User Manual: Chairsidecad

English
2018–02
User Manual
ChairsideCAD
exocad.com 0086
User Manual by exocad GmbH
© 2018 exocad GmbH
exocad GmbH
Julius-Reiber-Str. 37
64293 Darmstadt
Germany
phone: +49-6151-629489-0
fax: +49-6151-629489-9
info@exocad.com
exocad.com
Document version
Chairside.2.1._User_Manual_en, 2018–02
Product version
ChairsideCAD 2.1
ChairsideCAD — User Manual
Content
1 General Information 5
1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.2 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.3 Indications and Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.4 Units and Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.5 Hardware Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.6 Software Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.7 Software Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.8 Requirements for Scan Data (Input) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.9 Workflow-Related Safety Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
1.10 Add-on Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2 Launching ChairsideCAD 10
2.1 Launching ChairsideCAD from ChairsideDB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.2 Launching ChairsideCAD directly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
3 Basics 12
3.1 Navigating in 3D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
3.2 Group Selector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
3.3 Main Toolbar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
3.4 Context Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
3.5 Show Distances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
3.6 Closing ChairsideCAD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
3.7 Wizard Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
4 Wizard Workflow: Designing Crowns and Bridges 21

4.1 Adjusting the Scan Data Orientation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.2 Margin Line Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.3 Setting the Insertion Direction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4.4 Crown Bottoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
4.5 Lingual Band (Offset Copings) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
4.6 Generating the Tooth Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
4.7 Tooth Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
4.8 Virtual Articulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
4.9 Automatic Adaptations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
4.10 Free-Forming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
4.11 Shrinking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
4.12 Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
4.13 Production Blank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

4.14 Merging and Saving the Finished Restorations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
5 Designing from a Waxup or Pre-Op Scan 59

5.1 Pre-op Workflow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
5.2 Waxup Workflow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
6 Designing Bite Splints 64

6.1 Designing the Bite Splint Bottom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
6.2 Missing Teeth in Bite Splits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
6.3 Designing the Bite Splint Top . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
© 2018 exocad GmbH page 3/123

6.4 Free-forming the Bite Splint Top . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
7 Designing Provisional Restorations 70

7.1 Defining the Top of the Provisional Crown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
7.2 Free-forming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
7.3 Provisional Crown Bottoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
7.4 Designing the Rest of the Provisional . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
8 Designing Cantilever and Maryland Bridges 76
9 Cut View 77
9.1 Performing Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
9.2 Cut View Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
10 Tools 79
10.1 Measurement Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
10.2 Sectional View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
10.3 Screen Shot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
10.4 PDF Export . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
10.5 Align Meshes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
10.6 Magic Lantern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
10.7 Annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
10.8 Set Tooth Colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
10.9 Show Project in Explorer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
10.10 Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
10.11 About . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
10.12 Add/Remove Mesh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
10.13 Change Reconstruction Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
10.14 Add a Picture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
11 Expert Mode 102

11.1 Expert Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
11.2 The Expert Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
11.3 Applying Changes to Certain Teeth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
11.4 Crown Bottoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
11.5 Inlay Bottoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
11.6 Functions for Loading Tooth Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
11.7 Mirroring the Entire Jaw Scan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
11.8 Improving Occlusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
11.9 Aligning Scans (Extra Jaw Scan / Bite Alignment Scan to Jaw Scan) . . . . . . . . . . . . . . . . . . . . . . . . . 113
11.10 Setting the Minimum Thickness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
11.11 Editing Scan Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
11.12 Free-Forming Scan Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

11.13 Deleting Constructed Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
12 Appendix 122
12.1 Tooth Libraries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
12.2 Mesh Types for Loading in ChairsideCAD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
12.3 Output for Milling and Selective Laser Melting (SLM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

1 General Information
WARNING
Federal Law (USA) restricts the sale of this device to or on the order of a physician, dentist, or li-
censed practitioner.
1.1 Introduction
The exocad ChairsideCAD software allows clinicians to virtually design dental restorations. This user manual describes how
to use exocad ChairsideCAD for designing dental restorations.
Designing in ChairsideCAD is based on 3D scans of the patient’s dental anatomy produced by a compatible (intraoral) scanner.
The software generates geometrical output of the design for manufacturing with compatible CAM systems.
You can design the following restorations in ChairsideCAD:
Anatomic crowns, copings, anatomic and reduced bridges, offset copings
Inlays, onlays, offset inlays, veneers
Provisional crowns, provisional pontics (if the Provisional Module is active)
Bite splints (if the Bite Splint Module is active)
For a list of devices compatible with ChairsideCAD, such as scanners, milling machines, or printers, visit chairside.exocad.
com/equipment.
WARNING
The design of restorations using ChairsideCAD shall be made with all necessary professional
care, follow good dental practices and regard properties and limits of used materials and al-
lowable (minimal) thicknesses of structures. The appropriateness and fitting of a designed
and manufactured restoration shall be verified carefully by the user.
Ensure to use appropriate production devices (scanner, milling system) with sufficient spatial
resolution and accuracy and appropriate materials. In order to ensure that the combination
of devices used for scanning and manufacturing of a dental construction provide the desired
results and quality, validate the complete workflow for your specific set of devices and mate-
rials.
1.2 Intended Use

ChairsideCAD is a software device intended to support the design of dental restorations such as inlays, onlays, crowns, cop-
ings, veneers, bridges, pontics, provisionals, and dental appliances such as bite splints via a 3D CAD tool. The design is based
on suitable 3D scans of the patient’s dental anatomy produced by a compatible scanner. The software generates geometrical
output of the design for manufacturing on compatible CAM systems.
ChairsideCAD is intended to be used by trained professionals in dental practices and is not to be used for any purpose other
than the design of dental restorations or dental appliances, nor is it to be used for designing dental abutments.

WARNING
ChairsideCAD must not be used by users with a physical handicap in color perception (e.g. color-
blind). The user must be able to distinguish colors used in the display of objects.
1.3 Indications and Contraindications

ChairsideCAD is not to be used to design restorations using other than the supplied list of materials.
1.4 Units and Conventions

This document uses the FDI tooth numbering system.
Measurements in ChairsideCAD and in this document are in cm/mm.
1.4.1 Measurement Accuracy

The following statements regarding measurement accuracy refer to measurements calculated and displayed during dis-
tance/angle measurement and in the color scale for evaluating distances.
Measurement accuracy depends on the accuracy of the input data, in particular the spatial resolution of the scan data. The
input data can contain artifacts which do not represent the patient’s actual physical anatomy.
1.5 Hardware Requirements
WARNING
Ensure to use only the recommended hardware, drivers, operating system, and software applica-
tions (e.g. PDF reader), such as graphics adapter, and that your graphics and monitor settings as
well as the light conditions of your work environment are configured in an optimal way.
You find hardware requirements information for ChairsideCAD on the webpage http://wiki.exocad.com/wiki/index.php?
title=Hardware_Requirements.
1.5.1 Monitor Settings Information

Verify the display quality of your monitor before using ChairsideCAD, e.g. by using the SMPTE test image.
ChairsideCAD can only be used with a monitor with square pixels. Ensure a monitor configuration that displays each
pixel as a square (correct configuration of screen resolution and aspect ratio).

When using multiple monitors, ensure all monitors are the same model and have the same operation system settings.
Otherwise, be aware that objects may be displayed in different sizes on the monitors.
1.6 Software Requirements

A PDF reader (Adobe Acrobat Reader) must be installed to view PDF files generated by ChairsideCAD.

1.7 Software Installation

Step 1: Download Framework2015(.exe)¹ and install following the installation instructions.
Step 2: Insert the dongle you received from exocad or your reseller.
Step 3: Download the ChairsideCAD zip file to a directory of your choice.
Step 4: Unpack the zip file.
WARNING
Do not apply modifications to the installed system. In particular, do not update to drivers for
the graphics adapter. Modification/corruption of the software installation may lead to inaccurate
restoration designs that, if not recognized by the user, lead to discomfort or disorders of the pa-
tient, such as injury of the gingiva, damage of an existing implant, or damage of a healthy tooth.
Deactivate automatic software updates, in particular for the graphics adapter driver.
Take appropriate measures to protect the ChairsideCAD software installation, and the patient data included, from unautho-
rized access and malware or viruses. Ensure that backups of all relevant/critical data are available.
Choose an appropriate dpi scaling. The dpi scaling is a setting of the Windows Control Panel. It generally influences the size
of windows and icons. Choose a dpi scaling that displays ChairsideCAD menus and controls in a comprehensible size, so that
they do not cover essential parts of the main view.
1.8 Requirements for Scan Data (Input)
WARNING
Scan data (optical scans / impression scans / pre-op scans etc.) are the basis for constructing
the restoration. Incautious modifications of the scan(s) can result in a damage of a restora-
tion, an injury of existing healthy dentition and/or the gingiva, displacement of teeth, or pain
in jaw muscles.
Ensure that the data quality of optical scans used in ChairsideCAD and the alignment of both
jaws is sufficient for the purpose of the restoration.
The inaccurate placement of a pre-operative scan can result in a damage of a restoration, an
injury of existing healthy dentition and/or the gingiva, displacement of teeth, or pain in jaw
muscles.
An optical scan used in the restorative process must cover all relevant areas, such as prepared and residual teeth.
exocad recommends to use a recently produced optical scan, so that it shows the current tooth situation of the patient.
If you are loading a scan (antagonist scan, waxup, etc.), verify that you have loaded the correct scan.
¹http://www.exocad.com/a3c368e82b36/exocadFramework2015.exe

1.9 Workflow-Related Safety Instructions

This chapter lists safety instructions referring to workflow steps, that can be relevant at multiple occasions.
WARNING
Several steps of the design workflows are automated and contain suggestions based on heuris-
tics. Depending on the complexity, completeness, or correctness of the scan data informa-
tion or information provided by the user (e.g. in a manual preparation margin definition), the
suggested result may not be ideal. The user must carefully inspect the visualizations of the
restoration after each automated workstep, evaluate the suggested result, and correct it if
necessary.
Ensure that the design limits for a bridge as defined by the manufacturer of the construction
material and milling machine are considered for the entire length of the bridge as well as for
each bridge segment and extension.
Inaccurate definition of the preparation margin can result in an injury of existing healthy
tooth parts or the gingiva.
Ensure that the default parameters for the calculation of a design’s bottom and modifications
you make allow your production device to create an accurate construction.
Inaccurate definition of the insertion direction can result in a restoration design which cannot
be placed in situ. When designing bridges, make sure to regard the insertion directions for all
components. This applies in particular to inlays, onlays and veneers.
The automatic preservation of the minimum thickness for adapted model teeth, reduced
anatomic shapes, free-formed shapes, and waxup scans is only possible if the shape is not
reduced to a size significantly smaller than the minimum thickness.
The visualization of undercuts in false color is just an approximation, that roughly estimates
the undercut regions. Use the measurement tool for more precise measurements.
Use free-forming with care, since
it potentially allows to create designs in a way (peaks, sharp edges, narrow curves, or cav-
ities) that they cannot be manufactured accurately by your production system (milling
machine or 3D printer), and
incautious use can result in a damage of the restoration, an injury of existing healthy den-
tition and/or the gingiva, displacement of teeth, or pain in jaw muscles.
Use the attachment tool with caution, as it potentially allows defining shapes which cannot
be manufactured accurately by your production system (milling machine, 3D printer).
An inaccurate mesh alignment can result in an inaccurate restoration which can damage
healthy teeth or the restoration.
Verify the result of automatic adaptations of model teeth, and of restorations to the antag-
onist, adjacent teeth, to the gingiva, or to a pre-op scan by checking for intrusions, intersec-
tions, or deformations.
The colors indicating intersections of the upper and lower jaw meshes do not show the ex-
act length of the intersection of both meshes along the occlusal axis of the scan data, but
the heuristically determined displacement of a surface point on a mesh in case one mesh is
adapted/cut to the other.

The modification of files created by ChairsideCAD can create unwanted effects. The modifi-
cation of output files containing geometry information for manufacturing can lead to inac-
curate constructions.
An inaccurate definition of the scan data orientation may lead to suboptimal results in later
worksteps, e.g. creation of additional blocked-out areas, automatic adaptation of teeth, etc.
1.10 Add-on Modules

In addition to the basic ChairsideCAD installation, you can purchase add-on modules providing additional functions. The
ChairsideCAD functionality described in this manual contains the add-on modules Virtual Articulator, TruSmile, Provisional,
Bite Splint, and Production Blank, and thus represents a quite common installation.
For details regarding your individual ChairsideCAD installation as well as purchase conditions and pricing information, con-
tact your ChairsideCAD provider.

2 Launching ChairsideCAD
2.1 Launching ChairsideCAD from ChairsideDB

Step 1: Create/load a project in the ChairsideDB. Ensure that the project folder contains the input scan data.
Step 2: Click Design.
Figure 2.1: Successful launch of ChairsideCAD
If no scene files are present in the project folder, the Wizard will start directly, and the scan will be loaded and displayed.
If the project folder contains one or more scene files, either choose to load a scene file or to only load the scan data and begin
the design from scratch (see Figure 2.2).
(a) Selection scene or scan (b) Multiple scenes available

Figure 2.2: Scene file(s) in project folder
If the project folder does not contain the required scan file(s) for the design, ChairsideCAD will prompt you to select a scan
file in an explorer window. The explorer window’s title indicates which scan you must select.
2.2 Launching ChairsideCAD directly

To launch ChairsideCAD directly, execute the DentalCADApp.exe file in your installation directory. You can also drag a
scene or project file onto the .exe file. This will launch ChairsideCAD and directly load the scene/project.

Figure 2.3: Successful launch of ChairsideCAD
Once launched, you can load a scene/project/scan by clicking Load in the main toolbar. Select Load Project/Scene/Scan...,
navigate to the desired folder and open (or double-click) the desired project/scene/scan file.

3 Basics
3.1 Navigating in 3D
Function Description
Scroll mouse wheel Zoom in/out (zoom center = mouse position)
Hold right mouse button and drag Rotate the view around the rotation center (center of currently available scene
objects by default)
Right-click outer frame and drag Rotate the view around the view axis
Click middle mouse button / mouse Center view and set new rotation center
wheel
Hold both mouse buttons and drag Move the view freely
Arrow keys Move the view in the respective arrow directions
Page up, page down Rotate the view horizontally around pivot
SHORTCUTS
CTRL+R: open Measurement Tool (see Chapter 10.1)

CTRL+V: show Group Selector window
CTRL+S: save a scene
Numpad 1: back view
Numpad 2: bottom view
Numpad 3: front view
Numpad 4: left view
Numpad 5: focus the view to the selected object or all objects
Numpad 6: right view
Numpad 8: top view
F11: window maximization mode
3.1.1 Multi-Touch Interface

Use three fingers and drag to rotate the view.
Use two fingers to move, or pinch to zoom.
Use one finger to select the item under the finger or stylus, specify a point, or draw a curve.

3.2 Group Selector

The Group Selector is displayed in the upper left corner of the ChairsideCAD screen.
Figure 3.1: Group Selector
Using the Group Selector, you can show/hide scene objects (e.g. scan data or model teeth). The available scene objects
depend on the workflow progress. As you proceed with the design, the list will become more and more populated. Scene
objects are grouped by type. Object groups can have subordinate elements.
Show/hide groups/elements by clicking the checkboxes.

Show/hide subordinate elements by clicking the triangle symbols next to the checkboxes.
Change the opacity for a group / an element using the slider which appears when you hover the mouse over the group/element.
Right-click a group / an element for further group/element-specific options.
Unfold the Teeth expander to switch visibility on a per-tooth basis.
SHORTCUTS
Hold CTRL and click the middle mouse button an object to hide it.
Hold ALT to temporarily show all objects.
Hold CTRL+SHIFT and click the middle mouse button to show the last hidden object again.
Hold SHIFT and click the middle mouse button to set the transparency of an object to 50%.
If the object is transparent already, it will be displayed fully opaque.

WARNING
Ensure that all objects necessary evaluating a scene are activated for visualization in the Group
Selector.
3.3 Main Toolbar

The main toolbar is always displayed on black background at the right side of the ChairsideCAD screen. Most options in the
main toolbar are only available if a project is loaded and partially depend on the workflow progress.
Selection Subselection Description/Reference
Save Click to save a scene file representing the current design state in the project folder. By
default, the scene file’s name is <ProjectName>.dentalCAD.
Right-clicking the Save button shows the subselections below.
Save scene as You can rename the scene file, select another directory, and select a dif-
ferent file type in an explorer window.
Export scene to Saves the visible objects as STL file to the project directory. Use the Group
mesh Selector (see Chapter 3.2) to include/exclude objects to be exported.
PDF export Saves the visible objects as a PDF file, which can be viewed, rotated, and
commented in Adobe Reader (version 4.3 or above). Use the Group Selec-
tor (see Chapter 3.2) to include/exclude objects to be exported.
Expert/Wizard Toggles between Wizard mode (default) and Expert mode. For details, see Chapters 4
(Wizard mode) and 11 (Expert mode).
Tools Opens a subselection with available tools. See Chapter 10.


Articulator Appears after the automatic articulator calculation has been performed, and provides
virtual articulation options. See Chapter 4.8.
Show Enables/disables the automatic distance coloring between opposing or adjacent teeth.
distances See Chapter 3.5.
TruSmile Toggles realistic rendering of tooth restorations.
Color/Texture Available if the scan data contains color information. Toggles between color and
monochrome display of the scan data.
Cut view Opens a window showing a sectional view of your design. See Chapter 9.
Add Custom As you proceed with the design, it can be convenient to recreate a previous view point.
View When clicking Add Custom View, the current view is captured, and automatically named
Custom view 1. Right-click Custom view 1 to rename it. You can add up to eight custom
views.
View Arrows Usind the arrows, you can quickly view the scene from all six compass directions. These
do not automatically correspond to anatomically correct directions of the scan data in the
scene (depending on scanner and scanning software). You can control the arrow rotation
speed in the settings (see Chapter 10.10.)

Help Opens this user manual.
3.4 Context Menu

To open the context menu, right-click the background or a scene object. You can also select multiple scene objects by holding
CTRL and clicking them, before right-clicking to open the context menu.
The available options in the context menu are determined by:
1. the area you click (background or scene object),
2. the scene object you click,
3. the operation mode (Wizard or Expert), and
4. the design progress.
3.4.1 General Options

These options are always available when right-clicking the background:
Save scene as...: identical to the Save scene as... option in the main toolbar (see Chapter 3.3).
Close project: closes the project.
3.4.2 General Options for Mesh Objects

The options listed here are always available for mesh objects. There are mesh objects you cannot click, e.g. minimum thick-
ness meshes. In this case, you can right-click the corresponding group in the Group Selector to access the context menu for
the desired non-clickable mesh.
Zoom to object: Centers the view to the scene object.

Visual properties: By default, a smoothed 3D representation of each object is displayed. In Wizard mode, each object’s
transparency is adjusted automatically for convenience in the design. By right-clicking an object and using the visual
properties options, you can change the display of the object.
Figure 3.2: Visual properties
Hide this object: Hides the object.

Wireframe: Shows the triangle grid of the object.

Point cloud: Displays the object as a point cloud.

Flat shading only: Triangle-based illumination (more visible triangle edges)
Opaque: Opaque display of the object.
% transparent: Transparent display of the object.
Save to file: Opens a file explorer window, and you can save the selected object as an STL file.
For preparation-related objects (e.g. jaw scan, model teeth), the option Show/Hide Tooth Axes is available. Selecting this
option opens the Show/Hide Tooth Axes window (see Figure 3.3).
Figure 3.3: Show/Hide Tooth Axes window
You can show/hide axes for the anatomy and/or the insertion direction, and toggle the display of tooth numbers using the
checkboxes.
3.5 Show Distances

The Show Distances function shows contacts/intersections/proximities of restorations to the antagonist and adjacent teeth.
These are displayed in colors on each restoration (see Figure 7.3). You can deactivate the function by clicking Show distances
in the main toolbar.
Figure 3.4: Contact visualization on a model tooth
Select the type of distance you want to display in the Shows Distances control’s dropdown menu:
Show contacts: highlights the contact areas with the antagonist/adjacents (see Chapter 3.5.1).
Show intersections: highlights areas where the objects overlap, color-coded by the amount of overlap (see Chapter
3.5.2).

Show proximity: measures the distance between non-overlapping objects (see Chapter 3.5.2).
3.5.1 Show Contacts

1}
m
3}
m 2}
m
4}
m 5}
m
The color reference bar 1}

m shows the colors used in the distance visualization and emphasizes where there are inter-
sections and where there is clearance between the selected objects.
You can define the minimum/maximum distance displayed using the two sliders at the sides of the color reference bar
2}
m.
The distance measured at the current mouse position is displayed below the color reference bar 3}
m. If there is an
intersection, the displayed value is negative.
You can enable/disable the visualization for antagonists and adjacents using the corresponding buttons 4m
}.
Activate Include healthy 5} m to display contacts on healthy teeth (scan). After virtual articulation, a second checkbox
Dynamic is available, to visualize contacts that appear when the articulator movement was simulated.
3.5.2 Show Intersections/Proximity
The color reference bar shows the colors used to display intersections/proximity. To change the color scaling in the bar,
you can use sliders as in Show Contacts mode, which are displayed either on the left side (intersections) or on the right side
(proximity) of the bar. The rest of the functions available in Show Intersections/Proximity mode work as in Show Contacts
mode.
3.6 Closing ChairsideCAD

To close ChairsideCAD, close the ChairsideCAD window. To close only the current project without closing ChairsideCAD,
select Close project in the context menu (see Chapter 3.4).
If you close the ChairsideCAD window during a design, you must choose if you want to save a scene file in the project directory,
or if you want to discard the current state of design.

Figure 3.5: Closing options
3.7 Wizard Mode

The Wizard mode guides you through the worksteps of the reconstruction design. It is the default mode to use ChairsideCAD.
Changes made in Wizard mode will be applied to all teeth for which the current step is available. If you want to apply changes
to certain teeth, use Expert mode (see Chapter 11).
3.7.1 The Wizard Window
3}
m
1}
m 2}
m

Figure 3.6: Wizard window
The Wizard window’s title indicates the current workflow step. The window’s content provides functions for performing the
design step, and can have multiple tabs.
Clicking Next 2}mbrings you to the next design step. This button is activated when you have performed all necessary actions
for completing the current step. In some Wizard steps, window text informs you what will happen in the next step.
Clicking Back 1}m brings you back to the previous Wizard step. The Back function is not available
if you have loaded a scene and want to return to a step performed before the scene was saved, or
if you have made certain changes in Expert mode and return to Wizard mode. For example, if you have deleted model
teeth in Expert mode, you cannot return to the precise placement step in Wizard mode as there are no longer any model
teeth.
Clicking the ? symbol 3}
mopens this user manual at the corresponding location for the Wizard step.

4 Wizard Workflow: Designing Crowns and Bridges
This chapter describes the ChairsideCAD design of crowns and bridges using the Wizard workflow and explains all possible
steps. Which of the steps will exactly appear in your case depends on the project definition.
4.1 Adjusting the Scan Data Orientation

If ChairsideCAD cannot determine the scan’s orientation, the Wizard will start with adjusting the scan data orientation as
first step.
Figure 4.1: Adjust Scan Data Orientation window

Rotate the scan until you look onto the occlusal side of the teeth and click Set current view as axis.
4.2 Margin Line Detection

You define the margin line for each single tooth preparation. You can define the margin line automatically or manually, or
combine both methods. The Wizard window (see Figure 4.4) has two tabs: Detect for automatic detection, Correct/Draw
for manual detection. You can define the preselected tab in the ChairsideCAD settings (see Chapter 10.10).
If there are multiple margins in the design (multiple restorations), ensure to define the margin for the tooth specified in
the Wizard window.

4.2.1 Drawing the Margin Line
1}
m 2}
m
3}
m
4}
m
5}
m
6}
m 7}
m
Figure 4.2: Correct/Draw tab
Step 1: While in Draw mode 1}

m, set points along the margin line by left-clicking the scan.
Step 2: To complete the margin line, double-click the last point. It will be automatically connected to the first point. The
line appears green and the tab automatically switches to Move mode 2} m
. In this mode, you can move points by

dragging them.

Figure 4.3: Preparation with margin line
To add points to the margin line, click it at the desired position. To delete points, hold the left mouse button on the
desired point and right-click.
With activating Magnetic Line Drawing 3} m , the line segment you draw adapts to the maximum curvature (sharpest
angle) of the scan. Hold CTRL to temporarily deactivate this mode for a segment. The active status will be kept when
drawing the next margin line, if you have multiple stump-based restorations.
For intraoral scans, the subgingiva preparation type button 4} mis available with activating Magnetic Line Drawing
3}
m. If you activate this button, the magnetic line will follow a concave (curved inwards) curve instead of a convex
(curved outwards) curve. This can be helpful if you draw the margin line for a preparation that begins below the gingiva.
Click Clear 6m
}to delete the margin line.
A sectional 2D view of the area below the mouse cursor will be displayed in the upper right corner of the ChairsideCAD
screen. To hide this 2D view, deactivate Profile view 7}
m.

4.2.2 Correcting an Existing Margin Line

To correct an existing margin line, you can draw an alternative line in Draw mode (Correct/Draw tab) to replace a part of
the existing line.
Step 1: Click points near the existing margin line to draw the new line portion.
Step 2: Double-click to join the first and last points of the new curve part to the margin line. Alternatively, click Accept
drawing changes 5} m.
Note: Defining a new margin line part

You cannot set points too far away from the existing margin line.
Do not draw a new margin line part perpendicular to the existing margin line. ChairsideCAD must be able to detect the
direction of completion.

(a) Incorrect (b) Correct
4.2.3 Automatic Margin Line Detection

While in the Detect tab, click a point on the margin line to start the automatic margin line detection. For inlays and subgin-
gival preparations (Subgingiva preparation type 3} mactivated), you must set four points.
One click (or four, for inlays / subgingival preparations) will typically suffice for ChairsideCAD to detect the margin line cor-
rectly. If it has not been detected correctly, you can improve the detection by setting further points on the margin, or correct
the margin line using the Correct/Draw tab (see Chapter 4.2.1).
1}
m 2}
m
3}
m
5}
m
4}
m
Figure 4.4: Detect tab

Activate Add point 1}

mand click the margin line to add a point for the automatic detection. To delete a point, activate
m
}
Remove point 2 and click the desired point.
Deactivate Subgingiva preparation type 3} mif the margin line of the preparation is not below the gingiva. The margin
line shape will then adjust to correctly fit the preparation border of a supragingival preparation (margin line above
gingiva).
Click Clear 4m
}to delete the margin line.
Deactivate Profile view 5}
m to hide the sectional 2D view of the area below the mouse cursor in the upper right corner
of the ChairsideCAD screen.
Figures 4.5 and 4.6 show an example for an incorrectly detected margin line, which was corrected by adding a second point.
Figure 4.5: Misdetected margin line, single point Figure 4.6: Correctly detected margin line, two points

4.3 Setting the Insertion Direction
WARNING
Carefully inspect undercuts visualized after the definition of the insertion direction to determine
if they have a critical impact on the desired restoration.
Check the insertion direction carefully. This is especially important for inlays/veneers.
1}
m
2}
m
3}
m
4}
m
Figure 4.7: Insertion direction

ChairsideCAD shows the automatically detected insertion axis by adjusting the viewpoint so that you look onto the prepara-
tion(s) in the direction of insertion. Undercut areas will be displayed according to the color scale 3}
m. This display is only an
approximation, real undercuts can be deeper as indicated by the colors.
To change the insertion axis:

Step 1: Select the tooth number to edit from the dropdown menu 1m
}.
Step 2: Rotate the view so that you look onto the preparation(s) in your desired insertion direction.
Step 3: Click Set current view as insertion axis 4m
}to set the current view direction as the new insertion axis.
If you want to create a common insertion direction for a bridge, check Unique insertion direction for bridge 2}
m. The
selected insertion direction will be applied to all preparations in the bridge.
Ensure to regard the extent of pontics when setting or verifying the insertion direction for a Candilever bridge. Setting an
incorrect insertion axis may lead to unpredictable results in further worksteps.

4.4 Crown Bottoms

ChairsideCAD automatically calculates the cement gap and milling parameters of the crown bottom using the scan data
geometry and the defined margin line. Material-specific parameters are considered in the calculation. In Expert mode, you
can view and/or change crown bottom parameters (see Chapter 11.4).
4.5 Lingual Band (Offset Copings)

If Lingual bands on offset copings in wizard? is checked in the ChairsideCAD settings (see Chapter 10.10), this Wizard step
for creating a lingual band appears if you design an offset coping.
1}
m
2}
m
3}
m
4}
m
5}
m
Figure 4.8: Lingual Band window
To create a lingual band from left to right, click the coping near the margin line on the left side. To create a lingual band from
right to left, activate Right 1}
mand click the coping on the right side.

Figure 4.9: Offset coping with lingual band
To change the start/end point of the lingual band, drag the blue/red point to the desired position. Alternatively, activate
Left/Right and click a new position on the coping.
If you want to create a 360 degree collar, check 360 degrees 2}
m.
Using the slider Collar height 3}
m, you can define the height of the collar.
Using the slider Collar angle 4}
m, you can define the angulation of the collar.
Click Clear 5m
}to delete the lingual band.
4.6 Generating the Tooth Anatomy

There are four ways to create the tooth anatomy:
1. Using model teeth (see Chapter 4.6.1)
2. Copying/mirroring teeth from the patient’s scanned dentition (see Chapter 4.6.2)
3. Using model teeth adapted to a scanned pre-op model (see Chapter 5.1)
4. Copy-milled from a waxup scan (see Chapter 5.2)
4.6.1 Using Library Model Teeth

For single-tooth reconstructions that require a model tooth (e.g crowns, copings), ChairsideCAD provides an automatic tooth
placement proposal based on the default tooth library. ChairsideCAD automatically identifies the adjacent mesial and distal
teeth, selects the mesial and distal contact points, and then adjusts the model tooth to fit.

Figure 4.10: Automatic model tooth placement proposal
1}
m
2}
m
3}
m 4}
m
Figure 4.11: Place Model Tooth window
You can correct the suggested tooth placement by dragging the model tooth with your mouse. Hold SHIFT to scale the
tooth, hold CTRL to rotate it.

By clicking Go to Advanced Placement 1} m, you can access more detailed tooth placement options. These are described
in Chapter 4.7. ChairsideCAD directly accesses the advanced tooth placement if you are designing a bridge containing more
than one tooth reconstruction.
Using the library dropdown 2} m, you can change the tooth library. Click the arrow buttons to select the next/previous library
in the list. Hold CTRL while scrolling the mouse wheel to cycle between all installed tooth libraries.
You can select new mesial/distal neighbors by expanding the section Correct Mesial/Distal, selecting the corresponding
buttons 3}m / 4}
m and clicking new positions on the jaw scan.
4.6.2 Copying/Mirroring Existing Teeth

This Wizard step appears if appropriate teeth are defined as adjacent/healthy in the project. If you design a restoration for a
molar and an incisal tooth is marked as adjacent/healthy, it does not appear.
In Expert mode, you can mirror the entire jaw scan, if opposing teeth are defined as adjacent/healthy in the project. See
Chapter 11.7.
1}
m
2}
m 3}
m
Figure 4.12: Copy Tooth window

There are two ways to copy a tooth from the scan data, depending on the Target selection 1}
m:
Direct copy creates a model tooth as direct copy of an existing tooth. Only one tooth at a time can be copied.
Virtual pre-op generates a virtual pre-op, which can be used later to adapt a model tooth. Virtual pre-op allows for
multiple teeth to be copied from the scan data in relation to each other.
Use Copy 2}
mto copy teeth within a quadrant. Use Mirror 3}
mto copy teeth cross-arch (between quadrants).
Any restored tooth location which does not receive a copied tooth anatomy will use a model tooth instead.

Copying/Mirroring Teeth with Direct Copy Target
Step 1: Select Copy/Mirror.

Step 2: In the scan, click the tooth you want to copy/mirror. ChairsideCAD automatically extracts the scanned tooth
geometry and displays it in yellow (see Figure 4.13).
Step 3: Move the cursor to the target location and confirm the target position with a second click (see Figure 4.14). To
move a copied/mirrored tooth, drag it with your mouse. To rotate, hold CTRL and drag. To scale, hold SHIFT and
drag.
Figure 4.13: Copy tooth - step 2 (copy) Figure 4.14: Copy tooth - step 3 (paste)
By clicking Undo after your first click, you return to selecting the anatomy to be copied.
Click Mirror/Copy another to copy more teeth. If you have only one restoration, there is a button Change copy of tooth
instead, which allows you to select the tooth to copy again.
If the tooth number that will receive the mirrored/copied tooth is unclear, a tooth selection window will appear as shown in
Figure 4.17, where you can select the tooth which will receive the copy.
Copying/Mirroring Teeth with Virtual Pre-op Target
To create a virtual pre-op scan from copied anatomies:

Step 1: Select Copy or Mirror.
Step 2: Click a scanned tooth. Add tooth geometries (fix in their relative positions) by holding CTRL while clicking
additional scanned teeth (see Figure 4.16).
Step 3: Drag the tooth/teeth to the desired position, and click again to place the tooth copies. To move a copied/mirrored
tooth, drag it with your mouse. To rotate, hold CTRL and drag. To scale, hold SHIFT and drag.

Figure 4.16: Mirror teeth (pre-op) - step 3 (paste)

Figure 4.15: Mirror teeth (pre-op) - step 2 (copy)
If your project includes multi-tooth gaps, a tooth bow window (see Figure 4.17) prompts you to confirm/select the tooth num-
bers which will receive the copied anatomy. Click OK in the tooth bow window to confirm the tooth selection.
Figure 4.17: Target tooth selection
“Correct” Tab
In the Correct tab, you can edit the extracted geometry used for copying/mirroring with a brush tool.
1}
m
2}
m
3}
m
Figure 4.18: Copy Tooth - Correct tab

Mark areas on the scan by holding the left mouse button and dragging. Hold SHIFT to invert the brush functionality. Use the
Brush size slider 1}
m to define the brush tool size. Click Clear correction 2}
m to clear your corrections. Click Apply 3}
m to
apply your changes.
4.7 Tooth Placement

In this step, you can position model teeth precisely.
Figure 4.19: Tooth Placement window
In the Tooth Placement window (see Figure 4.19), two tabs are available: Simple and Chain Mode. They represent two
modes for performing the tooth placement. The Chain Mode tab is only activated if you position multiple teeth.
4.7.1 Simple Mode

Moving Tooth Models
Step 1: Activate Move.

Step 2: Click the model tooth you want to move.
Step 3: Drag the tooth to the desired position.
To restrict movement to certain directions, activate a corresponding radio button.

SHORTCUTS
Hold CTRL: Rotate a tooth
Hold SHIFT: Scale a tooth
Hold CTRL + SHIFT: Perform direction-based scaling
Rotating Tooth Models
Step 1: Activate Rotate or use the shortcut in Move mode.

Step 2: Click the model tooth you want to rotate.
Step 3: Hold the mouse button and drag. Rotation center is the model tooth’s center.
To restrict rotation to certain directions, activate a corresponding radio button.
Scaling Tooth Models
Step 1: Activate Scale or use the shortcut in Move mode.

Step 2: Click the model tooth you want to scale.
Step 3: Hold the mouse button and drag the mouse to scale the tooth. A green arrow indicates the scaling direction. To
perform direction-based scaling, hold CTRL and SHIFT.
To restrict scaling to certain directions, activate a corresponding radio button.
4.7.2 Chain Mode

The chain mode is a useful function to arrange model teeth in multi-tooth bridges. It is not available if you have copied teeth
as direct copies in the tooth anatomy generation step (see Chapter 4.6.2).
2}
m
1}
m
3}
m
Figure 4.20: Chain controls
The tube 1}
mindicates the tooth chain. Placement discs 2}
mmark the ends of the tooth chain.
By clicking the control points 3}
m, which are present for every model tooth and the placement discs, you can pin positions of
teeth and placement discs. When pinned, the control point appears in red and the tooth / placement disc will not be affected
by movement/rotation/scaling actions. Clicking a red control point will unpin the tooth / placement disc again.
There are three chain modes, represented by the three top buttons in the Chain Mode tab:

Chain: transforms all teeth in a chain
Single: transforms a single tooth
Tube: transforms all teeth on a fixed bow
Chain Mode
Move, scale and rotate model teeth in a chain using the same functions as in the Simple tab when in Move mode (see Chapter
4.7.1):
To move the tooth chain, click a model tooth in the chain and drag.
To rotate the tooth chain, click a model tooth in the chain where you want to apply rotation. Drag in the desired rotation
direction while holding CTRL. The greater the distance to the point you selected, the lesser the rotation influence.
To scale the tooth chain, click a model tooth in the chain and drag in the desired scaling direction while holding SHIFT.
You can also move, rotate and scale placement discs. When clicking a placement disc, the control points of both discs turn
red and you can drag one end of the chain while the other end remains fix. Once you let the disc off, both placement discs
will be unpinned (green) again.
The following checkboxes are available in chain mode:
Teeth Scalable If a chain transformation is too big, the teeth will be scaled. Uncheck to deactivate.
Keep in Contact By default, the teeth remain in contact. Uncheck to deactivate. This will allow gaps and
intersections between teeth. When activated again, contacts will be re-established.
Show Chain Controls Uncheck to hide the tube and the control points.
Limit Rotation to Check to limit rotation to buccal/lingual tilt.

Buccal/Lingual Tilt
Single Mode
To move, rotate, and scale an individual tooth, use the same functions as in the Simple tab when in Move mode (see Chapter
4.7.1):
To move a tooth, click it and drag.
To rotate a tooth, click it and drag in the desired rotation direction while holding CTRL.
To scale a tooth, click it and drag in the desired scaling direction while holding SHIFT. Use CTRL and SHIFT for direction-
based scaling.
Moving, rotating, and scaling a single tooth will affect the entire chain to some extent when the checkbox Keep in Contact
is activated.
The checkboxes Teeth Scalable, Keep in Contact, and Show Chain Controls are available, with the same functions as in
chain mode (see Chapter4.7.2).

Tube Mode
In this mode, you can move, scale, and rotate teeth in a chain along a fixed bow, indicated by a red tube extending the ends
of the main tube (see Figure 4.21).
Figure 4.21: Tube mode - Main and red tube
Move the teeth along this bow by dragging your mouse. Rotation and scaling behavior are the same as in Chain mode.
The checkbox Keep in contact is not available, as the teeth always stay in contact. Available checkboxes are Teeth Scalable,
Show Chain Controls and Limit Rotation to Buccal/Lingual Tilt, with the same functions as in Chain and Single mode.
Symmetry Option
In the Options section of the Chain Mode tab, the Symmetry but-
ton is activated if you place model teeth on both jaw sides at op-
posing positions. You can use the symmetry function to create a

symmetry for the right and left jaw side.
Figure 4.22: Chain mode options

The Symmetry button actually consists of four buttons. Hovering over one of these buttons displays blue symmetry indica-
tors in the main view, indicating the symmetry plane, considered teeth (blue control points), and the symmetry direction.
Figures 4.23 to 4.26 show the symmetry button functions.

Figure 4.23: Overall symmetry from right to left
Figure 4.24: Overall symmetry from left to right

Figure 4.25: Front teeth symmetry from right to left

Figure 4.26: Front teeth symmetry from left to right
Define a symmetry by clicking one of the four buttons. The entire Symmetry button will appear activated. Any movement/rotation/
scaling action on one jaw side will be mirrored to the other side along the symmetry plane. To deactivate the symmetry func-
tion, click Symmetry again.
Note: Front teeth symmetry includes canines and premolars, not only incisors.
The symmetry plane control is a sphere with two arrows (see Figure 4.27). The arrows indicate which teeth are used as
reference for the plane orientation. The reference teeth are locked (red control points).
Figure 4.27: Symmetry plane control
To change the reference teeth, click the control point of a tooth on either jaw side. The symmetry plane control will jump to
the new position and the control points of both reference teeth will appear red (see Figure 4.27).
To pin the symmetry plane, click the sphere between the arrows.

Reset Options
Clicking Reset in the Options section of the Chain Mode tab (see Figure 4.22) displays available reset options you can select
from.
Figure 4.28: Chain mode reset options
Reset (keep red) Restores the original position of unpinned teeth (green control points), but keeps the
current position of pinned teeth (red control points).
Reset Keeps changes made in the Simple tab, discards all other changes.
Global Reset Restores the original position of all teeth, discards all changes.
Cancel Keeps all current tooth positions.
4.8 Virtual Articulator

In this step, ChairsideCAD automatically performs virtual articulation.
WARNING
For single-tooth restorations where the copy/mirror function with direct copy target is used to gen-
erate the tooth anatomy (see Chapter 4.6.2), the Virtual Articulator is not available.

Figure 4.29: Virtual Articulator step
To skip the virtual articulation, click Skip articulator.

In the main view, you can see the articulator movements: protrusion, retrusion, laterotrusion left, and laterotrusion right.
To repeat the articulation movements, select Articulator in the main toolbar once the Virtual Articulator step is finished.
This opens the Repeat Articulator movement window (see Figure 4.30).
Figure 4.30: Repeat Articulator movement window

Select the desired movement using the radio buttons and drag the slider to move the jaw.
WARNING
In order for the automatic virtual articulator function to deliver good results, the scan data relevant
for the adaptation of the reconstructions you design must be free of scan artifacts. To remove
artifacts, you can use the 3D Mesh Editor (see Chapter 11.11).

4.9 Automatic Adaptations

With accessing the Free-Forming step (see Chapter 4.10), ChairsideCAD automatically adapts model teeth to the preparation
margin, the antagonist (occlusal adaptation), adjacent teeth (approximal adaptation), and, if applicable, pontics/waxups to
the gingiva, which means that it cuts away existing intersections.
In the occlusal adaptation, ChairsideCAD performs a dynamic adaptation (according to virtual articulation) only for one jaw,
while a static adaptation is performed for both jaws.
After the automatic adaptations have been performed, check the result for remaining intersections. If intersections remain
after the adaptation, this can have two reasons:
1. The intersections are larger than 1 mm. Those may not be cut away completely.
2. The minimum thickness would have been violated. ChairsideCAD does not fall below the minimum thickness dur-
ing automatic adaptation. If the tooth is significantly below the minimum thickness surface, restoring the minimum
thickness may fail.
If you want to change the automatic adaptation’s result, you can adjust settings and repeat adaptations in the Free-Forming
step (see Chapter 4.10.3).
4.10 Free-Forming
In this step, you can edit the tooth shape.
The Free-Forming window has four tabs representing four free-forming modes:
Anat. (Anatomical): Adjust the tooth anatomy by leveraging predefined

tooth features (cusps, fissures, etc.) of the model teeth. See Chapter 4.10.1.
Free: Add, remove, or smooth material with a virtual wax knife. See Chapter
4.10.2.
Adapt: Automatically adapt the chewing surface to the antagonist, contacts

to the adjacent teeth, and pontics to the gingiva. See Chapter 4.10.3.
Att. (Attachment): Add/remove attachments from the attachment library

to/from an object. See Chapter 4.10.4.
Note: When proceeding in the workflow by accepting the free-forming changes, the minimum thickness will be restored
automatically. If the automatic recovery fails and one vertex is 0.1 mm below the minimum thickness, there will be a warning
message.

4.10.1 Anatomical Free-Forming
1}
m
2}
m
3}
m
4}
m
5}
m
6}
m
7}
m
8}
m
Figure 4.31: Free-forming window
Select the tooth area to edit by clicking the corresponding buttons:

Cusps 1}
m : Edit individual cusps. This only works properly for restorations based on model teeth (anatomic crowns/copings,
anatomic inlays, etc).
Tooth Parts 2} m: Edit the mesial, distal, buccal, lingual part, depending on where you click. This is especially useful
for adjusting approximal contacts, since the tooth stays attached to the preparation margin.
Entire Tooth 3}
m: Edit the entire tooth.
Ridge 4}
m : Edit ridges. This only works properly for restorations based on model teeth (anatomic crowns/copings,
anatomic inlays, etc).
Hold the left mouse button and drag to change the anatomy. To restrict the transformations to occlusal direction, check
Occlusal Only 5} m . To hold either the cusp tips or the equator fixed, activate the corresponding checkboxes 6}
m(note: this
only works for restorations based on model teeth).
Click Cut all intersections 7}
mto cut all intersections with the antagonist, adjacents, and, for pontics/waxups, to the gin-
giva.
By expanding the Paint & Pull section 8m
}, you can mark moving, static, and elastic parts on model teeth.

Figure 4.32: Paint & Pull section
To mark areas, activate the corresponding button Paint moving/static/elastic parts and drag your mouse. Define the brush
size using the Brush size slider. To invert the brush functionality, click Invert. To clear all markings, click Reset. You can pull
moving parts by activating Pull moving parts with mouse.
SHORTCUTS
While a part mode is activated (moving, static, elastic), you can switch to the other two part modes
by holding SHIFT or CTRL.

4.10.2 Free Adjustments
1}
m 2}
m
3}
m
4}
m
5}
m 6}
m 7}
m
8}
m
Figure 4.33: Free tab
Select the desired action by using the buttons Add/Remove 1}

mand Smooth/Flatten 2}
m.
To add/remove material: Hold the left mouse button on the tooth to add material. To remove material, additionally
hold SHIFT. The longer you hold the mouse button, the more material will be added/removed.
To smooth/flatten rough areas: Hold the left mouse button on tooth areas you want to smooth. To flatten (super-
smoothing) material, additionally hold SHIFT. For a more shape-preserving smoothing, hold CTRL.
Using the slider Strength 3}

m, you can adjust the speed at which material is added/removed, or the amount of smoothing
when in Smooth/Flatten mode. Using the slider Brush size 4}m , you can define the area that is affected around the cursor.
There are three brush types available: default 5}
m, point of knife 6}
m, and cylinder 7}
m.
Click Cut all intersections 8}
mto cut all intersections with the antagonist, adjacents, and, for pontics/waxups, to the gin-
giva.
4.10.3 Adapt
There are two basic types of adaptation: occlusal and approximal. Select the desired adaptation type by using the corre-
sponding buttons 1} m .If you design a pontic/waxup, a third button Pontic is available to adapt pontics/waxups to the gingiva
(see Chapter 4.10.3). If preconditions for an adaptation are not fulfilled, it will not be performed.

1}
m
2}
m
3}
m
4}
m 10}
m
11}
m
5}
m
12}
m
6}
m 7}
m 13}
m
14}
m
8}
m
9}
m
Figure 4.34: Adapt tab - Occlusal Figure 4.35: Adapt tab - Approximal
To cut intersections according to the selected adaptation type, click Cut intersections 2}
m.
You can choose a shape-preserving adaptation 3} m , which will try to preserve the tooth morphology. For certain cases,
this button is deactivated (e.g. for offset copings, offset inlays, veneers, waxups) and shape-preserving adaptation can-
not be performed.
You can define a distance from the designed anatomy to the antagonist / adjacents / emergence profile using the De-
sired distance sliders 4}
m , 5}
m, 10}
m, 11}
m . A negative value will create an intersection.
You can choose between static or dynamic occlusion 6m
}. If virtual articulation has been performed, dynamic is checked
by default.
If you have restorations in both jaws, you can select the jaw to adapt using the upper/lower radio buttons 7}
m. If the
occlusion type is dynamic, you can only adapt to the lower jaw.
If you check Exclude selected parts 8}m , a window appears with brush tool functions. Using these functions, you can
paint areas on the model teeth which will be excluded from adaptation.
Click Cut all intersections 9m

}to cut all intersections with the antagonist, adjacents, and, for pontics/waxups, to the
gingiva.

By default, Block out neighbor collisions 12} m is checked. This means that CharisideCAD will temporarily block out
the scanned approximal neighbors relative to the tooth’s insertion direction, to allow a collision-free fitting of the tooth.
If there is a gap between a restoration and adjacent(s), you can check Pull sideways to adjacent teeth 13} mto move
the restoration border(s) sideways so that they are in contact with the adjacent teeth. If checked, you can define intru-
sions with the adjacent teeth using the slider Intrusion depth before cut 14} m. These intrusions will be applied before
intersections are cut away.
Pontic/Waxup Adaptation
3}
m
1}
m
2}
m
Figure 4.36: Adapt tab - Pontic
The slider Gingiva 1}

mcontrols the distance to the gingiva after the adaptation:
A negative value means that the pontic/waxup will intersect the gingiva scan (that is, the physical pontic will apply
pressure on the gingiva).
A positive value means that there will be a gap between gingiva and pontic/waxup.
Zero (default) means that the pontic/waxup will be in direct contact with the gingiva.
Check Pull down to gingiva 2} m if the gingiva is so low that the pontic/waxup does not intersect it. This will pull down the
pontic/waxup towards the gingiva during the adaptation. Alternatively, you can pull the pontic/waxup down to the gingiva
manually in Anatomic mode (see Chapter 4.10.1).
Click Adapt to gingiva 3m
}to perform the adaptation.
When designing reduced pontics, the free-forming step will appear twice, before and after the reduction. You can perform
the pontic adaptation on the full anatomy or on the reduced shape. To ensure the exact distance value being respected in
the final restoration, perform the adaptation after the reduction.

4.10.4 Attachments
1}
m 2}
m
3}
m
4}
m
5}
m 6}
m 7}
m
8}
m
9}
m
10}
m 11}
m
Figure 4.37: Attachment tab
To add/remove attachment shapes, select Add 1}

mor Remove 2}
m.
Select the attachment library and type using the dropdown menus 3}
mand 4}
m.
Activate Move 5}m to move the shape, Rotate 6}
m to rotate it, and Scale 7}
mto scale it. While in Move mode, you can
also hold CTRL to rotate and SHIFT to scale. Some attachments cannot be rotated and/or scaled depending on the
attachment library settings.
You can select the Insertion Direction 8}

mfor the attachment as
from the Top as viewed from the scan data orientation,
from the current View direction, or

perpendicular to the restoration Surface.
Cut on gingiva 9} mwill automatically cut the attachment to the scan (if the slider value is 0), or to a fixed distance defined
by the slider. Negative distance values mean intersection with the scan.
Click Apply 10}
mto add/remove the attachment. Click Unload 11}
mto clear the attachment selection.
Text Attachments
You can add text attachments to a restoration, as shown in Figure 4.38.

Figure 4.38: Text attachment
1}
m
3}
m
2}
m
4}
m
5}
m
7}
m 6}
m
Figure 4.39: Att. tab - text attachment
To add a text attachment, select Text in the Library dropdown list 1} m , as shown in Figure 4.39. By default, the attachment
text is the filename of the current scene. You can edit the text in the text window 2} m .
Move the text attachment to the desired position on the restoration. Activate Rotate 3}
m to rotate the text. Click the desired
position on the restoration to set the text attachment. Once positioned, you can still drag and drop the text attachment.

With clicking Unload 6}

m, you detach the text again from the restoration.
Using the slider Depth 4}
m, you can change the text depth, with Size 5}
myou can define the text size.
Click Apply 7m
}to adapt the text attachment to the restoration.
4.11 Shrinking
This Wizard step appears if your project contains reduced restorations, and allows you to define regions for applying veneer-
ing material. You can also use shrinking to design occlusal stops, lingual bands, mamelon and facial cutbacks, and thimble
(retrievable) crowns.
1}
m
2}
m
3}
m
4}
m
5}
m 6}
m 7}
m
8}
m
9}
m
10}
m
12}
m
11}
m
Figure 4.40: Shrinking - regular Figure 4.41: Shrinking - advanced parameters
Cutback Design Library 1}

mcontrols special cutback modes (e.g., facial cutbacks, incisal cutbacks). This chapter de-
scribes regular shrinking without cutback design library.
The slider Depth 2}mcontrols the shrinking amount – that is, the thickness of the veneering layer you want to apply
over the framework. The minimum thickness specified for the material will be enforced, which means that in areas
where the material thickness does not allow it, the cutback will be less than what you set with the slider.
By default, the entire anatomy is shrunk uniformly. Check Exclude selected parts 3} mto perform partial shrinking,
and to mark areas with a brush tool. These areas will keep the full anatomic shape. This technique is useful for creating
lingual bands, occlusal stops, or if there is not enough space for ceramic on the occlusal surface.
Define the brush thickness using the corresponding slider 4} m . Hold the left mouse button and drag to paint areas.
To unmark regions, hold SHIFT. You can mark the whole anatomy by clicking Mark all 5} m and clear all markings by
m
}
clicking Clear all 6 .
Click Lingual band 7}
mto mark a collar region for creating a lingual band. This opens a new window:

Define the collar’s height (measured from the margin line) using the slider Height.
If pontics should remain untouched, check Do not modify pontics.
Click Select all around to mark a 360 degree collar.
Click Select lingual part to mark a lingual collar.
If you want to apply less shrinking on the lingual side, set the slider Lingual shrink 8} mbelow 100%. For example, if
you have set a shrinking depth of 1 mm, and set lingual shrink to 60%, the shrinking will be just 0.6 mm on the lingual
side. By default, this lowered value is only applied to anterior teeth. To apply it to all teeth, uncheck Apply only to
anterior teeth 9} m .
Multi-Level Cutback 10}
mallows multiple reductions of a tooth anatomy, for more sophisticated veneering. Check
Exclude selected parts 3}
m, adjust the incremental shrinking depth 2}
m, and click Apply as many times as needed.
You can adjust the minimum thickness within the parameters defined for the material in the Advanced Parameters
11}
m by using the slider Min. thickness 12}
m.
Click Apply to perform the shrinking. The full anatomy will be displayed transparently, with the reduced geometry opaque
beneath it (see Figure 4.42).
Figure 4.42: Shrinking result
If the tooth is significantly below the minimum thickness surface, restoring the minimum thickness may fail.

4.12 Connectors
This Wizard step only appears if teeth have been defined as connected in your project.
The maximum allowed span of the entire bridge depends on your scanner, your milling machine, and the defined material.
Additionally, the maximum allowed length of each bridge segment depends on the defined material. Verify these values with
the recommended values of the scanner, milling machine, and material manufacturers.
1}
m
2}
m 7}
m
3}
m
8}
m
4}
m 5}
m
6}
m
Figure 4.43: Connector - cross section Figure 4.44: Connector - height and width
There are two methods to define the connector’s size: by defining the cross-sectional area or by defining its height and
width. Select these modes using the Cross Section radio buttons 1} m . Define the connector size using the sliders Min.
Area 2}m or Height 7}
m /Width 8} m .
To visualize the connector thickness, check the corresponding checkbox 3}
m.
Select predefined connector shapes by clicking them in the Shapes section 4}
m.
Click the + symbol 5} m to join tooth shapes directly by using the existing tooth geometry as connector geometry. A new
checkbox above the Shapes section will appear: Ignore minimum section. If checked, ChairsideCAD ignores minimum
size limits to favor nice geometry over material limits. It is recommended to free-form the reconstructions to have a
large enough intersection area. Otherwise it is hard for the + connector to achieve nice geometry with respect to the
material limits.
To change its position, drag the connector. It will readapt to the teeth once you let it off.

SHORTCUT
Dragging the connector will change its position on both sides. To change the docking point only on
one side, hold CTRL and click the tooth position for the new docking point.
To apply your changes, click Apply cross section / shape changes 6}

m . They will be applied to all connectors. You can apply
different parameters/shapes to individual connectors in Expert mode.
When generating connectors, ChairsideCAD tries to enforce the minimum cross-sectional area, or the minimum height/width.
In some rare cases, this may fail, due to space restrictions. The connector will then be displayed in red. This situation
must be resolved manually by changing the connector’s location, or by free-forming the connector (see Chapter 4.12.1).
4.12.1 “Free” Tab

The Free tab provides functions to free-form connectors and visualize the connector thickness.
Figure 4.45: Free tab
Edit connectors by moving the control points. When moving the mouse close to a control point, it will grow and spawn
arrows. Drag the control point itself for moving it freely in all directions. Drag an arrow for movement restricted to the arrow
direction. To move several control points at once, hold SHIFT while dragging one of the points.
To add control points, e.g. for designing more complex shapes, hold CTRL and click one of the lines where you want to add
the new control point.
When free-forming connectors, it can happen that you create thinner connectors than specified in the material parameters.
If you design the connector substantially thinner as specified, ChairsideCAD will mark the approximate area which is too thin
in magenta. In this case, change the connector’s shape to make it thicker. If you keep a too thin connector, there is a risk of
designing an unstable construction.

4.13 Production Blank
WARNING
Ensure that the material and production blank you choose for manucturing your designed restau-
ration is suitable for the purpose of the reconstruction and that the intended use / indications for
use of the material and production blank as defined by the manufacturer cover your design.
In this Wizard step, you select and define the production blank for your designed restorations.
1}
m
Figure 4.46: Production Blank window
Step 1: Click the frame 1} m below the restoration to expand the list of available production blanks (when you arrive in this
Wizard step, the list is expanded automatically).
Step 2: Click the desired blank’s frame to select it. You can filter the list using the filter dropdown menus at the top.
Step 3: The selected production blank is displayed in the main view. You can move the blank by dragging it with your
mouse. To rotate the blank, hold CTRL and drag your mouse left/right. To move the blank up and down, hold
SHIFT and drag your mouse up/down.

The Wizard window displays the production blank settings. You can change the blank, material color, production quality, and
machine slot by clicking the corresponding frames.
4.14 Merging and Saving the Finished Restorations

If your system is not configured to bring you directly to a production step, merging and saving the finished restorations is the
last step in the ChairsideCAD workflow.²
When merging and saving files, ChairsideCAD
combines (merges) the design parts into one or more meshes suitable for milling or laser-melting (for each physical
element you plan to produce, one mesh will be created),
saves the meshes in STL format, with a _cad.stl file extension, and
writes additional information (preparation margin, insertion axes, etc.) into the .constructionInfo file, which will
be read by supported CAM applications.
ChairsideCAD saves the output files (STL + constructionInfo) to the project directory.
Merging and saving starts as soon as the Wizard window opens. The progress indicator shows the progress. You can stop the
merging process by clicking Cancel Merging.
²For details about your system configuration, please contact your reseller.

Figure 4.47: Merged restoration (with undercut blockout visualization)
Undercuts deeper than 0.1 mm that have been blocked out by ChairsideCAD are displayed in colors on the merged restora-
tion, as shown in Figure 4.47. If you have defined in Expert mode to not block out undercuts (see Chapter 11.4.3), the under-
cuts are displayed in colors on the merged restoration instead of blocked out undercuts. This display is only an approxima-
tion, real undercuts can be deeper as indicated by the colors.
If significant parts of the restoration are 0.1 mm or more below the minimum thickness, a warning message will appear.
Ensure that the meshes represent the real physical anatomy and no unrealistic shapes have been created (e.g. through au-
tomatic closing of gaps present in the scan data)..
Ensure you adhere to the statutory retention times for the output data generated for the restoration you have designed.
exocad assumes no responsibility for the management of data generated by ChairsideCAD. The user bears full respon-
sibility for the retention and security of the aforementioned data.

4.14.1 “Saved Files” Tab
1}
m
2}
m
3}
m
4}
m
5}
m
Figure 4.48: Saved Files tab
Click Restart Merging 1} mto restart the merging process. To abort the merging process while it is running, click Cancel
Merging 2} m . To remove the merged parts ChairsideCAD has created, click Remove Existing Merged Parts 3} m . To optimize
the ouput for better free-forming, 3D printing an selective laser melting, click Optimize for better free-forming and 3D
printing 4}m . The box 5}m lists the output files (one STL file for each part).

4.14.2 “Next Step” Tab
1}
m
2}
m
3}
m
4}
m
5}
m
Figure 4.49: Next Step tab
In this tab, you can decide what to do next:
I’m done 1}
m : The design is complete. You will be prompted to decide if you want to save the final scene, then Chair-
sideCAD will be closed.
Free-form restorations 2}
m: Opens free-forming for the output mesh.
Expert mode 3}
m: Enter Expert mode, to make adjustment on the complete design.
If ChairsideCAD has blocked out undercuts, Visualize blockout thickness 4} m shows the color scale of the undercut block-
out visualization on the created merged part(s) (see Figure 4.47). Uncheck to hide the scale and the visualization.
To save the final scene in the project directory, check Save scene in project directory 5m
}.

5 Designing from a Waxup or Pre-Op Scan
This chapter describes worksteps which appear in the Wizard workflow when working with a waxup or pre-op scan. All other
workflow steps function as in the regular crowns and bridges workflow described in the corresponding sections of
Chapter 4.
5.1 Pre-op Workflow

1. Adjusting the pre-op scan’s position, see Chapter 5.1.1
2. Margin line detection
3. Crown bottoms
4. Generating the tooth anatomy
If you copy teeth from the pre-op scan with direct copy target, the copied anatomy will remain at the clicked position.
If required, you can change the copy’s position by dragging it with your mouse.
5. Tooth placement
For pre-op scans, we recommend to position the model teeth close to the pre-op model. This will lead to better results
when adapting the model teeth to the pre-op scan.
6. Virtual articulation
7. Adapting model teeth to the pre-op scan, see Chapter 5.1.2
8. Free-forming
9. Designing connectors
10. Production blank
11. Merging and saving restorations
5.1.1 Adjusting the Pre-Op Scan’s Position

In this Wizard step, you can adjust the pre-op scan’s position relative to the jaw scan. Inspect and adjust the pre-op scan
position carefully, as it will be used to determine occlusion. If your scanner automatically aligns the pre-op scan to the jaw
scan, you can skip this step by clicking Next.

1}
m
2}
m
3}
m
4}
m
Figure 5.1: Correct pre-op position manually Figure 5.2: Correct pre-op position automatically
You can align the pre-op scan manually (tab Manually) or automatically (tab Automatically).
Manual Alignment
By default, you can move/rotate the pre-op model in all directions 1} m . To move the pre-op scan, drag it with your mouse. To
rotate it, hold CTRL while dragging. To restrict the movement to certain directions, click Move in z-direction 2} mor Move
in xy-plane 3} m. If you check Allow resizing 4} m, you can scale the pre-op scan by holding SHIFT and dragging.
Automatic Alignment
This procedure is identical to the Align Meshes functionality. See Chapter 10.5 for instructions.

5.1.2 Adapting Model Teeth

In this Wizard step, you can adapt model teeth to the pre-op scan.
Figure 5.3: Adapt to pre-op scan window
Click Adapt model teeth to start the adaptation. Observe the process, and click Stop once you think the adaptation is good
enough. If connectors are in your project, click Adapt connectors to adapt connectors the same way.
Excluding Areas from Adaptation

You can define areas on the pre-op scan or the reconstruction parts which will be excluded from the adaptation. To do this,
check Exclude selected parts. This will open a brush tool window (see Figure 5.4).
1}
m 2}
m
3}
m
4}
m
5}
m
6}
m 7}
m
Figure 5.4: Pre-op brush tool

Select the mesh you want to define exclusion areas for by selecting Pre-op model 1}
mor All other parts 2} m. Paint on the
selected mesh by dragging your mouse. Hold SHIFT to inverse the brush functionality. Alternatively, check Brush inverse
7}
m .
You can define the brush size using the Brush size slider 6}
m, or by scrolling the mouse wheel.
Click Fit nowhere 3}m to mark the whole selected mesh. Click Fit everywhere (clear markings) 5m
}to unmark the whole
m
}
selected mesh (clears all existing markings). To invert markings, click Invert markings 4 .
5.2 Waxup Workflow

1. Editing the waxup scan, see Chapter 5.2.1
2. Margin line detection
3. Crown bottoms and waxup calculation
ChairsideCAD generates the crown bottoms and the waxup automatically. During waxup calculation, the crown bot-
toms and the waxup are combined. Holes are closed and the restoration is adapted to the preparation margin. If the
tooth is significantly below the minimum thickness surface, restoring the minimum thickness may fail.
4. Free-forming
For waxups, no model teeth are used. You can directly free-form the waxup.
5. Production blank
6. Merging and saving restorations
Due to the extra freedom available during the design of waxups, this feature should be handled only by experts and
with an appropriate level of care. There are no means possible to ensure that the output data will meet all necessary
requirements for your fabrication device.
5.2.1 Editing the Waxup Scan

As first Wizard step, you can edit the mesh to remove overlapping parts between jaw scan and waxup scan. Edit the mesh
using the same functions as described in Chapter 11.11 (3D Data Editor).

Figure 5.5: Waxup Scan Editor window
Using the slider Mark overlapping parts (appears when expanding the button Mark overlapping parts), you can define
the distance to the scan data which will be marked as overlap. Overlapping areas are displayed in yellow on the jaw scan (see
Figure 5.6)
Figure 5.6: Scan with overlap
It is recommended to remove all overlapping parts using the mesh editing functions, because they can cause artifacts and
other potential issues in the subsequent workflow steps. If there are still overlapping parts when clicking Next, the dialog
shown in Figure 5.7 informs you on the risks and prompts you to decide how to proceed.
Figure 5.7: Overlapping parts dialog

6 Designing Bite Splints
6.1 Designing the Bite Splint Bottom

The first step³ is to define the insertion direction, to block out the model, and to design the bite splint bottom. Once you have
defined all these properties, click Apply 5} m .
1}
m
6}
m
2}
m
3}
m 4}
m
5}
m
Figure 6.1: Design Bite Splint Bottom window Figure 6.2: Scan data
6.1.1 Defining the Insertion Direction

Clicking the compass icon 4}
mwill position the scan in the center of the screen.
Step 1: Rotate the scan until you look onto it from the insertion direction. Alternatively, you can drag the tip of the green
arrow 6}m, which indicates the insertion direction.
Step 2: Click Set insertion direction from view 3}

m. The dark red undercut area will be updated in real time.
6.1.2 Blocking Out Undercuts

The Block out undercuts section 1}
mprovides functions for defining the blockout behavior.
Offset: digital spacer which is layered on the model
Angle: amount of draft angulation in relation to the insertion axis
Allow undercuts to: maximum amount of retention
³Second step, if you must determine the scan data orientation

6.1.3 Defining Bite Splint Bottom Properties

You can define the bite splint bottom in the Bite splint bottom properties section 2}
m.
Smoothing: smoothness of the bottom surface (the larger the number, the smoother the surface).
Min. thickness: minimum thickness of the bite splint.
Milling diameter: Diameter of the milling tool. It is beneficial to choose a value slightly higher than the actual tool
diameter, e.g. choose 1.2 mm when milling with a 1 mm tool.
6.1.4 Free-forming
Once you have applied bite splint bottom settings, the Free-Forming tab is active.
Figure 6.3: Design bite splint bottom: free-forming
Use the free-forming functions as described in Chapter 4.10 to add/remove material. You can select the brush type (default,
point of knife, cylinder) in the Brush type dropdown menu. To hide the brush area on the bite splint, uncheck Show Brush.
Undercuts will be visualized according to the color scale Undercut Visualization.
When free-forming a bite splint, inspect the minimum thickness to see areas where the thickness is set below the defined
minimum thickness.

6.2 Missing Teeth in Bite Splits

If missing teeth are defined in your project, this Wizard step will appear to position teeth in contact with the edentulous area.
Figure 6.4: Place bridge model teeth window
You can either set the mesial and distal contact points for positioning the model tooth (see Chapter 4.6.1). If the bridge
consists of multiple teeth and there is no adjacent to set both mesial and distal contacts, you can activate the gingiva position
buttons and set one contact point on the gingiva to determine the tooth positions.

6.3 Designing the Bite Splint Top

6.3.1 Defining the Margin and Surface Properties
1}
m
2}
m
3}
m
4}
m
Figure 6.5: Margin tab
Draw the margin by clicking points around the model (on the gingiva and/or teeth). Avoid sharp edges in the margin line. To
delete the line, click Clear 1}
m.
You can edit the bite splint top’s surface properties by using the sliders 2}
m:
Occlusal Thickness: thickness of the occlusal surface
Peripheral Thickness: thickness on the axial walls
Smoothing: smoothness of the top surface (the larger the number, the smoother the surface)
Checking Allow design on palate 3}
m
allows you to draw the margin line over the wider palatal area. The sliders Occlusal
Thickness and Peripheral Thickness will be replaced by only one slider Thickness, for setting the general thickness of the
bite splint.
Once you set the margin and surface properties, click Apply 4}
m.

Figure 6.6: Bite splint top with margin
6.3.2 Defining the Posterior Area
1}
m
2}
m
Figure 6.7: Posterior area tab

You can flatten the posterior area of the bite splint by clicking two points on the splint where the posterior region starts,
setting the Desired impression depth 1} m , and clicking Flatten posterior area 2} m.
6.4 Free-forming the Bite Splint Top

Using the Free tab, you can free-form the bite splint top using the functions described in Chapter 4.10.2. You can adjust the
bite splint’s occlusion using the Adapt tab (see Chapter 4.10.3).

1}
m
2}
m
3}
m
4}
m
Figure 6.8: Anatomical free-forming for bite splint
In Anatomical free-forming (Anat. tab), you can select small region 1} m for shaping small areas, or huge region 2}m for an
m
}
overall thinning/thickening of the bite splint. Check Keep bottom and boundary fixed 3 to keep the bottom and boundary
areas from being modified. Expanding the Paint & Pull section 4} m reveals the same functions as described in Chapter 4.10.1.

7 Designing Provisional Restorations
WARNING
Provisional crowns/pontics are not as accurate as standard restorations, and therefore are not suit-
able for permanent usage.
7.1 Defining the Top of the Provisional Crown

The first Wizard step is to define the anatomy for all teeth marked as provisionals.
Figure 7.1: Provisional crown top
Click the occlusal surface or incisal edge of the anatomy to be copied from the scan. This works best when you click in the
middle of the tooth. ChairsideCAD automatically extracts the scanned tooth geometry and displays it in blue, and applies a
margin line with control points (see Figure 7.2).

Figure 7.2: Provisional crown top defined
After the automatic detection, the Wizard switches to the Margin tab. Ensure that the margin line does not go up to the inter-
proximal contact areas. Furthermore, the margin line should not be set under the adjacent tooth, otherwise the provisional
crown/pontic will be too large to fit. Margin lines of adjacent teeth should not intersect each other.
Figures 7.3 and 7.4 show examples for correct and incorrect margin lines.
Figure 7.3: Correct margin line Figure 7.4: Incorrect margin line
7.1.1 Manually Correcting Margin Lines

If ChairsideCAD did not detect the margin line correctly (e.g some parts are missing from the tooth, or parts that belong to
the adjacent tooth are included), you can correct it manually using the Margin and/or Correct tab.

3}
m
4}
m
1}
m
2}
m
Figure 7.5: Margin tab Figure 7.6: Correct tab

In the Margin tab, you can move the points on the margin line by dragging them to the desired position. You can move the
entire margin line up or down by an increment using the Move slider 1}
m with the Up and Down buttons. You can also Clear
all points 2}m and draw a new line by setting points.
In the Correct tab, you can optimize the extracted geometry by painting the scanned area to be extracted using a brush tool.
Adjust the Brush size using the slider 3}m or by scrolling the mouse wheel. Hold SHIFT to inverse the brush functionality. To
clear your correction and return to the initial definition, click Clear correction 4}
m.
Click Apply to confirm your changes.
7.2 Free-forming
You can free-form the provisional crown/pontic as described in Chapter 4.10.
7.3 Provisional Crown Bottoms

The next step is to design the provisional crown bottoms by setting shoulder parameters and defining the insertion direction.
To change the insertion axis, drag the tip of the yellow insertion axis arrow.
If you check Uniform insertion direction for jaw 4} m , the changes will
be applied to all teeth.

1}
m
2}
m
3}
m
4}
m
5}
m
6}
m
Figure 7.7: Provisional Crown Bottom window
Provisional shoulder parameters:

Shoulder Width 1m
}, see Figure 7.8 a
Shoulder Slope 2}
m(angulation of the shoulder), see Figure 7.8 b
Taper 3}
m(angulation of the preparation’s axial walls), see Figure 7.8 c

(a) Shoulder width (b) Shoulder slope

(c) Taper
Figure 7.8: Provisional shoulder parameters
Click Update Crown Bottom 5m

}to apply your changes.
7.3.1 Designing With or Without Tooth Library

By default, the shape of provisional crowns is derived from the original tooth shape in the scan. If the existing dentition is
heavily damaged, it can be better to design the provisional using model teeth instead.
Select how you want to continue using the Next Step dropdown menu 6}
m:

Design without tooth library: use the original tooth shape.

Design crown using tooth library: automatically copies the existing tooth anatomy as a pre-op scan, and inserts a
library tooth. Only possible if you have an antagonist scan.
Pontics are not affected by this choice, as they always use the scan data to derive the tooth shapes.
7.4 Designing the Rest of the Provisional

The Wizard will guide you through the remaining steps, which are described in Chapter 4 (designing regular crowns and
bridges).

8 Designing Cantilever and Maryland Bridges
Maryland bridges are normally 3-unit bridges with a pontic and so-called “wings” to fix the pontic to the non-prepared neigh-
boring teeth. This type of bridge is typically used to design a temporary restoration, e.g. if a tooth is extracted. Until the
final restoration (e.g. implant-based or regular bridge) is in place, this temporary solution is inserted for aesthetic reasons.
Cantilever Bridges are normally two-unit bridges - one crown and one pontic.
You can design Maryland bridges in ChairsideCAD by using offset inlays for designing the wings, and combine them with a
pontic. Pay special attention to the automatic adaptation of pontics and to neighboring teeth (see Chapter 4.9). E.g. in the
Free-Forming step (see Chapter 4.10), check if the pontic has been adapted correctly and contact areas to neighboring teeth
are correct.

9 Cut View
By using the Cut view option in the main toolbar (see Chapter 3.3), you can use sectional views during the design.
7}
m
8}
m
1}
m 2}
m 3}
m4}
m 6}
m
5}
m
Figure 9.1: Cut view feature
In the main view, move the cut view over the different objects with your mouse. Click to position the rectangle.
You can change the rectangle’s position in the 3D view using the following functions:
To move the rectangle, grab it at the corner 7}
mand drag.
To rotate/tilt the rectangle, move your mouse to a side 8m
}and drag.
In the cut view window, you can navigate using the following functions:
use the mouse wheel to zoom in/out (this also changes the cut view rectangle in the main view)
hold both mouse buttons and drag to move the view
hold the right mouse button and move the mouse up/down to shift the view back and forth.
hold the right mouse button and move the mouse right/left to rotate the view
use the arrow keys to move the view horizontally/vertically
You can also use the slider Position on dental arch 5} mto navigate through the arch. Furthermore, the context menus of
the cut view frame, of scene objects, and of elements in the Group Selector provide options to position the cut view.

To reposition the cut view the same way as you initally placed it, click the button 2}m . To lock the repositioning mode, right-
m
}
click it. To position the cut view over a specific object, click the button 3 and click the object you want to cut. To align the
3D view to the 2D perspective in the cut view, click the button 4} m.
9.1 Performing Measurements
WARNING
When using distance measurements in the cut view, the distance of e.g. two surfaces displayed in
the cut view (2D) depends on the current, oblique orientation of the cut plane and may not allow
to measure e.g. a minimum distance between the surfaces correctly. Because of these reasons,
interpret distance measurements in cut views with care.
To perform measurements, click a start point and an end point in the cut view window. An arrow will appear between these
two points, and the distance will be displayed. If you move the view while a measurement arrow is active, ChairsideCAD will
try to perform a similar measurement at the new cut position. When clicking near a line while defining a measurement arrow,
the arrow will snap to it. If you click in empty space, the arrow will still appear, but it will be yellow, as this measurement mode
is typically less useful.
9.2 Cut View Settings

Clicking the gear icon 1m
}opens the cut view settings:
1}
m 2}
m 3}
m
4}
m
5}
m
6}
m
Figure 9.2: Cut View Settings

1}
mBy default, auto rotation ensures that the 2D and 3D view axes are similar. Click to deactivate auto rotation.
2}
mRotate the cut view in 90 degree steps
3}
mSmoothly rotate the cut view
By default, Intersection lines 4}m is activated. This shows the cut view as 2D sectional view. To set the sectional view to 3D,
select Sectional view 5}m . To hide the grid in the cut view window, uncheck Show grid 6} m.

10 Tools
Access the tools in the main toolbar (see Chapter 3.3) by clicking Tools.
In Expert mode, more tools are available. These additional tools cannot be used in Wizard mode.
Figure 10.1: Tools Wizard mode Figure 10.2: Tools Expert mode

General tools:
Tool Description Reference
Measurement Tool Measure distances, angles, thickness, and object size Chapter 10.1
Sectional View Apply sectional planes Chapter 10.2
Screen Shot Create an image from the current scene Chapter 10.3
PDF export Create a PDF file from the current scene Chapter 10.4
Align Meshes Align different meshes Chapter 10.5
Magic Lantern Change lighting settings Chapter 10.6
Annotations... Create and/or edit annotations Chapter 10.7
Select Tooth Colors Choose tooth colors Chapter 10.8
Show project in Open the project directory Chapter 10.9

explorer
Settings Access general ChairsideCAD settings Chapter 10.10
About View software information Chapter 10.11
Expert mode tools:
Tool Description Reference
Add/Remove mesh Add/remove meshes Chapter 10.12
Change Change the reconstruction type definition Chapter 10.13

Reconstruction Type
Add a Picture Add e.g. patient pictures Chapter 10.14
10.1 Measurement Tool

Using the Measurement Tool you can measure distances, angles, thickness, and object sizes.
10.1.1 Measuring a Distance

Activate Distance and define the start and the end point by clicking the desired positions on the scene object(s). To redefine
the points, either drag and drop them, or select the corresponding button at the top of the Measurement Tool window and
click new positions.

Figure 10.3: Distance measure
10.1.2 Measuring an Angle

Activate Angle and define the start and the end point for a measurement as described in Chapter 10.1.1. Define the angle
center (yellow sphere) by clicking the desired position on a scene object. To redefine the points, either drag and drop them,
or select the corresponding button at the top of the Measurement Tool window and click new positions.

Figure 10.4: Angle measurement
10.1.3 Measuring Thickness

You can measure the local thickness of most of the generated mesh object.
Activate Thickness and click a mesh object to define the start point (green). ChairsideCAD automatically selects the target
point (blue) on the corresponding bottom/top part (e.g. crown bottom/top). If measuring the thickness of a finished recon-
struction, start and target point will be on the same object. The thickness will be displayed at the arrow that indicates the
measurement distance.
To redefine the start point, either drag and drop it, or select the corresponding button at the top of the Measurement Tool
window and click a new position.

Figure 10.5: Thickness measurement
10.1.4 Measure Nearest

This function finds the nearest point of another surface to the selected point.
Activate Nearest and define the start point. Then, click the target object. If there are multiple target objects, select the
desired object in the appearing menu (see Figure 10.7). The closest point on the opposite side of the object is displayed as a
blue point. An arrow shows the location of the calculated thickness.
Figure 10.6: Nearest measurement

Figure 10.7: Nearest measurement - object menu
window and click a new position. To change the target object, click the Set target object icon, and click the new target.
10.1.5 Measuring Orthogonal

This function detects the nearest point on the nearest object perpendicular to the surface of the start point.
Activate Orthogonal and define the start point. Then, click the target object. If there are multiple target objects on top
of each other, select the desired object in the appearing menu (see Figure 10.9). The closest orthogonal point will display in
blue. An arrow shows the location of the calculated thickness.
Figure 10.8: Orthogonal measurement

Figure 10.9: Orthogonal measurement - object menu
window and click a new position. To change the target object, click the Set target object icon, and click the new target.
10.1.6 Measuring Object Size

This function measures the length, width, and height of an object.
Click the object. Check Show tooth size with 3D arrows. The object size is displayed with 3 arrows. This tool is most
commonly used to measure teeth, so the length, width, and height are defined as mesial/distal (pink), occlusal height (yel-
low), and buccal/lingual (blue). Small colored points on the object surface show the extremes that were used for the sizing
calculation. Each small colored point corresponds to its measurement axis.
Figure 10.10: Object size measurement
To select a different object, drag the green start point to the desired object.

10.1.7 Common Functions
1}
m
2}
m 3}
m
Figure 10.11: Common functions
To view detailed information on measurements, expand the Additional Information section 1} m. To create an annotation
from a measurement, click the annotation icon 2}
m. To clear measurements, click the broom icon 3}m.
10.2 Sectional View

Using the Sectional View tool, you can “cut into” scene objects, e.g. to view relations between objects that are obscured.
Figure 10.12: Sectional view
2}
m 3}
m 4}
m 6}
m 7}
m 8}
m
1}
m 5}
m
Figure 10.13: Sectional View window

Drag the slider 3}

mto the right. This will move a cut plane into the scene (see Figure 10.12). Once active, the slider name
changes to Position.
You can add more cut planes by clicking Add clip plane 1}m. This adds a second line to the Sectional View window, with all
functions repeated for the second plane. Each plane has an individual color.
If you close the Sectional View tool while cut planes are active, they will remain active. To remove all active cut planes, click
Remove all planes 2} m . To remove individual planes, click the corresponding Remove button 8} m .
You can temporarily activate/deactivate individual cut planes using the Activated checkbox 4}
m.
To keep the cut plane fix at the current depth while rotating the design, check Rotate 5} m . To reset the Position slider to the
m
} m
}
initial (left) state, click Reset 6 . Click Invert 7 to invert the sides hidden by the cut plane.
10.3 Screen Shot

The Screen Shot tool captures an image of the currently displayed scene.
Clicking Screen Shot opens a file explorer window (see Figure 10.14). By default, the project directory is selected, but you
can also navigate to a different directory for saving the image file.
Figure 10.14: File explorer window for saving screen shot
By default, PNG is selected as file type. You can also choose JPG.
10.4 PDF Export

The PDF Export tool generates a PDF file, which can be viewed in Adobe Reader. The PDF file includes 3D images of the
current scene, which can be manipulated (scaled and rotated).
Clicking PDF Export opens a file explorer window. By default, the project directory is selected, but you can also navigate to
a different directory for saving the PDF file.

Figure 10.15: Generated PDF in Adobe Reader
10.5 Align Meshes

Using the Align Meshes tool, you can match floating meshes on fixed meshes. This is typically used to align pre-op scans
(floating mesh) to scan data (fixed mesh).
Click Align Meshes. This opens the Align Meshes window for the 3-point registration (see Figure 10.17). Click alternating
points at same positions on the two meshes, as shown in Figure 10.16.
Figure 10.16: 3-point registration

To undo an arrow, click Back 1}

m. When you have at least defined two point pairs, click Perform alignment 2}
m.

1}
m
2}
m
3}
m
4}
m
5}
m
Figure 10.17: 3-point registration result
Check Show distance 5} mto display a color scale showing the remaining distance between the meshes (see Figure 10.18.
You can define an accepted and maximal distance.
You can improve the alignment result by clicking Best fit matching 3}
m. Only use best-fit matching when you have identically
shaped meshes.
Figure 10.18: Alignment after best fit matching
You can exclude mesh areas from best fit matching by checking Matching: Exclude selected parts 4}
m. This opens a Brush
tool window (see Figure 10.19).

1}
m
2}
m
3}
m
4}
m
5}
m
6}
m
7}
m 8}
m
Figure 10.19: Exclude selected parts - brush tool
Hold the left mouse button and drag to paint areas to be excluded from the matching. They will be colored blue.
Mesh selection 1}
m: Select the mesh you want to draw areas on.
Fit nowhere 2}
m: Marks the complete mesh. Best-fit matching will have no effect.
Invert markings 3}
m: Marks unmarked areas vice versa.
Fit everywhere 4}
m: Unmarks the complete mesh and clears all existing markings.
Mark automatic 5}
m: Uses only a small area around the tip and tail of each arrow as matching region.
Radius for automatic marking 6}
m: Sets the radius of the mesh area at each arrow end.
Brush size 7}
m: Adjusts the size of the painting brush.
Brush inverse 8}
m: Inverts the brush functionality. You can also hold SHIFT while painting to inverse the brush.
10.6 Magic Lantern

Using the Magic Lantern tool, you can change the virtual lighting in the ChairsideCAD scene. By default, scenes are lit from
the front (view direction). Sometimes it can be useful to intentionally create shadows, e.g. to gain a clearer understanding of
where a margin line should be.
Click Magic Lantern. This will open the Magic Lantern window (see Figure 10.20).

1}
m 2}
m
3}
m
4}
m
5}
m
Figure 10.20: Magic Lantern window
Click On/Off 1} m to activate the Magic Lantern. This will activate the Moving button 2} m. Move the Magic Lantern window
m
}
to move the virtual light source. Uncheck Move with Camera 3 to detach the lighting source from camera movements.
Using the Z slider 4}
m in the More section, you can change the light’s distance to the scene.
Expanding the Special section 5}
mprovides more lighting settings:
Toggle Flat Shading: toggle triangle-based illumination / smooth visualization
Toggle Wireframe: show/hide triangle edges
Ambient: set uniform illumination intensity

Diffuse: set matte illumination intensity
Specular and Shine: set shiny illumination intensity
10.7 Annotations
Using the Annotations tool, you can add annotations to scene objects.
Click Annotations.... This opens the Annotation editor window (see Figure 10.21).

1}
m
2}
m
Figure 10.21: Annotations
To add an annotation:
Step 1: In the Add tab, type in your annotation text 1}
m.
Step 2: Click Set note position 2}
m.
Step 3: Click a scene object where you want to position the annotation. The annotation text will be displayed with an
arrow pointing to the defined note position (see Figure 10.22).
Figure 10.22: Annotation on scene object
Change the annotation’s location or the text position by dragging the spheres at the arrow’s end/tip.
To edit annotations, select the Edit tab. It contains a list of all annotations (see Figure 10.23).

Figure 10.23: Edit annotations
Select an annotation in the list to change its text. You cannot edit annotations created in the Measurement Tool (see Chapter
10.1). To delete an annotation, select it in the list and click Delete.
The Project Notes tab displays project notes. You can add project notes by typing in text. These notes will be saved auto-
matically in the scene file, but will not be saved in the project file.
10.8 Set Tooth Colors

This tool is available if model teeth are present in the scene. Clicking Select Tooth Colors opens the Tooth Color Selec-
tion window (see Figure 10.24), and you can choose the tooth color.

Figure 10.24: Tooth Color Selection window
10.9 Show Project in Explorer

Clicking Show project in explorer opens the file directory of the currently loaded project in an explorer window.
10.10 Settings
Click Settings to open the Settings window (see Figure 10.25). In this window, you can view and change general settings for
your ChairsideCAD application. For applying certain changes, you must restart ChairsideCAD.
Figure 10.25: Settings window
System Information: Displays information on the ChairsideCAD installation and your computer system.
User Interface Language: Available languages for the user interface.
Dental notation: Tooth numbering system used in ChairsideCAD. FDI, Universal, Palmer or Palmer (Digital) are avail-
able.
Always optimize for free-forming and 3D printing: Ensures that all output meshes are watertight. Activation is
recommended for 3D printing and selective laser melting (see Chapter 12.3).
Tooth library to use: Default tooth library for model teeth.
Lingual bands on offset copings in wizard?: Enables lingual bands on offset copings in the Wizard (see Chapter 4.5).
Default tab in preparation margin step: Set the initially selected tab in the margin line detection Wizard window
(see Chapter ).
Toggle 3D object visibility with mouse clicks and hotkey: Unchecking this box deactivates hotkeys for showing/hiding
objects in the main view (see Chapter 3.2)

TruSmile on start: Check this box if you have TruSmile installed, so it is active by default with the launch of Chair-
sideCAD.
TruSmile-Lite (speed in favor of quality): A rarely used option for old, slow graphics cards to increase the real-time
responsiveness by decreasing the color accuracy.
Use Windows default crosshair cursor: A rarely used option for old, slow graphics cards to improve the quality of
the cursor image.
Show ruler: Check to display a mm/cm ruler on each side of the screen.
Show grid: Check to display a rectangular grid in the background of the main view, with mm/cm markings on it.
PDF show after Export: Controls the behavior of ChairsideCAD after exporting a 3D PDF (see Chapter 10.4). If checked
(default), the Adobe Reader will be launched immediately after exporting the PDF.
Sectional view line drawing: Unchecking this box hides the white outlines of cut objects when using the Sectional
View tool (see Chapter 10.2).
View transition duration: Controls the rotation speed of the view arrows in the main toolbar (see Chapter 3.3).
Auto save scene (reduces performance): If activated, ChairsideCAD will automatically save a scene file after impor-
tant steps (e.g. after tooth placement, crown bottoms generation). This reduces the ChairsideCAD performance.
In Windows 7 and Windows 8, you can define in the Set default programs for file types dialog which types of files should
automatically be opened in ChairsideCAD by checking the boxes for the file types.
Confirm changes in the settings with clicking OK.
10.11 About
Click About to open the About window. The window shows information about the ChairsideCAD software: product version,
copyright information, engine build number, and dongle serial number (with option to copy to clipboard). The About window
contains the Unique Device Identifier (UDI) as per 21 CFR 801.50.
10.12 Add/Remove Mesh

Using this tool, you can add and/or remove meshes. Clicking Add/Remove Mesh opens the Add/Remove Mesh window (see
Figure 10.26).
1}
m
2}
m
3}
m
Figure 10.26: Add/Remove Mesh window

10.12.1 Adding a Mesh

Step 1: Select the type of mesh you want to load from the Select mesh type dropdown list 1}
m(see Chapter 12.2 for
details on mesh types).
Step 2: If required, e.g. if your projects contains restorations in both jaws, select the jaw you want to load a mesh for in the
Choose jaw dropdown 2} m .
Step 3: Click Load 3}
m.
Step 4: Select the mesh file in the appearing explorer window. Once selected, ChairsideCAD loads and visualizes the
mesh.
Step 5: If required, move the mesh using the mesh placement options (see Chapter 10.12.2).
Step 6: Click OK.
10.12.2 Mesh Placement Options

The Correct Placement section of the Add/Remove Mesh window (see Figure 10.26) shows mesh placement options. Which
options are available depends on the type of mesh you have loaded.
Correct height Change the mesh’s height position along the z-axis by dragging it up/down
Correct position Change the mesh’s position in x/y direction by dragging it
Move freely Move the mesh freely by dragging it. Hold CTRL and drag to rotate the mesh.
Set color Define the mesh’s color (color selection via Choose color button)
Check Allow resizing to allow scaling the mesh. To scale the mesh, hold SHIFT and drag the mouse in the desired scaling
direction, indicated by a green arrow. To perform direction-based scaling, hold CTRL and SHIFT. Although this option is
available by default, you cannot actually scale all mesh types.
If you have loaded an antagonist mesh, the Correct Place-

ment section appears, and you can move the mesh up or
down along the z-axis with a specific step size. Define the
step size by using the slider or typing in a value, and move
the mesh by clicking Up/Down.
10.12.3 Generating a Plane

By clicking Generate Plane, you can generate a plane, e.g. to visualize the occlusal plane. This button is only available if
you select Generic visualization mesh or Antagonist as mesh type. You can position the plane using the mesh placement
options (see Chapter 10.12.2).
10.12.4 Removing a Mesh

Step 1: Click Remove object(s). This opens the Remove meshes... window. It lists all existing meshes of the currently
selected mesh type.

Step 2: Check the checkboxes for meshes you want to delete.

Step 3: Click OK.
10.13 Change Reconstruction Types

Using the Change Reconstruction Types tool, you can change reconstruction types for teeth. You can change the definition
of missing/healthy teeth, and anatomic restorations to reduced restorations and vice versa.
Clicking Change Reconstruction Types opens the Change Missing/Healthy, Reduced/Full etc. window (see Figure 10.27).
Figure 10.27: Change reconstruction types
Click once on a not yet defined tooth to define it as missing tooth. Click again to define it as adjacent. Clicking a third time
deletes the definition again.

Click a tooth defined as anatomic restoration to change it to a reduced restoration, or vice versa. You will be prompted in a
dialog to confirm if you really want to change the reconstruction type.
Confirm your reconstruction type changes by clicking OK.
10.14 Add a Picture

Using this tool, you can add 2D images to your 3D scene. Clicking Add a Picture opens the 2D Image Loader window (see
Figure 10.28).
1}
m
2}
m
3}
m
Figure 10.28: 2D Image Loader window
To load an image file, select Load image from file 1}

mand select the desired image file in the explorer window. To directly
capture an image using your PC camera, click From camera 2} m . To load a golden ratio visualizer, click Load Golden Ratio
m
}
3 .

Figure 10.29: Image loaded
Use the arrow controls at the sides of the image to rotate it. Move the image by dragging it with your mouse. Scale the image
by dragging the spheres at the image corners.
You can load multiple images. The Loaded Images section of the 2D Image Loader window lists all loaded images (see Figure
10.30). Select the image you want to display, or to perform actions (e.g. rescale, see Chapter 10.14.1) for, in this list. To delete an
image, click the trashcan icon. By clicking the arrow icon, you can align the image frontal to the view position. Alternatively,
double-click the image.
Figure 10.30: List of loaded images
10.14.1 Rescaling an Image

Using the Rescale tab (see Figure 10.31) you can rescale an image to a measured distance:
Step 1: Click a start point and an end point in the image to measure a distance.
Step 2: Set the desired distance for the measured distance using the slider Desired length.
Step 3: Click Rescale. The initially defined distance now matches the desired distance.

Figure 10.31: Rescale tab
10.14.2 Aligning an Image

Using the Align tab (see Figure 10.32), you can align an image to a 3D scene mesh.
Step 1: Define three point pairs by clicking the image and corresponding points on the scene mesh.
Step 2: Define the desired distance from the image to the mesh using the slider Adjust result distance from image to
mesh.
Step 3: Click Align 2D/3D.

Figure 10.32: Align tab
10.14.3 Clipping an Image

Using the Clip tab (see Figure 10.33), you can cut areas of an image, and the image will become transparent in this area. You
can define the area by drawing a curve or a polygon.
To draw a curve, select the radio button Draw curve, and set curve points by clicking the image. To draw a polygon, select
Draw polygon and click points to define the polygon’s edges. In both modes, double-clicking connects the first and last
point. Click Clip to cut out the drawn area.
You can define multiple clipping areas. These will be listed in the Clipped Parts section. To delete a clipping area, select it in
the list and click the trashcan icon. To show/hide the clipped part, click the visibility icon.
Figure 10.33: Clip tab


11 Expert Mode
The Expert mode is the more advanced alternative to using the Wizard mode. In Expert mode, you can jump freely between
the worksteps, and you can use special Expert features. Furthermore, you can apply changes to certain teeth.
11.1 Expert Menus

To access worksteps, functions, and tools in Expert mode, you can use the context menu and/or the Expert toolbar. Which
functions, worksteps and tools are available in the menus depends on the project definition, the design progress, and what
is selected in the ChairsideCAD screen (background, scene object/s).
11.1.1 Context Menu

Access the context menu by right-clicking the background or a scene object. The context menu will list all available options.
For more information on context menu, see Chapter 3.4.
11.1.2 Expert Toolbar

Access the Expert toolbar by hovering your mouse over the lighter-colored line at the bottom of the ChairsideCAD screen.
The expert toolbar (see Figure 11.1) slides open and you can select a workstep/option by clicking the corresponding icon. The
next workstep in the Wizard steps sequence is highlighted in orange. The available worksteps/options vary depending on the
design progress.
Figure 11.1: Expert toolbar
The second option to open the Expert toolbar is clicking a scene object, or selecting multiple scene objects (hold CTRL while
clicking objects). The Expert toolbar then contains all available options for the selected scene object(s).

11.2 The Expert Window
Figure 11.2: Expert Window
The Expert window contains the same functions for performing a workstep as the Wizard window (see Chapter 3.7.1). Clicking
OK closes the window and saves the settings for this workstep. Clicking Cancel also closes the window, but discards all
settings specified since you have started the workstep.
11.3 Applying Changes to Certain Teeth

To apply changes to certain teeth, select the desired tooth by clicking it in the main view. To select multiple teeth, hold CTRL
and click the teeth. To select multiple neighboring teeth in a row, click the first tooth you want to delete and hold SHIFT
while clicking the last tooth in the row. After selecting the desired tooth/teeth, you can access tools/functions via the expert
menus. Changes will then only affect the selected teeth.
11.4 Crown Bottoms

In Wizard mode, ChairsideCAD generates the crown bottoms automatically. In Expert mode, there are additional options for
editing crown bottoms. To access these options, select the crown bottoms step in the Expert toolbar / context menu.

11.4.1 Cement Gap

The Gap tab contains functions to define the cement gap.
1}
m
2}
m
3}
m
4}
m
5}
m
Figure 11.4: Cement gap visualization
Figure 11.3: Crown bottoms - Gap

Cement gap areas are displayed in yellow on the preparation, areas without cement gap are displayed in green (see Figure
11.4).
Cement gap options:
Edit yellow/green areas by selecting the corresponding brush icon 1} mand drawing on the preparation. To draw, hold
the left mouse button and drag. To invert the brush functionality, hold SHIFT.
Set the cement gap using the Gap slider 2}
m.
Click Add another zone 3} mto add a third area in another color on the preparation. You can edit this area using the
corresponding brush icon, as explained above. There is also a slider available to define the third zone’s width.
You can add spacing in axial direction that will be applied everywhere using the slider Axial 4} m . To add horizontal
spacing perpendicular to the axial direction, use the slider Radial 5}
m. By default, these sliders are locked (indicated
by the active lock icon), which means that you cannot move them individually. Click the lock icon to deactivate this
behavior.

11.4.2 Crown Border

The Border tab contains functions to define the crown border’s shape. The Parameter Explanation graphic illustrates the
parameters you can set.
Figure 11.5: Crown bottoms - Border
Horizontal: Horizontal crown border width.

Angled: Length of the border’s angled part.
Angle: Angle of the angled part.
Vertical: Additional vertical border.
Below margin: Absolute offset of all set margin points (left side of line 1) in the insertion direction.

11.4.3 Undercuts
The Undercuts tab contains undercut-related options and milling parameters.
1}
m
2}
m
3}
m
4}
m
5}
m
6}
m
7}
m
8}
m
Figure 11.6: Crown bottoms - Undercuts
ChairsideCAD blocks out undercuts by default. To deactivate this behavior, check Don’t block out undercuts 1}
m.
Using the slider Angle 2} m , you can apply a certain angle for blocking out undercuts. The angle is measured relatively to the
insertion direction. If Don’t block out undercuts is checked, the Angle slider is deactivated.

(a) Crown bottom with undercut (b) Crown bottom with 10,7° blockout angle
Figure 11.7: Crown bottom blockout angle
Using the slider Size 3}

m, you can define a protected zone around the preparation margin where the crown is never blocked
out or milling-compensated, even if it should be (due to undercuts being present).
Milling Parameters
Anticipate milling 4}
m: Checked by default if you have selected a material that will be milled.
Diameter 5} m : Diameter of the tool that will be used for milling. It is beneficial to choose a value slightly higher than
the diameter of the actual tool you are using, e.g. chose 1.2 mm when milling with a 1 mm tool. Consider the diameter
of the smallest tool used in milling. The diameter of the roughing tool is of no interest here.
Bullnose/flat tool 6} m : ChairsideCAD supports tool compensation for both round and non-round milling burrs,
called bullnose tools. Unchecking enables round burr tooling compensation, while checked means bullnose tool com-
pensation. In both cases, ChairsideCAD will show you the ideal tool-compensated result. If this checkbox is active,
undercuts will always be blocked out (checkbox Don’t block out undercuts is deactivated).
You can adjust Tool tip flat percentage 7}mto desribe your bullnose tool. 0 value means a round burr, while 100%
means a true flat-end burr is being used.
Click Apply 8m
}to see the effect of your changes.

11.5 Inlay Bottoms

In Wizard mode, ChairsideCAD generates the inlay bottoms automatically. In Expert mode, there are additional options for
editing inlay bottoms. To access these options, select the inlay bottoms step in the Expert toolbar / context menu.
11.5.1 Cement Gap

The Gap tab contains functions to define the cement gap.
1}
m
Figure 11.8: Inlay bottoms - Gap
The Cement Gap parameters and Select Zones by Distance setting are the same as for crown bottoms, and are described
in Chapter 11.4.1. In the Additional Spacing section, you can add spacing that will be applied everywhere using the corre-
sponding slider 1} m .
11.5.2 Inlay Border

The Border tab contains functions to define the inlay border’s shape. The Parameter Explanation graphic illustrates the
parameters you can set. See Chapter 11.4.2 for a detailed description of the parameters.

Figure 11.9: Inlay bottoms - Border
11.5.3 Undercuts
The Undercuts tab contains undercut-related options and milling parameters. The available settings are explained in Chap-
ter 11.4.3.
Figure 11.10: Inlay bottoms - Undercuts

11.6 Functions for Loading Tooth Models

In Expert mode, you can load default or custom model teeth by selecting the corresponding option in the Expert toolbar /
context menu.
11.6.1 Loading a Default Tooth Model

ChairsideCAD inserts a model tooth from the default library. You are prompted to confirm that this will replace your previous
design.
11.6.2 Loading a Custom Tooth Model

In the Load Custom Tooth Model window (see Figure 11.11), you can select the model tooth to use.
1}
m
2}
m
3}
m
Figure 11.11: Load Custom Tooth Model window
Select the tooth library in the tooth library dropdown 1}

m. The preview section 2}
mshows the corresponding model tooth.
Hold the right mouse button and drag to rotate the preview.
To load a model tooth file, click Load from file 3m
}and select the file (STL or EOFF) in the appearing explorer window.
11.7 Mirroring the Entire Jaw Scan

If teeth in the opposing quadrant of the restoration/s are defined as adjacent/healthy in the project, you can mirror the entire
jaw scan and use it as pre-op scan for generating the tooth anatomy in the pre-op workflow (see Chapter 5.1).
Step 1: Select Mirror entire scan in the context menu. This opens the Mirror and use as pre-op scan window (see
Figure 11.12). It provides the same functions for moving the mirrored jaw scan as described in Chapter 5.1.1
(adjusting the position of a pre-op scan).

Figure 11.12: Mirror and use as pre-op scan window

Step 2: Move the mirrored jaw scan to the desired position using the manual and/or automatic placement functions.
Figure 11.13: Mirrored jaw scan

Step 3: Confirm the mirrored jaw scan’s position with clicking OK.
11.8 Improving Occlusion

11.8.1 Adjusting the Jaw Scan Position
Using this function, you can reposition the jaw scan (including restorations).
Right-click the jaw scan and select Correct Jaw Scan Relation in the context menu. This opens the Correct Jaw Scan
Relation window (see Figure 11.14). With opening the window, ChairsideCAD automatically switches to Wizard mode for
proper operation.

1}
m
4}
m
5}
m
2}
m 3}
m
Figure 11.14: Correct Jaw Scan Relation window
To move the jaw scan vertically, activate Correct height 1}

m. Define a step size with the slider Raise/lower bite 2}
m, and
move the jaw up/down using the arrow buttons 3 . m
}
With activating Correct position 4}

m, you can move the jaw scan horizontally by dragging it in the main view.
If you activate Move freely 5}
m , you can move the jaw scan freely by dragging it in the main view. To rotate the scan, hold
CTRL. This mode also provides the option to align the jaw scan and the antagonist using 3-point registration.
Figure 11.15: Correct Placement - Move freely mode
Click Align Meshes to open a mesh alignment window and perform the 3-point registration as described in Chapter 10.5.

If you have already performed virtual articulation, repositioning the scan will not automatically update the articulation re-
sults, which may no longer match the scan data. Before repositioning the jaw scan, you must decide in a dialog if you want to
delete the articulation results (recommended). The virtual articulation step (see Chapter 4.8) will appear again in the Wizard
after you have moved the scan data.
11.8.2 Adjusting the Antagonist Position

Using this function, you can change the antagonist position.
Either click the antagonist and select Correct Antagonist in the Expert toolbar, or right-click the antagonist and select the
option in the context menu.
Figure 11.16: Correct Antagonist
You can reposition the antagonist using the same functions as described in Chapter 11.8.1.
11.9 Aligning Scans (Extra Jaw Scan / Bite Alignment Scan to Jaw Scan)
11.9.1 Aligning an Extra Jaw Scan to an Existing Jaw Scan
Using the Add/Remove Mesh tool (see Chapter 10.12), you can load an extra jaw scan.
When loading an extra jaw scan, you must decide if the scan is stored relative to the coordinate system of the scan data (see
Figure 11.17). The preselected first option is the default case, the second option is commonly not valid.
Figure 11.17: Coordinate system selection dialog

To align the extra jaw scan to the first jaw scan, select Align scans in the context menu. This will open the Scan Alignment
window (see Figure 11.18 a) and the main view displays both jaw scans separately in a split screen (see Figure 11.18 b).
(a) Scan Alignment window (b) Main view
Figure 11.18: Aligning two jaw scans
If needed, rotate the scans separately in the split screen to achieve a similar orientation. Click a common point on both jaw
scans. With clicking the second point, ChairsideCAD matches the jaw scans and updates main view and Scan Alignment
window (see Figure 11.19).

(a) Scan Alignment window after alignment (b) Main view after alignment
Figure 11.19: Alignment result
If you see an evenly green surface in the relevant area on the scans, the result is accurate. To improve the alignment result,
if necessary, you can click another point on the jaw scans or drag the points and restart matching.
11.9.2 Aligning a Bite Rim Scan to a Jaw Scan

Using the Add/Remove Mesh tool (see Chapter 10.12), you can load a bite rim scan. When loading a bite rim scan, you must
decide if you want to use the Wizard to match both existing jaw scans to the bite rim scan (see Figure 11.20).

Figure 11.20: Bite rim scan alignment dialog
If you want to use the Wizard for matching, you can use the loaded bite rim scan’s position as reference, or the position of the
corresponding existing jaw scan.
If you want to perform the alignment manually, choose the option No, keep current alignment and select Align Jaws in the
context menu while in Expert mode. You can then perform the alignment using 1-click-registration as described in Chapter
11.9.
11.10 Setting the Minimum Thickness
WARNING
Ensure not to select a minimum thickness below the required thickness of the restoration part’s
material.
1}
m
2}
m
Figure 11.21: Set Minimum Thickness window

Using the Min. thickness slider 1}m , you can define the minimum thickness. Define the occlusal increment using the corre-
m
}
sponding slider 2 . Click Apply to apply your changes.
11.10.1 Setting the Minimum Thickness for Inlays/Veneers

For inlays, onlays and veneers, there is a third slider available in the Set Minimum Thickness window (see Figure 11.22).
Figure 11.22: Set Minimum Thickness window for inlays/veneers
Using the Border Taper slider, you can set the minimum thickness at the transition zone between inlay border and prepa-
ration margin. This setting indirectly influences the border shape of the inlay, as it determines how thick/sharp the design
can be towards the preparation margin.
(a) Thick (b) Sharp
Figure 11.23: Inlay border styles

11.11 Editing Scan Data
WARNING
When editing scans, e.g. a waxup scan to remove unwanted parts, ensure not to remove relevant
details of the mesh, e.g. details of a waxup scan tooth.
Using the 3D Data Editor, you can crop meshes, close holes, and divide one mesh into multiple meshes. You can use it for any
mesh data (e.g. jaw scan).
You can access the 3D Data Editor by clicking a mesh and selecting Scan Data Editor in the Expert toolbar, or by right-
clicking a mesh and selecting Edit mesh in the context menu. When right-clicking the antagonist, the context menu option
Edit antagonist also opens the 3D Data Editor.
Figure 11.24: 3D Data Editor window
Select one of three marking modes to define which parts of the mesh will be marked:
Select straight through: markings on visible mesh areas will also mark hidden mesh areas behind.
Select only surface: markings will only appear on exposed mesh areas.
Select by click on surface: click to mark all parts of the mesh connected to the clicked point.
You can mark the mesh either by defining a straight line that goes straight through the mesh (the area on the side pointed to
by an arrow defines the marking area on the mesh), or by defining a closed contour on over the mesh (the enclosed part of
the contour defines the marking area on the mesh).

To define a straight line:

Step 1: Click a position at the height of the line you want to draw. A green point appears. When you move your mouse
away from this point, an orange solid line is displayed between the green point and the mouse cursor position. A
dotted line extends outwards from this line in both directions. An orange arrow indicates the marking direction.
To change the direction, rotate the line around the green point by dragging your mouse.
Step 2: Double-click. The area you have defined for marking is displayed in orange.
To define a closed contour:
Step 1: Hold the left mouse button and draw a line by dragging the mouse. A green dotted line appears. An orange dotted
line indicates how the shape will be closed.
Alternatively, set single points by left-clicking. These points are connected with a straight green line. A solid
orange line indicates how the shape would continue.
You can also combine the two drawing techniques in one contour.
Step 2: Double-click to close the shape. The marked shape is displayed in orange.
To unmark areas in a marked zone, use the same techniques while holding SHIFT.
When you have marked a region on the mesh, all functions become active in the 3D Data Editor window.
All Mark the complete mesh.
None Unmark the complete mesh, remove all existing markings.
Invert Invert the markings (unmarked areas become marked, marked areas become
unmarked).
Delete Delete the part of the mesh you have marked.
Crop Delete the part of the mesh which is not marked.
Close holes Surround the hole with a curve and click this button to close holes. Expanding the
dropdown exposes a Size threshold slider.
Divide Divides one mesh in two separate meshes.
If there are intersections in the scan data (before performing virtual artic-
ulation), there is an additional section Repair Scan Data Intersections in
the 3D Data Editor window. If you click Repair, ChairsideCAD cuts away
the intersections.
11.11.1 Editing Pre-op/Waxup Scans

When working with a pre-op scan, the Edit waxup/pre-op scans option opens the Waxup/Pre-Op Scan Editor window,
which provides the same functions as the 3D Data Editor (see Chapter 11.11).
When working with a waxup scan, the Edit waxup/pre-op scans option opens the Waxup Scan Editor window, which pro-
vides the same functions as the corresponding Wizard step described in Chapter 5.2.1.

11.12 Free-Forming Scan Data

To free-form scan data, click a scan and select Free-form scan data in the Expert toolbar / context menu. This opens the
Free-Form Scan Data window (see Figure 11.25).
Figure 11.25: Free-Form Scan Data window
You can edit the scan data using the free-forming functions described in Chapter 4.10 (anatomical free-forming and free
adjustments).
11.13 Deleting Constructed Parts

Using this function, you can delete all parts of a reconstruction (e.g. crown bottom, model tooth, preparation, etc.).
Step 1: Select Delete Reconstructions in the Expert toolbar or Delete constructed parts in the context menu. This
opens the Delete Reconstructions window (see Figure 11.26).
Figure 11.26: Expert Mode Delete Reconstructions

Step 2: Select the parts to delete from the Delete: dropdown menu (Crowns/Inlays/Abutments etc. / All). The Parts to
delete section lists the parts which will be deleted. You cannot select individual items in the list.
Step 3: Click OK to confirm.

12 Appendix
12.1 Tooth Libraries

The ChairsideCAD standard configuration includes the generic tooth library by default. Which additional libraries are avail-
able in your ChairsideCAD installation depend on your provider.
WARNING
We strongly advise against the use of tooth libraries not provided in the ChairsideCAD installation
and not signed by exocad. Do so only at your own risk.
12.2 Mesh Types for Loading in ChairsideCAD

You can load the following meshes in ChairsideCAD using the Add/Remove Mesh tool (Expert mode only, see Chapter 10.12).
Antagonist: If you already have an antagonist, ChairsideCAD will ask you if you want to replace it with the new antago-
nist mesh.
Pre-op model: Scan of pre-operative situation (also known as situ-scan)
Generic visualization mesh
Gingiva
Extra jaw scan: Additional jaw scan. You can align this scan to the existing scan (see Chapter 11.9.1).
XML image set (*.treatmentImages): Image including positioning information.
Face scan
Bite alignment scan: Scan of two jaws in occlusion. You can align this scan to the existing jaw scan (see Chapter 11.9.2).
Bite rim
Supported file formats: STL (Binary or ASCII), OFF (Binary or ASCII), OBJ ASCII, PLY, and open system .DCM mesh files, as well
as Point Clouds (contact exocad for Point Cloud details).
12.3 Output for Milling and Selective Laser Melting (SLM)

If your constructions are to be produced using selective laser melting (SLM, often incorrectly referred to as “laser sintering”),
the output data must be a “watertight” mesh with certain characteristics:
No holes or open edges; completely interconnected mesh
No inner surfaces or self-intersections

For milling, these requirements are not mandatory.
Figures 12.1 and 12.2 show a sectional view of the junction between connector and pontic, with and without SLM optimization.

Figure 12.1: SLM optimization Figure 12.2: No SLM optimization

You can enable SLM optimization in the merge and save restorations step by checking Optimize for better free-forming
and 3D printing in the merge and save restorations (see Chapter 4.14)
The post-processing for SLM involves time-consuming calculations, and the SLM optimization is only performed by default
if a laser-melted material is selected for the reconstruction. If you want to set SLM optimization as a global default, check
Always optimize for free-forming and 3D printing in the ChairsideCAD settings (see Chapter 10.10).

User Manual: Chairsidecad

Uploaded by

Copyright:

Available Formats

You might also like

User Manual: Chairsidecad

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

User Manual: Chairsidecad

Uploaded by

Copyright:

Available Formats

English

4 Wizard Workflow: Designing Crowns and Bridges 21

4.13 Production Blank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

5 Designing from a Waxup or Pre-Op Scan 59

6 Designing Bite Splints 64

© 2018 exocad GmbH page 3/123

6.4 Free-forming the Bite Splint Top . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

7 Designing Provisional Restorations 70

8 Designing Cantilever and Maryland Bridges 76

11 Expert Mode 102

11.12 Free-Forming Scan Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

© 2018 exocad GmbH page 4/123

1.2 Intended Use

© 2018 exocad GmbH page 5/123

1.3 Indications and Contraindications

1.4 Units and Conventions

1.4.1 Measurement Accuracy

1.5 Hardware Requirements

1.5.1 Monitor Settings Information

pixel as a square (correct configuration of screen resolution and aspect ratio).

1.6 Software Requirements

© 2018 exocad GmbH page 6/123

1.7 Software Installation

1.8 Requirements for Scan Data (Input)

© 2018 exocad GmbH page 7/123

1.9 Workflow-Related Safety Instructions

© 2018 exocad GmbH page 8/123

1.10 Add-on Modules

© 2018 exocad GmbH page 9/123

2.1 Launching ChairsideCAD from ChairsideDB

Figure 2.1: Successful launch of ChairsideCAD

(a) Selection scene or scan (b) Multiple scenes available

Figure 2.2: Scene file(s) in project folder

2.2 Launching ChairsideCAD directly

© 2018 exocad GmbH page 10/123

Figure 2.3: Successful launch of ChairsideCAD

© 2018 exocad GmbH page 11/123

Scroll mouse wheel Zoom in/out (zoom center = mouse position)

Arrow keys Move the view in the respective arrow directions

CTRL+R: open Measurement Tool (see Chapter 10.1)

3.1.1 Multi-Touch Interface

© 2018 exocad GmbH page 12/123

3.2 Group Selector

Figure 3.1: Group Selector

Show/hide groups/elements by clicking the checkboxes.

If the object is transparent already, it will be displayed fully opaque.

© 2018 exocad GmbH page 13/123

3.3 Main Toolbar

Selection Subselection Description/Reference

Tools Opens a subselection with available tools. See Chapter 10.

© 2018 exocad GmbH page 14/123

Selection Subselection Description/Reference

TruSmile Toggles realistic rendering of tooth restorations.

© 2018 exocad GmbH page 15/123

Selection Subselection Description/Reference

Help Opens this user manual.

3.4 Context Menu

3.4.1 General Options