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DentCAD Training Course EN PDF
DentCAD Training Course EN PDF
DentCAD 9.0
Training Course
Delcam plc,
Talbot Way, Small Heath Business Park, Birmingham, B10 0HJ.
www.delcam.com
Important Notice
Delcam does not accept responsibility for any personal belongings / valuables whilst
on the premises. Delegates are advised to keep their belongings on their person at
all times.
Delcam plc. has no control over the use of the software described in this document
and cannot accept any responsibility for any loss or damage howsoever caused as a
result of using the software. Users are advised that all results from the software are
checked by a competent person in accordance with good quality control procedures.
The software described in this document is furnished under a license agreement and
may be used only in accordance with the terms of such license.
Contents
INTRODUCTION ...........................................................................................4
DENTCAD..................................................................................................................................................................... 4
PREFERENCES ............................................................................................16
DENTIST / LAB SETTINGS ............................................................................................................................................... 16
Introduction
DentCAD
DentCAD is a dental design system that has been developed specifically for use by
Dental Technicians and contains the following features:-
• Restoration Wizard.
Automatic creation of Copings and Bridges
Simple and Anatomic restorations
• Simple Modifications
Interactively change dimensions and manipulate the shape of the restorations
• Output Files.
DentMILL XML format
STL files
1. Dental Terminology
This section contains some of the common terms and brief explanations.
Scan data or Die – These terms cover the Stone or plaster model of the actual teeth
and prepared teeth that will be scanned and then built upon to create the finished
restorations
Margin or Preparation Line – This defines the area where the coping fits to the
prepared tooth post. This part of the coping must be highly accurate to prevent
failure of the coping and the ingress of debris causing infections.
Copings - When a single tooth is restored, copings are used. Copings are either
made of titanium or zirconia and this is the component between the tooth (crown)
and prepared tooth post. Simple copings are a covering of either metal or metal free
material over a die or preparation which produces a substructure for porcelain or
Light Cure composite to be applied.
Bridges - When multiple teeth are missing, bridge copings are used. Bridges are
replacement teeth anchored by teeth or implants on each side of the missing tooth
area. The anchor teeth require crowns to support the bridge. The replacement teeth
between the anchors are called pontics.
Anatomic Copings - When a single tooth is restored, copings are used. Copings
are either made of titanium or zirconia and this is the component between the tooth
(crown) and prepared tooth post. Anatomical Coping is a reduced full crown which
follows the form of the natural crown and once milled porcelain is applied reducing
the time of the dental technician.
Full Crowns –The complete formed crown can be milled in Zirconia and stained to
the natural tooth shades or can be milled in an acrylic that can be cast in the
conventional way.
2. Dental GUI
Simplified interface
The user interface of DentCAD has been designed to minimise the number of
options presented to the used and make the design of restorations as simple as
possible.
All creation and modification functions are available direct from the toolbars with the
view controls displayed dynamically to suit the current type of restoration being
designed.
Restoration Process
Step 1. DentMAN
Step 2. DentSCAN
Step 3 DentCAD
There are several different types of restoration that can be created in DentCAD; the
icons are explained in more detail below.
Simple Coping – This will create a restoration that has a direct offset from the
scanned die.
Telescopic crown - The dental preparations are created in the usual manner, then
telescopic copings with a milled 6 degree angle are manufactured, a denture is
constructed to go over the copings to hold the denture in place on the fitting surface
of the denture there would be secondary coping place inside the denture this holding
the denture.
Anatomic Coping – This will create a finished tooth that the user can manipulate if
required to the desired shape; then using a pre defined value reduce the shape to
create a coping that follows the finished tooth allowing a constant thickness of
ceramic to be added.
Full Crown – Creates a Finished tooth that can be fitted to a prepared stump.
Anatomical Pontic – The Pontic is used when a tooth or teeth are missing and is
combined with simple or anatomic coping(s) to produce a Bridge.
Full Pontic – similar to a full crown will produce a fully anatomically shaped pontic.
Inlay/Onlay – these are small amount of teeth that are prepared, a restoration can be
made to go into the space that is left. They can be made in gold alloy, porcelain, or
light cure composite. There are various type MOD, MO,OD, Onlays and ¾ crowns.
Implant
Implant selection – Different sizes of implants can be identified from within this
section and identify the tooth to be selected
Dental Bar - Different sizes of dental cylinder can be identified from within this
section and the type of cross section.
Ancillary selection
Neighbouring tooth – If you require the adjacent tooth this can be selected.
Reduced wax up – the crown can be waxed to full contour and then DentCAD will
reduce for the application of the veneering material.
Full wax up – The coping/crown can be waxed to which ever size and then DentCAD
can match.
Antagonist – The Antagonist or bite gives the correct biting relationship of the Upper
(Maxilla) and Lower (Mandibular) jaw, so that a restoration can be constructed within
the confines of the space available.
Preferences
Dentist / Lab settings
When creating restorations in DentCAD there can be different requirements based
on the dentist or Labs preference. Rather than constantly modifying parameters you
can set up some of the common values and store them for selection directly in the
wizard.
The Preference page is shown below. The settings include the cutting tool used
when machining the restoration, the thickness of the coping, the cement gap etc
3. Data Input
DentCAD currently accepts STL files from any scanner. These STL files should be
either separate files of one file with “gaps” between the separate ‘dies’
There are now two methods of Calibration this can be done in DentCAD or in the
Iscan 3D software.
On the scanner
Calibration Support
• Using the screw on the right of the table put the support to the lowest position
and tighten
• Using the screw on the right of the table put the support to the lowest position
and tighten
Calibration Plate
• Place the Calibration plate with the Black side with the Targets in the Position
1 Blue line Left and Yellow line Right region on the calibration plate facing
the cameras. There are two Magnetic studs on the side of the calibration Plate
that hold it to the calibration plate support
• Using the Left Mouse Button Double Click on the IScan3D Dental icon.
• Using the Left Mouse Button Click on the top tool bar Utilities
• Move the mouse down and select System Calibration with the left mouse
button.
The following dialogue box will be displayed if you are working from
DentCAD or IScan 3D DentSCAN
The scanning table will move into the correct angle for a calibration and a
dialogue box will appear similar to below.
Follow the on screen instructions; make sure the Calibration plate is in this
position.
Follow the on screen instructions; make sure the Calibration plate is in this position
to the Yellow number 2.
Follow the on screen instructions; make sure the Calibration plate is in this position
to the Yellow number 3.
• The Calibration plate will now need to be turned around 180° degrees to show
the white side and placed back into the centre. Position 1 Blue line Left and
Yellow line Right region.
• Position with the White side in the Number 4 Number 1 position.
Follow the on screen instructions; make sure the Calibration plate is in this position
to the Blue number 2.
Follow the on screen instructions; make sure the Calibration plate is in this position
to the Blue number 3
• Once calibration has been completed remove calibration plate and support
plate from the scanner.
• Place the model fixture and positioning ring back into scanner
The scanner will perform the positioning device calibration and automatically save at
the end, there is no message to say that it has finished once the working parts have
finished you can carry on with scanning.
Scanning with the IScan Imetric scanner, the scanner can scan several different
types of Scan – Multi Die Scans, Complete scan or Other (Crown, Inlay, check bites
and wax ups)
Important : When using the Multi-Die place the dies into the holder with the buccal
surface of the dies to the front of the scanner.
Also if there are less than nine dies being placed into the holder place the dies in
every other. E.g. Use holder 1,3,5,7,9 if the users has 5 dies.
Model Height
The model height should be approximately 10mm from the Reference frame this
should be carried out with all models. There is an adjuster screw on the right side of
the scanner plate.
• The scanning software will start up and a screen similar to this will appear
• From the main tool bar using the Left mouse button Select the Start a New
Scan.
A Screen will appear New Scan Initialising the system, it is checking the Cameras
and movement of the scanner are working correctly, if any of the cables are not
plugged in correctly or scanner is not installed properly then an error will appear.
The scan wizard will move on to ‘Client Data’, in this screen you need to Input
the:
The Wizard will move on to the next screen which is called ‘Indications’
• Select Multi-Die using the Left mouse button the button will have a green
dot.
• Using the Left mouse button Select Crowns from the pull down menu
Important : When using the Multi-Die place the dies into the holder with the buccal
surface of the dies to the front of the scanner.
Also if there are less than nine dies being placed into the holder place the dies in
every other. E.g. Use holder 1,3,5,7,9 if the users has 5 dies.
• Using the Left mouse button Select the model brightness, By adding more
or less brightness levels the user will notice that if red spots can seen on the
die there is too much exposure this should dropped a level.
The scanner will move onto Initial scans window and proceed to scan the dies.
After the Dies have been scanned the wizard will move onto the next screen
‘Cutting’, if there is any excess material it can be cut away from the scan this will
save time later as excess data material will take longer to process.
• Using the Right mouse button Select Inner. The excess material will be
removed.
If there is any data missing you can add a view of the missing data prior to post
processing
The wizard will move onto the ‘Post-processing’, depending on the speed of the
machine and size of the model that is being scanned this might take a few minutes.
The next screen that will appear is the close gaps and separate teeth
The wizard will move on to the Next screen ‘Close gaps and separate teeth’ it allow
the user to fill in holes, re scan an area and cut teeth that are not required.
The Fill hole function allow the user to fill holes on the die model.
The ‘Add View function’ allows the user to re scan the area, if there are holes in the
scan of the model.
To re scan an area
The ‘Add View function’ allows the user to re scan the area, if there are holes in the
scan of the model.
To re scan an area
• Move to the area that needs to be re scanned and have it on view screen
• The scanning software will start up and a screen similar to this will appear
• From the main tool bar using the Left mouse button Select the Start a New
Scan.
The scan wizard will move on to ‘Client Data’, in this screen you need to Input
the:
• Select Complete scan using the Left mouse button the button will have a
green dot.
It will then move on to ‘Start select the model brightness and prepare the model’
• Using the Left mouse button Select the model brightness, By adding more
or less brightness levels the user will notice that if red spots can seen on the
die there is too much exposure this should dropped a level.
The scanner will move on to the next screen in the wizard ‘Initial Scan’
This will can the full model quickly and give a non detailed scan of a model. A
dialogue box will appear after Initial scans looking similar to this.
The dialogue box is asking to identify the scan region, this is the area of model that
needs to be scanned, if it is the whole model use to Pointer to select the whole area
to scan.
• Using the Left mouse button press once on the outer area of the scanned
model and press every time there is a change of direction until the area to be
scanned is outlined.
• Right click and select Finish The Region to be scanned will be shaded.
The scanner will then perform the full scan of the complete model.
After the Complete model has been scanned. The wizard will move onto the next
screen ‘Cutting’, if there is any excess material it can be cut away from the scan this
will save time later as excess data material will take longer to process.
• Using the Left mouse button press once on the outer area of the scanned
model and press every time there is a change of direction until the area to be
scanned is outlined.
Excess material should be removed from the sulcus area to save processing time
this is carried out in the same way.
The wizard will move onto the ‘Post-processing’, depending on the speed of the
machine and size of the model that is being scanned this might take a few minutes.
The wizard will move on to ‘Splitting’ this function will allow the removal of teeth or
split the model into individual preparations instead of one model.
Scanning using a Other (Crown, Inlay, check bites and wax ups)
3 unit Bridge
• The scanning software will start up and a screen similar to this will appear
• From the main tool bar using the Left mouse button Select the Start a New
Scan.
The scan wizard will move on to ‘Client Data’, in this screen you need to Input
the:
The Wizard will move on to the next screen which is called ‘Indication’ the wizard is
asking for information on the model to be scanned. The model to be scanned for this
training is a 3 unit upper anterior bridge 21= Crown (Abutment), 22=Pontic and
23=Crown (Abutment) plus Neighbouring teeth 11 and 24.
• Using the Left mouse button select Crown or Inlays from the Type of scan
job
The wizard is ask to identify the teeth to be scanned for the purpose of the training
the 3 unit upper anterior bridge has 21= Crown, 22=Pontic and 23=Crown.
Neighbouring teeth
It will then move on to ‘Start’ select the model brightness and prepare the model
• Using the Left mouse button Select the model brightness, By adding more
or less brightness levels the user will notice that if red spots can seen on the
die there is too much exposure this should dropped a level.
The scanner will move on to the next screen in the wizard ‘Initial Scan’
This will can the full model quickly and give a non detailed scan of a model. A
dialogue box will appear after Initial scans looking similar to this.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 11 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 21 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 22 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 23 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 24 is placed.
The wizard will move onto the ‘Scanning’ screen the scanner will then perform the
full scan of the complete model.
During the scan dialogue boxes will appear asking to add and remove Preps (Dies)
from the model.
• Remove the sections of model either side of the Preps (Mesial of 21 and
Distal of 22)
After the Complete model has been scanned. The wizard will move onto the next
screen ‘Cutting’, if there is any excess material it can be cut away from the scan this
will save time later as excess data material will take longer to process.
• Using the Left mouse button press once on the outer area of the scanned
model and press every time there is a change of direction until the area to be
scanned is outlined.
The wizard will move onto the ‘Post-processing’, depending on the speed of the
machine and size of the model that is being scanned this might take a few minutes.
If there is any overlapping data on the wizard will move onto splitting overlapping
areas on adjacent teeth.
• Using the Left mouse button hold and drag through the middle of the red
area to separate the data.
Once this is complete a dialogue box will appear ‘All overlaps separated’.
The wizard will move on to ‘Splitting’ this function will allow the removal of teeth or
split the model into individual preparations instead of one model.
The wizard will move on to the Next screen ‘Close gaps and separate teeth’ it allow
the user to fill in holes, re scan an area and cut teeth that are not required.
The Fill hole function allow the user to fill holes on the die model.
The ‘Add View function’ allows the user to re scan the area, if there are holes in the
scan of the model.
To re scan an area
• Move to the area that needs to be re scanned and have it on view screen
• Now cut away the extra piece of data see picture below for finished
model
HINT: If the bridge that is being scanned requires the Neighbouring teeth to be seen,
i.e. In the case of the example 11 and 24. This maybe required for Anatomical or Full
crown creation, select them as Crowns. The scanner will ask to scan them to be
scanned in the wizard. If the preparations (Dies) are very close together this will be
required, following this hint will stop holes either side of the scan data.
Special STL saving stl models can be saved in the Users choicen area this can be
identified as the Laboratory name, patient’s surname and first name.
• A dialogue box will appear asking the user to input a password enter Imetric,
into the box.
• Using the left mouse button select the tab bar Output settings
Identify how the files will be saved if the user requires to save the model data
by the Laboratory name only or by patient surname. Note one of the tick
boxes has to be selected.
• To identify where you wish to save the data, using the left mouse button
select Browse.
A folder similar to below will appear identify where the new folder should be to
save the stl data.
• If the user would like to create a new area select Make New Folder
The user will notice that a new area has been set up to save this data it’s location
is displayed in the Special stl output directories and saving
DentMAN
In this example I am going to create a simple coping with neighbouring teeth and
antagonist.
• Using the left mouse button select Neighbour the neighbouring teeth will
automatically be selected either side. If the user don’t require one of the
neighbouring teeth just select the tooth that is not required.
• Using the left mouse button select Antagonist. The opposing tooth will
automatically be selected if the user requires further teeth on the opposing to
be scanned select the teeth on the model.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentSCAN
DentScan
• Using the left mouse button select Send the restoration details to the
scanner.
(If your screen is not like to one above follow the same procedure as Iscan 3D
DentSCAN scanning independently see page 64)
• Using the Left mouse button Select the model brightness, By adding more
or less brightness levels the user will notice that if red spots can seen on the
die there is too much exposure this should dropped a level.
This will can the full model quickly and give a non detailed scan of a model. A
dialogue box will appear after Initial scans looking similar to this.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 25 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 26 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 27 is placed.
The wizard will move onto the ‘Scanning’ screen the scanner will then perform the
full scan of the complete model.
During the scan dialogue boxes will appear asking to add and remove Preps (Dies)
from the model.
• Remove the sections of model either side of the Preps (Mesial of 25 and
Distal of 27)
After the model has been scanned. The wizard will move onto the next screen
‘Cutting’, if there is any excess material it can be cut away from the scan this will
save time later as excess data material will take longer to process.
The wizard will move onto the ‘Post-processing’, depending on the speed of the
machine and size of the model that is being scanned this might take a few minutes.
The Fill hole function allow the user to fill holes on the die model.
The ‘Add View function’ allows the user to re scan the area, if there are holes in the
scan of the model.
To re scan an area
• Move to the area that needs to be re scanned and have it on view screen
(If your screen is not like to one above follow the same procedure as Iscan 3D
DentSCAN scanning independently see page 64)
• Using the Left mouse button Select the model brightness, By adding more
or less brightness levels the user will notice that if red spots can seen on the
die there is too much exposure this should dropped a level.
This will scan the full model quickly and give a non detailed scan of a model. A
dialogue box will appear after Initial scans looking similar to this.
• Using the Left mouse button Select the area on the Scanned bite where
tooth Notation 43 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 44 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 45 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 46 is placed.
• Using the Left mouse button Select the area on the Scanned model where
tooth Notation 47 is placed.
After the antagonist has been scanned. The wizard will move onto the next screen
‘Cutting’, if there is any excess material it can be cut away from the scan this will
save time later as excess data material will take longer to process.
• Using the Left mouse button press once on the outer area of the scanned
model and press every time there is a change of direction until the area to be
scanned is outlined copy the picture below.
This will remove all the data on the outside of the antagonist.
• Now move the model so that it looks like the picture below
The wizard will move onto the ‘Post-processing’, depending on the speed of the
machine and size of the model that is being scanned this might take a few minutes.
The Fill holes function allows the user to fill holes on the die model.
The ‘Add View function’ allows the user to re scan the area, if there are holes in the
scan of the model.
To re scan an area
• Move to the area that needs to be re scanned and have it on view screen
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
DentCAD
• Press the Middle Mouse Button and Hold, Move the mouse until the Buccal
Surface can be seen.
• If you need to change the direction Release the Middle Mouse Button and
select another area of the Prep
The User can move the Preparation on the screen by using the Pan mode this can
be found on the Right hand Tool Box
The Preparation can be scaled by using the Roll on the Middle mouse button.
• Using the Middle mouse button Roll the wheel Forwards the prep will
zoom in.
• Using the Middle mouse button Roll the wheel Backwards the prep will
zoom out, Scale the prep so that it can all be seen.
Prepline modification
DentCAD automatically identifies the prepline but the User can modify any small
discrepancies.
• Using the Left mouse button Select the area that requires the alteration.
• Using the Left mouse button Select points on the prepline where the
alteration is required.
The User can select a green guide point and move it to a position that you prefer.
• Using the Left mouse button Select Green guide points and move to the
correct position.
• To select a new area and remove the guide point select the right hand
mouse button.
The User can also draw the preparation line to a position that you prefer.
• Using the Left mouse button Select and Hold the mouse and draw where
the prepline is required.
• Using the Left mouse button Select the General Default or your choicen
Dentist/parameter.
If the User has selected an anatomical or full crown they can select the bite line cut
offset, this will cut the crown away from the antagonist or using +/- plus the amount
the user would like to offset from or add to coping/crown size.
The coping is finished it can now go to manufacture or at the top of the screen a list
of edits can be carried out.
Editing tools
When the restoration has been created the user may wish to modify various settings,
or change the shape of the parts.
Tools are available to interactively modify the margin line, connectors and pontics.
Parameters for general restoration dimensions can also be modified.
Any Modification will result in instant update of the restoration at any stage in the
design
The editing of the Preparation Line, the software automatically identifies the
preparation line but it can be altered where there are discrepancies in the
finishing line.
The editing of the path Insertion, this tool allows the user to manually change
the path of insertion.
The editing of the Cement Gap, can allow for a tighter or looser fit of the
crown on the Preparation.
The thickness of the coping can be changed as well as the finishing margin
thickness. The editing of Pontic thickness can be changed in this tool; it
allows the user to select the occlusal reduction for veneering, the gingival
reduction for veneering and the buccal lingual reduction for veneering.
The shape editor has three parts adding material By Area the user can
draw on an area and add material. By Cursor the user can select various
sizes of cursor and add material or Stretch the user can select the side i.e.
Buccal and add material.
The editing of the connectors, the software automatically identifies the best
type of connector for the restoration; these can be altered using this
function to suit the user’s preferences.
Using this function we are able to analysis the copings against a general
default to see if it is acceptable for machining.
• Using the Left mouse button Double click on the DentCAD symbol
• Using the Left mouse button Select the Setup the Job button
The restoration wizard starts allowing the user to enter Patient, dentist information
and define the type of restoration.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentSCAN
• Using the Left mouse button Select Import Data from File
• Using the Left mouse button Double click Folder Simple Coping
• Using the Left mouse button Select the file Simple coping.stl
The Prep of the 21 will appear on the work screen, the buccal surface will need to be
identified and the user will have to move the Prep by using the mouse so this can be
seen.
• Move the preparation so that the buccal surface can be seen see below.
• Using the Left mouse button select the Buccal surface of the Preparation.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
• Using the Left mouse button Select the General Default or your choicen
Dentist/parameter.
If the User has selected an anatomical or full crown they can select the bite line cut
offset, this will cut the crown away from the antagonist or using +/- plus the amount
the user would like to offset from or add to coping/crown size.
The coping is finished it can now go to manufacture or at the top of the screen a list
of edits can be carried out.
The Simple coping is created automatically and is displayed with the Die
Features of software
• The software automatically identifies the undercut and blocks them out.
• Tool compensating will add material on to coping where the mill burrs are too
big.
Dynamic Sectioning
The View controls are now displayed on the Left side of the screen.
• Using the Left mouse button try the Buttons and Sliders to see the
different visibility options
To rotate the restorations quickly the user is able to use the slide rotate at the bottom
of the desktop.
• Using the Left mouse button select Switch to Sectioning mode (from
the right Views toolbar)
This tool box will appear there are 3 functions that can be selected
- Liner the user is able to move through the section model seeing
the coping, cement thickness and prepared die.
- Curved the user is able to select curve of the arch and move
through seeing the coping, cement thickness and prepared die.
- Rotational the user will see the model rotated on an axis.
• Using the Left mouse button select the Upper slide tool and slide along
from left to right.
• Using the Left mouse button select the Lower slide tool and slide along
from left to right. It will slide between the two views
• Using the Left mouse button select Lock tick box the sliders can be locked
together.
You will notice that the model will be sectioned at different parts depending on how
far along the slide rule you go.
• Using the Left mouse button select the Upper slide tool and slide along
from left to right.
• Using the Left mouse button select the Lower slide tool and slide along
from left to right. It will slide between the two views
• Using the Left mouse button select Lock tick box the sliders can be locked
together.
The user will notice that the model will be sectioned at different parts depending on
how far along the slide rule you go.
• Using the Rotational Tab
• Using the Left mouse button select and hold one of the White Handles,
move the mouse around the tooth.
You will see the coping with out line of the coping with a cement gap also it will show
the automatic compensation of undercuts and the diameter of the milling tool.
• Using the Left mouse button select and hold one of the White Handles,
move the mouse around the tooth.
The user will see the coverage of the coping on the preparation.
• Using the Left mouse button select and hold one of the White Handles,
move the mouse around the tooth.
The user will see the coping with out line of the coping with a cement gap and the
model will be transparent. Also it will show the automatic compensation of undercuts
and the diameter of the milling tool.
• Using the Left mouse button select the Preparation Line button from the
Top toolbar
The coping is hidden leaving just the die and the preparation line visible.
• Using the Left mouse button select the Tooth which needs to be edited.
• Using the Left mouse button Hold it down and Draw where the Finishing line
should be.
• Using the Left mouse button select the Tooth which needs to be edited.
• Using the Left mouse button Select points on the prepline where the
alteration is required.
The User can select a green guide point and move it to a position that you prefer.
• Using the Left mouse button Select Green guide points and move to the
correct position.
• To select a new area and remove the guide point select the right hand
mouse button.
If the User wishes not to have the undercut shading on they can select the
orange ball
If the User wishes to have a light shining on to the occlusal surface on they can
select the grey ball
If the user wishes to see the prepline in more detail select view
• Using the Left mouse button select the Cement Gap button from the Top
toolbar
A Tool box similar to this will appear the user can change the Cement Gap in four
parts, at the finishing margin and all over the preparation.
• Using the Left mouse button select the Tooth which needs to be edited.
• Using the Left mouse button select the Up and Down arrows to change the
Cement gap to 0.05.
• Use the Dynamic section tool or View controls to see the inside of the
coping. (See Dynamic Sectioning)
• Using the Left mouse button select the UNDO – REDO from the top toolbar.
The changes can be seen to the cement Gap
• Using the Left mouse button select the Outer Surface button from the Top
toolbar
A Tool box similar to this will appear the user can change the Coping Thickness in
two parts, at the finishing margin and all over the preparation.
• Using the Left mouse button select the Tooth which needs to be edited.
• Using the Left mouse button select the Up and Down arrows to change the
Coping Thickness to 0.5.
• Use the Dynamic section tool or View controls to see the inside of the
coping. (See Dynamic Sectioning)
• Using the Left mouse button select the UNDO – REDO from the top toolbar.
The changes can be seen to the Coping Thickness
Now that the general design of the coping is set any further edits to the form can be
performed using the Shape tool.
Shape Tool
• Using the Left mouse button select the Shape button from the Top toolbar
There are three options on the Shape tool By Cursor, By Area and Stretch.
The first is defined By Area the material can be added or removed in a selected
area
• Using the Left mouse button select the Tooth which needs to be edited.
• Using the Left mouse button select the Shape pick a position on the coping;
you will see a curve is created (A circle with green dots).
• The size of the curve can be increased or decreased using the Left mouse
button and Selecting the Up and Down buttons to alter the Area Size. The
larger arrows will increase or decease more quickly
• Using the Left mouse button and Select any of the green markers and drag
them in the correct position
• Using the Right mouse button press and hold and draw the curve which is
required
• View the coping from the side and modify the shape using the Left mouse
button and Select Change Shape buttons the Up and Down buttons will
add/remove material in increments there are colours to define addition. The
larger arrows will increase or decease more quickly. When decreasing
material the colour turns Purple the coping is at its minimal thickness.
After the Addition of material the software allows the users to smooth the coping, this
can on a Global (the whole of the coping) or Local (the area in which the material
was added). The strength of the smoothing can be selected also.
• Using the Left mouse button and Select Middle Strength and the Local
button. The coping will smoothen
• Using the Left mouse button and Select Middle Strength and the Global
button. The coping will smoothen
If while adding material the user would like to remove adding material use the Erase
function.
• A quicker way to remove material is using the By Cursor Tab, select the
Erase Button and remove unwanted material.
• If the User wishes not to have the varying colours on the screen when adding
material Untick the Colour Map
Another method is defined “By Cursor” the material can be added or removed by
varying sized cursors.
• Using the Left mouse button select the Tooth which needs to be edited.
• Using the Left mouse button select the Strength this is the speed the
material is added or removed.
• Using the Left mouse button press and hold down to add material to the
coping.
• Once you’ve added material to the Coping Press the Right Mouse Button
will Remove material.
• Using the Left mouse button select the Strength this is the speed the
material is added or removed.
• Using the Left mouse button select Smooth, this will smooth added
material.
• Using the Left mouse button press and hold, over the area to be smoothed.
Note. When decreasing or smoothing material the colour turns Purple the coping is
at its minimal thickness.
While adding or removing material the user is would like to start again it can be
erased.
• Then select the cursor size using the Left mouse button.
• Using the Left mouse button press and hold, over the area to be Erased.
On the left side of the screen the user will see a colour scale to identify the
increments of material being added or removed
• If the User wishes not to have the colour key on the screen when adding
material Untick the Colour Map.
The third method is defined By Stretch the material can be added or removed to
any of the side of the Coping.
• Using the Left mouse button select the Tooth which needs to be edited.
• Using the Change shape arrow button Up will add material and down will
remove material.
After selecting OK and other alterations are required just select the Shaping tool
and alterations can be made to the previous work.
• Use the Dynamic section tool or View controls to see the inside of the
coping. (See Dynamic Sectioning)
• Using the Left mouse button select the UNDO – REDO from the top toolbar.
The changes can be seen to the Shaping.
This function enable the user to see where the smallest machining tool is unable
to mill on the prepline area and once complete the user will have to manually trim
in these areas to gain a fit of the restoration.
Parameter checker the user can check the dentist requirements against the minimal
set default, to see if the part can be machined successfully this is essential when
machining green state zirconia.
• Using the Left mouse button select a Dentist preference from the drop
down menu.
These can be entered by going to Tool – Option – Defaults. This can only be
accessed outside of the parameter checker window.
• Using the Left mouse button select the Graphic Display button.
The image shows that the selected default is too thin against the ideal
thicknesses for the material.
Simple Bridge
The Bridge is used when there are missing teeth that will be replaced, this example
creates a bridge will replace a missing tooth with a Pontic. The restoration is
supported by copings either side of the missing teeth.
• Using the Left mouse button Double click on the DentCAD symbol
• Using the Left mouse button Select the Restoration Setup button
The restoration wizard starts allowing the user to enter Patient, dentist information
and define the type of restoration.
• Using the Left mouse button Select teeth 21 & 23 as Simple Copings
• Using the left mouse button select the Green Arrow the software proceeds
onto DentSCAN
• Using the Left mouse button Select Import Data from File
For the purpose of this training select the use of Import from file will be used.
• Using the Left mouse button Double click Folder Simple Bridge
• Using the Left mouse button Select the file Simple Bridge.stl
• As described before in the Simple Coping section move the model around to
look like the screen below.
• Using the Left mouse button Pick tooth 21 as show in the image below.
• Using the Left mouse button Pick pontic area where the 22 should be as
show in the image below
• Using the Left mouse button Pick tooth 23 as show in the image below.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
• To move to the next tooth select the tooth 21 from the dialogue box
The wizard allows the user to adjust the pontics shape, size and orientation in the
arch, this is also available for the altering of Anatomical and full crowns.
• Using the Left mouse button Select the Pontic, a cube will form around the
pontic selected.
By selecting the lines on the outside of the pontic it can be adjusted to extend or
shorten the pontic.
• Using the Left mouse button Select and Hold the lines they will change to a
yellow colour when selected. Change the shape of the pontic to the users
desired size. By selecting the Blue handle you are able to scale from both
directions
By selecting the inside of the pontic it can be adjusted to extend or shorten the
pontic.
• Using the Left mouse button Select and Hold the Pontic it will change to a
Grey colour when selected. Change the shape of the pontic to the users
desired size.
By selecting the Corners cube the pontic it can be adjusted to move the pontic into or
out of the arch.
• Using the Left mouse button Select and Hold the Green corners of the cube
it will change to a red colour when selected. The pontic can then be rotated to
the users desired position.
• Using the Left mouse button Select and Hold the inner corners of the cube
it will change to a blue arch when selected. The pontic can then be rotated to
the users desired position.
The Bridge is created; this includes Copings two pontics and automatically
generated connectors between the parts.
The pontics are created automatically to suit the required tooth position and the
shape of the scan die that they are positioned above.
The area of the scan that the pontics are positioned above is commonly known as
the “Gingival” region.
The copings can be modified using the tools that you have used in the earlier
example of a Simple Coping
Modifying Pontics
• Using the Left mouse button select the Position button from the Top toolbar
The pontic on the bridge can be altered to the technicians choice like in the wizard.
• Using the above function to alter the pontic to the user’s Personal choice.
• When the user has finished the alterations to the pontic size, using the Left
mouse button select OK
Connector Editing
It is possible to edit the shape of the connectors; this is sometimes done for aesthetic
reasons
• Using the Left mouse button select the Connector button from the Top
toolbar
The first connector is displayed, there are three views, the top is 3D and can be
rotated etc to allow close examination of the shape similar to moving the model on
the main desktop.
Two separate views of the connector profiles are shown; these views are used to
edit the curves with the top view updating automatically to instantly reflect the
change.
• In the Two lower screens using the Middle mouse button Roll the mouse up
and down, the Restoration will zoom In and Out.
• Using the Left mouse button select and Hold the Middle Green Indicator
and Move the Mouse. The User will notice the on the upper Screen the
connector will update automatically.
• Using the Left mouse button select and Hold any of the outer Green
indictors and Move accordingly.
A dynamic Minimum cross section area is displayed as the curves are edited. This
minimum value is set in the dentist / lab preferences. The default for this is 6mm in
the anterior region and 9mm in the posterior region but can be altered in the options.
As the Connectors get there minimal thickness they will start to change colour from
grey to yellow and once they have reached below minimal thickness they will turn
red
• Using the Left mouse button select and Hold any of the outer Black lines
and Move accordingly.
• Using the above function to alter the pontic to the user’s Personal choice.
The middle of the connector can scaled accordingly if this needs to be larger
The user can select where they wish to scale the internal connector by selecting the
top screen and sliding along
By selecting the green handle the user can move the centre of the connector, by
selecting the blue line the user can scale the centre of the connector.
• Using the Left mouse button select Edit middle section will bring the user
back to the original screen
• When the user has finished the alterations to the connectors, using the Left
mouse button select OK
• Use the Dynamic section tool or View controls to see the inside of the
coping. (See Dynamic Sectioning)
The View controls are displayed on the Left hand side of the screen to change the
visibility of all parts of the bridge
The box below will be displayed in the first tab detail the type of restoration,
Properties explains who created and in what version
Anatomical Coping
The Anatomical coping are created from a “finished” tooth design, and then reduced
by the minimum ceramic thickness that will be applied to build the coping up to the
finished tooth shape.
This example uses the neighbouring teeth to generate the finished tooth shape, and
then reduces the shape to create the coping.
• Using the Left mouse button Double click on the DentCAD symbol
• Using the Left mouse button Select the Setup the Job button
The restoration wizard starts allowing the user to enter Patient, dentist information
and define the type of restoration.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentSCAN
• Using the Left mouse button Select Import Data from File
For the purpose of this training select the use of Import from file will be used.
• Using the Left mouse button Double click Folder Anatomical Coping
• Using the mouse and functions before move the model so that the Buccal
surface can be seen. See below.
The wizard will ask the User to identify the buccal surface of the Preparations
and neighbouring teeth.
• Using the Left mouse button select the Buccal surface of the Preparation.
The software will ask to identify the teeth starting from the 12.
• Using the Left mouse button select teeth Number 12 to 22 on the Model
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
• To move to the next tooth select the tooth 11 from the dialogue box
The Anatomical Coping will be shown in grey this is the crown in it full form.
• Using the Left mouse button Select Hide full form. The crowns will be
displayed in their milling form.
If the anatomical coping is shown to be incorrect use the Position tool to edit the
coping and move the coping to the correct position as described earlier.
.
• Using the Left mouse button Select OK
The Reduction distance for the veneering can be altered by using the Edit
Anatomical Coping or Crown.
• If the user wishes to change the cement thickness for all the restorations they
can select the all function.
The Top and Side reduction for coating can be edited by using the up and Down
arrow keys
The minimal thickness and base thickness have been covered in the Simple Coping
exercise.
• Using the Left mouse button Select the down arrow and decrease the top
Reduction for coating to 0.5.
• Using the Left mouse button Select the up arrow and increase the side
Reduction for coating to 0.6.
• Using the Left mouse button Select OK, again to exit and update
alterations.
Using the Left mouse button Select UNDO – REDO to see the changes
Anatomical Bridge
The Anatomic Bridge is created in the same way as the single coping from “finished”
teeth designs and Pontics, and then reduced by the minimum ceramic thickness that
will be applied to build the copings / Pontics up to the finished shapes.
This example uses the neighbouring teeth only to generate the finished tooth shape,
then reduces the shape to create the bridge.
• Using the Left mouse button Double click on the DentCAD symbol
• Using the Left mouse button Select the Setup the Job button
The restoration wizard starts allowing the user to enter Patient, dentist information
and define the type of restoration.
• Using the Left mouse button Select tooth 14, this de-selects the tooth.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentSCAN
• Using the Left mouse button Select Import Data from File
• Using the Left mouse button Double click Folder Anatomical Bridge
• Using the Left mouse button Select the file Anatomical Bridge.stl
The software will ask the user to identify the teeth that the restoration is going to be
on and the neighbouring teeth.
• Using the Left mouse button select tooth number 18 on the model.
• Using the Left mouse button select tooth number 17 – 15 on the model
Cutting of data
Any excess model can be removed to speed up processing of the restoration there
are several options available to the User the remove.
• Using the left mouse button press and hold draw a line through the molar
tooth and release the mouse button see picture below.
The software will split the molar into two separate models and colour them
accordingly.
The model data is now split, this is useful when a scanned model has two dies that
have been joined together and they need to be separated. This sometimes happens
with models on plastic base trays and not stone bases.
If you have any hole or discrepancies in your stl data it can be filled in using the
other tools.
Model editing
In this training exercise a small section on the lingual of the molar is going to be
removed.
If there are any discrepancies in the model they can be removed using the editing
• Using the left mouse button select the tooth number 17.
• Using the left mouse button select points around the discrepancy that
needs to be removed.
• Using the left mouse button Select the Blue cross the area will be removed
the area can now be filled using the hole filling.
Hole filling
• Using the left mouse button select the fill hole button.
• Using the left mouse button select the Undo Button, the hole will appear.
• Using the left mouse button identify the tooth which need to be filled it will
change colour from red to green.
• Using the left mouse button select the box triangle function.
• Using the left mouse button select a point above the hole and hold the
mouse down drag it over the hole and release the mouse button.
• Using the left mouse button select the fill hole button.
This function will cut data from both sides of the restoration
This function will partially fill the missing data similar to the fill holes.
Advisory: Hole filling and model editing should only be carried out on flat sides, it is
not advised to be carried out on fitting surfaces, corners of preps as it may affect the
fitting of a crown. The model should be rescanned if this is apparent.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
• Using the left mouse button select tooth 18 see picture below
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
• To move to the next tooth select the tooth 17 from the dialogue box or select
Next
The path of insertion can be altered manually or checked to see if this is the best
option depending on the type of restoration being produced.
The screen will split into two and a toolbar will appear
• Using the left mouse button select the fill hole button, this will fill in the
selected hole.
• Using the Left mouse button select the Teeth to change the path of
insertion on.
The software informs the user in a percentage form of how much area is undercut
free this will update as alteration are made.
• Using the Left mouse button select Refresh this will informs the User of
which tooth has gaps and how big the gap is also on the model it will show
where these gap are present so that the user can modify the prepline if
required.
If the User wishes not to have the undercut shading on they can select the
orange ball
If the User wishes to have a light shining on to the occlusal surface on they can
select the grey ball
To alter the path of insertion the screen on the users left alters the path of insertion.
• Using the Centre mouse button select and hold the model on the left
screen and move the model down.
Notice the screen on the right the user will see undercut shading will appear on the
prepared die.
• Using the Left mouse button select and hold the model on the left screen
and move the model so that the preparation line can be seen on both of the
prepared dies.
Look at the screen on the right and insure that there is no red undercuts showing.
If the user wants to revert back to the original path of insertion select the Reset
Button.
While correcting the path of insertion the user can select the Rotate button this
rotates the right screen so that the user can visually move around the prepared
teeth.
If changes have been made to the restoration and OK has been selected the User
can go back and select Optimise the gain the best path of insertion.
• Once the User is happy with the corrected path of insertion by using the Left
mouse button select OK this will alter the path of insertion on the bridge unit.
After altering the path of insertion a Query may appear if gaps have been created.
By selecting Yes the gap will stay present, by selecting NO they will not be present
and require 5 axis machining.
Measuring tool
The User is able to measure any parts of the restoration, this is helpful to measure
the distance between connectors, the size of the restoration to fit into a milling block.
• To measure an area using the Left mouse button select and Hold mouse at
the point that you wish to start to measure, let go of the mouse button at the
finishing point a measurement will be displayed.
• Using the Left mouse button select Measuring Button to stop the
measuring function.
Full Crown
The Full Crown - follows the same creation process as the Anatomic Bridge.
However the end result is a finished tooth / teeth that can be fitted to a prepared die
usually machined in wax then cast in the conventional lost wax process or pressed
over .
• Using the Left mouse button Double click on the DentCAD symbol
• Using the Left mouse button Select the Restoration Setup button
The restoration wizard starts allowing the user to enter Patient, dentist information
and define the type of restoration.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentSCAN
• Using the Left mouse button Select Import Data from File
• Using the Left mouse button Double click Folder Full Crown
• Using the Left mouse button Select the file Full crown 1.stl and Holding
down the shift key select Full crown 3.stl, this will select all the files.
• Using the mouse and functions before move the model so that the Buccal
surface can be seen. See below.
• Using the Left mouse button select the buccal surfaces of teeth
Number 47 - 45 on the Model
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
• Using the Left mouse button Double click on the DentCAD symbol
• Using the Left mouse button Select the Restoration Setup button
The restoration wizard starts allowing the user to enter Patient, dentist information
and define the type of restoration.
When the Pontics are defined the wizard display automatically changes to show a
Bridge
• Using the left mouse button select the Antagonist DentSCAN will
automatically colour the opposing area.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentSCAN
• Using the Left mouse button Select Import Data from File
For the purpose of this training select the use of Import from file will be used.
• Using the Left mouse button Double click Folder Cantilever Bridge
• Using the Left mouse button Select the file Cantilever Bridge.stl then Hold
the Shift key on the Keyboard then select Cantilever Bridge Antagonist.stl.
The two unit Bridge will appear on the work screen, the buccal surface will need to
be identified and the user will have to move the Prep by using the mouse so this can
be seen. (See adjusting the model in Simple coping)
• As described before in the Simple Coping section move the model around to
look like the screen below. This exercise does include an antagonist which will
be displayed on screen
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
Adjust the pontic to fit in the confines of the area by using the cube.
Once the restoration has been adapted to fit into the area excess material that is
going through the antagonist can be removed or the restoration can be off set from
the antagonist.
Before cutting
After cutting
If the user wishes to cut away all of the restorations that are protruding through the
restoration they can select the multiple scissors function.
The user can enter a figure +/- for how much above or below the antagonist they
wish to go
Further editing of the antagonist may be carried out in the positioning tools and
shaping tools as describe previously.
Wax up Function
The wax up function a scan is taken of the waxed up restoration and the preparation
and by selecting the substructure that is required the user can copy the waxed up
restoration also the full restoration can be constructed and reduced for the
application of a veneering material.
• Using the Left mouse button Double click on the DentCAD symbol
• Using the Left mouse button Select the Restoration Setup button
The restoration wizard starts allowing the user to enter Patient, dentist information
and define the type of restoration.
• Using the Left mouse button Select Reduced wax up. DentMAN will place
a blue disk over anatomical coping.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentSCAN
For the purpose of this training select the use of Import from file will be used.
• Using the Left mouse button Select Import Data from File
• Using the Left mouse button Double click Folder Wax Up Coping
• Using the Left mouse button Shift Select the file Model Die.stl and Wax
up.stl
• Using the mouse and functions before move the model so that the Buccal
surface can be seen. See below.
• Using the Left mouse button select the Buccal surface of the preparation
Below the preparation line. See below
If the surface above the preparation line is selected the wizard will identify this as the
wax up.
• Using the Left mouse button select the Wax up on the Preparation.
• Using the left mouse button select the Green Arrow the software proceeds
onto DentCAD
By selecting different views on the left hand side you can view the
restorations in different views
The model is displayed with a speckled surface as the White areas are
where material has been added to maintain minimum thickness
6. Output Formats
Milling & Prototype Machines
All Restorations created in DentCAD will be saved in both STL and DentMILL
formats.
The DentMILL format can be imported in both STL and DGK or Via an XML file.
The STL format can be used for Rapid Prototype machines to produce Wax models
for precious metal restorations.