OraCheck user manual
Contents
1. 11 Table of Contents 12 Cyfex AG User manual 3 2 Limitations CAUTION OraCheck is not suitable for the analysis of any type of abscess or tumor Measurements taken with OraCheck should not be used alone in establishing a diagnosis but should be used together with conventi onal methods of diagnosis When importing images which were created with CEREC 4 2 4 or older with Omnicam it is possible that the current date rather than the acquisition date will be shown Please check and correct this using the function Edit case for all image fields Ver 2 0 EN 08 2015 Cyfex AG 4 First steps User manual 4 1 Installation 4 First steps 4 1 Installation K A prerequisite for proper installation is for one of the products mentioned in chapter to be installed on your system You have received an installation file for installation Transfer this for example using a USB stick to the acquisition unit Double click this file to start the setup program fg OraCheck Setup Welcome to the OraCheck Setup Wizard The Setup Wizard will install OraCheck on your computer Click Next to continue or Cancel to exit the Setup Wizard Installer Welcome The license terms must then be accepted 38l OraCheck Setup End User License Agreement Please read the following license agreement carefully Conditions of Software License Agreement for Dongle Protected User Software E IMPORTANT PLEASE READ C2. 40 8 2 2 Cyfex AG User manual The volume analysis is performed for the region defined in step 3 the result is shown on the screen Avoid calculating the volume on marginal regions of the acquisi tions Both models must be exactly positioned on top of one ano ther and must not exhibit any holes Check the solid in which you for example display the model with the Display objects tool or hide the model with the Baseline or Fol low up tool Exit volume analysis 1 Click the tool s Exit button The Volume analysis is closed In place of the tool menu on the page palette the Tool wheel can be called up by right clicking in a clear area of the main window The same tools are available here Distance analysis The distances between the follow up and baseline in the area of the analysis region can be calculated with the distance tool and displayed with the aid of a color scale If no analysis region is given the dis tance for the entire surface will be visualized The sensitivity for the positive increase and the negative decrease areas can be separately adjusted To adjust the sensitivity move the mouse over the Decrease tool whi le pressing and holding the left mouse button If you move the mouse upwards the sensitivity of the scale will increase accordingly and by moving it downwards it will decrease Moving left or right decreases or increases the sensitivity in smaller increments Without a selecti
3. After selecting the baseline and follow up models in the ARRANGEMENT phase you can move to the ANALYSIS phase by clicking on the icon Analysis in the phase bar If you are not able to switch to the ANALYSIS phase check that on the one hand two models have been selected in the object bar and both display either upper or lower jaw If soecial regions have been selected in the ARRANGEMENT phase as described below then the selected areas will be used as reference for the overlay otherwise the overlay will follow based on the com plete model Ver 2 0 EN 08 2015 Cyfex AG User manual 7 2 7 2 1 likid Example Ver 2 0 EN 08 2015 7 Arrangement phase 7 2 Setting the arrangement region The following chapter describes how the arrangement regions can be set for the overlay Setting the arrangement region Although an overlay can often also be calculated without overlay area details depending on each patient case the overlay area de tails may be necessary to obtain any usable results Before the overlay the user must first calculate which areas of the captured models have remained constant between the acquisitions These areas should be marked on at least one of the two models to be compared Next the quality of the overlay should be checked visually This can take place for example with the help of the distance analysis on the overlay regions Introduction Defining the arrangement region serves the
4. Cyfex OraCheck User Manual Software version 2 1 English CE Table of Contents Cyfex AG User manual Table of Contents Tape Or CONTEN ar sana snncsaranacrsaaenantaauctoavnauanevamantancaeusersegstaencseseaansar cease seniuauscansaess 2 TATOU Te EE 6 e AGS LTE D 1 2 eege Ha sea H D 1 3 ge Kgl NO Hagemann 6 2 General information nennen em Renee 7 2 1 General Se WIN OL ON een nee 7 2 2 Manuo e le d EE 7 224 ldentitication gg neue ne nen 7 2 2 2 Formatting and symbols used sese sese 8 2 2 CON 11 L 8 222 N IN AO nus E 8 2 2 FUNG e sne EE 9 2 2 6 Supported Sirona products ssssesessessesrrsessrserrrsersersrseeserrrsersesrrsreseserseeseseeseereseese 9 3 Tera ors 0 TTT 10 Bids IT viss RT 10 31 1 WIE CICA NIAC NC IION E 10 3 1 2 Intended sena de 11 3 1 Prone ot intended WSO eet 11 3 2 AECH e KE 12 DEVS TE 13 AM G e lt den EE 12 2 2 NS E Een al 16 4 3 COBY Di O UCC UO TTT 16 4 4 Service Backs ANG EE Eege 16 4 5 CEREC updates and Upprades u u uuun un aE EE 16 gt VS WS CF UCM CO ee ee ee ee een 17 Oe SU nd E EE 17 5 1 1 OBEnIne UNG SV SECM MICU ee 18 51 2 Closing the System MENU nennen 18 5 1 3 5 Oi AA ee 18 521 4 EPONE NEE 18 5 153 1MPOrl NE e EE 18 2 Ver 2 0 EN 08 2015 Cyfex AG Table of Contents User manual 3 16 IER 19 9 1 7 COUT Fr che Te T 19 5 1 7 1 Reset warning messages EE 19 e a e Select NEE 20 9 18 VUNG leE nes EE 20 a R POON TT 20 LL le ee re 20 SN K E 20 e 81006 D
5. or older in conjunction with the Omni cam after loading a rst patient file there is a possibility that the current rather than the acquisition date will be shown Please check and correct this using the function Edit case If you answer the above given question with Cancel the data transfer is stopped and you have the option to save the case already open in OraCheck OraCheck is not started and no case is yet open Provided that OraCheck has not been started it will now be started via CEREC and the acquisitions transferred OraCheck is then in the ADMINISTRATION phase If available the appropriate patient is already preselected otherwise a new patient is created 51 Table of Contents Cyfex AG User manual 10 FAQ 10 1 Overlay 10 1 1 Why are my models not being correctly overlaid If models are incorrectly overlaid follow this procedure In the ARRANGEMENT phase check if areas might have been selected which could impede a proper overlay e g tooth 21 on baseline mo del and 11 on follow up model To reset all selected regions use for instance the Region tool option Reset regions on both models This deletes a region which has already been determined for the baseline and for the follow up model Then mark identical areas on both models or allow OraCheck to perform the overlay fully automatically without selecting any regions Example of an incorrect overlay 10 1 2 Do models in the CEREC software need to
6. trademark 6 U Uninstalling 16 Upgrades 16 User interface 17 U View options 21 Volume analysis 38 39 volume difference 38 W Window mode 20 57 Technical Changes reserved Language English OraCheck 2 01 Dokumente OraCheck 05 Begleitdokumentation Benutzerhandb cher EN docx Manual version 7 0 EN Cyfex AG 2015 Cyfex AG Siewerdtstrasse 8 8050 Z rich Switzerland
7. Ver 2 0 EN 08 2015 5 The user interface 5 3 Phase bar Distance direction Tip Simply by clicking the left mouse button in addition to the oran ge arrow a red arrow is placed which can be removed again with the right mouse button The sign in front of the distance readout indicates whether it is a matter of an increase in material or a decrease If the surface of the follow up model lies above the surface of the baseline acquisition then the distance is positive otherwise it is negative The direction of the material increase or decrease is additionally displayed by the di rection of the indicated arrow Span distance Distance measurements on the surface can also be taken manually via the Span distance button 1 Click the Analysis tools button 2 Click the Span distance button 3 Click on the models to set the start and end points The span distance will be indicated Phase bar Phase bar with activated ARRANGEMENT phase The work flow of the software is divided into 3 phases e ADMINISTRATION e ARRANGEMENT e ANALYSIS The current phase is displayed in the phase bar with a yellow back ground e g the ARRANGEMENT phase above Tip you can jump back at any time to already completed phases with one click on the phase bar The following three chapters describe the three work phases 25 Table of Contents Cyfex AG User manual 5 4 Object bar The model selection buttons can be found in the object
8. bar The ob ject bar is available in the ARRANGEMENT and ANALYSIS phases The oldest model is marked as Baseline and the other as Follow up based on the time of the acquisition You can jump back and forth between the models by clicking on each relevant model in the object bar Follow up 23 05 2013 Example of a tilt analysis Alternatively you can also switch between Baseline and Follow up by double clicking on the left mouse button in the main window or pres sing the space bar If you wish to interchange Follow up model and Baseline model you can switch to the ADMINISTRATION phase and edit the case As the new designated baseline model assign it the oldest date of the case After saving the change this model will be used as the Baseline in the fu ture WARNING This method is only recommended in exceptional circum stances as there is a danger of losing track of when the individual models were scanned 26 Ver 2 0 EN 08 2015 Cyfex AG User manual 6 Administration phase 6 1 Editing a patient 6 Administration phase 6 1 Ver 2 0 EN 08 2015 In the ADMINISTRATION phase the following can be performed e Edit information about the patient e Open saved cases for a patient e Rearrange cases combine e Edit cases e Delete cases Existing cases are displayed in this phase as per the patient database known from the CEREC software For every saved case the existing models are displayed with date and time
9. be trimmed before exporting to OraCheck A possible trimming of the model geometry performed in CEREC has no bearing on the model exported from CEREC to OraCheck 32 Ver 2 0 EN 08 2015 Cyfex AG User manual 10 1 3 10 1 4 Ver 2 0 EN 08 2015 10 FAQ 10 1 Overlay Why do models need to be oriented in advance in the CEREC software If the models in CEREC have not been correctly oriented this incor rect orientation only has an influence on the view options If the mo del has been turned upside down during orientation the Top view op tion correspondingly shows the model from the bottom rather than from the top The prior orientation of the models in the Set model axis area of the CEREC software before transfer to OraCheck has no bearing on the overlay of the two models What process is followed to overlay the models The models are overlaid incrementally in a process which overlays the two models From each point on the virtual follow up model the nearest point on the baseline models is sought and the intervals are calculated The follow up model is then moved and rotated such that these intervals are minimized This combination of finding the next point and minimizing intervals is repeated until no further improve ments can be achieved From a mathematical standpoint a cost func tion is defined as a measurement for the approximation of the two models which is generally made up of the sum of the individual quad ratic int
10. case 18 F File formats 9 First steps 13 Install Software 13 G General information 7 General safety information 7 Greeting 6 H Help 20 Identification of risk levels 7 Importing a case 18 Intended patient group 11 Intended use 10 interchange Baseline und Follow Up 26 L License manager 19 Limitations 12 M Medical indications 10 Model advance orientation 53 Overlay 53 Preparation 52 Ver 2 0 EN 08 2015 Cyfex AG User manual N Not selected 22 O Object bar 32 Opening the system menu 18 D Patient Edit 27 Edit 27 Open case 27 Patient information 27 Perform application 49 Performing volume analysis 39 Phase bar 25 26 32 Problem with overlay 52 Profile of intended user 11 R Region 23 Analysis 37 Arrangement 34 Expand 37 Reduce 38 Reset 38 Region tool 33 Reset warning messages 19 Resizing the view 21 S Save case 18 Saving the case 18 Section view 42 Adapt section plane 44 Ver 2 0 EN 08 2015 Index Exit 44 Measurements 43 Perform 42 Select language 20 Selected 22 Service packs 16 Set Arrangement Region 32 Set Transparency 22 Side panel 20 Span distance 25 Supported Sirona products 9 Surface distance 24 System menu 17 T Texture 23 Tilt analysis 45 Confidence 45 Movement 45 Perform 46 Rotation 45 Tilt 45 Tools 21 22
11. demonstration examples and no CEREC acquisitions will be accessible The license key is available directly from Cyfex AG and not from the supplier For this please contact sales cyfex com direct After updating the software you may need a new license which is not on your USB license stick Further information is contained in section 0 Service packs and upgrades Information relating to future OraCheck service packs and upgrades can be found at www oracheck com CEREC updates and upgrades When a CEREC update or upgrade is installed portions of OraCheck will be also be removed by the CEREC installation program After an upgrade to a newer version of CEREC it is therefore advisable to re install OraCheck as described in chapter 4 Ver 2 0 EN 08 2015 Cyfex AG User manual 5 The user interface 5 1 System menu 5 The user interface Baseline 20 05 2013 System menu D Phase bar C Page palette D Object bar e Main window Tool wheel Overview of the user interface 5 1 System menu Ver 2 0 EN 08 2015 The following actions can be performed in the system menu e Save case e Export case e Import case e Open license manager e Configure software e Change window mode e Retrieve software information e Close the software 17 Table of Contents 1 18 5 1 1 5 1 2 5 1 3 5 1 4 5 1 5 Cyfex AG User manual Opening the system menu The system menu is opened as follows gt Move
12. inLab 4 2 4 or newer with OmniCam or BlueCam CEREC Ortho 1 1 or newer with OmniCam or BlueCam The following problems could arise when using older CEREC versions or older CEREC images e Incomplete transfer of the acquisition data from an image However this problem could possibly also occur in the CEREC 4 2 4 version e Acquisition problems with the OmniCam e OraCheck will not start from CEREC Table of Contents User manual 3 3 1 3 1 1 10 Cyfex AG Application Intended use OraCheck is designed to measure three dimensional change on vir tual optical scans of gums and teeth on the computer The changes could include e Movement of teeth e Tilting of teeth e Geometric changes to the surface of hard tooth tissue or gum Medical indications The OraCheck software is intended for the visual analysis and metric evaluation of changes to soft tissue teeth and restoration work in conjunction with before reference and after situations Taking into account relevant medical indications it incorporates the following functions Analysis of progression for gums and hard tooth tissue e Inflammation associated with gingivitis periodontitis e Gingival recession e Plaque build up scale Examining the success of a treatment with surgical interventions e Augmentations e Soft tissue and recession covers e Gingival shaping Papillae e Periodontal surgical interventions Examination analysis of abrasion erosi
13. or Reset to delete the active region The analysis region is marked in color 4 Click the Exit button of the Region tool The Region tool is closed 5 Click the Tools button on the page palette The Tools menu opens 6 Click on the Distance analysis button The distance analysis is performed for the region s defined in step 3 the result is displayed If no region s has have been set the distance analysis is performed on the entire surface of the model Exiting the distance analysis 1 Click the Distance analysis tool s Exit button The tool is closed 8 4 Section view The section view offers the option to analyze differences between baseline and follow up in a 2D section view This enables metric measurements between the overlaid models to be performed in the 2D view Baseline 10 01 2014 13 05 Section view 8 4 1 Perform section view v You are in the ANALYSIS phase Cyfex AG User manual 8 4 2 Ver 2 0 EN 08 2015 4 8 Analysis phase 8 4 Section view Click the Tools button on the page palette The Tools menu opens Click on the Section view button The Section view tool opens Click with the mouse at the point where you would like to start the section and continue to hold down the left mouse button Create the section holding down the left mouse button The section is created and the section window is subsequently shown in the left area of the screen Measurements in th
14. purpose of defining areas on the model which are to be used for the calculation of the overlay This step is solely for help with analysis and should be used when the overlay of the acquisitions without region definition leads to undesi red results Background information on overlay can be found in sec tion 10 1 4 Using the Region tool one or more areas can be selected on the sel ected model The region can be expanded reduced or reset If the mouse cursor is exactly over the line double clicking enables the line to be edited with the mouse Purpose If the Region tool is selected in the ARRANGEMENT phase after selec ting the Baseline model certain areas regions can be marked on this model to serve as a reference for the overlay The corresponding areas regions can also subsequently be marked on the Follow up model with the same tool The marking of individual areas in the ARRANGEMENT phase is most helpful in situations in which the two models to be overlaid exhibit large deviations yet both models have certain identical areas An adjustment to the front of the upper jaw with anchoring on the premolars and molars Here it would be wise to mark the anchor teeth on both models as a region as these areas should be virtually unchanged on both models An automatic overlay of both models wi thout region definition could otherwise lead to problems on the cor rect overlay 33 Table of Contents 34 7 2 3 Cyfex AG Us
15. the mouse arrow to the upper edge of the window or gt click on the Start window button represented by an orange arrow as shown on the left The system menu is displayed Closing the system menu gt Click on the System menu button or gt right click with the mouse in the main window The system menu is closed Saving the case This dialog allows you to save the current case gt Select Save case from the system menu The current processing status of the case is saved Exporting the case A case can be saved at any point in the OraCheck format oc v A case has been opened in the software 1 Click on the Export button in the system menu The dialog box Export case opens 2 Select the folder into which you would like to export the file 3 Assign the case a name 4 Click on the Save button The case will be exported as an OC file If you would like to transfer the case to another PC you can use a USB stick or a network drive for this purpose Importing a case A case s OC or STL file is located on the acquisition unit or connected data carrier 1 Click the mport case button in the system menu The Import case dialog box opens 2 Select the folder in which the case is located 3 Select one or more files Ver 2 0 EN 08 2015 Cyfex AG User manual 5 1 6 5 1 7 a hy gt 1 or He CH 5 L Deh oe CN S de a i 5 1 7 1 Ver 2 0 EN 08 2015 5 The user
16. the other model Even if only one of the points 53 Table of Contents Cyfex AG User manual matches exactly with the small region it is possible that due to the incremental process the overlay calculates a local optimum at the wrong point on the model This problem can be circumvented either by using large regions or determining regions on both models Rule 3 The most reliable way to achieve a good overlay is to define the largest possible overlay area on both models 54 Ver 2 0 EN 08 2015 Cyfex AG User manual 11 Declaration of conformity 10 1 Overlay 11 Declaration of conformity Ver 2 0 EN 08 2015 KONFORMIT TSERKL RUNG DECLARATION DE CONFORMITE DECLARATION OF CONFORMITY DICHIARAZIONE DI CONFORMITA Name und Adresse der Firma Cyfex AG Nom et adresse de l entreprise Siewerdtstrasse 8 Nome e indirizzo della ditta 8050 Z rich Name and address of the firm Schweiz Wir erkl ren in alleiniger Verantwortung dass Nous declarons sous notre propre responsabilit que Dichiariamo sotto nostra responsabilita che We declare under our sole responsibility that das Medizinprodukt OraCheck Version 2 1 le dispositif m dical the medical device il dispositive medico Beiec hing Typ oder Modell Chargen oder Seriennuenmer ey Herkunft umd St ckzahl Nom tyoe ou made numer de lot au serie Zu source et nombre d exemalaires Noma tipo o mogello numere di batta di serie eu fante e numero di Asm placa pe or mo
17. valuat de la conformit si consulte Organoincaric della valutaz della conform se consultato Notified Body if consulted Z rich 19 08 2015 Dr R Koch Gesch ftsf hrer d ut DEDEDE REPRE CPP P ee 43311 ett ere DODD EERE R ERE R RP er RN UNIEN y Ort Datum Lieu date Luogo data Place date Name und Funktion Nom et fonction Nome e funzione Name and function 55 Index Index A About OraCheck 20 Activation 19 Activation code 19 Administration Phase 27 analysis functions 24 Analysis phase 37 Analysis tools 24 Application 10 Arrangement Defining regions 34 Deleting a model 36 Arrangement phase 32 Arrangement Region 33 Defining 33 C Case Combine 28 Delete 27 31 Edit 27 30 Open 30 Rearrange 27 Recombine 29 Case Recombine 28 Case Add new 28 CEREC 48 Execute OraCheck 49 Export models to OraCheck 49 Register OraCheck in CEREC 48 CEREC System menu 49 CEREC Updates 16 Change view 21 Closing the system menu 18 Color model 23 Configuration 19 Conventions 8 Copy protection 16 Copyright 6 Cursor details 24 Cursor distance Distance direction 25 D Delete model 36 46 Display objects 22 Distance analysis 40 Distance analysis Perform 41 56 Cyfex AG User manual E Edit region line 34 Error Volume computation 38 Error with Overlay 52 Exit OraCheck 20 Export case 18 Exporting the
18. 9 LACON Deere ee 45 EIERUNG 46 89 1 0 Delle TOO WEE 46 9 OPAC TI CCI and CEREC ee a ee 48 9 1 Registering OraCheck as an app in the CEREC software 48 9 2 Starting OraCheck from the CEREC software see eee eee eee 48 9 2 1 Combining models with earlier ACQUISITIONS sese eee eee eee ee eee 50 9 2 1 1 OraCheck is started and a case is opene 50 9 2 1 2 OraCheck is not started and no case is yet open 51 ah FAQ ee H 52 19 4 e n 2 nent Cee ene ene eee ne E E EE ee ee ee ee 52 4 Ver 2 0 EN 08 2015 Cyfex AG Table of Contents User manual 10 1 1 Why are my models not being correctly overlaid sss sees eee eee eee 52 10 1 2 Do models in the CEREC software need to be trimmed before exporting to 616 se eege 52 10 1 3 Why do models need to be oriented in advance in the CEREC software 53 10 1 4 What process is followed to overlay the models sese 53 11 Decelaration e e c a tel MIN an een 55 ARTS EE 56 Ver 2 0 EN 08 2015 5 Table of Contents Copyright Trademark 1 1 1 1 2 1 3 Cyfex AG User manual Introduction Greeting Dear OraCheck user We thank you for the purchase of the OraCheck software by Cyfex e OraCheck software enables you to overlay different three dimensional models created with the CEREC acquisition unit and to measure differences between the individual models as well as to represent them with color scaling e Improper use and handling may lead to erroneous interpr
19. A E 20 3 21 MEWODLON T 21 N H e E EE 21 5 2 1 2 RESIZING d NC 21 I2 Eege 21 3 2 3 IS Ee el Ce EE 22 E SIO ge TT 22 cR NOU SC EE 22 32 33 EL POMS Panel CY en ae 22 3 23 H e EE 23 5 2 Eel elase ee 23 52 4 Analysis aal EE 24 5 242 CUS OF EEN 24 5242 ET Als e Tee ee ee E een 25 593 PIE E 25 SA Ee 26 6 Administration Phase energie 27 ca Pdu SON en ee ee ee 27 6 2 Combining cases for analysis sees eee eee eee eee ee eee 28 o2 Ee EE 28 6 2 2 COMMIMING Ca SOS tee 28 6 2 3 RECOMDININE Te 29 6 3 Opening THE EE 30 oa EA DEINES ee ee 30 6 elek EN 7 aaa AE EE A E E A EE 32 Ver 2 0 EN 08 2015 3 Table of Contents Cyfex AG User manual eh SEIBELINE MEOE IE EE 32 7 2 Setting the arrangement region seerne EE NETA Ei 33 7 221 WO CCL OM EE 33 1 2 2 Ee ee 33 7 2 3 EIERE eet 34 Pen L 35 7 4 Eege 36 8 PATTY SIS EE 37 8 1 Setting s gears gre UT a Te T 37 32 VOICI EE 38 8 2 1 Performing volume analyse 39 8 2 2 Exit Volume analysis ernennen 40 8 3 DI FIDEL AAN ee een ee ee an 40 84 CUO KTT 42 84 1 asy esel RTT 42 8 4 2 Measurements in the section window cesses sees eee eee 43 8 4 3 Exiting the Section VIEW ana eeh eecht Genee eeh eech 44 8 4 4 Setting the section planes ccecceecssecseccsecseceuccseceueeseeesececeeeeeeeseeeeeeseeseeeeeeeeeesess 44 8 5 HIVE IV ee a 45 8 5 1 Values obtained in the tilt analysis 45 ne I ON EN A EN N EN A En NER EIERN IEEE ENERGIE E se acces 45 89 12 Eeer 45 8 3 1 3 e En VE E 45 8
20. AREFULLY The present conditions of the license agreement are legally binding for you either as a natural person or as a legal person under public law towards the CY Tes AG and applicable to the OraCheck software By installing and using the present software you automatiraliv aqdree to the validity nf the I accept the terms in the License Agreement Installer License terms The next step is to choose the installation folder and to decide whe ther the installer should create a desktop icon Ver 2 0 EN 08 2015 13 Table of Contents Cyfex AG User manual jg OraCheck Setup Destination Folder Click Next to install to the default folder or cick Change to choose another Install OraCheck to C Program Files Cyfex AG Oralcheck Create desktop shortcut Installer Destination folder Now all compatible host applications will be listed OraCheck will be installed for all existing host applications as standard Here individual host applications found can be excluded jg OraCheck Setup Select products Please choose the products that should use the OraCheck app CEREC SW 4 2 4 2 4 Add gt gt lt lt Remove Installer host applications example After a final question asking if you are sure you want to install OraCheck all necessary files will be installed automatically 14 Ver 2 0 EN 08 2015 Cyfex AG 4 First steps User manual 4 1 Installation fg OraCheck Setup Click Install to b
21. Patient data can be edited and cases no longer required may be deleted Cases In the yellow highlighted Demo patients there are 2 cases with a total of 6 acquisitions lt x Ei er Patient administration Editing a patient Once a case is exported from CEREC to OraCheck patient information such as name and date of birth is transferred in addition to the acqui sition data This ensures that a patient and their relevant cases can be found during the course of their treatment and that the patients can be distinguished from one another It should typically only be necessary to amend patient information in OraCheck in exceptional cases e g if a patient name has been en tered incorrectly into CEREC or if images were imported from STL fi les Clicking on the Edit patient button opens an input form in which pati ent information may be edited e Last name e First name e Date of birth e Patient ID 27 Table of Contents 28 6 2 6 2 1 6 2 2 Cyfex AG User manual e Dentist Once the patient information has been entered such that all patients in the database can be clearly distinguished from one another the line under the Edit patient button changes from red to green and the entry can be transferred Combining cases for analysis This button is available in various versions e Add as anew case save a case that has been imported from CE REC as a separate case without combining this with anot
22. ack ball button on the acquisition unit or foot switch Double clicking Pressing and releasing the left mouse button or trackball button on the acquisition unit or foot switch twice in quick succession Moving the On the acquisition unit moving the trackball mouse inone where necessary while pressing the mouse button direction in the appropriate direction Manual formats You can access the manual at any time by clicking on the Help button This manual can also be found in pdf format in the installation direc tory or as a download on the product s website www oracheck com This format is page based and is therefore suited to the printing of desired pages Ver 2 0 EN 08 2015 Cyfex AG User manual 2 2 5 2 2 6 Ver 2 0 EN 08 2015 2 General information 2 2 Manual Structure File formats It is possible to assign each patient to one or more cases in the soft ware Depending on processing status a case comprises virtual mo dels and the overlays carried out by them When exporting a case as a file the software uses its own file format oc This format contains all data relating to the case including pa tient information OC files can be opened with other OraCheck soft ware installations It is possible that older software versions will not open data exports from a current version Supported Sirona products OraCheck 2 1 supports the following Sirona products CEREC 4 2 4 or newer with OmniCam or BlueCam
23. ation The average distance of the follow up region to the baseline geometry is 0 15mm 0 0mm lt distance lt 0 1mm 80 474mm 0 1mm lt distance lt 0 5mm 18 105mmf 0 5mm lt distance lt 1 0mm 0 2mm 1 0mm lt distance 2 10mm7 Discarded area 1 3mm Do not show this information again If the overlay features a major error an exclamation mark will be shown in the dialog In this case please check whether an improve ment can be achieved in alignment of the overlay regions Registration The follow up region could not be matched very well to the baseline geometry The average distance is 1 61mm 0 0mm lt distance lt 0 1mm 14 602mm7 0 1mm lt distance lt 0 5mm 33 1376mm 0 5mm lt distance lt 1 0mm 19 816mm7 1 0mm lt distance 22 940mm7 Discarded area 11 467mm Please consider this for the following analysis meon With the mouse click on the Reset button to re create the situation y prior to the overlay 7 4 Deleting a model oe By clicking on the Delete model button the selected model is deleted This function is explained in detail in chapter 36 Ver 2 0 EN 08 2015 Cyfex AG User manual 8 Analysis phase 8 1 Setting the analysis region 8 Analysis phase 8 1 Ver 2 0 EN 08 2015 Switching to the ANALYSIS phase is performed by clicking on the phase bar In the ANALYSIS phase the baseline and follow up models are overlai
24. ayed or hidden and the transparency of the model can also be adap ted 73 09 2014 The selected model is seen highlighted in yellow in the object bar and displayed in white text the follow up model in the example on the right To display or hide the selected model perform the following 1 Click on the Display objects button 2 Click on the Selected button The selected model is displayed or hidden green dot is swit ched on or off Please do not confuse the indicator green dot on the Selected Not selected button with the similar indicator from the object bar in the ARRANGEMENT PHASE Not selected When the button is not selected the selected model can be displayed or hidden and the transparency of the model can also be adapted The model not selected is displayed in black text without highlighting To display or hide this model follow the instructions as described in 1 Click on the Display options button 2 Click on the Not selected button The model not selected is displayed or hidden Set Transparency You can set the transparency of both models with continuous ad justment 1 Click on the Display objects button 2 Click on the model icons of the selected or not selected model on which you would like to change the transparency 3 Position the mouse over the corresponding button and press and hold the left mouse button while moving the mouse up or down The transparency of the selected mode
25. code libraries of third party pro viders can be found in the file license pdf The file can be found by default in the OraCheck installation directory under C Program Files Cyfex AG OraCheck Configuration The configuration menu opens the sub menu Settings in which two settings can be performed e Warning notices e Language Reset warning messages Here allwarning messages can be reset Each warning message deactivated manually on request is once again displayed 19 Table of Contents 5 1 7 2 5 1 8 5 1 9 5 1 10 5 1 11 5 2 20 Cyfex AG User manual Select language Here you can set the language of the software After rebooting the software your chosen language is set Possible options are English German French and Italian Window mode The full screen mode can be switched on or off via the function Window mode About The function About provides information on the current program ver sion Exit With one click on Exit you can close the software Help One click on the Help button calls up this manual Side panel Depending on the current phase different functions are offered in the side panel The side panel is available in the ANALYSIS and ARRAN GEMENT phase Ver 2 0 EN 08 2015 Cyfex AG User manual 5 2 1 5 2 1 1 5 2 1 2 DAZ Ver 2 0 EN 08 2015 5 The user interface 5 2 Side panel View options You can use the View Options button to disp
26. d all of this patient s cases are displayed toge ther in the right hand area of the ADMINISTRATION page see image be low The newly imported case appears as a floating case beneath the other acquisitions of the same patient OraCheck remains in the ADMINISTRATION phase By double clicking on an already existing case you can combine it with the new case By double clicking on the floa ting case it is opened directly If no matching case can be found the patient is newly created and you can save this case Alternatively you can also combine this pati ent with the data of another patient This is particularly useful when patient data is not always collected in the same way or is not always complete e g the date of birth of the patient is available on an ear lier acquisition but is not displayed on the current acquisition The newly imported floating case is highlighted in red in the ADMI NISTRATION phase cf image below If the name of the patient is also not available this is highlighted in red too Ver 2 0 EN 08 2015 Cyfex AG User manual 2 22 Ver 2 0 EN 08 2015 9 OraCheck and CEREC 9 2 Starting OraCheck from the CEREC software New acquisitions for the patient Hans Muster added as a new case highlighted red and combined with the existing acquisitions highlighted yellow Provided that cases are combined a copy of the existing case is gene rated to guard against accidental loss of data When using CEREC 4 2 4
27. d and the chronological progression of changes on the surfaces can be analyzed with the available tools The quality of the overlay is shown in detail in an information or war ning window see also and is then visible as an average distance of both models in the bottom right corner of the screen With one click on the Tools icon in the page palette the available tools can be opened Alternatively the Tool wheel can be called up with a right click in a clear section of the screen The following tools are available in the tools menu e Region e Volume analysis e Distance analysis e Section view e Tilt analysis e Delete model A detailed description of these tools can be found in the following sub chapters Setting the analysis region The Region tool is operated in the ANALYSIS phase and in the ARRANGE MENT phase Areas of the model can also be selected or deselected here by expanding reducing or resetting In the ARRANGEMENT phase the Region tool serves the purpose of de fining regions which are used for calculating the overlay For this cor responding regions can be defined on the baseline and on the follow up model In contrast in the ANALYSIS phase the regions are only de termined on the follow up model In the ANALYSIS phase the region area only serves to determine the Color range of the false color visualization and to set the area to cal culate the Volume analysis or the Tilt analysis The method of defini
28. del batch or tarta number possibly sources and number of tems der Klasse delaclasse dellaclasse of class ohne Messfunktion gem MEDDEV Z 1 5 Nach Anhang DN der Richtlinie 53 43 EWG selon lannexe dela directive 94 42 CEE f seconde l allegato IW della direttiva 95 74 CEE d according to annex IX al direct 99 42 EEC allen Anforderungen der Medizinprodukte Richtlinie 93 42 EWS od 90 385 EWG entspricht die anwendbar sind remplit toutes les exigences de la directive sur les dispositifs m dicaux 93 42 CEE ou 90 385 CEE qui le concernent soddisfa tutte le disposizioni della direttiva 93 42 CEE opure 90 385 CEE che lo riguardano meets all the provisions of the directive 93 42 EEC or 90 385 EEC which apply to it Angewandte harmonisierte Normen natio EN 62304 2006 SW Lebenszyklus Prozesse EES ones EN ISO 13485 2012 Qualit tsmanagement Dokumente Normes harmonis es normes nationales et EN ISO 14971 2012 Risikomanagement autres documents normatifs appliques EN 62366 2008 Gebrauchstauglichkeit Norme armonizzate o nazionali applicate altri documenti normativi applicati Applied harmonised standards national standards or other normative documents Konformitatsbewertungsverfahren EG Konformit tserkl rung MDD Annex Vil Procedure d evaluation de la canformite Procedimentodivalutazione della conformita Conformity assessment procedure Konformitatsbewertungsstelle falls beigezogen keine Organe resp de l
29. e Foundation 07 01 2013 331MB 3419593 OraCheck Cyfex AG 05 02 2014 232MB 203312 Fo A VirtualBox 4 2 6 Oracte Corporation 07 01 2013 132MB 425 Z prepCheck SIRONA Dental Systems GmbH 16 01 2014 29MB 10 2480 j Prerequisites for SSDT Microsoft Corporation 31 05 2013 635M8 110210060 QuickTime Ap ie Inc 03 06 2013 746MB 7748036 we Realtek Ethernet Controller Driver Realtek 27 09 2013 7 75 827 2013 A Realtek High Definition Audo Driver Realtek Semiconductor Corp 16 05 2012 6016543 GV Search Protect Conduit 06 03 2014 211117 Selechonlinks Selectionlinks 07 06 2013 10 8 Skype Click to Call Microsoft Corporation 14 03 2014 26 7 MB 7 1 15383 6004 D Skype 6 14 Skype Technologies 5 A 07 03 2014 251MB 614104 Snoop Cory Plotts 11 06 2013 123MB 280 D Sparx Systems Keystore Service Sparx Systems Pty Ltd 16 09 2013 210MB 20010 D Teamviewer 9 TeamViewer 23 01 2014 9 0 24951 Cyfex AG 0 33 t 4 en Uninstalling Copy protection The software can only be started when the USB license stick is inser ted The USB license stick is supplied with the CEREC acquisition unit Authorization to use OraCheck is installed as an electronic license on the USB license stick In addition the 25 digit license key must be en tered If you do not have a valid license for OraCheck you will not be able to export from CEREC to OraCheck Furthermore you will only be able to start OraCheck from the desktop icon and not from CEREC In this case only loadable
30. e section window You have the option to perform metric measurements in the section window v You are in the Section view 1 Using the left mouse button click in the section window onto the Starting point of the measurement and continue to hold down the mouse button 2 Move to the end point of the measurement while continuing to hold the left mouse button and then let go of the button The length of the segment will be displayed to the right un derneath the mouse cursor Note that the measurements in the section view do not necessarily represent the shortest distance between the two models Example the two section planes a and b deliver differing lengths of segment section red and green line in the section view on account of their different orientations 43 Table of Contents Cyfex AG User manual 8 4 3 Exiting the section view gt Click the Section view tool s Exit button The Section view tool is closed 8 4 4 Setting the section planes You have the option to adapt section planes with the control element of the section tool a Slide the direction arrow of the control b Click the end of the horizontal arrow to wheel while pressing the left mouse but shift the section plane horizontally ton This allows the section plane to be shifted b rotated c or tilted horizon tally c To rotate the section view click on the d To tilt the section plane click on the Cyfex AG User manua
31. eck using the function Edit case for all affected image fields If there is no case loaded in the CEREC software or if the model axis has not been defined in a loaded case then the OraCheck symbol appears grayed out with an exclamation mark OraCheck will not start In order to start OraCheck open a case in the CEREC software and define the model axis 49 Table of Contents Cyfex AG User manual 9 2 1 Combining models with earlier acquisitions 9 2 1 1 OraCheck is started and a case is opened 50 Provided that OraCheck is already started and a patient case is ope ned on import of acquisitions a message appears asking if the im ported case should be added to the opened case see below If you confirm this with Yes both cases will be combined and the imported acquisitions will receive the patient information of the already exis ting case OraCheck then switches automatically into the ARRANGE MENT phase Add data to the current case Do you want to add the new data to the current arrangement Declining will discard the current situation and any data not saved will be lost Message when an active case is open in OraCheck If you answer the question with No the open case in OraCheck is dis carded The patient data of the new case will then be compared to the patient data of earlier cases in OraCheck If an earlier case with matching patient data is available the corresponding patient is selec ted automatically an
32. egin the installation Click Back to review or change any of your installation settings Click Cancel to exit the wizard Installer Question Once the installation is complete you will be informed that it has be en installed successfully dl OraCheck Setup Completed the OraCheck Setup Wizard Click the Finish button to exit the Setup Wizard Installer Complete Ver 2 0 EN 08 2015 13 Table of Contents 16 4 2 4 3 4 4 4 5 Cyfex AG User manual Uninstall software OracCheck is uninstalled via Windows There is no integrated uninstall assistant El Control Panel All Control Panel Items Programs and Feature DES p h a Control Panel Home ninstall or change a program View installed updates To uninstall a program select it from the list and then click Uninstall Change or Repair EN Turn Windows features on or a Organze Uninstall Repair H Name Publisher Installed On Size Verson Lei Notepad Notepad Team 08 08 2013 643 NVIDIA 30 Vision Controller Driver 301 34 NVIDIA Corporation 18 05 2012 1 4 SE NVIDIA 30 Vision Driver 311 06 NVIDIA Corporation 16 04 2013 311 06 NVIDIA Graphics Driver 311 06 NVIDIA Corporation 16 04 2013 311 06 2 NVIDIA HD Audio Driver 1 3 16 0 NVIDIA Corporation 23 08 2012 13 160 NVIDIA PhysX Systern Software 9 12 0213 NVIDIA Corporation 18 05 2012 9 120213 NVIDIA Updste 111 3 NVIDIA Corporation 16 04 2013 1113 2 OpenOffice org 34 1 Apache Softwar
33. er manual However in most cases a selection of areas in the ARRANGEMENT phase is rarely necessary because the OraCheck software overlays automa tically with precision You can enlarge or reduce the diameter of the selection area if while pressing and holding the right mouse button you move the cursor up enlarge or down reduce on the model to be marked Enlarging and reducing the diameter of the region with the right mouse button By double clicking on the line at the edge of the selection area cur sor becomes a cross the line can be edited just like the preparation margin in CEREC Defining region s 1 You are now in the ARRANGEMENT phase and two models to be compared have been set in the object bar Click the Tools button on the page palette The Tools menu opens 2 Click on the Region button The Region tool opens 3 Click with the mouse on the Expand button to create a region for the overlay or to enlarge a region Subsequently move the mouse cursor while holding down the mouse button over the model to define the region While holding down the right mouse button the size of the overlay region can be changed by moving the mouse up or down 4 Click with the mouse on the Reduce button to reduce the region as above or Ver 2 0 EN 08 2015 Cyfex AG 7 Arrangement phase User manual 7 3 Overlay u 5 Click with the mouse on the Reset button to delete the region on KS the active model 6 Click with the
34. ervals comparable to variance or standard deviation By mi nimizing this measurement the models achieve the best possible ap proximation When calculating the intervals errors can however result from real measurement data which on the one hand arise from false detection of the next neighboring point These discrepancies arise particularly in regions in which both models differ In addition these situations commonly occur at the margins of model regions which differ in size or in areas in which two regions lie close to one another e g appro ximal regions On the other hand in the model there could already be acquisition errors or errors from the data processing which in turn generate erroneous interval readings To avoid these errors leading to a substandard overlay a certain proportion of the highest devia tions are discounted for the overlay The following rules can be derived from this Rule 1 If a significant proportion of the overlay regions have remai ned unchanged between the baseline and the follow up model the acquisitions can be clearly correlated even if individual areas have changed significantly e g through orthodontic means Rule 2 If the overlay is to be performed on the basis of a smaller re gion which has only been determined on one of the two models it is possible that the overlay will fail This is because this small region of the one model may have several fitting overlay points which could correlate with
35. etations or false results We therefore request that you read through this manual and the corresponding instructions and follow them carefully e A prerequisite for the successful application of OraCheck is basic working knowledge of the CEREC acquisition unit CEREC AC and the CEREC software In case of questions please refer to the user manual supplied with the CEREC system e To prevent personal injury and material damage please observe the safety information contained in this document on the devices and within the software We wish you every success with our software Yours faithfully Cyfex Software Team Further support In case of questions or suggestions regarding this product our sup port team will be happy to help Please refer all questions to the following email address support oracheck com or contact us directly using our ticketing system http support cyfex com Copyright and trademark Cyfex AG 2013 All rights reserved Microsoft and Windows 7 are registered trademarks Windows is a trademark of the Microsoft Corporation All other trademarks are the property of their respective holders Ver 2 0 EN 08 2015 Cyfex AG User manual 2 General information 2 1 General safety information 2 General information 2 1 General safety information 2 2 Zu Ver 2 0 EN 08 2015 Only use original software Only use original software or software which has been released by Cyfex Software and soft
36. f each individual image 1 2 Upper Jaw Lower Jaw Acquisition Date 06 05 2014 Acquisition Time 2 12 Input forms for a comment on a case and for characteristics of one of two images of this case Should you wish to import images from older CEREC versions it may be necessary to correct the acquisition times When importing images which were created with CEREC 4 2 4 or older together with Omnicam the current date rather than the acquisition date may be shown Please check and correct this using the function Edit case for all image fields Ver 2 0 EN 08 2015 Cyfex AG User manual 6 5 Ver 2 0 EN 08 2015 6 Administration phase 6 5 Deleting a case Changing the acquisition date can lead to the baseline acquisition and the follow up acquisition being compared in the wrong order This can in turn lead to distances being given with an incorrect sign i e material increases are interpreted as decreases and vice versa Please only change the acquisition date if you are sure Deleting a case By double clicking on this button and subsequently confirming a case including all models held is permanently deleted from the OraCheck database and from the hard drive The case is not deleted from the CEREC database and where neces sary can be re exported to OraCheck 31 Table of Contents amp 32 Cyfex AG User manual 7 Arrangement phase 71 In this phase you can perform the f
37. her exis ting case in OraCheck e Combine cases Combine a case imported from CEREC with an existing case in OraCheck e Recombine case Combine two existing cases in OraCheck Add as a new case The Add as a new case button is available when you have exported a case from CEREC to OraCheck or when an already existing case in OraCheck has been selected via Recombine case see below This can be identified by the case being highlighted in red At the same time no further case may be selected highlighted yellow Saving floating case in red as a new case When pressing the add as a new case button the red highlighted case will be saved to the hard drive as a new case and subsequently dis played with a yellow background Combining cases This button is available when you have exported a case from CEREC to OraCheck or when an already existing case in OraCheck has been selected via Recombine case see below This can be identified by Ver 2 0 EN 08 2015 Cyfex AG User manual 6 2 3 Ver 2 0 EN 08 2015 6 Administration phase 6 2 Combining cases for analysis the case being highlighted in red At the same time a further case must be selected highlighted yellow Combine floating case in red with yellow case and save as new case When pressing the Combine cases button the case highlighted in red is combined with the selected case highlighted in yellow and saved to the hard drive as a new case This new case con
38. interface 5 1 System menu 4 Click the Open button The optical impression is imported and opened STL and OC files can currently be imported When importing STL files it is necessary to manually complete the patient information License manager The license manager is used for the installation of new software li censes on the USB license stick To do this start the license manager via the system menu and follow the instructions on the screen The license certificate with 25 digit license key which you received from Cyfex AG should be kept ready You can also start the license manager directly in Windows via Start All Programs Sirona Dental Systems CEREC Tools License Manager or via the corresponding icon on the desktop To activate the license you must have an Internet connection and the USB license stick must be inserted If the CEREC AC itself does not have an Internet connection the acti vation may also be carried out on another PC with an available Inter net connection For this purpose the USB stick must be removed from the CEREC AC and inserted into the PC with the Internet connection The USB stick is located behind the lower cover cap on the rear of the CEREC AC Install the license manager on the PC with Internet connection and carry out the license update there For the steps on how to install the license manager please see the CEREC user manual License and code libraries Further information on licenses and
39. l 8 5 8 5 1 8 5 1 1 8 5 1 2 8 5 1 3 8 5 1 4 Ver 2 0 EN 08 2015 8 Analysis phase 8 5 Tilt analysis vertical ends of the arrows on the control horizontal arrow on the ball and draw wheel while pressing the left mouse but this into the desired section plane posi ton and draw the section into the desired tion while pressing the left mouse button position The extent of the rotation is displayed by the orange color area Tilt analysis Using the tilt analysis movements of specific regions can be analy zed OraCheck calculates these movements e g tooth movements by overlaying the set region of the follow up model with the baseline model for a second time The tilt and rotation is given in degrees and the movement of the center is given in millimeters The rotation and tilt are calculated with reference to the center of the analysis region The movement is additionally visualized with arrows which go through the center of the analysis region All calculated angles and distances are displayed with a positive sign therefore the displayed values must only be interpreted in conjunc tion with the arrows on the geometry The tilt analysis therefore supplies three numerical values which describe the tooth movements in addition the overlay quality con fidence is given Values obtained in the tilt analysis Tilt The tilt represents a rotation about an axis which lies directly on the occlusal plane The til
40. l is changed Ver 2 0 EN 08 2015 Cyfex AG 5 The user interface User manual 5 2 Side panel By double clicking on the model or the background or by pressing the space bar you can switch back and forth between the selected and not selected model With the help of the green dot in the model icons you can see if each model is currently displayed dot is filled in green or not 5 2 3 4 Region The Region button enables the transparency of the earmarked regi Region ons to be switched on and off as well as adjusted This is helpful if for example the regions are to be set according to the color model De pending on active phase the visibility of the region for the overlay ARRANGEMENT phase or the region of analysis ANALYSIS phase is changed 1 Click on the Region button 2 Press and hold the left mouse button while moving the mouse up or down The transparency of the region will change By making a single click on the button the visualization of the region can be switched on and off The region button refers to the visibility of all displayed models The region button under the menu item display objects in the page palette is identical to the transparency button under the menu item tools region 5 2 3 5 Color model Using the color model button the color texture of the model pre sentation can be displayed or hidden If no color information is available for example because the model was imported
41. lay six predefined views In keeping with CEREC the views in OraCheck correspond to the view of the dentist not that of the patient e Above below e Right left e Front back Change view 1 Click on the View Options button 2 Click on one of the available views The virtual model rotates to the corresponding view Resizing the view Click on the View Options button 3 Position the mouse pointer over the center tooth icon and press and hold the left mouse button The icon then changes to a magnifying glass 4 Pull the mouse button up or down The virtual model is enlarged or reduced You can also use the mouse scroll wheel to enlarge or reduce the view Tools Different tools are available depending on the phase ARRANGEMENT tools ANALYSIS tools see also chapter 7 see also chapter 8 Region Region Volume Analysis Register Distance Analysis Delete Model 2D Section View Tilting Analysis Delete Model 21 Table of Contents 5 2 5 2 3 1 Selected Not selected LR 194 Selected Not selected KWAR E Selected ge 69 Not selected 22 Cyfex AG User manual These tools are available in the page palette but also in the tool wheel Further information on the tool wheel can be found in the section Tool wheel page 37 Alltools can be found in the sub menu under Tools Display objects Selected When the button is selected the selected model can be displ
42. mouse on the Reset both regions button to delete the region on the active and on the inactive model simultaneou A Sly 7 Ifthe overlay leads to an undesired result with the given region to aid the overlay process a region can also be defined on the se cond of the two models which is to be overlaid onto the first mo del By double clicking on the background or pressing the space bar switch to the other or both models and carry out the above steps once again The overlay region of one or both models is marked in color 8 Switch the transparency of the regions on or off or change the le vel of transparency This step is helpful if information is needed from the color model to define the regions 9 Click the Exit button of the Region tool The Region tool is closed 10 You can now move into the ANALYSIS phase the regions just selec ted will be used as reference for the overlay or perform the over lay using the following overlay tool description 7 3 Overlay The overlay of both models is automatically performed when moving into the ANALYSIS phase While defining the overlay regions you may wish to test the overlay and check the effect of the overlay regions on the overlay the overlay tool is used for this purpose Click on the Overlay tool to perform an overlay The result of the overlay is subsequently displayed in the following form Ver 2 0 EN 08 2015 35 Table of Contents Cyfex AG User manual Registr
43. ng a region in the ANALYSIS phase is almost iden tical to that in the ARRANGEMENT phase v You are in the ANALYSIS phase 1 Click on the Tools button on the page palette The Tools menu opens 2 Click on the Region button The Region tool opens 37 Table of Contents Cyfex AG User manual 3 Click with the mouse on the Expand button to create a region for the Volume analysis or to enlarge a region or 4 Click with the mouse on the Reduce button to reduce the region or 5 Click with the mouse on the Reset button to delete the active re gion 6 Switch the transparency of the regions on or off or change the le vel of transparency This step is helpful should you need to use in formation from the color model to define the regions 7 Click the Exit button of the Region tool The Region tool is closed 8 2 Volume analysis Using the volume tool the volume difference between the baseline and the follow up in the area of the analysis region can be calculated and indicated If you have not defined an area for the volume analysis with the Re gion tool an error message will appear Volume computation Please define a region on the examination model for which you want to compute the volume changes Error message for volume computaiton without region The sign before a volume readout indicates whether it is a matter of an increase in material or a decrease If the surface of the follow up model lie
44. ng a specific region distance are shown for the en tire surface of the model However you have the option by selecting specific areas or regions using the Region tool to calculate and dis play only the distances of those areas or regions that are of interest to you This allows specific areas to be analyzed dependent on clinical ques tions wherein the entire available color space can be used Ver 2 0 EN 08 2015 Cyfex AG 8 Analysis phase User manual 8 3 Distance analysis Ver 2 0 EN 08 2015 a Follow up acquisition without region b Result of distance analysis without region e Expand the region to all molars f Distance visualization on all molars Limiting the region for the distance visualization allows the use of the entire color area from red to blue for visualizing the region of inte rest Alternatively specifying a region can be completely dispensed with and instead the color area as described above can be adjusted with the increase and decrease buttons such that the color scale e g is li mited to distances of between 1 mm and 1 mm The distance analysis is performed as follows v You are in the ANALYSIS phase 1 Click the Tools button on the page palette The Tools menu opens 2 Click on the Region button 41 Table of Contents Cyfex AG User manual The Region tool opens 3 Click with the mouse on the Expand button to select a region for volume analysis Reduce to reduce the area
45. ollowing two tasks e Select models e Set arrangement region optional The following explains the two tasks in more detail Selecting the models In this step two models are selected from the object bar which are to be overlaid and subsequently analyzed Selected models are marked in green In order to set two models as baseline and follow up models deselect all previously selected mo dels in the object bar using a single click It is then possible to select two other models in the same way 10 01 2014 13 05 The order in which the models are displayed in the object bar always corresponds to the temporal order of acquisition The model cap tured earlier is always to be found on the left Models of both the upper and lower jaw can be found in the object bar to reach the following ANALYSIS phase two each of upper or lo wer jaws must be selected Once two models have been selected for analysis a double click switches to the 3D view or using the space bar switches between the two selected models the text for the selected object is shown in whi te and the text of the remaining objects is in black To activate the inactive model it is not absolutely necessary to double click on the desired model This would have undesired side effects for example for an activated region tool because the region of the active model would also be changed here Instead you can also change the active model by double clicking on the background
46. on and integrity of the hard tooth tissue and restoration e Occlusal abrasions including those from gnashing bruxism pressing and also physiological abrasion or abrasion caused by food e Cuneiform defects abrasion loss of hard tooth tissue on the buccal proximal or lingual surfaces and tooth brush abrasion e Erosion loss of hard tooth tissue caused by food or bulimia respectively e Chips fractures of small enamel dentin fragments e Examination of abrasion or chips on tooth restorations Ver 2 0 EN 08 2015 Cyfex AG User manual 3 1 2 3 1 3 Ver 2 0 EN 08 2015 3 Application 3 1 Intended use Examination of hard tooth tissue treatment and restoration e Volume and thickness measurement for preparations and examination of the abrasion e Before and after comparisons for fillings and fissure sealing e Examining the application of various composite and ceramic coatings e Examination of coating strengths of structural work e Examining the functional grinding of the occlusion and the primary contacts functional therapy Checking the progression of change in the tooth s position over ti me e Analysis of tooth movements and positions e Changes in the soft tissue or indirect changes of the osseous structures increase in growth loss of growth Intended patient group No limitations Profile of intended user Qualified dentist Dentist student in training university Assistant dentist university or practice
47. s mainly above the surface of the baseline acquisition then the volume is positive otherwise it is negative If negative and positi 38 Ver 2 0 EN 08 2015 Cyfex AG User manual Example 8 2 1 Ver 2 0 EN 08 2015 8 Analysis phase 8 2 Volume analysis ve volume sections are being measured in the selected region the sum of the volume sections with signs in front will be shown The measurement of for example the volume of a filling can be cal culated as follows a Baseline acquisition tooth 16 b Follow up acquisition tooth 16 c Input of region for volume calculation d Representation of the calculated solid The output of the volume calculation measurement value takes place in the bottom right corner of the 3D main window Performing volume analysis v You are in the ANALYSIS phase Now determine a region as described in Fehler Verweisquelle onnte nicht gefunden werden 1 Click the Tools button on the page palette The Tools menu opens 2 Click on the Region button The Region tool opens 3 Click with the mouse on the Expand button to select a region for volume analysis Reduce to reduce the area or Reset to delete the active region The analysis region is marked in color 4 Click the Exit button of the Region tool The Region tool is closed 5 Click the Tools button on the page palette The Tools menu opens 6 Click on the Volume analysis button 39 Table of Contents Distance
48. s now registered in the CEREC software as a new applicati on Starting OraCheck from the CEREC software Once OraCheck has been registered in the CEREC software the appli cation can be opened directly from CEREC Ver 2 0 EN 08 2015 Cyfex AG User manual Ver 2 0 EN 08 2015 9 OraCheck and CEREC 9 2 Starting OraCheck from the CEREC software However a requirement for this is that a case with one or more exis ting models is open in CEREC and that the model axis has already be en set For this you should proceed as follows Click on Perform application in the CEREC system menu After one click on the OraCheck icon shown here on the left OraCheck starts and the existing case in the CEREC software is ex ported to OraCheck All existing image catalogs relating to this case in CEREC are transferred to OraCheck You can now decide how you would like to continue processing the CEREC model data You have the following options e You can save the imported data as a new stand alone case e You can add the imported data to an existing case with this pati ent name e You can add the imported data to a different patient of your choice e You can delete the imported data or a specific part of it When using CEREC 4 2 4 in conjunction with theOmnicam after loa ding a rst patient file there is a possibility that the current rather than the acquisition date will be shown Please check and correct this in OraCh
49. t is visualized by the two large arrows in the 3D view Rotation This value corresponds to a rotation in the occlusal plane i e about an axis orthogonal to the occlusal plane The rotation is visualized by two small arrows which emanate from the tip of the yellow arrow Movement The movement is represented by the starting point of the two arrows which visualize the tilt Confidence The confidence value describes the percentage share of the follow up region which could be overlaid with the baseline model 45 Table of Contents 46 8 5 1 5 8 5 1 6 Cyfex AG User manual Example of a tilt analysis Visualization of the tilt Analyzing the tilt v You are in the ANALYSIS phase 1 Click the Tools button on the page palette The Tools menu opens 2 Click on the Region button The Region tool opens 3 Select the Expand tool 4 Mark the area to be analyzed 5 Click the Tools button on the page palette again The Tools menu opens 6 Click on Tilt analysis The tilt for the area just defined is analyzed and the result is displayed at the bottom right edge of the screen Delete model By clicking on the Delete model button the selected model is deleted The model is lost once the current configuration is saved You will then automatically arrive in the ARRANGEMENT phase to select another model If you accidentally delete a model and you have not previously saved the case you will need to re impor
50. t the deleted case To permanently removed a model from a case which has already been saved you will have to delete the model and then save the case again Ver 2 0 EN 08 2015 Cyfex AG User manual Region G Expand Region e Reduce Region Reset Region Ver 2 0 EN 08 2015 8 Analysis phase 8 5 Tilt analysis Please note if you would simply like to reset a selection area and not delete the model you can perform this with the Region tool and the Reset button This will reset all selected areas but will not delete any models 47 Table of Contents 48 Cyfex AG User manual 9 OraCheck and CEREC 9 1 9 2 The following sub chapters describe aspects of the cooperation between CEREC inLab and other supported Sirona products and OraCheck For reasons of simplicity CEREC is written where CEREC can be replaced by the supported product Registering OraCheck as an app in the CEREC software To start OraCheck directly from CEREC CEREC first needs to be confi gured accordingly It is a requirement that OraCheck and CEREC ver sion 4 2 4 or newer are already completely installed in the acquisi tion unit Open the System menu in the CEREC software and click on the sub menu Configuration Click on Applications in the Configuration sub menu Oo d http www sirona connect com center plugin oracheck language en US Set the toggle switch so that Yes is visible OraCheck i
51. tains all models of the previously imported red case and the selected yellow case Recombining the case The Recombine cases button allows cases to be duplicated to integrate them into another case This button is also available for combining cases with each other which have already previously been exported to OraCheck It is visib le provided that there is no floating case i e there is no case high lighted in red Once this button is pressed the currently selected case is copied to the drive opened and displayed as a floating case highlighted in red 29 Table of Contents 30 6 3 6 4 Cyfex AG User manual You can then treat this case as if it had only just been imported from CEREC to OraCheck Opening the case The Open case button opens the selected case for the current patient and switches to the ARRANGEMENT phase If this case has already been analyzed it will automatically switch to the ANALYSIS phase The same effect can be achieved by double clicking on the desired case Editing the case The Edit case button allows a comment to be added to the selected case and for the date and time of the images to be changed It can al so be determined whether the image concerns the upper or lower jaw After pressing the Edit case button by clicking the buttons lt lt or gt gt between the input forms a switch can be made between a general comment for all images and for the characteristics o
52. ware components must not be installed using in correct data Check whether Oracheck has been granted approval in your country Do not use this product if an approval has not been granted Not for cancer diagnosis OraCheck is not suitable for the analysis of any type of abscess or tumor OraCheck is not a substitute for conventional working methods Measurements taken with OraCheck should not be used alone in es tablishing a diagnosis but should be used together with conventional methods of diagnosis Please refer to chapter regarding the intended use of the software Manual Structure Identification of risk levels To prevent personal injury and material damage please observe the listed warnings and safety information The following are indicated in particular Possible dangerous situation which could lead to minor personal injury e g damage to or loss of tooth CAUTION Dangerous situation which could lead to serious injury Table of Contents 22 Zu 2 2 4 Cyfex AG User manual Formatting and symbols used The formatting and symbols used in this document have the follo wing meaning Y Requirement Requires that you carry out a 1 First step function 2 Second step Or gt Alternative operation Result Order Menu item Buttons or menu items are re presented in italics Tip or note for assistance Conventions Meaning Pressing once and releasing the left mouse button or the left tr
53. with a Blue Cam or using STL import this button will be grayed out If the color model is switched on the follow up and baseline can no longer be distinguished from one another with the surface color The transparency setting corrects the model not selected The selec ted model can be identified in the object bar Ver 2 0 EN 08 2015 23 Table of Contents Cyfex AG User manual 5 2 4 Analysis tools 5 2 4 1 24 By clicking the Analysis tools button you have the option to carry out the following analysis functions e Cursor details e Span distance Cursor details A tool is activated with the Cursor details button which allows the surface distance between the follow up and baseline to be measured point wise Cursor details Display Objects Span distance l Measure ments Cursor details for calculating the cursor distance and the local area of the region The corresponding measurement values are displayed next to the cursor The area of the region above which the cursor is located is al so displayed 3 Click on the Analysis tools button 4 Click on the cursor details button The distance between follow up and baseline model is dis played on the mouse cursor and also visualized in real time with an orange arrow Should the cursor be located over a region the area of the re gion will additionally be shown in mm Ver 2 0 EN 08 2015 Cyfex AG User manual 5 2 4 2 5 3
Download Pdf Manuals
Related Search