Lecture Handout. Total Connectivity with Technology. Claudio M Levato, DDS. Program Format. Four Interactive Sponsored Workshops 2/19/2011

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(1)2/19/2011. Lecture Handout Total Connectivity with Technology. Practice. Patients. Banking. Claudio M Levato, DDS             . Claudio M Levato, DDS Thursday February 24, 2011 9:00AM to 12:00PM. Insurance. Lab. Professional Referrals. Private practice since 1976 First computer in 1982 Operatory computers in 1985 Voice activated Charting 1987 First cad cam in 1990 First laser in 1991 Digital x-rays 1992 IO cameras in 1992 Chartless since 1999 ASP colleague communication 2000 Optical impressions 2007 Enterprise T1 connection in 2008 CBCT installed 2009. Program Format. Practice Management software.  My only honorarium for this program. comes from the CDS. Complete Web Based Practice Management.  I have nothing to sell you nor get any. compensation if you purchase any product or service mentioned. Total Total Connectivity Connectivity with with Technology Technology. 2D & 3D Clinical Imaging. Value Added software Applications. Four Interactive Sponsored Workshops  Practice Management software.  General hardware infra-structure  Integrating Administrative and Clinical. SOS Totally Connected in the office and the Clouds. applications.  Incorporating the latest 3D clinical applications. Thursday PM. Saturday AM Total Connectivity with Technology.  Incorporating web applications  Concept of complete web based PM solutions. SOS Practice Management Extended. SOS Complete Web Based Practice Management Friday PM. Connectivity in 2D and 3D Clinical Imaging Friday AM. 1.

(2) 2/19/2011.  SOFTWARE ON STEROIDS: Practice Management Extended  Lighthouse 360.  Connectivity in 2D and 3D Clinical Imaging  AstraTech  MyRay  Transcend.  SOFTWARE ON STEROIDS: Complete Web Based Practice Management  Curve Dental.  SOFTWARE ON STEROIDS: Totally Connected in the office and the clouds  Carestream Dental: PracticeWorks and SoftDent  Henry Schein Practice Solutions: Dentrix.  It does not matter what I or any. other dentist choose to work with  It is really about what you want for. your practice that matters  My focus is to share with you over. 30 years of experience with multiple technology applications.  Mogo  Patterson Dental: Eaglesoft.  Many dentists are very confused about what. technology they need.  Many dentists have numerous applications that they have already paid for but are not utilizing  Most dentists do not have seamless integration of clinical and administrative applications.  Technology is the key to information overload.  Impossible to absorb the billions of daily information bytes coming at us  Technology allows us to filter and organize the flow of. information  Leverages time so we can focus on creating a more seamless and productive practice.. 2010 DPR Technology Census Survey Results. September 2010 |. Dental Products Report June 2009 Technology Census. 2.

(3) 2/19/2011. Dentist’s Technology Attitude. Digital Radiography have intraoral sensor based digital x-rays. Of respondents research for data and hands on experience before purchasing. plan to purchase. Source: August 2010 DPR Technology Census. Integration with existing systems Is very important. Source: August 2010 DPR Technology Census. Incorporating new technologies.  Proven record of ROI is. key before purchase Is somewhat important Source: August 2010 DPR Technology Census. Source: August 2010 DPR Technology Census. Dental and Medical Informatics  “The way we handle. information affects the core work of clinicians, and we will not be able to do things down the road without these digital technologies.” Titus K Schleyler, DMD, PhD, MBA University of Pittsburg School of Dental Medicine. 3.

(4) 2/19/2011. The Hardware-software conundrum. The Technology Cycle  Hardware and software are continuously. evolving.  Software company should be your long. term partner.  managing all your data productively and. effectively.  Updating applications.  Hardware becomes a limiting factor with. evolving technology. “What it comes down to is our Software is to hard and our Hardware is too soft”.  will need replacing or upgrading every 3-5. years. Practice Management Software  Glue that holds the digital dental office together  in-depth analysis of everything from patient flow, to cash flow  Allows integration of xrays, photos, charting, progress notes and more.  Depends on where you are  It is best to choose your. software before you buy hardware  Make sure that you design the infrastructure to meet your immediate and future requirements. Practice Management Market share by corporation. Practice Management Software.  There are 3 18% 38%. 21%. Henry Schein: Dentrix & Easy Dental CareStream Health: PracticeWorks & Softdent Patterson Eaglesoft. 23% All Others. 2008 Clinicians Report Survey. major players that control 82% of desktops  Most dental offices already have a PM system  For one company to get a new client, one company will lose a client.  PM dynamics are in a constant. change of flux  Web based applications are. growing  The optimal digital record today. will be a hybrid of land based and web based applications. 4.

(5) 2/19/2011. Trends in Practice Management.  Single source from.  Most PM systems are. incorporating some web based applications  Eventually more and more of the applications will be online  Connectivity will be the driving force in practice management solutions. Most important feature:  Server  Original data.  Local Backup. Hardware infrastructure. Redundant Backup.  External hard drive (1 TB)  Nightly backup with versioning (3 days then overwrite first. day).  Network Backup  Data is backed up on secured partition on other. workstation.  Remote backup. PM parent company  Certified Software. specific hardware providers  Independent hardware providers  Do it yourself. Administrative workstation Basic needs  Tower  Monitor  Battery back up  Laser printer  MS Office basic suite.  Real time on line backup service  Carbonite Pro . http://www.carbonitepro.com.  KineticD . http://kineticd.com. Administrative Workstation Expanded (Optional) needs. Using multiple screens.  Credit card swipe.  Dual monitors.  Signature Pad. allow greater flexibility for multitasking  Networked laptop adds additional flexibility.  Multiple monitors, or larger. LCD  Accounting software such as. QuickBooks or Peachtree  Webcam for taking patient. identification photos  Document scanner. 5.

(6) 2/19/2011. Clinical Workstations. Clinical workstation. Basic needs  Tower  Doctor monitor (12 o’clock)  Battery Backup. Expanded needs    . Dual monitors Patient education software Messaging pop-up software Wireless input devices (keyboard/mouse)  Intraoral Camera  Radiography sensor  TV tuner or DVD for patient entertainment. Medical Grade monitors  Sealed for disinfecting. Rule of thumb.  Better image resolution for radiology.  Chairside computers =. Administrative computers + Server  For example, if you have 5 functioning. operatories, you will probably need 4 administrative computers plus a server.  Have become more affordable. Factors that influence projected labor pricing Less expensive More expensive  . New office construction All new equipment.  Retro-fitting office  Using existing. . New computers.  Updating existing. equipment . Which can be configured and loaded with software in advance. computers. 6.

(7) 2/19/2011. Data Collection  Personal, HIPAA and. account forms  Medical and dental history  Electronic signature  Charting  Periodontal  Restorative  Image attachments  Voice applications. Diagnostic Records  Digital x-rays  Sensors  Phosphor plates  Digitizing film x-rays  Images  IOC images  Digital camera images  Scanning images  Models  Capacity for digital impressions. Intra-oral x-ray options  Direct Sensor. Technology •Indirect Sensor Technology (PSP plates and laser scanning).  By scanning. existing x-rays •Digital or video camera. Advantages of Digital Radiology. Intraoral Digital Sensors.  Saves time  Immediate processing.  All FDA approved sensors will give you a.  Less radiation  Facilitates communication  And the advantages keep. coming. diagnostic image with proper set-up  Virtually all manufacturers invest in. improving their products to be competitive  Best to work with the sensor system that integrates best with your PM system. 7.

(8) 2/19/2011. Schick CDR. Dexis Platinum Sensor.  CDR Elite.  active imaging area is almost 100% of.  simplicity and convenience of. the total sensor size.. a one step cable-replacement process  CDR PlusWire  Interchangeable cable lengths for ergonomics and repair  CDR Wireless.  patented cord placement that allows for. vertical AND horizontal bitewings and all peripherals with a single sensor  direct USB connection, with no controllers or docking stations. KODAK RVG 6100. Myray X-pod.  7th generation of KODAK.  Portable  Complete  Hardware  software. RVG Digital Radiography Systems  LOGICON optional component software (computer-aided-detection tool that helps diagnose interproximal caries).  Whole day charge  Downloadable  Uses storage media. TRU-ALIGN  Rectangular Collimation made simple. Reduces radiation by 75% Improved diagnostic images. TRU-ALIGN. 8.

(9) 2/19/2011.  Have become a. • 2D images are a cornerstone of a digital record. backbone of our clinical record  The best tools to educate our patients  Have become very affordable.  We are a visual society  Photos educate  Photos document procedures  Photos sell dentistry. Intraoral Camera Types USB cameras. Imaging used to document procedures. Transportable cameras with multiple docking stations Integrated cameras in dental units. Digital Camera Types. Digital Dental Cameras  Major suppliers of dental kits  Photomed. 800-998-7765 .www.photomed.net  Lester A. Dine Inc Corp  800-624-9103  www.dinecorp.com  Norman Cameras  800-900-6676  .www.normancamera.com  .  Digital SLR. •Point and shoot. 9.

(10) 2/19/2011. Minimum digital photo series. With a little photography training. Expanded photo exam. Consultation and Education  Multimedia patient education  Imbedded in PM software  Bridging applications or web based  Printing or Burning to CD  Treatment plan capabilities  Integration of procedures with education. Treatment  Progress Notes  Image Documentation  Prescriptions  Lab slips and attached. images  Post op instructions. 10.

(11) 2/19/2011. Financial Management  Electronic pre-estimations  Real time EOB.  Attachment Warnings  Validation & Rejection. Reporting  Aging Claim Status Report  Instant results for Insurance Verification. Laboratory Communication. Referral  Electronic referral of. patient to specialist  Tracking of referrals of. incoming patients  Tracking of referrals to. others  Importing data from. referral sources. Recare.  Electronic laboratory. communication  Lab prescriptions with. image attachments  Laboratory tracking and scheduling.  Tracking. patient recall  Recall. reminders. These Four Practice Management Programs. Practice Management Programs. All. Not all.  Have fully integrated clinical.  Sell and maintain hardware. and administrative applications  Have web based applications usually referred to as eservices  Have communication applications  Extremely robust with features. services  Have imbedded patient. multimedia education  Provide backup services. 11.

(12) 2/19/2011. Workshop on Saturday morning  Will provide live demonstrations of most recent. release  Will focus on connectivity issues. Value Added Software Applications.  Will be forum to ask specific questions  Each participant will be able to participate in two one. Practice Management Extended. hour interactive demonstration sessions  Opportunity to see function in real time. What is practice management extended software?  Software that utilizes the existing data collected within your practice management system  Uses that data to enhance. the performance of your practice using web based technology. No one company has a special relationship with. Value Added software programs interact with the data three different ways  For external marketing  Web site with SEO (search engine optimization)  Video, Google AdWords and social network campaigns  Direct mail tied into website  For internal marketing  Surveys and Newsletters  Recall and Reactivation letters  For practice analysis reporting  Tracking demographics and data  Recording and tracking phone calls  Automated accountability reporting  Graphical analytics and online portal. The difference between computerized and automated  Computerization still requires action by.  Most, if not all, Practice Management. Extended systems provide the mechanism that allows the collection of patient surveys and other SEO (search engine optimization) strategies.. someone, whereas automation does it automatically  Systems that provide a lot of information that require interact ion reduces the chance of success.  Automated systems that push vital information directly to the team or does the work for them increases success. 12.

(13) 2/19/2011. MPM (Marketing performance, measurement and management)  Old management adage that is still very. accurate today.  You can't manage for improvement if you don't measure what is getting better and what isn't..  Describes the analysis and improvement of the. efficiency and effectiveness of marketing  By focusing on the alignment of marketing activities,. strategies, and metrics with business goals  It involves the creation a metrics framework to monitor. marketing performance.  Practice Management programs gather a great deal of. data  Practice Management programs have become increasingly complex with the ongoing development over the past decades  Practice Management programs continually upgrade their software but the scope is so large that there is room for specialty software to mine and optimize the data and provide additional solutions.  Founded in 2000  Markets  Dental  Medical  Eye care  Plastic surgery  Derm/aesthetics. Value Added Applications.  Founded in 2003  Products  Demaindforce Email finder  Demandforce Mobile  Demandforce WebFeed  Demandforce Connect  Markets  Dental  Automotive repair facilities  Spas and salons. 13.

(14) 2/19/2011.  Total recall  Hygiene appointment. scheduling  Electronic appointment card  Appointment reminders  1-click confirmation  New patient welcome kit.  Founded in 2007  Automates many of the tasks     . you do by hand Patient Communications Online reviews Practice Analytics Direct Mail Marketing Mobility tools. Focused Value Added Applications.  Founded 1992  17,000 business  Medical  Dental  Hospital/ Enterprise  Financial  Utilities.  Founded 1999  Complete Patient Connection System  Web design  Search  Patient login  Reminders  Collaborations  Online marketing.  Works with all major. dental practice management software  Reads the data from your practice management software and your accounting software  Makes recommendations on how to utilize the graphs and charts to run your practice. 14.

(15) 2/19/2011.  Founded 2006  Exclusively in dentistry  Nov 2009 first. customer  March 2010 began marketing  First cost-effective service that reactivates your lost & unresponsive patients. How my office connects to our dataBASE. Personalized according to patient record. Dentist’s digitized signature. Language calibrated & proven to elicit patient response. Log me in.  Logmein  To connect directly to. our server.  Lighthouse plz  Connect to our site on. lighthouse portal. LighthousePLZ iPhone app. Lighthouse plz Home page w/ NP statistics menu. 15.

(16) 2/19/2011. Lighthouse plz Check your schedule. In office and web schedules. Lighthouse plz Patient history screen. Connectivity is the key  All these applications. are designed to make the data dynamic  Give you real time access to your office  With information comes knowledge  which acted upon yields results. The Big Question….. The Concept of Complete Web Based Practice Management. Does the Web may make sense for Complete Web Based Practice Management?. 16.

(17) 2/19/2011. Advantages  Instantaneous upgrades  No hardware compatibility. issues  No related IT costs. Setup  Reduced hardware expense  Installation.  Incomparable Availability  Data always available from. anywhere with Internet access.  Ultimate Backup  Professionally maintained  Geographic redundancy.  maintainence. .  No licensing fees  Reduced costs  Monthly subscription costs. If Web-based software has so many advantages over clientserver software, why aren’t more doctors using it?. Security: My data is not safe on the Web . Fear !!!. Security: My data is not safe on the Web . Your server “room” vs. the professional data center     . Average length of time for complete implementation for client-server software is between 30 and 60 days Implementation for web-based software begins the moment you enter a username and password  Training may take a few days  A data conversion may take a few days. .  Related IT savings. Physical security: Your broom closet vs data center Perimeter security: Your run-of-the-mill security system vs professional security officer Redundancy: Your mirrored drive vs multi-server, multi-location redundancy Fire, Flood, Earthquake: You got nothing vs. multilocation redundancy Data encryption: You got nothing vs. standard government/banking protocols. There are risks no matter how we function, on the web or in life, but when we consider how much banks and governments use web based applications, security is pretty well handled.. Security: My data is not safe on the Web . . . If you’re data isn’t safe, why are you shopping and banking online? Is your money safer under your mattress or at the bank? Bottom-line: Your data is actually safer with a Web-based system. 17.

(18) 2/19/2011. What if my Internet service goes down  Quick answer:  Cell phone internet connection can have you back up in seconds  Right answer:  How often does this happen?  The utility company mobilizes a crew of men to fix the problem—immediately. But I want my data in my office. What if my Internet service goes down  You may actually increase the amount of time you have. access to your data with a Web-based system    . What about Imaging?.  Why? This is an emotional response, not a logical one  You can download your data if you want to. .  What if you choose to leave your web based system?  With some companies you can pay for read only access if you discontinue service so you can still access your data long after you moved to a different system. . Is your practice a good candidate for web based software?. Server crashes: downtime Software upgrades: downtime Special server administrative functions: downtime Hardware upgrades: downtime. . Typical solution has been to bridge from Web-based practice management software to imaging software The ability to place images on the chart attached to specific teeth is still a challenge Uploading images to the web based PM system will depend on the speed of your internet connection and the size of the image files. Scenarios that may lead you toward web based solutions.  Sometimes we accept things for what they are rather. than what they should be  The more we understand about what is available, the. better we can make decisions  This is not something to take lightly but there are choices to make and web based solutions is where most applications are heading..  Frequent server or hardware. interruptions  IT costs are getting too costly  Prefer to use a MAC  Want easier multi location solution. 18.

(19) 2/19/2011. Web Based Dental Software. Planet DDS: Denticon  Practice management. software  Image management. Planet DDS: Denticon Dentisoft Technologies: Dentisoft office online Curve Dental: Curve Hero.  Patient relationship. management  Paperless office  Virtual business services. Dentisoft Technologies  Practice management    . software since 1995 Dentisoft Office LITE Dentisoft Office ONLINE Dentisoft Office DESKTOP DentalAppointments.com. Curve Dental.  Patient portal  Dentisoft Sites  websites. Curve Dental. Curve Dental Software Features.  Curve Dental was founded by.  Dental and perio. Matt Dorey  Was kept under wraps for 5 years during product development  Introduced to industry opinion leaders in Moab Utah in 2009. charting  Clinical notes  Patient education  Treatment planning  Billing software  Reporting.      . Scheduling Insurance management Training Communication Data back up Imaging. 19.

(20) 2/19/2011. Comparison Eaglesoft and Curve Hero. Comparison Eaglesoft and Curve Hero. Diagnostic 3D Clinical Applications. Synopsis  Three-dimensional applications are making a. profound impact in dentistry.  the advent of cone beam tomography has opened new. vistas and opportunities to better serve our patients. CT (Computed Tomography) CBCT (Cone Beam Computed Tomography) MRI (magnetic resonance imaging) PET (Positron emission tomography) Medical Sonography.  by improving our ability to diagnose and subsequently. better plan and execute our treatments.  Three-dimensional software applications are. dramatically expanding our clinical horizons. 3D Clinical Applications  Diagnostic  Planning  Operational. Operational. Diagnostic. Planning. Diagnostic: CT (computed tomography)  Medical CT scans  have higher resolution  Higher radiation exposure  Usually in hospital setting  Higher cost. 20.

(21) 2/19/2011. Medical CT scan. Medical CT scan imported into Invivo software. Same CT scan. Diagnostic: CBCT (cone beam computed tomography)  Cone Beam Computed Tomography  Maxillofacial Volumetric Computed Tomography. In vivo software. Medical reader software. Diagnostic: CBCT (cone beam computed tomography)  First CBCT approved. Cone beam computed tomography components . X-ray unit: . in 2001 New Tom .  Now we have over. 20 FDA approved units. Control unit: . . reconstruction software to convert two dimensional image into a three dimensional volume reconstruction. X-ray unit Control unit. Workstation: . . produces two-dimensional images of the head using a single cone beam with a rotation sequence in one scan. three dimensional volume reconstructions are created, displayed and managed by software. workstation. Database: . storage of three-dimensional reconstructions. database. 21.

(22) 2/19/2011. How CBCT works. CBCT Image elements.  CBCT has higher.    . efficiency in x-ray use  Time required for CB is comparable to time for a single fan beam  Mechanical simplicity and moderate x-ray requirement make CBCT more cost effective.  Fabricating stereolithographic surgical guides for. implants  Into 3rd party software for implant planning  Or creation of 3D models. CBCT scanners . CT Scanners Detection systems. All provide 3D information but vary in. . detector selection. . patient positioning scanning parameters viewing software.  . CT Scanners Detection systems.  Flat panel detector.  Image Intensifier detector. Digital Image.  Captures photons, converts. them to electrons that contact a fluorescent screen that emits light captured by a CCD camera.  The software reconstructs the sum of exposures with the manufacturer’ s proprietary algorithms. Patient CCD Camera. X-ray Tube. Image Intensifier. Let’s look at. Digital Image.  Receptor captures 2D images. directly. Flat Panel.  Absorbs photons that are. converted to an electric charge which is measured by the computer  The software then reconstructs the sum of exposures with the manufacturer’s proprietary algorithms. Voxels Isotropic-equal in all dimensions Facilitates measurements for implants Standardized data (DICOM) can be easily exported.  3 different acquisition units  3 different FOV. X-ray Tube.  Same patient Patient.  Same software. 22.

(23) 2/19/2011. Planmeca ProMax 3D •Standing •Flat panel •Small FOV (3+in). MyRay skyView •Supine •Image Intensifier CCD •Medium FOV (6in). Imaging Sciences iCAT •Sitting •Flat panel •Large FOV (9in). Will import all 3 images into same software. Skyview scan in InVivo. They each come with their own software Planmeca ProMax 3D Romexis. iCAT Vision. MyRay Skyview. Planmeca scan in InVivo. iCAT scan in InVivo. 23.

(24) 2/19/2011. Planmeca scan: panoramic view. Skyview scan: panoramic view. iCAT scan: panoramic view. Planmeca scan: implant planning. Skyview scan: implant planning. iCAT scan: implant planning. 24.

(25) 2/19/2011. Third party 3D softwares. Software applications.  Facilitates working with DICOM files, processes data faster  Value added applications that facilitates diagnostic and treatment planning productivity  Enhances patient education and consultative processes. Merge data with photo. Stitching separate scans. Stitching pre and post op scans Implant Planning. 25.

(26) 2/19/2011. Stitching open and closed TMJ scans. Data managament  Data Export from. Imaging Device  Virtual Planning  Transmitting data for. drilling templates  DICOM. Why 3D in Dentistry?  Improves Diagnosis  No superimposition  Exact measurements 1:1 in. all dimensons  Exact Definition of structures. Why 3D in Dentistry?  Patient Education / Practice Marketing  Visualisation of. Why 3D in Dentistry?  Therapy  Exact. Orientation in 3D  Conservation of good anatomy  Optimal preparation  Shorter treatment time. Why 3D in Dentistry?  Prevention  Early discovery of. pathological changes. Patients Anatomy  3D Rendering  State-of-the-art. 26.

(27) 2/19/2011. Driving Force in current technology applications. Implant driven applications  CBCT sales  3D imaging software  Surgical guides  Stereolithic construction. Implants and related applications. Dental Implant market.  Dental Implant Market To. Exceed $1 Billion By 2013 Despite Current Economic Slowdown  http://www.medicalnewstoday.com. /articles/144254.php  Dental Implant Market in U.S.. to Recover from Economic Crisis by 2010 and reach $1.5 Billion by 2015  http://www.osseonews.com/drosse. o/content/78779-dental-implantmarket-recover-economic-crisis2010. As the implant market expands  More dentists will incorporate. implant placement  CBCT imaging demand will. increase  3D software applications will be. expected to improve and become more intuitive  Guided implant techniques and applications expected to increase. Comparisons of 2D and 3D Imaging. 2D and 3D Clinical Planning Applications.  2D radiographic imaging is over 100 years old.  Limitations on accurate diagnosis when all you have is two dimensions  3D is more accurate for measurements but resolution. of CBCT is inferior  The 3D image will give you much more information. but takes more time to read. 27.

(28) 2/19/2011. Comparisons of 2D and 3D Imaging. Comparisons of 2D and 3D Imaging. 2-D implant planning x-rays. 2-D Treatment planning XCPT  Simplified. protocol  Requires only. digital camera, laptop and software. Use of CBCT scanning pre-operatively. Much easier when planning multiple fixtures.  More accurately pinpoints vital. structures  Zone of safety may be reduced. to 1 mm with use of computeraided design and production of a surgical guide.  Reduces procedure time. 28.

(29) 2/19/2011. 3D implant Planning Data Managament.  Facilitate.  DICOM file standard  Data export from. Imaging Device for  Virtual Planning.  Transmitting data for. drilling templates  Consultations with. colleagues. 3-D implant planning. 3-D Implant Planning.  Anatomage  Dolphin. In beta test. 3D implant Planning. Guided surgery.  Nobelguide  Diagnostics  Radiographic guide  CBCT w guide  Design  Design and approve  Lab fabrication of provisional  Execute  Surgery  delivery. 29.

(30) 2/19/2011. Guided surgery. Guided surgery Pre-op. Post op. Pre-op. Post-op. Operational 3D Clinical Applications. Sirona CAD/CAM Systems. CEREC AC. The Evolution of CEREC. CEREC 3D CEREC 3 CEREC 2 CEREC 1. In office CAD/CAM Optical impression systems. 2009 2003 2000 1986. CEREC Acquisition Center  Bluecam’s LED technology  Automatically captures the digital impression  Full arch impressions in 2 min  Access to CEREC Connect with. current and future digital applications  Prepared for voice control and. 1994. CEREC Connect  Connected to thousands of labs. via web based portal  Digital impressions with no. additional fee  Immediate viewing of digital. impressions for laboratory communications. output. 30.

(31) 2/19/2011. CEREC In Lab  Scan, Mill and Sinter  Make individual units from. digital file, as well as 3 unit temporaries  crown copings, bridge frameworks, full crowns, inlays, onlays, temporaries, abutments and veneers.. E4D. CEREC meets Galileos  Reliable diagnostic capabilities with CBCT imaging  Simultaneous prosthetic and surgical planning  Improvements in patient education and consultation  In house CEREC drilling templates (soon)  Chairside provisional restorations, individual abutments. E4D Dentist  Chairside scanning, designing and. milling system  Dentist.  Labworks  Studio  Compass. E4D Labworks  Laboratory scanning, designing and. milling system.  E4D clone can precisely copy pre-op,. wax up or provisional model  E4D Studio can be used for remote design capabilities  Materials     . IPS Empress IPS e.max CAD Paradigm C Paradigm MZ100.  Does not need powder or sprays  Wireless connection to milling  Materials  IPS Empress  IPS e.max  CAD  Paradigm C  Paradigm MZ100. E4D Studio  Can complement dentist or lab. system  Communicates wirelessly. through your network  Completes design process  Ideal for extra workstations,. satellite offices or remote design center. 31.

(32) 2/19/2011. E4D Compass. E4D Compass.  Software application that. provides restorative driven implant therapy solutions  Merges data from CBCT and E4D optical impression to plan implant therapy and construct surgical guide. Lava Chairside Oral Scanner. Nobelbiocare scanner.  3D in motion technology  Captures 20 3D data sets per.  Conoscopic holography:. second  Models the data in real time.  Projects and reflects light. Cadent iTero  Parallel confocal imaging. utilizies laser and optical scanning to capture image  Models made of stable polyurethane  Occlusal relation is scanned directly and transferred to unique iTero articulator. Leading-edge technology beams from a scanned object across the same linear pathway.  This co-linearity measures steep angles and deep cavities for precision scanning..  Delegable  More accurate. 32.

(33) 2/19/2011.  Additional cost  Must be able to. visualize margin  Adds additional. clutter to operatory space. Soon to be released  Non proprietary optical impression system  Reduced size  USB connection to your laptop. computer. Example of scan. Digital imaging to come. Scan time: less than 1 minute. Detail visible on the reverse side (inside). 33.

(34) 2/19/2011. The M Ruler Is an algorithm used for the positioning of teeth in their ideal position, width and length into the maxillary.. Dental GPS Smile Simulation and Case Planning Software Dental GPS/ Simulation & Lab Prescription Software. Dental GPS/ Simulation & Lab Prescription Software. Providing X and Y axis of the simulation to the laboratory according to the Smile Line. 5.60 mm. 4.70 mm 2.24 mm. 2.80 mm. X. Simulation. Y. Finalsoft restorations The M Ruler brings tissue into the dental lab. Dental GPS/ Simulation & Lab Prescription Software. You Can Reach Me at  Means more control for. our practice  More efficiency and effectiveness  Real time communication  Reduce redundancy  Empower staff  Leverage time. Practice. Banking. Patients. Insurance. Lab. Claudio M. Levato, DDS 183 South Bloomingdale Road Bloomingdale, IL 60108 630-529-2522 fax: 630- 529-2270 www.comprehensivedentistry.com clevato@comprehensivedentistry.com. Professional Referrals. 34.

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