the power of intraoral scanning€¦ · • provides better access in tighter spaces due to short...

© Carestream Health, 2017

CS 3600

The Power of Intraoral Scanning 06.09.2017


Harness the Power of Intraoral Scanning

Perform a wide range of procedures

Improve accuracy, precision, and limit manual errors

Enjoy open and flexible workflows for any lab setup

Choose full HD 3D color or monochromatic scanning

Save time while treating more patients


Conventional vs. Digital Impressions

3


A (very) brief history of intraoral scanning

4

1970s 1980s 1990s 2000s 2010s

Dental CAD/CAM gets

its start in European labs

Miniaturization puts scanners

in the hands of dentists

Further refinement in

acquisition software adapts

scanning for orthodontist


2

7

4

8

Steps in the traditional workflow

5

3

Pour up impression

5

Wait for stone to dry

6

Material preparation

and inventory

1

Trim model Final model

Impression taking Wax bite Mix plaster


Optimal results with traditional impressions are not guaranteed

6


Why Go Digital?

Improves patient comfort over conventional impressions

Saves time – no waiting for stone models to set

Facilitates sending digital information to lab electronically

Enables scanning of stone models to create digital models

Enables single-visit restoration fabrication

Results in higher accuracy, fewer attempts to redo


Conventional vs. digital impressions

8

TRAY

SELECTION/

PREP

PLACE

CORD

AND DRY

TAKE

IMPRESSION

DISINFECT

SHIP TO

LAB

POUR UP

MASTER

CAST

TOOTH

PREP

PLACE

CORD

AND DRY

SCANNING

TRANSMIT

TO LAB

DIGITALLY

DIGITAL

MASTER

MODEL

ABUTMENT RESTORATION

FABRICATION

Patzelt, S. B. et al. JADA 2014;145:6:542-551

Save time with a digital workflow

55

MINUTES

5

MINUTES


Selecting the best intraoral scanner

Choose an intraoral scanner that is:

• Simple and easy

• Does the scanner require powder or liquid?

• Is the scanner truly portable?

• Is the scanner light, ergonomic and easy-to-use?

• Will the scanning experience be comfortable for patients?

• Accurate

• Has the scanner been proven accurate in an independent study?

• Flexible

• Does it support all necessary clinical indications?

• Is the system open? Closed? Both?

• Are there additional per click fees?

• Are there data storage fees?

• Are there additional fees associate with sending files to the lab?

• Smart

• Will it easily integrate into existing office workflow?

• Will there be a return on investment (ROI)?

9


Now There’s a Better Way CS 3600

10


Now there’s a better way

How does the CS 3600 family differ from other scanners?

• Scan in a smooth, uninterrupted pattern

• Quickly and easily acquire dual-arch or quadrant scans

• Focus on your patient, rather than the screen or buttons, with

“grab-and-go” scanning

• Eliminate the impact of unsteady hands or fidgety patients

between successive views

• Easily pick up where you left off when interrupted

• Eliminate the need for regular weekly calibration

• Obtain highly accurate, high resolution digital impressions

• Choose full HD 3D color or monochromatic

11


Show and tell in full HD 3D

• Highly precise, accurate full HD 3D images offer enhanced image quality

• More vivid color and texture

• 3D HD color scans best reflect reality

12

PHOTOGRAPH HD 3D SCAN MONOCHROMATIC FILTER

Case courtesy of Dr. Lee, Sang Don, Korea


Do what comes naturally

• Prevent cross contamination by changing modes directly on the scanner

• Switch between upper arch, lower arch, and bite registration acquisitions with a convenient mode dial on top of the

scanner

• Bite registration is virtually automatic

13

MODE SELECTION

LOWER JAW SCAN MODE

UPPER JAW SCAN MODE

BUCCAL BITE REGISTRATION MODE


Intuitive software takes away the guesswork

14

Image Toolbar: Select and manage 3D images

Acquisition Catalog Toolbar: Select the Acquisition mode and switch upper jaw and lower jaw

Acquisition Step: Displays the current step of the acquisition process

Settings Toolbar: Export files, set preferences, and access system information and online help

Connect Button: Connect the scanner


Save time with 2D image extraction

Automatically extract 2D images from the digital impression data

15

REMOVE ALL THE IMAGES FOR CURRENT ARCH

DISPLAY IN A HIGH RESOLUTION

SELECT 2D IMAGE

Useful to view the 2D images from the 3D model


Put Patient Comfort First Choose the right tip for the job

16


Introducing a smaller tip for your tiniest patients*

* Work in progress - not available for sale pending medical device regulatory and clearance regulations.


Better access. Superior comfort.*

CREATE A BETTER PATIENT EXPERIENCE • Provides better access in tighter spaces due to short 14mm tip height

• Improves patient comfort during scanning

• Simplifies scanning of distal molar surfaces

• Allows better access for patients with limited bite openings, trauma, or TMJ

• Provides improved access to subgingival areas of the preparation

Offers the shortest tip height among scanners with autoclavable tips

18 * Work in progress - not available for sale pending medical device regulatory and clearance regulations.


Different situations require different tips

• Three rounded, interchangeable tips in different orientations and sizes*

• All three tips are autoclavable up to 60 times when the exposure is limited to 134˚C at no more than four minutes

• Onboard heater for fog-free scanning–no need to wait for the tip to heat

19

AUTOCLAVABLE TIPS NORMAL, SIDE AND POSTERIOR TIPS



Choose the tip that meets your scanning needs

20

20

96

96

20

95

14 18

16

17

POSTERIOR TIP

NORMAL TIP

SIDE TIP

Unit: mm

POSTERIOR TIP*

NORMAL TIP

SIDE TIP



How do our tips measure up?

21

3D Intraoral Scanner Tip Size Comparison

Product

CS 3600 CS 3500 CEREC Omnicam iTero Element 3M True Definition 3Shape Trios 3 Shape Trios 3

Tip size

(H x W mm)

20 x 17 – Normal

16 x 20 – Side -

oriented

14 x 18 –

Posterior*

23 x 18- Normal

20 x 16 - Small

16 x 16

23 x 22 16 x 14.4 21 x 18 Claim:

18 x 21.5

Measured:

20 x 21.5

Tip offer Fixed tip in 3

window directions,

autoclavable and

sterilizable

Fixed tip in 2 sizes,

autoclavable and

sterilizable

Fixed tip in 1 size,

not autoclavable

and sterilizable

Disposable Sterilize wand by

submersion

One tip.

Autoclavable but

has to be paper

wrapped

Tip is

autoclavable;

detachable

/magnet mirror



Proven Accuracy Highly accurate images facilitate precise clinical results

22


CS 3600 – Performance in a Comparative In Vitro Study

What is it? A comparative study between the CS 3600 and competitive scanners

What is it called? Accuracy of four intraoral scanners in oral implantology: a comparative in

vitro study

Who authored the abstract? Mario Imburgia, Silvia Logozzo, Uli Hauschild, Giovanni Veronesi, Carlo

Mangano, and Francesco G. Mangano

What is the finding? The CS 3600 surpassed leading competitors by delivering a significantly

better performance in terms of trueness, while all four scanners offered

similar results in precision.

23

https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-017-0383-4



What is the difference between Trueness and Precision?

• Trueness (accuracy) is a measurement of how closely results agree with the true or accepted value.

• Precision is a measure of the reliability and consistency.

ACCURACY VS. PRECISION

The Bullseye Example

24



How does this relate to intraoral scanning? • Trueness measures how closely the scanner replicates the

teeth being scanned

• Precision refers to how consistently the scanner produces

correct results.

What does this mean to the doctor? • Trueness plays a vital role in the fit of final restorations,

appliances and implants

• Precision is important as scanning technique may vary

from user to user, and it is critical that a scanner delivers

consistent results

25

Accuracy helps determine whether

the restoration will fit*

*Images courtesy of Dr. Jerome Lipowicz

Precision provides consistency when

different scanning techniques are used


Rated by Gordon J. Christensen Clinicians Report

►CS 3600 FINDINGS

• Intraoral Access: Excellent - Good

• Rapid acquisition: Excellent

• Margin detail capture: Excellent

• Ease of use: Excellent - Good

26 * Reprinted August 2016 with permission, from Volume 9 Issue 8, August 2016, Pages 1 & 3


FINDINGS

• All scanners tested had live 3D models with

feedback for accurate data collection and

captured adequate detail for excellent impressions.

• Fastest systems were CS 3600 and iTero Element.

• Handpieces with best ergonomics and intraoral

access were True Definition and CS 3600. Large

handpieces are heavy and can be challenging on

patients with limited opening.

Rated by Gordon J. Christensen Clinicians Report

27 * Reprinted August 2016 with permission, from Volume 9 Issue 8, August 2016, Pages 1 & 3


An Award-winning Solution

28


An award-winning solution

Earned “Excellent – Good” rating by Clinician’s Report

Named a Clinicians Report “Best Product” of 2016


Dental Product Shopper CS 3600 evaluation

30

Scanning time

Patient comfort

Image quality

Software design and imaging capabilities

Company support and training

Section A Average

Section B Overall Satisfaction

FINAL SCORE Average of section A and B

Product Evaluation Snapshot Criteria based on an average score out of 5

http://www.dentalproductshopper.com/evaluation/cs-3600





Dental Product Shopper CS 3600 evaluation

Feedback from our reviewers:

31 http://www.dentalproductshopper.com/evaluation/cs-3600

“Use of this scanner for crowns on natural teeth and implants has entirely

changed workflow, and the accuracy has been great.” - Paul Boger, DMD, Warren, PA

24

YEARS EXP

“Final restoration is more accurate with less adjustment” - Eric Hopkins, DDS, Shawnee, OK

27

YEARS EXP

“We have almost completely eliminated alginate impressions in our practice,

and our patients love it!” - Andrew Nallin, DDS, Mount Vernon, WA

12

YEARS EXP





Why Does the CS 3600 Earn Such Accolades? Intelligent scanning. Powerful results.

32


Intelligent features for improved clinical outcomes

INTELLIGENT MATCHING SYSTEM

Allows you to start, stop, or rescan from

anywhere in the mouth

GREEN ARROWS GUIDE THE WAY

Green arrows display the ideal direction in

which the user should rescan missing

information, providing real-time feedback that

significantly increases scanning accuracy

GET ALERTED OF MISSING DATA

Yellow and green highlights alert you of any

gaps or holes in the scan, indicating that the

area needs to be rescanned for optimal detail

33


Extra touches that improve your scan

• A series of intuitive tools allow you to modify your scan

• Unwanted tissue can be removed as desired

• Scan can be restored to initial scan if needed

34

REMOVE A SPECIFIC REGION

UNDO THE LAST ACTION

SWITCH THE UPPER AND LOWER ARCHES

RETURNS TO THE INITIAL ACQUISITION


Remove unwanted tissue

• Examine the impression during the acquisition process, remove any excess scanned tissue, and continue scanning

• Produce a more refined final digital impression

35

Initial scanned image with the Scan

data history slider bar enabled

Scan data history reduces the amount

of gingival tissue displayed


Intelligent features for improved clinical outcomes

36

MAP YOUR WAY TO SUCCESS

A pressure map of the occlusal surface allows

you to better analyze patient occlusion

OCCLUSION

COLLISION

CONTACT

STRONG

AVERAGE

WEAK

VERY WEAK


One Scanner. Three Workflows A scanner that works the way you do

37


The CS 3600 features three dedicated workflows

38

ORTHODONTICS

RESTORATIVE

IMPLANT-BORNE RESTORATIVE

RESTORATION OPTIONS:

• STANDARD

• PRE & POST SCAN

SCANBODY

IMPORT OPTIONS:

• AS IS

• ORTHODONTIC

• RESTORATION

• IMPLANT


Reinvent your orthodontics

Simplify your acquisition process for digital or orthodontic models with our intuitive software

• Acquire digital models with a workflow designed specifically for orthodontic scanning

• Scan both arches and capture bite registration quickly and easily

• Capture a digital impression in a fraction of the time required by the traditional method

• Save time, money and space, as digital models eliminate the need for physical storage

• View digital impressions from every angle for improved diagnostics, consultations and case acceptance

39


Reinvent your orthodontics

40

ORTHODONTIC SNAPSHOT

Automatically extract up to five 2D

intraoral images from the scanned data

set and eliminate the need to acquire

intraoral photos


CS MODEL

• Saves time and space by eliminating need to create

and store physical models

• Reduces cost of lab time, equipment and supplies

associated with traditional models

• Produces digital models with bases in minutes

• Integrates with Carestream Dental software and

leading orthodontic imaging, standard imaging and

practice management systems

CS MODEL+*

• Automatically evaluate your digital models and create

treatment plan simulations within minutes

• Help patients understand their treatment needs and

visualize possible treatment outcomes.

• Review and generate customized reports using

common industry standards such as Bolton, ABO and

PAR Scoring.

Optional orthodontic modules

41 *Work in progress, not available for sale


Restore like never before

Capture all the details you need for custom-fit functional restorations in minutes!

• Vivid HD 3D images provide the details needed to indentify the margin line

• 3D margin line tool in acquisition software means you can mark your margin line to share with the lab of your choice

42

Mark margin line directly from acquisition

software to reduce confusion with lab

ENABLE / DISABLE THE MARGIN LINE TOOL

AUTO MARGIN LINE (Currently for crowns only)

MANUAL MARGIN LINE (For inlays, onlays and crowns)

EDIT MARGIN LINE (Can edit both auto and manual margin lines

DELETE THE SELECTED MARGIN LINE


Restore like never before

43

RESTORATION LOCKING TOOL

Allows you to select and lock up to six

previously scanned preparation areas to

prevent them from being impacted from

additional scanning.

Protect your scanned preparation

from gingival collapse with the

locking tool

Lock preparation area to protect

the region from being updated by

additional scanning


Plan your ideal restoration

44

MEASUREMENT TOOL

Allows you to obtain a measurement

between the preparation and the

opposing tooth to help determine whether

there is ample space for the restoration

CONFIRM YOUR PREPARATION

Undercut check automatically detects

undercuts based on the selected area,

helping to ensure your digital impression

is optimal for the restoration.


Speaks any lab language

45

Prepare tooth and scan with CS 3600 Send scan to lab via CS Connect

for restoration design and

fabrication

1 2 Lab delivers final restoration

stained, glazed and finished to

your specification

3

• Use as an open, stand-alone system and send files to the lab of your choice

• Files can be exported as DICOM and open .STL and .PLY

• Fully open to work with any third-party design software

• Your lab can use the design software and manufacturing system of their choice to create your restorations


CS RESTORE

• Automates the design process to save valuable time

and improve efficiency

• Easily design accurate crowns, inlays and onlays to

create natural and functional restorations in less time

• Features automatic tooth design, margin tracing and

occlusion management

• Provides an integrated chairside restorative solution

when used with CS 3000 milling system

CS 3000

• Mill and place single-tooth restorations in a single

appointment

• Eliminate the need for temporary crowns and multiple

appointments

• Save patient’s time while improving acceptance rates

Optional restorative modules and systems

46


Plan implants with confidence

The CS 3600 offers a dedicated scanning workflow for implant-borne restorations

• A highly accurate scan for truly precise implant planning and restorations

• Intuitive software guides you through the process as you scan abutments or scanbodies

• Smart technology allows you to scan the patient’s arch, cut the region and then place the scanbody–rescanning only

that specific area

• Choose the filter that best suits your needs: Full HD 3D color, highlight on, or monochromatic

47

HD 3D Color Highlight on Monochromatic


RECENT PEER REVIEWED STUDY ABSTRACT

RESULTS

“Nowadays, it is not a question of ‘if’ but of ‘when’

to jump on the digitalization trend in implant dental

medicine. This trend will change the entire dental

profession. It should be emphasized that further

scientific validation on digital treatment is necessary to

understand the impact of this promising technology

for modifying well-established conventional protocols.

The benefits will be reduced production costs

and improved time-efficiency, and patients’ perceptions

of a modern treatment concept will also be met.

Supplementary large-scale clinical studies on different

digital systems and different digital workflows will

be vital for better utilization of these processes and

for understanding the potential of the digital technology.”

CAD/CAM: A proven solution for implant planning

48 Joda T, Ferrari M, Gallucci G, Wittneben J, Bragger U, Digital technology in

fixed implant prosthodontics. Periodontology 2000, Vol 73, 2017, 178-192

“Digital technology in fixed implant prosthodontics”



RESULTS

“None of the digitally constructed RNC crowns required

any clinical adaptation.”

CONCLUSIONS

“Prefabricated or individualized abutments on monolithic

RNC crowns using CAD/CAM technology in a model-

free workflow seem to provide a feasible and

streamlined treatment approach for single-edentulous

space rehabilitation in the posterior region.”


49 Joda T, Bragger U. Complete digital workflow for the production of implant-supported

single-unit monolithic crowns. Clin. Oral Impl. Res. 25, 2014, 1304–1306 doi: 10.1111/clr.12270

“Complete digital workflow for the production of implant-

supported single-unit monolithic crowns”



RESULTS

“Analysis for clinical treatment sessions showed a

significantly shorter mean chair time for the complete

digital workflow of 20.8 min (SD 0.3) compared to 24.1

min (SD 1.1) [P = 0.001]. Even more obvious were the

results for the mean laboratory work time with a

significant reduction of 54.5 min (SD 4.9) vs. 132.5 min

(SD 8.7), respectively [P = 0.0001].”

CONCLUSIONS

“The test workflow was more time-efficient than the

controls for implant-supported crowns; notably,

laboratory fabrication steps could be effectively

shortened with the digital process of monolithic LS2

plus titanium base resulting in more than 30% reduced

overall treatment costs.”


50 Joda T, Br€agger U. Time-efficiency analysis of the treatment with monolithic implant crowns in a d

igital workflow: a randomized controlled trial. Clin. Oral Impl. Res. 00, 2016, 1–7 doi: 10.1111/clr.12753

“Time-efficiency analysis of the treatment with

monolithic implant crowns in a digital workflow: a

randomized controlled trial”



51

DUAL SCAN MODE

Allows you to scan the same implant

region of interest twice–once with the

scanbody in place and once without–to

capture more precise data

Conduct comparisons of the digital

impressions with and without scan

bodies in place with split-screen viewing



52

SCANBODY SELECTION TOOL

Helps to prevent image mismatches that

can occur when using multiple

scanbodies on a single case by allowing

you to lock the rest of the arch and focus

on a single scanbody


Optional implant planning module

►PROSTHETIC-DRIVEN IMPLANT PLANNING

53

• Plan implants with greater precision

• Combine Carestream Dental’s CBCT and CS 3600

impression data and add virtual crowns and

implants to create a comprehensive treatment plan

• Enjoy the benefits of a completely integrated

implant-planning workflow


Selecting the Right Scanner Which Carestream Dental intraoral scanner is right for you?

54


CS 3600 family technical specifications

55

Components Technical specifications

Sensor technology 1/2 inch CMOS

Illumination LED, Amber, Blue, Green

Field of view for normal and side oriented tip 13 x 13 mm

Field of view for posterior tip 13 x 7 mm

Depth of field -2 to +12 mm

Anti-fogging technology Actively heated tip, guaranteed non-fogging operation when used intraorally

Cable length 2.7 m (1.8 m + 0.9 m)

Digital connection USB 2.0 High Speed

Dimensions without cable 220 x 38 x 58 mm for normal and side tips

Weight 325 g (excluding power box)

Handpiece Input 12 V 2A

Power box

75 x 21 x 21 mm

Input: 12V 2A

Output: 12V 2A

Adapter Input: 100-240V ~ 50/60Hz, 600mA

Output : 12.0V 2.0A


CS 3600 family environmental requirements

56

Components Environmental requirements

Operating temperature +5 ~ 30 °C

Transportation and Storage Temperature

-10 ~ 60 °C

Operating Relative Humidity

10 - 85% RH

Transportation and Storage Relative Humidity 10 - 95% RH

Operating Atmospheric Pressure

700 - 1060 hPa

Transportation and Storage Atmospheric Pressure 600 - 1060 hPa


System requirements for the CS 3600

57

Recommended Minimum

CPU

Laptop: Intel Core i7-7700HQ, Quad CPU,

2.8GHz

Desktop: Intel Core i7-7700K, Quad CPU,4.2

GHz

Laptop: Intel Core i7-4700QM, Quad CPU,

2.4 GHz

Desktop: Intel Core i7-3770, Quad CPU,3.4

GHz

RAM 16 GB RAM 16 GB RAM

Monitor

Standard CRT/LCD monitor with screen

resolution of 1920 * 1080 Standard CRT/LCD monitor with screen

resolution of 1440 * 900

Operating system Windows 10 Professional (64 bit) Windows 10 Professional (64 bit)

USB port USB 2.0 high speed port USB 2.0 high speed port

CD/DVD drive

DVD-ROM drive is required to install some

software. DVD-ROM drive is required to install some

software.

Video card

Laptop:

NVDIA GeForce GTX 1050 Ti (Notebook) or

Quadro P3000 or similar

Desktop:

NVDIA GeForce GTX 1050 Ti (Desktop) or

similar

Laptop:

NVIDIA GeForce GTX 860M or Quadro

K3100M or similar

Desktop:

NVIDIA GeForce GTX 760 or similar

Video card driver Support OpenGL 4.3 and OpenCL 1.1 Support OpenGL 4.3 and OpenCL 1.1


System requirements for the CS 3600 family

Please note that both the two previous configurations are intended for end users.

• Recommended: Ensures optimal performance with the V3.0 release and accommodate future updates. Recent

models (late 2016 / early 2017) of CPU and video card are recommended because they are easy to be purchased in

market. The new V3.0 user should equip the computer referring to the recommended configuration.

• Minimum: Ensures satisfactory performance with V3.0 release but is not safe for future updates. No difference on

hardware compared to the configuration requirements for V2.1. Only the OS requirement was changed to Win 10. So

the existing V2.1 user just needs to upgrade OS to start enjoying V3.0.

58


Getting Started CS 3600 is easy to configure

59


Desktop and wall mount holder options

• The versatile CS 3600 family scanner mount doubles as a either a desktop or a wall mount

• When not in use, CS 3600 family scanners should be placed in the holder where it will power down to sleep mode for

energy efficiency

60

WALL MOUNT HOLDER DESKTOP HOLDER


Packaging

The following items are included with the purchase of a CS 3600 scanner:

• 1 scanner

• 1 holder

• 1 power adapter

• 1 power box with cable

• 2 normal tips

• 2 side-oriented tips

• 1 flash drive containing the driver (software), 3D Mesh Viewer, user documents and training video

• 1 tooth model

• 2 license vouchers – One device license voucher and 1 software entitlement license voucher

61


Packaging

• Please note that, the small posterior tip is not included with the purchase of the scanner. However, users can order it

separately depending on their needs.

• The CS 3600 scanner will be shipped with the firmware already installed, and it can also be upgraded via the

software once in the customer’s office.

62

PRODUCT PACKAGING OPEN BOX TO REVEAL

TRAVEL CASE

OPEN TRAVEL CASE

TO REVEAL SCANNER


We makes it easy to get started

• All scanners are shipped with one-page start guide to walk the end-user through the installation process

• A series of online recorded training classes have been developed and can be accessed via the Carestream Dental

Institute or via the following URL: carestreamdental.com/3600training

The classes are as follows:

• Installing the CS 3600

• Updating the Software

• Component Overview

• Care and Maintenance

More advanced classed will be open for customers who are enrolled in a CareAdvantage Plan

63

http://carestreamdental.com/3600training

the power of intraoral scanning€¦ · • provides better access in tighter spaces due to short...

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