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1. the Sean tt for more information ane A Customer Support 800 537 6070 The block selection chart provides general direction on what block or category of block is recommended for different types of restorations Please understand that the clinical situations and parameters preparation occlusion patient compliance are all factors in the success of the final restoration regardless of the material For cast or pressed indications only Primary Secondary With manufacturer indication indication caution Begin at the location of the circle in the diagram below Move in half tooth or smaller increments and take overlapping scans Use small rotations at the corners of the diagram As you go down the buccal and lingual sides the wand can be held at close to 90 Scanning Pattern Scanned Model Desktop operators may prefer to have the Live View rotated if the scanner is facing the operator Click Rotate to change the Live View if needed 1 Turn OFF bright lights they can interfere with scanning 2 Scan 3 Rotate and evaluate the model using Highlight Low Data Areas 4 Take more scans to fill in any low data areas dark blue purple on the prep and interproximal areas 5 Trim Model if needed If an Impression was scanned of the prep or Clone click Impression Mode which inverts the scans to look like a traditional model This is NOT used o
2. 5 Click Orientation to accept the current position Customer Support 800 537 6070 Margin Tal Customer Support 800 537 6070 Margin Aids 1 Set Orientation See previous page Show Features highlights areas with high contours This often aids in finding the margin 2 Draw the margin using Trace Lasso or Paint Trace is the most popular selection View ICE Preparation toggles between 3 Edit the margin using Move Margin or Add Segments model view and ICEverything view Use only in intraorally scanned cases with equigingival or subgingival margin areas HEH EE HE EE EE EE mm HHO Cy I Click Align Buccal Scans to align the l i preparation opposing and buccal models Toggle Margin to show or hide the margin l lt E D ON ON OU EU EU n ON OU EU EU EU Ep I Preview Library appears after the margin 1 Click Trace has been edited and the editing tools i _ i deselected Click to use the library toothasan 2 Click along the margin in small increments The system creates aid to verify and adjust Orientation straight lines between each click a blue dot marks the starting point onnect to the starting point to finish the margin I i Connect to the starting point to finish th i Show Features is recommended as an aid in finding the edge of the margin it is not necessary for using the Trace tool Draw the margin in the middle of the green high contour indication 1 Designate a Se
3. 6070 fax 972 479 1106 email customersupport e4d com Home Screen Customer Support 800 537 6070 Click on any tab to save and return to the Home screen Click A to view edit the settings for the current tab Click on any tab to view online Help Click Sky or E4D Studio to import a case Add New Patient 1 Click Add Select Existing Patient 1 Select patient from the list You are NOT signed in ET to the E4D Sky network Sky Restorations Existing restorations appear on the right 2 Type patient Name Exercise 1 Multiple Anterior Exercise 2 Implant Stone Model Exercise 3 implant Soft Tissue Exercise 4 Multiple Posteriors Exercise 5 ICE Exercise 6 Anterior Exercise 7 Posterior Exercise 8 Buccal Bite Exercise 9 Bridges 4 6 ONLY 3 Click Enter J Extra Cases Open Existing Restoration 1 Select the existing restoration from Start New Restoration the list 1 Click Start New Restoration Click Open Existing Restoration Open Existing Restoration Setup screen appears Setup screen appears Select desired tab Select Multiple Tooth Restorations Restoration T Repeat the cn Bem steps for each Occlusal Data Type tooth Inlay Library Onlay 2 Material Aves Shade Bridge Pontic Link the D Bite registration restorations i Buccal Opposing to create a Single Restoration bridge N iil zy 4 nf Material ay 5 See the Blocks page Olck
4. PREV Setup Scan Margin D Crown Inlay gt Onlay Veneer Pontic D Bite registration Buccal Opposing rit ponts gd ter Library A um Materia IPS Empress CAD LT aap Table of Contents HoMe 3 Cl CC an 1 SSL SC le een sn 2 Block Selection vipsrcusecne tere 2 2 3 SCO MIS E E A en E S 4 Scanning O CIUSalDalo ee 5 Orientation aa sens es 6 MA NUS steer a a eus T Editing Margins men 8 Selection Area for inlays and onlays 8 Buccal Bite Alignment 9 D SERT TAD on 10 NEO ns 13 How to use the MOUSE ns 14 How to use the Skyball oo sssssssseseeees 14 5 Caution US Federal law restricts the E4D scanner to sale by or on the order of a dentist EMERGO EUROPE Molenstraat 15 01 23 EC 2513 BH The Hague The Netherlands Phone 31 70 345 8570 Fax 31 70 346 7299 Log on to our website www e4d com for these additional resources e Resources tab log in to ECO Community e Online Training Videos e Chairside Chats practical how to presentation updated weekly e Online community and forum e User Manual e Exercise Workbook e Quick Reference Guides To register for the ECO Community and access these resources go to www e4d com eco e Education tab e Intermediate and advanced course descriptions e Course planner and calendar e Links to online registration Online Help is available in the software by clicking I Contact Customer Support phone 800 537
5. ing the model However once the Skyball is used the mouse is deactivated
6. lection Area Click the Design tab 2 Click Design tab Move Margin 1 When using Trace Move Margin is activated by default Click to activate if necessary 2 Position the pointer on the margin line click and hold down the mouse button 3 Drag the margin into position and release the mouse button The system automatically redraws the margin Repeat as needed Add Segments 1 Click Add Segments a wy 2 Start and end by clicking on a good part of the margin Click to add a new line across the gap Use multiple clicks to create a curve if necessary Selection Area for inlays and onlays With the Selection Area tool you define the area where the computer will place the restoration This is important on partial restorations When the margin is drawn a reminder appears If a Selection Area is not designated Autogenesis will create a proposal but it may not be correct A Selection Area can be defined after the proposal has been generated but the library needs to be reapplied 1 Click Selection Area 2 Click Add to Selection 3 Use the mouse to draw a line around the entire tooth down to the gums The selected area is highlighted 4 Click the Design tab Autogenesis applies the library tooth to the selected area Customer Support 800 537 6070 Customer Support 800 537 6070 On Buccal Opposing cases the Design tab is not available until after the buccal and opposing have been aligned with
7. n scans of a bite registration Scan Occlusal Data See next page Customer Support 800 537 6070 The proposal s occlusion can be evaluated and designed using e Bite registration e Buccal bite and opposing dentition e Clone a waxup or existing anatomy before preparation Scan Clone 1 Click Scan Clone 2 Scan the pre operative tooth or wax up with the same scanning techniques used for the prepared anterior or posterior tooth 3 Prepare the tooth gt gt 4 On the Scan tab click Scan Prep Click Scan Bite Registration Capture occlusal details 90 of proximal dentition for template alignment Use Trim Model to trim away excess data Click Select Bite Area and circle the opposing dentition on the template Customer Support 800 537 6070 Scan Opposing 4 ae 1 Click Scan Opposing gt 2 Starting with an occlusal view scan the occlusal surfaces of the opposing dentition Include n the same number of teeth as the preparation model Ensure there is good cusp tip data on both the lingual and buccal sides Roll to the buccal and scan the buccal side of the opposing dentition Include gingival data do not stop halfway down the tooth Use Trim Model to trim away excess data Scan Buccal Bite 1 Click Scan Buccal Bite 2 Press the articulated model down firmly or have the patient bite down firmly and tell them not to move If the teeth shift during scanning the alignment may be incorrec
8. pacer Repeat the Sim After the restoration is milled remove the Sprue and Repeat steps until clean thoroughly with toothbrush and water ultrasonic or satisfied with the Sim Click Send to Mill steam clean Select position Rotate Model pointer on item press and hold and click left the right button button to select then drag Customer Support 800 537 6070 Zoom Model rotate Move Model the wheel button to up down left right change the size of the press and hold the model on the screen wheel button then drag How to use the Skyball Left button Skyball Cap mm Right button am Skyball Base The Skyball enables you to pan zoom and rotate separately or at the same time The base of the Skyball does not move only the cap top half moves Place the Skyball with the cord facing away from you Place your fingers on the raised areas of the cap This helps orient you to match the up down left right of the cap to what s on the screen 2013 E4D Technologies All rights reserved 10570700 R DRAFT US 25 00 Pan Use side to side Zoom Pull up or Rotate Tilt the cap motions to move the push down on the cap in the direction that model straight up and to zoom in and out you want to rotate the down or left and right model Press the right button to re center the model on the screen This acts the same as the Occlusal arrow in View Controls This also re enables the mouse for mov
9. ply to generate the proposal Deselect Autogenesis and click Apply to regenerate the proposal Proposal Generated Distorted Acceptable Customer Support 800 537 6070 Global Positioning Adjust the overall position of the tooth in relation to the proximals using Incremental Tools 1 Alignment Move 2 Rotation Rotate 3 Height Expand Esthetic Adjustments Go to Freeform Change Tools Evaluate the following and adjust if needed Rubber Tooth is recommended for these changes 1 Material Thickness 2 Contours 3 Marginal Ridges a i f 4 Embrasures Customer Support 800 537 6070 Design Tab Area of Influence The Area of Influence appears with many of the Freeform Change Tools and can be used to adjust the depth and or width of the affected area Occlusal Contacts 1 To display the bite registration or opposing dentition click View Bite Registration once to make it appear and a second time to make it translucent 2 Use Contact Refinement or Rubber Tooth and Slice Plane to adjust the contacts Popular goal white brown black Your office preference Bite Registration Buccal Bite 3 Click View Bite Registration until it is deactivated Proximal Contacts 1 Click View Contacts 2 Click Hide Model Popular goal 50 microns Aqua blue color Your office preference 3 For large changes use Expand under Incremental Change Tools to increase or decrease For smaller changes u
10. se Smooth if the contact is too heavy and use Dropper if it s too light Change the Area of Influence to be broad and shallow Material Thickness 1 Click View Material Thickness 2 Use Rubber Tooth to adjust the thickness Adjust the Area of Influence to be smaller for pit changes and larger for axial walls Axial Walls Green Occlusal Surface Dark Green Blue 3 Click View Bite Registration and View Contacts to ensure occlusal contacts are still in desired range Click the Mill tab Customer Support 800 537 6070 Mill Tab Customer Support 800 537 6070 Restoration 1 Look for orange or red shading thin material on the proposal Return to gt the Design tab to increase the material thickness to remove these colors NN sprue Sprue location good No Mandrel Mau 2 To change the location of the sprue click and drag the placement indicator circled in yellow along the circle that represents the exterior of the restoration or click one of the arrows Select the Block size from the list If there are no block sizes listed try a different sprue location or click Settings and select a different material O Click Sim and select Standard Q Click Gingival to view the model from below Is the blue visible anywhere other Ne than the M margin Try a Detailed Simulation If blue is still visible on the axial walls return to the Design tab and increase the s
11. t Scan ata 90 angle to the teeth Scan the sides of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured See the User Manual for instructions on centering the preparation and using multiple orientations Orientation activates automatically when the Margin tab is selected for the first time Orientation is a critical part of the entire design process The position of the model affects the position of the library tooth before Autogenesis is applied If the wand was positioned properly on the first scan only small adjustments should be needed To adjust the model use the LEFT mouse button 3 From the Buccal ensure the marginal ridges of the proximals are parallel to the red line 1 From the Occlusal ensure you are looking straight down at the occlusal plane of the teeth not tilted to the lingual or buccal tig ie FA ee Rt a as tase s 3 Tilers pet tet LL L 4 From the Occlusal ensure you can visualize the margin around the entire preparation If you cannot it may influence the fit of your restoration 2 From the Distal Evaluate the cusp heights of the proximals Align the cusps and axial walls according to the Curve of Spee To reduce the pink undercut indicators accept the Orientation draw the margin then reactivate Orientation When the margin is drawn the undercut indicators appear only inside the margin
12. the preparation model 1 Click Align Buccal Scans Three models appear 2 Click Grab Model M 3 Click directly on a distinctive feature such as a cusp tip groove unique gingiva etc examples circled in green below in the buccal bite and drag the model until the pointer is directly over the same distinctive feature on the preparation model The buccal bite model changes color and snaps into place 4 Click directlyona distinctive feature in the opposing model and drag the model until the pointer is directly over the same distinctive feature on the buccal bite model The opposing model changes color and snaps into place Your alignment should resemble the following If you are not satisfied with the alignment click Reset to start over Design Tab Adjust Library Tooth 1 If the Library Tooth is disproportionate to the proximals press and hold the ALT key while pressing the Up or Down Arrow key to resize the preview tooth Change Orientation Click the Margin tab Click Preview Library and Orientation Use the preview tooth to aid in orienting the model The model moves the preview tooth is stationary 2 If the Library Tooth is not centered over the preparation and or centered within the proximals use the mouse to drag the tooth into the correct position ClickOrientationtoacceptthe 2nd Attempt new model position Click the Design tab Click Ap
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