Planmeca ProMax 3D Mid User manual

Planmeca ProMax 3D Mid
EN
user's manual
2D imaging
10026635_11

Planmeca ProMax 3D Mid 1
TABLE OF CONTENTS
User’s Manual (2D)
1 INTRODUCTION ..............................................................................................1
2 MAIN PARTS ...................................................................................................2
2.1 Sensors .......................................................................................................................... 2
2.2 Patient supports ............................................................................................................. 3
2.3 Exposure switch .............................................................................................................4
2.4 Emergency stop button .................................................................................................. 5
3 SWITCHING X-RAY UNIT ON .........................................................................5
4 PROGRAMS .....................................................................................................6
4.1 Panoramic programs ...................................................................................................... 8
4.2 Temporomandibular joint (TMJ) programs ................................................................... 10
4.3 Sinus programs ............................................................................................................ 12
5 CONTROL PANEL .........................................................................................14
5.1 General about control panel ......................................................................................... 14
5.2 General settings ........................................................................................................... 15
5.3 Selecting panoramic program ...................................................................................... 18
5.4 Selecting temporomandibular joint (TMJ) program ...................................................... 22
5.5 Selecting sinus program .............................................................................................. 25
6 PATIENT POSITIONING CONTROLS ...........................................................26
7 PREPARATIONS FOR EXPOSURE ..............................................................28
7.1 Attaching and removing sensor ................................................................................... 29
7.2 Preparing patient .......................................................................................................... 31
8 PANORAMIC EXPOSURE .............................................................................32
8.1 Patient positioning ........................................................................................................ 33
8.2 Taking an exposure ..................................................................................................... 38
9 TEMPOROMANDIBULAR JOINT (TMJ) EXPOSURE ..................................41
9.1 Double TMJ exposure (lateral, PA or lateral-PA) ......................................................... 41
9.2 Multi-angle TMJ exposure (PA or lateral) .................................................................... 48
10 SINUS EXPOSURE ........................................................................................53
10.1 Patient positioning ........................................................................................................54
10.2 Taking an exposure ..................................................................................................... 56

TABLE OF CONTENTS
2 Planmeca ProMax 3D Mid User’s Manual (2D)
The manufacturer, assembler, and importer are responsible for the safety, reliability
and performance of the X-ray unit only if:
- installation, calibration, modification and repairs are carried out by qualified
authorized 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
Released: 7 July 2014
Publication part number: 10026635 revision 11

Planmeca ProMax 3D Mid 1
INTRODUCTION
User’s Manual (2D)
1 INTRODUCTION
This manual describes how to take 2D panoramic
exposures. Make sure that you are fully acquainted with
the appropriate radiation protection measures and these
instructions before you use the X-ray unit.
NOTE The software version is shown briefly on the control
panel when the X-ray unit is switched on. This manual
is valid for software version 2.7.6.0.r or later. This
software version is compatible with Romexis software
version 3.7.0.r or later.
NOTE Refer to the User’s Manual for 3D imaging for details
on information displays and for any general advice
about the X-ray unit.

MAIN PARTS
2 Planmeca ProMax 3D Mid User’s Manual (2D)
2 MAIN PARTS
NOTE Refer to the User’s Manual for 3D imaging for a general
view of the X-ray system.
2.1 Sensors
Prof_1.eps
3D Mid ProFace sensor
Mid_85
3D sensor Dimax sensor
Mid_3D_15x15.eps

Planmeca ProMax 3D Mid 3
MAIN PARTS
User’s Manual (2D)
2.2 Patient supports
Bite1.eps
TEMPLE?SUPPORTAI
Chin support
Bite piece
Chin cup
Chin rest
Temple supports
Chin2.eps
Bite2.eps
Chin1.eps
Lip1.eps
Adapter

MAIN PARTS
4 Planmeca ProMax 3D Mid User’s Manual (2D)
2.3 Exposure switch
The exposure switch can be mounted on the wall, or it can
be hung from the hook provided on the stationary column
top if a protected area is within reach.
On the exposure button and on the control panel a green
indicator light will come on when the unit is correctly set
up and ready to take an exposure. Additionally, the word
READY will stop flashing on the control panel display.
An amber indicator light will come on on the exposure
switch and on the control panel when you take an
exposure. It indicates that the unit is generating radiation.
You will also hear a radiation warning signal.
When you take an exposure you must press and hold
down the exposure button for the whole duration of the
exposure.
If you remove your thumb from the exposure button
before the exposure cycle is completed radiation will be
interrupted, the C-arm will stop moving and a help
message will appear on the control panel display. Guide
the patient away from the X-ray unit. Then clear the help
message by touching OK.
_wall6_2.eps
Exposure button with
indicator light
AMBER = EXPOSURE
GREEN = READY
Exposure
indicator light
Exposure
indicator light
Ready
indicator light
(GREEN)
(AMBER)
CONTROL PANEL LIGHTS:
PXR_Dsw._2eps

Planmeca ProMax 3D Mid 5
SWITCHING X-RAY UNIT ON
User’s Manual (2D)
2.4 Emergency stop button
The emergency stop button is located on the top of the
stationary column. Press the button to stop the X-ray unit
operating in an emergency. When the emergency stop
button is pressed down, all movements of the X-ray unit
are blocked and the unit will not generate radiation. The
up / down movement will stop within a distance of 10 mm
(0.4 in.).
A help message will appear on the control panel display.
Guide the patient away from the X-ray unit. Then release
the emergency stop button. The X-ray unit will
automatically restart.
3 SWITCHING X-RAY UNIT ON
The on / off switch is located on the underside of the
stationary column top. When you switch the X-ray unit on
the main display will be shown on the control panel and
the X-ray unit will carry out a self-test which will last a few
seconds.
The X-ray unit is then ready for use.
NOTE To prolong the lifetime of the Planmeca ProMax 3D Mid
X-ray unit, always switch the X-ray unit off when it is
not in active use.
on_off_2.eps
On / off switch
Stationary column top

PROGRAMS
6 Planmeca ProMax 3D Mid User’s Manual (2D)
4 PROGRAMS
NOTE The images shown in this manual are only examples.
Program package Contents Sensor
3D imaging system
3D Dental programs
(standard with 3D
sensor)
Tooth
Teeth
Jaw
Face
Horizontal pair
3D
3D ENT programs
(optional with 3D
sensor)
Sinus
Middle ear
Middle ear pair
Temporal bone
Temporal bone pair
Vertebrae
Airways
3D
3D Dental programs +
ProFace
(standard with 3D Mid
ProFace sensor)
Tooth (+ Face Scan)
Teeth (+ Face Scan)
Jaw (+ Face Scan)
Face (+ Face Scan)
Horizontal pair (+ Face Scan)
Face Scan
3D Mid ProFace
3D ENT programs +
ProFace
(optional with 3D Mid
ProFace sensor)
Sinus (+ Face Scan)
Middle ear (+ Face Scan)
Middle ear pair (+ Face Scan)
Temporal bone (+ Face Scan)
Temporal bone pair (+ Face Scan)
Vertebrae (+ Face Scan)
Airways (+ Face Scan)
Face Scan
3D Mid ProFace
3D Model
(optional)
3D Impression scan
3D Plaster cast scan
3D or
3D Mid ProFace
2D imaging system (optional)
Basic panoramic
programs (standard)
Standard panoramic
Lateral double TMJ
PA double TMJ
PA rotational sinus
Standard panoramic + TMJ
3D, 3D Mid ProFace
or Dimax
3D or
3D Mid ProFace

Planmeca ProMax 3D Mid 7
PROGRAMS
User’s Manual (2D)
Advanced panoramic
programs (optional)
Horizontal segmenting
Orthogonal panoramic
Interproximal panoramic
Bitewing panoramic
Lateral-PA double TMJ
3 angles PA TMJ
3 angles lateral TMJ
PA non-rotational sinus
Lateral non-rotational sinus
Midsagittal non-rotational sinus
3D, 3D Mid ProFace
or Dimax
Other panoramic
programs (optional)
Bitewing panoramic
Horizontal and vertical
segmenting
3D, 3D Mid ProFace
or Dimax
Cephalostat
(optional)
Scanning Ceph
Planmeca ProCeph
Dimax
ProCeph
Dynamic Exposure
Control (DEC)
(optional)
Panoramic DEC
Cephalometric DEC
Dimax
Program package Contents Sensor

PROGRAMS
8 Planmeca ProMax 3D Mid User’s Manual (2D)
4.1 Panoramic programs
Standard panoramic program
The standard panoramic program has a traditional path
and angles of the beam.
Orthogonal panoramic program
The basic imaging geometry is the same as in the
standard panoramic program but the X-ray beam is
perpendicular to the jaw.
NOTE This program is optimized for orthogonal imaging and
a shadow of the opposite side teeth may therefore be
visible in the radiograph.
Interproximal panoramic program
The basic imaging geometry is the same as in the
standard panoramic program but the X-ray beam is more
parallel to the interproximal contacts of the teeth.
NOTE This program is optimized for interproximal imaging
and a shadow of the opposite side teeth may therefore
be visible in the radiograph.
layer laser beam
1 cm
layer laser beam
1 cm

Planmeca ProMax 3D Mid 9
PROGRAMS
User’s Manual (2D)
Bitewing panoramic program
This program produces bitewing images from premolar
and molar areas including parts of maxilla, mandible and
rami. The bottom of the maxillary sinus as well as the
mandibular canal and the mental foramen are also visible.
The bitewing program uses interproximal angulation
projection geometry.
In the bitewing program radiation dose is reduced
compared to the standard panoramic program.
NOTE This program is optimized for interproximal imaging
and a shadow of the opposite side teeth may therefore
be visible in the radiograph.
Standard + TMJ
Panoramic program Standard + TMJ takes exposures of
teeth and both temporomandibular joints (TMJs). The
program uses optimal and adjustable imaging angles for
TMJ exposures.
The exposure is taken in two stages. Teeth are imaged
during the first exposure (1/2) and both TMJs during the
second exposure (2/2).
layer laser beam
1 cm
2/2
layer laser beam
1 cm
1/2
1/2
2/2 2/2

PROGRAMS
10 Planmeca ProMax 3D Mid User’s Manual (2D)
4.2 Temporomandibular joint (TMJ) programs
Double lateral
Lateral TMJ exposures of closed (1/2) and open (2/2)
temporomandibular joints. The imaging angle is
adjustable (default angle: 17°).
Double PA
Postero-anterior TMJ exposures of closed (1/2) and open
(2/2) temporomandibular joints. The imaging angle is
adjustable (default angle: 17°).
PA exposures are taken perpendicular to the long axis of
the condyle (90° - 17° = 73°). The condyle angle is shown
as default angle.
1/2
1/2 2/2 2/2
1 cm
1/2
1/2 2/22/2

Planmeca ProMax 3D Mid 11
PROGRAMS
User’s Manual (2D)
Double lat-PA
Lateral (1/2) and postero-anterior (2/2) TMJ exposures of
closed or open temporomandibular joints. The imaging
angles (lateral and PA) are adjustable (default angle: 17°).
PA exposures are taken perpendicular to the long axis of
the condyle (90° - 17° = 73°). The condyle angle is shown
as default angle.
3 angles PA (L / R)
Three postero-anterior multi-angle left-hand or right-hand
side TMJ exposures.
The imaging angle for image no. 2 is adjustable (three
imaging angles: 17° ±7° by default). The selected imaging
angle is in image no. 2.
PA exposures are taken perpendicular to the long axis of
the condyle (90° - 17° = 73°). The condyle angle is shown
as default angle.
3 angles lat (L / R)
Three lateral multi-angle left-hand or right-hand side TMJ
exposures.
The imaging angle for image no. 2 is adjustable (three
imaging angles: 17° ±7° by default). The selected imaging
angle is in image no. 2.
1 cm
1/2
1/2 2/2
2/2
1/3
2/3
3/3
1 cm
1
2
3
1 cm
1 2 3
2/3
3/3 1/3

PROGRAMS
12 Planmeca ProMax 3D Mid User’s Manual (2D)
4.3 Sinus programs
PA rotational
Postero-anterior rotational sinus exposure.
PA non-rotational
Postero-anterior non-rotational sinus exposure.
“Non-rotational” indicates that the C-arm moves linearly
and scans over the head with a linearly moving X-ray
beam.
Lateral non-rotational (L / R)
Lateral non-rotational exposure of the left or right sinus
area.
X-ray
1 cm
X-ray
1 cm
X-ray (L)

Planmeca ProMax 3D Mid 13
PROGRAMS
User’s Manual (2D)
Midsagittal non-rotational (L / R)
Lateral non-rotational sinus exposure in the middle of the
jaw. Exposure can be taken from the left or right jaw side.
1 cm
X-ray (L)

CONTROL PANEL
14 Planmeca ProMax 3D Mid User’s Manual (2D)
5 CONTROL PANEL
5.1 General about control panel
NOTE Never allow patients to touch the display when they
are positioned in the X-ray unit. Touching the display
during exposure will stop the imaging process.
NOTE The contents of the control panel displays depend on
the configuration of the X-ray unit.
NOTE Refer to the User’s Manual for 3D imaging for details
on information displays.
To make a selection on the control panel, simply touch a
text field or an icon with your finger or a soft stylus. You
will hear a signal tone when a field or an icon is activated.
NOTE Do not use sharp objects to operate the control panel.
You can set the X-ray unit so that the current time will be
shown at the bottom of the display. On information display
i210 you can choose in which format (e.g. 13:19) it will be
shown.
On information display i230 you can set the X-ray unit so
that the radiation dose will be shown in a pop-up window
after each exposure. The value shown on the display
indicates the highest radiation dose the patient was
exposed to during the exposure. Note that you will have to
accept the pop-up message by touching OK after each
exposure.
If you are using a Dimax sensor you can set the X-ray unit
so that a preview of the X-ray image will be shown on the
control panel after each 2D exposure (information display
i25.5).
The display will automatically switch to stand-by mode if
you do not touch the display or the exposure button for
more than thirty minutes. In stand-by mode the green
ready lights on the exposure button and control panel
indicate that the X-ray unit is switched on even though the
display is dark. The display will switch on as soon as you
touch it again.
NOTE The control panel display can be adjusted to respond
to your individual finger touch (information display
i25.4).
NOTE You can switch practice mode on if you wish to
practice or demonstrate the functions of the X-ray unit
without radiation (information display i410).
NOTE The exposure time indicated on the display (before an
exposure is taken) is an estimated value. The real
value is shown after the exposure. Variation in
exposure time is caused by mA automation.
Time

Planmeca ProMax 3D Mid 15
CONTROL PANEL
User’s Manual (2D)
5.2 General settings
5.2.1 Selecting patient size
Select the patient size by touching the corresponding size
symbol in the Patient size field on the main display.
Select the smallest patient size symbol for a child.
Selecting the smallest patient size symbol will
automatically reduce the exposure area and patient dose.
The jaw shape & size setting will automatically change to
Normal & Narrow.
Select the second patient size symbol for an adolescent.
Select the third patient size symbol for a small adult.
Select the fourth patient size symbol for an average-sized
adult. Selecting any of the patient sizes in the middle will
automatically change the jaw shape and size setting to
Normal & Average.
Select the biggest patient size symbol for a large adult.
Selecting the biggest patient size will automatically
change the jaw shape and size setting to Normal & Wide.
The selected patient size will be highlighted.
NOTE The exposure values (kV and mA) will automatically
change to correspond with the selected patient size
and exposure program.
NOTE Jaw shape and size selection is not available in sinus
programs.
5.2.2 Selecting kilovolt and milliampere values
NOTE The exposure values will automatically change to
correspond with the selected patient size and
exposure program.
The preset exposure values are average values and they
are only meant to guide the user.
To change the preset exposure values, touch the kV / mA
field on the main display.
From left to right: Child
Adolescent
Small adult
Average-sized adult
Large adult

CONTROL PANEL
16 Planmeca ProMax 3D Mid User’s Manual (2D)
The Select kV / mA display appears. Select the required
exposure values by touching the kV and mA values. The
selected values will be highlighted.
Confirm your selection and return to the main display by
touching OK.
The preset exposure values for the selected exposure
program are shown in the quick buttons at the bottom of
the display.
NOTE Selecting kV and mA values manually will override the
automatic quick button setting.
5.2.3 Changing exposure values for quick buttons
The quick button exposure values have been preset at the
factory. If needed, the preset values can be changed by
the user.
To change the preset values of a quick button, first select
the required kV and mA values by touching the
corresponding fields on the parameter display and then
touch and hold the desired quick button at the bottom of
the display until you hear a signal tone. The quick button
will now show the new exposure values.
The quick button values are program-specific, i.e. the
exposure values can be set separately for each program.
NOTE To view the preset exposure values for each program
type, refer to the tables in chapters 8 “PANORAMIC
EXPOSURE” on page 32, 9 “TEMPOROMANDIBULAR
JOINT (TMJ) EXPOSURE” on page 41 and 10 “SINUS
EXPOSURE” on page 53.
Confirm your selection and return to the main display by
touching OK.
Quick buttons