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1 kéï=~ë=çñw== MVKOMMV áåi~ä=pa=ñçê=^äìíãéåíë=spksu lééê~íçêûë=j~åì~ä pìééäéãéåí=íç=ëçñíï~êé=îéêëáçå=áåi~ä=pa=spksu båöäáëü

2 Table of contents Sirona Dental Systems GmbH Table of contents 1 How to use the scanbody Scanbody Preparing a model for ineos or acquisition unit Preparing a model for the scanner (inlab) General information About the software Indications Parameters Gingival depth Design for abutment crowns Pressure on the gingiva Explanation of the color markings Mesostructure design technique Creating a new restoration Scanning the antagonist and the preparation (implant situation) Setting parameters Displaying the 3D representation Entering the gingival line Setting the insertion axis Performing the design Examining the milling preview Positioning the mesostructure optimally in the dental arch Milling a ceramic mesostructure Finishing an abutment Dental database design technique (with scanning of the implant mask) Create a new restoration Acquiring optical impressions Setting parameters Trimming the preparation Trimming the antagonist Entering the gingival line Setting the insertion axis Designing a restoration D

3 Sirona Dental Systems GmbH 4.9 Reducing a restoration Examining the milling preview Milling a ceramic mesostructure Finishing an abutment Milling an abutment crown Dental database design technique (without scanning of the implant mask) Create a new restoration Acquiring optical impressions Setting parameters Trimming the preparation Trimming the antagonist Setting a marking point Setting the insertion axis Designing a restoration Reducing a restoration Examining the milling preview Milling a ceramic mesostructure Finishing an abutment Milling an abutment crown båöäáëü D

4 1 How to use the scanbody Sirona Dental Systems GmbH Scanbody 1 How to use the scanbody 1.1 Scanbody CAUTION Risk of infection for the patient The scanbody is not delivered in aseptic condition. Do not use the scanbody in the patient's mouth. 1.2 Preparing a model for ineos or acquisition unit A master model with manipulation implants is available. 1. If no CAM base was used, prepare the area surrounding each implant situation with powder or scan spray. 2. Place a titanium base on each manipulation implant of the master model and screw this down with the corresponding abutment screw. Then push the scanbody on until it butts up against the titanium base without a gap. The scanbody is scannable without powder or scan spray. Extraoral scans can also be made with the CEREC 3 or CEREC AC acquisition unit in the same way. 1.3 Preparing a model for the scanner (inlab) A master model with manipulation implants is available. 1. Place a titanium base on each manipulation implant of the master model and screw this down with the corresponding abutment screw. Then push the scanbody on until it butts up against the titanium base without a gap. 2. Duplicate a scan model of each implant situation. The scanbody of the scan model must point upward vertically, i.e. must be visible without undercuts. 3. Glue this model onto the model holder in such a way that it points toward the clamping shank A in the mesial > direction. 4 D

5 Sirona Dental Systems GmbH 2 General information 2 General information 2.1 About the software "inlab 3D for Abutments V3.6X" is a supplement to inlab 3D Software Version 3.6X that extends the capabilities of the latter to include the indication of ceramic abutments in your own laboratory. The abutments are manufactured with the inlab MC XL milling unit. Mesostructures from other inlab 3D software versions and from "inlab 3D for Abutments V3.10" cannot be loaded. 2.2 Indications Position of the implant The implant must be in a circular subgingival location. If the location of the implant is only minimally supragingival, you can fill it up with scan wax. båöäáëü 2.3 Parameters Gingival depth Gingival depth With this parameter, you can set the desired depth of the preparation margin below the gingival margin on the gingival cavity (B) for the design of implants. Gingival depth The "Gingival depth" can be set up for restoration type "Implant" in increments of 0.1mm as follows: Design technique "Dental database": between -2 mm and 2 mm Design technique "Mesostructure": between 0 mm and 2 mm D

6 2 General information Sirona Dental Systems GmbH Parameters You can use this parameter to configure whether the preparation margin is subgingival (positive parameter value) or supragingival (negative parameter value). At a value of 0, the preparation line corresponds to the drawn emergence line. Alternatively, you can use the preparation line to adjust in the reducing step with the +/- keys located to the right and left of the R symbol Design for abutment crowns If the "Design for Abutment Crown" checkbox is activated, then the "Telescope angle" and "Shoulder size" parameters are active. The restoration is split up into an abutment and the corresponding crown using these parameters (see Figure). If the checkbox is deactivated, then the restoration is reduced above the preparation line to allow for direct veneering, for example. A B "Telescope angle" "Shoulder size" Pressure on the gingiva The parameter "Placement pressure" can be adjusted from -2 mm to 2 mm in steps of 0.1 mm. With this parameter, the size of the abutment (and, if applicable, of the crown) along the defined emergence line can be altered to increase or decrease the pressure on the gingiva. The parameter's maximum effect is directly on the emergence line, attenuating subgingivally and supragingivally. 6 D

7 Sirona Dental Systems GmbH 2 General information 2.4 Explanation of the color markings The red areas on the surface of the restoration mark the spots where no restoration material will be left later on. Either because the restoration will jut out of the blank there or because the screw channel is located there. Restoration The minimum permissible shape of the restoration is marked in blue. This can be switched off by removing the check mark in the menu item "Window" / "Display options". These colored markings are also visible in the cut. båöäáëü Cut display Red marking function switched off If, in the "Antagonist" window, a check mark is placed beside "Interocclusal Clearance", then the red marking is switched off in the milling preview. D

8 3 Mesostructure design technique Sirona Dental Systems GmbH Creating a new restoration 3 Mesostructure design technique Design example of mesostructure with antagonist image for tooth Creating a new restoration You have selected a patient from the database or created a new patient. 1. Select the following options in the New dialog box. 2. Click on "OK". Range "Restoration" "Design technique" Value "Implant" "Mesostructure" Tooth 11 "Implant type" Camlog Scanning the antagonist and the preparation (implant situation) 1. Have the antagonist 1 and then the preparation scanned (implant situation) (see "Optical impressions with the scanner" in the inlab 3D ). Preventing scan artifacts If a deep pit is located between the scanbody and the gingiva, you can fill it up with scan wax in order to prevent scan artifacts. 2. If all of the required optical impressions are available, click the "Next" button. 3.3 Setting parameters Explanation: Parameter note Following reconstruction of the 3D model, a note appears indicating that the changeable parameters which influence the remaining design steps will be displayed in the next dialog box. The remaining parameters are inactive. Confirmation of this note automatically opens the Parameters dialog box. The parameter note (like other warning messages) can be switched off if desired. 1. Confirm the Parameter note dialog box with "OK". 2. If necessary, edit the changeable parameters in the Parameter dialog box and confirm with "OK". 1. This may be a mushbite in the conventional sense or an impression of a waxup as a "virtual silicone key". 8 D

9 Sirona Dental Systems GmbH 3 Mesostructure design technique 3.4 Displaying the 3D representation The 3D representation of the preparation (implant situation) is reconstructed and then displayed in the 3D viewer. 3D display båöäáëü 3.5 Entering the gingival line 1. Enter the gingival line (see "Gingival line") and check it in the 3D viewer. Rotate the preparation for this purpose (implant situation). Drawing the gingival line Directly editing the gingival line The gingival line can be edited immediately after having been entered (see "Edit tool (edit)"). 2. Click the "Next" button. You will be prompted to set the insertion axis. D

10 3 Mesostructure design technique Sirona Dental Systems GmbH Setting the insertion axis 3.6 Setting the insertion axis Insertion axis 1. Configure the insertion axis. When doing this, make sure that the scanbody does not conceal any part of the gingival line. 2. Click the "Next" button. The restoration is calculated and then displayed. 3.7 Performing the design You can use the "Position", "Rotate" and "Scale" tools to align and adjust the restoration as required. As soon as you release a direction key for any of these tools, the shoulder suitable for ceramics will be recalculated and displayed. You can use "Edit" to edit the preparation margin on the gingival cavity. The implant head is visible during editing. You can use the "Antagonist" and "Occlusion" buttons to display the "Antagonist" and occlusion dialog boxes (see "Showing/hiding the antagonist" in the inlab 3D ) and adapt the shape of the abutment to the antagonist using the Design tools. 1. Adjust and align the restoration if necessary. 2. Edit the preparation margin if necessary. 3. After the design is finished, click on the "Next" button. 10 D

11 Sirona Dental Systems GmbH 3 Mesostructure design technique 3.8 Examining the milling preview The finished restoration is displayed in the milling preview. The implant head is visible here too. 1. Inspect the restoration. båöäáëü Milling Preview 2. If necessary, edit the restoration with the "Form", "Drop" and "Shape" tools. D

12 3 Mesostructure design technique Sirona Dental Systems GmbH Positioning the mesostructure optimally in the dental arch 3.9 Positioning the mesostructure optimally in the dental arch Seating the mesostructure virtually A completely designed mesostructure can be seated virtually and used as an aid for designing further mesostructures (see "Quadrant" in the chapter on "Design" in the inlab 3D ). Cut display displayed with antagonists Displaying the abutment If an impression of a prosthetic tooth/wax-up is acquired as an antagonist, you can readily adjust/align the form and position of the abutment Milling a ceramic mesostructure An inlab MC XL (or a CEREC MC XL) milling unit is required to mill the ceramic mesostructure. The finished restoration design is displayed in the milling preview. 20mm milling instruments are clamped in the MC XL milling unit to machine zirconia. 1. Click the "Mill" button. The machine moves to the block insertion position. 2. Insert the suitable incoris ZI meso block. 3. Press "Start". The ceramic mesostructure is milled Finishing an abutment Follow the instructions for manufacturing the mesostructure in the Processing Instructiions for "incoris ZI meso". 12 D

13 Sirona Dental Systems GmbH 4 Dental database design technique (with scanning of the implant mask) 4 Dental database design technique (with scanning of the implant mask) 4.1 Create a new restoration You have selected a patient from the database or created a new patient. 1. Select the following options in the New dialog box. 2. Click on "OK". Range "Restoration" "Design technique" Value "Implant" "Dental database" Tooth 11 "Implant type" Camlog 3.3 båöäáëü D

14 4 Dental database design technique (with scanning of the implant mask) Sirona Dental Systems GmbH Acquiring optical impressions 4.2 Acquiring optical impressions Preventing scan artifacts If a deep pit is located between the scanbody and the gingiva, you can fill it up with scan wax in order to prevent scan artifacts. If the implant mask is scanned without an inserted scanbody, it is recommended that the laboratory analog be covered. Recommendation We recommend starting by scanning the implant mask and then scanning the preparation (implant situation). Scanning the implant mask Have the implant mask scanned. Scanning the antagonist and the preparation (implant situation) Position on the scan holder When removing the implant mask, ensure that the position on the scan holder is not changed. Otherwise you will have to perform manual correlation. The order of grid scans When scanning the preparation, be sure to use the same order for grid scans as when scanning the implant mask. 1. Have the antagonist and the preparation scanned (implant situation) (see "Optical impressions" in the inlab 3D ). 2. If all of the required optical impressions are available, click the "Next" button. 4.3 Setting parameters Explanation: Parameter note Following reconstruction of the 3D model, a note appears indicating that the changeable parameters which influence the remaining design steps will be displayed in the next dialog box. The remaining parameters are inactive. Confirmation of this note automatically opens the Parameters dialog box. The parameter note (like other warning messages) can be switched off if desired. 1. Confirm the Parameter note dialog box with "OK". 2. If necessary, edit the changeable parameters in the Parameter dialog box and confirm with "OK". 14 D

15 Sirona Dental Systems GmbH 4 Dental database design technique (with scanning of the implant mask) 4.4 Trimming the preparation Recommendation We recommend always performing the trimming step, because the subsequent automatic exposure procedure can also cut out parts of the adjacent teeth. Recommendation note båöäáëü Trimming the preparation 1. Trim the preparation (see "Trimming the preparation" in the inlab 3D ). 2. Click the "Next" button. 4.5 Trimming the antagonist 1. Trim the antagonist (if available, see "Trimming antagonists" in the inlab 3D ). 2. Click the "Next" button. D

16 4 Dental database design technique (with scanning of the implant mask) Sirona Dental Systems GmbH Entering the gingival line 4.6 Entering the gingival line 1. Enter the gingival line (see "Gingival line" in the inlab 3D Operator's Manual) and check it in the 3D viewer. Rotate the preparation for this purpose (implant situation). Directly editing the gingival line The gingival line can be edited immediately after having been entered (see "Editing tool (Edit)" in the inlab 3D ). 2. Click the "Next" button. 4.7 Setting the insertion axis Insertion axis 1. Configure the insertion axis. When doing this, make sure that the scanbody does not conceal any part of the gingival line. 2. Click the "Next" button. The restoration is calculated and then displayed. 16 D

17 Sirona Dental Systems GmbH 4 Dental database design technique (with scanning of the implant mask) 4.8 Designing a restoration Design 1. Select the desired dental database. Rotating a 3D preview During selection of the dental database, a 3D preview appears which can be rotated with the mouse and viewed from all sides (control the same as for rotating the model in the 3D viewer). 2. Confirm with "OK". The restoration is calculated and then displayed. 3. You can use the "Position" and "Rotate" tools to align the restoration as required. 4. You can use the "Design" tools "Scale", "Edit", "Form" and "Drop" to make changes so that the restoration ideally fits into the overall situation (also refer to the inlab 3D ). 5. Click the "Next" button. båöäáëü 4.9 Reducing a restoration Reduce 1. Click twice in succession on the black "R" in the center of the "Reduce" tool to start reduction with the previously set parameters. The area to be reduced is displayed as transparent. 2. You can also make changes here using the "Design"-"Form" and "Drop" tools. 3. Click the "Next" button. D

18 4 Dental database design technique (with scanning of the implant mask) Sirona Dental Systems GmbH Examining the milling preview 4.10 Examining the milling preview Milling Preview The free-form tools "Form", "Drop" and "Shape" can be used here as well. If a checkmark is placed beside "Block Visualization" in the milling preview, then you can recognize the drill hole in the block. If you select the menu item "Abutment Crown" from the "Design" menu, then the inlab 3D program is automatically started and you can mill the abutment crown there. If you select the "Quadrant " menu item from the "Design" menu, then you can perform quadrant restoration. All possible restoration types and design techniques are available. If you select "Implant" as the restoration type, then a new inlab 3D for Abutments program will be started automatically. If you select another restoration type, then the inlab 3D program will be started automatically Milling a ceramic mesostructure An inlab MC XL (or a CEREC MC XL) milling unit is required to mill the ceramic mesostructure. The finished restoration design is displayed in the milling preview. 20mm milling instruments are clamped in the MC XL milling unit to machine zirconia. 1. Click the "Mill" button. The machine moves to the block insertion position. 2. Insert the suitable incoris ZI meso block. 3. Press "Start". The ceramic mesostructure is milled. 18 D

19 Sirona Dental Systems GmbH 4 Dental database design technique (with scanning of the implant mask) 4.12 Finishing an abutment Follow the instructions for manufacturing the mesostructure in the Processing Instructiions for "incoris ZI meso" Milling an abutment crown 1. In order to mill a crown that fits the abutment you just designed, select the "Design" menu and then the "Abutment Crown" menu item. The inlab 3D software milling preview is automatically opened. Make sure no more changes are made to the crown or the abutment which could affect the fit. 2. Click the "Mill" button. 3. Start the milling process (see also Operating Instructions of the milling unit). båöäáëü D

20 5 Dental database design technique (without scanning of the implant mask) Sirona Dental Systems GmbH Create a new restoration 5 Dental database design technique (without scanning of the implant mask) 5.1 Create a new restoration You have selected a patient from the database or created a new patient. 1. Select the following options in the New dialog box. 2. Click on "OK". Range "Restoration" "Design technique" Value "Implant" "Dental database" Tooth 11 "Implant type" Camlog Acquiring optical impressions 1. Have the antagonist and the preparation scanned (implant situation) (see "Optical impressions" in the inlab 3D ). Preventing scan artifacts If a deep pit is located between the scanbody and the gingiva, you can fill it up with scan wax in order to prevent scan artifacts. 2. If all of the required optical impressions are available, click the "Next" button. 5.3 Setting parameters Explanation: Parameter note Following reconstruction of the 3D model, a note appears indicating that the changeable parameters which influence the remaining design steps will be displayed in the next dialog box. The remaining parameters are inactive. Confirmation of this note automatically opens the Parameters dialog box. The parameter note (like other warning messages) can be switched off if desired. 1. Confirm the Parameter note dialog box with "OK". 2. If necessary, edit the changeable parameters in the Parameter dialog box and confirm with "OK". 5.4 Trimming the preparation Recommendation We recommend always performing the trimming step, because the subsequent automatic exposure procedure can also cut out parts of the adjacent teeth. Recommendation note 20 D

21 Sirona Dental Systems GmbH 5 Dental database design technique (without scanning of the implant mask) Trimming the preparation 1. Trim the preparation (see "Trimming the preparation" in the inlab 3D ). 2. Click the "Next" button. båöäáëü 5.5 Trimming the antagonist 1. Trim the antagonist (if available, see "Trimming antagonists" in the inlab 3D ). 2. Click the "Next" button. 5.6 Setting a marking point 1. Double-click on the head of the scanbody to set a marking point. 2. Click the "Next" button. D

22 5 Dental database design technique (without scanning of the implant mask) Sirona Dental Systems GmbH Setting the insertion axis 5.7 Setting the insertion axis Insertion axis 1. Configure the insertion axis. When doing this, make sure that the scanbody does not conceal any part of the gingival line. 2. Click the "Next" button. The restoration is calculated and then displayed. 5.8 Designing a restoration Design 1. Select the desired dental database. Rotating a 3D preview During selection of the dental database, a 3D preview appears which can be rotated with the mouse and viewed from all sides (control the same as for rotating the model in the 3D viewer). 2. Confirm with "OK". The restoration is calculated and then displayed. 3. You can use the "Position" and "Rotate" tools to align the restoration as required. 4. You can use the "Design" tools "Scale", "Edit", "Form" and "Drop" to make changes so that the restoration ideally fits into the overall situation (also refer to the inlab 3D ). 5. Click the "Next" button. 22 D

23 Sirona Dental Systems GmbH 5 Dental database design technique (without scanning of the implant mask) 5.9 Reducing a restoration Reduce 1. Click twice in succession on the black "R" in the center of the "Reduce" tool to start reduction with the previously set parameters. The area to be reduced is displayed as transparent. 2. You can also make changes here using the "Design"-"Form" and "Drop" tools. 3. Click the "Next" button. båöäáëü 5.10 Examining the milling preview Milling Preview The free-form tools "Form", "Drop" and "Shape" can be used here as well. If a checkmark is placed beside "Block Visualization" in the milling preview, then you can recognize the drill hole in the block. If you select the menu item "Abutment Crown" from the "Design" menu, then the inlab 3D program is automatically started and you can mill the abutment crown there. If you select the "Quadrant " menu item from the "Design" menu, then you can perform quadrant restoration. All possible restoration types and design techniques are available. If you select "Implant" as the restoration type, then a new inlab 3D for Abutments program will be started automatically. If you select another restoration type, then the inlab 3D program will be started automatically. D

24 5 Dental database design technique (without scanning of the implant mask) Sirona Dental Systems GmbH Milling a ceramic mesostructure 5.11 Milling a ceramic mesostructure An inlab MC XL (or a CEREC MC XL) milling unit is required to mill the ceramic mesostructure. The finished restoration design is displayed in the milling preview. 20mm milling instruments are clamped in the MC XL milling unit to machine zirconia. 1. Click the "Mill" button. The machine moves to the block insertion position. 2. Insert the suitable incoris ZI meso block. 3. Press "Start". The ceramic mesostructure is milled Finishing an abutment Follow the instructions for manufacturing the mesostructure in the Processing Instructiions for "incoris ZI meso" Milling an abutment crown 1. In order to mill a crown that fits the abutment you just designed, select the "Design" menu and then the "Abutment Crown" menu item. The inlab 3D software milling preview is automatically opened. Make sure no more changes are made to the crown or the abutment which could affect the fit. 2. Click the "Mill" button. 3. Start the milling process (see also Operating Instructions of the milling unit). 24 D

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