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IT-Based dental clinical and educational systems

Planmeca Group, Helsinki Finland

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IT-based dental clinical and educational system

-Planmeca Group - 36 years of pioneering innovations, -Complete range of dental care & diagnostic products-Worldwide leadership in total digital solutions

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Planmeca – the worldwide leader

- 97 first to launch direct digital pan- 98 pioneering all-in-one IT-integration- World record with OPG:s- World No 1 - US No 1- China No 1- Japan No 1 imported- Europe No 1- Australia – very large installed base of units and OPG:s- Made in Finland - simple intelligence- State of the art quality systems

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Leader in new technology, new products

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Unique innovations and technology

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New generation of imaging technology

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Dedicated project partner for universities and hospitals, solid service network

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Some reference cases

• University of British Columbia（UBC)• University of Maryland Baltimore（UMB)• University of Copenhagen• Charles Sturt University (Australia)• University of Moscow• University of Turku, Finland• Dublin dental hospital• University of Helsinki, Finland• UPC Viseau, Portugal• Prince Philip dental school, Hong Kong• Otago University, New Zealand• Riga University, Latvia• University of Tromssa• Etc.

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Modern dental education

• Characteristics of modern dental education• Today’s young have grown in

a digital world, education should also exploit the capabilities

• Utilizing digital channels and IT enabled pedagogical solutions

• Learning environment that simulates real treatment environment

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Modern dental education

• Planmeca’s approach• To create modern learning environment that simulates real

treatments and real processes related to dental care• Features designed for university clinics and teaching hospitals

(e.g. micromotor speed limitation, enforcing waterline flushing)

• Seamless integration of hardware and software• To develop interactive tutoring and centralized advisory

system that enables remote monitoring, management, and recording of all workplace activities

• Instructor can focus on students, not paperwork and administration

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Interconnected Digital Dental Equipment,Overview of some benefits with Romexis-

software based hardware integration

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Interconnected Digital Dental Equipment

• Software integration with dental care units and X-ray units provides comprehensive data collection possibilities

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Ergonomic Data and Evaluation

• Using ergonomic data to evaluate students

Inappropriate use of turbine?

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Dental Unit Monitoring

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Digital Unit Control System

• Planlink Enabled• All chair events

recorded into database• Bilateral communication

PlanlinkInterface

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Dental Unit Management

• Mass upgrade dental unit software over network to control future hardware.

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Mileage Recording

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Mileage Reporting

• Reporting units that are approaching service limits

• Allows servicing units in relation to their usage level

• Provides quantative basis for maintenance planning

• Reporting units that are not receiving due cleaning

• Provides measure of clinic utilization level

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Mileage Report

• Units not serviced in last 300 days

• Units used over 2000 hours

Only 2/7 match

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Interconnected Digital Dental Equipment, intraoral diagnostic

• Software integration with dental and X-ray units provides comprehensive data collection in

Radiology

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Interconnected digital dental equipment, all x-ray diagnostics

Advanced tool for acquiring , viewing, storing and enhancing x-ray images

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Interconnected digital dental equipment, ProMax 3D CBCT integration with same software, Romexis

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Simple and easy patient positioning

• new patient support for 3D imaging

• patient standing or sitting

• kV/mA automatically selected according to patient size (possibility to overdrive)

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Imaging modes• High resolution mode

• Very high resolution for high precision imaging

• 0.16 mm voxel• Effective exposure time 8.3 s• Patient dose 50% lower than

before• Normal resolution mode

• High resolution with 70% lower dose

• 0.16 mm voxel• Effective exposure time 2.8 s

• Low dose mode• 0.32 mm voxel, lower

resolution • Effective exposure time 2.8 s• 90% lower dose• Small volume size 30 MB• Optimized for implant

planning in Simplant and Procera

• Used in Large View mode

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3D image volume location

Pre-programmed areas for• dentition • TMJ and ramus• Ear• Sinus• Vertebrae• Airways

• Position adjustment possible with SCARA arm

• Fine adjustment with joystick

• Easy positioning

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3D image volume sizes

(dia mm x height mm)•Full Size 80 x 80•Maxilla 80 x 50 •Mandible 80 x 50

•Molar Maxilla 40 x 50•Molar Mandible 40 x 50

•Programs to match diagnostic task•Minimize radiated volume

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Stitching – 3D Large View

• Stitches 2 or 3 volumes together horizontally or vertically

• Increases the volume sizediameter -> 16cmheight -> ~13 cm

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Stitching – 3D Large View

Stitching examples

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Planmeca ProMax 3D and Cephalometry

Digital Ceph ideal for cephalometry

•all information for orthodontic planning

•lower radiation dose•faster procedure

•3D to be used for detailed e.g. occlusion views, inpacted teeth etc.if needed•same Promax unit for both studies

Planmeca ProMax 3D with digital pan/ceph optimum for orthodontic imaging

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X-ray Tube – Patient – Image Intensifier – TV Camera – Digital Image

X-ray Tube – Patient – Flat Panel- Digital Image

Modern Flat Panel Technology for maximum performance

3D Technology – Flat Panel

Planmeca ProMax 3D flat panel imaging chain

Conventional imaging chainwith Image Intensifier

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Interactive and IT-enabled learning environment - Planmeca Simulation Systems -

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The modern dental education - Interactive and IT-enabled learning environment

Simulation

PC

Romexis

LAN

RomexisServerDatabas

e

Teacher’sWorkstatio

n StudentLaptops

IntraX-

Ray

Simulation

PC

Romexis

Simulation

PC

Romexis

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From simulation into a clinical environment

•The Planmeca all in one concept provides a comprehensive solution for preclinical, clinical and research environments due to its seamless hardware and software integration of all different dental treatment elements

a) Planmeca Advanced Simulation Workplace(bench simulation)

b) Planmeca Interactive Digital Simulation free standing workplaces

c) Clinical environment

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• Simulates a modern and ergonomically advanced high-tech dental unit• Built on the Planmeca simulation desk system and Planmeca Compact i

digital dental unit control system• Enables 2 or 4 handed work and it is instantly left & right convertible

Advanced Simulation Workplace(bench simulation)

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End-of-the-day position

•Torso and simulation head can be positioned away

•Facilitates maintenance of the whole workplace

•The storage position is with a torso upright in a 90 degree position

•It is possible to completely remove the torso assembly

•Allows for conversion of the simulation station for alternative applications (technicians e.g.)

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Dimensions

• The minimum depth of the double cell row is 1100 mm• Grouping 4, 6, 8, 10, 12, 14, 16

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USA - University of Maryland

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University of MarylandUSA, University of Maryland – ROOM B – 90 Planmeca Advanced Simulation Workplaces

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Interactive digital simulation system

• Stand-alone simulation system

• Torso with motorized vertical movement

• Electrical instruments with Plug&Perform quick connectors

• Virtual patients and clinical cases can be created with Romexis software

• The most advanced technological platform allowing extension to specialist education e.g. implant training

Intelligent and extensible simulation concept

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University of MarylandUSA, University of Maryland – ROOM C – 80 Planmeca Interactive Digital Simulation Systems

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Stimulating learning platform

• The digital control system of the simulation system provides an electronic documentation tool for educational purposes (PMUAPI)

• Virtual patients and clinical cases can be created in Romexis software

• All the necessary elements of modern dentistry can be included from the very early stage of dental training

• Education to all elements of the digital clinical setting from the very beginning

• Active learning

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Triangle furniture combines perfectly with Planmeca dental units and simulation

systems

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Romexis - Background

• The European Project EC-TAP-ORQUEST (ORATEL)

• Aim to create an integrated clinical workstation: platform with unit-integrated LCD with mouse / pointer control, voice input, seamless integration of dental record and imaging software

• Developed as part of ORQUEST in the University of Uppsala, the CMD (Center for Human-Computer Studies) and in cooperation with other leading dental universities worldwide

• DRI concept development based on WHO and FDI standards

• Commercialized and implemented by Planmeca as an integral part of Planmeca ”all in one concept”

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Romexis Software

• Patient management• Digital Patient record

• Medical and Dental history• Case history

• Oral examination & diagnosis• Treatment plan & progress notes

• Includes dental unit usage data and x-ray exposure data

• Approval process for X-rays and treatment plans• X-ray imaging• Clinic Operations Management

• Remote monitoring and control for dental units and x-rays for remote assistance and easy maintenance

• Administration tool• User rights, image templates, materials etc.

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Quality Assurance and Patient Safety

• Approval process controls both treatment and imaging:• Student treatment plan

accepted by supervisor with digital signature

• Student allowed to continue with treatment only with an approval - excellent basis for student assessment

• X-Ray exposure can be disabled – increased radiation hygiene

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Clinic Environment

• PC• LCD screen• Ergonomic keyboard and

mouse access• Intraoral camera for

documenting work• Digital integration with

educational software• Overview video camera• Access to teaching materials

and research• Access to multimedia

detailing correct procedures

Seamless integration of modern technology

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Benefits to Universities

• State of the art solution to:• Attract top end students with cutting-edge

learning environment • Support student assessment

• Allows skill-level based evaluation • Objectivity, adaptability • Data captured automatically on-line

• Hardware linked to patient progress notes data:• Database opens new horizons for research:

• Ergonomics• Epidemiology• Treatment workflow• Efficiency

• Full access to entire clinical audit trail

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Summary of Benefits

• High quality clinical documentation generated in an effortless way• Usage information of the dental chair and instruments included in clinical

documentation automatically• X-ray image information included in clinical documentation automatically• Approval process -> Safety and Quality Control• Excellent for student learning purposes -> logical menus• Excellent for student evaluation• Full access to entire clinical audit trail• Possibilities for scientific research, epidemiology• Lower Dental Unit TCO

• Less chair-side visits• True remote user assistance made possible• Scheduling of timely maintenance only when really needed• Reduced operatory downtime

• Improved hygiene• Hygiene procedures are logged• Unclean units can be locked until clean

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Questions to ask when choosing IT-based dental solutions

• How many different software-solutions included? – potential incompatibility?

• Does the manufacturer make and provide both software solutions and a full range of seamlessly integrated dental equipment?

• Does the system provide added efficiency and quality assurance for the whole clinical and educational process or suboptimizing small parts?

• Does the manufacturer have a solid worldwide track record with major position in major markets?

• Is the manufacturer truly a long-term operator in the field of advanced solutions?

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Why Planmeca is a good partner?

• Long history of R&D and global operations• Complete product range, understanding of total

processes comprehensively• Cumulated knowledge on advanced IT-based

systems for clinical and educational work. Flexible, localized approach

• Strong local support• Advanced technology, but simple usability,

Finnish everyday practicality• Choosing a Planmeca-product means full

possibilities for future IT-based upgrades

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Why Planmeca is your best partner?

Planmeca´s 36 years of worlwide success is based on uncompromised care for individual customers

Thank you for your attention!