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Operator's Manual\rSoftware Version 4.0

Sirona Dental Systems GmbH Operator's Manual

Table of contents
1
Introduction............................................................................................................... 1.1 1.2 Dear CEREC user ......................................................................................... Copyright and trademark............................................................................... 6 6 6 7 7 8 8 8 9 9 9 10 11 11 11 11 11 12 12 12 13 14 14 15 15 15 15 16 16 17 17 17

General information.................................................................................................. 2.1 2.2 General safety information ............................................................................ Structure of the manual ................................................................................. 2.2.1 Identification of danger levels............................................................. 2.2.2 Formats and symbols used ................................................................ 2.2.3 Conventions ....................................................................................... 2.2.4 Formats of the manual ....................................................................... 2.2.5 File format .......................................................................................... 2.3 The user interface ......................................................................................... 2.3.1 Phase bar........................................................................................... 2.3.1.1ADMINISTRATION ............................................................................ 2.3.1.2ACQUISITION.................................................................................... 2.3.1.3MODEL .............................................................................................. 2.3.1.4DESIGN ............................................................................................. 2.3.1.5MILL ................................................................................................... 2.3.2 Dock Bar ............................................................................................ 2.3.3 Tool Wheel ......................................................................................... 2.3.4 Step Menu.......................................................................................... 2.3.5 System menu ..................................................................................... 2.3.6 The start window ................................................................................

Getting started.......................................................................................................... 3.1 3.2 3.3 3.4 3.5 Installing the software ................................................................................... Uninstalling the software ............................................................................... Copy protection ............................................................................................. Downloading the software ............................................................................. Starting the software .....................................................................................

Design technique...................................................................................................... 4.1 4.2 General information about CEREC Biogeneric ............................................. Biogeneric Individual .....................................................................................

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4.3 4.4

Biogeneric Copy ........................................................................................... Biogeneric Reference...................................................................................

17 18 19 19 24 25 25 25 26 26 26 26 27 27 27 27 27 28 29 29 30 30 30 30 31 31 31 31 32 32 33 33 33 26

Configuration ........................................................................................................... 5.1 5.2 Parameters................................................................................................... Devices......................................................................................................... 5.2.1 CEREC Bluecam............................................................................... 5.2.1.1Resetting settings.............................................................................. 5.2.1.2Calibration ......................................................................................... 5.2.2 Milling unit ......................................................................................... 5.2.2.1Editing settings .................................................................................. 5.2.2.2Calibration ......................................................................................... 5.2.2.3Changing instruments ....................................................................... 5.2.2.4Removing the milling unit .................................................................. 5.3 Options ......................................................................................................... 5.3.1 Odontogram ...................................................................................... 5.3.2 Reset notes ....................................................................................... 5.3.3 Database........................................................................................... 5.3.4 Calculating restorations..................................................................... 5.3.5 Auto-hide the Side Panel ..................................................................

System menu........................................................................................................... 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 Save case..................................................................................................... Save the case under a different name ......................................................... Import case................................................................................................... Export case .................................................................................................. License manager.......................................................................................... Configuration ................................................................................................ Window mode............................................................................................... Current program version .............................................................................. Closing the software.....................................................................................

Start Screen............................................................................................................. 7.1 7.2 7.3 Creating a new patient ................................................................................. Patient search .............................................................................................. Editing patient data....................................................................................... 7.3.1 Editing a patient card ........................................................................

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7.3.2 Deleting patients ................................................................................ 7.3.3 Deleting a case .................................................................................. 7.3.4 Opening a case .................................................................................. 7.3.5 Adding a new case.............................................................................

33 33 34 34 35 35 36 36 36 37 38 38 39 39 40 41 42 42 42 43 43 43 45 47 50 50 51 54 54 55 55 56 56 56 56

Side Panel ................................................................................................................ 8.1 8.2 Views............................................................................................................. Tools ............................................................................................................. 8.2.1 Buccal registration.............................................................................. 8.2.2 Shaping .............................................................................................. 8.2.3 Cutting off model regions ................................................................... 8.2.4 Correcting defects .............................................................................. 8.2.5 Resetting changes ............................................................................. 8.2.6 Trimming ............................................................................................ 8.2.7 Entering the preparation margin......................................................... 8.2.8 Positioning.......................................................................................... 8.2.9 Shaping .............................................................................................. 8.2.10 Contacts ............................................................................................. 8.2.11 Varying Biogeneric Morphology ......................................................... 8.2.12 Adjusting the sprue position ............................................................... 8.2.13 Moving the block ................................................................................ 8.2.14 Tool wheel.......................................................................................... 8.3 8.4 Displaying objects ......................................................................................... Analysis tools ................................................................................................

9 10

ADMINISTRATION phase........................................................................................ ACQUISITION phase ............................................................................................... 10.1 Image catalogs .............................................................................................. 10.1.1 Working with the image catalog ......................................................... 10.1.2 Adding image catalogs....................................................................... 10.1.3 Recycle bin......................................................................................... 10.2 10.3 10.4 Camera view ................................................................................................. 3D Preview .................................................................................................... Taking the scan ............................................................................................. 10.4.1 Switching CEREC camera on/off ....................................................... 10.4.2 Camera support ................................................................................. 10.4.3 Preparing the optical impression........................................................

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10.4.4 Taking acquisitions with the CEREC camera.................................... 10.4.5 Supplementary optical impressions .................................................. 10.4.6 Angled optical impressions ............................................................... 10.4.7 Optical impressions for quadrant restoration .................................... 10.4.8 Acquiring end teeth ........................................................................... 10.4.9 Acquiring an impression.................................................................... 10.4.10Finishing the phase ..........................................................................

57 59 59 59 59 60 60 61 61 64 65 66 67 68 68 68 69 69 69 69 70 70 70 70 70 64

11

MODEL phase ......................................................................................................... 11.1 11.2 11.3 11.4 11.5 Buccal registration........................................................................................ Editing the model.......................................................................................... Trimming the preparation ............................................................................. Entering the preparation margin................................................................... Defining the insertion axis ............................................................................ 11.5.1 Preparing the right insertion axis....................................................... 11.5.2 Redefining the insertion axis ............................................................. 11.6 11.7 Confirming quality......................................................................................... Finishing the phase ......................................................................................

12

DESIGN phase ........................................................................................................ 12.1 12.2 12.3 Checking parameters ................................................................................... Editing the restoration .................................................................................. Finishing the phase ......................................................................................

13

MILL phase.............................................................................................................. 13.1 13.2 13.3 13.4 Replacing the milling unit ............................................................................. Changing milling settings ............................................................................. Positioning the restoration in the block......................................................... Starting the milling procedure.......................................................................

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1 Introduction 1.1 Dear CEREC user

Sirona Dental Systems GmbH Operator's Manual

Introduction
Introduction

1.1 Dear CEREC user

General description Dear CEREC user

Hello and welcome to the new generation CEREC Software: CEREC SW 4.0. Sirona Dental System thanks you for your purchase and your trust in the CEREC system. In connection with the CEREC acquisition unit and milling machine, this software enables you to produce dental restorations, e.g. from ceramic material with a natural appearance (CEramic REConstruction). Improper use and handling can create hazards and cause damage. Therefore, please read and carefully follow this manual and the relevant operating instructions. Always keep them within easy reach. In order to master the system safely when using CEREC for the first time, you should train based on the exercise model using the described examples. To prevent personal injury and material damage, please observe the safety information provided within this document, on the CEREC hardware itself, and within the user interface. To safeguard your warranty claims, please complete the attached Installation Report / Warranty Passport when the system is handed over and send it to the indicated fax number.
Your Team

Happy Milling! Your Sirona CEREC Team

1.2 Copyright and trademark

Copyright and trademark

Copyright

Sirona Dental Systems GmbH 2011. All rights reserved. The information contained in this manual may be changed without notice. The software and all related documentation are protected by copyright. You must therefore handle it in the same way as any other protected material. Anyone who copies this software to any medium for any purpose other than his own personal use without the written permission of Sirona Dental Systems will be liable to prosecution.
Trademarks

Trademarks

Microsoft and Windows 7 are registered trademarks. WindowsTM is a trademark of Microsoft Corporation. All other trademarks are the property of their respective holders.

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2 General information

General information
General information

Please read this document completely and follow the instructions exactly. You should always keep it within reach. Original language of the present document: German

2.1 General safety information

General safety information

Only use original software

Only use original software or software which has been released by Sirona. To produce restorations, manipulated or non-released software components must not be used. Software and software components must not be installed using incorrect data.

Checking the restoration

Restoration to be checked by trained personnel

Each restoration created using this software must be checked for suitability by a trained professional (e.g. dental technician or dentist).

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Please check that each installed component has been granted approval in your country of practice. Contact your dealer for more information.

2 General information 2.2 Structure of the manual

Sirona Dental Systems GmbH Operator's Manual

2.2 Structure of the manual

Structure of the manual

2.2.1

Identification of danger levels

Identification of danger levels

To prevent personal injury and material damage, please observe the warning and safety information provided in this document. Such information is highlighted as follows:

DANGER
An imminent danger that could result in serious bodily injury or death.

WARNING
A possibly dangerous situation that could result in serious bodily injury or death.

CAUTION
A possibly dangerous situation that could result in slight bodily injury.

NOTICE
A possibly harmful situation which could lead to damage of the product or an object in its environment.

IMPORTANT
Application instructions and other important information. Tip: Information on making work easier.

2.2.2

Formats and symbols used

Formats and symbols used

The symbols and character formats used in this manual have the following meaning:

Prerequisite
1. First action step 2. Second action step or
Alternative action

Requests you to do something.

Result See "Formats and symbols used [ 8] List "Command/menu item" Identifies a reference to another text passage and specifies its page number. Identifies a list item. Identifies commands, menu items or quotations.

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2 General information

2.2.3

Conventions
Conventions

Example Clicking

Meaning Pressing once and releasing the left mouse button or the left trackball button on the acquisition unit (or foot switch). Clicking the left mouse button or the left trackball button on the acquisition unit (or foot switch) twice in quick succession.

Double-clicking

Moving the mouse On the acquisition unit: Moving the trackball in the in one direction corresponding direction. Seizing a point For acquisitions with the CEREC Bluecam: Actuate foot switch Pressing the left mouse button (left trackball button on the acquisition unit) and keeping it pressed. The same function as: Pressing the left trackball button on the acquisition unit or the left mouse button. On the keyboard: Press the Ctrl and N keys simultaneously. Press and hold an element (e.g. pictograph), and drop onto new potential destination.

"Ctrl+N"
Drag & drop

2.2.4

Formats of the manual

You can access the manual within the software via the Help button or by pressing "F1".
Formats of the manual PDF

The Operator's Manual is available on the supplied document CD in pdf format. This format is page-oriented and is well suited for printing out the desired pages.

2.2.5

File format
File format

The software enables you to assign one or more cases to each patient. Depending on its state, a case consists of optical impressions, virtual models calculated from them and one or more virtual restorations. In this manual, this patient data is referred to as "cases". The software uses its own file format to export store cases (*.rst). This format contains all case data including patient information. RST files can be opened with other CEREC or inLab software installations. In some cases older software versions may not be able to open data exports from a newer version.

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2 General information 2.3 The user interface

Sirona Dental Systems GmbH Operator's Manual

2.3 The user interface

The user interface

Overview of the user interface

A B Phase Bar System Menu E F Dock Bar Image catalog (can only be activated in "ACQUISITION" phase) Main window Tool Wheel

C D

Side Panel Step Menu

G H

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2 General information

2.3.1

Phase bar
Phase bar

The workflow is described in the software in five phases.

Phase Bar
ADMINISTRATION ACQUISITION MODEL DESIGN MILL

2.3.1.1

ADMINISTRATION
Define restorations and determine their type Determine the tooth number(s) for each restoration Select restoration material, Choose a material color.

2.3.1.2

ACQUISITION
In this phase, you can perform the following:
ACQUISITION CEREC SW 4 ACQUISITION

Acquisitions with the CEREC camera - lower jaw, - upper jaw, - buccal bite View a 3D preview of the acquisitions Activate other image catalogs

2.3.1.3

MODEL
In this phase, you can perform the following:
MODEL

The buccal bite registration Edit the virtual models Draw and edit preparation margins Determine the insertion axes of the restorations

2.3.1.4

DESIGN
In this phase, you can perform the following:
DESIGN

View initial restoration proposals Rotate and position the restorations Shape and edit restorations

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In this phase, you can perform the following:

ADMINISTRATION

2 General information 2.3 The user interface

Sirona Dental Systems GmbH Operator's Manual

2.3.1.5

MILL
In this phase, you can perform the following for each restoration:
MILL

Check and adjust the positioning of the restoration in the block Determine the sprue position of the restoration Determine the block size Define milling options Begin the milling procedure

2.3.2

Dock Bar
Dock Bar

The Dock Bar allows easy access to the objects you are working on, e. g. the virtual models or restorations. Each object is represented by a realistic icon and a label, e. g. a crown icon with the corresponding tooth number. You can switch back and forth between objects by clicking on the symbols in the Dock Bar.

2.3.3

Tool Wheel
Description Tool Wheel of CEREC SW 4

The tool wheel makes the most popular tools in the MODEL and DESIGN phases available for easy access. Which tools are available varies depending on the phase (MODEL or DESIGN).

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2 General information

2.3.4

Step Menu
General description Step Menu

Most phases are divided into steps. These are shown in the step menu at the bottom edge of the screen. The step menu changes depending on which phase you are currently performing. This menu guides you step-by-step through the process. The double arrow keys can be used to switch between steps and phases.
Double arrow keys Mandatory steps

Mandatory steps
Mandatory steps are marked with a red or green bar.

Green bar:

The step has been completed successfully.

Note for the seeing impaired: With some vision disabilities, it may be hard to distinguish between the red and green bars in the Step Menu. Affected users should use the keyboard shortcut <Ctrl+Alt+H> to add a pattern to the red bars, giving them an alternative appearance so that they no longer resemble the green bars.
Optional steps

Optional steps
Optional steps do not have colored bars. They can be shown/hidden using the button on the left of the step menu.

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Red bar:

The step has not yet been completed successfully.

2 General information 2.3 The user interface

Sirona Dental Systems GmbH Operator's Manual

2.3.5

System menu
System menu

In the system menu, you can perform the following: Switch to the start screen to start a new case Save the current case Save the current case under a different name Import case Export case Open license manager Configure hardware and software Change window mode Retrieve software information Close the software

2.3.6

The start window

CEREC window The startSW 4 start window options

In the start window, you can perform the following: Create or select patients Edit patient data Patient search Open cases Delete cases Add cases

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3 Getting started

Getting started
Getting started

3.1 Installing the software

Installing the software

The PC is powered up and all programs are terminated.

1. Insert the DVD into the DVD drive. The setup program starts automatically. 2. If this is not the case, run the "Setup.exe" file in the root directory of the DVD. The installation wizard opens. 3. Click on the "OK" button. 4. In the next dialog box, click on the "Next" button. The license agreement is shown. 6. If you accept the license agreement, then check the "I accept the terms in the license agreement" option button and confirm your acceptance by clicking the "Next" button. 7. In the next dialog box, click on the "Next" button. 8. In the next dialog box, click on the "Install" button. The program continues the installation routine. This may take several minutes. 9. Following successful installation, click on the "Finish" button. The software is installed.

3.2 Uninstalling the software

Uninstalling the software

The program is closed.

1. Click on "start / All Programs / CEREC SW / Deinstallation to uninstall the software. During the uninstall procedure, you will be asked whether you want to delete the patient data or the entries in the registration database (e.g. the calibration data). 2. Depending on your decision, click either "Yes" or "No". The software is uninstalled.

3.3 Copy protection

License drive Copy protection

The software can be started only when the USB License Drive is plugged in. All permissions (milling, interface, software licenses) can be installed as electronic licenses on the license drive (License manager [ 30]). Your License Drive was delivered with your acquisition unit or CEREC SW 4.0 Upgrade. Following an update or to activate additional functions, you might require a new license, which is not located on your USB License Drive. Contact your Sirona distributor for more information on acquiring new licenses.
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5. Read through the license agreement carefully.

3 Getting started 3.4 Downloading the software

Sirona Dental Systems GmbH Operator's Manual

3.4 Downloading the software

Downloading the software

New version
You can download the latest software version from the Sirona website www.sirona.com.
Upgrade

Upgrade
Major software changes (upgrades) are subject to additional costs and require a new license. Without a new license, they only work in demo mode. Contact your dealer to find out how to receive new licenses for an upgrade.

3.5 Starting the software

Starting the software

The CEREC SW software is installed. You will find the start icon on
the desktop.

The USB License Drive is connected with a valid, current license.

Double-click the CEREC SW start icon. or
Click on "Start / All Programs / CEREC SW / CEREC SW 4.0".

The application starts.

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4 Design technique

Design technique
Design technique

4.1 General information about CEREC Biogeneric

General information about CEREC Biogeneric

CEREC Biogeneric is the first method able to reconstruct lifelike occlusal morphology without the help of a dental database. On the basis of the features of a patient's single intact tooth, the program extrapolates the naturally created morphology of other teeth. The biogeneric occlusal design functions for all single tooth restorations and fully anatomic bridges. Previously, all occlusal design approaches were based on dental libraries and databases containing data records of various standard teeth. Conventional CAD/CAM programs retrieve a tooth from the archive, and then generate a generic design proposal for the given clinical situation. The user then manually edits and adapts this proposal. The biogeneric occlusal design replaces dental database design procedure. It can create crowns, inlays, onlays, veneers, and anatomically sized bridges in a fully automated manner. The reconstruction can be based on any intact patient tooth from the same type, i.e. posterior tooth or anterior tooth. The often time-consuming process of manually adjusting the tooth to the clinical situation is now virtually a thing of the past.

4.2 Biogeneric Individual

Biogeneric Individual

In the "Biogeneric Individual" design technique, the neighboring teeth are analyzed and the restoration proposal is calculated on this basis. The more information that is available, the more successful the calculation. A full image of at least one neighboring tooth should therefore be taken from the occlusal/incisal direction. For anterior and corner teeth, an image of the labial surface should also be taken. For premolars or molars, the calculation is mainly based on the distal neighbor, for anterior teeth the mesial neighbor is used.

4.3 Biogeneric Copy

Biogeneric Copy

Select the design technique "Biogeneric Copy" to transfer parts of the existing tooth in its pre-op condition to the restoration and enhance the rest using the patented Biogeneric procedure.

"BioCopy Lower" image field separately.

Acquire the dentition before the preparation in the "BioCopy Upper" or

This technique can be used for inlays, onlays, partial crowns, crowns, and bridges.

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4 Design technique 4.4 Biogeneric Reference

Sirona Dental Systems GmbH Operator's Manual

4.4 Biogeneric Reference

Biogeneric Reference

Select the "Biogeneric Reference" design technique to specify which tooth CEREC Biogeneric should use as a reference for the calculation of the restoration suggestion. The reference tooth can be any tooth of the same class (anterior or posterior tooth), e.g. the antagonist or the contra lateral tooth. You can also use a reference tooth from a model in order to achieve a specific morphology. The reference tooth must be acquired on a separate basis in the "BioRef Lower" or "BioRef Upper" image field. This technique can be used for inlays, onlays, partial crowns, crowns, and bridges.

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5 Configuration

Configuration
The "Configuration" menu contains three sub-menus:
Configuration

Parameters Devices Options

5.1 Parameters
The "Parameters" menu is separated by restoration type. Each restoration type has its own set of parameters.
Parameters Crown parameters

Crown
Parameters Spacer Description Increase or decrease the space for adhesive below the crown (not on the preparation margin). Apply or remove material on the total occlusal surface in the z direction. This value only applies to the milling results. The effects are not visible in the DESIGN or MILL phase in the software. Change this parameter to compensate if the occlusal surfaces of your restorations are generally too high or too low. Proximal Contacts Strength Set the strength of the approximal contacts. The software attempts to achieve this contact strength for the restoration proposals. Occlusal Contacts Strength Set the strength of the occlusal contacts. The software attempts to achieve this contact strength for the restoration proposals.

Occlusal Milling Offset

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5 Configuration 5.1 Parameters

Sirona Dental Systems GmbH Operator's Manual

Parameters Minimal Thickness (Radial)

Description Set the minimum material thickness on the steep preparation walls. The software attempts not to fall below this material thickness while calculating the restoration proposals. The value is shown along with the minimal occlusal thickness as a semitransparent cover over the preparation in the DESIGN phase. This makes areas visible which fall below the minimum thickness.

Minimal Thickness (Occlusal)

Set the minimum material thickness of the preparation's occlusal surfaces. The software attempts not to fall below this material thickness while calculating the restoration proposals. A high value can lead to a flat morphology in situations where deep fissures could undercut the minimum thickness. Check the recommendations of the material manufacturer when setting the minimum thickness.

Margin Thickness

Strengthen the restoration margins with additional material. Simplifies restoration handling Prevents material splitting The extra material can be manually reduced before inserting the restoration.

Inlay/onlay parameters

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5 Configuration

Inlay/onlay
Parameters Spacer Description Increase or decrease space for adhesive below the restoration (not on the preparation margin). Set the gap width at the preparation margin. The adhesive in the area forms a buffer between ceramic and tooth material. The adhesive gap cannot exceed the spacer value. Occlusal Milling Offset Apply or remove material on the total occlusal surface in the z direction.

Marginal Adhesive Gap

The effects are not visible in the DESIGN or MILL phase in the software. Change this parameter to compensate if the occlusal surfaces of your restorations are generally too high or too low. Proximal Contacts Strength Set the strength of the approximal contacts. The software attempts to achieve this contact strength for the restoration proposals. Occlusal Contacts Strength Set the strength of the occlusal contacts. The software attempts to achieve this contact strength for the restoration proposals. Set the minimum material thickness on the steep preparation walls. The software attempts not to fall below this material thickness while calculating the restoration proposals. The value is shown along with the minimal occlusal thickness as a semitransparent cover over the preparation in the DESIGN phase. This makes areas visible which fall below the minimum thickness.

Minimal Thickness (Radial)

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This value only applies to the milling results.

5 Configuration 5.1 Parameters

Sirona Dental Systems GmbH Operator's Manual

Parameters Minimal Thickness (Occlusal)

Description Set the minimum material thickness of the preparation's occlusal surfaces. The software attempts not to fall below this material thickness while calculating the restoration proposals. A high value can lead to a flat morphology in situations where deep fissures could undercut the minimum thickness. Check the recommendations of the material manufacturer when setting the minimum thickness.

Margin Thickness

Strengthen the restoration margins with additional material. Simplifies restoration handling Prevents material splitting The extra material can be manually reduced before inserting the restoration.

Veneer parameters

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5 Configuration

Veneer
Parameters Spacer Description Increase or decrease space for adhesive below the restoration (not on the preparation margin). Set the minimum thickness. The software attempts not to fall below this material thickness while calculating the restoration suggestions. The value is shown as a semitransparent cover over the preparation in the DESIGN phase. This makes areas visible which fall below the minimum thickness during the design phase. Occlusal Milling Offset Apply or remove material on the total occlusal surface in the z direction. This value only applies to the milling results. The effects are not visible in the DESIGN or MILL phase in the software. Change this parameter to compensate if the occlusal surfaces of your restorations are generally too high or too low. Margin Thickness Strengthen the restoration margins with additional material. Simplifies restoration handling Prevents material splitting The extra material can be manually reduced before inserting the restoration.
Applying/discarding settings

Veneer Thickness

Accepting settings
Click "Ok".

Discarding settings
Click "Cancel".
Resetting settings

Resetting settings
Click "Reset All Group Parameter". The settings for this restoration type are reset to factory settings.

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5 Configuration 5.2 Devices

Sirona Dental Systems GmbH Operator's Manual

5.2 Devices
All connected devices can be displayed and configured under the menu item "Devices".
Devices

A green check mark on a device indicates its availability.

Adding devices (automatically)

Adding devices automatically

You can add additional devices with the "Scan for New Devices" function.

The device is attached to the PC.

1. Click on the "Scan for New Devices" button. All devices attached to the PC are detected. You will be prompted to enter a name for new devices. 2. Enter a name for the new device.
Adding devices (manually)

Adding devices (manually)

You can manually add devices with the "Add Device (Manual)" function. This is mandatory for devices which cannot be operated at the maximum speed of 115,200 baud. This applies to devices with long cable connections or certain radio modules (e.g. Futaba, 19200 baud). 1. Click on the "Add Device (Manual)" button. 2. Select whether the device is connected to the network or in series. 3. Network: Enter the network address. In series: Enter the COM port and the baud rate. 4. Click on the "Ok" button. The software attempts to contact the device. If the connection fails, check that it is correctly established. If necessary, contact a qualified technician.
Refreshing CEREC SW 4

Refresh status
With the "Refresh Devices" button, you can refresh the status display, e.g. check whether a milling unit has finished milling or check the current availability of a device.
Refreshing CEREC Connect SW 4

Refresh status
With the "Refresh Devices" button, you can refresh the status or check the current availability of a device.

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5 Configuration

5.2.1

CEREC Bluecam
Settings CEREC Bluecam

Under the menu item "Camera", CEREC Bluecam can be set up. Setting Shake tolerance Description Set motion sensitivity for automatic activation. The more stringent the setting, the longer you have to hold the camera still before the next acquisition will be taken. Auto-delete rejected images Auto-stitch rejected images Images that could not be set against/ overlaid with the current acquisitions are automatically moved to the Recycle Bin. New acquisitions that cannot be set against/overlaid with the last five images will be checked with all subsequent images. This option uses computing power and, with a large quantity of images, can result in loading periods while the computing takes place.
Applying/discarding settings

Accepting settings
Click "Ok".

Discarding settings
Click "Cancel".

5.2.1.1

Resetting settings
Resetting settings

Click on the "Reset Camera Settings" button. The settings are reset to factory settings.

5.2.1.2

Calibration
Calibration

1. Click on the "Calibrate" button. 2. Then simply proceed as prompted by the software.

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5 Configuration 5.2 Devices

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5.2.2
5.2.2.1

Milling unit
Milling unit

Editing settings
Editing settings

CEREC MC XL
With the "MC XL" menu item, you can make subsequent changes to the following settings: Names Connection settings - automatically retrieve IP settings - manually enter IP settings Manual block fixing - If you are using the manual block chuck, you must check the "Manual block chuck" box. Second motor unit - If a second, optional motor unit is installed, you must check the "Two Bur Sets" box.

CEREC 3
With the "CEREC 3/inLab" menu item, you can make subsequent changes to the following settings: Names Connection settings Large water tank - If the 25 liter canister (optional, order no. 60 56 217) is connected and the checkmark has been placed, you will be reminded to change the water at a later time. - If a 25 liter canister is subsequently installed, your service technician must place the check in front of "Large water tank". Scanner - When using a "CEREC 3/inLab" milling unit with a built-in scanner (optional, order no. 58 33 707) a check must be placed in front of "Scanner". - If a scanner is subsequently installed, your service technician must place a check in front of "Scanner".

5.2.2.2

Calibration
Calibration

1. Click on the "Calibrate" button. 2. Then simply proceed as prompted by the software.

5.2.2.3

Changing instruments
Changing instruments

1. Click on the "Change Instruments" button. 2. Then simply proceed as prompted by the software.

5.2.2.4

Removing the milling unit

Removing the milling unit

1. Click on the "Delete Device" button. 2. Then simply proceed as prompted by the software.
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5 Configuration

5.3 Options
The "Options" menu item has the following sub-items:
Options CEREC SW 4 options

Selecting the ondontogram Reset notes Database Calculating restorations Auto-hide the Side Panel

5.3.1

Odontogram
Odontogram

You can set the odontogram using "ADA/FDI Notation": International ("FDI Notation") USA ("ADA Notation")

5.3.2

Reset notes
Reset notes

Here, all warnings can be displayed again. Setting YES NO Description Displays all the deactivated warnings in the workflow again. Warnings which were previously hidden, remain hidden.

5.3.3

Database
Database

In the "Patient Database" menu item, you can select where patient data and cases are saved. You can specify a folder for this data. This allows you, for example, to save all data on a secure server on the practice network. Alternatively, you can manage patient data with SIRONA SIDEXIS software and save cases in a database created in SIDEXIS.

5.3.4

Calculating restorations
Calculating restorations

The "Restoration Calculation" item can be used to specify the function when entering the "DESIGN" phase. Setting YES Description Upon entering the "DESIGN" phase, proposals for all restorations are automatically calculated, for which preparation boundaries and an insertion axis have been defined. If this option is activated, it may result in lengthy loading times when editing numerous restorations. NO Upon entering the "DESIGN" phase, only the restoration proposal for the currently active tooth number is calculated.

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5.3.5

Auto-hide the Side Panel

Auto-hide the Side Panel

The Side Panel is automatically minimized when you use a tool.

CEREC SW 4 settings

This setting affects the phases MODEL and DESIGN. Setting YES Description After selecting a tool, the palette will be minimized and only the symbol of the active tool will be displayed. The entire palette opens again when the mouse is positioned over it. Tip: Use this setting if you frequently work with the tool wheel. NO Provided a tool is selected, the tool palette will always be displayed in its entirety and with all options.

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6 System menu

System menu
System menu

In the system menu, you can perform the following: Switch to the start screen to start a new case Save the current case Save the current case under a different name Import case Export case Open license manager Change window mode Retrieve software information Close the software
Opening the system menu

Opening system menu

Move the mouse cursor to the top of the screen. or
Click on the system menu button.

The system menu is displayed.

Closing the system menu

Closing system menu

Click on the system menu button. or
Click into the main window with the left mouse button.

The system menu is closed.

6.1 Save case

Save case

In this window, you can save the current case. Select "Save Case" in the system menu. The current state of the case is saved.

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Configure hardware and software

6 System menu 6.2 Save the case under a different name

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6.2 Save the case under a different name

Save the case under a different name

This dialog allows you to save the current case under a new name or assign it to a different patient. 1. Select "Save Case As..." in the system menu. The patient list is opened. 2. Select the appropriate patient. or
Create a new patient under "Add New Patient".

6.3 Import case

Import case

A case's RST file (or older CDT file) is located on an acquisition unit
or connected data carrier. 1. Click the "Import Case..." button in the system menu. The "Import Case..." dialog box opens. 2. Select the folder, in which the case is located. 3. Select the relevant file. 4. Click the "Open" button The optical impression is imported and opened.

6.4 Export case

Exporting Export case

You may save a case at any point.

You have opened a case in the software.

1. Click the "Export Case..." button in the system menu. The "Export Case..." dialog box opens. 2. Select the target folder to which you want to export the case. 3. Assign a name to the case. 4. Click on the "Save" button. The case is exported as an RST file.
Transfer

If you would like to transfer the optical impression from your acquisition unit to another PC, you can use a USB stick or network drive.

6.5 License manager

The license manager is used for installation of new software licenses on the USB license drive. To do this, start the license manager via the system menu and follow the instructions on the screen. Keep the license certificate with 25-digit license key ready, which you either obtained with the unit or ordered separately from your dealer.
License manager

To activate the license you must have an Internet connection and the USB license drive must be connected.

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6 System menu

6.6 Configuration
The configuration is described in the chapter "Configuration [ 19]".
Configuration

6.7 Window mode

The "Window Mode" function can be used to exit full-screen mode or enter it again.
Window mode

6.8 Current program version

Current program version CEREC SW 4

6.9 Closing the software

Closing the software Closing CEREC SW 4

The "Exit" function can be used to close the software.

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The "About" function contains information about the current program version.

7 Start Screen 7.1 Creating a new patient

Sirona Dental Systems GmbH Operator's Manual

Start Screen
CEREC SW Start Screen 4 start window options

In the start window, you can perform the following: Create or select patients Edit patient data Patient search Open cases Delete cases Add cases
Switching to the start window

Switching to the start view

You can switch to the start view at any time. 1. Open the system menu. 2. Click on the "Start Screen" button.

7.1 Creating a new patient

Creating a new patient

In the data structure, a patient is uniquely identified by one of the following two entries: Surname, first name and date of birth or Patient ID

Adding patients
1. Click on the "Add New Patient" button. An empty patient card is opened. 2. Enter a surname, first name, and date of birth. or

Enter the patient ID.

Patient" step turns from red to green.

3. Click on the "Add New Case" button.

Once you have entered enough information, the bar in the "Edit

The program switches over to the "ADMINISTRATION" phase.

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7 Start Screen

7.2 Patient search

Patient search

Displaying all patients

The "Show All Patients" function can be used to display all patients.

Searching for individual patients

You can view individual patients by searching for them 1. Click into the search text box. 2. Enter the surname or the patient ID. The program now shows all the search results.

7.3 Editing patient data

Editing patient data

7.3.1

Editing a patient card

You have found the patient with the search function.
Editing a patient card

1. Click on the patient card. 2. Click on the "Edit Patient" step in the step menu. The patient card/case view is opened for editing. 3. Carry out the changes. 4. Confirm your changes by clicking the "Ok" button. The changes are saved in the memory. 5. Click the double arrow on the left side of the step menu. The patient card/case view is displayed.

7.3.2

Deleting patients
Deleting patients

You have found the patient with the search function.

1. Click on the patient card. 2. Click on the "Delete Patient" step in the step menu. 3. Confirm the deletion by clicking the "Ok" button. The patient is deleted.

7.3.3

Deleting a case
Deleting a case

You have found the associated patient with the search function.
1. Click on the patient. 2. Select the case. 3. Click on the "Delete Case" step in the step menu. 4. Confirm the deletion by clicking the "Ok" button. The case is deleted.

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7.3.4

Opening a case
Opening a case

You have found the associated patient with the search function.
1. Click on the patient card. 2. Select the case. 3. Click on the "Open Case" step in the step menu. The restoration is opened.

7.3.5

Adding a new case

case Adding a new case

You have found the associated patient with the search function.
1. Click on the patient. 2. Click on the "Add New Case" step in the step menu. The program switches over to the "ADMINISTRATION" phase.

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8 Side Panel

Side Panel
Side Panel

Various functions are offered in the Side Panel, depending on the current step.

8.1 Views
Views

You can use the "View Options" button to display six predefined views. "Mesial" "Distal" "Buccal" / "Labial" "Lingual" "Cervical" "Occlusal" / "Incisal"

Changing the view

1. Click on the "View Options" button. 2. Click on one of the proposed views. The virtual model rotates to the corresponding view.

Enlarging or reducing the view

1. Click on the "View Options" button. 2. Press and hold the center tooth icon with the left mouse button. The icon will change to a magnifying glass. 3. Pull the mouse button up or down. The virtual model is enlarged or reduced.

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8.2 Tools
Tools

The most important tools are also offered in the tool wheel. For further information on the tool wheel, see the section Tool wheel [ 43]. You can find all tools as a submenu under "Tools". Tip: You can stop the current tool with the stop icon (top right).

8.2.1

Buccal registration
Buccal registration

Moving the buccal acquisition

You can move the buccal acquisition with the "Drag Buccal" function. 1. Click on the "Buccal" button. 2. Click on the "Drag Buccal" button. 3. Click on the buccal acquisition and drag it to the upper jaw and lower jaw.
Flipping the buccal acquisition

Rotating the buccal image

You can rotate the buccal acquisition with the "Flip Buccal Impression" function. 1. Click on the "Buccal" button. 2. Click on the "Flip Buccal Impression" button. The buccal acquisition is rotated.

8.2.2

Shaping
With the "Form" function, you can
Shaping

apply remove or smooth material

Space bar tip

Tip: When one of the shape tools is activated, you can also switch to the following order using the space bar on the keyboard: Apply > Remove > Smooth > Apply > ...
Applying material

Applying material
1. Click on the "Form" button. 2. Click on the "Add" button. 3. Click with the mouse cursor on the area you wish to shape. 4. Press and hold the left mouse button and apply the material to the surface location by moving the mouse.

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8 Side Panel

Removing material

Removing material
1. Click on the "Form" button. 2. Click on the "Remove" button. 3. Press and hold the left mouse button and remove the material from the surface location by moving the mouse.
Smoothing

Smoothing
When smoothing, you are able to smooth the surface location. 1. Click on the "Form" button. 2. Click on the "Smooth" button. 3. Click with the mouse cursor on the location you wish to smoothen. 4. Press and hold the left mouse button and smoothen the surface location by moving the mouse.
Resizing

Modifying the size

With the "Size" button, you can modify the size of the affected region. The affected region is displayed as an orange colored surface. The size of the affected region can be changed for each shaping tool. 1. Click on the "Form" button. 2. Click the "Size" button and press and hold the mouse button. 3. Pull the mouse cursor up or down. The size of the orange area is enlarged or reduced. The size is shown on the restoration. Tip: You can also resize by clicking the right mouse button on the restoration and moving the mouse up or back while continuing to hold down the right mouse button.
Undo and reset

Undo and Reset

With the "Undo" button you can undo the last change made. With the "Reset" button you reset changes that were made with the tool.

8.2.3

Cutting off model regions

Cutting off model regions Cutting with CEREC SW 4

With the "Cut" function, you can cut off regions of the model. The cut off model regions are discarded. You can subsequently no longer display discarded regions.

Removing model regions

The "Discard Part" function can be used to remove model regions. 1. Click on the "Cut" button. 2. Begin the cut line with a double-click. 3. Click to set additional points. 4. Finish the cut by double clicking. The model area is cropped.
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Inverting a model region

With the "Invert Selected" function, a model region which has been cut off can be restored.

The "Cut" tool is selected. You have created a cut.

Click on the "Invert Selected" button. The model region, which was cut off, is displayed. The remaining model region is hidden. Tip: You can restore a model region which was cut off by double-clicking on the semi-transparent, cut away region.

8.2.4

Correcting defects
With the "Replace" function, you can correct defects and artifacts on the model (e.g. holes or bumps).
Correcting defects

To do so, drag a line around the defect in your model and select the appropriate function. 1. Click on the "Replace" button. 2. Set the starting point with a double-click. 3. Click to set additional points and to tightly enclose the defect. 4. Set the line end by double-clicking. The line is finalized. Tip: You can use delete to remove the line. 5. Click on the "Apply" button. Tip: The tool can also be triggered by pressing the space bar. The software smoothens everything within the line through interpolation.

8.2.5

Resetting changes
Resetting changes

With the "Reset Model" function, all changes will be reset. 1. Click on the "Tools" button. 2. Click on the "Reset Model" button. The program will ask whether you really want to reset all changes. 3. Confirm with "Ok".

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8 Side Panel

8.2.6

Trimming
You can isolate the preparation with the Trim function. This allows you, for example, to draw the preparation margin more easily. Image regions which have been trimmed can later be shown/hidden as required.
Trimming Remove part

Hiding image regions

The "Discard Part" function enables you to hide image regions. 1. Click on the "Trim" button. 2. Click on the "Discard Part" button. 3. Start by double-clicking in the vicinity of the model or on the model. 4. Click to set additional points. Place the line close to the preparation around which you wish to trim. 5. Finish the line by double clicking.
Invert selected

Inverting an image region

With the "Invert Selected" function, an image region which was hidden can be restored.

An image region has been hidden using the Trim tool.

Click on the "Invert Selected" button. The hidden image region will be shown. The image region shown will be hidden. Tip: You can restore a hidden image region by double-clicking on the hidden, semi-transparent region.
Undo and reset

Undo and Reset

With the "Undo" button you can undo the last change made. With the "Reset" button you reset changes that were made with the tool.

8.2.7

Entering the preparation margin

General Entering the preparation margin

For further information on using this tool, see the section Entering the preparation margin [ 65].
Automatic edge detection

Automatic edge detection

With "Margin" / "Auto", you can work with automatic edge detection. 1. Click on the "Margin" button. 2. Click on the "Auto" button. Automatic edge detection is switched on.
Interpolating technique

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The smaller region of the model is hidden.

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Drawing manually
Use "Manual" to manually draw the preparation margin. With this method, position individual points close to one another to manually plot the preparation margin in difficult situations.

The "Margin" tool is open.

Click on the "Manual" button. The manual technique is switched on.
Interpolating technique with intensity image

Drawing manually with intensity image

Use "Manual with intensity image" to manually draw the preparation margin on the intensity image.

The "Margin" tool is open.

Click on the "Manual with intensity image" button. The manual technique with intensity image is switched on. Tip: As long as the "Margin" tool is activated, you can switch between the drawing options with the space bar.
Undo and reset

Undo and Reset

With the "Undo" button you can undo the last change made. With the "Reset" button you reset changes that were made with the tool.

8.2.8

Positioning
The restorations can be moved and rotated with the "Move" function.
Positioning Positioning

Moving
You can move the restoration with the "Position" function. mesio-distal bucco-lingual occlusal-cervical You can move the restoration in 2 ways: Step by step, by repeatedly clicking on one of the arrows, which shows the axes of motion on the semi-transparent cube. Continuously in two directions when you click on one side of the cube surface and move the mouse without releasing the mouse button. Continuously in all 4 directions when you click in the middle of the cube surface and move the mouse without releasing the mouse button.

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8 Side Panel

Rotate

Rotate
You can rotate the restoration with the "Rotate" function. You can rotate the restoration around the following axes: mesio-distal bucco-lingual occlusal-cervical You can rotate the restoration in 2 ways: Step by step, by clicking an arrow on a rotational axis. Continuously by clicking on the rotational axis and moving the mouse while holding down the mouse button.

8.2.9

Shaping
The "Shape" function enables you to shape a selected region.
Shaping

You can shape the restoration in 3 ways: Function Auto 2-Direction 4-Direction Description The software selects the axis of motion based on the screen perspective. Movement is possible along an axis, orthogonal to the restoration surface. Movement is possible along two axes, parallel to the restoration surface.

Automatic

Anatomical
With the "Auto" function, morphological regions are pre-selected for shaping, e.g. cusps or fissure lines.
Manual

Circular
With the "Manual" function, a circular region is pre-selected for shaping.
Modifying the size

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Modifying the size

This option is only available with the circular version. With the "Size" button, you can modify the size of the affected region. The affected region is displayed as an orange colored surface. 1. Click on the "Shape" button. 2. Click the "Size" button and press and hold the mouse button. 3. Pull the mouse cursor up or down. The size of the orange area is enlarged or reduced. The size is shown on the restoration. Tip: You can also resize by clicking the right mouse button on the restoration and moving the mouse up or back while continuing to hold down the right mouse button.
Scale whole

Scale whole
This option is only available when using the automatic tool. With the "Scale Whole" button, you can modify the total size of the preparation.

8.2.10

Contacts
When you modify the restoration, the contact surfaces also move. The "Contacts" function resets the contacts to the thicknesses set in the parameters.
Contacts

1. Click on the "Contacts" button. 2. Click on the "Mesial", "Distal" or "Occlusal" button. The corresponding contact surface will be reset.

8.2.11

Varying Biogeneric Morphology

With the "Biogeneric Variation" function, you can generate various versions of possible morphologies.
Varying Biogeneric Morphology

1. Click the "Biogeneric Variation" button and press and hold the mouse button. 2. Pull the mouse cursor up or down. The morphology is changed. 3. Release the mouse button when you see the optimum morphology for your purposes.

8.2.12

Adjusting the sprue position

Adjusting the sprue position

With the "Sprue" function, you can rotate the position of the sprue on the restoration in two ways: Step by step, by clicking an arrow in the circle segment. Continuously, by left clicking on the rotational axis and moving the mouse while holding down the mouse button.

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8.2.13

Moving the block

Moving the block

Moving
With the "Position" function, you can move the restoration in all spatial directions until the restoration hits a block boundary. You can move the block in 2 ways: Step by step, by repeatedly clicking on one of the arrows, which shows the axes of motion on the semi-transparent cube. Continuously in two directions when you click on one side of the cube surface and move the mouse without releasing the mouse button. Continuously in all 4 directions when you click in the middle of the cube surface and move the mouse without releasing the mouse button.

With the "Rotate" function, you can rotate the restoration around the block axis. You can rotate the restoration in the block in 2 ways: Step by step, by clicking an arrow in the circle segment. Continuously, by clicking and holding on the circle segment.

8.2.14

Tool wheel
Description of CEREC SW 4 Tool wheel

The tool wheel makes the most popular tools in the MODEL and DESIGN phases available for easy access. Which tools are available varies depending on the phase (MODEL or DESIGN).
Activating the tool wheel

Working with the tool wheel

You are in the MODEL or DESIGN phase.

1. Click on the main window with the right mouse button. The tool wheel is opened with the cursor. 2. Place the mouse cursor above the tool you want to use. If the tool has multiple versions, these will be displayed. 3. Click the tool you wish to use. The selected tool is activated.

8.3 Displaying objects

Displaying objects

Upper jaw
With the "Upper Jaw" button, you can display and hide the upper jaw. 1. Click on the "View Options" button. 2. Click on the "Upper Jaw" button. The upper jaw is displayed or hidden.

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Rotating

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Lower jaw

Lower jaw
With the "Lower Jaw" button, you can display and hide the lower jaw. 1. Click on the "View Options" button. 2. Click on the "Lower Jaw" button. The lower jaw is displayed or hidden.
Upper/lower jaw transparent

Display upper/lower jaw transparently

You can freely set the transparency of the upper and lower jaw. 1. Click on the "View Options" button. 2. Press and hold the left mouse button over the appropriate button and move the mouse up or down. The transparency of the corresponding jaw is changed.
Minimum thickness

Minimum thickness
With the "Minimal Thickness" button, you can show and hide the minimum thickness display. Click on "Minimal Thickness". The display of the minimum thickness will be displayed or hidden. You can set the minimum thickness under "Parameters". For further information, see the section Parameters [ 19].
Restoration

Restoration
The "Restoration" button enables you to display and hide the restoration. Click on "Restoration". The restoration is displayed or hidden.
Transparent restoration

Displaying a transparent restoration

You can freely set the transparency of the restoration. 1. Click on the "View Options" button. 2. Press and hold the left mouse button over the "Restoration" button and move the mouse up or down. The transparency of the active restoration is changed.
Trimmed region

Trimmed region
With the "Trimmed Model" button, you can display and hide the trimmed region.

You have trimmed a region in the MODEL phase.

Click on "Trimmed Model" The trimmed region of the virtual model is displayed or hidden.

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8 Side Panel

8.4 Analysis tools

Analysis tools

Contact surfaces on the virtual model

Using the "Model Contacts" button, the contact surfaces on the virtual model can be displayed or hidden. 1. Click on the "Analyzing Tools" button. 2. Click on the "Model Contacts" button. The contact areas on the model are displayed or hidden. Penetration/pressure: Distance:

Contact surfaces on the restoration

Contact surfaces on the restoration

You can use the Side Panel button to check the occlusal contact points of the jaws. The same color scheme is used as when displaying the contacts to the neighboring teeth or to the opposing jaw. Penetration/pressure: Distance:

Side and bottom surfaces

Side and bottom surfaces

Using the "Model Box" button, the virtual model can be displayed without the sides and bottom. 1. Click on the "Analyzing Tools" button. 2. Click on the "Model Box" button. The virtual model is displayed without side and bottom surfaces. Tip: Show the jaw model in the MILL phase (show reference objects) and hide the model's bottom to review the fit on all sides. This allows you to monitor the tightly sealed preparation boundary and check whether the ceramic extends through the preparation. This is an indication of places where the restoration can be seated.
Occlusal contacts

Occlusal contacts
Using the "Occlusal Contacts" button, the occlusal contact points of the active restoration, which are displayed in color, can be shown or hidden. 1. Click on the "Analyzing Tools" button. 2. Click on the "Occlusal Contacts" button. The restoration is displayed with or without occlusal contacts.
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Proximal contacts

Proximal contacts
Using the "Proximal Contacts" button, the approximal contact points of the active restoration. which are displayed in color, can be shown or hidden. 1. Click on the "Analyzing Tools" button. 2. Click on the "Proximal Contacts" button. The restoration is displayed with or without proximal contacts.
Model color

Model color
Using the "Color restoration" button, the restoration can be displayed in the model color. 1. Click on the "Analyzing Tools" button. 2. Click on the "Color restoration" button. The virtual model is shown in white or the model color.
Cut

Cutting
Using the "Cut" button, a cut can be placed through the restoration and model in the screen plane. 1. Click on the "Analyzing Tools" button. 2. Click on the "Cut" button. A cut is placed in the screen plane through the virtual model. 3. Click on the "Move cut" buttons to move the cut plane.
Cursor details

Cursor details
With the "Cursor Details" button, you can display the height and thickness of the restoration with the cursor. 1. Click on the "Analyzing Tools" button. 2. Click on the "Cursor Details" button. The height and thickness of the restoration are shown with the cursor and updated in real time.
Distance

Distance
With the "Distance" button, you can measure the distance. 1. Click on the "Analyzing Tools" button. 2. Click on the "Distance" button. 3. Click on the restoration to select the start and end points. The distance is displayed.

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9 ADMINISTRATION phase

ADMINISTRATION phase
ADMINISTRATION phase

Selecting the restoration type

Select the restoration type in the Side Panel: "Single Restoration" or "Bridge Restoration".
CEREC SW 4 single tooth restoration

Single tooth restoration

You have selected the restoration type "Single Restoration".

1. Click on the tooth for which the restoration is to be created. 2. Select the restoration type. The available types of restorations are matched to the tooth number selected. 3. Choose the design technique "Biogeneric Individual", "Biogeneric Copy" or "Biogeneric Reference". Tip: For information on the design technique, see the section Design technique [ 17]. 4. Optional: Click on the step "Select Milling Device" in the step menu to change the current milling unit. 5. Optional: Click on the "Select Material" step in the step menu to change the manufacturer and the material. 6. Confirm the settings by clicking "Ok". Tip: If you click on "Cancel" the restoration will not be created and the program will return to the odontogram. 7. If necessary, create further restorations.
CEREC SW 4 bridge restoration

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Bridge restoration

You have selected the restoration type "Bridge Restoration".

1. Choose the positions of the two end abutments of the bridge.

The individual elements of the bridge are shown above. The software attempts to logically preset the restoration types. In the case of long bridges, a scrollbar appears beneath the elements. 2. Select the individual bridge elements.
3. Determine the restoration type and the design technique of the individual elements, as described in section ADMINISTRATION phase [ 47] . 4. Optional: Click on the step "Select Milling Device" in the step menu to change the current milling unit. 5. Optional: Click on the "Select Material" step in the step menu to change the manufacturer and the material. 6. Confirm the settings by clicking "Ok". Tip: If you click on "Cancel" the restoration will not be created and the program will return to the odontogram. 7. If necessary, create further restorations.
Finishing the administration phase

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Finishing the ADMINISTRATION phase

All restorations to be created are defined. The "ACQUISITION" phase is can be selected.
Click on the "ACQUISITION" phase.

or
Click on the double arrow.

The program switches over to the "ACQUISITION" phase.

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10 ACQUISITION phase 10.1 Image catalogs

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10

ACQUISITION phase
ACQUISITION phase

10.1 Image catalogs

Image catalogs

Overview
In the "ACQUISITION" phase, three image catalogs are available as standard: Lower Jaw

Upper Jaw

Buccal
Additional image catalogs

In addition, further image catalogs can be shown: BioRef Lower BioRef Upper BioCopy Lower BioCopy Upper
Opening the image catalog

Opening the image catalog

1. Click on the icon of the desired image catalog. 2. Move the mouse cursor to the bottom edge of the screen. The active image catalog is opened, the individual acquisitions are visible.

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10.1.1

Working with the image catalog

Working with the image catalog

In the image catalog all acquisitions are shown respective to their regions. The first acquisition of an image catalog is called the reference acquisition and is marked with a dot (flag in the upper right corner of the frame). Acquire the image in the occlusal direction, as this acquisition determines the orientation of the virtual model. The acquisitions are labeled as follows: Symbol Green flag with check mark Green flag with dot Blue flag Red flag with exclamation mark No flag Meaning Calculated / overlaid images Reference optical impression The attempted calculation / overlay is still being processed. Calculation / overlay failed. Hidden images

If you position the mouse over an acquisition, it will be shown in the camera view and highlighted in the 3D preview.
Scrolling through the image catalog

Scrolling through the image catalog

For each acquisition, a colored dot will be shown at the top of the image catalog. Color Green Blue Red White Meaning Calculated / overlaid images The attempted calculation / overlay is still being processed Calculation / overlay failed Hidden images

If the acquisitions can no longer be displayed in full in the image catalog, a scroll bar appears. You can use it to scroll through all acquisitions. 1. Click on the scroll bar and press and hold the mouse button. 2. Slide the scroll bar to the right or left.
Selecting images

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Selecting images
Click on the acquisition with the left mouse button. Several images can be selected. The images are now selected.
Moving acquisitions

Moving acquisitions
You can move acquisitions to other image catalogs using drag & drop. 1. Click on marked acquisitions and hold down the mouse button 2. Move the selection to the icon of the desired image catalog. The program will ask whether you want to move or copy the acquisition. 3. Select "YES" to copy the acquisition or "NO" to move it. "Cancel" can be used to cancel the operation. The acquisition will be ready for use in the corresponding image catalog.
Hiding images

Hiding images
Click an acquisition with the right mouse button. The acquisition is shown in gray. The acquisition is no longer used for the 3D preview and virtual model creation. You can make the acquisitions visible again by following the same process. If the "Ignored" filter is active, the acquisition remains visible in the image catalog. If the "Ignored" filter is deactivated, the acquisition is hidden (see Command filter [ 53]).
Select command

Select command
The "Select" command enables you to: select all images void the selection invert the selection 1. Click the "Select" button in the image catalog. 2. Click the appropriate button.
Edit command

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Edit command
The "Edit" command enables you to: copy cut insert delete hide display 1. Select the acquisitions you want to edit. 2. Click the "Edit" button in the image catalog. 3. Click the appropriate button.
Advanced command

The "Advanced" command enables you to: buffer acquisition sequence (quadrant) Compose two acquisition sequences (quadrant) Switch to the "Impression Scan" mode Command Description Buffer the first acquisition sequence (quadrant). Subsequently, another acquisition sequence can be taken.

"Add Quadrant"

"Merge Quadrants" The current acquisition sequence is merged

with the buffered sequence. 1. Click the "Advanced" button in the image catalog. 2. Click the appropriate button.
Filter command

Filter command
The "Filter" command enables you to: Turn the display of hidden acquisitions on or off Show or hide discarded acquisitions (calculation/overlay not possible) Command Description Hidden acquisitions are displayed. Discarded acquisitions are displayed.

"Ignored" (active) "Rejected" (active)

1. Click the "Filter" button in the image catalog. 2. Click the appropriate button.

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Advanced command

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10.1.2

Adding image catalogs

Description Adding image catalogs

With the "Add Catalog" button, you can create additional image catalogs.
Instructions

1. Click on the "Add Catalog" button. The possible image catalogs are displayed. 2. Click on the required image catalog. The image catalog is displayed next to the standard image catalogs.

10.1.3

Recycle bin
Recycle bin

Removing acquisitions
1. Select the acquisitions you want to remove. 2. Click on the "Edit" button. 3. Click on the "Delete" button. or
Grab the image with your mouse and move it using drag & drop

to the recycle bin.

The acquisition is sent to the recycle bin. Tip: You can move the last acquisition to the recycle bin by right-clicking the image catalog icon.
Opening the recycle bin

Opening the recycle bin

In the recycle bin, you will see the acquisitions removed from the currently active image catalog. 1. Click on the icon of the image catalog, for which you wish to open the recycle bin. 2. Click on the icon of the recycle bin. The recycle bin for the active image catalog is displayed.
Reusing acquisitions from the recycle bin

Reusing acquisitions from the recycle bin

Grab the image with your mouse and move it using drag & drop to the desired folder. Tip: If you show/hide acquisitions in the recycle bin, they will be automatically moved back to the image catalog.

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10.2 Camera view

Camera view

Change window size

You can adjust the size of the camera view proportionally. 1. Click the arrow at the right edge with the mouse and hold down the mouse button. 2. Drag the camera view to enlarge or reduce it.

Acquisitions from the image catalog can be displayed as height or intensity images.

Height image

Intensity image

The camera is switched off.

1. Click on the icons to switch between the height and intensity image. 2. Position the mouse cursor over an acquisition in the image catalog. The acquisition is shown in the camera view of the selected layout.

10.3 3D Preview
Description 3D Preview

In the default setting, the data are displayed from the occlusal direction in the 3D preview. You can freely select the viewing direction of the virtual model in the 3D preview window by using the mouse.
Rotating a 3D preview

Rotating a 3D preview
1. Click on the 3D preview with the left mouse button and hold it down. 2. Move the mouse. The 3D preview is rotated.
Moving the 3D preview

Moving the 3D preview

1. Click on the 3D preview with the right mouse button and hold it down. 2. Move the mouse. The 3D preview is moved.
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Height and intensity image

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Zooming into/out of the 3D preview

Zooming into/out of the 3D preview

1. Click on the 3D preview with the middle mouse button and hold it down. 2. Move the mouse up or down as desired. The 3D preview is enlarged or reduced.

10.4 Taking the scan

Taking the scan

10.4.1

Switching CEREC camera on/off

Switching CEREC camera on/off

The CEREC camera is turned on automatically when you switch to the acquisition phase. If it is not used for some time, it will shut down. Click the camera icon to switch the CEREC camera on or off.

10.4.2

Camera support
Camera support

Using the camera support gives you the following advantages: You obtain acquisitions free of motion blurring. You avoid damage to the prism. You avoid touching the prepared tooth.

CAUTION
Using the camera support Clean the camera support by wiping or spraying it with disinfectant prior to use. Designed for one-time use only.

10.4.3

Preparing the optical impression

Preparing the optical impression

1. Push the camera support onto the camera as illustrated.

Pushing on the camera support

2. Position the camera over the teeth to be acquired.

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3. Support the camera with the front part of the camera support on a tooth so that you can hold it quietly during the acquisition phase.

NOTICE
Powder on the surface of the prism If the prism touches powdered surfaces, then powder usually remains on the prism surface and generates dark spots in the image. The powder can be wiped off from the prism with a soft cloth.

10.4.4

Taking acquisitions with the CEREC camera

General Taking acquisitions with the CEREC camera

With the CEREC camera you can switch between two acquisition modes: manual automatic After being switched on, the CEREC camera is set to automatic acquisition control.

NOTICE
Image brightness The image brightness during the scan is controlled automatically, so that there is always optimum image brightness, largely independent of the distance between the CEREC camera and the tooth. The surroundings of the tooth to be acquired should be as weakly illuminated as possible. Avoid any type of external light. Switch off the dental light.
Changing from automatic to manual acquisition control

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Supporting the 3D camera

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Changing from automatic to manual acquisition control

You can switch from automatic to manual acquisition control.

You are in automatic acquisition control.

1. Move the mouse cursor over the camera icon. 2. Press the foot control upward and keep it pressed. A green cross appears in the live image. Manual acquisition control is enabled. You can leave manual acquisition control by following the same process.
Automatic acquisition control

Automatic acquisition control

To help avoid blurred acquisitions caused by withdrawing the CEREC camera too early, an acoustic signal sounds as soon as the acquisition is completed. Make sure that neither the Windows volume control is at the lowest position nor Sound off is activated. 1. Position the CEREC camera as described above the powdered tooth. 2. Once a sharp acquisition is possible, images are generated and transmitted to the 3D preview automatically. Observe undercuts on all lateral edge lines of the preparation. 3. Move the camera until all required images have been acquired. The model is restored automatically in the 3D preview during the acquisition. 4. Then check the above points once again. Take care that the optical impression is sufficiently bright, sharp and free of motion blurring. If you do not observe these points, one of them may have a negative effect upon the subsequent procedure. If you click the scan icon of the upper jaw, lower jaw or buccal registration, you can take additional acquisitions of the upper jaw, lower jaw and the buccal registration.
Manual acquisition control

Manual acquisition control

1. Press the foot control upward and keep it pressed. A green cross appears in the live image in the camera view. 2. Release the foot control. The acquisition is automatically transferred to the 3D preview. 3. Additional acquisitions can be created by repeating steps 1 and 2. The model is restored automatically in the 3D preview during the acquisition. 4. Then check the above points once again. Take care that the optical impression is sufficiently bright, sharp and free of motion blurring. If you do not observe these points, one of them may have a negative effect upon the subsequent procedure. If you click the acquisition icon of the upper jaw, lower jaw or buccal registration, you can take additional acquisitions of the upper jaw, lower jaw and the buccal registration.

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10.4.5

Supplementary optical impressions

Supplementary optical impressions

Acquiring the neighboring teeth as well

Overlap area 8mm

If the neighboring teeth are to be completely imaged as well, then the image catalog can be extended by acquisitions of these teeth. The overlap area of two neighboring acquisitions must be at least 8 mm.

10.4.6

Angled optical impressions

Angled optical impressions

Additional angled optical impressions

Additional angled acquisitions are possible. They can be used to acquire regions that are concealed in the occlusal acquisition direction, or to acquire steep walls in more favorable angles.

IMPORTANT
Proximal undercuts Proximal undercuts may make it impossible to seat an inlay. The maximum permissible tilt angle for capturing an additional optical impression of the same area is 20.

10.4.7

Optical impressions for quadrant restoration

Optical impressions for quadrant restoration

For quadrant restoration it is recommended to acquire the prepared teeth as well as an unprepared neighboring tooth in each case. It can be covered by capturing several supplementary optical impressions.

10.4.8

Acquiring end teeth

Acquiring end teeth

End tooth at the distal margin

When end teeth are restored, the end tooth should lie at the distal margin of the image field.

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10.4.9

Acquiring an impression
Acquiring an impression

Preparing an impression

In certain circumstances, the impression must be cut free somewhat,

If scannable silicon is not used, provide the area to be acquired with a matt finish to prevent reflections. For this purpose, use CEREC Optispray.

so that the definition of the image of the CEREC camera is sufficient.

Acquiring an impression
1. Click on the icon of the desired image catalog. 2. Open the image catalog. 3. Click on the "Advanced" button. 4. Click on the "Impression Scan" button. 5. Start the acquisition procedure. In the 3D preview, the model is displayed on both sides. The model preview is displayed in yellow, whereas the preview of the casting itself is shown in green. As long as "Impression Scan" mode is active, acquisitions are inverted while creating the virtual model. "Impression Scan" mode is available for all image catalogs. The various catalogs do not need to be acquired in the same mode.

10.4.10

Finishing the phase

acquisition phase Finishing the phase

All necessary acquisitions are available (jaw, possibly opposing jaw,

and buccal bite acquisition).

The "MODEL" phase is can be selected.

Click on the "MODEL" phase. or
Click on the double arrow.

The program switches over to the "MODEL" phase.

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11

MODEL phase
MODEL phase

In the "MODEL" phase, virtual models are calculated based on the acquired image catalogs.

11.1 Buccal registration

Buccal registration

In this step, you see the virtual models of the jaw, opposing jaw, and the buccal acquisition. The buccal acquisition is placed in the center between the lower jaw and upper jaw.
General

In the "Bite Registration" step, you can work with the following tools: Drag Buccal Flip Buccal Impression The use of the individual tools is described in the section Side Panel [ 35] . For further information on the "Flip Buccal Impression" function, see the section Buccal registration [ 62].
Rotating models

Rotating the lower and upper jaw

Click in the blue area with the left mouse button and hold the button down. The lower jaw and upper jaw can be rotated about the vertical axis simultaneously. Click on the lower jaw or upper jaw with the left mouse button and hold the button down. The jaws can be freely rotated individually.
Registration

Registering the buccal acquisition on the lower jaw and upper jaw
1. Rotate both models so that you can see the overlap area of the buccal acquisition and of the upper jaw and lower jaw. 2. Now drag the buccal acquisition to the corresponding area of the upper jaw with the mouse and let go of the mouse button (drag & drop).

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The buccal acquisition automatically registers itself on the upper jaw. If the registration was successful, this will be indicated by a "leopard pattern". If the registration was not successful, the buccal acquisition returns to its original position. In this case, you must repeat the drag&drop procedure in order to find a better correlation surface. 3. Now click on the buccal acquisition once again and drag it onto the appropriate area of the lower jaw (drag & drop).

If the registration was successful, this will be indicated by a "leopard pattern". If the registration was not successful, the buccal acquisition returns to its original position. In this case, you must repeat the drag&drop procedure in order to find a better correlation surface. It is irrelevant whether you drag the buccal acquisition onto the lower jaw or onto the upper jaw first.
Rotating the buccal image

Rotating the buccal image

In some cases, the buccal acquisition may be displayed upside down in relation to the lower jaw and the upper jaw. Proceed as follows in such cases: Click on the upper area of the buccal image and drag it onto the lower model. or
Move the mouse via "Tools" onto the "Bite Registration" button

and activate the "Flip Buccal Impression" command.

The buccal acquisition will automatically flip, and you can then register it on the jaw using the drag & drop technique. This works in the same way vice versa, i.e. if you click on the lower area of the buccal image and then drag it onto the upper model.

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The buccal image is then displayed right side up. Registration is possible without rotation.

The buccal image is then displayed upside down. When you begin the registration, the software detects this and automatically flips the image right side up.
Moving to the next step

Moving to the next step

The step is completed.

Click the double arrow to proceed to the next mandatory step. or
Click on the icon of a restoration in the Dock Bar to start the

preparation of this restoration.

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11.2 Editing the model

Information: Optional step. Editing the model

This step is optional. To access this step, you must click on it.
General information for CEREC SW 4

In the "Edit Model" step, you can work with the following tools: Form Cut Replace Reset The use of the individual tools is described in the section "Side Panel [ 35]".

11.3 Trimming the preparation

Information: Optional step. Trimming the preparation

This step is optional. To access this step, you must click on it.
Introduction

In the "Trim Area" step you can hide image regions outside of the preparation, e.g. mesial and distal neighbors. If the virtual model is trimmed in this design step, both the sides and the bottom are subsequently displayed as closed.
Tools

In the "Trim Area" step, you can work with the following tools: "Trim" The use of the tool is described in the section Side Panel [ 35] .
Instructions

Trimming image regions

You can trim several image regions. 1. Rotate the model to a perspective in which you can see all areas that you want to trim. The model cannot be rotated while you are drawing the line. 2. Double click in any location to set the starting point of the trim line.

Distal neighbor hidden

3. Click to set further points of the line, e.g. in the interdental space. 4. Double click in any position to end the line. Ensure that the closing end of the line does not cut any areas of the model that you want to keep.

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The smaller image region to the side of the line is hidden. Tip: If the wrong image region is hidden, you can switch to the other image region by double-clicking the hidden region.

11.4 Entering the preparation margin

General Entering the preparation margin

In the "Draw Margin" step, you can work with the following tool: Margin The use of the tool is described in the section Side Panel [ 35] .
General information

General information
As you are entering the preparation margin, you can rotate the 3D model. Ensure the left mouse button is pressed and held. A quick click adds a point to the preparation margin. You can edit the finished preparation margin after editing the last line. To enter the preparation margin, a technique can be selected in the Side Panel: Technique Layout Height image Usage In the case of clear preparation margins, for the initial drawing of the border. In the case of unclear preparation margins, for the subsequent correction of the initial border.

"Auto"

"Manual"

Height image

"Manual with intensity image" Intensity image

Entering preparation margin in the case of clear preparation margins

Entering preparation margin in the case of clear preparation margins

1. Start the entry by double-clicking anywhere on the preparation margin. 2. Move the cursor along the preparation margin. Tip: To support the automatic edge detection, click anywhere near the margin on the raised side. There is an automatic correction when the next point is set. 3. Continue this procedure until you are back at the starting point. 4. Conclude the entry by double-clicking the starting point.

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The preparation margin must always form a closed line.

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Entering a preparation margin with unclear edges

Entering the preparation margin in the case of unclear preparation margins

If you switch to "Manual" while entering the preparation in the Side Panel, you can draw the margin yourself. Take care to place the points exactly on the margin and close to one another.

If you wish to see the intensity image in unclear situations, change to the Side Panel in "Manual with intensity image". Tip: The space bar can be used to switch back and forth between drawing modes.
Moving to the next step

Moving to the next step

The step is completed.

Continue with the preparation margins for the next restoration by clicking on the desired restoration in the Dock Bar. or
Click on the next step.

11.5 Defining the insertion axis

CEREC the 4 tools Defining SW insertion axis

In the "Define Insertion Axis" step, you can work with the following tools: Insertion Axis The use of the individual tools is described in the section "Side Panel [ 35]".

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11.5.1

Preparing the right insertion axis

Preparing the right insertion axis

CEREC Biogeneric obtains the information it requires from the occlusal surface and the proximal contact line of adjacent teeth, based on the insertion axis selected by the user. The software stipulates that both levels must be positioned vertically to the insertion axis. If indentations are created by positioning the insertion axis vertically to the occlusal surface in the preparatory steps, you must change the direction of the insertion axis. Deviations of the acquired surface from the actual occlusion have a negative effect upon the quantity of data available for the biogeneric algorithm. This has the potential to affect the quality of the proposal.

E C B G A F

A B C D

Tooth contour Proximal contact line Occlusal surface Insertion axis

E F G

Preparation Undercut Alternative buccal preparation line

(A) displays the original contour of the tooth to be restored. The optimum alignment for the insertion axis (D), in order to provide information for the biogeneric algorithm, is approximately vertically to the proximal contact line (B) and occlusal surface (C). Undercuts (F) may arise with this axis, which is ideal for the biogeneric calculation for the preparation (E). (G) shows an alternative buccal preparation line to optimize the insertion angle and to enable optimum results from CEREC Biogeneric Individual.

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11.5.2

Redefining the insertion axis

Redefining the insertion axis

Tip: Regions within a preparation margin that show an undercut from the viewing direction are marked yellow. 1. Change the position of the preparation such that all yellow markings disappear. If this is not possible, (e.g. in the case of diverging stumps) make sure that all preparation margins are completely visible from the viewing direction and the yellow-marked undercuts are as far away as possible from the preparation margin. 2. In order to achieve an optimum result with CEREC Biogeneric, change the position of the preparation so that the insertion axis is aligned as vertically as possible to the occlusal surface. 3. Then rotate the preparation model so that the model is correctly labeled by the axis designations (mesial<->distal). To do this, rotate the preparation in the occlusal view by grasping the right or left edge of the screen with the mouse pointer and then moving the pointer along the edge of the screen. 4. Confirm with the "Ok" button. The insertion angle of the restoration is determined.

11.6 Confirming quality

Confirming quality

With some licensing versions (e.g. PAYG financing model), you must certify the quality of the model. Only following confirmation, can you change to the DESIGN phase. 1. Check the quality of the model. 2. Carry out any necessary corrections. 3. Click on the "Check Models" button. You have confirmed the model and can change to the DESIGN phase.

11.7 Finishing the phase

Finishing the phase

The next phase is can be selected.

Click on the next phase. or
Click on the double arrow.

The program switches over to the next phase.

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12 DESIGN phase

12

DESIGN phase
DESIGN phase

12.1 Checking parameters

You can check the parameters for this restoration prior to further processing. The values entered here only apply to the current restoration.
Checking parameters

This step is optional. If you skip this step, global parameters are used. You can change the parameters as described in section Parameters [ 19] .

12.2 Editing the restoration

Editing the restoration

The virtual model is used for visualizing and designing a 3D restoration.

The individual tools and their uses are described in the section .

12.3 Finishing the phase

Finishing the phase

The next phase is can be selected.

Click on the next phase. or
Click on the double arrow.

The program switches over to the next phase.

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Once the restoration has been calculated, you can modify the restoration with the tools available in the tool bar.

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13

MILL phase
MILL phase

13.1 Replacing the milling unit

In the "Milling Unit" step, you can select the device to mill the restoration.
Replacing the milling unit

13.2 Changing milling settings

Changing milling settings

For the milling process, you can also select veneer mode and/or fast milling.

Veneer mode
Veneer mode ensures that even the finest structures are taken into account during the milling process. This prevents the veneer and anterior crowns from being positioned improperly.

Fast milling

IMPORTANT
Loss of quality Fast grinding may have a negative influence on the quality of the restoration! If desired, the grinding process can be accelerated for some materials. To do this, activate the "Fast Milling" button. This mode is faster, however the surface of the milled restoration is slightly rougher.

13.3 Positioning the restoration in the block

Positioning the restoration in the block

You can move and rotate the block around the restoration and determine the sprue position using the positioning tools. The tools are described in the section .

13.4 Starting the milling procedure

Starting the milling procedure

Once you have completed the design and assessed the restoration in the milling preview, you can mill the restoration. You can find further information about milling in the corresponding operating instructions.

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