3Shape TRIOS User manual

TRIOS-2013-1-1.2.1.1-B-EN
3SHAPE TRIOS®
User Manual

Contents
1 Getting Started ...........................................................................................................................4
1.1 Introduction ..........................................................................................................................4
1.2 Indications ............................................................................................................................4
1.3 System Description ................................................................................................................4
2 How Do I - Task List ....................................................................................................................6
2.1 Configuration ........................................................................................................................6
2.2 Orders ..................................................................................................................................6
2.3 Scanning ..............................................................................................................................6
2.4 Analysis................................................................................................................................7
2.5 Maintenance..........................................................................................................................7
3 Taking Digital Impressions............................................................................................................8
3.1 TRIOS Workflow ....................................................................................................................8
3.2 Create and Manage Orders....................................................................................................11
3.3 General Scanning Workflow and Tools ....................................................................................18
3.3.1 Heating and Mounting the Scanner Tip .............................................................................. 18
3.3.2 Scanning ....................................................................................................................... 21
3.3.3 General Scanning Tools................................................................................................... 25
3.3.4 Align Occlusion...............................................................................................................29
3.3.5 Analyze Scan .................................................................................................................31
3.4 Specific Scanning Workflows .................................................................................................34
3.4.1 How Do I Scan One or More Preparations ..........................................................................34
3.4.2 How Do I Make a Pre-preparation Scan .............................................................................34
3.4.3 How Do I Make an Implant Scan ...................................................................................... 36
3.4.4 How Do I Make Post and Core Scan .................................................................................. 39
3.5 Tips to Obtaining a Good Scan............................................................................................... 41
3.6 Scanning Strategies .............................................................................................................42
4 Options and Settings..................................................................................................................47
4.1 General Options and Settings ................................................................................................ 51
4.2 Operator Options and Settings............................................................................................... 52
4.3 Connection Settings ............................................................................................................. 53
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4.4 Scan Options and Settings ....................................................................................................55
4.5 Help Options ....................................................................................................................... 56
4.6 Closing Options....................................................................................................................59
4.7 TRIOS Client ....................................................................................................................... 60
4.8 Wi-Fi Installation Considerations ............................................................................................63
5 Communication with the Lab....................................................................................................... 64
5.1 Create 3Shape Communicate™ Account.................................................................................. 65
5.2 Connect to the Lab...............................................................................................................66
5.3 Send Order to the Lab ..........................................................................................................70
5.4 Communicate with the Lab.................................................................................................... 72
6 Maintenance ............................................................................................................................. 75
6.1 Scanner Calibration .............................................................................................................. 75
6.2 Cleaning, Disinfection and Sterilization ...................................................................................76
6.3 Disposal of the Scanner Tip ................................................................................................... 77
6.4 System Upgrades................................................................................................................. 77
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1 Getting Started
1.1 Introduction
Dear Customer,
Congratulations on your purchase of the 3Shape TRIOS® - a next generation intraoral digital impression
solution.
This online help system will assist you in setting up your TRIOS® system, as well as guide you through
the steps for scanning and handling digital impressions.
Please see the How Do I..Task page that links to specific help topics.
Note!
Before connecting or operating TRIOS, please be sure to read the TRIOS
Safety and Setup Guide
for assembly and safety instructions and observe all its
safety
information and warnings.
Thank you,
3Shape
1.2 Indications
3Shape TRIOS® supports the following indications:
•Single crowns
•Inlays
•Onlays
•Veneers
•Implants (single abutments)
•Post & core
•Up to 5-unit bridges
•Orthodontics (Orthodontics is only available after purchase of add-on module)
1.3 System Description
Note!
Please refer to the TRIOS Safety and Setup Guide for instructions regarding
assembling TRIOS® and getting started for the first time.
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Note!
Please refer to the TRIOS Safety and Setup Guide for a system description of
the TRIOS models T12A and T12P (TRIOS is also available as model TRIOS11A which
is supplied with a cart with built
-in PC).
Note!
Information about the supplied model can be found on the label at the back of
the cart and of the Pod.
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2 How Do I - Task List
This section helps you quickly find information about specific tasks when performing:
2.1 Configuration
2.2 Orders
2.3 Scanning
2.4 Analysis
2.5 Maintenance
2.1 Configuration
How do I start using TRIOS
How do I access the keyboard
How do I load a new order template
How do I update my license
How do I get online support
How do I create a new operator
How do I turn scanner sound effects on/off
How do I connect TRIOS via wireless
How do I install TRIOS Client
How do I share cart data
How do I set up 3Shape Communicate
2.2 Orders
How do I create a new order
How do I view an existing order
How do I send an order
How do I exchange comments with the lab
2.3 Scanning
How do I prepare for scanning
How do I find the best scanning approach
How do I scan a posterior quadrant
How do I scan a full arch
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How do I trim the scan
How do I align scans
2.4 Analysis
How do I set insertion direction
How do I add annotations
How do I perform the post-processing of the model
How do I measure occlusion clearance
2.5 Maintenance
How do I perform scanner calibration
How do I autoclave the scanner tip
How do I clean, disinfect and sterilize the system
How do I update the system
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3 Taking Digital Impressions
3.1 TRIOS Workflow
3Shape TRIOS® realizes a full digital workflow:
Step 1: Order creation
Step 2: Impression scanning
Step 3: Clinical validation
Step 4: Uploading of digital impression
Step 5: Communication with the lab
WORKFLOW TOOLBAR
The Workflow toolbar appears at the top or bottom of the main window and guides you through the main
TRIOS workflow steps:
(1) Home - Opens a calendar with order sessions for the selected day. Lets you
search orders and configure TRIOS.
(2) Order form - Opens the Order form for creating an order and specifying
order details.
(3) Scan - Opens the scanning window for taking a digital impression.
(4) Analyze - Opens a window with special tools for inspecting and validating
your impression scan.
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(5) Send - Opens the form that allows you to send your order to the lab.
(6) 3Shape Communicate - Opens a window for exchanging comments with
the Lab, viewing sent orders and receiving design of 3D models from the Lab for
visual inspection and approval.
•A step is check marked when completed successfully. .
•A step appears disabled if the previous step has not been completed.
•The current step in the workflow is highlighted.
NOTIFICATIONS
Notifications may appear on the
screen throughout the
TRIOS workflow. A few examples of notifications are
license and order form updates, incomplete steps,
connection status, insufficient scan data, and other.
Please read notification information carefully and follow
the instructions.
SERVICE TOOLBAR
The Service toolbar is on the left side of the screen. It provides access to the main TRIOS system settings
and options:
•Opens a calendar with orders.
•Opens a search and filter page of all
existing orders.
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•Opens a page with notifications about
incoming messages and designs.
•Opens a new order form.
•Opens the system configuration settings.
•Opens the help menu options.
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•Opens the closing options.
KEYBOARD
To enter a text, press on the text field and
use the virtual keyboard that appears on
the screen.
NAVIGATING TO CALENDAR
Press the Home button to switch between the workflow pages and the calendar.
3.2 Create and Manage Orders
You must create an order session before taking an impression. The order session combines all the
information about the patient, the indication and the impression you will take.
Select from the options below to create a new order or to open an existing one:
TO CREATE A NEW ORDER
Step 1: Open a blank order form
Press the
Create new button in the Service toolbar or press an empty time slot
for any day in the calendar view to open a new Order Form:
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Step 2: Choose the required Lab and Template (if available)
You are asked to choose a default lab if it has not been defined before.
Note!
Templates can be customized for specific labs and therefore the fields and
settings available in the order form may vary.
Step 3: Enter General information for the patient (and other details if available)
Step 4: Specify Delivery information
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Step 5: Add Patient images (optional)
Step 6: Select Construction details for the restoration
Choose the necessary teeth in the map and specify the job Type (Crown, Implant etc.).
Open Color Tool
Press the Open color tool button to access tools for placing markings and annotations on the teeth,
allowing you to relay specific instructions to the lab:
•Draw - You can draw a line by pressing on a tooth and dragging your finger across.
•Type text - Pressing on a tooth opens a virtual keyboard and allows you to type specific comments.
•Color name - Lets you select the desired color from the table (e.g., A1). Press on a tooth to assign
the selected color.
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•To edit a specific tooth, press its icon . Use the middle bar to scroll through and select teeth
when there are many.
•Press OK to save the changes and close the Color Tool.
Study Order – Used for scanning study orders and orthodontic cases. When used it is not necessary to
define construction details.
Add pre-preparation scan - Enables you to add a pre-preparation scan to your order.
Step 7: Add comments
Use the comments field to add special instructions or comments to the lab.
Main Order Form buttons
•View - Opens the order details in a separate page for printing.
•Preprep - This button is only available if a Prepreparation copy of the order has been created
previously (see description of the Copy button below). Pressing the Preprep button opens the
original order.
•Export - Allows you to export orders to a folder in a different format.
•Reschedule - Opens a calendar with a list showing free time slots (see the image below). Press the
preferred date, time and Select to reschedule the session.
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Delete - Deletes the entire order.
Copy - Creates a Standard or Prepreparation copy of an order (read the description to learn the
difference):
TO VIEW EXISTING ORDERS
You can view orders via the Calendar or List of orders.
1. Viewing orders via Calendar
Press the
Calendar button in the Service toolbar to open the calendar view of
order sessions for a particular day.
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•Existing sessions are displayed as green
calendar slots showing session time,
order number, patient' name and the
order status icon.
•The Left /Right buttons allow
you to scroll through the calendar dates.
•TheToday button brings you back to
the current day in the calendar if you
have navigated away.
Order status icons are explained below:
Created - An order has been created.
Scanned -All preparations have been marked.
Sending - Only seen if returning to the calendar page right after pressing Send on
the Send page.
Sent -The order has been sent.
Waiting Receive - The case has been received/downloaded by the lab, but neither
approved or rejected yet.
Received Approved - Dental Manager or 3Shape Communicate web site approved
the order.
Rejected -The lab has rejected the order.
Warning -The order sending has failed.
Linked -The order is a prepreparation copy and thus linked to the original order.
2.
Viewing orders via Cases function
Press the
Cases button in the Service toolbar to open a list of all existing order
sessions.
•The list displays orders status, patient names, numbers, delivery dates and labs.
•You can sort orders in the list by pressing the corresponding column headers.
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The search options allow you to:
•Type text into the Search field to find the necessary order(s).
•Use Unsent, Sent, Rejected, Approved and Designed filters to narrow your search results.
•Use the rotation menu to select orders within a given date interval.
TO OPEN AN EXISTING ORDER
Step 1: Find the required order
Use Calendar or Cases (see help on TO VIEW EXISTING ORDERS described above).
Step 2: Press the order to open its details
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3.3 General Scanning Workflow and Tools
3.3.1 Heating and Mounting the Scanner Tip
This help topic describes how to make preparations for taking a digital impression.
Step 1: Warm up the scanner
Note!
Make sure the calibration tip is not attached to the scanner as the tip may
become very warm.
The warming of the scanner depends on the TRIOS model:
•TRIOS11A: Turn on the cart to activate the heating system and attach the protection and heater
tip. Allow about 10 minutes for the scanner-tube to fully warm up to prevent condensation on the
scanner window during scanning. It is recommended to attach the protection and heater tip to the
scanner at the end of each order (ensure the scanner is cleaned and disinfected). This way, the
warming of the scanner-tube commences immediately at the next power up.
•T12A: Turn on the cart and attach a clean and sterile scanner tip. Allow about 10 minutes for the
scanner-tube to fully warm up to prevent condensation on the scanner window during scanning.
•T12P: Turn on the PC, start-up TRIOS application software and attach a clean and sterile scanner
tip. Allow about 10 minutes for the scanner-tube to fully warm up to prevent condensation on the
scanner window during scanning
Step 2: Prepare the patient for scanning
Preparations for scanning in the mouth are no different from the preparations applied before taking a
physical impression.
1. Prepare the tooth as usual by using at least 1 gingival retraction cord to retract the gingiva
(3Shape recommends using 2 cords).
2. Extract the cord(s) just before scanning.
3. Start by scanning the preparation(s).
Step 3: Create an order or open an existing order
See Create and Manage Orders chapter for instructions on creating/opening orders.
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Step 4: Select the scanning option
1. Press the Scan button in the workflow bar at the top to go to the
scanning screen.
2. Select the button for the scan you require: upper jaw, lower jaw or
occlusion.
Note!
The scanning option can also contain buttons for scanning implants, post and
core on upper and/or lower jaw(s) if a corresponding job type has been selected in
the Order Form
(see the images below):
Abutment and Crown job type selected in
the Order Form (1) Scan lower scanbody (2) Scan upper scanbody
Post and Core job type selected in
the Order Form (1) Scan lower scanbody (2) Scan upper scanbody
Step 5: Prepare your scanner
1. Warm up the scanner tip to avoid
condensation.
TRIOS11A: Just before scanning, remove the
protection and heater tip and mount a clean
and sterile scanner tip onto the scanner. The
scanner tip must be positioned facing down in
order for the heater to warm it up. Return the
scanner to the scanner-mount on the cart
and allow the scanner tip to warm up. The tip
is ready when the heater turns off.
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About heating the scanner tip:
To avoid condensation, the scanner tip must be warmed up by the cart heater before scanning. When you
open the scanning screen, the heater turns on automatically if the scanner is placed on the scanner
mount with the scanner tip facing down. The heater measures the temperature of the scanner tip and
turns itself off when the scanner tip is warm enough. The heater continues to monitor the scanner tip (as
long as it is on the scanner mount with the tip facing down) and will re-heat the scanner tip if the
temperature drops below the optimal temperature.
•T12A: Follow the same approach as for TRIOS11A except that a clean and sterile scanner tip is
already mounted onto the scanner.
•T12P: A clean and sterile scanner tip is already mounted onto the scanner and the tip has already
been heated.
2. Once the scanner tip is warmed up, you may need to change its position depending on the jaw you are
about to scan:
Scanning the lower jaw - Tip Mirror is facing down
Scanning the upper jaw - Tip Mirror is facing up
(1)
Heater
(2)
Scanner Mount
Continue to the Scanning chapter.
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