Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
Contents
1. Patient management
2. Image management
3. 2D Imaging module
3.1 2D image acquisition
3.2 Image archival
3.3 Study templates
3.4 Viewing
3.5 Image processing
3.6 Measurements and drawings
3.7 Crop and rotate tools
3.8 Object browser
3.9 Printing
3.10 Communication and sharing
4. 3D Imaging module
4.1 3D image acquisition
4.2 Printing and reporting
4.3 Communication and workflow
4.4 3D Explorer module
4.5 Pseudo panoramic reconstruction
4.6 3D Implant planning
4.7 Implant Guide design
4.8 TMJ diagnostic module
4.9 3D superimposition module
4.10 Surface module for 3D photos and STL models
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
5. CAD/CAM module
5.1 Scan view
5.2 Margin view
5.3 Analyse view
5.4 Send view
6. Smile Design module
7. Workflow wizards
8. Report module
9. Image and data sharing
9.1 Romexis Viewer
10. Administration module
11. Romexis DICOM Functionality
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Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
1. Patient management
• Patient search by ID or by first/last name from the database
Note: Patient creation and searching can be disallowed from non-admin users if patients are created and opened in
Romexis using Practice Management software link or another integration SDK
• Patient search by image type, date and image comments
• Dynamic search, automatically updating the patient list as search criteria are typed
• Patient ID photo visible to confirm identity
• Patients can be sorted according to the latest activity date
• Creating new patients
• Editing patient information
• Require reason for opening the patient
• Assigning patient to provider
• Searching only assigned patients from the database
• Creating Template and Virtual patients for educational use
• Patient Demographics
• Patient name, ID, Address, employer, date of birth, gender, nationality, language etc.
• DICOM Worklist search
• DICOM Query/Retrieve
• Instant image preview when clicking the patient name
• Right click menu to start 2D- or 3D-X-ray image capturing, TWAIN scanning or intraoral scanning
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
2. Image management
• Image import for all image types: 2D, 3D, STL, 3D photos, SmileDesign
• Image export for all image types; 2D (jpeg, png, tiff, bmp), 3D (DICOM, stl, ply, obj)
• Image acquisition: 2D- and 3D- image capturing, TWAIN scanning, intraoral scanning
• Image browser with thumbnails
• 2D images; pan, ceph, intraoral, photos, studies, CBCT snapshots
• 3D images; CBCT, 3D photos, Surface model
• CADCAM cases
• Smile Design cases
• Attachments; videos, pdfs, etc.
• Sorting images by type, tooth number and date
• Inactivating images
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
3. 2D Imaging module
3.1 2D image acquisition
• KaVo ProXam 2D
• KaVo ProXam iS
• KaVo ProXam iP
• TWAIN compatible X-rays, scanners and digital cameras
• Supports configuration of multiple TWAIN sources for
users to choose from
• Recording from video sources where compatible video
interface is available
• Image types: panoramic, intraoral, cephalometric,
photos, snapshots of 3D volumes
• Image import formats: TIF, JPG, JPEG 2000, BMP, PNG,
2D DICOM
• Partitioning a 2D image into smaller images using a
pre-defined study template
3.2 Image archival
• Flat files in server file system
• Central on server, network drive or storage attached to
server
• Image archive can be extended to span
multiple disk volumes
• X-ray image storage modes: 8bit or 12bit
(4096 grey levels)
• X-ray image storage file formats: DICOM (lossless
compression), TIF (lossless uncompressed), JPG (lossy
with configurable quality) or original when imported
• Photo storage modes: 24bit color
• Photo storage file formats: JPEG or original format
when imported
• Tooth numbering: ADA and FSI/OSO
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
3.3 Study templates
• Creating /editing study templates for all type of
2D images
• Image capturing and TWAIN acquisition directly into
study templates
• Combining different image types to same template
• Moving, swapping, maximizing and removing images in
study templates
• Comparing 2 or more images from study template side
by side
• Comparing two studies
3.4 Viewing
• Zoom in /out
• Magnifier with local invert, equalise, sharpen and
emboss
• Zoom to fit and 1:1
• Full screen mode
• Multiple image layout tool
• Floating 2D-images which can be drag and resize freely
on multiple monitors or viewed in 3D module
3.5 Image processing
• Original image is always retained and processing is
applied when image is opened for viewing
• Preset parameters can be applied each image type
at acquisition time (direct capture only)
• Brightness and contrast, Median filter, Softening filter,
Sharpening filter, soft tissue filter for cephalometric
images, Invert, Pseudo colors, Level adjustment
(Gamma curve and windowing)
• CLARIFY contrast enhancement filter, different
default values for all image types
• Optimization of intraoral image by region of interest
for diagnostic tasks
• Undo / Redo
• Return to original image,
• Image rotation; mirror, horizontal mirror, rotate
clockwise, rotate counter clockwise
• List of the image adjustments
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
3.6 Measurements and drawings
• Calibration of the image
• Measure length and angle
• Line profile measurement
• Histogram of grayscales
• Region of interest
• Drawing; line, horizontal line, vertical line, arrow,
rectangle, Ellipse, Text, Polyline, Curve
• Color settings for different types of measurements
• Image comment
• Image diagnosis
3.7 Crop and rotate tools
• Free rotate
• Rotate left and right 90 degrees
• Free crop
• Mirror horizontally
• Mirror vertically
3.8 Object browser
• Easy management of objects added to the images
such as annotations, measurements and implants
• Show/Hide, Delete, Edit
3.9 Printing
• WYSIWYG print editor
• Single and multi-image printing
• User definable reusable print templates
• Brandable page headers
3.10 Communication and sharing
• Document attachments in any format
• Export formats: TIF, JPG, BMP, PNG, 2D DICOM
• Image export with patient data
• Possible to export image with free-to-use Viewer
• Possible to export image to writable DVD
• Possible to set default folder for “export all” function
• DICOM 3.0 compliance
• Storage SCU/ SCP
• Worklist SCU
• MPPS SCU
• Query/Retrieve SCU
• Print SCU, also see Printing above
• Storage commitment SCU
• DICOMDIR media storage
• See DICOM Conformance Statement for details
• Automatic storage with scheduling and possibility to
delete images after they have been committed to PACS
• Interface to Practice Management Systems: Planmeca
PMBridge, VDDS, InfoCarrier
Floating 2D-images can be viewed in 3D module
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
4. 3D Imaging module
4.1 3D image acquisition
• KaVo ProXam 3D
• KaVo ProXam 3DQ
• Impression capture for scanning impression and
producing an STL file that can be processed further
• Image types: 3D CBCT, 3D photo, 3D surface scan,
3D intraoral scans
• 3D data import formats: DICOM 3D Multi-frame,
DICOM 3D Single-frame, DICOMDIR, STL, PLY
• Creating a copy of 3D volume
• Merging of modalities to create a 3D virtual patient
• Stitching multiple volumes
4.2 Printing and reporting
• Single and multi-image printing
• User definable reusable print templates
• Brandable page headers
4.3 Communication and workflow
• Easy navigation between submodules (Explore,
Panoramic, Implant, TMJ, Superimpose, Surface)
• Easy 2D snapshot generation of any 3D slice view.
Generated snapshots can be accessed from 2D imaging
module
• Possibility to view all type of 2D images (panoramic,
photos, intraoral, cephalometric) in 3D imaging module
• Possibility of defining default user settings
• Export formats for original 3D data including patient
information: DICOM 3D Multi-frame,
DICOM 3D Single-frame
• Export formats for intraoral scans and surface models:
STL (surface only), PLY (surface & texture)
• Export for STL objects; custom abutments, implant
extension, segmented teeth, segmented jaws, implants
in cylinder format, airways, surgical guides, splints,
intraoral scans, crowns.
• Converting/exporting CBCT to STL format
• Export formats for 3D photos STL (surface only),
Waveform OBJ (surface & texture), PLY
(surface & texture)
• Export formats for 2D snapshots: TIF, JPG, JPEG 2000,
PNG, BMP, PNG
• Different export options, possibility to include Romexis
Viewer and its launcher
• Combined export of mapped CBCT, 3D photo, and
STL data i.e for Dolphin.
• Quick launch and CBCT data transfer to 3rd party
programs
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
4.4 3D Explorer module
• Viewing
• MPR (Multi-Planar Reconstruction)
• Customisable 3D volumetric rendering including enhanced depth simulation and cleaning tool
• Soft tissue visualization
• Generation of 3D resliced stacks
• Multipage slice printing
• Volume and orthogonal plane navigation modes
• Image processing
• Brightness/contrast/gamma (window & level)
• Sharpness
• Noise filter
• Cropping
• Annotations and measurements
• Simple annotations: length, angle, label, label with arrow
• Area and 3D measurements with statistics: box, ellipse, cube, ellipsoid
• Saved Views
• Save named Views to store slice positions and settings to access points of interested easily at later time
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
4.4 3D Explorer module continues
• Segmentation tools
• Semi-automatic/intelligent tooth segmentation
• Segmented tooth can be moved
• Segmented tooth can be virtually extracted from data
• Jaw segmentation
• Export and transfer of segmented models as STL files
to 3rd party systems
• Airway segmentation with measurements
• Manual segmentation tool
• Creating virtual 2D cephalometric image
• Converting CBCT volume to STL surface model
• 3D region growing tool
• Software-assisted volumetric segmentation
• Estimation of area and volume and analysis of anato-
mical structures
• Measurements, annotations, and drawing
• Object browser
• easy management of objects in the case such as
annotations, views, implants, nerves etc., resulting
in faster workflow
4.5 Pseudo panoramic reconstruction
• Tools for automatic panoramic view generation of
3D volumes
• SuperPan for automatic pseudo panoramic view
• Autofit for automatic panoramic curve placement in 3D
• Autofocus for adjustment of optimal focal layer based
on automatic 3D anatomy recognition
• Panoramic curve drawing and editing tools
• Mirroring of cross-sectional slices from panoramic
curve
• Rendered panoramic views including surface, X-ray
and MIP B/W
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
4.6 3D Implant planning
• Cross-sectional and panoramic views
• Nerve canal tracing
• Realistic implant library, over 120 manufactures
• Abutment library and generic abutment designer
• Generic crown library
• Size adjustment of generic crowns
• Mirroring implants and crowns
• Implant verification tool
• Alignment of multiple implants
• Extension rod for implants for helping in their positioning
• Implant safety areas and alerts for guiding their
positioning
• Implant plan PDF report
• Implant sleeve and fixation pin libraries
4.7 Implant Guide design
• Designing of a surgical implant guide for one or
multiple implants
• Tooth and mucosa supported guides
• Fully guided and pilot guided
• Thickness and fit adjustment parameters
• Normal, High and Very high resolution selections
• Virtual tooth extraction from the intraoral scan
• Full and pilot drilling guides with or without tubes
• Automated implant manufacturer protocols with
integrated guide surgery kits
• Adding text and adjusting text depth and size
• Creation of an open STL for 3D printing
• Open STL export
• Implant guide PDF report
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
4.8 TMJ diagnostic module
• TMJ analysis with side-by-side multi slice views of condyles
• Freely definable condyle slice positions
• Freely adjustable 2D slices: length, thickness, number
4.9 3D superimposition module
• Superimposition of two volumes for comparison, e.g. TMJ open/close, pre-op and post-op results
• Automatic/manual fitting and viewing of two CBCT volumes
• Synchronized 2D views
4.10 Surface module for 3D photos and STL models
• Visualization of multiple 3D photos
• Grid to facilitate symmetry analysis of image
• Comparison of two 3D photos or surface scans
• Distance and angle measurements between two surfaces
• Deviation map: viewing and labelling deviation directly
on image
• Region of interest marker tool
• 3D photo and STL images fitting wizard
• Cropping/trimming for STL files
• Before/After fitting for STL files
• 3D photo export in STL, OBJ or PLY formats
• 2D snapshot feature
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
5. CAD/CAM module
5.1 Scan view
• Scanning with KaVo ProXam iOS scanner
• Scanning different bites, creating groups
• Trimming model
• HD snapshots, stored automatically to 2D imaging
module
5.2 Margin view
• Margin line marking
• Tooth number definition
5.3 Analyse view
• Trimming of 3D models
• Viewing of the models using predefined views
(front, back, left, right, multiview)
• Occlusion colour map of contacts and distances
• Measurements tools (Point-to-point, arch length,
tooth width, overjet & overbite)
• Analyses (Bolton, Space, LM activator size)
• Comparison of 3D models using side by side or
superimposed view with colour map
• Preparing of 3D models for 3D printing, Model builder
(closing, base attachment, hollow model)
• Margin line marking
• Undercut calculation
• Viewing different bites
• Importing STL or PLY models
5.4 Send view
• Creating Laboratory order pdf
• Export STL format
• Export PLY format
• Export ExoCAD format
• Export 3Shape format
• Send with Romexis Cloud
• Send to DDX Cloud
• Generic quick launch to 3rd party service providers
online portal
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
6. Smile Design module
• Quick and easy design and simulation of new smiles
• Alignment, cropping and calibration of input facial image
• Cloning, mirroring and warping tools for adjusting the
original teeth
• Intelligent and flexibly adjustable smile silhouette
• Edentulous grid
• Automatic AI based tool for alignment and crop
• Tooth shade guide and selection
• Color-picking tool for shade selection
• Annotation and measuring tools for facial analytics
• Automatic tooth ratio and golden proportion
measurements
• Before and After view
• Facial and intraoral image mapping
• Silhouettes library
• Add own silhouettes to library
• Different options for exporting or sending of case data
• Export silhouette to 3D systems, like CAD/CAM, Ortho
• Export silhouette in STL format
• Default and custom reporting and printing
7. Workflow wizards
• Implant planning, guides step by step top-down implant
planning to implant guide design including tutorial gif
animations
• Smile designing, guides step by step smile design using
teeth silhouettes including tutorial gif animations
Technical specification
Romexis software
For version 6.4.2.R
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland
www.kavo.com
8. Report module
• Integrated image viewer
• Filtering and viewing images by different criteria: type,
capturer, date, evaluation etc.
• Generating database queries
• Viewing Unit usage data
• Editing reports
• Attachments
• Report printing
9. Image and data sharing
9.1 Romexis Viewer
• Free desktop application for 2D, 3D, 3D photos and
STL files
9.1 Romexis Cloud
• Secure, easy, and fast way of transferring images and
attachments
• Data transfer to anyone who has an email address
• Full integration in Romexis
• Contact list and search
• Reverse charge sending
• Direct “reply to sender” option available
• Automatic downloading of cases on the server side to
enable continuing working
10. Administration module
• Creating and managing users, user groups and access
rights
• User permissions:
• Viewing (all patients/ assigned patients), editing
and printing patient’s clinical info
• Viewing (all patients/ assigned patients), editing
and printing patient’s demographics
• X-ray image capturing/ importing/ exporting
• Approving clinical info
• Approving image acquisition request, image
evaluation and interpretation
• Assigning patients to provider
• Viewing clinic status
• Configure clinic layout
• Dental unit usage
• Manage materials
• Manage users
• Manage Global settings
• Image template creation (with Digital Imaging module)
• Material input (with Digital Dental Record module)
• Bar-code / bar-code parser/ batch/lot parser input
• Linking material datasheet (http-site) to materials
11. Romexis DICOM Functionality
• Standard DICOM functionality
• Media (Export/Import)
• DICOMDIR
• DICOM Print Functionality
• Print SCU
• DICOM SCU Functionality
• Storage SCU
• Storage Commitment SCU
• Query/Retrieve SCU
• Worklist SCU
• MSRP SCU
• RDSR Dose Report SCU
10151582_03/23_en © Copyright KaVo Dental GmbH.
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