On-Demand Webinar: Part 5: All-On-X Design with exocad

Good afternoon everybody and welcome to

Zan Academy. Today we are saddened but

excited at the same time because this is

our last of our ExoCAD in-depth training

sessions. We're going to be doing allon

X today with Exocad. Um so happy to have

Dan Elinger back along with Maria

Connelly. We are just so happy to have

you back again week after week after

week. This is week five. Um I know that

you know our our uh attendees, our

customers have been so happy with what

you guys have been doing for us, Dan.

Especially you. They are really enjoying

getting a lot out of these sessions. So

I really thank you so much for spending

your Tuesday afternoons with us um for

this whole month. Um so I just want to

let everybody know again live Q&A at the

very end, but if you have a question

that can't wait, please type it in at

the bottom of your screen. and if it's

pertinent to what Dan's doing, I'm sure

he will answer it right then and there.

If not, we'll go through at the very

end. Um, also, we'll have a couple of

poll questions at the very end. I'm

going to be interested in knowing, you

know, how you all are doing with your

licensing. If anybody's interested in

actually getting ExoCAD into their lab,

as well as handson experience, if you

want it, we have it. We'll talk about

that in the poll section at the very

end. So I'm going to turn this over to

Dan and thank you all for joining us

here today again.

All right, thanks Fran. So welcome

everyone. Today we're going to cover

allonx design with

Exocad. Proceed forward here. So we're

going to go through a brief PowerPoint.

Um just here's here's my uh bio. For me

personally, I've been working with

digital dentistry a little over 18 years

now. I got my start at NDX Keller Dental

Lab in St. Louis, Missouri and truly

grateful for all the opportunities and

things I got to learn there.

So once um once I got the opportunity to

join the Exoad America team in 2021

um

so been a awesome ride so far and truly

love our products and we have amazing

team and hope you all enjoy our webinar

today.

Okay. So, some of the things that we're

going to cover today for multi-to

segmentation. So, this is one of our new

AI services we have available. And

essentially what this does if you have a

preop scan maybe maybe this is like a

denture conversion case that you're

you're converting to allonx um setup. So

the the software will analyze the scan

data of that full arch and with tissue

and teeth and then from there it's going

to automatically detect what are the

teeth in that scan and then it'll give

you the option to utilize those

segmented

teeth as your tooth library. So this can

be a a really streamlined approach for

copying preops as well. it's not

necessarily bound to this all-onx

workflow. Um, a couple of things that it

enables in our software is duplicate

dentures. So, that's a a a really quick

wizard workflow to copy existing denture

setups. Um, and also for bite splints.

So with the working arch and we covered

that in a previous session, you guys can

check the recordings on Zhan Academy.

But when you utilize two segmentation on

bite splints, it's actually going to

give you an automatic proposal of the

bite splint. So you're going to get the

margin line is going to be defined for

you. in. So, anytime you're copying a

preop or bite-plit workflow or duplicate

dentures, highly recommend you utilizing

this AI service. And um it's just a big

timesaver. So, we'll go ahead and move

forward. And speaking of the AI

services, so for those of you that do

have our latest feature release of

DentalCad 3.2 to

Alfena. There's a couple of places to

enable settings to turn on the AI

services. So, when you're in your Dentl

DB, this picture on here on the right

hand side, the top one, if you go to

your settings menu, there's going to be

a cloud option. And this this setting

just enables uh the AI crown design

button from the DB to where you can

launch that service directly from the

DB. Um and then once you're in the

dental CAD app, the actual design

software, there is um you'll go to your

tools settings and then you're going to

see a cloud tab on the settings uh user

interface. And the first thing you're

going to have to do is turn your cloud

backend enabled. So you're going to

toggle that switch to where it's towards

the right and you see it's orange. So

that's basically allowing your PC to

talk to our secure cloud service. And

then below that you're going to see the

design section. So these are all

separate services that are available

um you know within our cloud. So, one of

the things, you know, that we're

covering today out of all these is the

multi-to

segmentation. So, you can see that's

turned on here. Then the AI crown design

is directly below that. And underneath

there, all the way at the bottom, you're

going to see allow true smile photo and

true smile video. So, um, we'll talk

about that here in a bit, but those are

really cool features. um it's really you

know based upon gaining that patient

acceptance for treatment

plans. So um yeah let's go ahead and

proceed and throughout today's session

we're going to be covering different

topics.

So, one of the things I know we only

have an hour, so we'll try to open up

some some options to show different ways

to go about things, but uh with tissue

management. So all on X there's um times

you you might be working on fresh

implant sites more of um immediate load

scenarios or sites that are like

completely um tissues already healed and

shaped the way the way you're wanting to

achieve. So with our software there's

there's a lot of different ways to kind

of um edit scan data for instance and

define emergence profiles.

So the abutment bottom processor. So

this is typically used just for creating

custom abupments, but I know some users

like to utilize this for um you know

immediate load to really kind of create

um the the emergence profile and shape

the tissue. So there's another way to go

about it is really just letting your

virtual gingiva you design dictate that

emergence profile as well. That's the

most I would say seamless and efficient

way, but it all depends what you have

going on with the scan itself. So, um,

outside of there with the the free the

free form scan data tool, so you might

have some some tissue you want to kind

of relieve or or smooth some areas. So,

there's easy ways to go about that.

So with tooth libraries in Exocad and

tooth placement options, we have a lot

of different uh different tooth

libraries available, especially if you

have the ZRS tooth library uh module. So

with that module,

um talking with some end users at trade

shows, they they they told me they have

an ultimate bundle and they didn't

realize they had that library. um

available to them. So, one of the things

we can cover is how to how to download

that, you know, in those scenarios where

you have the module and you're not

seeing all the libraries available.

Um and then from there when it comes to

full arch design and and our software um

I continuously get feedback and comments

from people at trade shows that you know

they they move to our software strictly

for all onx just because of how simple

and seamless the tooth placement is and

um how robust the calculations and

stable our software is. So, we'll we'll

cover some of those features with tooth

placement. There's um there's a lot of

cool features with this. So, chain mode

being one of them. It basically kind of

allows you to

utilize um the tooth placement tools

where you can grab and pull and move the

teeth in any direction and all the teeth

stay in in contact and they'll

automatically scale as you're

positioning each tooth. Um, another

feature, probably one of my favorites in

the software is instantaneatomic

morphing. So, when you have an

antagonist scan loaded in,

instantaneatomic morphing allows the

tooth library to automatically adapt to

the opposing scan. And that saves so

much time, you know, with having to

adapt acclusal surfaces and and grab and

pull material to make sure you're not

too heavy in occlusion or too far out.

So, it really automates all of that and

reduces the amount of clicks. So,

anything I can utilize in the software

to allow the software to do the work for

me, that's always the direction I want

to go.

And of course, we're going to cover some

gingiva base design. So with our

software, you're basically going to

allow the software to block out the arch

form and add any offsets that that you

choose to put in place between the

tissue and the scan. It's going to block

out any undercuts and give you the

ability to actually add, remove, or

smooth additional blockout or remove

blockout. But it's as simple as left

clicking points on where you want your

tissue

coverage. And then you'll utilize our

free form tools to to

to shape the tissue and maybe clean up

uh you know,

embraasers, cejs, and so forth.

So, and then some cutback options. So,

when it comes to aesthetics in our

software, there's uh a lot of automated

tools that kind of simplify the process.

So with the automatic cutback options we

have so this is all library dependent

and you know just want to kind of

mention that to

where not all libraries will have uh

thimble preps or facial ridges and sizal

ridges or retention posts but um I'll go

over some some of the ones we do have

and we'll cover those options.

So another another thing that we do have

is uh the the reduced gingiva design. So

when it comes to the gingiva itself,

there's a lot of u methods that are

getting pretty popular. I I know our our

friends at Harvest Dentl had a webinar

the other day with Shaina. Um, so you

know if you're utilizing something like

easy gum and you want to do like a

facial cut back on the gingiva, the

software is automatically going to mark

the lingual area to not be reduced on

your gingiva and you can just set a

specific value you want that facial cut

back. So if you're doing layering on

teeth or gingiva

um we we have you covered. So several

options for for cutback options to take

your prosthesis to the really the next

level in

aesthetics. And a big part with full

arch cases is communication. So when it

comes to our software, we do have

several methods to communicate to

customers.

Now, one thing you can see this QR code

in the upper right hand corner. That is

just an example of a web view link. So,

web view links allow you to while you're

in the design software, you can turn on

or off all items within what we call the

show hide menu. So, all 3D objects in a

software andor 2D images you load, you

can turn on or off at any time. And when

it gets to the point where you want that

design approval,

um, or you know, share that design with

the customer, the dentist, the patient,

you can turn all those objects on,

generate a p a web view link, and then

the software is going to essentially

create a a URL, a website for you to

share with your customer. And then the

doctor and patient, they can review that

design, look at it on their their phone,

computer, tablet, so forth, and really

get an idea of what their new teeth are

going to look

like. Um, the next option here is dental

share. So for all you Exocad users, this

is a peer-to-peer free service for

active licenses that'll allow you to

share your design case to another uh

ExoCAD user. So um we see this utilized

a lot in the the clinical world where

they they might have our software to

take care of the simple cases on their

end

or you know they want to collaborate

with a laboratory or design center or

milling facility. So, it's a simple

leftclick to send a case and choose who

you're sending it to and then picking

what service you want, whether you want

that design only or design and

fabrication or production only.

So, and then customizable PDF

generation. So, I kind of nerd out about

this, but so our software's always had a

a automatic PDF generation if by one

click. So when you do that, the software

is going to do a series of automated uh

positions of the of the design data in

different orientations and give those

automatic screenshots to give a you know

professional presentation to your

customers. But with 3.2 LFCA, there is a

screenshot and image management tool as

well to where if you take customized

screenshots, you can actually edit them

in Microsoft Paint. You know, you might

want to add arrows pointing out

something or add text to really kind of

paint the picture of what's what's going

on with this this uh patient's case that

you need either guidance from from your

customer or approval

um for for fabrication. So, the software

is automatically going to detect that

those custom customized screenshots were

taken and add them to that automatic

PDF. So, it's really taking the

communication to that next level and

making it a lot more clear to your

customers on what what you're trying to

show and and what feedback you're

needing. So

um as as I was talking earlier with

integrated AI solutions so when it comes

to the case planning when you're working

on treatment plans for a patient so with

smile creator and true smile photo and

true smile video the software is

actually going to be allow you to add

patient photos as normal with smile

creator but in this version the 3.2 to

feature release. The software is

actually going to automatically align

the model to the patient photos. So

that's part of uh the true smile photo

AI service and then also the rendering

of this. So, it's um photorealistic

rendering to where it it basically

captures a rendering on the 2D image of

the patient's uh initial smile photo and

then it replaces their teeth with your

design and matches the rendering from

the photo. It looks very realistic and

we're getting a lot of great feedback

from that. But the probably one of the

cooler advancements in treatment

planning that we've uh we offered or

I've seen in some time is this video

here on the right. So true smile video

allows you to upload a video of the

patient talking, smiling, laughing and

it maximum of 30 second video and at the

end of your design you upload that to

our cloud service and that service is

going to replace the patient's teeth

with your design. So all these are just

kind of examples on the left hand on the

right hand side there but patients left

is their existing teeth and and the

patient on the right is with their

design replacing the teeth. So it's

um you know you can kind of see here it

looks great

but we'll go ahead and proceed

forward. And one of the things we get

asked about frequently is training. So

with our software um we offer a lot of

different avenues for training. Um first

and foremost we always recommend our end

users the the people that utilize our

software to contact their reseller. So

they're your business partner in partner

in this uh situation to where you know

get all the resources you can from them

and then if you want to branch out from

there we do offer other services. So um

one of them is is our

shop.exoad.com. So, this is where we do

have some of our ExoCAD experts that

will um contact your organization after

purchase of a training package and then

we'll kind of fine-tune, customize the

training to meet your needs. So, they'll

they'll see what you're looking to get

out of the training and then develop

that training plan based off of that.

So for the packages we offer I know even

up to like um an ultimate bundle

training to where it's 12 hours of of

training time and then typically it' be

like a scheduled 2hour sessions from

there and up to 25 employees of yours

can uh participate and it'll be webinar

based and all of the software solutions

we offer whether chairside CAD dental

CAD exoplan

uh we have a lot of training options for

those to cover all modules and all

participants will receive a certificate

after completing the course and the

sessions will be recorded so you'll have

those for you know future trainings for

new team members or just a resource to

reference to. So,

um, and I should even note, you know,

with with our website, if you look under

the training section, there's we we do

have a lot of independent certified

trainers as well. So, those are members

that are, you know, been trained by our

team and very experienced

um, in our industry and with our

software and they offer services as

well.

And then what's new with ExoAT America?

So, uh, this photo here is our new

headquarters just a little outside of

Boston. And so, we've opened up the

excellence center. So, what this means

for everybody is you can come visit our

headquarters and be trained by our team

in person. And we actually uh provide

the laptops and licenses of course. So

you you get a hands-on experience with

um one or more of our trainers. So um

our next session is in May 9th and it's

encompassing partial CAD and quick snap

solutions. So being able to fully

produce complete 100% digital partials

and some really cool uh workflows with

partial CAD. So, this is uh co-sponsored

with our partners at BEGO and uh my my

good friend Lucas Chardullo is going to

be leading that training. So, if you

scan this QR code, you'll be able to get

some more information on that. There'll

be a landing page for those training

courses available. And um yeah, stay

tuned. We're we're we're committed to

continuously offering different training

programs. So, you know, we'd love to

have you and hang out and make some

teeth

together. And outside of there, we do

have some other webinars that our

company's hosting. So, Tan Win, uh, if

those of you who don't know Tan, she's

really Exoat America is like a longest

tenur employee at this point. So, she's

been on the the R&D team for several

years. She's a wealth of knowledge. Um,

I've personally learned a lot from Tan.

So, she's this is a great resource for

those of you that are wanting to learn

more as well. So, be sure to sign up for

the following

um webinars that she has coming up. And

you can see that QR code as

well. And at Lab Day West, we'll be

celebrating our 15th uh anniversary of

Exoad. So, stop by and get a cupcake on

us. Look forward to seeing

you and staying up to date with our

company and software. Um, one one thing

that is, you know, a great read is uh

our Exo blog. So this is where industry

experts will, you know, basically have

an interview with someone on our team

and talk about their experiences within

their facet of of dentistry and how

ExoAd's helped out, you know, their

workflows and and projects they work on.

So and then you have news bites. So

that's really the newsletter that our

our company's put together and just

staying up to date with any events we

have going on or you know even things

like libraries that are being added to

the software will be listed there.

So also uh new software releases. So

definitely sign up for those and stay

tuned with

us. And I do want to say thank you all

for joining. um you know this is a great

opportunity uh not only for exoads on

but also myself. So it's it's uh great

to share what exocad has to

offer. So now we got the PowerPoint out

of the way. Let's go ahead and hop on

into our dental DB. So with this case we

have all X. We're doing a upper arch.

Just want to cover a couple things. So

coping and reduced panic is how this is

set up. Now this is a pretty versatile

way or options to set up a case. So with

reduced panic and coping, you're going

to get your cutback options. After you

choose your material, then you're going

to see additional design steps and

wizard virtual gingiva. So we have that

selected. Thimble crown is not selected.

you always have the thimble crown

options uh

within the uh reduce the redu reduction

step but um if you know you you want to

do a thimr crown I I suggest selecting

that up front and then for the coping

standpoint

um there's also preserve tooth library

shape so cervical adaptation this is I

recommend doing this on all implant

cases what this because um some of you

may have designed an implant case where

the implant placement wasn't ideal and

um you know it might be more in an

interroximal area. With pull to margin,

the software takes the tooth position,

the bottom of the library, and pulls it

down to the implant site. Where preserve

tooth library shape will just enforce

minimum thickness around the the implant

site and connect your tooth without

distorting any of your uh any of your

designs. So, something to keep in mind

um with implants, I definitely recommend

utilizing that. And screw retain is

selected. So we'll go through some of

the workflow here um by selecting

design.

Now now with this case we'll we'll cover

uh importing scans and do go through our

scan body alignment. So I'm going to do

scan data only. I did have some scene

files there. So the software if you

don't have an integrated scanner which

there's a lot of them now it's going to

prompt you on the scans you need to load

in the order you need to load them. So

it it told me my upper jaw now loads

scan marker scan. So I have a marker

scan

here and now our preop

scan. So we'll load that one in place

and our lower jaw for our

antagonist. Okay. Okay, now that our

scans are loaded, depending on the

orientation of the scan, so adjust scan

data orientation, you're going to want

to be looking uh, you know, down on the

acclusal view here. And that's telling

the software what side of the scan we're

we're working

on. And our preop's already aligned, so

we won't cover that step. Now, start

smile creator wizard. Anytime you have

um multiple anterior units in a row

there that are defined, it's going to

give you this option to start smile

creator. We don't have any photos uh for

this demonstration. I'm going to we're

not going to cover smile creator today,

but we're going to go over the tooth

segmentation. So with tooth

segmentation, this is what I mentioned

in in that PowerPoint earlier. So the

software is now analyzing all of the

patients teeth in the arch form based on

how it was defined in the DB and from

there it's going to essentially create a

usable tooth library for us based off of

the patient's preop scan. So now we can

see the teeth are being detected and

that library is being

created. All right. Now, this checkbox

I'm telling the software use also as

restorative models. That is um maybe a

long-winded way of saying make it my

tooth library. So, I selected

next. And now the software is going to

repeat that process uh for our lower

arch.

Now, with the lower arch, we're not

really designing this. And typically the

two segmentation for both arches I would

say be more applicable for smile

creator. Um so when it's creating that

photorealistic rendering that helps out

the process. But I do want to show this

arch because if you have some scans that

are you know really close to the edge

here I can hold shift while I'm painting

areas on the correction tab and then

apply that if it detects too much of the

teeth. And then if you want to make any

other changes, you click on the tooth

chart and I'm doing the same thing here.

So, and we can apply there and move

forward. But that's a quick easy way to

adjust any of the detections as well.

So, like I said, we don't have any uh

photos. We're going to skip the smile

creator. That brings us to our detect

implant position.

So for this demonstration, we just have

our ExoCAD demonstration library. With

our software, when you're detecting scan

bodies, you do have this 3D preview of

the scan body that's in the library. And

then from there, you're just going to

leftclick in a similar position on the

scan and proceed by selecting next or

control spacebar like I just did. Now,

when you're aligning these, you can see

this color scale. That is something.

It's a deviation scale, a color map. You

can hold control to see that when you

leftclick your placement, or you can

turn that on via settings. So, tools,

settings. And for this, I would just

start to type in abutment. And then

you'll see abutman matching always show

distances.

The other thing I talked about earlier

was your cloud services. So this is

where you turn those items

on. All right. So now we're on tooth

11 and we'll proceed. The only thing I

else I should mention about this is when

you don't have great scan data towards

the implant site itself, maybe uh it

didn't capture the entire scan body.

That's what this sidebar is for. you're

telling the software to focus on what's

visible in here on on your scan data. So

that can help out a lot of your

alignments. Now when it comes to

defining emergence profile, I would say

majority of cases you're you're I I see

people not utilizing this feature for

all X. Uh I'll do it on one tooth just

to kind of show some tools, but it is

optional. So you don't have to utilize

that. So, I'm hitting control and

spacebar to bypass this step for the

other teeth.

Now, now that we're within tooth

placement, so we did utilize our

segmented teeth, and I'm going to just

kind of go over some stuff here with

this. So, when it comes to the segmented

teeth, let me turn them on and off. And

I'll turn off a couple other items here

just to kind of show. So our preapps off

and now we can see all the segmented

teeth that have been created as our

library. So our tooth library switches

is grayed out. Um the only thing I would

suggest if if you decide after the fact

you want to um utilize that actual tooth

library, I would just go into your

expert

mode and then delete reconstructions and

just delete those segmented teeth. So

this is a drop down here. So you'll do

your segmented teeth initial and and

crowns and delete those parts. The

reason for that is the coordinates that

the tooth library is working off of is

the segmented teeth. So if you go to

load a custom tooth models, the

orientation might not be ideal unless

you delete those parts out.

Now with the segmented teeth even though

we

um you know we chose to use this you

still have uh capabilities to of the

simple tab to leftclick and drag change

position maybe hold control rotate um

hold shift to scale or controll and

shift to do directionalbased scaling. So

based on the direction of that arrow,

but um you know in this scenario, we'll

go ahead and keep the position where

it's at. You can go into chain mode as

well, but we should have enough time to

go through another example using an

actual tooth library as well. So that

brings us to our abupment bottoms. So

now one hotkey that I love to use is

shift and mouse wheel button. So that

toggles your

transparency. And another one is control

and mouse wheel button. And that turns

items off. And then control and shift

and your mouse wheel button turns them

back on in the order you turn them off.

So one thing making some things a little

bit more visible here. So the abupment

bottoms. So, we're looking at the shape

of, you know, h how how do we want that

abutment to be shaped going into the the

the the tissue. So, when you're trying

to form

tissue and create that exact shape, you

want to help help the tissue heal, for

instance, this could be a good feature

for you to utilize.

Now another thing that's done in this

step. So if we go to our advanced

tab now you you do have several options

here with parameters. I would say you

know take the time go through the wiki

page. So, anytime you see that question

mark, you're going to see um

corresponding instructional uh

description information based on all the

buttons in that wizard. So, and a lot of

the steps actually have corresponding

videos as well. So, definitely check

that out if you're a new user, even

experienced users. You'd be surprised.

Um sometimes there's some features you

may not fully understand or or even know

exist. But with the advanced tab here,

one thing is angulated screw channels.

So this is defined by the implant

library whether this is going to be

available or not. Um so there's

clickable and dragable. So clickable is

probably what you think it is where you

leftclick and it's going to change the

position of that screw channel. and then

dragable. Um, pretty self-explanatory as

well, but it allows you to left click

and drag and you can see that angle as

you're adjusting that

position. Um, another kind of helpful

things with the abupment bottoms. So, we

can turn some stuff off here just to

kind of visualize a little better, but

free form bottom. So you can actually

leftclick and and and um and drag and

adjust position that way too. So if you

want to add or remove um there's also we

can visualize our distance. So if we

want

to set a specific value as well. So if

we want to move our slide bars down,

it's going to automatically adapt. So if

you want to kind of put more pressure or

um decrease the distance from that shape

to your tissue, you have that

ability. And just a couple other little

things about the bottom step. Anytime

you see the pink circles here, you can

leftclick on them and that allows you to

impinge tissue if you choose to. Where

if it's pink, it's locked to the tissue

scan.

I'm going go ahead and proceed forward,

but I just wanted to kind of point those

tools

out. And now that brings us to our free

forming step.

So with free forming, I do have some

settings turned on to where it's

automatically cutting uh acclusal

interferences. Um also interferences

with our neighboring teeth. So it's

adjusting the contacts and the tissue.

So within the tools and settings you can

you can enable a lot of those things

even automatic virtual articulator where

simulate jaw movements in the back end.

So when it comes to our free forming um

the anatomic tab I think there's a lot

of things um that people kind of

overlook with this. So you have your

presets, you know, so this is

essentially different areas of the tooth

libraries, but one thing that's really

nice um

is with with um tools like shift to

scale. So if I want to scale a specific

section of the library, you know, to

adjust

shape or maybe line angles for instance,

that's another tool that you can utilize

to do

so. Um, from here with the free tab, if

you The only thing with the segmented

teeth is, you know, you might need to

kind of clean up maybe an interroximal

area that got a little bit distorted um

from the scan data. So, but with this,

I'll just go ahead and proceed forward.

We'll go ahead and go to our next

step.

And as that's loading, I'm going to take

a quick drink.

All right. So, virtual wax up bottom. At

this step, this is where you're

basically setting your insertion

direction for your restorations or

prosthesis, whatever you're designing

here. Now, you can leftclick and drag

and software is going to automatically

adapt the adapt the the rendering of the

undercuts so that it'll it'll change the

display and how those are presented. Um,

myself personally, I like to just rotate

my scan to find optimal insertion

direction and then set insertion

direction from view. I'm going to go

ahead and hit apply. Um, majority of the

times you could just hit next. But, um,

when you hit apply, it's going to allow

you to go to the free forming tab of the

virtual wax up bottom. So, when it's

applying, it's looking at the bottom

properties and block out undercuts. So

those are the values where it's creating

the space and blocking out undercuts

accordingly. But now that we have the

free forming tab, like I was saying,

this will allow you to just simply

leftclick to add additional blockout or

remove blocked out. And just wanted to

point that

out. All right. So now we are on our

gingerville base design. So I'm going to

go ahead and leftclick a series of

points.

Looks like I accidentally clicked

there. And really, it's wherever you

want gingiva coverage, you know. So, for

all X, we typically kind of stay up high

to make it um cleansable or

hygienic. So, I won't go crazy with

this. We'll just kind of put in some

quick points and then move

forward. All right. So once you make

your way around, you can just

doubleclick that completes your

selection, closes your margin line, and

then the software is going to give you a

proposal based on the values for your

thicknesses there. So, so now we do have

some virtual gingiva that's been added.

I can go ahead and proceed forward to

free form gingiva. So, turn my teeth

back on and everything from earlier.

So looking at our gingiva, typically I

would start with our large region and I

I like to kind of just pull down and

embraasurers. Um you know with this

specific case it looks like we have

pretty good coverage so we can kind of

move our way around. You know pending um

if you're using actual tooth library the

software actually follows the tooth

library itself. um with the segmented

teeth there it's not a true library so

there aren't as many defined regions of

or any defined regions I should say at

this point so um I would say the

proposals you might have to kind of drag

down the lingual or drag up the facials

depending on on the segmented teeth

themselves but you know I'm just some

simple leftclick and drag operations

here and then from there just depending

on any characterization you want to do,

you can go to the free tab and something

I always like to point out is the point

of knife tool. So this gives such great

control with kind of adding in any

separation. You know, if you're kind of

trying to achieve some root eminence and

um you know different gingal

characterizations, it's just a simple

leftclick and drag operation. and you

know whether you want to kind of add

some

anatomy. And I always like to point out

control and shift here with the mouse

wheel is going to allow you to kind of

scale your tool size as I'm doing right

now with shift. And then control would

be your strength. So how much material

you are you going to be affecting.

So you can get some more separation

between teeth or maybe even, you know,

add a little bit on the root direction

here.

So, so just a a a quick helpful tip to

kind of add in those, you know,

different characteristics or uh features

you want with with your gingiva. Um and

then from there on the anatomic tab

another thing that's here is your reduce

gingiva design. So

um we talked about that earlier to just

a quick easy way to do gingiva cupbacks

right. So when it comes to the gingiva

cupbacks the software is automatically

detecting that

position of the gingiva. So it's masking

out all the areas in blue to not reduce

them. And that's all controlled around

this preserve area around teeth

slidebars here. So you can adjust them

and update your markings. Um, but just

want to point out how simple and

seamless this is. I mean, if you're

doing something a little bit more of uh,

you know, like like I would mentioned

Easy Gum earlier, you would I think they

recommend you know, it's a millimeter

thick. So you just have to determine how

far you want that 1 millimeter material

to be, you know, coming off of that uh

reduced gingiva.

So So once you hit apply, the software

is looking at all those areas that

weren't marked in in the bluish purple

hue there. And then it's reduced that

for us already. By default, you can see

it's just a small amount. It's by 0.2

millimeters. So this is something

that'll kind of give, you know, a little

bit more separation as well. That brings

us to our anatomic reduction. So when

you're doing segmented teeth, this is

where I want to bring up and we'll pull

up another scene file using different

tooth libraries. But um you're not going

to have your cutback options. So, when

it comes to the cutback options

themselves, I'm going to just go into

um our installation folder real quick.

So, we're we'll go inside DentalCad app

and then we'll look at library. You're

going to see folders metadata, panic,

and teeth. That's what controls your

tooth libraries. Now, a lot of libraries

that you'll see online may not have

uh thumbnail images and so forth, but as

you go into each

folder, when you're installing

libraries, make sure you have all those

um because even when it comes

to each PONX and tooth folders, you're

going to see the different cutback

options that are within there for each

tooth number.

So earlier I had talked about ZRS2

libraries as well. If you go to tools

and the about tab. So this is what

basically allows your license to kind of

contact our our update server and you

can check for updates. So definitely

click on that. There's so certain

modules like ZRS tooth library and XNAP.

So that's like a for model creator to

have uh you know a an articulator

interface that you can 3D print that

allows you to simulate jaw movements.

Those libraries will need to be

downloaded from our server. They don't

come with the the basic installation. Um

and that's how you achieve or that's how

you download those and install them. So

we're going to proceed forward with um

anatomic reduction set to zero. We'll

keep this monolithic. And that's one of

the things I was talking about with

copings and reduced ponics being, you

know, a real versatile selection because

at that point you can treat it as a

monolithic and send it out for a tryin

and then do your cutbacks after the fact

if you know once you get uh the approval

from the

dentist. So I mean at this point I do

have connectors set up. You can turn

those off, join a teeth shape directly.

So depending on how you want to proceed

with that, that's a quick easy way. So

you change your shape and apply your

cross-section and now bring you to your

screw hole design. So at this point,

software is automatically detecting the

anatomy and bringing those screw

channels all the way

through. And it brings you to merge and

save. So, you know, from a creating a a

streamline all on X based on a preop

scan. As you can see, it's um very quick

and simple.

Um now that that's saving, I'll go ahead

and open up our next case just uh or

same case just configured a little

differently. So when I go to load, I'm

going to grab this case I defined here.

Same case. Um but the main difference is

when you know you want to do a thimble

crown, you can select that up front and

that's going to narrow your redu uh your

reduction parameters in wizard mode to

just util utilizing that thimble prep.

So, I'm going to pull open a scene here

that kind of saves some time.

But when you choose thimble, if like I

like I was saying, when you get to the

reduce anatomy step, it's only going to

have that thimble as a selection, but

you can always go in expert mode and

revisit that that wizard step within

expert mode and see all the cutback

options.

Now with tooth placement. So we'll just

go forward with uh the the default

generic library. Now chain mode we have

all these color points. You can toggle

them by left clicking. Your control

discs uh by

default. So these blue UFO discs here at

the end that is kind of what locks

everything in place. So a couple things

if you unlock them all. So I hold

control and shift and I left click on

the points to toggle uh all the points

from to be unlocked. Um one thing you

can actually scale the whole arch at

this point. So, this is kind of a quick

easy way to get things in the

ballpark first. And then from there,

other methods that I like to do is

really get these control discs as distal

as I want to be with my design and then

lock it in

place. And I might check height, too.

And we'll just kind of use the preop

more as a guideline. So, you know, if

you're going to match a preop, I'd do

your tooth segmentation. But from there,

I like to just leftclick and

drag a tooth to kind of trace my preop.

Right? So, this is just a method.

There's several videos of, you know,

from our YouTube channel and and even um

other ExoCAD experts, you know, that

some of our independent certified

trainers put out videos, but people kind

of attack chain mode different ways. And

I I I look at this as just kind of like

a quick easy way to kind of trace

things. So, I'm just leftclicking and

dragging. I'm not even doing any hotkeys

or anything at that point. I might have

used shift occasionally to kind of scale

some things, but I I didn't really count

how many clicks I did there. We'll say

10. Uh but to be that close to the preop

um with little interaction

um that's I don't know for me that's uh

awesome. So I'm going to go to the

advanced tab here. Couple other things I

like to point out is just scaling. So,

um, there's two two behaviors here. So,

if you're looking at your tooth axis

scaling, it's kind of going off of, you

know, your different surfaces of the

tooth, but free axis scaling, this is

going to give you a bounding box. So, I

can scale in any direction, uh, you

know, diagonally or so forth. Um, you do

have the morph option. So, you can grab

and pull material by default. But

another thing to where if I hold

control, I can like rotate aspects of

the library. Or if I hold shift in a

specific position, I could flare out

certain areas of the library. You know,

maybe open up some embraasers or close

them. you know, this really kind of

allows you to fully affect the library

in multiple ways. Um, so, you know, for

anterior aesthetics,

um, you know, closing spaces, for

instance, it's it's kind of, you know,

talking with people at trade shows, they

don't realize you can do that. Um, and

then the slide bars. So, if you're want

more of flat or more of a youthful

shapes, it's quick, easy just to kind of

adjust those slide bars in a

position. Now, one thing I didn't

mention with the chain mode, um, so all

these are pos, uh, locked in position.

Let me unlock them again, is the tube.

So, maybe you need to match your

midline. So, the the tube feature allows

you to just slide your teeth back and

forth on the chain. And, you know, when

you're working on full arches to really

kind of set your midline and then work

your way back. I I mean, it's quick,

easy. Um, I'm not going to fine-tune

tooth positions with this. I really just

wanted to kind of show everybody the

different tools.

Um, and there is a symmetry mode, too.

So as you're working, you know, on

different uh parts of the arch, you can,

you know, match all your designs uh

contrlaterally automatically.

So

pretty pretty nice automations with that

as well.

So now I'm just going to bypass our

abutment bottoms. And again, control

spacebar works for that. or left

clicking on

next. And now we're at our free forming

step. Everything's automatically

adapting for

me. And I'm just select control spacebar

again. Now, if I want to adapt to the

preop scan, I could. I'm just going to

proceed past that. Um, and that brings

us to our virtual wax up bottom.

So now the software is automatically

blocking out based off of the insertion

direction and then we'll be able to draw

in her tissue

again. All right. So we'll just add some

quick points

here. Get the coverage we want.

and double

click. All right. So, now we're at our

free form gingiva.

turn off my preop with the letter

P. And for this one, like I said, I when

I'm using tooth libraries, I

typically probably would have spent a

little more time in my tooth placement

in general. I know we're getting close

to time, but you know, simple left click

and drag with the large region on the

anatomic

tab really kind of closes those black

triangles pretty

quickly. And then from there it's just

adding any characterization or you know

um kind of adaptation. So the software

already kind of gives you some some some

root eminence root prominence there. So

you know whether depending on how far

you want to take that you know if you're

wanting to add in you know some some

anatomical

features you know as example here. So we

can kind of separate some things. But

again, that's just a quick left click

and drag. And we kind of already went

over that on the previous example. So

um and we did our cutbacks as well. So

we can do that again. It's pretty quick,

easy

function. And we'll apply and just move

forward.

And now your anatomic reduction. You see

your thimble

preps. So I just press control spacebar

to next. At this point I can add remove

smooth. Uh make any

adaptations. If you go into expert mode,

you can actually adjust the tooth uh the

thimble prep placement. And now thimble

crown design workflow design thimble

super structure now. So that means I

want to do my crowns on top of it. So

the software is going to pull up on the

thimble crown margin step. You shouldn't

have to adjust that. Just hit next. Then

the software is going to load in all the

margins it has for those thimble preps

already defined.

So now it's adding those thimble preps

and it's going to be able to do your

cement gaps for your restorations to fit

on top of the

preps. So now it's generating the

thimble crown bottoms. That step's

finished. You proceed forward generating

crowns. So now it's adapting our tooth

library

to the new thimble prep that's been

added to the

design. And then when we get to our free

forming step, we'll be able to kind of

adapt, make any

adjustments. We have free form gingiva

design now. So you see this button,

adapt to thimble crowns. If you didn't

reduce the gingiva, you'd also see that

option there as well. But basically, the

software is automatically relieving the

gingal tissue around your thimble prep.

So, you can actually seat your crowns.

So, if I had just hit next without doing

this, the software would have had a

popup to even remind me, you know, do

you want to adapt your tissue um to your

thimbles?

So, it's kind of good to have that fail

safe in there. And then since this was

set up as copings again, now I can do a

facial cut back, you know, for for

instance, I can or or I I said facial,

but that's your incizal. Maybe you want

to do the facial with more of a dramatic

cut back there.

So, so right now, you know, with the

cutback libraries and doing the gingiva

cutback we have and the thimble preps,

you kind of have all kinds of options

that you were able to kind of see and

learn today. Hopefully, you all have

gained something from this

demonstration.

Um, and we'll just kind of proceed

forward since we're kind of at time. We

don't need to cover connectors. I know

we did that in another session, but

um yeah, so at this point, everything's

merging together. Um we did set this up

as a bridge. So all of our

uh teeth that we designed with the

cutback libraries, it's going to be one

piece and then our gingiva and thimble

preps will be a separate piece you'll be

able to manufacture. So a couple

different ways to go about it.

Um, and

then I guess from

there, Fran, how we doing? Do we have

any questions or anything? So far, there

are no questions, but if anybody has

any, you could just type them in at the

bottom of your screen. You'll see that

Q&A icon.

Great. All right.

And now that

um looks like we're pretty much at time.

Nobody's got anything for me, huh?

Not yet, but you know sometimes. Sure.

We get something like, "Oh, here we go.

Let's see."

Um since we're So Jim wants to know, and

no question is dumb, Jim. You know that.

Oh my. Can you scan with three sheet?

Yeah. So

our software is completely open source.

So any PLY, OBJ, STL file is fully uh

you know usable in our software. Um with

uh three shapes specifically, they're

not fully integrated. That's my

understanding that's kind of their

choice. Um we'll we'll open up that

workflow to any scanner manufacturer to

where it can be the scanner can be

launched from our DB or automatic

imports. Trio scans do have uh the the

integration. So that part of it does. So

the um I'm drawing a blank is it the

30XZ files. I might be butchering that,

but those uh three shape communicate

files import in automatically. You can

set that up.

Um but yeah, so it with any other

scanners that are I would say more

locked down um you know in a similar

aspect to where they're uh part of a CAD

CAM ecosystem where they they you might

have to export them as a STL file uh

depending if they're utilizing a

proprietary fi a file extension a file

file type. So, um, but their their scans

are importable into our software. So,

when you open the software, you just

load in whatever scan for that patient.

Jim says, "Thank you, by the way." Of

course. And something I was brought up

earlier is like generating your web view

links. You know, as an example, you

could do save visible objects only. And

that's where you can turn items on or

off in your show hide and select yes.

You can add it to be encrypted. So if

you want to add add passwords to make it

protected. Um but then from there you

will get a web view link popped up. So

you would need to um add in your your um

your dental share credentials.

log in and then the software is going to

generate

uh a web view link. Um

also with your PDF exports. So like I

talked about with um with these PDF

exports, software is going to do those

automatic

screenshots. Um, and

then I didn't do the screenshot and

image management tool, but if you want

to utilize that

beforehand, you'll have in tool

screenshot and image

management. And you can capture by view

or capture manual

manually. And you would just need to

tell it what reports you want it added

to. If you hover over it, you can edit

those like I was talking about to where

um you know, for instance, you might

want to point out something specific

about a about a case like do I want to

close the diasta, you know, as an

example or um you know, add in text to

type something in. You save any edits

you made and then you'll see those edits

within the image management tool. But

just an example of the PDFs. You don't

have to enable 3D preview on the PDFs,

but it is available as well. So, um, and

you'd need to use Adobe typically to for

that functionality. That's what we

recommend. Um, but kind of cool to where

you get 3D preview and the 2D all in one

document. So, and then if you added

custom screenshots, it' be on at the

bottom of the PDF. So, pretty pretty

cool feature when it comes to being able

to clearly communicate to your

customers. And then, um, Smile Creator,

of course, but like I said, today we

weren't really covering that. So,

um, but yeah, that's that's the the

basics and uh some some advanced options

with All OnX. Um, I I think um we're

pretty much at time now. So, unless we

have any other questions.

Trying to get my cam to work. There we

go.

I see. I see. How do you scale just a

portion of a crown? So, um, if you're in

tooth placement, you can either,

um, go to the advanced tab and use that

free access scaling as an option. Uh or

you can hold control and shift while

you're scaling something. Um or just

shift. So depending on what tool you

have selected, kind of play holding

shift or control and shift. That's

within your tooth placement. And then

when you're in free forming on the

anatomic tab, when you're utilizing the

presets, so those presets are just

looking at specific areas of the

library.

So you can hold shift while while you're

utilizing those presets and grabbing and

pulling material, but if you hold shift,

it's going to scale that aspect that's

highlighted in green. So

awesome. So I'm I'm just going to launch

that first poll question that we have.

I'm only going to keep it up for like 30

seconds. So Dan, thank you so much for

this. Um yeah, what this poll is is

would you like to add Exocad design?

software to your lab if you don't

already have it. If you do have it, take

a look at your license. Do you need to

upgrade your license? Do you need to

transfer your license? So, that's also

you could also answer yes to that and I

will give you a call and just um we can

discuss it in the next day or so. So,

again, like I said, I'll just leave this

up for just a couple minutes. All you

have to do is answer this

quickly. And the next one is about

attending a hands-on course with us.

This hands-on course is going to be in

our Wakefield facility, um, which is

about 20 minutes out of Boston. It is a

two-day course. We'd love to have you

join us. We're only taking about 10 to

12 laboratories because we want it to be

very handson and we want you to get a

lot out of it. Um, so the two-day course

will probably encompass something like

mouthguards and surgical guides on the

first day and allon X on day two. Um, we

are located right across the pond from

Exocad. So we will have one of the XCAD

designers with us um along with one of

our um designers as well so that we can

give you you know the best um kind of

hands-on instruction as we can. Uh also

there is a hotel which is basically

right across the parking lot. So we're

trying to make it as easy and as

affordable as possible. And like I said,

in the next day or so, probably by

tomorrow, I can give you a call and we

can discuss it a little bit further and

try to see what you'd like to get out of

it as well. And um I'll have some

information absolutely like by the end

of the week as far as how to get you

signed up for it because we really look

forward to having you in our backyard as

well and Exocad's backyard.

So it seems like there's a lot of people

um who are interested from this one

particular course Dan. So thank you so

much and don't forget we have everybody

from the first course. So from the

beginning of April if we need to add a

day um you know in an extra course we

absolutely will to get everybody trained

and feeling confident with their designs

with Exocad. So I want to thank

everybody for joining us here and

joining us this whole month. It's been

fantastic. I want to thank our partners

at Exocad, Maria, Dan, and the whole

crew um for spending their Tuesdays with

us here and our attendees of course for

you know just relying on us for your

education. We really appreciate it and I

look forward to seeing you all tomorrow.

If you haven't registered tomorrow,

Wednesday,

um it I believe it's what? April 29th.

Today is April 29th. Oh my goodness.

April 30th. See, I'm pretty messed up on

the on the dates. So, tomorrow,

Wednesday, April 30th, we have Paulo

Lubano, MDT, joining us, and he's going

to be speaking to us about 3D printing

lab safety. If you haven't signed up for

it, I really highly suggest that you do.

He gives a great presentation and it's

so informative. You really, really want

to keep yourself safe, your lab

employees safe, your patients safe. So,

give us um go on to Eventbrite and sign

up. That's tomorrow, 2 PM Eastern. Thank

you. I hope everybody has a great day.

I'll see you tomorrow. Thank you

everyone. Bye everybody. Yeah. Thanks

everyone. Appreciate it. Bye. Bye. Bye.

Bye.

[Music]