hello welcome to chairside live I'm Megan strong and I'm will Schmitt register dental assistant
here at Blackwell dental we're so glad you're here today because in this episode this guy is taking
us to school going to school we're going to school in the subject matter here it is in many states
dental assistants can now take digital scans that's right now not every state not every state
Florida for example doesn't quite yet a luggable assistants or hygienist sometimes to scan intra
orally so check with your local States regulations before performing any procedure that I do here
today today however we're gonna use the eye tarot element 2 scanner to get a patient acquisition
from start and then scan the lower arch for a pretreatment skin great did you hear that it
was the Bell right here class class is in session welcome to our Tarot school class is in session
let's talk today about pretreatment scanning now this could be for the patient's initial visit to
your office or a scan to record information for study models wax models and bizzle end treatments
or even appliances such as sports cards and night guards even though this video series is meant to
be an introduction to those of you who have never interacted with the eye tarot element
before it's also at basic skills refresher course for anyone with a Tarot experience but the need to
develop their skills just a little more I've got a lot of information to throw at you so let's get
started today with the basics of entering patient information and then we'll complete a lower arch
scan let's take a look at the home screen before basic menu boxes that are presented allow you to
acquire a new scan look up patients that have been previously entered review orders that are already
scanned and sent and to check messages sent by a line for general communication purposes I'm
going to keep it as simple as possible for today's presentation and start by talking only about the
new scan and existing patient options so if the skin is going to be taken on an existing patient
of record in your I Tarot system click on the patients menu box and they either scroll through
the patient list or click on the search bar and type the patient's name to find them if they don't
happen to be listed here and you need to back out of this menu and enter them manually for the first
time simply click on the small menu icon in the upper left-hand corner of the screen and return
to the main menu our patient today is a brand new patient I'm selecting the new scan option
I'm going to allow it to load and then I'm filling in all their information on this drop down menu
some of this information is required and that's designated with a small red asterisk next to the
option other information such as the chart number are optional but can assist in a records location
if you really need it since we are scanning a patient pretreatment today I'm changing the case
type to restorative this option will allow you to send this case to the lab for a variety of
pretreatment needs that I mentioned earlier due dates are set at a standard two-week turnaround
time unless you change that manually for rush cases then I'm going to designate this scan to be
sent to Glidewell dental lab as the recipient now the most important step here is to click on the
pretreatment scan box rather than to leave that area blank this is telling me I tell that no teeth
are being selected for treatment and no additional information needs to be entered on the tooth by
tooth basis any specific instruction at this point can be entered in the notes section below the
chart I want you to be as detailed as you'd like to be while entering these notes there's no such
thing as adding too much collateral info while explaining treatment requests let's get started
with this live patient example and talk about seating position and Wan technique is important
to feel comfortable while scanning the more I am straining while performing a scan the more
I'm going to start to get fatigued my preferred position is roughly 12 o'clock in relation to the
patient's body and I'll position the scanner either to my left or right at five o'clock
or seven o'clock respectively I'm holding the skinning wand in my dominant hand with my palm and
fingers facing upwards this initial hand posture is exactly the same whether I'm scanning the upper
or the lower arch my opposite hand is always standing by to retract to suction to provide a
fall chram or even act as a stabilizing guide I prefer to scan without the distraction of cheek
retractors mouth mirrors props or even suction devices that aren't meant to enter and exit
the mouth pretty quickly I almost prefer to be proficient scanning on my own I'm sure many rdas
who will be performing scans can relate you will most likely be operating without the assistance
of another staff member however in extreme cases don't hesitate to ask another assistant
a hygienist or even your own patient to help with protraction or saliva control I typically choose
the mandibular arch to begin a full mouth scan similar to the reasons why we start with a lower
full mouth impression and this is to simply build the patient's confidence in the process as you
can see I have the lower arch selected on the left hand menu I did this by just pressing on the image
of the lower arch saliva bubbles that any debris can be removed with an air blast and continued
throughout the procedure if you need to starting distal to the most posterior tooth and the arch
I'm going to initiate the scan by tapping on one of the buttons found on each side of the wand on
this first pass I'm attempting to acquire occlusal records only this patient does have both third
molars present so it's really up to you which side to begin with and feel the most comfortable as I'm
wrapping around to the anterior of this arch I need to stay more lingually inclined rather than
looking straight down at the incisal edges we're going to come back and recapture the incisal edge
details later a little side-to-side motion while moving along the occlusal surfaces of the molars
helps the wand to easily move past the cheeks and the lips especially if you're getting hung
up there now once you've made it all the way around the arch go ahead and just stop the scan
by again tapping one of the buttons found on the side of the wand I just want to review what we've
already scanned up to this point and I'll tip and turn the scan here to show all the red areas
that have yet to be acquired when manipulating this scan on screen there are a couple options
you have to view all angles of the scan using one finger moving around on the screen will rotate the
scan on its axis without actually moving it around from its centered position holding two fingers on
the screen will allow the scan to move to a new location however the scan is not going to tip and
turn similar to viewing image on a touchscreen like your smartphone using two fingers in an
opening or pinching motion will cause the scan to enlarge or to minimize I'm going to zoom in
on this portion just for a moment and show the involvement here of the cheek and the tongue in
the occlusal scan that we took I'm not worried about these interferences at all because as we
go about our lingual and buccal scans that are automatically going to be scanned out so starting
once again from the distal of the most posterior tooth on each side I'm going to scan the lingual
next however I need the scanner to recognize where I am and pick up the previous scan and
where I left off so I'll start on the occlusal surface first scan it for a few seconds and wait
until the old and new data meshes together then once the previous scan appears on screen I can
turn the wand to the lingual and start to move it around the arch I'm most concerned about skinning
the embrasures and undercut areas of the lingual now as you can see I have turned the one so it
faces almost straight up to the ceiling and I will twist it with both hands if I need to laterally
left and right as I move along this arch don't be nervous to make bold movements to capture these
hard-to-reach areas if there is any advice I can give to enhance your effectiveness during scanning
it's to always make bold and purpose-driven smooth movements now that I'm coming around to the distal
lingual of the opposite side I'm going to stop the scan once again and review it to make sure there
are no missed spots this scan looks clean so I can continue to the buccal for the buccal scan I'm
a quadrant at a time and stop the midline starting from the distal of the most posterior tooth and
the arch I'll once again scan the occlusal until the previous scan meshes together now that the
full image is displayed the Wan rocks to the buccal and moves towards the midline staying
as close to the teeth as possible to reach the difficult interproximal areas here instead of
the twisting method we used on the lingual I'm going to lift the tail end of the wand up and down
while progressing towards the stopping point at the midline just taking a quick look here before
moving to the adjacent arch and everything looks to be in order so I'm going to go ahead and move
on now I'm always starting on the flat occlusal surface allowing the scans to mesh and then I
move along the buccal in the same fashion towards the midline give every segment a quick check to
make sure you get the right information recorded the last bit of info that you need to scan for
full arches are the incisal edges you are always going to make this the last step after all other
services are completed all we need to do here is rock the wand buckle the lingual over the incisal
edges once on the right and once on the left to capture the edge details like I keep saying
I still want to start on a flatter posterior surface to help the wand mesh the scans together
maybe just start on the bicuspids until the mesh happens and then rock the wand buckled a lingual
moving towards the midline make this scan last northern three to five seconds and then review
the final scan to make sure it's complete while reviewing the final scan here's an option that I
like to take advantage of since I've been looking at the same greyscale image for so long it helps
to give my eyes some relief and change the image appearance to the high definition view I do this
by clicking on the View button located just to the lower left of the tooth chart now we
have more of a gentle color contrasted against a natural tooth color I prefer to scan in the
grayscale mode but it really is up to you whether you choose one or the other remember when it comes
to performing scans properly your comfort level directly translates to the best possible outcome
thank you well that was a great class I'm so glad we weren't tardy for that but stay tuned
because in the next episode I've got so much more information we're gonna continue with the same
patient an upper arch scan and a bite registration and send this case on to the lab alright I'll
be waiting please do so for today's episode that wraps it up on behalf of everyone here
at global dental thank you so much for watching and we'll meet you right back here next time you