Carestream 3600 FAQ

FAQ FAQ

CS 3600

Intraoral Scanner Family

CS 3600

Intraoral Scanner Family

BRACON Dental & Medical Products

CS 3600

Intraoral Scanner 1. What is the CS 3600 intraoral scanner?

The CS 3600 intraoral scanner acquires digital impressions quickly and easily using a continuous scanning workflow.

The fast acquisition times benefit practitioners, like orthodontists, who seek high speed scanning to perform full and dual arch scanning for the fabrication of digital models or appliances. The CS 3600 adapts to your needs by making digital impression capture fast, accurate and easy. It also addresses the challenges caused by tip size and orientation for scanners that feature autoclavable and reusable tips.

2. What indications can be managed by the scanner?

The CS 3600 intraoral scanner offers three main acquisition modes: restorative, orthodontic and implant-borne restorative. It can be used to acquire digital impressions to design crowns, inlays, onlays, bridges, orthodontic appliances and aligners, custom abutments and RPD. We encourage you to work with your lab to understand which indications can be managed with intraoral scans produced by the CS 3600.

3. What are the key features and benefits of the CS 3600 scanner?

There following distinct features of the scanner benefit you and your patients: • High speed continuous scanning delivers a simple, smooth and efficient user experience • Intelligent Matching System allows the user to freely complete any missing data in any area, at any time • Live scan warnings provide feedback in real time, indicating areas of the scan that lack detail and require additional scanning to optimize clinical outcomes • Adaptive hole filling automatically identifies holes and selects the appropriate anatomical color for optimal aesthetic outcome • Scan History Check allows you to go backward during live scanning process as needed to check the live scan and remove excessive tissue and mismatched data for a more refined final digital impression • Facilitates a wide range of applications, with dedicated workflows for restorations, orthodontics and implants • An intuitive, guided step–by-step user interface helps to simplify the transition to a digital workflow with word and animated tutorials embedded in the software • Autoclavable, reusable tips in three interchangeable styles optimize ergonomics while offering the user flexible choices to satisfy different clinical needs and user preferences* • Precise, accurate HD 3D color scanning provides superb image quality with vivid color and details that improve and simplify case review, analysis and communication between doctors, referrals and labs • Open system scanning provides optimal flexibility due to open .STL and .PLY file outputs, which allow for use in third-party design software 4. What makes the CS 3600 different from other intraoral scanner competitors?

Several features differentiate the CS 3600 scanner from the competition, and are the result of the preliminary feedback we received from internal and external customers combined with an examinations of competitive features of other scanners in the market.

• Three styles of tips are now available to improve patient comfort o Shortest autoclavable tip height in the market* o Provides access to difficult–to–access areas for improved clinical outcomes o Improved patient comfort during acquisition o Tips are autoclavable up to 60 times1

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• Live scan warnings that alert users of holes or gaps in the scan o A green arrow-shaped indicator shows the area and ideal direction in which the user should rescan missing information, providing real-time feedback that significantly increases efficiency while reducing the need for repetitive scanning and image rendering o Yellow colored highlights alert the user of gaps in the scan, indicating that the area needs to be rescanned for optimal detail o A green highlight alerts users of holes in the data set • HD 3D color images that best reflect reality o True color images can be viewed in full color, with highlight mode enabled, or in monochromatic mode as desired o An intuitive mesh color adjustment tool allows you to adjust color tones as needed to suit different purposes, clinical settings and personal preferences o Self-adaptive hole filling automatically identifies holes and selects the appropriate anatomical color for the optimal aesthetic outcome o Vibrant, realistic images help to improve communication with patients, referrals, and your lab • Offers optimal clinical outcomes due to: o Best-in-class accuracy o Surpasses leading competitors by delivering the best performance in terms of overall trueness2 5. What improvements have been made to enhance the specialty workflows?

Since its inception, the CS 3600 has featured dedicated restorative, orthodontic and implant-borne restorative workflows, which enable you to minimize the amount of time spent scanning.

Our latest version provides improvements to each of these workflows as follows: • The software now provides full data interchangeability between the different workflows o Allows .CSZX files to be imported into different workflows and used as needed o Provides the ultimate flexibility to customers pursuing different clinical applications or treatments on a single patient o Provides a pressure map of the occlusal surface, allowing you to better analyze patient occlusion during tooth preparation • Restorative workflow allows you to use the scanner as a standalone solution and send scans to the lab of your choice, or integrated with CS Solutions CAD/CAM restoration portfolio for chairside milling o The scan can be used in an evolutionary workflow via the Pre and Post scan feature, which allows the user to cut only the zones that have changed and then re-scan only the preparation area. This eliminated duplication of effort while saving all the necessary patient information for a comprehensive patient record o The preparation can be reworked with ease, as there is no need to completely re-scan the patient o Restoration locking tool allows users to select and lock up to six previously scanned preparation areas to prevent them from being updated by additional scanning. This feature can be used to lock retracted gingival immediately after scanning, as it might collapse and possibly degrade the scan area otherwise o Measurement Tool allows users to measure the distance between the tooth preparation and the opposing tooth o Undercut Check allows for examination of undercuts based on the selected area, helping to ensure the optima restorative outcome • A dedicated scanning workflow can be used for your orthodontic patients o An intuitive and precise user interface simplifies the digital impression acquisition process for digital models or orthodontic appliances o A convenient quadrants snapshot automatically extracts up to five 2D images from the scanned data set, saving time by eliminating the need to acquire intraoral photos

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• The implant workflow simplifies the acquisition process for the scanning of abutments or scanbodies by guiding users through each step o Dual scan mode allows the user to scan the same implant region of interest twice—once with the scanbody in place and once without—to capture more precise data o An innovative new scanbody area selection tool helps to prevent image mismatches that can occur when using multiple scanbodies on a single case 6. How does Carestream Dental determine which features to include in software updates?

It is Carestream Dental’s philosophy that our products should work to enhance—not complicate—existing workflows.

It is our goal to provide the dental practitioner with tools that make their lives easier while also improving patient comfort.

When developing software releases, our engineers and product line managers carefully consider feedback they receive from current CS 3600 users and work to design new features that improve the scanning experience for the doctor, patient, referral network and labs.

7. How does the CS 3600 improve scanning workflow?

Primarily, the CS 3600 offers a high-speed continuous scanning workflow. The CS 3600 features an Intelligent Matching System, which allows you to simply move and scan without the need for a capture button. This greatly simplifies the scanning process by enabling you to freely complete any missing data and to jump to any position positioning in the mouth. You can add additional data at any time without the need to tell the system about where you are or follow a specific direction or protocol, which lets you freely fill in any missing scan data at any time.

Additionally, a series of online scan warnings alert you of any holes or gaps in the scan, allowing you to fill in missing data while the patient is still in the chair, and self-adaptive hole filling automatically selects the appropriate anatomical color of the optimal aesthetic outcome. These intuitive tools help to eliminate the painful cycle of refining, checking the scan and going back to fill in missing data.

8. What differentiates the CS 3600 scanner tip from other scanner tips?

The CS 3600 scanner uses medical grade autoclavable plastic tips, which can be reused up to 60 times. The tips are available in three styles—a normal tip for anterior scanning, an innovative side oriented tip specifically designed to address the challenges associated with scanning buccal, occlusal surface and interproximal areas, and a small posterior tip that features the shortest height of any autoclavable tips in the market.* 9. Does this intraoral scanner require the use of an external heater?

No, the CS 3600 does not require an external heater. There is a heating element inside the tip; the temperature is less than 41 C/105 F. The heater helps prevent fogging of the mirror, which is located at the end of the scanner tip. To enable the anti-fog feature, place the tip on the CS 3600 and allow the scanner to warm up for approximately three minutes before beginning the acquisition.

10. Does the scanner require powder or liquid for scanning?

The scanner does not require powder or liquid for scanning. However, in some situations, where the item to be scanned is uniform in dimension and highly reflective (a standard abutment, for example), the use of an anti-reflecting powder or liquid may be necessary. Alternatively, a micro abrader (sand blaster) may be used to roughen the highly reflective surface to decrease the reflection.

11. What type of configurations will the CS 3600 intraoral scanner support?

The CS 3600 scanner has a wired configuration and does not require the use of a trolley, although a trolley can be used if desired.3

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12. How many 3D images can be stored when using the intraoral scanner?

The CS 3600 scanner is connected to a PC, and the amount of 2D and 3D images that can be stored are based on the PC’s hard disc capacity. The CS 3600 allows the user to select 2D images from the 3D mesh as needed, without additional acquisition. Please refer to the user guide for additional details on this feature.

13. What type of images will be stored?

The CS 3600 acquisition software is included in Carestream Dental’s imaging software; the 3D files are automatically stored as DICOM files and the user-selected 2D images are stored as .JPG files.

14. How can a dental lab get the data from the dental practice?

The CS 3600 scanner generates a DICOM file in Carestream Dental’s imaging software. If you want to send the data to a dental lab, the file can be exported as either an .STL, .PLY or Dental Project format (for use with exocad) file. The CS MeshViewer can be installed by anyone who needs to review cases – whether a referral or a lab. It can be used to view the data including the margin line (where needed and export the data in .STL, .PLY or Dental Project format.

15. Are there scan or export fees with the CS 3600 scanner?

No. The CS 3600 is an open system scanner, with no click fees.

16. Do I need to identify a primary lab for use with the scanned digital impressions?

No, because the CS 3600 is an open system scanner, you can utilize any lab you desire that accepts open format .STL or .PLY scans.

17. What is an open system?

An open system means that the CS 3600 data file can be sent to any dental lab that has open system CAD software, like 3Shape, Dental Wings or exocad. The CS 3600 data can be imported into the CAD software for designing restorations, appliances or digital models. Once the design is complete, the case can be sent to the lab’s CAM system to mill or print.

18. Who is responsible for identifying and marking the margin line for restorations?

A powerful, automatic 3D cervical margin line tool identifies the margin line and allows the doctor to mark and adjust the margin line immediately after the acquisition process—while the patient is still in the chair. The doctor can share the marked margin line with the lab via the CS MeshViewer, which allows the lab to view the margin line in full color, helping to improve communication with the dental lab.

A URL link for downloading the latest version of the CS MeshViewer will be provided for the doctor to send to the lab via email. The link will be displayed on the mesh viewer when the doctor exports the DICOM file. The lab then can mark the margin line as needed in their CAD software, using the doctor’s marked margin line identification as a guide 19. Can the CS 3600 scan traditional tooth impressions and tooth plaster models?

The CS 3600 can be used to scan plaster or stone models; however, it cannot be used to scan an impression.

20. Will we be able to easily share the scanner between several operatories?

Yes, the scanner can be easily shared between several operatories without the need for a heavy trolley. This enables dental professionals to optimize their investment and accelerate the return on that investment.

21. What are the sizes of the export files for quadrant scans? .STL files are10 mb for a quadrant scan.

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22. What scanning technology does the CS 3600 intraoral scanner employ?

The CS 3600 intraoral scanner uses projected light and surface mapping to generate 3D images. It combines high frame rate scanning with focus detection; automatic redundancy removal; automatic soft tissue removal; and HD 3D texture mapping.

23. Does the CS 3600 integrate with CS OMS Imaging and CS Orthodontic Imaging software?

Yes, the CS 3600 integrates with CS OMS Imaging and CS Orthodontic Imaging software. Additionally, the CS 3600 provides dedicated scanning workflows for restorations, orthodontics and implants.

24. Does the CS 3600 acquire orthodontic study models?

The CS 3600 integrates with CS Model software, which generates a digital model from a completed dual arch scan.

25. Is the CS 3600 intraoral scanner capable of scanning patients currently in orthodontic appliances?

Yes, the CS 3600 scanner has demonstrated the ability to scan metal, composite and ceramic brackets. For best results, remove the patient’s arch wire prior to initiating the scanning process. In some situations, such as scanning ceramic or highly reflective surfaces, the use of an anti-reflecting powder may be necessary.

26. Can the patient’s soft tissue palate be scanned?

Yes. The CS 3600 is capable of scanning both complete arches and the palatal surfaces.

27. How does the implant scanning workflow differ from the restorative workflow?

The implant scanning workflow allows the user to efficiently scan scan bodies for fabrication of custom abutments.

The implant scanning workflow offers two types of workflows depending on the type of abutment: a) If the user chooses Standard Abutment, then he/she will be directed to Restorative workflow. b) If you select Custom Abutment, as in most cases, then you will enter the dedicated dual-scan workflow, in which areas of interest can quickly be scanned twice—once with a scanbody present, and once without. This allows the lab to clearly see the gingiva and visualize the emergence profile while also being able to determine the position of the placed implant so the custom abutment can be properly designed.

Please note that when there are multiple scanbodies next to each other in the patient’s mouth, it’s highly recommended to install and scan them one by one.

Additionally, split-screen capability allows for side-by-side comparisons of digital impressions with and without the scanbodies and/or abutments in place.

CS 3600 Access Intraoral Scanner 1. What is the CS 3600 Access intraoral scanner?

The CS 3600 Access intraoral scanner allows you to enjoy the benefits of digital impression scanning at an affordable price. This intraoral scanner provides you with the same quality, accuracy and efficiency of the CS 3600, but with monochromatic scanning.

2. Is the CS 3600 Access upgradeable to full color scanning?

Yes, the CS 3600 Access scanner can be upgraded to full HD 3D scanning via a software update. Contact your dealer or Carestream Dental sales representative to request a software upgrade.

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3. Are there any other differences in the software features other than the color?

Yes, since the CS 3600 Access provides monochromatic images, it does not offer the following features: • 2D color image extraction • Mesh color adjustment tools • Highlight view option • Self-adaptive hole filling, which automatically identifies holes and selects the appropriate anatomical color for the optimal aesthetic outcome The CS 3600 Access does offer orthodontic quadrant snapshots: however, they are provided in monochromatic color.

TECHNICAL SPECIFICATION OVERVIEW 1. What do you receive when you purchase a CS 3600 scanner?

CS 3600 purchases include the following: • One scanner • One power adapter (a power box and USB cable) • Two normal tips • Two side-oriented tips • One flash drive containing the driver (software), 3D Mesh Viewer, and user documents • One holder • One tooth phantom The CS 3600 scanner is shipped with the firmware already installed, and it can also be upgraded via the software once in the customer’s office.

Please note that the small posterior tip is an optional accessory and it not included with the purchase of the scanner.

Users can order the posterior tip separately depending on need.

2. Will the CS 3600 scanner be compatible with both Windows and Mac systems?

The CS 3600 intraoral scanner is compatible only with Microsoft Windows 10. It is not compatible with Mac operating systems or previous versions of Microsoft Windows. Additionally, the PC must meet the PC minimum requirements to run at optimal high-speed.

3. Is the CS 3600 acquisition software stand-alone?

No, the CS 3600 acquisition software is not stand-alone; it must be installed with Carestream Dental’s imaging software.

4. How will the CS 3600 work with a PC/laptop?

The CS 3600 intraoral scanner connects directly to the PC via USB and uses the built in USB drivers to connect to the PC without the need for a docking station. The system includes a countertop/wall mount holder to support the handpiece when not in use.

5. Will there be a power supply for the CS 3600?

There is a separate power supply for the CS 3600.

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6. How can we clean the scanner?

Disinfectant solution can be used to clean the scanner, but the intraoral scanner body is not waterproof. The material used by the intraoral scanner has been selected to support disinfectant products. The user should refer to the user guide for specific details on which disinfectant solution to use. The medical grade plastic tips can be sterilized in an autoclave (prion cycle) up to 60 times.1

PURCHASE, INSTALLATION, SERVICE AND SUPPORT 1. What type of warranty will the CS 3600 scanner have?

The CS 3600 includes a 2 year warranty for parts. Warranty extensions are available.

2. Is there an option to purchase an extended warranty?

Extended warranty options are available—please contact your Carestream Dental sales representative or dealer for additional information.

3. What training is provided with the purchase of the CS 3600 intraoral scanner?

A series of online recorded training classes have been developed and can be accessed via the Carestream Dental Institute or the following URL: www.carestreamdental.com/3600training

BRACON Dental & Medical Products

Bracon Limited • Unit C • Swife Business Park • Burwash Road • Broad Oak • Heathfield • East Sussex TN21 8UP t: +44 (0)1580 817000 f: +44 (0)1580 819455 e: sales@bracon.co.uk w: bracon.co.uk

©Carestream Health, Inc. 2016. 15984A AL CS 3600 FQ 0917 *Posterior tip is a work in progress, not available for sale pending medical device regulatory clearances and registrations Tips can be autoclaved up to 60 times if the exposure is limited to 134˚C at no more than 4 minutes.

Imburgia et al. BMC Oral Health (2017) 17:92 DOI 10.1186/s12903-017-0383-4 Carestream Dental does not provide or sell trolleys.

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