3D Charting

Most users use the 2D Ondontagram, however, there is an option to see a 3d representation of the tooth chart.

The 3D model can be displayed without any treatment. The 3D chart includes the following features:

• Jaw mode

• Chart mode

• Ability to move and rotate the teeth and/or jaw

• Bone density

• Gum levels

• Pulp chambers

• Copy function.

Enabling the 3D Tooth Chart

The first time that the 3D Chart is activated, a wizard will appear to take you through the configuration. The wizard needs to be run only once on each workstation but it can be run from the Configure menu at any time to change settings if there are hardware changes. Note that the wizard may be available only to a user with administrative security rights. To enable the 3D Tooth Chart:

1. Click the 3D button

   Open

   

2. The 3D Chart Setup window will appear:

   Open

   

3. Click Next> to continue. EXACT will check your hardware and software to determine the available rendering modes and automatically default to the best option.

4. When the hardware / software check is completed, click Next> to continue.

5. To enable the 3D chart, check (tick) the Enable 3D Charting checkbox and click the Finish button to complete the Wizard.

6. Once the 3D Chart set-up wizard has been completed you are now able to use 3D Charting.

Chart and Jaw Modes in 3D

The 3D Tooth Chart has two modes:

1. 'Chart' mode, as displayed in this example:

2. 'Jaw' mode, as shown below:

   The chart shows all teeth that are charted as being present, along with completed treatment. Any planned treatment on the chart is shown in blue, as in this example:

The 3D Chart opens with the ‘Chart’ displayed by default. To switch to ‘Jaw’ mode, click on the ‘Jaw’ option under ‘View’ at the top right of the window

Graphical Movement in 3D Modes

Graphics in the 3D charts can be rotated in any direction when charting to provide a real-life view of the patient's dental structure.

The following 3D movement modes are available:

• Jaw movement in 3D Chart mode (rotate upper and/or lower jaw representations)

• Tooth movement in 3D Chart mode (move or rotate teeth representations)

• Jaw movement in 3D Jaw mode (rotate upper and/or lower jaw representations)

• Tooth movement in 3D Jaw mode (move or rotate teeth representations).

Movement in both the Chart and Jaw modes is accomplished via on-screen menus and options buttons, and by using the left and right mouse buttons, which have different functions as indicated in the instructions.

You can practice using the graphical movement controls as much as you like, then click the "Reset" button to restore the graphical display to its default mode.

Jaw Movement in 3D Chart Mode

Buttons:

To Rotate the Lower or Upper Jaws:

1. Click on the ‘Rotate Upper’ or “Rotate Lower” buttons

2. Click anywhere on the upper/lower teeth and hold your left mouse button down.

3. Move the mouse up and/or down to rotate the jaw.

4. If required, you can save the rotated jaw position by clicking the “Save changes” button, otherwise, you can return the jaw to its original position by clicking the “Reset All” button.

    

The following image shows the 3D Chart, in ‘Chart’ mode with both the upper and lower jaw rotated:

Tooth Movement in 3D Chart Mode

Buttons:

The Move Tooth Button:

1. Click on the ‘Move Tooth’ button.

2. Click on the required tooth and hold the left or right mouse button down.

3. Move the mouse in the required direction and the tooth will move accordingly. You will notice that a yellow box appears around the currently selected tooth. If you are not in “Tooth” mode, this box will appear in grey.

4. Release the mouse button when you have reached the required position.

To Rotate Tooth Button:

1. Click on the ‘Rotate Tooth’ button.

2. Click on the required tooth and hold down the left mouse button to ‘tip’ the tooth or the right mouse button to rotate the tooth.

3. Move the mouse in the required direction and the tooth will move accordingly.

4. Release the mouse button when you have reached the required position.

The following diagram shows the upper teeth in ‘Chart’ mode, with one tooth rotated and another tipped:

Jaw Movement in 3D Jaw Mode

To activate the ‘Jaw’ mode, click on the “Jaw” button under the ‘View’ section.

To Move the Jaws:

1. Click on the ‘Move Jaw’ button.

2. Click anywhere on the 3D chart and hold your left or right mouse button down depending on how you want to move the jaw (see above).

3. Move the mouse and the jaws will rotate accordingly. Release the mouse button when you have reached the required position.

To Rotate the Jaws:

1. Click on the ‘Move Jaw’ button.

2. Click anywhere on the 3D chart and hold your left or right mouse button down depending on how you want to move the jaw (see above).

3. Move the mouse and the jaws will rotate accordingly.

4. Release the mouse button when you have reached the required position.

To Open the Jaws:

1. Click on the ‘Open Jaw’ button.

2. Click anywhere on the 3D chart and hold your left mouse button down to ‘open’ the lower jaw or the right mouse button down to ‘open’ the upper jaw.

3. Move the mouse and the jaw will move accordingly.

4. Let the mouse button go when you have reached the required position.

Tooth Movement in 3D Jaw Mode

To Move a Tooth:

1. Click on the ‘Move Tooth’ button.

2. Click on the required tooth and hold the left or right mouse button down, according to what movement you require (see above).

3. Move the mouse in the required direction and the tooth will move accordingly. You will notice that a yellow box appears around the currently selected tooth. If you are not in ‘Tooth’ mode, this box will appear in grey.

4. Release the mouse button when you have reached the required position.

To Rotate a Tooth:

1. Click on the ‘Rotate Tooth’ button.

2. Click on the required tooth and hold down the left mouse button to ‘tip’ the tooth or the right mouse button to rotate the tooth.

3. Move the mouse in the required direction and the tooth will move accordingly.

4. Release the mouse button when you have reached the required position.

Right-click Menu 3D Options

The manipulation buttons described in the previous sections for moving and rotating are also available by clicking on the 3D chart with the right mouse button. This includes an additional feature that allows you to choose the background colour for the 3D Tooth Chart, and also allows you to save all changes or just the changes made on the highlighted tooth.

3D Charting Utilities:

Copying a section of the 3D Chart

There is a facility to copy part of the 3D Chart so that you can save it as an image or paste it into another application.

Once the image on screen has been manipulated to how you want it, you can copy part or all of the image as follows:

1. On the “Utilities” menu, click the Select button, and you will notice that the mouse pointer on the 3D chart has changed to a cross. This indicates you are in copy mode.

2. Click and drag with the mouse until the lines have defined the area that you would like to copy, then release the mouse button.

3. A menu will appear allowing you to copy the selected area to the clipboard or to save the image in a file:

4. To retrieve the image from the clipboard, open the program that you want to insert the image into (for example, the Presentation Manager, or Microsoft Word or Microsoft Paint) and press

   to insert the contents of the clipboard.

Gum & Bone Models

The 3D Chart also features the ability to display Gum and/or Bone when viewing the teeth in Jaw Mode. The user can control the opacity of each. To Activate Gum and Bone Models:

1. Open the 3D tooth Chart

2. Select ‘Jaw’ mode

3. Under the "Show/Hide" menu, click on the ‘Show Gum’, or ‘Show Bone’ buttons as required.

4. Click and drag the slider to set the opacity.

5. Click and drag the slider to set the opacity level that best displays the image you require.

   The example below shows the 3d chart with bone, gum and all teeth options activated:

6. Use the following controls to show the root canals of all or selected teeth:

To save any changes you have made, click “Save Changes”, then save the patient's record.

To return the 3D display to how it was, click the “Reset All” button.

Drawing on Teeth in 3D

EXACT allows teeth and filling graphics to be directly drawn onto the teeth representations so that drawings will display when viewing the 3D Tooth Chart. You can draw your own filling shapes, accurately mark areas of concern and show tooth jewellery. To Set up a New Drawing Service:

1. From the patient’s ‘Chart’ tab, right click anywhere in the Service List area and select ‘Add’ from the Menu.

2. Enter a Code and Description for the new Service, then click In the Graphic Field and select ‘Drawing’, or Filling if it is a filling related service:

3. Set any other characteristics for the service and click the ‘OK’ button to save the new drawing service.

See also The Service Items Details Tab for how tooth treatments may be represented graphically.

To Setup a New Drawing Service

1. From the patient’s ‘Chart’ tab, right click anywhere in the Service List area and select ‘Add’ from the Menu.

2. Enter a Code and Description for the new Service, then click In the Graphic Field and select ‘Drawing’, or Filling if it is a filling related service:

3. Set any other characteristics for the service and click the ‘OK’ button to save the new drawing service.

   See also "The Service Items Details Tab" for how tooth treatments may be represented graphically.

Drawing on a Tooth

There are two common ways you can draw on a tooth:

• Choose a service with a graphic, such as a filling, then click the ‘Edit Drawing’ button to alter the standard filling shape.

• Select a service that is set to ‘Drawing’.

  NOTES: It is not critical if you select the tooth first then the service, or vice-versa.

  The service can be selected by double-clicking it, or by dragging it onto the Treatment Plan area of the Chart tab.

  It does not matter if the chart is in 2D or 3D mode, as the drawing window display is the same in each case.

To draw on a Tooth

1. From the patient’s Chart tab, select the required service from the Service List and drag it into the Treatment Plan area.

2. The following window will appear automatically if your service was set to Drawing:

3. If your service graphic was set to Filling, first chart the filling normally, then double-click on the chart line in the planning window. From here you can open the Edit Drawing window where the standard filling shape will already be drawn, and you simply tweak the drawing as required.

4. When using the Drawing graphic, the tooth selected will be the one highlighted on the Tooth chart. If necessary use the up/down arrow buttons to scroll through the Tooth Chart and select a different tooth, or click a different tooth on the chart.

5. Hold the left mouse button down and use the mouse pointer to draw on the tooth. While doing so the following functions will be useful:

1. When completed the window will look similar to the following example:

2. Click OK to save the drawing.

   It will be added to the Current Course of Treatment:

3. The Tooth Chart will also indicate that a drawing of the tooth exists:

4. To edit the drawing at any time, double-click on the item in the Treatment Plan to open the ‘Edit Chart Item’ window.
   Clicking on the “Edit Drawing” button within this window will reopen the drawing to view it or make changes.