iTero Element with Invisalign Training Manualbook

Intraoral scanner orthodontic

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iTero

Element

™

Intraoral Scanner Orthodontic

Training Guidebook

with Invisalign

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Summary of Contents for iTero Element with Invisalign

Page 1 ® Element ™ Intraoral Scanner Orthodontic Training Guidebook with Invisalign ®...
Page 2 Content 02 - 09 Hardware Overview (Touchscreen, Sleeves, Wand) 10 - 11 Make It Mine / Logging In 12 - 27 Home Page (Display, Icons, Help) 28 - 48 Invisalign ® Scanning Basics 49 - 77 Resources © 2016 Align Technology, Inc. All Rights Reserved.
Page 3 Hardware System Configuration Touch Screen © 2016 Align Technology, Inc. All Rights Reserved. Scanner Sleeve Wand / T ouchpad The on / off power button is located at the bottom right-hand corner of the Wheel Base system under the power indicator light. Optional counter stand may be purchased separately...
Page 5 Hardware System Components / Touch Screen • High definition multi-touch 19 inch display • Works with all clinical glove types • Refer to Operation Manual cleaning and disinfection instructions © 2016 Align Technology, Inc. All Rights Reserved.
Page 6 Hardware Scanner Sleeves Note: Please do not touch the wand lens. Blue protective sleeve protects Disposable sleeve is made for the lens when the wand is not in single use on patient scanning. use. Discard sleeve after every patient. Confirm sleeve is completely To remove and place sleeve seated prior to scanning.
Page 7 Hardware Wand Controls To activate the wand touchpad, press and release both side buttons simultaneously. To start and stop scanning, press and release either of the side buttons. © 2016 Align Technology, Inc. All Rights Reserved.
Page 8 Hardware Holding the Wand For proper ergonomics and to avoid fatigue, make sure the elbows are close to the body, holding the wand in the thin area behind the wand sleeve. Do not cover the air vents. © 2016 Align Technology, Inc. All Rights Reserved.
Page 9 Hardware Wand Controls Pressing and releasing both the buttons simultaneously will activate the touchpad. Once activated swiping the touchpad on the wand will allow movements between scan segments. The current scanning segment is displayed in the indicator box between the arrows. To rotate the model on the screen press and hold the wand touchpad.
Page 10 Hardware Care and Maintenance Description Manufacturer Recommended best practices for Birex® Quat Wipes Biotrol Intl. cleaning and disinfecting the CaviCide AF 12.7 Metrex CaviCide 12.5 Metrex Scanning Unit, Base Unit, Wheel CaviWipe Stand, and / or Counter Stand in CaviCide 1 12.5 Metrex between each patient use.
Page 11 Logging In Make It Mine / Registering the System To register the iTero ® Element ™ system, have the following information available* • User Name • User Password • Company ID To retrieve User Name, User Password, and Company ID, please contact iTero ®...
Page 12  box to remain logged on to the scanner for 9 hours To retrieve User Name, User Password, and Company ID, please contact iTero ® Customer Advocacy at 1 800 577 8767. © 2016 Align Technology, Inc. All Rights Reserved.
Page 13 Home Page Tap to set your preferences Double tap to connect to an iTero Customer Home Screen Icons Advocacy agent for remote troubleshooting Tap to lock the desktop (please call iTero Customer Advocacy first) Tap to enter the Learning Center or start training...
Page 14 Home Page Small Icons – Learning Center The graduation cap is the link to the Learning Center. Select this icon to access all training support materials • Online training videos • Training and reference documents • Register and view webinars ©...
Page 15 Home Page Small Icons – Lock To further support HIPAA compliance, the Lock option secures the desktop and returns screen to the login page. Locking the system for cleaning is helpful to avoid unintended entries. © 2016 Align Technology, Inc. All Rights Reserved.
Page 16 Home Page Small Icons – Settings Tapping on the Settings icon brings the screen which allows the change of computer settings, scanner settings, time zone, language, add the Doctor's signature, license number, sync the system any new updates. © 2016 Align Technology, Inc. All Rights Reserved.
Page 17 Home Page Settings – Scanner Settings Within the Scanner Settings, select the preference for the Gyro and Touchpad orientation. For example, in the above picture, the selections are for the wand tip toward the screen for the gyro and the base toward the screen for the touchpad. ©...
Page 20 Home Page Help Overlay One tap on the question mark will enable a transparent overlay that will provide a brief overview. Tap anywhere to close the Help screen and return to the relevant screen. © 2016 Align Technology, Inc. All Rights Reserved.
Page 21 Home Page Customer Advocacy Tapping on the headset will allow for remote assess for troubleshooting. Contact Customer Advocacy first at 1 800 577 8767. After contacting Customer Advocacy, an agent will review the specific steps in order to connect remotely. ©...
Page 22 Home Page Large Icons / Orders in Progress and Past Orders Within the In Progress section, view an Rx, continue, view, or delete a scan. Within the Past Orders section, view an Rx, open the order using the Viewer, or open an Invisalign ®...
Page 23 Home Page Patients To search for a patient from the iTero ® database, select the Patients icon on the home page. The Patients order list will open. Search by patient name or chart number to find the patient. © 2016 Align Technology, Inc. All Rights Reserved.
Page 25 Home Page Large Icons / Messages Dr. Test, Test Messages icon is a badged icon that notifies the user of important messages from Align Technology such as product updates, upcoming educational sessions, or internet connectivity issues. © 2016 Align Technology, Inc. All Rights Reserved.
Page 27 Home Page Ergonomics Ergonomics play a key role to comfort while scanning. It’s recommended to place the patient in the supine position. Lower the patient's head and sit comfortably with elbows on the side. Place the display on dominant side to see the screen without turning or stretching.
Page 28 Home Page Large Icons / New Scan ℞ New Scan Opening the new scan icon will jump to the Rx page. The Rx is the section to enter all the necessary patient information. The sections marked with a red asterisk (*) are required information.
Page 29 Invisalign ® Scanning Basics Scan in Color Feature Clinicians will experience real-time scan in color in both scan and view mode to make it easier to visually distinguish between gingival and tooth structure for a more precise clinical evaluation while scanning. The color scan will provide additional information to the laboratory technician when they attempt to imitate the shading of the original dentition.
Page 30 Invisalign ® Scanning Basics Invisalign ® Scanning Protocol - Start New Prescription There are several Case Types to choose from. Any special instructions for Invisalign treatment must be noted in the Invisalign ® Doctor Site. © 2016 Align Technology, Inc. All Rights Reserved.
Page 31 Invisalign ® Scanning Basics Invisalign ® Scanning Protocol - Guidance Hints The iTero ® Element™ scanner offers Guidance Hints that helps recall the scanning sequence. Deactivate the Guidance Keys by checking the box, ‘Don’t show again’. Reactivate the Guidance Keys...
Page 32 Invisalign ® Scanning Basics Occlusal (Upper or Lower Arch First is Optional) Scan the occlusal surface in a single continuous motion. When the wand reaches the cuspid, continue by swiping across the anterior, tilting slightly to the lingual until the wand touches the contralateral cuspid.
Page 33 Invisalign ® Scanning Basics Lingual Scan the lingual by rolling from the occlusal. Bring the cable end of the wand out to the side and maintain a vertical 45 degree angle of the wand tip to the lingual surface. To capture the mesial and distal interproximal anatomy, twist the wand tip right and left as the wand moves around the arch.
Page 34 Invisalign ® Scanning Basics Buccal From the lingual, roll to the buccal at a 45 degree horizontal angle and use a rocking motion as the wand moves towards the midline to capture the interproximal anatomy. After crossing the midline, begin on the contralateral terminal tooth and continue with the same rocking motion to capture the buccal surface...
Page 35 Invisalign ® Scanning Basics Anterior / Incisal Place the wand with the cuspid and lateral centered in the view finder and roll from the lingual surface over the incisal edge to the facial. Repeat this step on the contralateral side. These scans help to ensure the lingual segments and buccal segments are joined with accurate incisal surfaces.
Page 36 Invisalign Invisalign ® ® Scanning Basics Scanning Basics Optimized Scanning Additional Scan Feedback Scan Color Toggle When the Optimized Scanning Feature icon is activated, areas of missing anatomy will be highlighted in red when scanning in monochromatic mode and purple when scanning in color mode.
Page 37 Invisalign ® Scanning Basics Switching to Opposing Arch Switch to the opposing arch by pressing on the arch on the touchscreen or use the touchpad on the wand. Follow the same protocol for the upper as with the lower. occlusal, lingual / palatal, buccal, and incisal edge.
Page 38 Invisalign ® Scanning Basics Scanning the Palate • Invisalign ® + iRecord ® or iRecord scans • Once completed the lingual tooth anatomy • Begin at the midline directly behind the central incisors • Scan in a straight line to the soft palate •...
Page 39 Invisalign ® Scanning Basics Bite The final segment is the bite. Prior to scanning, confirm the patients bite. Have the patient open, use the wand to retract the cheek, and have patient close in centric occlusion. Bring the wand tip gently against the tooth anatomy.
Page 40 Invisalign ® Scanning Basics Missing Scan Segments Complete the following steps if there are segments missing in your scan: • Go back to scan mode • Complete the missing segments that are highlighted in red • Repeat above steps if necessary ©...
Page 41 Invisalign ® Scanning Basics Scan Timer After you are done scanning, you can use the Scan Timer icon to view your scanning time. The Elapsed Scan Time is the actual time the wand was actively scanning. The Elapsed Total Time is the time while you were in scanning mode, whether the wand was actively scanning or not.
Page 42 Invisalign ® Scanning Basics Add Rx To An Existing Sent Scan – Allow Additional Workflows Conditions for the Add Rx to be enabled: • Accessible from Orders and Patient’s icons • For cases except restorative and chair side milling • Enabled up to 21 days from the case’s scanning date •...
Page 44 Invisalign ® Scanning Basics Evaluate Digital Models For production of properly fitting aligners, evaluate the digital model for the following before submitting • Capture 2 mm of gingival tissue • Distal wall of the terminal teeth • Mesial and distal interproximal anatomy •...
Page 47 Invisalign ® Scanning Basics Evaluating Digital Model / Occlusal Analysis Utilize the Occlusal Clearance legend to determine the distance between opposing teeth. © 2016 Align Technology, Inc. All Rights Reserved.
Page 48 Invisalign ® Scanning Basics Submitting Case To submit the case, simply tap on the envelope. A prompt will appear stating that the scan will be available for treatment submission through the Invisalign ® Doctor Site in approximately 15 minutes. Select OK. Next, click yes to launch the Invisalign Outcome Simulator.
Page 49 Invisalign ® Scanning Basics Help / Display Screen Gestures • Tap on the help icon for context sensitive overlays with instructions and tool descriptions • Use fingers to rotate, move, or zoom in on the scanned model for analyzing © 2016 Align Technology, Inc. All Rights Reserved.
Page 50 Resources Using Eraser Tool • Tap on the eraser icon • Select the area to erase on the screen • Tap on the scanner sleeve icon • Scan to fill area erased • Tap on the view icon • Confirm correction ©...
Page 51 Resources Using Trim Tool Use the Edge Trim tool if there is excessive cheek or lip artifacts that should be removed from the scan • Tap on the scissors icon • Circle the area to remove • Verify the selected area •...
Page 52 Resources Tools – Deleting a Scan • Available in scan mode • Tap on the arch to be deleted • Press and hold on the model • Tap on the waste pail Remove an artifact (soft tissue) segment or broom icon •...
Page 53 Resources Tools – Deleting a Scan and Correcting the Bite Clinical Scenario The patient is able to close on maximum intercuspation and produce solid contacts on articulating paper. During scanning, the patient was not able to bite properly. Incorrect bite registration Occlusogram display Poor contacts ©...
Page 54 Resources Tools – Deleting a Scan and Correcting the Bite Corrective Action Erase and rescan bi-lateral bite Tap on both bite segments to delete Rescan © 2016 Align Technology, Inc. All Rights Reserved.
Page 56 Resources Viewer Viewer is a tool that allows the scanner to manipulate and display the digital model for case presentations. The icons on the left of the screen displays preset views of the model. © 2016 Align Technology, Inc. All Rights Reserved.
Page 57 Resources Viewer Select the arch to be displayed. Hide / Display Maxilla or There are three layouts Mandible on the Viewer. • Occlusal View (single jaw) Frontal View Occlusal View • Occlusal View (upper and lower) Gallery View Occlusogram • Gallery View ©...
Page 60 Ditch Cut-Out Clearance When the case is in “iTero modeling” on the Orders tab, it’s in the early stages of modeling and there are no edits and the margin and die tools are gray (inactive). When the modeling process is completed, the die and margin line has been edited and the changes will appear in color on the model and the icons are in color indicating that they are active.
Page 61 • Contact your Chairside Milling provider for more information on the integration with the iTero® Element™ Intraoral Scanner Certified connectivity with: E4D Planmeca Chairside Milling System Glidewell IOS Technologies Fast Design System © 2016 Align Technology, Inc. All Rights Reserved.
Page 62 Resources Chairside Milling – Export Settings Configure your network to download the files on the chairside milling software. • Establishing connectivity between the milling unit and the scanner • Customize the export settings: on the scanner, select the saving options •...
Page 63 Files will be saved in a shared folder on the scanner, which are accessible from any computer or design workstation. Configure the mapping for the default folder path on your network server. In case you need assistance, please contact iTero® Customer Advocacy at 1 800 577 8767. © 2016 Align Technology, Inc. All Rights Reserved.
Page 64 OrthoCAD ® software is the digital model viewer for all your orthodontic cases. After you send the cases on your iTero ® Element scanner, it can be viewed, managed and analyzed with this powerful tool from any office computer or workstation...
Page 65 Resources MYALIGNTECH MyAligntech* is designed to effectively manage patient cases and the orthodontic models ® produced by the iTero scanner. To retrieve User Name, User Password, and Company ID, please contact iTero ® Customer Advocacy at 1 800 577 8767.
Page 66 Resources MYALIGNTECH Account Administrator To log on as an Account Administrator • Select Profile on the MyAligntech landing page • Select Practice Management © 2016 Align Technology, Inc. All Rights Reserved.
Page 67 Resources MYALIGNTECH Account Administrator MyAligntech landing page will provide many options. Click on the Orders link at the top of the page to view all orders. Orders that require further action are listed in the Actions box. On the right side, the Notification section shows alerts to communications...
Page 68 3rd parties* • Change Lab to order a new milling model and send it to the lab Please contact iTero ® Customer Advocacy at 1 800 577 8767 for software installations. © 2016 Align Technology, Inc. All Rights Reserved.
Page 69 2. Export type. 3. Data Format. 4. Export. To export STL or view model, install OrthoCAD ® on a workstation. Call iTero ® Customer Advocacy at 1 800 577 8767 for instructions. © 2016 Align Technology, Inc. All Rights Reserved.
Page 70 Resources ® Invisalign Doctor Site Log into the Invisalign ® Doctor Site (IDS) through the link on the MyAligntech website to access patient case files. After sending a digital impression from the scanner, it may take up to 15 minutes for it to be available on site for submission.
Page 71 Resources ® Invisalign Outcome Simulator Invisalign ® Outcome Simulator is a software tool that shows patients the simulated outcome of their Invisalign treatment. To use the Invisalign Outcome Simulator, • Simply scan the patient under the Invisalign or Invisalign + iRecord ®...
Page 72 Resources ® Invisalign Outcome Simulator The clinician can make real time adjustments to the simulated outcome as the clinician is showing the patient. This tool will provide additional information for the patient in their decision to accept treatment. The clinician will still be creating a ClinCheck ®...
Page 76 Resources Progress Assessment Assessment Tools Stage Button Stage Controls Stage Slider Legend Page Buttons Report Panel Progress Assessment tool includes a report that is a color-coded tooth movement table to assist the doctor in making treatment decisions to track the ®...
Page 77 Customer Advocacy at 1 800 577 8767. Order disposable scanner sleeves, articulators, and patient brochures online at the iTero Store (www.store.itero.com) or click on the iTero Store tab in MyAligntech. Check MyAligntech Messages for upgrade notifications and information on the monthly iTero Advanced Training Webinars.
Page 78 Resources PDF Files ® ™ iTero Element Operation Manual ® Invisalign Outcome Simulator Quick Reference Guide STL Export Instructions iTero Element Video © 2016 Align Technology, Inc. All Rights Reserved. | M20467 Rev A...

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