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Dental Studio Plus: User Manual

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0% found this document useful (0 votes)

489 views171 pages

Dental Studio Plus: User Manual

Uploaded by

paul transport

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Download as PDF, TXT or read online on Scribd

You are on page 1/ 171

Dental Studio Plus®

Pag. 1
The state of the art for the modern dentists

Dental Studio Plus

Us e r M a nu a l

Edition: November 2014 0051

Revision: September 2017

Villa Sistemi Medicali S.p.A. via delle Azalee 3, 20090 Buccinasco MI

tel. +39 02.48.859.1 - Fax +39 02.48.81.844

© Copyright DIGITAL imaging sas – Via Alfieri 12 A B – 10142 Nichelino (TO) First edition: November 2006
www.digitalimaging.it Revision: September 2017
www.archimed.org
Dental Studio Plus®
Pag. 2
The state of the art for the modern dentists

Sommario
1. INTRODUCTION ........................................................................................................................... 5
INTRODUCTION ......................................................................................................................... 6
DESTINATION OF USE AND USER PROFILE.................................................................... 7
USER PROFILE ............................................................................................................................ 7
TRAINING ..................................................................................................................................... 7
UPDATE ......................................................................................................................................... 8
WARRANTY ................................................................................................................................... 8
COMPUTER REQUIREMENTS ................................................................................................. 8
HOW TO USE THIS MANUAL ............................................................................................... 13
2. INSTALLATION AND PACKAGING ........................................................................................ 14
PACKAGING ............................................................................................................................... 15
INSTALLATION.......................................................................................................................... 15
3. SOFTWARE INITIALIZATION .................................................................................................. 17
SOFTWARE INITIALIZATION ............................................................................................... 18
PASSWORD ADMINISTRATION .............................................................................................. 19
4. PROGRAM ACCESS .................................................................................................................... 21
PROGRAM ACCESS: Password and user administration .......................................... 22
PROGRAM ACCESS: Reset database selection. ........................................................... 22
PROGRAM ACCESS: Reset password. ........................................................................................ 22
PROGRAM ACCESS: Access to the software ................................................................. 23
PROGRAM ACCESS: New User ........................................................................................... 23
PROGRAM ACCESS: Delete User .................................................................................... 24
PROGRAM ACCESS: Display user access ................................................................... 25
PROGRAM ACCESS: Forgotten Password ................................................................... 26
PROGRAM ACCESS: Change Password ........................................................................... 26
5. DATABASE CONFIGURATION ................................................................................................ 27
DATABASE CONFIGURATION: Drive administration.................................................. 28
DATABASE CONFIGURATION: Add a drive to the used database ........................ 28
DATABASE CONFIGURATION: Disconnect a database ......................................... 29
DATABASE CONFIGURATION: Database Drive configuration .......................... 30
PATIENTS: Patient database ............................................................................................... 31
6. PATIENTS DATABASE .............................................................................................................. 32
PATIENTS: Create a new patient .................................................................................................. 33
PATIENTS: Compile all the patient’s data.................................................................................... 35
PATIENTS: Patient search ............................................................................................................ 36
PATIENTS: Create a new patient category ................................................................................... 38
PATIENTS: Modify patient ........................................................................................................... 39
PATIENTS: Choice of a patient .................................................................................................... 39
7. IMAGE MANAGEMENT ............................................................................................................. 42
IMAGES: IMAGES MANAGEMENT ......................................................................................... 43
IMAGES: Image toolbar function ...................................................................................... 44
IMAGE OPTIONS: Setting Image options ...................................................................... 46
Images: Dicom Viewer .......................................................................................................... 48
IMAGES: Import images ............................................................................................................... 50
© Copyright DIGITAL imaging sas – Via Alfieri 12 A B – 10142 Nichelino (TO) First edition: November 2006
www.digitalimaging.it Revision: September 2017
www.archimed.org
Dental Studio Plus®
Pag. 3
The state of the art for the modern dentists

MEANING OF THE BUTTONS .................................................................................................. 52

IMAGES DATABASE .................................................................................................................. 69
IMAGES: IMAGES ACQUISITION ............................................................................................ 82
8. UTILITY ........................................................................................................................................ 91
UTILITY ........................................................................................................................................ 92
PRINT ............................................................................................................................................ 95
IMAGES ........................................................................................................................................ 95
NETWORK.................................................................................................................................... 97
TERMINAL SERVER ................................................................................................................... 97
DICOM .......................................................................................................................................... 98
BACKUP DATABASE ................................................................................................................ 99
DATABASE RESTORE............................................................................................................ 101
REPAIR DATABASE ................................................................................................................. 101
PATIENT COPY ......................................................................................................................... 102
9. 3D IMAGES ................................................................................................................................ 104
EVO 3D TS CONFIGURATION ................................................................................................ 105
ONDEMAND3D, IMPLANT INTEGRATION AND VILLA 3D PLANNER INTEGRATION
...................................................................................................................................................... 107
SET UP (ONDEMAND 3D OR IMPLANT3D OR VILLA 3D PLANNER) ................... 107
3D Module: IMAGES MANAGEMENT ............................................................................... 112
3D Module: 3D IMAGES ...................................................................................................... 112
3D Module: 3D reconstruction window ......................................................................... 113
3D Module: Warning. .................................................................................................................. 115
3D Module: Create the panoramic arc ......................................................................................... 115
3D Module: AXIAL VIEW ......................................................................................................... 116
3D Module: 3D VIEW ................................................................................................................. 117
3D Module: MPR. ........................................................................................................................ 118
3D Module: Full LUT. ................................................................................................................. 118
3D Module: Stereo 3D. ................................................................................................................ 118
3D Module: 3D MIP. ................................................................................................................... 119
3D Module: CROSS SECTION VIEW ....................................................................................... 120
3D Module: PANORAMIC VIEW .............................................................................................. 121
3D Module: FULL CROSS VIEW .............................................................................................. 123
3D Module: CROSS 3D VIEW ................................................................................................... 124
3D Modules: Hounsfield .............................................................................................................. 125
3D Module: CEPH VIEW............................................................................................................ 125
3D Module: Meaning of the functions ......................................................................................... 126
3D Module: 3D Rebuilding with or without MAR filter ............................................................. 144
10. VILLA INTRAORAL SYSTEMS............................................................................................. 145
1. INTRODUCTION and USE .................................................................................................... 146
2. SENSOR SET-Up .................................................................................................................... 146
2. USE OF THE SENSOR ........................................................................................................... 148
11. APPENDIX ................................................................................................................................ 150
APPENDIX 1 – Digital sensors that can be connected to Dental Studio Plus ............................ 151
APPENDIX 2 –Customizing prints ............................................................................................. 153

Present Icon in the manual

It points out one "NOTE"; particular attention recommend in the reading of the topics identified with
 such icon.

It points out one "ADVICE"; the topics identified with this icon concern the safety aspects of the
patient and/or of the operator.

0051 This symbol certifies that the product "Dental Studio Plus" is conforming to the
European directive 93/42 CEE, as modified from 2007/47/CE.

Dental Studio Plus is a medical active device, not invasive type, in IIA class according to
the above mentioned directive.

Dental Studio Plus is produced by:

DIGITAL IMAGING DI TESTONI MARIO & C. S.A.S.

Via Alfieri 12 A-B - 10042 Nichelino – To – Italia
Tel. + 39 011 6952002 Fax +39 011 60579897
Email: [email protected]

1. INTRODUCTION

This manual could contain not perfectly aligned

information to the attached software.
That because it is upgraded to the last emission date.
The use of the program comport to accept the use licence contract.

NOTE:

 The manual is updated to the state of the product with which it is sold for guaranteeing to the
consumer a suitable reference in the use of the instrument and every aspect to the safety of use.
The manual would be not reflected variations of product deprived of impact on the operational
formalities and on the safety of use

INTRODUCTION

First of all we would to congratulated for your purchase. This software is the most complete,
tastefully and at the same time simple to use, that is available on the market, for the
management of the Dental cabinet and for the filing of digital imagines.

NOTE:

 Dental Studio Plus® is supplied in different versions that foresee the functionality of procedures
defined "advanced". Some functionalities listed in the manual are present only in the supplied modules
as additional option. Inside this manual it is indicated if the described function is not included in the
basic version.

This software will permits you to manage all the data of the Dental cabinet in a very simple
and intuitive way. Moreover, Dental Studio Plus® integrates calls to the acquisition software
of a lot of electronic devices: video radio X-Ray system, telecameras, digitals panoramic,
scanners, cameras, slides scanner, etc.

All the acquired images, independently from their origin, are automatically saved as acquired
by the software of the different devices. You can create a sequential archive for your images,
or you can group them to obtain systematics and photographic album.

With maths filters you can improve the contrast or the brightness for a better analysis; you
can also use the filters to exalt the edges or to transform in 3D your image and also to
rotate the 3D image in real time. The original image is always present and can be
displayed in every moment.
Moreover, with the virtual colorations, the few contrasted X-Ray examination it results very
simple.

An intelligent system will you clarify in every moment, in a very detailed way, the cause of a
malfunctioning or an error.

Remember that this software is fruit of the users collaboration. Please, do not hesitate to give
us your councils on the use and functioning of the software, and your desire of new
functionality also. We should be glad to add it, if necessary, in the future versions of the
program.

This software has been developed with 32 bits technology. For many users this is a negligible
information, but it indicates: further reliability, exclusive use on 32/64 bits Operative System
(Windows® NT/2000/XP/Vista/7), much more web reliability.

NOTE:

 Dental Studio Plus® can also be used on operating systems to 64 bits like Windows Vista and Windows
7. Such peculiarity is specific of the product Dental Studio Plus and not of the devices connected to the
computer. Before purchasing a computer with an operating system to 64 bits verified that the
equipments to be connected to the personal computer (scanner, cameras, videoradiografy system,
digital panoramic, etc) foresees this possibility.

ADVICE:
The good quality of the monitor is an essential requirement for a correct diagnosis of the examination
through analysis of the image. A monitor that don't passed the scheduled verifications (see appendix
2, "Verification of the adequacy of the monitor") is not to consider diagnostic. The use of a monitor of
not diagnostic quality returns not diagnostic Dental Studio Plus® system

ADVICE:
The intraoral version (light version) of Dental Studio Plus is a limited version of the full one. Some
functionalities described in this manual may be not active for the light version

DESTINATION OF USE AND USER PROFILE

Dental Studio Plus® is an active medical device destined to be employed on the man to help to the
diagnosis, prevention, control of pathologies of the maxillo-facial complex.

1. The system is destined therefore to the acquisition, visualization and filing of radiographies of the
maxillo-facial complex, including both the examinations of the dental arcades, included the articulations
temporo-mandibular, the air sinuses, radiographies of the head in side to side projection and
antero/posterior, radiographies coming from systems CT and or ConeBeamComputed Tomography (CBCT).

2. The tool is destined to be used from personal qualified, dentists, radiologists or personal legally
qualified.

The typology of population of the patients depends in first place on the used equipment of radiology,
without limitation type, age, etc.

USER PROFILE

The user already has basic knowledges about:

- output of ionizing radiations
- dangers of biological damages tied to the excessive use of ionizing radiations
- methods to reduce the risks of excessive radiations to the patient (use of fallen protections,
etc.)

It is required to the operator to have familiarity in the use of Personal Computer (PC) and
relative software, so that to be able to use the present functions on the PC in easy way.

TRAINING

At the end of the installation of the system it will follow the training of the operator both on the
use of the system and of the acquisition and visualization software of the images.
The training doesn't ask to use particular tools.

ADVICE:
At the end of the operations of installation and training it is obligatory to perform the verification of
correct visualization of the images on the monitor in use.
The procedure is described in the appendix 2 - Controls to the installation and periodocal, which it is
postponed.

ADVICE:

The procedures of verification described in the appendix 2 must be perform with regularity, as
described in the paragraph related to the periodic controls.

This manual describes the necessary operations to perform intraoral radiographies, panoramics
and volumetrics (or 3D) with various types of digital sensors.

ADVICE:

The application of filters to the images, the calibration of the measures, the change of contrast and
brightness and all the functions that modify the images, can introduce artificials that compromise the
diagnosis. For this reason Dental Studio Plus® always preserves the original copy of the image to
which is had to make reference for the diagnosis

UPDATE

Dental Studio Plus® is a medical device. Before a software update of the product we invite you
to observe the specified following warning.

ADVICE:

Dental Studio Plus® is a software and therefore it can be updated with special procedures without the
presence of a specialized technician. Dental Studio Plus® is a medical device and the producer and/or
supplier have the duty to hold trace of all the installed versions with the purpose to be able to apply
possible call back following found defectiveness. For this reason we invite you not to update the
version of the software that has been delivered you if not following of a documented procedure from
your supplier of reference that guarantees the traceability of the product.

WARRANTY

This software is guarantee during 90 (ninety) days after the purchase date. Producer could
not be responsible for any direct or indirect damage deriving from the program use; partial or
total loss of data neither.
The program is assigned in use licence and could be give to thirds parties only upon written
authorization of Villa Sistemi Medicali S.p.a.

COMPUTER REQUIREMENTS
Minimal requirements of your computer are:

 Windows® XP/2000
© Copyright DIGITAL imaging sas – Via Alfieri 12 A B – 10142 Nichelino (TO) First edition: November 2006
www.digitalimaging.it Revision: September 2017
www.archimed.org
Dental Studio Plus®
Pag. 9
The state of the art for the modern dentists

 1 GB RAM (2 GB suggested)
 1024x768 pixels to 65.000 colours (1280x1024 pixels to 16 millions colours to 32 bits
optimized)
 5GB HD (10GB suggested)
 17” monitor (19” best or higher)

The Hard Disk size must be proportional with the archive size you create, and in particularly
with the images size that you save.
Every X-Ray image need, on the HD, a space that varies between 100KB (compressed) and
500KB (not compressed). A panoramic needs from 1MB (compressed) to 10MB (not
compressed). A telecamera pic occupies from 100KB (compressed) to 1MB (not compressed).
Your hard disk dimension have to be sufficient to contain the images you want to save. A TC or
CBCT exams need from 10 MB to 200 MB (it depends from the resolutions).
The necessary RAM (Random Access Memory) for Dental Studio Plus® is almost of 512 MB.
Windows® can manages the virtual memory, that is a RAM extension on the HD. This in case
the RAM in not sufficient, Windows® uses the Hard Disk like a RAM. This operation involves a
slowing down of the system, that because the hard disk is slowness than RAM.
Before to run Dental Studio Plus®, please verify the memory available. In Windows Vista®
proceed in the follow way

Click on Start icon than click, with right mouse button, on “Computer” than select the
menu item “Property”

Pic. 1.1

Check the Memory (RAM) available. The minimum value under Windows Vista is 1 GB (2 GB if
you use the 3D modules).

Operating System Dental Studio Plus PC Configuration

Windows 98 UNUSABLE
Windows ME UNUSABLE

Windows XP Service pack 0 OK Processor: Dual-core

RAM installed 1 GB (3 GB if you use 3D module)
Free RAM 512 MB (2 GB if you use 3D module)
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows XP Service pack 1 OK Processor: Dual-core
RAM installed 1 GB (3 GB if you use 3D module)
Free RAM 512 MB (2 GB if you use 3D module)
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB))
Windows XP Service pack 2 OK Processor: Dual-core
Interface USB 2
RAM installed 2 GB (3 GB if you use 3D module)
Free RAM 1 GB (2 GB if you use 3D module)
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows XP Service pack 3 OK Processor: Dual-core
Interface USB 2
RAM installed 2 GB (3 GB if you use 3D module)
Free RAM 1 GB (2 GB if you use 3D module)
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows Vista 32 bits OK Processor: Dual-core
Interface USB 2
RAM installed 2 GB (4 GB if you use 3D module)
Free RAM 1 GB (2 GB if you use 3D module)
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows Vista 64 bits OK Processor: Dual-core (quad core for PantOs Art Plus)
Interface USB 2
RAM installed 4 GB
Free RAM 2 GB
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)

Windows 7 32 bits OK Processor: Dual-core

Interface USB 2
RAM installed 2 GB (4 GB if you use 3D module)
Free RAM 1 GB (2 GB if you use 3D module)
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows 7 64 bits OK Processor: Dual-core (quad core for PantOs Art Plus)
Interface USB 2
RAM installed 4 GB
Free RAM 2 GB
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows 7 2003 OK Processor: Dual-core
RAM installed 1 GB (3 GB if you use 3D module)
Free RAM 512 MB (2 GB if you use 3D module)
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows 7 2008 OK Processor: Dual-core
RAM installed 1 GB (3 GB if you use 3D module)
Free RAM 512 MB (2 GB if you use 3D module)
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows 8 32 bits OK Processor: Dual-core
Interface USB 2
RAM installed 2 GB (4 GB if you use 3D module)
Free RAM 1 GB (2 GB if you use 3D module)
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows 8 64 bits OK Processor: Dual-core (quad core for PantOs Art Plus)
Interface USB 2
RAM installed 4 GB
Free RAM 2 GB
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)

Windows 8.1 32 bits OK Processor: Dual-core

Interface USB 2
RAM installed 2 GB (4 GB if you use 3D module)
Free RAM 1 GB (2 GB if you use 3D module)
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows 8.1 64 bits OK Processor: Dual-core (quad core for PantOs Art Plus)
Interface USB 2
RAM installed 4 GB
Free RAM 2 GB
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows 10 32 bits OK Processor: dual core
Interface USB 2
RAM installed 2 GB (4 GB if module 3D is present)
Free RAM 1 GB (2 GB if module 3D is present)
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Windows 10 64 bits OK Processor: dual core
Interface USB 2
RAM installed 4 GB
RAM free 2 GB
Ethernet Connection: 100 Mb
Dedicated video card not integrated on PC board. For example: ATI,
NVidia
free space on Disk for the software: 2 GB
Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Mac OSX: macOS Sierra v10 OK Processor: dual core
RAM installed 4 GB
Consultation mode only, you RAM free 2 GB
can not capture images as Ethernet Connection: 100 Mb
there are no appropriate Dedicated video card not integrated on PC board. For example: ATI,
drivers to manage from this NVidia
operating system the capture free space on Disk for the software: 2 GB
devices Free space on disk for your data: 100 GB (each panoramic image
requires about 10 MB, a Ceph about 15 MB, an intraoral about 2 MB, a
3D exam about 200 MB. Each patient requires about 512 MB)
Mac iOS: version 10 OK Processor: dual core
Apple iPad / iPad pro / iPad mini
Consultation mode only, you free space on Disk for the APP: 2 GB
can not capture images as The image store does not reside on the device but on a computer on a
there are no appropriate local or remote network.
drivers to manage from this
operating system the capture
devices

Android: version 7 OK Processor: dual core

Memoria RAM installata 2 GB
Consultation mode only, you free space on Disk for the APP: 2 GB
can not capture images as The image store does not reside on the device but on a computer on a
there are no appropriate local or remote network.
drivers to manage from this
operating system the capture
devices

HOW TO USE THIS MANUAL

This manual is organized in cards. Every function is presented in his use and if possible with
utilize examples. Exist a paragraph “Description”, one “Operation” and one “Additional
Informations”.

Since this software uses electronics devices (computer, mouse, peripherals), are often used
terminologies or specific acronyms. We apologize if the reading can result little clear, but we
will here try to explain some terms used in the text.

The phrase “move the mouse…” means that you have to displace the monitor indicator
(normally an arrow) that indicates the mouse position, in a specific zone.

“Click with the mouse” means to bring the mouse in position, then press the right button
and release it.

The “buttons” represent the program function that you can activate clicking with the mouse
on the same.

You can also find “To recover the image…”; you have to open the archive window
(sequential or systematic), then select the image you want to elaborate and send it, using the
right buttons, to the elaborations window.

For using this software, we suggest a basilar knowledge of Windows®95 or later. If any
basilar concepts are not clear (what’s a window, how to recall a program, ecc) we advise you
to read a little Windows® manual, or make the Windows® exercises.

2. INSTALLATION AND PACKAGING

PACKAGING

When you receive the box with the application, you will receive a usb dongle. This dongle is
the software protection. You should connect this key after the full installation to ensure the full
application working. You can connect this key to any computer of the network. This key allows
you to use the application on 10 computer simultaneously.

INSTALLATION

When you insert the installation CD in the CD Rom reader the following window will be
displayed.

Pic. 2.1

Follow these steps to install the application.

1. Program installation
This option will install all the application. You can use this option to update an existing
installation also.

2. USB Dongle Driver Installation

This procedure will install the driver for the usb dongle key protection. When the installation
procedure will ask to open a port, select yes. This option is necessary for network installation.
When you finish to install these drivers you can connect the usb dongle.

3. System driver.

Install the drivers for the system that you have, according to picture 2.2:
 Videograph or Videograph HD Intraoral Drivers Installation in order to install the driver
intraoral unit sensor;
 Scanograph Drivers Installation in order to install the driver for Scanograph intraoral
PSP plates scanner
 Strato D, Rotograph D Drivers Installation in order to install the driver for 2D system;
 Rotograph EVO Drivers Installation in order to install the driver for 2D system;
 EVO 3D Drivers Installation in order to install the driver for 3D system with sensors of
first generation;
 EVO 3D DX Drivers Installation in order to install the driver for 3D system with sensors
of second generation.
 EVO 3D TS in order to install the driver for 3D system with partial volumes option.
 for Rotograph Prime please use QuickVision CD to install the equipment drivers.

When you select one of this options a wizard user interface appears, and a sequence of dialog
boxes lead the user through a series of well-defined steps for getting a successful installation.
Make sure that you don’t install the wrong drivers.
If you are going to intall Videograph Intraoral Drivers make sure that the sensor is connected
via USB to the PC.
When you finish to install all the procedure, in same cases you need to restart the computer.

Pic. 2.2

3. SOFTWARE INITIALIZATION

SOFTWARE INITIALIZATION

Pic. 3.1

Before start working with Dental Studio Plus® you need to understand how the
software has been projected and then realized.

The basilar objective for the realization of this program, is the SEMPLICITY OF USE. To
obtain this purpose, we’ve started from the idea that a software is simpler to use if there are
few overlapping windows it contains. It is necessary to arrange in the monitor the maximum of
possible information, subdivided for argumentation.

Often, many software force to complex and long procedures, too difficult to remember. This
means that to complete a not frequently operation, it must make a big effort for find the
correct way. Our objective is: little clicks with the mouse to follow every procedure.

Dental Studio Plus® has been developed for a very intuitive use.

The main window of Dental Studio Plus® is like the picture here over. The photo can be easily
personalized.

The “Close session” button must be utilized every times you go away from the computer;
using this button you can standby the program; for being able to re-use it, it will be necessary
to insert again the password, in this way, during your absence, if nobody knows the password,
no one will be able to use it. This procedure guarantees the use of the software, in conformity
with the new dispositions in matter of privacy protection.

The “Close program” button must be used to close the application.

The program is divided in two big categories: Patients and Utilities. Clicking on one
of this button you will approach to three different windows:
identifying patients, managerial, usefulness of the program.

This three windows contain the button with which you can easily back to the main menu of the
program.

Pic. 3.2

It is also possible return to the main menu, pressing F1.

In Patients page (accessible pressing F2), you can do every operations in relation with the
patient: creation, modify, waiting room (all these operations will be explained in the following
chapters.
In Utilities page (accessible pressing F4) there are a series of functions of varied usefulness.
We can find the program setup, the clock, the calculator, all regarding the privacy, etc.

PASSWORD ADMINISTRATION
PROGRAM ACCESS: First access to the program

At the first run of the software it will appear this window

Pic. 3.3

Click on OK and the program will automatically use the software starting drive as default
database.

The application will ask to you the preferred language.

Pic. 3.4
© Copyright DIGITAL imaging sas – Via Alfieri 12 A B – 10142 Nichelino (TO) First edition: November 2006
www.digitalimaging.it Revision: September 2017
www.archimed.org
Dental Studio Plus®
Pag. 20
The state of the art for the modern dentists

Then, if you don’t have installed the demo database, this window will open

Pic. 3.5
Click on Yes and Dental Studio Plus® will automatically create the environment for begin

NOTE:
We recommend you to perform the functional verification of the monitor to verify that the the monitor is

 proper for the visualization of the radiographic images. This procedures automatically started the first
time that is accessed the images module.
The procedure to perform this verification is available in the section "Utility" of the module "management
imagines", as from following image, pressing on the icon "Verification functionality of the monitor".

The procedure to perform this test is described in the chapter….. which is postponed.

If you don’t have registered the application yet, the follow window will be displayed.

Pic. 3.6

You can enter now your cabinet data. If you don’t want to write the data now, click on Close.
This window will be displayed everytime you open the application, until you insert the data.
Please remember that you cannot change the registration data after you store them in the
hardware protection key, so do not register any information before it is agreed with the
customer.

4. PROGRAM ACCESS

PROGRAM ACCESS: Password and user administration

The application is protected by user identification with different permission levels.

First access at the program At the software start, you’ll see this window

Pic. 4.1

PROGRAM ACCESS: Reset database selection.

This button resets the configuration of active drives. Only the C drive will be preserved.

PROGRAM ACCESS: Reset password.

This procedure allows to reset the password bringing it to the initial value "12345678". The
password can be reset only by the administrator of the computer. Before proceeding to the
resetting of the password, Dental Studio Plus® asks the name of the administrator of the
computer and the password (credential of Windows). Only the correct insertion of these data
allows to perform the resetting of the password. This procedure guarantees the use of the data
if the administrator loses the password.

NOTE:

 Dental Studio Plus® allows the zero resetting of the password only from the administrator of the
computer. The safety of the data of the administrator and the position of the access to the database is
assigned to the administrator of the net or the single computer

PROGRAM ACCESS: Access to the software

If you are running for the first time Dental Studio Plus®, the password is 12345678. Right
after the program will you ask for change it, using this window

Pic. 4.2

Insert the old password one time, then the new for two times.
Click on OK then insert the new password in the previous window. (Pic. 4.2).
Click on Access to enter in the program. In conformity with the regulations in force, all the
accesses are memorized from the software.

PROGRAM ACCESS: New User

To add a new user or to eliminate an existing one, after the Administrator password insertion,
click on Maintenance (Pic. 8)

Pic. 4.3

Then click on New User (Pic. 4.3)

Pic. 4.4

Insert the name, the password and select the access type. You can also insert a question and
an answer you only know, for recover your password in case you have forgot it.

The user are of five kind

Pic. 4.5

The Administrator is free to make all the operations in the software. The Standard User can
do managerial operations but he can’t visualize the amount of the same. The External
Consultant is an external collaborator who helps the Cabinet in the management accounting.
The Secretary is the cabinet secretary and the Limited Account is the one that can see only
some patients that the administrator has decided to show.

PROGRAM ACCESS: Delete User

Click on Delete User (Pic. 4.3)

Pic. 4.6

You could have the possibility to select the user to remove. Click on OK then the user will be
deleted.

PROGRAM ACCESS: Display user access

Click on Display user access (Pic. 4.3)

Pic. 4.7

In this way you can see all the access occurred: date and hour, user name and computer
name.

PROGRAM ACCESS: Forgotten Password

Pic. 4.8

Simply answering to the question you have inserted at the registration time, the program will
indicate your current password.

PROGRAM ACCESS: Change Password

Click on Change the password (Pic. 4.1)

Pic. 4.9

Insert your old password, then two times the new one. Click on OK and go to insert the
new password in the window of Pic. 4.9.

5. DATABASE CONFIGURATION

DATABASE CONFIGURATION: Drive administration

One of the news of this software is the possibility of multi-task work. This option makes
Dental Studio Plus® the most exclusive software.

 What does mean work contemporary on different drives

It means that you can subdivide the archives on more drive with the possibility to see all
of them contemporary.

Example:
If you want to let on the net drive (drive S) only the patients under treatment at the moment,
you can save them on drive S. All the others patients, for example the historic ones, can be
saved on drive T (general drive). Dental Studio Plus® can use all the archive (until 20 drives)
contemporary

DATABASE CONFIGURATION: Add a drive to the used database

Pic. 5.1

Click on Display or select the database to use or on the double arrow in the lower part of
main menu (Pic. 5.1)

Pic. 5.2

Click on Add drive and the software will show you the available drives.

Pic. 5.3

Select the drive you want to choose, then click on Add.

NOTE:

 Dental Studio Plus® verifies if the added disk contains the database. If the disk doesn't contain the
database it will asked you to create the environment of job. In affirmative case a driven procedure will
help you to create the database. In negative case, the disk won't be added.

DATABASE CONFIGURATION: Disconnect a database

To eliminate a database you have two way:

Pic. 5.4

 Right click on the drive you want to disconnect then click on Disconnect database.
 Drag with left click the drive to eliminate into the bin on the lower right part.

A not more available drive, will be automatically removed. This to prevent the bad functioning
of the program.

DATABASE CONFIGURATION: Database Drive configuration

Pic. 5.5

Assign a colour to this drive: assign the colour you want to the drive

Default drive for database: clicking on this option, a floppy disk icon will appear near the
selected drive. The default drive is used for: price list of treatments, tabs and prints, cabinet
data, access password and all the general data.

Default drive for notebook: clicking on this option, a notebook icon will appear near the
selected drive. In this way your notebook will be saved in this drive.

Hide the patients of this drive from the main list: in the general patients list will not be
visualized the patients of the selected drive.

Upgrade the database: clicking here the application will show this window

Pic. 5.6

At the next run of Dental Studio Plus® will be request the upgrade of the database
© Copyright DIGITAL imaging sas – Via Alfieri 12 A B – 10142 Nichelino (TO) First edition: November 2006
www.digitalimaging.it Revision: September 2017
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Dental Studio Plus®
Pag. 31
The state of the art for the modern dentists

Pic. 5.7

Click on Yes and the database will be upgraded.

Attention: clicking on No you can’t use the database.

PATIENTS: Patient database

Click on Patients from the main page of the program

Pic. 5.8

6. PATIENTS DATABASE

PATIENTS: Create a new patient

Pic. 6.0

To create a new patient click on New (Pic. 6.0)

Pic. 6.1

To create a new patient you must insert some important informations.

These informations are highlighted with a darkest colour: name, last name, birth date. It
is possible to complete these data in another moment too.

Before save a new patient you have to select the destination database (only if you have more
than one active database). Click on the destination database and an arrow near the database
icon will appear.

Click on Save to save it.

PATIENTS: Compile all the patient’s data

In Pic. 6.1 window, after the patient data insertion, click on Next.

Pic. 6.2

Pic. 6.2 allows the acquisition of patient’s images.

Clicking on the corresponding buttons you can acquire from: Fotocamera; Scanner,
Videocamera and Drive. Then click on Next.

Pic. 6.3 contains all the information for the patient card print.

Clicking on Print the patient’s card you can print a card for the patient, with his personal
codes. This card has a bar code for a fast activation of the patient on the dental chair
computer. We recommend to use a specific printer.

Pic. 6.3

PATIENTS: Patient search

Click on Patients from the main page of the program

Pic. 6.4

To find a patient you can proceed using four ways or combining them together:

 Insert Patient’s name or last name in the proper place; if you write only the first
letter of the name, or last name, the program will find all the patients whose last
name or name contains the inserted text.
 Use the icon identification: clicking on Icons menu (Pic. 6.4) you can select the icon
associated to the patient you need find

Pic. 6.5

 Advanced Search: you can insert the data of the patient you are searching in the
following window

Pic. 6.5.a

 Use the categories: you can differentiate the patients in various categories to
simplify the acknowledgment operations. Clicking on Category menu (Pic. 6.4)
you can do the search in the wished category. The software will give you a list of
© Copyright DIGITAL imaging sas – Via Alfieri 12 A B – 10142 Nichelino (TO) First edition: November 2006
www.digitalimaging.it Revision: September 2017
www.archimed.org
Dental Studio Plus®
Pag. 38
The state of the art for the modern dentists

all the patients of the selected category.

Pic. 6.6

PATIENTS: Create a new patient category

To create a new category, click on

Pic. 6.7

Click on New and insert the requested data.

Pic. 6.8

Click on OK.

PATIENTS: Modify patient

To modify the personal data of a patient, click on Patient from main menu. Select the
patient you want to modify then click on Modify.

Pic. 6.9

PATIENTS: Choice of a patient

Select a patient from Found Patient

Pic. 6.10

PATIENTS: Images

This function opens the database of the patient’s images.

PATIENTS: Anamnesis

It shows the patient’s anamnesis. If the patient’s anamnesis contains important

indication of health status, a red spots flashing to indicate it. This to safeguard the
patients’ privacy, avoiding to accidentally show reserved information.

Pic. 6.11

PATIENTS: REMEMBER

Trough this function you can insert a very important note to remember in anticipation of next
patient’s visit. It is possible to write everything you want. As an example to ask to the patient
if he has remembered to do the antibiotic treatment or any other important note.

Pic. 6.12

PATIENTS: Worklist.

This function will connect the computer to a remote RIS. This option is available on if the
Dicom PACS module is enabled.

The RIS will give the patient list for the requested exams.

7. IMAGE MANAGEMENT

IMAGES: IMAGES MANAGEMENT

NOTE:
We recommend you to perform the functional verification of the monitor to verify that the monitor is
suitable for the visualization of the X-ray images. This procedures will automatically starts the first time
that you will accessed to the images module.
The procedure to perform this verification is available in the section "Utility" of the form management
imagines, as from following image, pressing on the icon "Verification functionality of the monitor."

Pic. 7.1a

Pic. 7.1b

Pic. 7.1c

Pic. 7.1d

IMAGES: Image toolbar function

The image toolbar is organized in four pages. The functions are the followings.

IMAGES: Image acquisition

Start the image acquisition from intraoral system classified as number 1

Start the image acquisition from intraoral system classified as number 2

Start the image acquisition from the videocamera

Start the image acquisition from panoramic system

Start the image acquisition from the TC / CBCT system

Start the image acquisition from the scanner using the twain interface

Start the image acquisition from photocamera using folder search

This option is enabled only in the version that not includes the 3D option. This
function allow the user to verify the 3D capability of the application.

IMAGES: Image organizer

Organize the images in a fixed layout where the user can save the images for a
global view, Each patient has one page and 20 images for each box.

Organize the images in a custom layout where the user can save the images for
a global view. This layout can be customizable by the user. Each patient has 10
different pages,

IMAGES: Utilities

This option allow the user to import a graphic file.

This option allow the user to import a TC or CBCT exam. This option is available
only when the 3D module is active.

Display a blank screen.

Create a dicom cd using the dicom standard cd creation.

Create a custom CD with a viewer included.

This procedure allow the user to verify the monitor quality. We suggest to use
this procedure immediately after the installation and every 3 months.

IMAGES: Applications

This option starts an external application for Ceph calculation procedure.

This option starts an external application for image subtraction procedure.

IMAGE OPTIONS: Setting Image options

If you need to open the image configuration procedure click on as in Pict. 37a.

The configuration procedure can be used for the following options.

This page included the main option for the image modules.

This procedure selects the intraoral RVG equipment number “1” and number
“2”. The parameters for the specific RVG should be request from the hardware
developer. The application supports 2 different RVG at same times.

This procedure selects the Panoramic equipment. The parameters for the
specific Panoramic system should be request from the hardware developer.

This procedure selects the TC or CBCT equipment. The parameters for the
specific TC or CBCT system should be request from the hardware developer.

This procedure selects the intraoral videocamera option.

This procedure sets the 3D module parameters.

This procedure link Dental Studio Plus® and OnDemand3D

This function allows to melt more 3D volumes between them.

Image Options: Options.

Set the main options for the image database module.

Image Options: Intraoral.

Select the intraoral RVG system to use. It is possible to select 2 RVG systems. The system are
identified as system 1 and system 2.

You can select any model in the supported list.

Image Options: Panoramic.

Select the Panoramic / Ceph system; you can select the system model from the drop-down
menu.

Set the IP address of the system.

Set the filters sequence you want to apply as default.

Image Options: TC or CBCT.

Select the TC / CBCT system.

You can select any model in the supported list.

Image Options: Camera.

Select the option for the videocamera. The supported format for the scanner is the TWAIN
driver, file transfer or the direct acquisition using the VFW (Video for Windows) technologies.

Image Options: 3D Options.

Set the option for the 3D module.

Rendering engine.

Ray Cast (CPU): uses the CPU to process the 3D reconstruction. This option need a powerful
CPU and a powerful graphic board.

3d Texture (GPU): uses the GPU (Graphic Process Unit) to process the 3D reconstruction. This
option need a very powerful graphic board.

Ray Cast (Best) 3D Texture (Preview): uses the CPU to process the 3D reconstruction for the
best result when any 3D movements are finished. Uses the GPU for any 3D volume
movements.

Shading.

Set the shading value for the 3D volume. This option needs a lot of memory to work. Please
enable it only if you have at least 2 GB of RAM.

Cross Section.

Width: set the size of the cross image. The size is in millimetres.

Pano Section.

Numbers: set the number of the panoramic sections to create.

Surface reconstruction.

These parameters set the option to create the surface reconstruction.

Images: Dicom Viewer

This function allows to show the images in DICOM format using a viewer that supports images
up to 65535 gray levels.

To activate this function (by default is enabled) click on as in Pict. 7.1a.

Pic. 7.2

Check the option “Open all images in Dicom modality” to enable the Dicom viewer. If you want
to save a copy of the original image (by default is yes) check this option. This option allows
you to go back to the original image at any time. If you want a common toolbar check the
requested option.

Pic. 7.3

then click .

IMAGES: Import images

To import any supported images, click on as in Pict. 37.

Pic. 7.4

If you want to show all file in the selected folder, check the box “Show all files”. To show the
dicom files check the box “Dicom Images”.

Click on and select the source folder from which you want to import the DICOM image.
Once selected the source and the image to save it will open the following window:

Pic. 7.5

Click on and the image will automatically be inserted in the file of the patient.

To open an image from the database, just double click on it.

Pic. 7.6

Holding pressed the left button of the mouse on the image, it’s possible to move the image
inside the window.

Moving the small wheel of the mouse is possible to zoom the image.

Holding pressed the right button of the mouse and moving to the left or to the right the mouse

is possible to clear up or to darken the image.

MEANING OF THE BUTTONS

IMAGES: MAIN FUNCTIONS

It belongs to this menu the following functions:

Arrange windows: this function allows to open more images and to place side by side so that
contemporarily visualize.

Original image: this function restores the image where the filters have been applied to the
original state.

Pan Image: this function allows to move the image inside the window.

Cut image: this function allows to visualize only the part interesting of the image. Pressing
this button it will open the following window

Pic. 7.7

Positioning in one of the angles of the rectangle, and holding pressed the left button of the
mouse, it is possible to modify the size of the rectangle; holding pressed the left button of the
mouse inside the rectangle it is possible to move the rectangle in the point of the image that

interest. Press therefore the button and you will visualize the clipping selected of the
image enlarged.

Dicom TAGs: pressing this button it will appear all the information related to the image as
Dicom tags.
© Copyright DIGITAL imaging sas – Via Alfieri 12 A B – 10142 Nichelino (TO) First edition: November 2006
www.digitalimaging.it Revision: September 2017
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Dental Studio Plus®
Pag. 53
The state of the art for the modern dentists

Toolbar: pressing this button the toolbar at the top of the window disappears and it will
appear the following window of the rapid tools

Pic. 7.8

Closing the image with this setting out, the software will remember at the next opening of the
image the same setting out.

To return to the standard display press .

Filters: this function allows to apply some filters at the image as shown following

Pic. 7.9

ADVICE:

The application of filters to the images can introduce artificials to compromise the diagnosis. For this
reason the diagnosis must exclusively have effected on the original image.

To return to the original image press .

It is possible to create customized filter by entering in menu "Other". The following window will
be opened

Pic.7.10

Press the right button of the mouse on one of a “UNDEFINED” buttons and it will open the
following window

Pic. 7.11

ADVICE:
The personalization of the filters can give results that improve or worsen the quality of the image. Dental
Studio Plus cannot perform any control on the quality of the result. It is responsibility of the user to
create personalized filters that help to improve the quality of the image.

Insert in the "BUTTON CAPTION" field the name of the new filter. The name will be assigned to
the button previously selected.
Uses the drop down menu to customize the filters sequence (from 1 to 8).
Use the scrollbar on the lower side to modify the GAMMA CORRECTION value. Use the "Reset"
button to restore the default value.

The following examples of tables show different custom filters optimized for Panoramic images

Every new customized filter creates a new entry in the following configuration file:
C:\Documents and Settings\All Users\AppData\ArchiMED Suite\CustomFilters\FilterList.ini

IMAGES: LUT

ADVICE:
The editing of contrast and brightness can introduce artificials that can compromise the diagnosis. For
this reason the diagnosis must exclusively have effected on the original image.

Pressing this button it will open the following menu of functions

Pic. 7.12

Invert: it allows to reverse the image from positive to negative and vice versa.

W/Level ROI: this function allows to select, with the left button of the mouse, a region of the
image that interest to underline, and to modify the levels of ROI to improve the quality of the
image of the selected region.

Gamma Value: with this function it is possible to modify the value of the Gamma of the
image.

Restore: this function allows to return to the original image.

LUT: making click on this button it will open the following curtain menu that will allow to
choose the type of LUT.

Pic. 7.13

IMAGES: MEASURES

ADVICE:
The radiographies are a bidimensional representation of three-dimensional object places in the space,
therefore their representation can be deformed in function of various factors, what enlargement, relative
position of the object in comparison to the receptor of image, etc. These factors don't allow therefore a
precision quantifiable of the trial.

Dental Studio Plus® is not a tool of measure because, also after the procedure of calibration
of the measure in comparison to a known repere, the accuracy of the same measure cannot
be guaranteed, that therefore it has to be considered as indicative.

Pressing this button it will open the following menu of functions

Pic. 7.14

Single: this function allows to take single measures to the image.

Proceed in the following way:

- put the cursor of the mouse in the point from which you want to start the measurement and
press the left key of the mouse;
- put the cursor of the mouse in the point of arrival of the measure and press the left key of
the mouse; it will appear the effected measure.

To cancel an effected measurement is necessary to make click with the left button of the
mouse on the measurement to cancel and press the key Canc" of the keyboard.

Multi: this function allows to effect multiple measures to the image.

Proceed in the following way:

- put the cursor of the mouse on the point from which you want to start the measurement and
press the left key of the mouse;
- put the cursor mouse on the second point to measure and press the left button of the mouse;
- make the same operation for the third point and so on.

To finish the measurements press the right button of the mouse.

Line/Width.: this function allows to effect the measure of the width of a part of the image.

Proceed in the following way:

- put the cursor of the mouse on the point from which you want to start the measurement of
the width and press the left key of the mouse;
- put the cursor of the mouse on the point of arrival of the measure and press the left button
of the mouse.

To cancel an effected measurement is necessary to make click with the left button of the
mouse on the measurement to cancel and press the key Canc" of the keyboard.

Line and Width / Height.: this function allows to effect the measure of the width and the
height of a part of the image.

Proceed in the following way:

- put the cursor of the mouse on the point from which you want to start the measurement and
press the left key of the mouse;
- put the cursor of the mouse on the point of arrival of the measure and press the left button
of the mouse.

To cancel an effected measurement is necessary to make click with the left button of the
mouse on the measurement to cancel and press the key Canc" of the keyboard.

Area: this function allows to calculate a determined area of the image.

Proceed in the following way:

- put the cursor of the mouse on the point from which you want to start the measurement and
press the left key of the mouse;
- put the cursor of the mouse on the second point of the measure and press the left button of
the mouse;
- put the cursor of the mouse on the point of arrival of the measure and press the right button
of the mouse. The calculation of the selected area will be visualized.

To cancel an effected measurement is necessary to make click with the left button of the
mouse on the measurement to cancel and press the key Canc" of the keyboard.

Angle: this function allows to calculate the angle of a part of the image.

Proceed in the following way:

To cancel an effected measurement is necessary to make click with the left button of the
mouse on the measurement to cancel and press the key Canc" of the keyboard.

Parallel lines: this function allows to calculate the distance among two parallel lines.

Proceed in the following way:

- put the cursor of the mouse in the point from which you want to start the measurement and
press the left key of the mouse;
- put the cursor of the mouse in the point of arrival of the measure and press the left button of
the mouse.
- proceed in the same way to draw the parallel straight line.

To cancel an effected measurement is necessary to make click with the left button of the
mouse on the measurement to cancel and press the key Canc" of the keyboard.

Calibrate: this function allows to calculate the correct measure of a part of image.

Proceed in the following way:

-if a measure is not correct, click on “Calibrate” and it will open the following picture

Pic. 7.15

Insert the correct value and then press Calibrate.

IMAGES: IMPLANT

ADVICE:

The implant simulation doesn't owe a diagnostic tool but only a tool of visual evaluation.

With this function you can simulate an insertion of an implant to a patient.

Pressing this button will open the following menu of functions:

Pic. 7.16

Pressing the button an implant will be added for the inferior arcade as shown by the
following figure:

Pic. 7.17

To move the implant in the correct position it is necessary to press the left button of the
mouse and, holding pressed the button, move the implant in the correct position.
To modify the inclination of the implant it is necessary to position the cursor of the mouse in
the low part of the implant, when it becomes an arrow, press the left button of the mouse and
change the inclination of the implant.

Pressing the right button of the mouse on the implant the following window will appear:

Pic. 7.18

Selecting “Implant/Object properties” it will open the following picture:

Pic. 7.19

ADVICE:
Also in this case, the measures of the implant are to consider as indicative, not being possible to
guarantee its accuracy.

Choose the correct Diameter and Height of the implant and than press “Update”.

Pressing the button an implant will be added for the superior arcade as shown by the
following figure:

Pic. 7.20

Pressing the button you can add an object, choosing the folder from which you want to
import the object.

Pressing the button all the inserted implant will be eliminate. To confirm the effected
choice the following question will appear:

Pic. 7.21

IMAGES: TEXT / ARROWS

Pressing this button it will open the following menu of functions

Pic. 7.22

Arrow: this function allows to insert on the image arrows inserting besides a text that will
appear next to the arrow.

Proceed in the following way:

- put the cursor of the mouse on the point of the image from which you want to depart the
arrow;
- put the cursor of the mouse on the point of the image to which you want that the arrow
arrives, the following window will appear:

Pic. 7.23

insert the text to visualize near the arrow and press .

To cancel the insertion of the arrow with the text is necessary to make click with the left
button of the mouse on the arrow to cancel and press the key Canc" of the keyboard.

Text: this function allows to insert some text on the image.

Proceed in the following way:

- put the cursor of the mouse on the point of the image on which is wanted to insert the text
and to press the left button of the mouse;
- the dimension of the rectangle can be modified; once chosen the dimension press the left
button of the mouse, it will open the window 57 in which you can insert the text to visualize on
the image. Press therefore .

To cancel the insertion of the text is necessary to make click with the left button of the mouse
on the text to cancel and press the key Canc" of the keyboard.

IMAGES: FILTERS

ADVICE:

The application of filters to the images can introduce artificials that compromise the diagnosis. For this
reason the diagnosis must exclusively have effected on the original image.

Pressing this button it will open the following menu of functions

Pic. 7.24

Tissue: this function allows to underline the tissues of the image.

Media: this function reduces the noise of the image.

Sharpen: this function underlines the contours of the image.

Area Filter: pressing this button will open the following menu

Pic. 7.25

IMAGES: FILTER SOFT TISSUE

Soft tissues DX: pressing this button it will be possible to underline the soft tissues of the
right part of the image. It will appear on the image a vertical straight line that can be moved
to the right or to the left according to the demands as shown in the following figure:

Pic. 7.26

Soft tissues SX: pressing this button it will be possible to underline the soft tissues of the left
part of the image. It will appear on the image a vertical straight line that can be moved to the
right or to the left according to the demands.

IMAGES: AREA FILTER

Selection rectangle: this function allows to select a rectangle of the image to filter.

It will open the following menu of filters

Pic. 7.27

Proceed in the following way:

- select one of the three types of filters;
- select the part of the image to filter holding pressed the left button of the mouse, release the
button of the mouse and the section of the image it will be filtered.

Selection circle: this function allows to select a circle of the image to filter.

Also in this case there will be the possibility to select one of the followings filters

Pic. 7.28

Proceed in the following way:

IMAGES: ZOOM

ADVICE:

The dimension of the image represented to video never has to be considered as an exact report in
comparison to the real dimension of the image. it is not possible to measure the image with rulers or
other tools supported to the monitor.

Selecting this button will open the following menu of functions

Pic. 7.29

Zoom Area: this function allows to enlarge only the part selected of the image.

Proceed in the following way:

- select the area to enlarge holding pressed the left button of the mouse;
- release the button of the mouse and the area of the selected image will be enlarged.

Lens: this function allows, holding pressed the left key of the mouse on the image, to enlarge
the parts of the image touched by the cursor of the mouse.

Fit to page: this function allows to fit the image to the page to visualize completely the
image.

Fit Vert.: this function allows to vertically fit the image to the page.

Fit Hor.: this function allows to horizontally fit the image to the page.

Total: this function allows to totally enlarge the image.

150%: this function allows to enlarge the image at 150%.

To return to the normal visualization press the button "Fit to page."

IMAGES: ORIENTATION

Selecting this button will open the following menu of functions

Pic. 7.30

Mirror horizontal: this function allows to effect the speculate horizontal of the image.

Mirror vertical: this function allows to effect the speculate vertical of the image.

Rotation 90° to the left: this function allows to rotate to the left the image of 90°.

Rotation 90° to the right: this function allows to rotate to the right the image of 90°.

IMAGES: UTILITIES

Selecting this button will open the following menu of functions

Pic. 7.31

Export: this function allows to export the image. It will open the following window

Pic. 7.32

Insert the name of the file and press "Save", the image will be saved. You can export an
image in dicom format.
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The state of the art for the modern dentists

Medical Report: this function allows to insert notes to the image as shown in the following
image

Pic. 7.33

Select the category of the image, insert the annotations and press .

Print: this function allows to print the visualized image. It will open a window of preview of
print in which it can be select the printer and the picture size. If you have the Dicom extension
of the application, you can print on a dicom printer also.

Send to CD: this function allows to send the image to the CD. The image is added at the other
sent before. When the application burn the CD it include a Viewer.

Send via email: this function allows to send the image via email. It will open the following
window

Pic. 7.34

NOTE:
Dental Studio Plus® doesn't send away directly the images via email but it prepares them so that can be
sent through your default e-mail program. The settings out of the account of e-mail and all the safety
settings out must be verify in your e-mail program.

Insert the name of the file and the format of the file, if Bit-map, JPEG or DICOM and press

, it will open the following window for the dispatch of the e-mail

Pic. 7.35

Insert all the necessary data and press "Send".

Send to PACS: this function allows to send the image to the PACS Server.

IMAGES DATABASE

IMAGES: STANDARD IMAGE INTERFACE

There are three different possibility to store the images:

i. Batch file
ii. Schematic
iii. Status

Pic. 7.36

Pic. 7.37

a. IMAGES: Batch file

The batch file is the representation of the patient’s associated images, not
organized in a specify mode. The only organization is the sequence, without
dental association. The visualization is possible using the lateral scroll bar.
The ordination is by insertion date: the most recent will be the first of the
list.

Every time you select a patient, you can see the preview of all the images.
This operation should be slow if the images file is too big, so you can
organize the visualization in program setup.

To elaborate the images of the batch file you have to double click on the
image preview. In this way the image will be zoomed in the elaboration
window for a better visualization. The program allows the contemporary
zoom of more images. These will be showed all together in the elaboration
window, just like in Pic. 7.37.

Pic. 7.38

Right click on a preview image (pic. 7.38)

AVDICE:
Dental Studio Plus® deletes the images in irreversible way. Before deleting the images it will have asked
you a confirmation. If the delete is confirmed it won't be more possible to restore the deleted images
only from a backup copy.

Export image: it saves the preview image selected on the drive.

The image will be saved with the real dimension and not like the
preview dimension.

Delete image: it is a not reversible command for delete an image.

The cancellation could not be recovered. It is possible to erase a
group of images too. To select more images, keep click on CTRL and
clicking on the different images.

Compact database: it compacts the images database. This

function is automatically execute every time you delete an image.

Pic. 7.39 Slide show: it starts a full screen slide show of all the images. This
function is useful to create a collection of images o f a specific
treatments to the patient. It is possible to control the presentation
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The state of the art for the modern dentists

using the keyboard or the screen button. To go back to the main

menu, click on Close.

b. IMAGES: Schematic

Click on

Pic. 7.40

Here you can find a box for every tooth. Every box can contain 20 images. Under every box
you can see the number of images inserted in. To insert an image in a box, you have to drag it
from the batch file

Right click in a box

Under the image you can see some function to correct the
visualization:
Counterclockwise rotation.

Clockwise rotation.

Flip vertical.
Mirror horizontal.
Negative/positive.
Delete image.
Pic. 7.41

The preview window still opened for a few second. To let the window opened, you have to click
on the box, or clicking for a few second. To close a window click on another box or on any
other part.

the showed imaged will become the first in the preview window.

In the upper part (pic. 7.41) there is the navigation bar for the box images
iv. Fast rewind of images
v. Slow rewind of images
vi. Slow forward of images
vii. Fast forward of images

The number that compares in left bar indicate which is the image in box preview.

To elaborate the image is necessary a double click on the preview window.

c. IMAGES: Status

Pic. 7.42

Status is a personal representation.

Disposal and dimension is free and you can change it in every moment, clicking on

Pic. 7.43

Add new box Enlarge all boxes

Delete a box Reduce all boxex

Rotate the image 90 degree to the

Move all box to the top
left

Rotate the image 90 degree to the

Move all box to the right
right

Mirror horizontal Move all box to the left

Flip vertical ove all box to the end

Negative/positive

To move the box, simply drag it till the position you desire.
To change the box dimension, simply click on low right corner and drag till the dimension you
desire.

Main menu of status option view

Pic. 7.44

Load: load the archive disposal from a file.

Pic. 7.45

In left list appears the drive configuration. To find a configuration on another drive, you have
to select it in the lists above.

In the right part, there is a configuration preview.

If you want to use this configuration as default, you have to confirm it clicking on Use
selection as default.

Clicking on Ok, the disposal will be copied in active window of status.

Save: save the disposal active on a file. The files name is free editable.

Print: print the active window. We suggest you the horizontal orientation of printer to obtain a
better result.

Option: change the printer margin, delete the status and select header.

Patient: it shows the datas of the patient.

d. Elaboration of images

ADVICE:

Double click on the image you want to elaborate.

Pic. 7.46

It is possible to modify the images using the left buttons.

IMAGES: ARRANGE ALL THE WINDOWS

Clicking here you can arrange the images windows, to view all of them without superimposition
of the images.

IMAGES: WRITE ANNOTATION

You can annotate all that you want. To save click on Ok.
The text written in the first line, will be reported in image preview. The images category will be
used for the previews visualization.

Pic. 7.47
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IMAGES: DIGITAL FILTERS

You can select one of the filter represented in pic. 7.48

and applicate its on your image. The selected filter will
execute on the preview image. Restore button
removes the preview filter.

To confirm it click on Ok.

To remove the filter, when applied, click on Delete

elaboration (pic. 7.39).

Pic. 7.48

IMAGES: ZOOM ON IMAGE

Pic. 7.49

After the click on Zoom on images, you can activate the Zoom options function.

Zoom: it is possible to zoom 5 different images in contemporarily. If you select zoom x1 you
obtain the real dimension filter.

Lens Size: it selects the lens size

Virtual colours: it selects the virtual coloration to apply on the image.

Negative: it applies the inversion of colours filer (from negative to positive or vice versa).

Contrast: it contrasts more the image in the portion visualized by the lens.
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Structure enhancement: it applies the Structure enhancement filter to the portion

visualized by the lens.

Emboss: it applies the emboss filter to the portion visualized by the lens.

Detail: it applies the detail filter to the portions visualized by the lens.

Detail and Virtual Colours: it applies the detail and virtual colours filter to the portion
visualized by the lens.

Contour detection: it applies the contour detection filter to the portion visualized by the lens

IMAGES: CONTRAST AND BRIGHTNESS

Pic. 7.50

It modifies the contrast and the brightness of the image using the “gamma factor”. This way is
much more definite than the simple contrast/brightness function. The gamma factor is an
exponential function and not a linear one, so it can better optimize the images. To modify the
contrast and the brightness bring the mouse in the middle of the image, then click and keep
clicked on with left click. Move the mouse to modify contrast and brightness.

Decrease the gamma value

Restore the default value for gamma factor

Increase the gamma value

Decrease contrast

Restore the default value for contrast

Increase contrast

IMAGE ORIENTATION

Rotate the image 90 degree to

Mirror horizontal the left

Flip vertical Rotate the image 90 degree to

the right

IMAGES: CUT A REGION

 Left click on Cut a region button;

 Bring the mouse nearly the region you want to cut;
 Select with left click the region to cut;

 Click on

IMAGES: 3D SIMULATION

Using this function you can value the X-Ray as a 3D vision. The calculating of third dimension
is based on radio-opacity, that is the X radiation quantity that is passed trough the object.
The 3D image is visualized in a dynamic way, so you can change the point of view.

Click on

Pic. 7.51

- Bring the mouse in the middle of the image then left click;

- Keeping pressed, move the mouse on horizontal/vertical axis to modify the point of
view;
- Modify the height with the cursor in the right part of the window;
- Click on close to go back to the starting image.

IMAGES: COLOR ANALISYS

This function analyze the images RGB values. Moving the mouse on the image, it shows the RGB
value of one small portion under the mouse indicator.

IMAGES: MEASURE

Pic. 7.52

Measure the distance between two point

 Bring the mouse till the first point;

 With left click, drag the mouse till the second point;
 Release the mouse

Measure an angle

This function permits the measure of the angle made between two segments

 Bring the mouse till the first point;

 With left click, drag the mouse till the second point;
 Release the mouse
Repeat these operations keeping attention to start measuring from the second point of first
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The state of the art for the modern dentists

measure.

Measure a circle

 Bring the mouse corresponding of the centre of the diameter you want measure;
 Left click while drag the mouse to increase/decrease the diameter.

Measure the density

This function measure the density, or better the radio-opacity (grey level), of a line
indicated with the mouse

 Move the mouse corresponding with the zone to control;

 Click in.

Grid

This function put a grid on the image.

Pressing you can specify the greatness of the squares of the grate.

Delete

This function delete all the measures.

Calibrate

This function allows to calibrate the effected measures.

Zoom

With this function you can zoom the image.

IMAGES: WRITE TEXT AND DRAWING

Pic. 7.53

Show/hide the text and the draw Display the stamp

Select object Delete the selected object

Draw a circle/ellipse Select the color to use

Draws lines Select the font

Draws rectangles/squares Select the line width

Write tool Enable/disable the object fill

IMAGES: SHOW TO FULL SCREEN

This function permits to visualize the image to full screen. To go back left click or press ESC from
the keyboard.

IMAGES: PRINT IMAGE

From the Utilities menu press the Print button, a printing preview window will be opened.

Pic. 7.54
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The following parameters can be personalized:

Select Layout: allows you to select the correct layout according to the "Film Size" from a
drop-down menu;
Select the printer: allows you to select the preferred printer (Windows or Dicom) from a
drop-down menu;
Annotation: allows you to insert some comments that will be shown in the printing area.

Press the Print button in order to complete the task.

IMAGES: IMAGES ACQUISITION

Pic. 7.55

IMAGES: X-Ray acquisition

If no sensor has been indicated, the configuration will be appeared. Answering YES to this
question

Pic. 7.56

You can configure the sensor trough this window

Pic. 7.57

You have to select your sensor, with all them parameters. For more details on the sensor
functioning, ask to your technician.
You can open the configuration in a second time clicking on Options (Pic. 7.57).

IMAGES: Videocamera acquisition

Clicking on Videocamera, the software will try to find a videocamera connected to the
computer. If it will find it, it will try to utilize it using the typical configuration. Anyway it is
possible to personalize the configuration.

Pic. 7.58

Move the mouse on the upper bar to show the menu

Pic. 7.59

IMAGES: Show the software configuration panel

Pic. 7.60

Frame grabber: it indicates the card you want use;

Videocamera type: it indicates the videocamera model;
Videocameta options: it personalizes the videocamera configuration. Before modify, please
contact your videocamera supplier

Increase the image size

Decrease the image size

Every click changes the monitor subdivision:

1 image –> 2 images –> 3 images –> 4 images

Change from single image modality to movie acquisition and vice versa

Start or stop the single image or videoclip acquisition

Exit the acquisition procedure

Move the mouse on the lower bar to show the menu (Pic. 7.62)

Pic. 7.61

The lower part (Pic. 7.62) in subdivided in single images captured and videos. To save the
images or the videos you have to select with right click on the image then select Save.

The not saved images, are eliminated when you close the window.

IMAGES: Panoramic acquisition

The Panoramic to use must be configured from Options menu of images window. Here below an
example. If no digital panoramic is selected, the software will ask you:

Pic. 7.62

Answering Yes, the configuration panel will open.

Pic. 7.63

After you confirmation (in the example we have simulate the Rotograph EVO 3D Panoramic)

Pic. 7.64

The virtual keyboard allows to command the panoramic directly from your computer (except
all the mechanical movement, for the patient safety). Starting the image acquisition, the image
will be automatically moved to the patient’s archive, with a preview visualization during the
acquisition.

IMAGES: Scanner acquisition

Pic. 7.65

It is necessary to select the scanner then click on Scan. The window will be opened, on
respective the scanner you have. For detailes please see to the Operative Manual of the
scanner.

IMAGES: Digital fotocamera acquisition

Pic. 7.66

It is necessary to browse the drive and the fotocamera file (connected to the computer); verify
the image clicking on the image name then look to the preview. Click on Import to import a
single image or on Import all to import all the images in the directory. The images will be
saved in patient’s archive.

IMAGES: Acquisition from a folder

Pic. 7.67

It is necessary to browse the drive and the directory where the images are saved.
Verify the image is clicking on the image name then look to the preview. Click on
Import to import a single image or on Import all to import all the images in the directory.
The images will be saved in patient’s archive.

Clicking on Find you can select the directory you want to import: in the left part of the
window will be listed all the images in that directory. Left click on the image for look at the
selected image preview. Select the image then click on Import. The image will be saved in
patient’s archive.

IMAGES: Dicom images viewer (TAC)

Dicom size is for example the TAC format. Some Hospitals use this size to save all the Image
type.

Dicom size is also a filing method. It is possible to buy modules that save the data on a remote
server (Dicom store), or that print in remote (Dicom print), or that find again an image on a
remote server (Dicom retrive).

Pic. 7.68

In the example above are visualized two dental TAC.

8. UTILITY

UTILITY

Pic. 8.0

Click on Utilities from the main menu of the program.

Pic. 8.1

Program setup

Pic. 8.2

Select the language to use

Click on your language button. If your language has not its button, select it from the dropdown
list.
Not all the languages are available.

Working parameters

Check the drive database

Clicking on this function, Dental Studio Plus execute a continue test to verify the available of
the drives. Disconnecting a drive, for example a pen drive, Dental Studio Plus stops to use
it.

Save the window position

It memorizes the position of the main windows. In this way, when you open again the same
window, it comes in the last position.

Start windows as “Modal”

This parameter, normally active, makes possible that every new open window blocks the
previous window. Opening the treatment window, for example, the main window will be
blocked till the close of treatment window. This option is usable only if you have more than one
monitor connected to the same computer.
Anyway we advise you against to utilize this option only if you are expert users of
Windows®.

Mark the VDDS square to activate the VDDS interface

Get incoming phone calls

Check the incoming phone calls number (only ISDN)

Using this function, Dental Studio Plus® will show you the incoming phone number and if the
number is associated to a patient card, it will show the patient name too. To use this function
is necessary to have these requirements: modem ISDN connected to ISND knob, incoming
phone calls identification service, active from your operator.

Waiting room management

This computer is the reception’s one

Check this option only on the reception’s computer and only if you want to manage the
waiting room. The computer that actives this function receive a message from the other
computer in the net, when they want to call a patient from the waiting room.

Remote control
At next start, the software will show the remote control (Pic. 8.3)

Pic. 8.3

Click on Print from Pic. 8.2

Pic. 8.4

This function allows to insert the header at the image and at the document of the cabinet.

IMAGES

Click on Images from Pic. 8.2

Pic. 8.5

Storage

The file format is ignore for the Dicom store file format option.

Image database fixed: WARNING! If you don’t know the exactly functioning of this
function, don’t active it!
This option makes you able to divide the image database from the personal data of the patient
database. The one reason for active this function, is little drive capacity. If you use a ZIP drive
or a USB drive as archive, it is possible that you fill in low time, if you save the image too. For
this reason you can decide to save the image in the internal hard disk, and the personal data
in an external one. When you active this function you have to specify the directory address to
save the images. Dental Studio Plus® will save all the images in this directory, separating for
patient.

Here you have an example:

We activate this option and we select C:\Images as destination file.

Now we can free work on the drive. If the selected USB drive that can have letter “F” from
unit drive list, that’s the consequent:

 Dental Studio Plus® will save all the patient data on the selected drive (F);
 In C:\Images it will create a subdirectory that will have as name a code assigned from
the software;
 All the images will be saved in the created file (C.\Images\Drive Code).

Important: after the activation of this option, Dental Studio Plus® will manage all the drive in
the same way. If in your drive, you just have some images, please call the customer care
service.

Connection with other software

It permits the image management activation trough another software. Generally the external
software are the applicative supplied with the X-Ray system. For more details please contact
the customer care service.

NETWORK

Click on Network from Pic. 8.2

Pic. 8.6

This function allow to shape the network.

TERMINAL SERVER

Click on Terminal Server from Pic. 8.2 window

Pic. 8.7

This function allow to shape the terminal server use.

DICOM

Click on Dicom from Pic. 8.2 window

Pic. 8.8

You can setup the dicom functions clicking on this button.

BACKUP DATABASE

Click on Backup database from Pic. 8.1 window

Pic. 8.9

ADVICE:

We advise you to perform the backup of the data every day. This will make your job more safe over
whether to make you to respect how it is foreseen by the norms on the privacy.

You have the possibility to make the Dental Studio Plus® data backup; in this way, in
critical moment, you can restore all your data.

WARNING: we suggest you to do a backup of your database every day!

Original source: it indicates the letter identification of the drive that contains the images to
save.
Destination drive: it indicates the letter of the drive where to save all the data.
Copy all the database: it specifics that the database will be copied in the destination
drive.
Tabs copy: it specifics the selected tab will be copied from the tabs list
Subdirectory copy: it permits to select the destination file.
Standard copy: it copies a database for time.
Multiple copy: it copies more database for time.
Start copy: it starts the copy with the parameters indicated.

DATABASE RESTORE

NOTE:
 The restore of the database performs a backup copy of the data before the real
regeneration. In this way the safety of the data is preserved in case of failure of
the procedure of restore.

Click on Database restore from Pic. 8.1 window

Pic. 8.10

Using this function you can make the upgrade of yours database. Simply selecting the drive
where create/upgrade the database, than click on Start. The software scans all the voices and
automatically upgrades. When the procedure is finished, click on Close.

This option is activable too from drive section. For more details, please look at “Drive
management” section.

REPAIR DATABASE

Click on Repair Database from Pic. 8.1 window

Pic. 8.11

Using this function you can repair your database in case of damage. Simply selecting the drive
and choose if make the verify or directly start to repair. When the procedure is finished, click
on Close.

Repair Database
Repairs all the database of Dental Studio Plus®.

Repair Tables
Repairs all the tables used from Dental Studio Plus®.

PATIENT COPY

Click on Patient Copy from Pic. 8.1 window

Pic. 8.12

Using this function, you can copy or move a patient from a drive to another one.

Proceed selecting the drive source; select the destination directory. Select a patient to
move/copy then click on Copy.

During the copy, if Dental Studio Plus® finds the patient already present in the
destination drive, it will ask you if you want to upgrade it or not. The same if it find a
planned treatment or a date.
The question has always more solutions. Make attention to select the corrected one, because the
operation is irreversible.

9. 3D IMAGES

EVO 3D TS CONFIGURATION

To configure Dental Studio Plus to acquire images from Evo3D TS the following configuration
set up has to be done.

1) Click on “Patient” button and open a patient clicking on “Images”

2) Click on “Option” button
3) Click on “Panoramic” button in the Option window
4) Select “RotographEVO3D-TS” from the menu “Model”
5) Click on Open Configuration (Evo 3D - TS).

Pic. 9.a

6) In the “Panoramic configuration” windows select the Rotograph EVO 3D and set the proper
IP address of the DSPU board and the TSEVO Touch Screen.

Pic. 9.b

7) Click “OK”
8) press the button “TAC” to acquire an exam from Rotograph EVO 3D TS. The Virtual keyboard
is displayed.

ONDEMAND3D, IMPLANT INTEGRATION AND VILLA 3D PLANNER INTEGRATION

SET UP (ONDEMAND 3D OR IMPLANT3D OR VILLA 3D PLANNER)

After installing Dental Studio plus and OnDemand3D or Implant 3D or Villa 3D Planner, this
set-up procedure has to be done to link the softwares:
Open Dental Studio plus.
Click on "Patient" button.
Open a Patient clicking on "Images".
Click on "Option" button.
In the Options menu click on "3Dlinks" button (figure 1) and set these parameters:
1)Select the application from the drop down menu: OnDemand3d or Implant 3D or Villa 3D
Planner
2)Short description (it is the text reported on link button - see figure 9.e and 9.f):
OnDemand3D (suggested) or Implant3D (suggested) or Villa 3D Planner (suggested)
3)Application file name: via the "..." icon browse the path where OnDemand3D or Implant3D
or Villa 3D Planner is installed and select -according to the OnDemand3D or Implant3D or Villa
3D Planner software package present on PC- either OnDemand3DApp.exe or
OnDemand3DDental (then confirm with Open) and Implant.exe for implant setup

The point 4) is only for OnDemand3D SetUp

4)Application UID: from the following table copy the code of the OnDemand3D module the
user want to open from Dental Studio plus and paste it in the Application UID field.
It is suggested to use the Dental module.

Module Name Module UID

DBM {AC20673D-B2A9-4c61-9338-177ADF3E33B1}
DVR {08B970D5-2AD8-41e6-BA49-FA951F89D50D}
In2Guide {16E55A9D-D788-47a3-A652-A6A7CEE608BD}
Dental {BD3B7987-BCA3-484a-885C-FE48C50C2B17}
Dynamic LightBox {73FA1523-A50E-42ef-9E25-19D93EF23D2C}
Fusion {91F95984-2D89-42cc-B87C-A8B364952AB8}
3D Ceph {100BD519-52A7-4e42-8F34-118FC0DB624D}
3D {AF03128A-1E68-4f42-A119-389F78D94BB8}
Report {26D1C8B5-0B6A-4c49-B606-D51DE12B7322}

Note: not all modules are active in every software some of them is optional depending on
license configuration. Check the module you selected in set-up is active for your license.

5)Confirm with OK

Pic. 9.c

Pic. 9.d

Use
The Dental Studio plus automatically opens OnDemand3D or Implant3D or Villa 3D Planner
software loading the 3D case selected by the user.

After acquisition

After a 3D exam acquisition the Dental Studio plus software automatically opens its 3D
module.
To open OnDemand3D or Implant3D or Villa 3D Planner software:
1)select the "Project" menu (figure B)
2)click on "OnDemand3D" or “Implant3d” or “Villa 3D Planner” button (NOTE this is the default
name of the button it may differ if a different text was typed at step 2) of set-up procedure).

Pic. 9.e

OnDemand3D or Implant3D or Villa 3D Planner is automatically opened loading the just

acquired exam (see figure C). The name of the patient is automatically taken from the dataset.

Pic. 9.f

In a second time

To open OnDemand3D or Implant3D or Villa 3D Planner directly from the patient image folder
(figure D):
1)select the 3D exam with mouse left click;
2)right click on it and a menu is opened;
3)left click on "OnDemand3D" or “Implant3D” or “Villa 3D Planner” button (NOTE this is the
default name of the button it may differ if a different text was typed at step 2) of set-up
procedure).

Pic. 9.g

3D Module: IMAGES MANAGEMENT

Pic. 9.1

3D Module: 3D IMAGES

This function allows to import a full 3D exam (TC or CBCT).

To use this function it is necessary to press the button “Utility”.

ADVICE:
The reconstruction of the paraxial images happens on the perpendiculars of the panoramic curve drawn
by the user. The distance among the reconstructed cuts and the dimension of the perpendicular segment
to the panoramic curve, that it determines the width of the cross section image, are configurable
parameters from the user.
The maximum error produced by the reconstruction is equal to two pixels. The error maximum convert
in measure is equal to the dimension of the voxel in the axial plan of the axial image multiplied for two.
The dimension of the voxel, converted in millimeters, it is accessible from the menu "Project" to the
voice "Information Project". The parameter "Thickness image" it points out the dimension in
millimeters of the voxel. Supposing a dimension of the voxel of 0.170 mms, the maximum error
introduced by the reconstruction will be equal to 0.170 xes 2 = 0.340 mms.

The error of the reconstruction is the theoretical error supposing that the patient has correctly been
positioned, according to the indications of the furnished by the producer of the radiograpic instrument,
and that the reconstruction has gone to good end.

Dental Studio Plus® is not a tool of measure because, also after the possible procedure of
calibration of the measure in comparison to a known repere, the accuracy of the same
measure cannot be guaranteed, that therefore it has to be considered as indicative.

3D Module: Import a 3D exam (TC or CBCT)

Click this button to import the exam. The application will show the following window:

Pic. 9.2

Select the folder or the CD in which the images are saved and press the button “Starts
search”. The application will search in the selected path and in any subfolder for any exams. If
you won't find any exams, you can try to uncheck the option that allow to search only in file
with “.DCM” extension. If any exams will be found, the application will display all the found
exams with a short description. To open the preview of the exam you can double click on the
reference in the list.

Pic. 9.3

If you want to import the exam showed in the preview windows, please click on “Confirm”.
The application will import all the axials images of the selected exam. When it finish to import
the images in the patient's database, the application will automatically start the 3D
reconstruction.

3D Module: 3D reconstruction window

The 3D reconstruction windows has this layout.

Pic. 9.4

Sample 3D View - Pic. 9.5

ADVICE:
The information used by Dental Studio Plus® to perform the 3D reconstruction and the calculation of all
the view are acquired by the axial images. If these informations are wrong it will have been resulted not
forseeable.

3D Module: Warning.

The 3D reconstruction uses the information of the axial images. If this information are wrong
or they contain any mistake, unpredictable result are expected.
This module is intended only for evaluation and this is not a system fir surgery application.
The maximum error that this application will introduce is 2 pixels. The maximum linear error is
the pixel size * 2.

3D Module: Create the panoramic arc

The first step of the 3D reconstruction is to draw the panoramic arc. The panoramic arc is a
curve that represent the position of the dental arc. Before you start drawing the panoramic
arc, please select an axial image with the bone. The optima position of the panoramic arc is in
the middle of the bone tissue.

To draw the panoramic arc on the axial image press the following button

Move the mouse arrow on the image and press the left button to set all the points of the
panoramic arc. When you finish to draw the panoramic arc press again the button. The
application will calculate all the cross sections and the panoramic section.

You can also use this option to modify an existing panoramic arc. To modify any point, move
the mouse arrow on the point to move, click with the left mouse button and drag it to the new
position.

Moving the scroll bar of the cross images, you can show the cross images around the
panoramic arc. In the same time the application will draw the references of the selected cross
on the axial view and on the panoramic view. You can also change the active cross section
clicking on the panoramic view.

Pic. 9.6

If you need to hide the panoramic arc, uncheck the option “Display Arc”. If you want to hide
the cross image near the axial view uncheck the option “Display Cross.”

Press this button to delete the panoramic arc and to draw a new one.

3D Module: AXIAL VIEW

NOTE:
The visualization of the axial images is orderly as if the patient was observed by the feet toward
the head.

In the Axial view you can use these options.

- Scroll the images from top to bottom and bottom and from bottom to top. To scroll the
images you can use the scroll bar on the right of the axial images or you can use the mouse
wheel.
- Arrange the brightness and contrast. To modify these values click and hold the right mouse
button and move it on the axial image. These changes will affect all views.
- Press the CTRL key and hold it, than press the left mouse button. The application will display
the information for the pixel position and the pixel gray level value.

Press this button to enlarge the current axial image.

Create a snap shot of the current axial. The snap shot repository can be used to create
a medical report.

3D Module: 3D VIEW

In the 3D view you can use these options.

- Rotate the orientation. Click and hold click the left mouse and move it. The volume
orientation will change according the mouse movement.

- Zoom in and out. You can use the mouse wheel to enlarge and reduce the 3D volume view.

- Click and hold the mouse wheel and move the mouse. The volume will move according the
mouse movements.

- Change the gray level represented. On the top of the 3D view the is a range selector that
allows you to select the minimum and the maximum gray level to display. This option is very
important to select the tissue density to display. You can display for soft tissue, moving the
range selector to the left, for metals, moving it to the right.

In the 3D menu “3D Options” there are al the function for the 3D view.

Pic. 9.7
3D Module: MPR.

This function allows to visualize the sections of the image moving the perpendicular lines.

Pic. 9.7a

3D Module: Full LUT.

Find a position for the range selector to display the most important informations.

3D Module: Stereo 3D.

Enable / Disable the stereo 3D option. When this option is enabled you can see a real 3D

image. To get the correct effect you need special glasses with one red and one green glass.

3D Module: 3D MIP.

Display the 3D MIP (Maximum Intensity Projection). This option allow you to see inside the
volume.

3D Module: Zoom 3D View.

Make a zoom of the 3D View.

3D Module: LUT Standard.

Apply the LUT gray levels standard.

3D Module: LUT Bone + Muscles.

Apply the LUT to enhance the Bone and the Muscles.

3D Module: LUT Bone.

Apply the LUT to enhance the Bone..

Display a cube to crop the volume.

Pic. 9.8

To crop the volume you should move the mouse near on of the green marker, press the left
mouse button, hold it and move the mouse to crop the volume.

Create a snap shot of the current volume. The snap shot repository can be used to
create a medical report.

3D Module: CROSS SECTION VIEW

In the Cross section view you can use these options.

- Scroll the images from top to bottom and bottom and from bottom to top. To scroll the
images you can use the scroll bar on the right of the axial images or you can use the mouse
wheel.
- Arrange the brightness and contrast. To modify these values click and hold the right mouse
button and move it on the cross image. These changes will affect all views.
- Press the CTRL key and hold it, than press the left mouse button. The application will display
the information for the pixel position and the pixel gray level value.

Create a snap shot of the selected cross images. To select the cross images click with
left mouse button in the top-left if the image box.

Pic. 9.9

The yellow marker inform you that the image is selected. To unselect the image click on the
yellow box.

If you want to zoom a single cross image check the box “Single”.
The application will display a single cross image.

Pic. 9.10

3D Module: PANORAMIC VIEW

The panoramic view contains the panoramic section calculated around the panoramic arc.

Pic. 9.11

To change the panoramic arc of interest you can use the scroll bar on the right. If you want
know the position of the active panoramic section you can see the axial view.

Pic. 9.12

The green arc represents the original panoramic arc, the one created from the user. The red
arc represents the arc calculated and displayed the in current panoramic section view.

The smooth option enable a smoothing filter.

Create a snap shot of the panoramic view.

Create a MIP (Maximum Intensity Projection) of the Panoramic view. The final image is
created starting from all the panoramic arcs.

Pic. 9.13

3D Module: FULL CROSS VIEW

In the full cross view, the application creates two sections. Both sections are created from the
axial image dataset.

Pic. 9.14

The top section is created from the right to the left of the patient (L/L view). The bottom
section is created from the anterior to the posterior of the patient (A/P view)

The background colour helps the user to identify the reference line in the other view. Any line
create in any view has the same colour of the source data. For example in the axial view the
light green line represent the full cross A/P.

3D Module: CROSS 3D VIEW

The 3D cross view is a very innovative 3D reconstruction. This reconstruction uses the cross
images to create a 3D volume.

Pic. 9.15

The 3D image is created using 18 cross frame. It is possible to use 9 frames also, unchecking
the option “Extend”.

In the top of the 3D View there is a range selector. Moving the minimum and the maximum
position of this selector, you can select the tissue density to evaluate. If you move it to the left
you will enhance the soft tissue. If you move it to the right you will enhance the hard tissue.

In the 3D view you can use these options.

- Rotate the orientation. Click and hold click the left mouse and move it. The volume
orientation will change according the mouse movement.

- Zoom in and out. You can use the mouse wheel to enlarge and reduce the 3D volume view.

- Click and hold the mouse wheel and move the mouse. The volume will move according the
mouse movements.

If you check the option “MIP” you will see a transparent volume.

3D Modules: Hounsfield

The Housfield method display the cross using pseudo colours. These colours will help you to
better know the tissue quality. The classification is: D1, D2, D3, D4.
D1 represent the softest density and D4 the hardest density.

Pic. 9.16

If you double click on any images the application will move the images on a new window, In
this window you can zoom the images.

ADVICE:
The visualization of the Housfied (HU) unites doesn't reflect the corresponding visualization
of the HU unities obtainable with the TC system because the software has not been projected
for a correct visualization of HU unit-

This function cannot be used for diagnostic purposes.

3D Module: CEPH VIEW

The Ceph view create two Ceph projection: A/P and L/L.

The source data are the axial images. This projection are created using all axial frames.

3D Module: Meaning of the functions

3D Module:Menu Project

Pic. 9.17

3D Module Save project

Save the current project, It saves the panoramic arc and the view option. The cross images
and the panoramic images are not saved but they are created any time you will open again the
project. This method ensure to avoid any problem.

3D Module: Restore project

Restore the project to the original data. Any modification to the axial images are deleted. The
panoramic arc is deleted included any cross and panoramic sections.

3D Module: Edit axials

Open a powerful editor to modify the axial images. This edit is very useful to clear the metal
artefact from the images.

Pic. 9.18

3D Module: Single image modify.

Select the image to modify. Select the minimum level to modify

3D Module: Multi image modify.

Select the image from which you want to start to make the changes and press “Tag Begin”.
Scroll the images using the scroll bar or the mouse wheel to select the last image that you
want to modify. Press the button “Rubber”, a green circle it will appear that represents the
size of the rubber that is wanted to use. To modify the rubber size select the size in the left
part of the following window:

Pic. 9.19
It is also possible to modify the threshold and the level of the rubber and its size. To work on a
single image just click the left mouse button and holding it move around the image. If you
want to word on multi image, holt the CTRL key before click the left mouse button.

To clear a parts of the image it is necessary to move the rubber on the point of the image that
you want to modify and, holding pressed the left button of the mouse, move the rubber on the
part of the image to cancel.

Once you effect all the changes press “Save Changes”.

3D Module: Export slices

Export the slices (axial images) to a folder selected from the user. When the export process is
finished the application will open the destination folder automatically.

3DModule Project Information

Report the project information. The tag DICOM of the acquired 3D image.

3DModule Send to PACS

Send the image data to the PACS when a DICOM server is configurated

3DModule Restore original Lauout

Restore the original layout of the acquired image

3DModule Rebuild Axials

Rebuild the acquired 3D image starting from the raw file with the filtering options setted in the
following menu:

3DModule Implant3D /OnDemand3D

This button opens the Implan3D or OnDemand3D software (see the SET UP paragraph )

3D Module: Measures Menu

NOTE:
Dental Studio Plus® effects the volumetric reconstruction (or 3D) of the maxillo-facial complex departing
from DICOM images gotten with special softwares (Dentascan or similar coming from TC) or that use the
technology ConeBeam CT.
The volumetric reconstruction effected by Dental Studio Plus® is checked by the contained parameters
in the DICOM images of departure.
Dental Studio Plus® performs an accurate control of such parameters but it cannot guarantee the
correctness and accuracy, that depend on the system that has performed the examination, therefore
the measures have to be considered as indicative.

The volumetric reconstruction can only be used in the systems of implant planning when the
instructions are followed given by the provider of the system of planning.
Particularly, the images used to this purpose have always to include the relative support used
by such systems for the calibration of the geometric ownerships of the system.

Pic. 9.20

The selected measure tool will work on many view: Axial view, Panoramic view, and cross
view.

Single: this function allows to take single measures to the image.

Proceed in the following way:

- move the mouse cursor in the point from which you want to start the measurement and
press the left key of the mouse;
- move the mouse cursor in the final point of the measure and press the left key of the mouse;
it will appear the effected measure.