add nerves 4 2 Define the sinus Step 5 Planning Page 23 Step 6 Guided surgery guide Page 31 3 SAVE A CASE Page 32 4 SEARCH A PATIENT Page 32
4. 45 100 P 4 50 L 12 0 NICP 45 120 P 4 50 L 14 0 NICP 45 140 P 5 00 L 8 0 NICP 50 080 P 5 00 L 10 0 NICP 50 100 P 5 00 L 12 0 NICP 50 120 P 5 00 L 14 0 NICP 50 140 In some cases the selected implant appears red This is an alert informing you that you are too close to an anatomical obstacle or to another implant for example Trick to have a view centered on an implant click left on the implant then on the tab VIEW Click on IMPLANT AXIS LAYOUT 8 NemoStudio NX Pro edith billoud TAC 18 02 111 Implant Planning File Edit View Goto Practice Patient Window Help Full Screen Show view in full screen Fil Histogram Control Resolution d 3D Animation v Layout 4x2 Layout 4x3 Treatment Options Treatment Option 1 Once you have finished this part you can place the fixing pins 1 Select the tool Add anchor pin by clicking on the command lt Action gt 2 Place the mouse on the paraxial slice where you want to place the external extremity of the pin 3 Place the mouse on the paraxial slice where you want to place the apex of the pin its length is fixed at 15 mm Add Merve N Linear Measurements M Angle Measurements Once the pin is properly placed in the paraxial slice you can modify its position to adapt it to a better position the same way as for the implant Note it is necessary to place the axis of the fixing pi
5. Arch E Trace Lower Arch Trace Alternate Arch Previous Cancel 4 Home Templates Designer Records b Click the button corresponding to the studied arch Describe Arch Trace Archs Trace Upper Arch aim TracelowerArch Men Trace Alternate Arch Now the software is waiting for you to start drawing the points of the arch The points of the arch will be traced on the axial section Trace the points of the arch starting by an extremity for example the right pterygoid region and mark the points from the center to the alveolar edge until arriving at the left pterygoid region With the wheel you can change the axial slice in order to better look for the resorbed area s alveolar region Double click the last point to finalize the arch and click OK NemoStudio NX Pro edith billoud TAC 18 02 111 Implant Planning Y File Edit View Goto Practice Patient Window Help View Operations No user Describe Arch Trace Archs Preferences Number of Pano Slices 40 Pano Separation mm 0 5 1 Cross Separation mm Trace Again Method MPR No Thick Filter No Filtro Home Templates Designer Records 1 NemoStudio NX Pro edith billoud TAC 18 02 111 Implant Planning 3 Same thing for the other arch Then click on Next File Edit View Goto Practice Patient Window Help a 0 UN KA A H e Z
6. bone disappeared Threshold HU Maximum Maximum HU Click on OK The DICOM file importation is complete ro d teknika R P ssszz 9 gt 2 CASE PLANNING The Planning assistant panel that we see is automatically open This assistant is divided In 6 steps Ai 1 NemoStudio NX Pro TAC 18 02 111 Implant Planning File Edit View Goto Practice Patient Window Help Active TimePoint User mL ME RTAS Set Time Point n tt Search patient X x Patient Last Name e M x d t 8 7 09 Numbering E po fanufactu e tod a Operations User TRAINING 2 TEKNIKA Select Serie Search Rad Index Model Registration a Obtain the necessary elements for the Ka diagnosis Radiographic Index or Stone Model Load Rad Index Segment Rad Index b Load Stone Model Photo Mapping Part Plate Detection EE 6 Planning without a Surgical Guide Next Finish Cancel 4 Home Templates Designer Records b Shift and Diag ia Zoon In Out Cl for Paring C for Cropping D to make Oblique Slices w and Drag for WW AWL E Centrer EEE Tricks ee Ajuster tous Zoom To enlarge the views click on the small down on the left iem opier Image 4 To zoom click right on the slice then on lt ADJUST ALL ZOOM gt BERET ANG 4 Tools bar Save Parame
7. 5 EXPORT A CASE Page 34 6 IMPORT A CASE Page 36 1 IMPORT A DICOM FILE Start teknika3D double clicking on Security server then teknika3D Security Server teknika3D Software opening w euro teknika R P sss 3 To start to import the DICOM files click on import DICOM in the teknika3D tool bar The command will not be active If a patient s scanner is already running teknika3D does not allow to work with more than one scanner running at once Insert a CD containing the DICOM files 1 NemoStudio NX Pro Home w E k ME z d uem File Edit View Goto Practice Patient Capture Window Help e Search patient No user Ke Capture in Implant Planning mode v Select the folder of your CD DVD player containing the slices dcm then click on OK Choose DICOM 5 J CONFERENCIER 02 gt Es Panneau de configuration 4 Mi Ordinateur gt E Disque local C a 6 Lecteur DVD RW D ONDEMAND3DLITECD gt Ly IMGDATE b GP Entreprise Z ji ARCHIVES PRESENTATION 4 BK In this window you can see a preview of the slices obtained in the selected file As importation parameters you can select a reduced sample 1 slice out of 2 or 1 slice out of 3 to reduce the weight of the study Use this option only in case loading the complete case would use more than 1Go memory In most cases the Skin segmentation optio
8. 89 17 04 2014 Cel Phone Address State Prov City Referred by Patient EX A If you select a patient that has already been registered this button will be activated if Tv you click it the study will be imported in the KENNEN evet selected patient s file euro teknika GROUP A IJI 74 1 The importation of DICOM pictures begins Hard Tissue Threshold M Axial Slice 3D View Threshold HU Maximum Maximum HU Mouse functioning ou can change slices little by little by placing the mouse cursor on the axial slice and scrolling the wheel You can bring closer or backward the 3D picture by placing the mouse cursor on the 3D view and scrolling the wheel You can move the 3D view by clicking and maintaining the wheel You can turn the 3D picture by clicking on the 3D view and holding the right click This window allows to specify the density threshold in Hounsfield units for the bone segmentation The software will automatically show a computed value correcting itself following the editing and measure control criteria To define properly the threshold slowly drag the cursor until the 3D vision makes appear some isolated points of soft tissue It is preferable to define a low threshold so that some points that are part of those soft tissues appear rather than to define a high threshold that may have some thin parts of the superior maxillary
9. E A A e No user E Ih Describe Arch Trace Archs ke hp A t Mak Y r EA Trace Upper Arch Trace Lower Arch mM y Trace Alternate Arch ada id E j KE u 6 sz Previous Next 4 Home Templates Designer Tips To modify the luminosity press and hold the wheel then move it vertically To modify the contrast press and hold the wheel then move it horizontally Active TimePoint i Sinus Segmentation 1 Volume Limits 2 Locate seed point HU Threshold 250 Hu 4 1 Add nerves Click on Add nerve Click then on the slice corresponding to the mandibular arch and trace the nerve with the mouse Start by an extremity mark the points until another extremity Double click on the last point to finish the arch You can also use the slices 1 NemoStudio NX Pro edith billoud TAC 18 02 111 Implant Planning l ca 2 E Tame File Edit View Goto Practice Patient Window Help 1 KA rj ten E A 4 y kal E w A N LN 4 m p gt a E S Va Operations yem No user Active TimePoint Nerves Sinus hefir Sinus Segmentation 1 Volume Limits 2 Locate seed point 0 HU Threshold 250 HU Previous Next l 4 Home Templates Designer Records b teknika GROUF ALAS The diameter of the nerve is automatically defined at 2 mm B
10. butment button Abutment NPS PA52 15 2 NPS PA52 15 3 NPS PA52 20 1 NPS PA52 20 2 NPS PA52 20 3 NPS PA60 15 2 NPS PA60 15 3 Show information on 3D model ed ul ee Delete Delete All Choose Implant Locked looo came HEN Lock all Add Implant s at X distance Add to Implants Database Click on the implant and select properties with a right click Properties Bone Density Distances Sleeve Abutment Comments Color Angle Aver Extension Diameter Extension Height Aver Collar Diameter Collar Heitht NIP 35 140 NIP 35 140 NIP 35 140 Activate the module by ticking the abutment box select the euroteknika abutments base and The abutment is then placed on the Implants Color Angle Aver Extension Diameter Extension Height Aver Collar Diameter Collar Heitht Linear measurements in mm angles in NIP 35 160 NIP 35 140 NIP 35 140 NIP 35 140 Go to the abutment tab To make the abutment turn use your keyboard s left and the corresponding prosthetic range then select implant right arrows the wanted abutment s reference iE gt a Show Measurements Measurements List be ia Show Implants v Show information on 3D model Show Implants Extensions Show Guides Show Abutments Show Abutment Extensions Y Show Dental Nerves Show Bone Show Radiographic Index Show Mode
11. ex or Stone Model Load Rad Index Segment Rad Index i g tad Index Show Crossectional Plane Slice with Cre ossectional Load Stone Model Slice with view Restart slice with view Photo Mapping Background Color Show Reference Lines Part Plate Detection Resolution Histogram Control Create Mask Create Mask From Other Masks Build Skin Anatomy Subvolumes Mask Manager Edit Mesh Morph and sculpt mesh Planning without a Surgical Guide 4 Home Templates Designer Records b Use the PROJECTION tool to delete a site and use the RELATED REGION tool to delete an area M KT Kd Undo Selection amp Select Unselect perum Edit Mesh 12 To delete a site click on the site It turns blue and then click on Delete ES Mode Undo Selection amp Select Unselect Undo Took Edit Mesh Lasso Delete Smooth Choose Projection Crear Edit Selected Increase Decrease Invert Delete Or you can also turn around the area with the cursor finish with a double click on the start point It turns blue and then click on delete te knika GROUF mu wu u ES US Step 1 Radiographic guide Model The first step in teknika3D planning is to register t
12. he radiographic guide and or the stone model This process is mandatory for cases for which you want a guided surgery and obtain a surgical guide You can register only the guide only the stone model or both in the folder Rad Index Model By selecting the option radiographic guide or model the options load guide Segment guide and load guide activate Registration Obtain the necessary elements 4 diagnosis 3 Com Tographie Index or Stone Model 7 Load Had Index Then import the radiographic guide Segment Rad Index Photo Mapping Coordinates T ranster Surgical Guide Part Plate Detection SSS Planning without a Surgical Guide Tick this option if you do not wish to plan the case to obtain then a surgical guide In case you used the double scan click radiographic guide or model The steps below correspond to the radiographic guide importing and superimposing Press the link command Import guide the following window appears while doing so oelect this option to import the axial slices of the radiographic guide Rad Index Model Registration Tor the Obtain the necessans Ee diagnosi ue ra Radiographic Index or Stone Model Load Rad Index i Segment Rad Index Choose Guide Origin Load from DICOM Files Load Stone Model Din Load from Patient Reco
13. iciel_TK3D_GB_0514
14. ing significantly the space in mega octets that the study takes on the hard drive 1 Volume Reorientation 3 The volume can be reoriented by clicking on the tabs of the panel or by dragging directly the mouse on the area we want to make turn By clicking on the tabs of the panel you can do some controlled rotations from 0 5 to 0 5 value by default it can be modified on the panel This technique is slower but more controlled By dragging the mouse on the slices you can do interactive fast rotations but less controlled VOI Size Adjust VOI dragging the blue lines will be removed from the file PES AA A 260 x 260 x 203 26 2 MB 260x260 x 203 26 2 MB Volume reorientation As explained before the tomographies realized on the patients include a field of view normally superior to the volume of interest which is necessary for the planning These areas do not give any relevant clinical information however they take physical space on the hard drive teknika GROUP A IJI euro ay T m By resizing the tomography volume you can reduce by 8 to 10 times the number of used megabytes what means you can store 4 to 5 times more studies in average on your hard disk The resizing process is very simple By encircling each axial coronal and sagittal slice blue lines surrounding each slice appear Initially these lines mark the maximum edges of the cube that surrounds all the v
15. l Load Rad Index Segment Rad Index Slices Viewer Columns Qe 84 GS m mnm EEEE Load Stone Model Photo Mapping Part Plate Detection Planning without a Surgical Guide Import cancel A AA A 4 teknika i wm 16 4 nah The program starts to analyze and treat the slices a window allowing to view the guide opens Click on ok Axial Slice AD View Threshold HU _ Maximum Maximum Hi By default the program detects the marked points automatically The density value to detect the gutta percha is 2500 HU Click on OK Detection Parameters Markers Threshold 2500 Threshold Marcadores F rula 2500 zm Nsi Volumen 5 0 Msi Feruta 8 0 Save as default Manual Detector The green colored guide is then integrated to the model You can now go to step 2 In case you didn t do a double scan and are only willing to do a simple planning click DO NOT PLAN A SURGICAL GUIDE and NEXT Step 2 Volume reorientation and resize The patient is not always well oriented for the planning In this step we have the opportunity to reorientate the volume by correctly reformatting the cross slices adapted to the planning In most cases the patient s scan includes areas that are useless to the planning during this step we can reduce the volume of the interesting area for the planning thus reduc
16. l Show Surgical Guide w Show References X ray Quick Axial X ray Quick Corona X ray Quick Sagittal y Quick Panoramic You can view the panoramic X ray with the implants by clicking on VIEW then ticking lt XRAY QUICK PANORAMIC gt This step will be possible only if you have imported the DICOM files of the double scan Click on Build surgical guide then Validate Surgical Guide Press Build Surgical Guide If validations are OK the surgical quide will be built r Build Surgical Guide Please Validate Treatment Plan to proceed ordering the surgical quide d After Validating the Treatment Plan will be locked with your uzername and password Validate Unlock Treatment Plan Send Data teknika Search patient Go to take the registered folder in Go to then DIAGNOSTIC FILES Select the folder you want and double click a NemoStudio NX Pro All Records File Edit View Goto Practice Patient Capture Window Help No user User X Series Viewer Series AlkRecords XRay Intraorals Scanner Open records TAC 18 02 T1 nsf Your case appears on the screen 1 NemoStudio NX Pro edith billoud TAC 18 02 11 Implant Planning File Edit View Goto Practice Patient Window Help L RA H d X ya y e uy No user User 4 Home Templates Designer Records ress Shift and Drag for Zoom in and o
17. n in contact with the radiological guide If that is not done the pin will appear in red The other alerts are similar to the implant alerts w teknika sss 27 euro a Catherine Mme TEICH TAC 03 10 11 nsf Planification implantaire 1 x yy Fichier Edition Afficher Allera Clinique Patient Fen tre Aide A Utilisateur 4 User Active TimePoint Bl am ils X y w pan EZ O m ad 7 amp v Io i a d int 3 Afficher Action v r 7 EE Trousse Chirurgicale Options du traitement Option de Traitement 1 JT ap Edition Export Import Implants Pla Long C 1 UHD4 4 80 12 00 MN EE uno 3 4 10 10 00 MN Propri t s 4 Clavettes d ancrage Ne S rie Plat 4 _ D but Dossiers Diagnostques R Implant too close to the nerve ct 1 Y Es 1 uf f y HE Implant too close to another implant In order to better see the implants and the anatomical obstacles you can remove the bone To do so click on the tab View k and then untick Show bone P 3 30 L 14 0 NICP 35 140 show Measurements Measurements List Y Show Implants w Show information on 3D model B Show Implants Extensions Show Guides Show Abutments Show Abutment Extensions Show Bone b C m Show Radiographic Index Show Model show Surgical Guide 153 Sh
18. n is not necessary when it comes to implantology that is to say that the software will detect the skin and create a corresponding meshing Click on IMPORT DICOM Import iE m DICOM Folder Folder CAUsersWleroux aiDesk patient et appareil complet Choose Folder DICOM Patients Studies Series 11 2 840 113999 1001 1179547545 1319302734 00704472505235669376 Slices Viewer Columns T2 Ma 25 Bees Sampling Import Setup f Import Al M Bone Seomentatio Local Backup _ Import 1 72 Skin Segmentation Reverse Order Import 1 2 3 Delete Directory when Import Import euro teknika Sansa 5 By clicking on the tab import the program starts to read all the slices and opens the following window Last Name USER Choose New or Existing Patient to Import DICOM Data First Name pl Sate bien ad PE 12 05 2014 2 HET O A fa Referred by Dr Referred by Patient Ea EXC Click on validate fill in the empty fields and click on NEW Validation of DICOM Patient Data Last Name First Name Gender USER a Za a m ll M ale w Choose New or Existing Patient to Import DICOM Data USER Birthdate Phone Country f Fieferred by Dr Referred to Dr Patients Found First Hame X SSIDL Chart Number First Visit Date 1
19. ne according to the list of available lengths and diameters of the model and according to the selected manufacturer Add Anchor Pin Add Nerve N Linear Measurements M Angle Measurements Once the implant is correctly placed in the paraxial slice you can modify its position to adapt it to a more suitable position regarding the prosthesis You can change implant by clicking right on the implant 3 angle correction if necessary 1 platform 2 apex E e Delete Delete All Choose Implant Locked Lock all Add Implant s at X distance Add to Implants Database p dm Then clicking on info you access the implant list 24 You can then modify the selected implant Properties Bone De Identifier Euroteknika Naturall Delete Delete all You can also have information about the bone density around the implant Click on the tab Bone density The graphs show a histogram of the internal and external implant density Ji 1 ti IG Bone Density Dis an a Averag 437 15 Dew 351 43 Delete NICP 35 140 Delete all f cl E A oe euro teknika Ssss 25 P 3 50 L 8 0 NICP P 3 50 L 10 0 NICP 35 100 P 3 50 L 12 0 NICP 35 120 P 3 50 L 14 0 NICP 35 140 P 4 00 L 8 0 NICP 40 080 P 4 00 L 10 0 NICP 40 100 P 4 00 L 12 0 NICP 40 120 P 4 00 L 14 0 NICP 40 140 P 4 50 L 8 0 NICP 45 080 P 4 50 L 10 0 NICP
20. olume of the tomography The aim will be to reduce this cube to a volume containing only what you need for planning a NemoStudio NX Pro TAC 18 02 111 Implant Planning File Edit View Gota Practice Patient Window Help User TRAINING 2 TEKNIKA 4 User pete Eenabade lt he Set Time Point A da fe X v Volume Reorientation PS n M Ic yg Y ZI NS p v PN v3 GLO i 2 QA gt E Y i 4 s MemoStudio NX Pro y Parameters i Apply Reorientation R 0 5 2 T mm 0 5 4 _ 3D Self Adjustment V Refresh in Real T Restore z H VOI Size Wa Adjust VOI dragging the blue lines y Ali image information outside VOI will be removed from the file Actual Size 260 x 260 x 203 26 2 MB ee m m M M e l oh ee E e H Previous net Cancel 4 Home Templates Designer Records b New Size 260 x 214 x 152 16 1 MB Apply Changes Shift and Drag to Zoom In Out Ctrl for Panning s for Cropping O to make Oblique Slices w and Drag for w w wL Locate the axial slice in the alveolar region of the maxillary you want to work on I NemoStudio NX Pro edith billoud TAC 18 02 111 Implant Planning EXE X File Edit View Goto Practice Patient Window Help D KA w Fiet E 4 fs 4 H Aat t Ay A ES Fi ya View Operations No user Active TimePoint Describe Arch 2 Trace Archs Trace Upper
21. ow References A ray Quick Axial X ray Quick Coronal A ray Quick Sagrttal X ray Quick Panoramic Upper PANO Lower Still from the Info window of the implant you can see the information about the sleeve type used for the guide We strongly recommend to use RP or WP sleeves to facilitate the surgery The RP 2 RP 4 WP 2 WP 4 sleeves are used only for cases with gingival heights superior to 4 mm They raise the sleeve by 2 or 4 mm from the bone surface This requires an additional thinking during surgery Properties Bone Density Distances Sleeve Abutment Comments G Surg Box i i Guide Distance to Implant D Guide Height H External Diameter ED Internal Diameter ID Head Height HH Head Diam HD Guide Tool Height KH Drilling Depth ue szal c ES x ru 224 fta zt ma Apply ta all Measurements in mm Delete all dose Q7 In order to view the abutment s prosthetic axis you can add an abutment on the implant this part only applies to the new implants with direct implant driver Naturactis Naturall Natea Aesthetica 2 Uneva Show Measurements Measurements List v Show Implants Show Implants Extensions Show Guides w Abutments Show Abutment Extensions V Show Dental Nerves v Show Bone Show Radiographic Index Ch ma AERA First of all activate the abutment display via the show a
22. rds Photo Mapping Part Plate Detection Planning without a Surgical Guide RAW ARR Oe Oe TR Ko The double scanner does that the radiology index will be carried out in the radiology center and normally provided with the same CD DVD containing the patient s axial slices The radiographic guide and the axial slices are now scanned and registered in DICOM format As a consequence you have to click on Load DICOM file By doing so a window appears so that you can select the file containing the axial slices of the radiographic guide in DICOM format By default the selected file will be the last one you accessed Select the CD DVD player open the file choose radiographic guide and click on ok The software starts reading the axial slices of the radiological guide processes them and opens the following window a NemoStudio NX Pro TAC 18 02 111 Implant Planning ERG a z 77 File _ Edit View Go to Practice Patient Window Help User TRAINING 2 TEKNIKA User A x b DICOM Import A 5 4 E MN o DICOM Folder y E ws A Folder CAUsersieroux ailDesktopiTK3DJournee iprothese Choose Folder wag 7 7 DICOM Data ee Patients Studies 3 EY Rad Index Model User X prosthesis Registration 4 Series Obtain the necessary elements for the diagnosis 1 2 340 113999 1001 1850269453 1235331260 207389921 7814356353 Radiographic Index or Stone Mode
23. ters Full screen Measure a Measure an 10 distance angle Parameters For advanced users some parameters can be optimized such as Allows to select an implant by default Distance Implant Dental Merves Distance between Sleeves Implants Anchor Pins Distance Anchor Pins Nerve Distance Contact Implant Radiographic Index Anchor Pins Radiographic Index Distance Iv Anchor Pins Radiographic Index Intersectior Parameters Alert Color p _ _ M a GD Cromer soi Abutment Mi Implant Ref Slice JJ Sleeves IJ Anchor Pin IJ Implants Minimum distance between two implants Maximum angle between two implants Minimum distance implant nerve Minimum distance between the sleeves OW teknika Ssss 11 euro 1 Before beginning the planning you may have to clean some artifacts To do so right click on the model and select Edit mesh wi a u NemoStudio NX Pro TAC 18 02 111 Implant Planning j Cal EJ joel File Edit View Goto Practice Patient Window Help User TRAINING 2 TEKNIKA User Active TimePoint da wm p 2 i i ia ti Set Time Point X y E T ER zz e nad View Operations Rad Index Model Registration i Obtain the necessary elements for the diagnosis Perspective View Default Zoom Show Reference Planes Radiographic Ind
24. ut Press Ctrl for Panning Ctrl Shift for Fix Axis Rotation View Operations Active TimePoint 3 NICP 35 100 teknika Patient s name First Name Last Name Code Status ma User X Find Patient New Search Search 2 S Import Cases 12 05 2014 6 Export to NemoStudio User Export for Viewer Standard Image format f Compressed pEampressed File Export directory B CAUusersteroux a Desktop Select s Eb q Back up directory 0 Internet Select the document to save and click OK UsuerX l t za 4 Series Tous les Documents Documents Select Al A file nmz is created in the selected file 7543 User X 12 08 31 31 08 201214 42 Fichier NMZ 3 Ko You can leave your case by clicking on x v Ssss 35 euro 6 IMPORT A CASE Click on Import cases Click on SELECT in the import file section or import case section Select the file and click on Open Modifi le Am Type mu 10 3 30 05 2013 10 41 Fichier NM Import file A Y ACAS NEMOTEC CAS Antoine Le RouxWo Then click on next lt Precedent dci Ea To finish select an existing patient or create a new patient automatically Clic OK to continue Existing patients 4 Found patients Search patients
25. y clicking right on the nerve you can access this data and modify it Delete rr Delete All Add Point Delete Point Propriety tab Dental Nerve E Section Diameter Info Locked Lock all 4 2 Define the sinus Nerves Sinus The first step consists in defining the tomography limits which envelop the maxillary sinus 1 Click on the command 1 Volume limits some blue lines appear in the axial coronal and sagittal slices they define the region enveloping the maxillary sinus Drag the lines in the different slices until they surround the maxillary Sinus 2 Mark a point inside the maxillary sinus that will be used as origin to detect its volume The algorithm starts from this point takes its density and expands in all the volume the regions with an Hounsefield density in the area around the specified tolerance will be segmented as sinus 3 Click on Detect to start the segmentation process You can see the segmented volume after a few seconds Sinus Segmentation E 4 Volume Limits 2 Locate seed poig We repeat this process in order to mark the left sinus 22 Step 5 Planning The left tab provides you with all the information concerning the implant system and the guide s fixing pins Treatment Plan Select the manufacturer and the guided surgery kit you are using The option 1 is activated by default you will be able then to add more treatment options
Download Pdf Manuals
Related Search