CS The Power of Intraoral Scanning Carestream Health, 2017

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1 CS 3600 The Power of Intraoral Scanning

2 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

3 Conventional vs. Digital Impressions 3

4 A (very) brief history of intraoral scanning Dental CAD/CAM gets its start in European labs Further refinement in acquisition software adapts scanning for orthodontist 1970s 1980s 1990s 2000s 2010s Miniaturization puts scanners in the hands of dentists 4

5 Steps in the traditional workflow Material preparation and inventory 5 6 Impression taking Wax bite Mix plaster 7 8 Pour up impression Wait for stone to dry Trim model Final model 5

6 Optimal results with traditional impressions are not guaranteed 6

7 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

8 Conventional vs. digital impressions Save time with a digital workflow TRAY SELECTION/ PREP PLACE CORD AND DRY TAKE IMPRESSION DISINFECT SHIP TO LAB POUR UP MASTER CAST 55 MINUTES ABUTMENT RESTORATION FABRICATION TOOTH PREP PLACE CORD AND DRY SCANNING TRANSMIT TO LAB DIGITALLY DIGITAL MASTER MODEL 5 MINUTES Patzelt, S. B. et al. JADA 2014;145:6:

9 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

10 Now There s a Better Way CS

11 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

12 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 PHOTOGRAPH HD 3D SCAN MONOCHROMATIC FILTER 12 Case courtesy of Dr. Lee, Sang Don, Korea

13 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 LOWER JAW SCAN MODE UPPER JAW SCAN MODE MODE SELECTION BUCCAL BITE REGISTRATION MODE 13

14 Intuitive software takes away the guesswork 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 Image Toolbar: Select and manage 3D images Connect Button: Connect the scanner 14

15 Save time with 2D image extraction Automatically extract 2D images from the digital impression data 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 15

16 Put Patient Comfort First Choose the right tip for the job 16

17 Introducing a smaller tip for your tiniest patients* * Work in progress - not available for sale pending medical device regulatory and clearance regulations.

18 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.

19 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 AUTOCLAVABLE TIPS NORMAL, SIDE AND POSTERIOR TIPS 19 * Work in progress - not available for sale pending medical device regulatory and clearance regulations.

20 Choose the tip that meets your scanning needs 95 POSTERIOR TIP* POSTERIOR TIP 96 NORMAL TIP 20 NORMAL TIP SIDE TIP 16 SIDE TIP Unit: mm * Work in progress - not available for sale pending medical device regulatory and clearance regulations.

21 How do our tips measure up? 3D Intraoral Scanner Tip Size Comparison Product Tip size (H x W mm) 20 x 17 Normal 16 x 20 Side - oriented 14 x 18 Posterior* Tip offer Fixed tip in 3 window directions, autoclavable and sterilizable CS 3600 CS 3500 CEREC Omnicam itero Element 3M True Definition 3Shape Trios 3 Shape Trios 3 23 x 18- Normal 16 x x x x 18 Claim: 18 x x 16 - Small 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 Measured: 20 x 21.5 Tip is autoclavable; detachable /magnet mirror 21 * Work in progress - not available for sale pending medical device regulatory and clearance regulations.

22 Proven Accuracy Highly accurate images facilitate precise clinical results 22

23 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

24 CS 3600 Performance in a Comparative In Vitro Study 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

25 CS 3600 Performance in a Comparative In Vitro Study 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. Accuracy helps determine whether the restoration will fit* 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 Precision provides consistency when different scanning techniques are used *Images courtesy of Dr. Jerome Lipowicz

26 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

27 Rated by Gordon J. Christensen Clinicians Report 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 Large handpieces are heavy and can be challenging on patients with limited opening. 27 * Reprinted August 2016 with permission, from Volume 9 Issue 8, August 2016, Pages 1 & 3

28 An Award-winning Solution 28

29 An award-winning solution Earned Excellent Good rating by Clinician s Report Named a Clinicians Report Best Product of 2016

30 Dental Product Shopper CS 3600 evaluation Product Evaluation Snapshot Criteria based on an average score out of 5 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 30

31 Dental Product Shopper CS 3600 evaluation Feedback from our reviewers: 24 YEARS EXP 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 27 YEARS EXP Final restoration is more accurate with less adjustment - Eric Hopkins, DDS, Shawnee, OK 12 YEARS EXP We have almost completely eliminated alginate impressions in our practice, and our patients love it! - Andrew Nallin, DDS, Mount Vernon, WA 31

32 Why Does the CS 3600 Earn Such Accolades? Intelligent scanning. Powerful results. 32

33 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

34 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 REMOVE A SPECIFIC REGION UNDO THE LAST ACTION SWITCH THE UPPER AND LOWER ARCHES RETURNS TO THE INITIAL ACQUISITION 34

35 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 Initial scanned image with the Scan data history slider bar enabled Scan data history reduces the amount of gingival tissue displayed 35

36 Intelligent features for improved clinical outcomes 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 36

37 One Scanner. Three Workflows A scanner that works the way you do 37

38 The CS 3600 features three dedicated workflows ORTHODONTICS RESTORATIVE IMPLANT-BORNE RESTORATIVE RESTORATION OPTIONS: STANDARD PRE & POST SCAN SCANBODY IMPORT OPTIONS: AS IS ORTHODONTIC RESTORATION IMPLANT 38

39 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

40 Reinvent your orthodontics ORTHODONTIC SNAPSHOT Automatically extract up to five 2D intraoral images from the scanned data set and eliminate the need to acquire intraoral photos 40

41 Optional orthodontic modules 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. 41 *Work in progress, not available for sale

42 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 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 Mark margin line directly from acquisition software to reduce confusion with lab 42

43 Restore like never before Protect your scanned preparation from gingival collapse with the locking tool 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. Lock preparation area to protect the region from being updated by additional scanning 43

44 Plan your ideal restoration 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. 44

45 Speaks any lab language 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 1 Prepare tooth and scan with CS Send scan to lab via CS Connect 3 Lab delivers final restoration for restoration design and stained, glazed and finished to fabrication your specification 45

46 Optional restorative modules and systems 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 46

47 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 HD 3D Color Highlight on Monochromatic 47

48 CAD/CAM: A proven solution for implant planning RECENT PEER REVIEWED STUDY Digital technology in fixed implant prosthodontics 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. 48 Joda T, Ferrari M, Gallucci G, Wittneben J, Bragger U, Digital technology in fixed implant prosthodontics. Periodontology 2000, Vol 73, 2017,

49 CAD/CAM: A proven solution for implant planning RECENT PEER REVIEWED STUDY Complete digital workflow for the production of implantsupported single-unit monolithic crowns ABSTRACT 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 modelfree 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, doi: /clr.12270

50 CAD/CAM: A proven solution for implant planning RECENT PEER REVIEWED STUDY Time-efficiency analysis of the treatment with monolithic implant crowns in a digital workflow: a randomized controlled trial ABSTRACT 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 min (SD 8.7), respectively [P = ]. 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: /clr.12753

51 Plan implants with confidence 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 51

52 Plan implants with confidence 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 52

53 Optional implant planning module PROSTHETIC-DRIVEN IMPLANT PLANNING 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 53

54 Selecting the Right Scanner Which Carestream Dental intraoral scanner is right for you? 54

55 CS 3600 family technical specifications Components Sensor technology Illumination Field of view for normal and side oriented tip Field of view for posterior tip Depth of field Anti-fogging technology Technical specifications 1/2 inch CMOS LED, Amber, Blue, Green 13 x 13 mm 13 x 7 mm -2 to +12 mm Actively heated tip, guaranteed non-fogging operation when used intraorally Cable length 2.7 m (1.8 m m) Digital connection Dimensions without cable Weight Handpiece Power box Adapter USB 2.0 High Speed 220 x 38 x 58 mm for normal and side tips 325 g (excluding power box) Input 12 V 2A 75 x 21 x 21 mm Input: 12V 2A Output: 12V 2A Input: V ~ 50/60Hz, 600mA Output : 12.0V 2.0A 55

56 CS 3600 family environmental requirements Components Environmental requirements Operating temperature +5 ~ 30 C Transportation and Storage Temperature Operating Relative Humidity -10 ~ 60 C 10-85% RH Transportation and Storage Relative Humidity Operating Atmospheric Pressure Transportation and Storage Atmospheric Pressure 10-95% RH hpa hpa 56

57 System requirements for the CS 3600 Recommended Minimum CPU 57 Laptop: Intel Core i7-7700hq, Quad CPU, 2.8GHz Desktop: Intel Core i7-7700k, Quad CPU,4.2 GHz RAM 16 GB RAM 16 GB RAM Monitor Standard CRT/LCD monitor with screen resolution of 1920 * 1080 Laptop: Intel Core i7-4700qm, Quad CPU, 2.4 GHz Desktop: Intel Core i7-3770, Quad CPU,3.4 GHz 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 Video card DVD-ROM drive is required to install some software. Laptop: NVDIA GeForce GTX 1050 Ti (Notebook) or Quadro P3000 or similar Desktop: NVDIA GeForce GTX 1050 Ti (Desktop) or similar DVD-ROM drive is required to install some software. 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

58 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 V

59 Getting Started CS 3600 is easy to configure 59

60 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 DESKTOP HOLDER WALL MOUNT HOLDER 60

61 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

62 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. PRODUCT PACKAGING OPEN BOX TO REVEAL TRAVEL CASE OPEN TRAVEL CASE TO REVEAL SCANNER 62

63 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

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