Planmeca FIT CAD System User manual

Planmeca FIT®CAD/CAM system
Planmeca Emerald™S &Planmeca Emerald™&Planmeca PlanScan®
Planmeca PlanCAD®Easy
user's manual
EN
10033946

Table of contents
1 Introduction.................................................................................................................................................1
1.1 Indications for use............................................................................................................................ 1
1.2 Software and hardware upgrades.................................................................................................... 1
2 Associated documentation..........................................................................................................................2
3 Symbols on product labels..........................................................................................................................3
4 Safety precautions......................................................................................................................................6
5 Getting started............................................................................................................................................ 9
5.1 Starting Planmeca Romexis............................................................................................................. 9
5.2 Managing cases in Planmeca Romexis............................................................................................9
5.2.1 Searching and managing patients and images.................................................................... 9
5.2.2 DICOM storage (optional).................................................................................................... 9
5.2.3 Viewing and opening cases in Planmeca Romexis 3D module........................................... 9
5.2.4 Working with cases in Planmeca Romexis CAD/CAM module.......................................... 10
5.2.5 Working with cases in Planmeca Romexis Model Analyser module..................................10
5.2.6 Combining model to 3D volume......................................................................................... 10
6 Scanner setup...........................................................................................................................................11
6.1 Planmeca Emerald and Emerald S scanners.................................................................................11
6.1.1 Connecting scanner cable..................................................................................................11
6.1.2 Plugging scanner into laptop..............................................................................................12
6.1.3 Scanner tips....................................................................................................................... 14
6.1.4 Scanner holder...................................................................................................................16
6.2 Planmeca PlanScan scanner......................................................................................................... 16
6.2.1 Connecting scanner to laptop.............................................................................................16
6.2.2 Scanner indicator lights......................................................................................................17
6.2.3 Scanner tips....................................................................................................................... 17
6.2.4 Scanner holder...................................................................................................................19
7 Relocating laptop and/or scanner.............................................................................................................20
8 Planmeca PlanCAD Easy overview..........................................................................................................21
9 Setting up restoration................................................................................................................................22
10 Scan tab overview.................................................................................................................................... 31
10.1 Scan type selection buttons............................................................................................................32
10.2 Adjusting scan settings...................................................................................................................32
10.3 Scanner indicators..........................................................................................................................36
10.4 Model editing tools..........................................................................................................................39
10.5 View editing tools............................................................................................................................39
10.6 Alignment indicator.........................................................................................................................40
10.7 View mode selection tools..............................................................................................................40
11 Moving/viewing 3D models.......................................................................................................................41
12 Scanning...................................................................................................................................................43
12.1 Button and motion controls.............................................................................................................43
12.2 Selecting scan type........................................................................................................................ 44
12.2.1 Swapping scan type........................................................................................................... 46
User's manual Planmeca FIT CAD/CAM system

12.3 Positioning scanner........................................................................................................................ 46
12.4 General scanning instructions........................................................................................................ 47
12.4.1 Scanning with live view...................................................................................................... 49
12.5 Scanning antagonist.......................................................................................................................53
12.6 Scanning buccal bite...................................................................................................................... 55
12.7 Prep clearance and contact strength..............................................................................................56
12.8 Aligning models.............................................................................................................................. 57
12.8.1 Aligning buccal data........................................................................................................... 58
12.9 Evaluating model............................................................................................................................61
12.9.1 Checking model for missing data....................................................................................... 61
12.10 Removing unnecessary data with eraser tool.................................................................................62
12.11 Active delete...................................................................................................................................63
12.12 Scanning pre-op............................................................................................................................. 63
12.13 Scanning multiple restorations....................................................................................................... 65
12.14 Scanning single anterior.................................................................................................................65
12.15 Scanning multiple anteriors............................................................................................................ 66
12.16 Non-restorative scanning................................................................................................................66
12.16.1 Selecting initial scanning position.......................................................................................67
12.16.2 Full arch scanning with Planmeca Emerald and Emerald S...............................................68
12.16.3 Full arch scanning with Planmeca PlanScan..................................................................... 69
12.17 Scanning scan body....................................................................................................................... 71
12.18 Bite registration scanning............................................................................................................... 73
12.18.1 Preparing bite registrations................................................................................................ 74
12.18.2 Scanning preparation model.............................................................................................. 74
12.18.3 Defining occlusion areas for bite registration..................................................................... 77
12.19 Scanning impressions.................................................................................................................... 78
13 Orientating models....................................................................................................................................81
13.1 Orientation in intraoral scanning.....................................................................................................81
13.2 Viewing model................................................................................................................................ 82
13.3 Moving central point....................................................................................................................... 82
13.4 Orientating single restorations........................................................................................................83
13.5 Resetting orientation.......................................................................................................................87
13.6 Rotating model............................................................................................................................... 87
13.7 Orientating multiple restorations.....................................................................................................89
14 Defining margin.........................................................................................................................................93
14.1 Using margin aid tools....................................................................................................................93
14.2 Drawing and adjusting margin........................................................................................................94
14.2.1 Painting.............................................................................................................................. 94
14.2.2 Tracing............................................................................................................................... 95
14.2.3 Lassoing.............................................................................................................................98
14.2.4 Adding segments................................................................................................................99
14.2.5 Moving margin..................................................................................................................101
14.2.6 Retracting.........................................................................................................................102
14.3 Defining margin for multiple restoration cases............................................................................. 103
14.3.1 Drawing pontic margins....................................................................................................103
14.4 Using ICE margin mode............................................................................................................... 104
14.5 Defining selection region.............................................................................................................. 105
14.5.1 Removing area from selection..........................................................................................106
14.6 Pre-op editing............................................................................................................................... 107
15 Using Plan tab........................................................................................................................................ 109
15.1 Adjusting restoration on model.....................................................................................................110
15.2 Checking bite................................................................................................................................110
16 Customizing restoration design.............................................................................................................. 112
Table of contents
Planmeca FIT CAD/CAM system User's manual

16.1 Tooth libraries...............................................................................................................................113
16.1.1 Resizing and moving library tooth.................................................................................... 113
16.1.2 Anatomy levels.................................................................................................................114
16.1.3 Pre-op as library tooth......................................................................................................114
16.2 Spacer tool................................................................................................................................... 115
16.3 Incremental change tools............................................................................................................. 115
16.4 Freeform change tools..................................................................................................................117
16.4.1 Rubber tooth.....................................................................................................................117
16.4.2 Dropper............................................................................................................................ 117
16.4.3 Move feature.................................................................................................................... 118
16.4.4 Smooth surface................................................................................................................ 118
16.4.5 Move margin.....................................................................................................................118
16.4.6 Defining anatomical features............................................................................................118
16.4.7 Painting designated area..................................................................................................119
16.5 Refining contacts..........................................................................................................................120
16.6 Viewing options............................................................................................................................ 123
16.6.1 Hide model....................................................................................................................... 123
16.6.2 Material thickness.............................................................................................................124
16.6.3 View contacts................................................................................................................... 126
16.6.4 Slice plane........................................................................................................................126
16.6.5 View bite registration, opposing model, or pre-op............................................................127
16.7 Designing abutments....................................................................................................................128
16.8 Design tab settings.......................................................................................................................131
16.8.1 Autogenesis settings........................................................................................................ 131
16.8.2 Contact strengths............................................................................................................. 133
16.8.3 Margin boost settings....................................................................................................... 134
16.9 Designing multiples...................................................................................................................... 135
16.10 Mirroring contralateral dentition....................................................................................................135
16.11 Mirroring contralateral restoration design.....................................................................................137
17 Creating bridges..................................................................................................................................... 139
17.1 Preparing teeth for bridges...........................................................................................................139
17.2 Scanning and orientating bridges.................................................................................................141
17.3 Designing bridges.........................................................................................................................141
17.4 Evaluating connectors.................................................................................................................. 143
17.5 Spacer tool settings on bridges.................................................................................................... 144
18 Functions in Planmeca Romexis............................................................................................................ 145
18.1 Adjusting CAD/CAM settings........................................................................................................145
18.2 Importing and exporting scans and cases....................................................................................150
18.3 Sending and receiving cases via Planmeca Romexis Cloud........................................................150
19 Preparing restoration for milling..............................................................................................................151
19.1 Using milling settings....................................................................................................................151
19.2 Selecting block size......................................................................................................................153
19.3 Sprue placement.......................................................................................................................... 153
19.3.1 Occlusal only inlays..........................................................................................................155
19.4 Positioning restoration..................................................................................................................155
19.5 Simulating milled restoration........................................................................................................ 155
19.5.1 Simulating and milling IPS e.max ZirCAD........................................................................155
19.6 Checking simulation..................................................................................................................... 156
19.7 Sending restoration to milling unit................................................................................................ 159
20 Cleaning / preventive maintenance........................................................................................................ 161
20.1 Cleaning scanner tips...................................................................................................................161
20.1.1 Cleaning........................................................................................................................... 162
20.1.2 Chemical disinfection....................................................................................................... 162
Table of contents
User's manual Planmeca FIT CAD/CAM system

20.1.3 Autoclaving.......................................................................................................................162
20.2 Cleaning scanner base.................................................................................................................163
20.2.1 Planmeca Emerald...........................................................................................................163
21 Technical specifications..........................................................................................................................165
21.1 Planmeca Emerald and Emerald S scanners...............................................................................165
21.1.1 Applicable standards........................................................................................................165
21.1.2 Approvals (all systems).................................................................................................... 166
21.1.3 Optical specifications........................................................................................................167
21.1.4 External components and connectors..............................................................................168
21.1.5 UL listing...........................................................................................................................168
21.2 Planmeca PlanScan scanner....................................................................................................... 168
21.2.1 Applicable standards........................................................................................................169
21.2.2 Approvals (all systems).................................................................................................... 170
21.2.3 Optical specifications........................................................................................................171
21.2.4 External components and connectors..............................................................................171
21.2.5 UL listing...........................................................................................................................172
22 EMC information.....................................................................................................................................173
22.1 Planmeca Emerald....................................................................................................................... 173
22.2 Planmeca PlanScan..................................................................................................................... 176
23 Troubleshooting / repair..........................................................................................................................180
24 Disposal..................................................................................................................................................181
Table of contents
Planmeca FIT CAD/CAM system User's manual

Table of contents
User's manual Planmeca FIT CAD/CAM system

The manufacturer, assembler and importer are responsible for the safety, reliability and
performance of the unit only if:
- installation, calibration, modification and repairs are carried out by qualified
authorised personnel
- electrical installations are carried out according to the appropriate requirements such
as IEC 60364
- equipment is used according to the operating instructions.
Planmeca pursues a policy of continual product development. Although every effort is
made to produce up-to-date product documentation this publication should not be
regarded as an infallible guide to current specifications. We reserve the right to make
changes without prior notice.
COPYRIGHT PLANMECA
Publication number 10033946 Revision 11
Released 06 September 2019
Table of contents
Planmeca FIT CAD/CAM system User's manual

1 Introduction
The Planmeca FIT system is a complete optical impression system for
CAD/CAM of dental restorations intended for dental offices or laboratories.
The system comprises a digital impression scanner (Planmeca Emerald S,
Planmeca Emerald or Planmeca Planscan) Planmeca PlanCAD Easy
software module and Planmeca PlanMill 40 S and 30 S milling units.
The scanner takes digital impressions which can be used in different digital
workflows in Planmeca Romexis or exported to a third party.
NOTE
The Planmeca PlanMill 40 S and 30 S milling units have separate user’s
manuals.
NOTE
The Planmeca impression system is not indicated for orthopaedics or any
indication beyond dentistry.
This manual is valid for Planmeca Romexis software revision 5.3.2 or later.
NOTE
The Planmeca PlanCAD Easy is available under license.
NOTE
Some of the screenshots may have been taken in earlier software versions
and may not exactly match your screen.
NOTE
FOR US USERS: Federal law restricts the scanner to sale by or on the order
of a health care professional.
NOTE
Throughout the manual, important notes and items of interest are formatted
like this example.
1.1 Indications for use
The Planmeca FIT system is an optical impression system for computer-
aided design and manufacturing of dental restorations. It is used for
recording topographical characteristics of teeth, dental impressions, or stone
models by digital methods for use in computer aided design and
manufacturing of dental restorative prosthetic devices.
Contraindications
The system is not indicated for orthopaedics or any indication beyond
dentistry.
1.2 Software and hardware upgrades
System software and hardware upgrades are initiated through Planmeca
only. No software or hardware should be added to or deleted from the
Planmeca systems without prior approval of Planmeca. Doing so may result
in damage to the system and will void the product warranty.
1 Introduction
User's manual Planmeca FIT CAD/CAM system 1

2 Associated documentation
• Planmeca Romexis User’s Manual (publication number 10014593)
• Planmeca PlanMill 40 S User’s manual (publication number 30003011)
• Planmeca PlanMill 30 S User’s manual (publication number 30016888)
2 Associated documentation
2 Planmeca FIT CAD/CAM system User's manual

3 Symbols on product labels
The following symbols are used on various labels on the system.
Affixed to the system are product identification labels that contain
identification and safety information. The following images show each safety
and warning label and describe where on the apparatus each can be found.
Be certain to read all product labelling.
NOTE
If any of the labels are missing or illegible, please contact Planmeca After
Sales for replacement labels.
NOTE
The labels may have changed since this manual was published.
NOTE
Label examples are not shown in their actual size.
Alternating current (Standard IEC 60417)
Refer to instruction manual/booklet (Standard ISO 7010).
Autoclavable at temperature specified.
Fulfils the requirements of Directive 93/42/EEC.
Class 2 electrical product
Catalogue number (Standard ISO 7000)
Dangerous Voltage ISO 3864-B.3.6
Date of manufacture (Standard ISO 7000).
Direct current
3 Symbols on product labels
User's manual Planmeca FIT CAD/CAM system 3

Disposable item. Do not reuse. (Standard ISO 7000).
Fragile
General mandatory action
General warning (Standard ISO 7010).
Humidity limitation
Keep away from rain.
Laser information
Laser warning
Lot number
Manufacturer (Standard ISO 7000).
OFF Power IEC 60417-5008.
3 Symbols on product labels
4 Planmeca FIT CAD/CAM system User's manual

ON Power IEC 60417-5007.
On/Off Power IEC 60417-5010.
Operating Instructions ISO 7000-1641.
Separate collection for electrical and electronic equipment according to
Directive 2002/96/EC (WEEE).
Serial number (Standard ISO 7000)
Standby IEC 60417-5010
Storage temperature limits
Type B applied part (Standard IEC 60417).
UL Laboratory Equipment Listing
3 Symbols on product labels
User's manual Planmeca FIT CAD/CAM system 5

4 Safety precautions
The user must read and comply with all safety, warning, and instructional
labels on the Planmeca products.
Ensure your Planmeca products are properly maintained through periodic
maintenance. If you suspect equipment malfunction or failure, discontinue
using the products and contact Planmeca Technical Support immediately.
Do not attempt to make any repairs on Planmeca products.
Warning denotes something that can cause personal injury to the patient or
the user.
Caution denotes something that can cause damage to the equipment.
WARNING
Failure to adhere to all safety warnings may result in personal injury,
equipment damage, or data loss.
WARNING
Do not use the Planmeca products for any purpose other than its intended
and labelled use.
WARNING
This is a Class A product. In a domestic environment this product may cause
radio interference in which case the user may be required to take adequate
measures.
WARNING
When connecting the Planmeca components, use only the cables supplied
with the products. Failure to do so may result in increased electromagnetic
emissions or reduced immunity to external electromagnetic emissions.
WARNING
Do not make any unauthorized repairs or modifications to the system
software or hardware. This includes installing unauthorized software on the
host computer system or altering or bypassing any safety switches or
mechanisms. Changes or modifications not expressly approved by
Planmeca could void the user’s authority to operate the equipment.
WARNING
Do not install or operate the Planmeca products in an environment where an
explosion hazard exists, e.g., high oxygen area.
WARNING
Do not attach any equipment or devices to the Planmeca products unless
their use has been specifically authorized by Planmeca.
4 Safety precautions
6 Planmeca FIT CAD/CAM system User's manual

WARNING
The wireless components in the Planmeca products may be interfered with
by other equipment, even if the other equipment is fully compliant with
CISPR (International Special Committee on Radio Interference) emission
requirements.
WARNING
When possible, electrical equipment should not be used when adjacent to
other electrical equipment. If adjacent use is necessary, the equipment
should be observed to verify normal operation in the configuration in which it
will be used.
CAUTION
Comply with all applicable regulations when disposing of waste materials
from the Planmeca products.
WARNING
The PlanScan scanner’s Thunderbolt cable may only be used with
computers that have an appropriate NRTL listing mark for ITE or Laboratory
Equipment or a Listing Classification mark for Medical Equipment.
WARNING
The Planmeca scanner is a high precision Class 2 laser scanning
instrument. Always store the scanner in its holder when not in use. To
prevent damage or misalignment, do not drop or strike the scanner. Follow
all stated precautions when using the scanner.
WARNING
To prevent electrical shock and eye damage by laser radiation, do not open
any sealed covers or connectors with user restricted access.
WARNING
In case of emergency unplug the scanner from the computer port and/or
unplug the computer power cord from the wall or from the computer.
WARNING
The Planmeca scanner is designed to be used with the tip connected to the
scanner. The connector pins on the scanner are energized when the tip is
removed. To ensure safety of the user and patient, do not touch the pins
when the tip is removed.
WARNING
The Planmeca PlanScan is a Class 2 Laser Product and will not present any
safety hazards under normal operation. Always observe safe laser practices.
Project the laser only onto surfaces or materials as directed by Planmeca
instruction material. Avoid shining the beam directly into the eye. Use the
laser product only as described in this manual.
4 Safety precautions
User's manual Planmeca FIT CAD/CAM system 7

WARNING
While using the PlanScan scanner avoid eye exposure. LEDs contained in
this device pulse at a frequency that may elicit reactions in sensitive
individuals. These reactions may include seizures.
CAUTION
Medical electrical equipment requires special precautions regarding EMC
(Electromagnetic Compatibility). The Planmeca products must be installed
and placed into service according to the EMC information provided in the
documentation that accompanies the Planmeca products.
CAUTION
Portable and mobile RF (Radio Frequency) communications equipment can
affect medical electrical equipment.
CAUTION
After using the scanner on a patient, clean the scanner according to the
cleaning instructions found in section "Cleaning / preventive maintenance"
on page 161.
CAUTION
Do not hold the scanner in a way that will cover the cooling vents.
CAUTION
Do not immerse the scanner base in liquid or expose the Planmeca products
to conditions outside the operating conditions, see section "Technical
specifications" on page 165 Clean the scanner according to the instructions
in section "Cleaning / preventive maintenance" on page 161.
CAUTION
Do not stack the tips near or on any other metal instruments.
CAUTION
Ensure your Planmeca products are properly maintained, see section
"Cleaning / preventive maintenance" on page 161.
CAUTION
If you suspect equipment malfunction or failure, discontinue using the
Planmeca products and contact Planmeca Technical Support immediately.
Do not attempt to make any repairs on the products.
CAUTION
Read and comply with all safety, warning, and instructional labels on the
Planmeca products.
CAUTION
If the scanner has been operational for an extended period of time, the
surface may become warm to the touch. If the temperature becomes too
warm to the touch within a minute of use, turn it off and allow it to cool.
4 Safety precautions
8 Planmeca FIT CAD/CAM system User's manual

5 Getting started
To start using the Planmeca Romexis and the CAD/CAM module you need
to:
• Start Planmeca Romexis (see section "Starting Planmeca Romexis" on
page 9).
• Activate your Planmeca Romexis license.
• Log in to Planmeca Romexis
NOTE
For detailed instructions see Planmeca Romexis User’s manual.
5.1 Starting Planmeca Romexis
Press the power button to start the laptop.
On your keyboard, press the Windows key to make the standard desktop
appear if desired.
Once the desktop is visible, double-click the Planmeca Romexis icon.
The following message may appear from Windows: Do you want to allow the
following program to make changes to this computer?
Click Yes. This is a normal safety feature of Windows. The software opens to
the Home screen.
NOTE
To save electricity remember to turn off the system while not using the
scanner.
5.2 Managing cases in Planmeca Romexis
5.2.1 Searching and managing patients and images
For detailed descriptions see Planmeca Romexis User’s manual sections:
• “SEARCHING PATIENTS“
• “MANAGING PATIENTS AND IMAGES”
• “RETRIEVING IMAGES FROM DICOM PACS SERVERS (OPTIONAL)”
5.2.2 DICOM storage (optional)
With DICOM Full license images can be sent to a remote DICOM
application, i.e. DICOM image archive PACS. DICOM Storage needs to be
configured in the Admin module before the DICOM storage can be used, see
section "DICOM storage setup" in the Planmeca Romexis technical manual
(10037884).
5.2.3 Viewing and opening cases in Planmeca Romexis 3D module
All scans and designed restorations will automatically appear in the 3D
module volumes list.
To view and opens scans and cases in Planmeca Romexis see section
restorations in Planmeca Romexis 3D module in Planmeca Romexis User’s
manual.
5 Getting started
User's manual Planmeca FIT CAD/CAM system 9

5.2.4 Working with cases in Planmeca Romexis CAD/CAM module
Planmeca Romexis CAD/CAM module is intended for working with digital
impressions and restorations. Digital impressions can be acquired with
Planmeca PlanScan scanner connected to Planmeca FIT CAD/CAM system.
The digital impressions can also be used for designing restorations in the
software.The digital impressions and designed restorations can then be
paired with CBCT volume in Implants sub-module for implant simulation.
All data are automatically stored into Planmeca Romexis database and
organized into cases to be exported to another system or sent to a certified
laboratory for design and milling using Planmeca Romexis Cloud service
(see section “CLOUD EXPORT” in Planmeca Romexis User’s manual ).
5.2.5 Working with cases in Planmeca Romexis Model Analyser module
For detailed instructions see Planmeca Romexis user's manual.
5.2.6 Combining model to 3D volume
A model can be combined to a 3D volume in Planmeca Romexis 3D
module’s
Volumes view.
To access the view click the 3D module button and select the Volumes tab.
Opening 3D volume
See Planmeca Romexis User’s manual section "Opening 3D volumes".
Importing intraoral scans to 3D volumes
See Planmeca Romexis User’s manual section "Importing fitted models".
5 Getting started
10 Planmeca FIT CAD/CAM system User's manual

6 Scanner setup
This section describes how to prepare the scanners for scanning.
6.1 Planmeca Emerald and Emerald S scanners
The scanner comes with the following components:
Planmeca Emerald S scanner
• Scanner tip x 3
• Scanner cable
• Standalone holder
• Colour balancer
• Laptop (optional)
• Mouse (optional)
• Cover boot x 4 (in different colours)
Planmeca Emerald scanner
• Scanner tip x 3
• Scanner cable
• Standalone holder
• Colour balancer
• Laptop (optional)
• Mouse (optional)
6.1.1 Connecting scanner cable
1. Align the notch on the cable with the small notch on the back of the
scanner.
6 Scanner setup
User's manual Planmeca FIT CAD/CAM system 11

2. Push the cable in and turn clockwise until the notch on the cable is
aligned with the larger notch.
NOTE
Keep the scanner connected to the cable at all times. Remove the cable
from the scanner only when directed by customer support or when
replacing the cable.
6.1.2 Plugging scanner into laptop
NOTE
Keep the scanner connected to the cable at all times. Remove the cable
from the scanner only when directed by customer support or when replacing
the cable.
6 Scanner setup
12 Planmeca FIT CAD/CAM system User's manual