atlantis® intraoral scanning for atlantis® abutments with
TRANSCRIPT
Atlantis®Intraoral scanning for Atlantis® abutments with TRIOS®– User guide
Workflow 3
Dental practice
Clinical requirements 4
Creating an order 5
Scanning lower and upper jaws 6
Identifying the implant location 7
Seating the scan body 8
Scanning the Atlantis® IO FLO 9
Determining acceptable Atlantis® IO FLO scans 10
Scanning the occlusion 11
Reviewing the order 12
Sending the order 13
Dental laboratory
Laboratory requirements 14
Receiving a TRIOS® order 15
Aligning the scan body 16
Printing the model 19
Ordering Atlantis® abutments 21
Appendix
Appendix A: 3Shape Model builder recommended settings 23
Appendix B: Activation of the Atlantis® WebOrder account 24
Appendix C: Download and import the Atlantis® DME 25
All trademarks and company names are the property of their respective owners.
All products may not be regulatory released in all markets. Please contact the local Dentsply Sirona Implants sales office for current product assortment and availability.
To improve readability for our customers, Dentsply Sirona does not use ® or ™ in body copy. However, Dentsply Sirona does not waive any right to the trademark, and nothing herein shall be interpreted to the contrary.
CONTENTS
Atlantis®
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Workfl ow
Workfl ow
1. Take impression –With the scan body1 in place, the clinician takes a digital impression using theTRIOS scanner2, analyzes the scans and transmits to the dental technician.
The streamlined process for using your TRIOS scanner
2. Submit order –The dental technician reviews the scans, creates model data3 and submits the order in Atlantis WebOrder.
3. World-class manufacturing –Dentsply Sirona Implants designs, manufactures and ships the Atlantis abutments to the dental technician.
4. Finalize restoration –With the Atlantis abutments and printed model4, the dental technician fi nalizes the restoration and ships it to the clinician.
5. Install restoration –The clinician confi rms fi t and secures the fi nal restoration in the patient’s mouth.
1 Verifi ed scan bodies for ordering Atlantis abutments are Atlantis IO FLO and ELOS Accurate IO scan abutment.
2 Atlantis abutments for cement-, (single tooth) screw-retained restorations and Atlantis Conus Abutment custom are supported when using the TRIOS scanner. Restoration options are limited due to the accuracy of the scanner.
3 The dental laboratory is responsible for the model printing.
4 ELOS Accurate Model Analogs are verifi ed to use in the printed model.
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Dental practice
Clinical requirementsSystem requirements– TRIOS scanner using software version 2014-1
or higher– Scan bodies*, use either the Atlantis IO FLO or
the ELOS Accurate IO scan abutment**– Connection to a 3Shape “TRIOS Ready lab”– Clinician and lab must have a 3Shape
Communicate account. Contact 3Shape technical support if you do not have an account.
Restoration optionsAtlantis abutments for cement-, (single tooth) screw-retained restorations and Atlantis Conus Abutment custom are supported when using the TRIOS scanner. Restoration options are limited due to the accuracy of the scanner.
* In this user guide, most images and instructions will present the use of the Atlantis IO FLO.
** ELOS Accurate IO scan abutments can be purchased from the ELOS Medtech web shop.
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Dental practice – Creating an order
Creating an order The first step in the ordering process is to schedule and define the order in the TRIOS software. Begin by entering the treatment information (e.g., patient name, case type, tooth parameters), and then follow the TRIOS user instructions from 3Shape with the instructions below to scan for an Atlantis abutment.
1. Click a tooth in the diagram and select the “Implant” tab.
2. Select the implant order parameters: – “Abutment” type to “Abutment” – “Manufacturer” of the implant interface in use – “System” to the implant interface for the case – “Connection” to the diameter size of the
implant interface for the case – desired abutment material
3. Click “Details” and note the type of scan body used when scanning e.g., Atlantis IO FLO or ELOS Accurate IO scan abutment.
4. Click the scanning camera icon to continue.
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Dental practice – Scanning lower and upper jaws
Scanning lower and upper jawsFollow the user instructions from 3Shape for the TRIOS intraoral scanner.
Important: Remove the healing abutment before scanning the jaw.
1. Start the scanning. The blue arrow points to the icon for the segment to be scanned, which in this case, is the “Lower” jaw.
2. Review the scan result.
Note: The quadrant or full-arch scan is based on the number of implants and on user preference.
3. Click on the icon for the next segment to be scanned, the one marked “Upper.”
4. Scan the upper jaw and review the scan result.
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Dental practice – Identifying the implant location
Identifying the implant location
1. Identify the implant location by clicking the model and placing the tooth number.
2. Seat the Atlantis IO FLO utilizing the steps on the following page.
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Dental practice – Seating the scan body
Seating the scan bodyThe scan body (Atlantis IO FLO or ELOS Accurate IO) is an impression component used during intraoral scanning to enable ordering of Atlantis products. Before seating the scan body, please follow the user instructions for the TRIOS intraoral scanner received from 3Shape. Do not seat the scan body until requested by the TRIOS software. In this user guide, most images and instructions will present the use of the Atlantis IO FLO.
Important: For information regarding ELOS Accurate IO scan abutment, please refer to ELOS Medtech’s instruction for use.The Atlantis IO FLO is not sterile when it is delivered, and it must undergo a cleaning and sterilization procedure before use. Refer to instructions for use for further information. – Re-usable: Atlantis IO FLO 4219-USX – Single use: Atlantis IO FLO for Ankylos implant interface, 4190-USXThe reusable Atlantis IO FLOs are designed to be cleaned, disinfected and sterilized after each use. Place the Atlantis IO FLO in a bath of a cleaning and disinfection solution directly after use to avoid drying of soil and/or debris, blood and other contaminations.
Note: Use the Atlantis IO FLO compatibility chart 32670590-USX to determine the correct IO FLO to use for the placed implants.
1. Position the Atlantis IO FLO using fi nger force to seat it securely into the implant connection.
Note: To facilitate scanning, place the IO FLO with the flat side pointing in either the lingual or buccal direction. For implant interfaces placed in a way that does not allow for the flat side to face buccal or lingual, continue with scanning and try to capture as much of the flat side of the IO FLO during scanning as possible.
2. Make sure that the connection is correctly engaged and seated before tightening the screw using light fi nger force. Use the manufacturer driver specifi ed for the implant interface in use.
Important: Make sure to place an Atlantis IO FLO for each included implant before scanning. Otherwise, scans will not be registered.
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Dental practice – Scanning the Atlantis® IO FLO
Scanning the Atlantis® IO FLODo not scan the Atlantis IO FLO (scanbody) until requested by the TRIOS software. For multiple units, an Atlantis IO FLO for all implants should be seated before the scanning begins. After the Atlantis IO FLO is scanned, review the scans before continuing.
1. Make sure the blue arrow is pointing to the scanbody icon indicating the next segment to be scanned.
2. Scanning of the Atlantis IO FLO should follow the same path as when scanning the lower and upper jaws.
Important: After each segment is scanned, it is important to review the scans.
3. Review the scan result of the Atlantis IO FLO. Make sure that the IO FLO scan is scanned completely by capturing as much surface as possible. Refer to the following page to review acceptable Atlantis IO FLO scans.
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Dental practice – Determining acceptable Atlantis® IO FLO scans
Important: Make sure that there are no big holes in the scan as this could result in failure of implant location detection. Most important areas of the IO FLO are the flat feature and the sphere.
Note: The surface area under the IO FLO top is hard to scan. It is acceptable to have holes in the lower sphere area (but not in the flat area). See image to the left.
Determining acceptable Atlantis® IO FLO scans
Acceptable scans with captured sphere and flat surfaces:
Unacceptable scans:
Missing IO FLO flat surface. Missing IO FLO sphere surface.
Missing IO FLO sphere and flat surface.
Obstruction to the IO FLO sphere or flat surface by scan of another material (tongue, cheek, dental accessory).
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Dental practice – Scanning the occlusion
Scanning the occlusion
1. Make sure the blue arrow is pointing to the “Occlusion” icon indicating the next segment to be scanned.
2. Unscrew and remove the Atlantis IO FLO from the implant.
Note: If the Atlantis IO FLO does not interfere with the opposing jaw when the patient bites down, the IO FLO can be left in the mouth and removed after the bite scan.
3. Make sure that both jaws are in correct relation, (e.g. have the patient bite down and scan the bite).
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Reviewing the order
Dental practice – Reviewing the order
1. Click the “Analyze” button to begin.
2. Review all scans made. Lower and upper jaws, IO FLO (scan body) and bite scans are required for each order.
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Dental practice – Sending the order
Sending the order
1. Click the “Send” button to get a detailed order description with scan images visible in a preview. Lower and upper jaws, IO FLO (scan body) and bite scans are required for each order.
2. Click the envelope icon to “Send order.”
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3. The status of the order will be displayed.
Note: Please contact 3Shape TRIOS technical support team if the order is not sent.
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Dental laboratory
System requirements – 3Shape certified “TRIOS® Ready lab.”
– 3Shape Dental Manager Software 2015-1 (build: 15.4.0 or higher).
– 3Shape Model Builder 2015-1 (v15.4.0 or higher).
– ELOS Accurate Model Analog*.
– Lab and clinician must have a 3Shape Communicate account. Contact 3Shape technical support if you do not have an account.
– Activation of the Atlantis WebOrder account for intraoral scanning with TRIOS, refer to Appendix B.
– Download and import the Atlantis .dme file, refer to Appendix C.
* ELOS Accurate Model Analogs can be purchased from the ELOS Medtech web shop.
Laboratory requirements
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Receiving a TRIOS order
Dental laboratory – Receiving a TRIOS order
1. Open 3Shape Dental Manager 2015 software and click the “TRIOS Inbox” tab.
2. Click the “refresh” icon to receive incoming orders via 3Shape Communicate.
Note: Please ensure that 3Shape Communicate has been enabled. For assistance in setting up this program, please contact 3Shape technical support.
3. Highlight the order.
4. Click the “Accept” button to download the selected order.
5. When the dialog box (“Accept Selected Orders”) appears, click “Accept.”
Note: The fi rst 20 characters of the order number entered in the 3Shape Dental Manager will be the order reference on Atlantis WebOrder.
For Atlantis abutment orders the lab information and customer information entered on the order form will not be visible within Atlantis WebOrder. To ensure patient privacy, entering patient specifi c data in the 3Shape order form for Atlantis abutment orders is not recommended.
If you need to provide comments or special instructions to the Atlantis abutment designer, please indicate them via Atlantis WebOrder.
6. Select “System” based on the note in the comments section from the clinician: “Atlantis TRIOS:“ or “Atlantis TRIOS ELOS:“
7. Select “Kit”, e.g. the implant interface size.
8. Select “Model manufacturer” (only if the DME is imported for the model printing manufacturer.)
9. Click “OK” to proceed.
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Dental laboratory – Aligning the scan body
1. Locate the order under the “Orders” folder. Orders are fi led by date and by status.
2. Right-click the order.
3. Select “Design” to launch the Dental Designer module for the order. The fi rst step is to “Prepare.” Navigate and select the functions as necessary (e.g., trimming, occlusal alignment, sculpting).
4. Click “Next” to continue.
Aligning the scan bodyAlign a CAD model of the scan body to the Atlantis IO FLO or ELOS Accurate IO scan scan. This will determine the location of the implant in the arch. All necessary scans will be included with the order.
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Dental laboratory – Aligning the scan body
5. A scan body CAD model will be displayed in purple while the actual scan will be displayed in blue. In this example the Atlantis IO FLO is used.
6. Matching a CAD model of the Atlantis IO FLO with the Atlantis IO FLO scan will help the software determine a precise location for the implant in the cast.
7. Select “3-point alignment” under “Alignment Settings.”
8. Select three points on the IO FLO CAD file scan.
9. Select three corresponding points on the IO FLO scan.
10. Confirm that the alignment between the IO FLO CAD model and the IO FLO scan is correct.
11. Repeat steps 8-10 for all remaining units in the arch.
Important: Recommended point location placement is two at the flat portion of the sphere and one on the flat of the cylinder as illustrated.
Important: Please ensure that the correct IO FLO CAD file matches the IO FLO in the arch scan.
Note: In addition, please confirm that the tooth number, implant category, implant system, and implant kit correctly match up with the implant at that location.
12. After the IO FLO CAD file(s) has/have been successfully aligned to the IO FLO scan, click “Next” to continue.
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Dental laboratory – Aligning the scan body
13. Once at the directions step, close out of Dental Designer by clicking the icon in the top right corner.
14. Warning boxes will appear to verify changes and output files. Click “OK” for each alert to continue.
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Dental laboratory – Printing the model
Printing the modelIn order to print the model, a model must be designed and .STL fi les must be generated before sending the case to Atlantis WebOrder. Only ELOS Accurate Model Analogs can be used as the implant replica when ordering Atlantis abutments. These can be orderd from ELOS MEDTECH. Contact your local representative or visit www.elosmedtech.com to place an analog order.
Important: The data for the model is designed in 3Shape Model Builder. Prior to generating data for the model, please make sure to apply the model builder settings as listed in the Appendix. Contact your representative to obtain this module, license or training.
1. Locate the Trios scan in the inbox. Right click and select “Build Model” from the drop down menu to begin.
Note: For instructions on how to use Model builder in 3Shape Dental Manager software 2015, see 3Shape user guide.
2. When the model design is ready, right click on the order and select “Advanced” –> “Generate CAM Output” to generate STL fi les for model printing.
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Dental laboratory – Printing the model
3. When the CAM output fi les (STL fi les) are generated, right click on the order and select “Advanced” –> “Explore CAM” to fi nd the location of generated data.
4. Either upload/send the STL fi les manually to the printing manufacturer or send the STL fi les for the model to the printing manufacturer automatically.
– Import the model printing manufacturer DME into the 3Shape Dental System
– In the order form, make sure that the printing manufacturer is selected as the “Model Manufacturer”
– When case is sent to manufacturer the model fi les will be automatically uploaded to the printing center.
Important: As the printed model is made according to the scanning of the soft tissue in the patient’s mouth, an Atlantis abutment made with the choice of emergence width that includes compression of the soft tissue won’t fi t the implant replica (ELOS Accurate Model Analog) without adjustments to the soft tissue part of the model.
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Dental laboratory – Ordering Atlantis® abutments
Ordering Atlantis® abutmentsAfter the data for the model is designed in 3Shape Model Builder, continue the process by sending the order to Atlantis WebOrder.
1. Return to 3Shape Dental Manager and locate the order.
2. Right-click on the order and select “Send to Manufacturer.”
3. Click “Send” to begin the upload to Atlantis WebOrder. The warning message of order elements should be ignored. In case of any other error message, please contact Dentsply Sirona Implants technical support.
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Ordering Atlantis® abutmentsAfter the order is exported from the 3Shape Dental System laboratory software, an order will be created in Atlantis WebOrder. This process may take up to 10 minutes. Once the order has been created, the remaining order options must be specified and the order submitted for design and manufacturing.
1. Log into Atlantis WebOrder (www.atlantisweborder.com) and locate the order with a “Partial” status.
2. Begin editing the remaining order options. When the order is submitted and the status is changed to IN-PROCESS, the scanning and ordering process is complete. The Atlantis abutment will be designed and manufactured at the Atlantis manufacturing facility at Dentsply Sirona Implants.
Important: Refer to the Atlantis WebOrder User guide, 32670167-USX for more information: https://www.atlantisweborder.com/help
Dental laboratory – Ordering Atlantis® abutments
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Appendix A
1. Open the control panel.
2. Go to Settings –> Digital model design.
3. Set both “Number of Analog Friction Bars” and “Analog to Model Spacing” to 0.
Important: The correct CAD setting must be selected in the Order Form. To change the order form, click the + button –> CAD settings
Appendix A: 3Shape Model builder recommended settings
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Appendix B
1. Open the 3Shape control panel and select ”Sites”.
2. Click on (it is important to click) the site in the left table with bold text, usually with ”This site” in the title.
3. Note the site ID and contact your local Dentsply Sirona Implants representative to be activated for intraoral scanning with 3Shape TRIOS.
Appendix B: Activation of the Atlantis® WebOrder accountThe 3Shape site ID indicates the system/scanner that will be used to generate the Atlantis order. Prior to placing the fi rst Atlantis abutment order, the site ID must be assigned to the Atlantis WebOrder account in use, and the account must also be activated for intraoral scanning with 3Shape. Please contact your local Dentsply Sirona Implants representative for more information about set-up and activation.
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Appendix C
1. Download the updated Atlantis TRIOS DME fi le from Atlantis WebOrder help page (Help --> Atlantis Scanning --> Intraoral scanning) and save to the computer.
2. Open the 3Shape control panel and select “Import/Export”.
3. Click ”Import Materials”.
4. Browse to the location where the .dme fi le was saved.
5. Select the .dme fi le, and click ”Open”.
Appendix C: Download and import the Atlantis® DMEPrior to placing the fi rst Atlantis abutment order, the Atlantis materials fi le (.dme) must be downloaded from Atlantis WebOrder and imported to 3Shape Dental Manager.
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About Dentsply Sirona Implants
Dentsply Sirona Implants offers comprehensive solutions for all phases of implant therapy, including Ankylos®, Astra Tech Implant System® and Xive® implant lines, digital technologies, such as Atlantis® patient-specific solutions and Simplant® guided surgery, Symbios® regenerative solutions, and professional and business development programs, such as STEPPS™. Dentsply Sirona Implants creates value for dental professionals and allows for predictable and lasting implant treatment outcomes, resulting in enhanced quality of life for patients.
About Dentsply Sirona
Dentsply Sirona is the world’s largest manufacturer of professional dental products and technologies, with a 130-year history of innovation and service to the dental industry and patients worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. As The Dental Solutions Company™, Dentsply Sirona’s products provide innovative, high-quality and effective solutions to advance patient care and deliver better, safer and faster dentistry. Dentsply Sirona’s global headquarters is located in York, Pennsylvania, and the international headquarters is based in Salzburg, Austria. The company’s shares are listed in the United States on NASDAQ under the symbol XRAY.
Visit www.dentsplysirona.com for more information about Dentsply Sirona and its products.
THE DENTAL SOLUTIONS COMPANY™