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3Shape TRIOS User Manual

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3SHAPE TRIOS
®
User Manual
TRIOS-2013-1-1.2.1.1-B-EN

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Summary of Contents for 3Shape TRIOS

  • Page 1 3SHAPE TRIOS ® User Manual TRIOS-2013-1-1.2.1.1-B-EN...

  • Page 2: Table Of Contents

    2.4 Analysis ..........................7 2.5 Maintenance .......................... 7 3 Taking Digital Impressions ......................8 3.1 TRIOS Workflow ........................8 3.2 Create and Manage Orders ....................11 3.3 General Scanning Workflow and Tools ..................18 3.3.1 Heating and Mounting the Scanner Tip ................18 3.3.2 Scanning ........................
  • Page 3 4.7 TRIOS Client ........................60 4.8 Wi-Fi Installation Considerations .................... 63 5 Communication with the Lab ....................... 64 5.1 Create 3Shape Communicate™ Account .................. 65 5.2 Connect to the Lab ....................... 66 5.3 Send Order to the Lab ......................70 5.4 Communicate with the Lab ....................

  • Page 4: Getting Started

    Congratulations on your purchase of the 3Shape TRIOS® - a next generation intraoral digital impression solution. This online help system will assist you in setting up your TRIOS® system, as well as guide you through the steps for scanning and handling digital impressions.
  • Page 5 Note! Please refer to the TRIOS Safety and Setup Guide for a system description of the TRIOS models T12A and T12P (TRIOS is also available as model TRIOS11A which is supplied with a cart with built-in PC). Note! Information about the supplied model can be found on the label at the back of...

  • Page 6: How Do I - Task List

    How do I get online support How do I create a new operator How do I turn scanner sound effects on/off How do I connect TRIOS via wireless How do I install TRIOS Client How do I share cart data How do I set up 3Shape Communicate 2.2 Orders...

  • Page 7: Analysis

    How do I trim the scan How do I align scans 2.4 Analysis How do I set insertion direction How do I add annotations How do I perform the post-processing of the model How do I measure occlusion clearance 2.5 Maintenance How do I perform scanner calibration How do I autoclave the scanner tip How do I clean, disinfect and sterilize the system...

  • Page 8: Taking Digital Impressions

    3 Taking Digital Impressions 3.1 TRIOS Workflow 3Shape TRIOS® realizes a full digital workflow: Step 1: Order creation Step 2: Impression scanning Step 3: Clinical validation Step 4: Uploading of digital impression Step 5: Communication with the lab WORKFLOW TOOLBAR...
  • Page 9 Please read notification information carefully and follow the instructions. SERVICE TOOLBAR The Service toolbar is on the left side of the screen. It provides access to the main TRIOS system settings and options: • Opens a calendar with orders.
  • Page 10 • Opens a page with notifications about incoming messages and designs. • Opens a new order form. • Opens the system configuration settings. • Opens the help menu options.

  • Page 11: Create And Manage Orders

    • Opens the closing options. KEYBOARD To enter a text, press on the text field and use the virtual keyboard that appears on the screen. NAVIGATING TO CALENDAR Press the Home button to switch between the workflow pages and the calendar. 3.2 Create and Manage Orders You must create an order session before taking an impression.
  • Page 12 Step 2: Choose the required Lab and Template (if available) You are asked to choose a default lab if it has not been defined before. Note! Templates can be customized for specific labs and therefore the fields and settings available in the order form may vary. Step 3: Enter General information for the patient (and other details if available) Step 4: Specify Delivery information...
  • Page 13 Step 5: Add Patient images (optional) Step 6: Select Construction details for the restoration Choose the necessary teeth in the map and specify the job Type (Crown, Implant etc.). Open Color Tool Press the Open color tool button to access tools for placing markings and annotations on the teeth, allowing you to relay specific instructions to the lab: •...
  • Page 14 • To edit a specific tooth, press its icon . Use the middle bar to scroll through and select teeth when there are many. • Press OK to save the changes and close the Color Tool. Study Order – Used for scanning study orders and orthodontic cases. When used it is not necessary to define construction details.
  • Page 15 Delete - Deletes the entire order. Copy - Creates a Standard or Prepreparation copy of an order (read the description to learn the difference): TO VIEW EXISTING ORDERS You can view orders via the Calendar or List of orders. 1. Viewing orders via Calendar Press the Calendar button in the Service toolbar to open the calendar view of...
  • Page 16 Sent - The order has been sent. Waiting Receive - The case has been received/downloaded by the lab, but neither approved or rejected yet. Received Approved - Dental Manager or 3Shape Communicate web site approved the order. Rejected - The lab has rejected the order.
  • Page 17 The search options allow you to: • Type text into the Search field to find the necessary order(s). • Use Unsent, Sent, Rejected, Approved and Designed filters to narrow your search results. • Use the rotation menu to select orders within a given date interval. TO OPEN AN EXISTING ORDER Step 1: Find the required order Use Calendar or Cases (see help on...

  • Page 18: General Scanning Workflow And Tools

    • T12P: Turn on the PC, start-up TRIOS application software and attach a clean and sterile scanner tip. Allow about 10 minutes for the scanner-tube to fully warm up to prevent condensation on the...
  • Page 19 Step 4: Select the scanning option 1. Press the Scan button in the workflow bar at the top to go to the scanning screen. 2. Select the button for the scan you require: upper jaw, lower jaw or occlusion. Note! The scanning option can also contain buttons for scanning implants, post and core on upper and/or lower jaw(s) if a corresponding job type has been selected in the Order Form (see the images below): Abutment and Crown job type selected in...
  • Page 20 About heating the scanner tip: To avoid condensation, the scanner tip must be warmed up by the cart heater before scanning. When you open the scanning screen, the heater turns on automatically if the scanner is placed on the scanner mount with the scanner tip facing down.

  • Page 21: Scanning

    3.3.2 Scanning Once the preparation steps have been completed, you can start scanning. The scanning toolbar is described in the help chapter General Scanning Tools. Step 1: Start scanning 1. Insert the scanner tip into the patient’s mouth and point at the area to scan. 2.
  • Page 22 Black rectangle Yellow rectangle Green rectangle Red rectangle Touch the screen to get a Warns you when the scanner Scanning has resumed The alignment is lost new starting view is moved too fast. alignment Tip! If you miss the alignment, roll back to the previous spot or move to the occlusal surface (molar).
  • Page 23 Note! When making color scans please avoid the light from the dentist chair lamp pointing directly into the patient's mouth as this will affect the color quality. Step 3: Mark Preparation Mark preparation menu automatically appears at the bottom of the screen when you stop scanning or it can be opened by tapping the Mark Preparation button.
  • Page 24 Once all preparations are marked the Mark preparation menu closes. Step 4: Scan antagonist Continue by scanning the antagonist if required. The workflow is similar to the steps described above apart from making preparations. Step 5: Scan occlusion The bite scanning option appears in the toolbar at the bottom of the screen with a pop-up shown as a guide: Bite 1 - Always required: For quadrants, Bite 1 is the only bite scan required.

  • Page 25: General Scanning Tools

    3.3.3 General Scanning Tools General scanning tools are located in the toolbar at the bottom of the screen: • Mark preparation - Used to mark prepared teeth for further post-processing once scanning is completed. • High resolution - Captures areas that are difficult to scan, with higher amount of details.
  • Page 26 Before After Brush 4, 2, 1 mm - Selection of the trimming tool thickness. Removes the drawn, colored part of the scan. Undo - Cancels the last action / Redo - Reverses the Undo action. Cancel - Closes the trimming tool without applying changes. Done - Accepts changes and closes the trimming tool.
  • Page 27 • Scan / Pause scanning (typically the Scan Activation button on the scanner is used). • Clear - Removes the whole scan to start over. • Indicates scanner's orientation. • Tools menu Playback scan - Plays back the scanning process. Swap scans - Swaps upper and lower jaw scans.
  • Page 28 Snapshot - Adds a snapshot to the order. Training Center - Opens a window with links to view various training material. Visualization Toolbar You can change the model viewing modes: Center, Rotation, Translation, Zoom and Color by pressing the corresponding buttons in the Visualization toolbar. Center - Centers the model and places it in a middle of the screen.

  • Page 29: Align Occlusion

    3.3.4 Align Occlusion AUTOMATIC ALIGNMENT The software automatically aligns the scanned preparation and antagonist using the bite scan. However, you can always re-align the scans manually if needed. In order to start or adjust the alignment of the scanned jaws tap the Align button at the bottom. Align - Opens alignment tool bar.
  • Page 30 • Done - Accepts changes and closes the alignment tool. • Bite 1 - Always required: For quadrants, Bite 1 is the only bite scan required. For full arches, it is one of the two bite scans required. • Bite 2 - Only required if scanning full arches. Must be the opposite side to Bite 1. MANUAL ALIGNMENT (optional) Besides automatic alignment, the software also lets you perform the alignment of one and two bite scans manually:...

  • Page 31: Analyze Scan

    3.3.5 Analyze Scan The Analyze page provides four main instruments for inspecting and validating the impression scans. 1. Press the Analyze button to start once you are satisfied with your impression. 2. Use the provided tools to apply additional validation options. Setting insertion direction for the restoration By optimizing the insertion direction you minimize undercuts.
  • Page 32 Placing the margin line TRIOS automatically detects and presets the margin line. You can manually edit the margin line by pointing or drawing its new position. You can switch between margin lines when you have a few by pressing the Next/Previous buttons.
  • Page 33 Enter your comment into the blank field and press Done. Use the Delete button to remove your annotation if needed. Annotations are sent together with the digital impression to the lab. Lab technicians can see the annotations in 3Shape Dental System design software. Tools menu •...

  • Page 34: Specific Scanning Workflows

    Step 2: Retract the gingiva around the preparation for the preparation lines to stand out clearly by using at least 1 gingival retraction cord to retract the gingiva (3Shape recommends using 2 cords). Step 3: Dry the teeth lightly using compressed air. Be sure to reach the narrow regions between teeth.
  • Page 35 Step 3: A checkbox appears called “Add pre-preparation scan”. Step 4: Tap the checkbox. Step 5: Proceed to the Scan page. Step 6: Select the pre-preparation scan page (already selected if restoration is in lower jaw). Step 7: Scan the required area. Step 8: The Mark preparation tool opens.

  • Page 36: How Do I Make An Implant Scan

    3.4.3 How Do I Make an Implant Scan Dentist should perform the following operations when scanning implants: Step 1: Create an order and select "abutment" for the restoration type. Step 2: An extra scan page is added automatically, giving you 2 pages for the jaw with the abutments. Step 3: Select first page of implant scan, the one without the scan body icon: Step 4: Remove the healing abutments.
  • Page 37 Step 7: Attach the scan body to implant. Step 8: Select the second page of the implant scan with the scan body icon: Step 9: The area around the scan bodies is automatically removed. Step 10: Trim the areas, if the automatic removal was insufficient. Step 11: Scan the scan body starting from the surface 1-2 teeth away from the scan body for the system to recognize 3D structures (the scan body does not need to be perfectly scanned but must contain enough information to be used by the laboratory to detect the placement of the implant).
  • Page 38 Step 12: Mark the scan body using the Mark preparation tool. Step 13: Remove the scan body and continue to antagonist and bite scans. Note! The scanning process can also be completed in the opposite order if desired, starting with the scan body.

  • Page 39: How Do I Make Post And Core Scan

    3.4.4 How Do I Make Post and Core Scan Dentist should perform the following operations when scanning Post and Core: Step 1: Create an order and select "Post and Core" for the restoration type. Step 2: An extra scan page is added automatically, giving you 2 pages for the jaw with the post and core.
  • Page 40 Step 6: Attach a scan flag to post and core. Step 7: Select the second page of the post and core scan with the scan flag icon: Step 8: The area around the scan flag is automatically removed. Step 9: Trim the areas, if the automatic removal was insufficient.

  • Page 41: Tips To Obtaining A Good Scan

    Step 11: Mark the scan flag using the Mark preparation tool. Step 12: Continue to antagonist and bite scans (without scan flag). Note! The scanning process can also be completed in the opposite order if desired, starting with the scan body. 3.5 Tips to Obtaining a Good Scan PREPARATION 1.

  • Page 42: Scanning Strategies

    5. Keep lips, cheeks, and tongue out of the scanner’s view: • Use your finger or a dental mirror to create space between the teeth, lips and cheeks. • Use a lip-and-cheek-retractor to keep lips and cheeks away. • Be careful not to scan your own or assistant’s fingers. •...
  • Page 43 SCANNING PATH The recommended scanning path consisting of 3 sweeps: occlusal, lingual and buccal to ensure good data coverage of all surfaces. The occlusal sweep always comes first as it has most of the 3D structure, which makes scanning easier. The first sweep should be started at the first molar (if antagonist) or the preparation (to scan gingiva before it collapses from the retraction).
  • Page 44 Centrals When scanning the first sweep of centrals, it is important to cover both, lingual and labial sides of the teeth. The easiest method is to slowly wiggle the scanner tip between the labial and lingual sides. The centrals require more attention than molars. Therefore, the scanner tip should move a little slower in that region.
  • Page 45 Full arch The general principles are applied in the following 2 examples: Example I: Lower full arch, antagonist Step 1: Antagonist: Start directly on the occlusion (first molar), then sweep along the occlusion. Slowly wiggle the scanner when passing the centrals. Step 2: Lower jaw: Roll 45-90 degrees to the lingual side and sweep to the second molar.
  • Page 46 • Contact points. If there are non-scanned areas near the contact points, a warning will appear in the upper left corner of the screen. Press the message for the model to display the areas in question. Contact points on a molar may be difficult to reach, try going across the mouth and tilt the scanner tip.

  • Page 47: Options And Settings

    Individual settings for operators are supported. For example, an operator can have his own preferred settings for the Scan Sound, volume, Color System etc. You must have configuration parameters set before using TRIOS. Step 1: Press the Configure button in the Service toolbar to open the Settings window having more configuration categories (see image).
  • Page 48 For example, you can set up date and time, change the sound volume, open the file explorer and Control Panel, etc. 3. Operator settings Press Operator to add a new TRIOS operator or change the existing name and password (see Operator Options and Settings for details).
  • Page 49 Connection Settings chapter for details. 5. Lab Connections settings The lab connection settings allow you to create your 3Shape Communicate™ account and connect to the desired labs. See chapters Create 3Shape Communicate™ Account Connect to the Lab...
  • Page 50 6. Order settings Dentist address - Enter the address of your dental clinic. This address is included into the Order form information (if supported by this order form). Tooth numbering system - Allows you to select the required tooth numbering system e.g., UNN or FDI, that changes the way the teeth are numbered in the Order form.

  • Page 51: General Options And Settings

    Online Support buttons. This enables the remote support at the choice of your distributor. Should support be required directly from 3Shape, the 3Shape Support button opens 3Shape QuickSupport dialog window. Tell 3Shape the ID and password displayed on the screen for desktop sharing assistance.

  • Page 52: Operator Options And Settings

    4.2 Operator Options and Settings Options help you add or modify TRIOS operators: OPERATOR • Add new - Used to create a new TRIOS operator (the name appears in the list on the left). • Modify - Lets you edit the selected operator.

  • Page 53: Connection Settings

    Diagnose Internet - Tests your internet connection. • Bluetooth Devices - Bluetooth device setup. Note! The Wi-Fi and Bluetooth Devices buttons are enabled only in the cart installation of TRIOS. CLIENT SHARING • Pressing the Share button makes your TRIOS cart data (orders, updates etc.) available for the client users.
  • Page 54 • Connect to Network / Disconnect from Network buttons - Establishes / closes connection to the selected wireless network. If the connection is established, a small globe icon is displayed next to the Selected Wireless Network drop-down menu. • Refresh Network List button - Updates the list of available networks in the Selected Wireless Networks drop-down menu.

  • Page 55: Scan Options And Settings

    Send scan videos to distributor - Automatically sends scan videos to distributor when enabled. • Calibrate Scanner - Allows you to calibrate your TRIOS scanner. See Scanner Calibration chapter for details. • Reset to defaults - Resets all settings to the...

  • Page 56: Help Options

    Third Party License - Opens a list with third party licenses. • Close - Closes the Help window. Tip! Pressing the 3Shape logo also opens the Help dialog window. Training Center allows you to select and view various training material:...
  • Page 57 Training videos are listed in the left pane of the page and can be filtered by categories. The right page shows details for the selected video. Playback of the selected video is initiated by clicking either the Open Video button or the preview image in the Details pane on the right.
  • Page 58 The video can be controlled with the buttons at the bottom: • Free View - Enables rotation of the preparation for setting the desired viewing angle during the video playback. If you do not select the Free View, the optimal viewing angle is controlled automatically: •...

  • Page 59: Closing Options

    Restart system - reboots the TRIOS system (available on cart systems). • Shutdown - turns OFF the TRIOS system. You need to confirm your intention in the appeared dialog. Note! Please, allow enough time for the system to shut down properly before disconnecting the mains cable.

  • Page 60: Trios Client

    The Client version can be installed on regular PC's for an easy data-exchange between TRIOS cart and client PC's within the clinic. The Client can be used for all TRIOS operations except scanning such as, creating new orders and reviewing old ones.
  • Page 61 Copy the Installer address to use for Client installation (see Step 2) and the Cart address to connect the Clients to (see Step 3). Step 2: Run the Client installation 1. The TRIOS installer can be found via the link from the Cart settings by typing it in a file explorer or a web browser.
  • Page 62 TRIOS Cart. Step 4: Using the Client Except for the excluded scanning ability and limited Settings page, the TRIOS functionality described for the Cart is also valid for the Client version. Orders created with the Client are stored on the Cart or Pod PC.

  • Page 63: Wi-Fi Installation Considerations

    4.8 Wi-Fi Installation Considerations Wireless router lets you access your network using a Wi-Fi connection from virtually anywhere within the operating range of the wireless network. Keep in mind, however, that the number, thickness and location of walls, ceilings, or other objects that the wireless signals must pass through, may limit the range. Typical ranges vary depending on the types of materials and background RF (radio frequency) noise in your home or business.

  • Page 64: Communication With The Lab

    5 Communication with the Lab With TRIOS system, it is possible to exchange orders and comments with the lab of your choice, using 3Shape Communicate™ - an advanced tool, integrated in your TRIOS system. 3Shape Communicate™ allows you to: •...

  • Page 65: Create 3Shape Communicate™ Account

    5.1 Create 3Shape Communicate™ Account To create a 3Shape Communicate account, please follow steps below (Access to the internet is required): Step 1: Go to Configure->Lab Connections settings Make sure the Connection Method is 3Shape Communicate. Step 2: Press the Create Account button This will open the 3Shape Communicate web page www.3shapecommunicate.com...

  • Page 66: Connect To The Lab

    PC. 5.2 Connect to the Lab After your 3Shape Communicate account is created, you need to set a connection to the Lab. You can use either a direct connection to your local Lab (need to specify Direct Connection Folder and login) or an external connection to a remote Lab.
  • Page 67 Step 2: Press the Add Lab button This will open the 3Shape Communicate web site.
  • Page 68 Step 3: Open the Connections settings and press Add Connection Step 4: Enter the name of the lab (e-mail obtained from the lab) and press Find 3Shape Communicate will search for the lab and display it as a result.
  • Page 69 When lab confirms the connection, its status will be changed to Active and the laboratory will appear in the list of added labs in your TRIOS system. If you added a lab from a remote PC, press Refresh to update the list.

  • Page 70: Send Order To The Lab

    5.3 Send Order to the Lab On the order page, choose the desired Lab while creating order by clicking Change Lab button and selecting the lab. You can then perform scanning and send your order to the Lab. The list of labs can be modified using the Lab Connections settings.
  • Page 71 Tip! Order is sent in the background, enabling you to immediately start a new session with another patient by pressing the Go to calendar button. An order can be resent if margin line has been changed, new annotations or images added. This message appears when you try to make changes in the already sent order.

  • Page 72: Communicate With The Lab

    2. System messages are automatically generated by the TRIOS system to inform you about the order status. For example, you are notified if the order has not been accepted by the lab within 18 hours.
  • Page 73 Press the Open case button to view order details and scroll down to write a comment:...
  • Page 74 3D, and discuss the case with a technician: Open the 3Shape Communicate page. View the scan model. If the lab uploaded a new design to the 3Shape Communicate web site, it will be automatically downloaded to your TRIOS system and visible on this page.

  • Page 75: Maintenance

    Calibrate the scanner when the scan quality degrades. Calibration adjusts the scan quality to the initial factory level and ensures optimum results. HOW TO CALIBRATE Step 1: Prepare for calibration Remove the scanner tip from the TRIOS scanner and put on the calibration tip. Step 2: Start calibration wizard 1. Go to the...

  • Page 76: Cleaning, Disinfection And Sterilization

    6.2 Cleaning, Disinfection and Sterilization Please refer to the TRIOS Safety and Setup Guide for cleaning, disinfection and sterilization instructions. Note! TRIOS model TRIOS11A can be cleaned, disinfected, and sterilized similar to model T12A.

  • Page 77: Disposal Of The Scanner Tip

    6.3 Disposal of the Scanner Tip Please refer to the TRIOS Safety and Setup Guide for Disposal of the scanner tip instructions. Note! The scanner tip for TRIOS model TRIOS11A can be disposed similar to T12A and T12P 6.4 System Upgrades TRIOS automatically checks for software upgrades and order form updates at regular intervals when connected to a network.

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