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Planmeca Chairside PlanCAD Easy, Chairside PlanMill 40, Chairside PlanScan User manual

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Planmeca Chairside
™
CAD/CAM solution
Planmeca PlanScan
®
& Planmeca PlanCAD
®
Easy & Planmeca PlanMill
®
40
EN
10033946_6
user's manual
User’s manual Planmeca Chairside CAD/CAM solution 1
Table of contents
1 INTRODUCTION .................................................................................................................1
1.1 Indications for use .................................................................................................................. 2
1.2 Contraindications .................................................................................................................... 2
2 ASSOCIATED DOCUMENTATION ...................................................................................... 2
3 SYMBOLS ON PRODUCT LABELS ..................................................................................... 3
3.1 Label locations ....................................................................................................................... 5
4 SAFETY PRECAUTIONS .................................................................................................... 9
4.1 Planmeca PlanScan scanner & Planmeca PlanCAD Easy .................................................. 10
4.2 Milling unit ............................................................................................................................ 12
5 SYSTEM REQUIREMENTS ............................................................................................... 14
5.1 Software and hardware upgrades ........................................................................................ 14
6 SYSTEM OPTIONS AND DEFAULT SETTINGS ................................................................. 15
6.1 Screenshots ......................................................................................................................... 15
6.2 Turning on / off the system ................................................................................................... 15
6.3 Relocating the laptop and/or scanner ................................................................................... 15
6.4 Removable tip ...................................................................................................................... 16
6.5 Scanner holder ..................................................................................................................... 16
7 GETTING STARTED ......................................................................................................... 17
7.1 Starting the software ............................................................................................................ 17
7.2 Planmeca Romexis license activation .................................................................................. 17
8 LOGGING IN TO PLANMECA ROMEXIS ........................................................................... 19
9 MANAGING PATIENTS ..................................................................................................... 20
9.1 General ................................................................................................................................. 20
9.2 Searching patients by name or ID ........................................................................................ 20
9.3 Inactivating patients .............................................................................................................. 21
9.4 Managing patients and images ............................................................................................. 21
9.5 DICOM worklist ..................................................................................................................... 24
9.6 DICOM query / retrieve (optional) ......................................................................................... 24
9.7 Searching patients by image ................................................................................................25
10 PLANMECA ROMEXIS CAD/CAM MODULE ...................................................................... 26
10.1 Accessing the CAD/CAM module ......................................................................................... 26
10.2 New scan and design ........................................................................................................... 26
10.3 New scan only ...................................................................................................................... 27
10.4 Settings ................................................................................................................................ 27
10.5 Import 3D models ................................................................................................................. 27
10.6 Importing CAD/CAM cases ...................................................................................................28
10.7 Exporting 3D models ............................................................................................................ 28
10.8 Working with existing cases ................................................................................................. 29
11 DICOM STORAGE (OPTIONAL) ........................................................................................ 30
12 SCANS AND RESTORATIONS IN 3D MODULE ................................................................. 31
13 SETUP ............................................................................................................................. 32
13.1 Smile design ......................................................................................................................... 35
13.2 Block selection ..................................................................................................................... 36
Table of contents
2 Planmeca Chairside CAD/CAM solution User’s manual
14 USING SCANNER ............................................................................................................ 38
14.1 Connecting the scanner to the laptop ................................................................................... 38
14.2 Disconnecting the scanner ................................................................................................... 38
14.3 Scanner indicator lights ........................................................................................................ 38
14.4 Positioning the scanner ........................................................................................................ 39
15 SCANNING ....................................................................................................................... 40
15.1 Scan tab ............................................................................................................................... 40
15.2 Scanning overview ................................................................................................................ 42
15.3 Scanning a basic posterior preparation ................................................................................ 46
15.4 Scanning options .................................................................................................................. 49
15.5 Evaluating the model ............................................................................................................ 50
15.6 Using eraser tool ................................................................................................................... 51
15.7 Scanning occlusal ................................................................................................................. 52
15.8 Scanning a bite registration .................................................................................................. 52
15.9 Selecting bite registration ..................................................................................................... 54
15.10 Scanning opposing teeth ...................................................................................................... 55
15.11 Scanning buccal bite ............................................................................................................. 56
15.12 Model alignment ................................................................................................................... 57
15.13 Scanning a pre-op ................................................................................................................ 61
15.14 Scanning multiple restorations .............................................................................................. 62
15.15 Scanning an anterior ............................................................................................................. 63
15.16 Scanning multiple anteriors .................................................................................................. 64
15.17 Scanning impressions ........................................................................................................... 64
16 ORIENTATION .................................................................................................................67
16.1 Intraoral scanning examples ................................................................................................. 67
16.2 Viewing the model ................................................................................................................ 68
16.3 Moving the central point ........................................................................................................ 69
16.4 Single restorations ................................................................................................................ 70
16.5 Verifying orientation .............................................................................................................. 72
16.6 Resetting the orientation ....................................................................................................... 72
16.7 Rotating the model ................................................................................................................ 73
16.8 Multiple restorations ....................................................................................................
.......... 73
17 MARGIN ........................................................................................................................... 76
17.1 Margin tool set ...................................................................................................................... 76
17.2 Selection area tool ................................................................................................................ 80
17.3 Pre-op editing ....................................................................................................................... 81
17.4 Margin aids ........................................................................................................................... 82
17.5 Margin tab settings ............................................................................................................... 83
18 DESIGN ........................................................................................................................... 84
18.1 Tooth libraries ....................................................................................................................... 85
18.2 Viewing options ..................................................................................................................... 86
18.3 Incremental change tools ...................................................................................................... 89
18.4 Freeform change tools .......................................................................................................... 91
18.5 Contact refinement ............................................................................................................... 93
18.6 Spacer tool ........................................................................................................................... 94
18.7 Design tab settings ............................................................................................................... 94
18.8 Designing multiples ............................................................................................................... 97
19 MILL TAB ......................................................................................................................... 98
19.1 Setting up restoration for milling ........................................................................................... 98
19.2 Mill simulation ..................................................................................................................... 100
19.3 Sending to mill .................................................................................................................... 102
19.4 Mill tab settings ................................................................................................................... 102
20 BRIDGES ....................................................................................................................... 104
20.1 Tooth preparation for bridges ............................................................................................. 104
20.2 Scanning bridges ................................................................................................................ 105
20.3 Bridge orientation ................................................................................................................ 106
Table of contents
User’s manual Planmeca Chairside CAD/CAM solution 3
20.4 Drawing pontic margins ...................................................................................................... 106
20.5 Designing a bridge ............................................................................................................. 107
20.6 Evaluating connectors ........................................................................................................ 108
20.7 Spacer tool settings on bridges .......................................................................................... 109
21 SETTINGS ...................................................................................................................... 110
21.1 Version ............................................................................................................................... 110
21.2 Reset warnings ................................................................................................................... 111
21.3 Sprue angle method ........................................................................................................... 111
21.4 Margin ramp ....................................................................................................................... 111
21.5 Spacer thickness ................................................................................................................ 111
21.6 Dropper tool ........................................................................................................................ 112
21.7 Spaceball settings .............................................................................................................. 112
21.8 Network settings ................................................................................................................. 112
21.9 Workbook exercises ........................................................................................................... 112
21.10 Mill notification settings ....................................................................................................... 113
21.11 Milling settings .................................................................................................................... 113
21.12 Auto or occlusal POI ........................................................................................................... 113
21.13 Tab related settings ............................................................................................................ 114
22 MANAGING CASES ........................................................................................................ 115
22.1 Patient’s case files .............................................................................................................. 115
22.2 Scans and restorations in Planmeca Romexis 3D module ................................................. 116
22.3 Inactivate ............................................................................................................................ 117
23 IMPORTING SCANS AND RESTORATIONS .................................................................... 118
24 EXPORTING SCANS AND RESTORATIONS ................................................................... 120
25 COMBINING MODEL TO A 3D VOLUME ......................................................................... 124
25.1 Opening a 3D volume ......................................................................................................... 124
25.2 Importing intraoral scans to 3D volumes ............................................................................ 124
26 SENDING AND RECEIVING CASES VIA PLANMECA ROMEXIS CLOUD ......................... 127
26.1 Planmeca Romexis Cloud user requirements .................................................................... 127
26.2 Cloud (user account setup) ................................................................................................128
26.3 Downloading cases from Planmeca Romexis Cloud service ............................................ 129
26.4 Deleting sent cases ............................................................................................................ 129
26.5 Managing cases in Planmeca Romexis Cloud ..................
................................................. 129
27 CONFIGURATION APPLICATION ................................................................................... 130
27.1 System configuration for Planmeca Romexis Cloud .......................................................... 131
27.2 Reactivate and empty trash ................................................................................................132
27.3 Class server ........................................................................................................................ 133
28 MILLING UNIT ................................................................................................................ 134
28.1 Turning on / off the milling unit ........................................................................................... 134
28.2 Display ................................................................................................................................ 134
28.3 Lid lights ............................................................................................................................. 135
28.4 Relocating the milling unit ................................................................................................... 135
28.5 System information and upgrades ...................................................................................... 136
28.6 Job server ........................................................................................................................... 137
28.7 Pending jobs ....................................................................................................................... 137
28.8 Inserting blocks .................................................................................................................. 138
28.9 Composite block de-foaming solution ................................................................................. 139
28.10 Starting the milling .............................................................................................................. 140
28.11 Parked job .......................................................................................................................... 140
28.12 Finished jobs ...................................................................................................................... 141
28.13 Deleting jobs ....................................................................................................................... 141
28.14 Automatic tool changer ....................................................................................................... 142
28.15 Mill status ........................................................................................................................... 144
28.16 Override mode .................................................................................................................... 145
4 Planmeca Chairside CAD/CAM solution User’s manual
The manufacturer, assembler and importer are responsible for the safety, reliability and
performance of the unit only if:
- installation, calibration, modification and repairs are carried out by qualified author-
ised personnel
- electrical installations are carried out according to the appropriate requirements such
as IEC 60364
- equipment is used according to the operating instructions.
Planmeca pursues a policy of continual product development. Although every effort is
made to produce up-to-date product documentation this publication should not be re-
garded as an infallible guide to current specifications. We reserve the right to make
changes without prior notice.
COPYRIGHT PLANMECA
Publication number 10033946 Revision 6
Released 20 May 2015
Table of contents
29 CLEANING / PREVENTIVE MAINTENANCE .................................................................... 146
29.1 Scanner tip ......................................................................................................................... 146
29.2 Cleaning the system ........................................................................................................... 147
29.3 Milling unit maintenance ..................................................................................................... 148
29.4 Cleaning fluid tank .............................................................................................................. 148
29.5 Refilling milling fluids .......................................................................................................... 149
30 SCANNER SPECIFICATIONS ......................................................................................... 158
30.1 Applicable standards .......................................................................................................... 160
30.2 Approvals (all systems) ....................................................................................................... 161
30.3 Optical specifications .......................................................................................................... 162
30.4 External components and connectors ................................................................................ 162
30.5 UL listing ............................................................................................................................. 162
31 MILLING UNIT SPECIFICATIONS ................................................................................... 163
31.1 Applicable standards .......................................................................................................... 164
31.2 Approvals ............................................................................................................................ 164
32 SCANNER EMC INFORMATION ..................................................................................... 165
32.1 Guidance and manufacturer’s declaration – electromagnetic emission .............................. 165
32.2 Guidance and manufacturer’s declaration – electromagnetic immunity ............................. 165
33 TROUBLESHOOTING /REPAIR ...................................................................................... 169
33.1 Milling unit ........................................................................................................................... 170
34 HELP ............................................................................................................................. 172
35 DISPOSAL ..................................................................................................................... 172
1 INTRODUCTION
User’s manual Planmeca Chairside CAD/CAM solution 1
1 INTRODUCTION
The Planmeca Chairside CAD/CAM solution is a
complete optical impression system for CAD/CAM of
dental restorations intended for dental offices or
laboratories. The system comprises Planmeca PlanScan
digital impression scanner, Planmeca PlanCAD Easy
software module and Planmeca PlanMill 40 milling unit.
The Planmeca PlanScan scanner takes digital
impressions which can be designed and customized on
Planmeca PlanCAD Easy. The impressions can be sent
via Planmeca Romexis Cloud to Planmeca or a certified
laboratory for design and milling or exported to a third
party.
NOTE
The Planmeca impression system is not indicated for
orthopaedics or any indication beyond dentistry.
This manual is valid for Planmeca Romexis software
revision 4.1.1.R or later.
The Planmeca Chairside CAD/CAM solution requires
Planmeca Romexis software revision 3.4.0.R or later.
NOTE
The Planmeca PlanCAD Easy is available under license.
This User’s Manual describes how to use the Planmeca’s
optical impression system for recording topographical
characteristics of teeth, dental impressions, or stone
models by digital methods for use in computer aided
design and manufacturing of dental restorative prosthetic
devices.
NOTE
Some of the screenshots may have been taken in earlier
software versions and may not exactly match your screen.
NOTE
FOR US USERS:
Federal law restricts the Planmeca PlanScan scanner to
sale by or on the order of a health care professional.
NOTE
Throughout the manual, important notes and items of
interest are formatted like this example.
2 ASSOCIATED DOCUMENTATION
2 Planmeca Chairside CAD/CAM solution User’s manual
1.1 Indications for use
The Planmeca Chairside CAD/CAM solution is an optical
impression system for computer-aided design and
manufacturing of dental restorations. It is used for
recording topographical characteristics of teeth, dental
impressions, or stone models by digital methods for use in
computer aided design and manufacturing of dental
restorative prosthetic devices.
1.2 Contraindications
The system is not indicated for orthopaedics or any
indication beyond dentistry.
2 ASSOCIATED DOCUMENTATION
• Planmeca Romexis User’s Manual
(publication number 10014593)
3 SYMBOLS ON PRODUCT LABELS
User’s manual Planmeca Chairside CAD/CAM solution 3
3 SYMBOLS ON PRODUCT LABELS
The following symbols are used on various labels on the
system.
Affixed to the system are product identification labels that
contain identification and safety information. The following
images show each safety and warning label and describe
where on the apparatus each can be found. Be certain to
read all product labelling.
NOTE
If any of the labels are missing or illegible, please contact
Planmeca After Sales for replacement labels.
NOTE
The labels may have changed since this manual was
published.
NOTE
Label examples are not shown in their actual size.
Alternating current
Attention: consult accompanying documents
ISO 7010-M002
Catalogue number
Class 2 electrical product
Date of manufacture
DC current
Do not reuse ISO 700-1051
European conformity
General mandatory action
General warning
Warning: Dangerous Voltage ISO 3864-B.3.6
0598
3 SYMBOLS ON PRODUCT LABELS
4 Planmeca Chairside CAD/CAM solution User’s manual
Laser information
Laser warning
Lot number
Manufacturer
OFF Power IEC 60417-5008
ON Power IEC 60417-5007
On/Off Power IEC 60417-5010
Operating Instructions ISO 7000-1641
Serial number
Standby IEC 60417-5010
Type B Applied Part IEC 60417-5840
UL Laboratory Equipment Listing
IN ACCORDANCE WITH UL 61010-1
450 nm, 4.95 mW CW
EC/EN 60825-1:2007
LASER RADIATION
DO NOT STARE INTO BEAM
CLASS 2 LASER PRODUCT
3 SYMBOLS ON PRODUCT LABELS
User’s manual Planmeca Chairside CAD/CAM solution 5
3.1 Label locations
3.1.1 Scanner
3 SYMBOLS ON PRODUCT LABELS
6 Planmeca Chairside CAD/CAM solution User’s manual
3.1.2 Milling unit
3 SYMBOLS ON PRODUCT LABELS
User’s manual Planmeca Chairside CAD/CAM solution 7
Attention Labels
Attention labels are located in numerous places on the
Planmeca components. These labels direct you to
specific safety entries in this user manual. Adhere to all
such safety warnings at all times.
External components and connectors
When connecting external components to the Planmeca
system, attach only components that have been tested for
compliance with IEC 60601-1 or UL 60950.
Connectors for attaching external devices conduct low
voltages. Avoid touching the connector pins.
Fuse replacement
The fuses are not user-replaceable. For fuse
replacement, contact customer service. A service
technician will replace fuses only with fuses having the
specified voltage and current ratings.
Protected earth ground label
The Protected Earth Ground label is attached to the
milling unit e-box as shown.
3 SYMBOLS ON PRODUCT LABELS
8 Planmeca Chairside CAD/CAM solution User’s manual
UL listing
UL Laboratory Equipment Listing
IN ACCORDANCE WITH UL 61010-1
30SC
4 SAFETY PRECAUTIONS
User’s manual Planmeca Chairside CAD/CAM solution 9
4 SAFETY PRECAUTIONS
The user must read and comply with all safety, warning,
and instructional labels on the Planmeca products.
Ensure your Planmeca products are properly maintained
through periodic maintenance. If you suspect equipment
malfunction or failure, discontinue using the products and
contact Planmeca Technical Support immediately. Do not
attempt to make any repairs on Planmeca products.
Warning denotes something that can cause personal
injury to the patient or the user.
Caution denotes something that can cause damage to the
equipment.
WARNING
Failure to adhere to all safety warnings may result in
personal injury, equipment damage, or data loss.
WARNING
Do not use the Planmeca products for any purpose
other than its intended and labelled use.
WARNING
This is a Class A product. In a domestic environment
this product may cause radio interference in which
case the user may be required to take adequate
measures.
WARNING
When connecting the Planmeca components, use
only the cables supplied with the products. Failure to
do so may result in increased electromagnetic emis-
sions or reduced immunity to external electromag-
netic emissions.
WARNING
Do not make any unauthorized repairs or modifica-
tions to the system software or hardware. This
includes installing unauthorized software on the host
computer system or altering or bypassing any safety
switches or mechanisms. Changes or modifications
not expressly approved by Planmeca could void the
user’s authority to operate the equipment.
WARNING
Do not install or operate the Planmeca products in an
environment where an explosion hazard exists, e.g.,
high oxygen area.
4 SAFETY PRECAUTIONS
10 Planmeca Chairside CAD/CAM solution User’s manual
WARNING
Do not attach any equipment or devices to the Plan-
meca products unless their use has been specifically
authorized by Planmeca.
WARNING
The wireless components in the Planmeca products
may be interfered with by other equipment, even if the
other equipment is fully compliant with CISPR (Inter-
national Special Committee on Radio Interference)
emission requirements.
WARNING
When possible, electrical equipment should not be
used when adjacent to other electrical equipment. If
adjacent use is necessary, the equipment should be
observed to verify normal operation in the configura-
tion in which it will be used.
CAUTION
Comply with all applicable regulations when dispos-
ing of waste materials from the Planmeca products.
4.1 Planmeca PlanScan scanner & Planmeca PlanCAD Easy
WARNING
The scanner’s Thunderbolt cable may only be used
with computers that have an appropriate NRTL listing
mark for ITE or Laboratory Equipment or a Listing
Classification mark for Medical Equipment.
WARNING
The Planmeca PlanScan scanner is a high precision
Class 2 laser scanning instrument. Always store the
scanner in its holder when not in use. To prevent
damage or misalignment, do not drop or strike the
scanner. Follow all stated precautions when using the
scanner.
WARNING
To prevent electrical shock, do not open any sealed
covers or connectors with user restricted access. In
case of emergency unplug the scanner from the com-
puter port and/or unplug the computer power cord
from the wall or from the computer.
4 SAFETY PRECAUTIONS
User’s manual Planmeca Chairside CAD/CAM solution 11
WARNING
The Planmeca PlanScan scanner is designed to be
used with the tip connected to the scanner. The con-
nector pins on the scanner are energized when the tip
is removed. To ensure safety of the user and patient,
do not touch the pins when the tip is removed.
WARNING
The Planmeca PlanScan is a Class 2 Laser Product
and will not present any safety hazards under normal
operation. Always observe safe laser practices. Pro-
ject the laser only onto surfaces or materials as
directed by Planmeca instruction material. Avoid
shining the beam directly into the eye. Use the laser
product only as described in this manual.
CAUTION
Medical electrical equipment requires special precau-
tions regarding EMC (Electromagnetic Compatibil-
ity). The Planmeca products must be installed and
placed into service according to the EMC information
provided in the documentation that accompanies the
Planmeca products.
CAUTION
Portable and mobile RF (Radio Frequency) communi-
cations equipment can affect medical electrical equip-
ment.
CAUTION
In case of emergency unplug the scanner from the
computer port and/or unplug the computer power cord
from the wall or from the computer.
CAUTION
After using the scanner on a patient, clean the scan-
ner according to the cleaning instructions found in
section 29 “CLEANING / PREVENTIVE MAINTE-
NANCE” on page 146.
CAUTION
Do not hold the scanner in a way that will cover the
cooling vents.
CAUTION
Do not immerse the scanner base in liquid or expose
the Planmeca products to conditions outside the
operating conditions, see section 30 “SCANNER
SPECIFICATIONS” on page 158. Clean the scanner
according to the instructions in section 29 “CLEAN-
ING / PREVENTIVE MAINTENANCE” on page 146.
CAUTION
Ensure your Planmeca products are properly main-
tained, see section 29 “CLEANING / PREVENTIVE
MAINTENANCE” on page 146.
4 SAFETY PRECAUTIONS
12 Planmeca Chairside CAD/CAM solution User’s manual
CAUTION
If you suspect equipment malfunction or failure, dis-
continue using the Planmeca products and contact
Planmeca Technical Support immediately. Do not
attempt to make any repairs on the products.
CAUTION
Read and comply with all safety, warning, and
instructional labels on the Planmeca products.
4.2 Milling unit
This equipment is intended to be grounded. Connect the
Planmeca products to earth grounded outlet only. If a
power cord (other than the one provided with the
equipment) is used for connecting to the power source,
ensure it meets all of the following requirements:
• Detachable power supply cord
• Type SJT
•18 AWG
• 3 conductor
• Rated 10 A or better
• For products outside of the United States and Canada,
the power cord must be marked “HAR” or with a suitable
agency marking from the country of intended use. The
attachment plug and appliance coupler must be marked
with a suitable agency marking from the country of
intended use.
WARNING
A detachable non-locking type power cord has been
provided with this equipment as the disconnect
device. Do not block access to the power cord. In
case of emergency, remove power from the device by
unplugging the cord at either end.
WARNING
Do not block any of the Planmeca product’s cooling
vents. Doing so may result in overheating and dam-
age to the products and will void the product war-
ranty.
WARNING
When placing components, adhere to all clearances
stated in section 31 “MILLING UNIT SPECIFICA-
TIONS” on page 163.
CAUTION
Always ensure the milling unit is on a surface capable
of supporting its weight of approximately 220 lb. (100
kg).
4 SAFETY PRECAUTIONS
User’s manual Planmeca Chairside CAD/CAM solution 13
CAUTION
Use caution when handling the milling unit’s cutting
tools.
CAUTION
Before milling a restoration, ensure the milling unit
has adequate milling fluid. Adequate milling fluid is
required to prevent overheating and possible damage
to the restoration block and cutting tools.
CAUTION
Do not open the milling unit cover while a milling
operation is in progress. Doing so will result in the
loss of data and restoration block; the milling process
will have to be repeated.
CAUTION
To prevent flooding the interior of the milling unit, do
not refill the mill’s fluid tank by adding fluid to the mill-
ing chamber. Instead, open the fluid tank drawer,
remove the fluid tank, and add fluid to the fluid tank
directly.
5 SYSTEM REQUIREMENTS
14 Planmeca Chairside CAD/CAM solution User’s manual
5 SYSTEM REQUIREMENTS
Planmeca Romexis software revision 3.5.0.R or later.
5.1 Software and hardware upgrades
System software and hardware upgrades are initiated
through Planmeca only. No software or hardware should
be added to or deleted from the Planmeca systems
without prior approval of Planmeca. Doing so may result
in damage to the system and will void the product
warranty.
/