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ProMax 3D

ProMax 3D. ProMax 3D – Cone Beam Volumetric Tomography all in one 3D Panoramic Tomography Cephalometry Simple and easy patient positioning Robotic SCARA movement, adjustable volume place Selectable image volume size Latest flat panel technology Pulsed X-ray generator. all in one.

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ProMax 3D

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  1. ProMax 3D • ProMax 3D – Cone Beam Volumetric Tomography • all in one • 3D • Panoramic • Tomography • Cephalometry • Simple and easy patient positioning • Robotic SCARA movement, adjustable volume place • Selectable image volume size • Latest flat panel technology • Pulsed X-ray generator all in one

  2. Upgradeable to all Planmeca ProMax units New diagnostic possibilities – in dental office

  3. Planmeca ProMax Easy modality change

  4. 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)‏

  5. 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

  6. 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

  7. Stitching – 3D Large View • Stitches 2 or 3 volumes together horizontally or vertically • Increases the volume sizediameter -> 16cmheight -> ~13 cm

  8. Stitching examples Stitching – 3D Large View

  9. Imaging modes • High resolution mode • Very high resolution for high precision imaging • 0.16 mm voxel • Effective exposure time 12 s • Patient dose 50% lower than before • Normal resolution mode • High resolution with 50% lower dose • 0.32 mm voxel • Effective exposure time 12 s • Optimized for implant planning in Simplant and Procera • Small volume size 30 MB • Low dose mode • 0.32 mm voxel, lower resolution • Effective exposure time 2.8 s • 90% lower dose • Small volume size 30 MB • Used in Large View mode

  10. Planmeca Romexis Planmeca Romexis software modules for 3D imaging • 3D Explorer • 3D panoramic view • Implant planning • 3D Viewer • DICOM Comprehensive viewing tools

  11. Planmeca Romexis 3D Explorer • 3D volume viewing: • Image acquisition • sagittal, coronal and axial views • real time adjustable viewing angles • contrast & brightness • measurements • export as DICOM • Quick Launch • Fast and convenienat multi-planar projection viewing

  12. Planmeca Romexis 3D Panoramic module • Focal through path defined by user on axial view • Layer thickness selectable and constant • No redundant shadows or artefacts • Constant magnification • Free selectable panoramic layer

  13. Planmeca Romexis 3D panoramic No redundant shadows conventional pan 3D panoramic view

  14. Planmeca Romexis 3D Cross Sections and Implant planning modules • 3D panoramic with adjustable cross section views • Mandibular nerve marking • Measurements • Implant placement • Implant models

  15. Planmeca Romexis 3D Viewer • Included in CD with 3D studies • Basic viewing and measurements • Includes Explorer, Panoramic and Cross Section views depending on master licence • Requires Java • Enables 3D study viewing remotely

  16. Planmeca Romexis 3D DICOM • Standard: • DICOM media import/export • DICOMDIR import export • Optional: • DICOM Storage • DICOM Print • DICOM Worklist • .... 3D image transfers via DICOM

  17. 3D Quick Launch Planmeca Romexis 3D Explorer with Quick Launch Button • Starts alternative implant planning software through DICOM : Simplant, Cybermed N-Liten3D • Transfers open patient study and patient ID • Fast and convenient integration: • Romexis 3D Explorer is used to control and acquire ProMax 3D study • 3rd party software is used to manipulate the study as desired

  18. 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 • Optimum for orthodontic imaging

  19. 3D Technology • CBCT - Cone Beam Computed Tomography • CBVT - Cone Beam Volume Tomography • Technological advance from traditional fan beam CT • Image data is a cylinder, not a set of single slices • Click here to play movie

  20. 3D Technology • One 18 second scan • 194 degrees scan angle • 300 snap shot images taken with synchronized X-ray pulses • Stroboscopic effect for maximum clarity of the images • Accumulated X-ray exposure time is 2.8 – 8.3seconds – reduced dose

  21. 3D Technology Pulsed X-ray produces sharp images with less dose.

  22. 3D Technology • 300 basic images • Proprietary 3D reconstruction algorithm • Image volume is 8 x 8 cm cylinder of 120 million voxels • Voxel size 160 x 160 x 160 µm • Corresponds to 3 lp/mm (Nyquist)‏

  23. Conventional imaging chainwith Image Intensifier 3D Technology – Flat Panel Planmeca ProMax 3D flat panel imaging chain X-ray Tube – Patient – Flat Panel- Digital Image X-ray Tube – Patient – Image Intensifier – TV Camera – Digital Image Modern Flat Panel Technology for maximum performance

  24. 3D Technology – Flat Panel • Image intensifier has both distortion and brightness non-uniformity which is absent from the flat panel detector • Image intensifier needs periodical maintenance. It has limited life span 3-6 years. • It is sensitive to magnetic or electrical fields. • It is over 60 years old technology.

  25. 3D technology – Tube Current Modulation • Different attenuation properties across and along the patient's head • Tube current (mAs) can be dynamically adjusted • Reduces patient dose and improves image quality less more

  26. Medical CT with 0.6 mm slice: fan beam 16 spiral rounds continuous X-ray 3D vs Medical CT • Planmeca ProMax 3D: • cone beam • 194 degrees = half a circle • 18 seconds scan • 6 seconds pulsed X-ray Medical CT is decades old technology

  27. Planmeca Promax 3D and N-Liten Planmeca ProMax 3D works with N-Liten

  28. Planmeca ProMax 3D and Simplant Planmeca ProMax 3D works with Simplant

  29. Planmeca ProMax 3D and Procera Planmeca ProMax 3D works with Procera/NobelGuide Nobel Guide impression with markers

  30. Radiation dose • Radiation dose of CBCT 30- 900 µSv • Same level as 5-10 panoramic images • Same level as full mouth series with film • Essentially lower than medical CT • ProMax 3D 45-200 µSv (8 x 8 cm), 18 – 80 µSv (4 x 5 cm) Medical CT 1200-3300 uSv Dr Stuart White, UCLA Dig. Pan 4.7-14.9 uSv FMS 150 uSv Dr Sharon Brooks, O of Michigan Low radiation dose compared to medical CT

  31. Planmeca ProMax 3D vs Sirona Galileos

  32. Planmeca ProMax 3D vs Sirona Galileos

  33. Planmeca ProMax 3D vs i-Cat

  34. Planmeca ProMax 3D vs i-Cat

  35. More information: Osku Sundqvist Product Manager, Software tel: +358 20 7795 793 osku.sundqvist@planmeca.com The End More information: Erkki Hiltunen Product Manager, X-rays tel: +358 20 7795 456 erkki.hiltunen@planmeca.com

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