align iTero Design Suite Enabling Intuitive Capabilities User Guide

align iTero Design Suite Enabling Intuitive Capabilities

Specifications

• Product Name: iTero Design Suite for Bite Splints
• Features: In-house 3D printing of models, appliances, and restorations
• Supported 3D Printers: Formlabs, SprintRay, Asiga, 3DSystems, Desktop Health, Phrozen

Product Usage Instructions

Step 1: Opening iTero Design Suite
In the MyiTero portal under the Orders tab:

1. Select the order.
2. Select iTero Design Suite.

Step 2: Navigation Window
In the navigation window

• Edit order details – view or edit the indication of the teeth
  or the prescription created in the iTero Rx form.

• Design – design restoration prosthesis or splints.

• Create model – allows the fabrication of digital models.

• Print – send the restoration/model to the 3D printer.

• Open in folder – view the project files.

Step 3: Prerequisite

1. Click the Edit order details button to indicate the arch for which the Bite Splint should be made.
2. To define a bite splint, click on a tooth and select Bite Splint in the window that pops up.
3. Select Bite splint button and adjust settings like minimal thickness, peripheral thickness, and occlusal thickness. Click OK when finished.

Step 4: Bite Splint Teeth Segmentation
The wizard guides you through detecting each tooth. Click Next to proceed or Skip to define the margin line.

Step 5: Design Bite Splint Bottom
Control the retention of the Bite Splint by setting parameters for fitting. Adjust values or sliders and click Apply to proceed.

FAQ
Q: Can I skip the teeth segmentation step?
A: Yes, you can skip the teeth segmentation step by clicking the Skip button and defining the margin line instead.

iTero Design Suite Workflow guide for Bite Splints

Introducing iTero Design Suite

iTero Design Suite offers a simple way to start in-house 3D printing of models, appliances, and restorations. It is designed to transform the power of exocad into simple, intuitive, doctor- and staff-friendly design applications, to help doctors elevate the patient experience and reduce operational costs.

• Create the Rx, scan the patient and send the case.

• Select the iTero Design Suite icon on the MyiTero portal.
  Once the iTero Design Suite app opens, you can create models, design, or print with minimal clicks.

• Print the model or prosthetic using an available integrated 3D printer.

• Available 3D Printer integration during Early access program- Formlabs, SprintRay, Asiga, 3DSystems, Desktop Health, Phrozen

Upon opening the iTero Design Suite, a wizard automatically initiates, guiding you through each step of designing a bite splint, as follows:

1. Step 1: Bite splint teeth segmentation
2. Step 2: Bite splint teeth bottom
3. Step 3: Design bite splint top
4. Step 4: Free-Form bite splint top
5. Step 5: Merge and save restorations Step 6: Ready for printing

Access to iTero Design Suite is available on all iTero scanner models on an Orthodontics/Resto Comprehensive Service Plan. The Service Plan is included in the purchase price of your scanner for the first 12 months (“Initial Term”) and accessible for a monthly or annual fee thereafter. Such fee will depend on the Service Plan purchased after the Initial Term. For current fees and charges and further information please contact iTero Customer Support: Australia 1800 468 472: New Zealand 0800 542 123.

The information provided herein is for educational purposes. This message is intended for dental and healthcare professionals and is subject to applicable local laws, regulations and guidelines. © 2024 Align Technology, Inc. Align, Invisalign, iTero, are trademarks of Align Technology, Inc.

Open iTero Design Suite

In the MyiTero portal under the Orders tab:

1. Select the order.
2. Select iTero Design Suite.

Navigation window

In this navigation window, you can review, design, and print all in one place. Select the Design button to design a bite splint.

1. Edit order details – view or edit the indication of the teeth or the prescription created in the iTero Rx form.
2. Design – design restoration prothesis or splints.
3. Create model – allows the fabrication of digital models.
4. Print – send the restoration/model to the 3D printer.
5. Open in folder – view the project files.

Prerequisite

1. Click the Edit order details button to indicate the arch for which the Bite Splint should be made.
   To define a bite splint, click on a tooth and in the window that pops up, select the option Bite Splint.

2. To define the arch of the bite splint, you can click on a tooth while you hold Ctrl to apply the last selection to another tooth or Shift to apply the selection to a group of teeth.

3. Select the Bite splint button. You can also change some settings like the minimal thickness, peripheral, peripheral thickness and occlusal thickness.
   Once finished, click the OK button.

Step 1 : Bite Splint Teeth Segmentation

• The wizard begins with the bite splint teeth segmentation.
• Click on each tooth to detect it. After clicking on a tooth, the wizard will guide you on detecting the next tooth
• (it will be marked in orange).
• Click the Next button to proceed.
• Note: You can skip this step by clicking the Skip button and defining the margin line.

Step 2 : Design Bite Splint Bottom

The design splint bottom menu opens. This step controls the retention of the Bite Splint. It allows you to set the parameters for fitting. Control the parameters by typing a value or by adjusting the slider. Click the Apply button to proceed.

1. Block Out Undercuts:
   • Offset: This controls the digital spacer which is layered on the model.
   • Angle: This specifies the amount of draft angulation in relation to the insertion axis.
   • Allow undercuts up to: This is for the maximum amount of retention. If you raise this number, you raise the retention of the bite splint in the patient’s mouth.
2. Bite Splint Bottom Properties:
   • Smoothing: Controls the target smoothness of the bottom surface of the splint.
     Min thickness: This is the minimum thickness of the bite splint.

To set the insertion direction from view, rotate the model to the occlusal view and click Set insertion direction from view. You can also adjust the insertion direction by clicking and dragging the green arrow.

1. You can access the freeform tab after clicking Apply. The model now can be freeformed to increase or decrease the amount of undercut by using the different brushes provided.
   Click the Next button to proceed.

Step 3 : Design Bite Splint Top

1. Defining the margin and surface properties:
   • Left-click points around the model (on gingiva and/or teeth) to define the margin line.
   • After the parameters are set click the Apply button.
   • You can flatten the posterior area of the bite splint by selecting the Posterior area tab. Then, click two points on the splint where the posterior region starts to set the desired impression depth, and click the Flatten posterior area button.
   • Click Next to proceed.
   • Note: At this stage you can change to Expert mode and find the articulator under tools. After placing the model in the articulator, perform the simulation of the articulator movements, click Start articulator movement simulation. On the left toolbar, select Wizard to return to wizard mode.

Step 4 : Free Form Bite Splint Top

1. Under the ANATOMIC tab you can adjust the tooth anatomy by leveraging predefined tooth features (cusps, fissures, etc.) of the model teeth.
   You can select to move predefined surface area using the small or large buttons.

2. You can use brushes and mark areas to move with the brush.
   Click Next to proceed.

Step 5 : Merge and Save Restorations

The splint is ready for production.

1. I’m done: This means the design is complete.
2. Free-form restorations: Opens a free-forming tool that can be used on the .stl. output.
3. Expert mode: Under tools you can find the articulator and perform the simulation of the articulator movements.
4. Quick model design: You can perform a fast digital model design.
5. Design model: If the Model Creator module is installed, this will start the tool, and keep all the margins.

Ready for printing

The office 3D printer should be automatically preselected in the Produce fields. Click Print to print your bite splint.
Note: If your 3D printer is not preselected, click the Open in folder button to download the STL files locally and upload them manually into the 3D printer software.

The designed files are already preselected for you. Click the Proceed with printing button to send the designed model seamlessly to the printer.

For any questions you may have, please contact the iTero support

The information provided herein is for educational purposes. This message is intended for dental and healthcare professionals and is subject to applicable local laws, regulations and guidelines. © 2024 Align Technology, Inc. Align, Invisalign, iTero, are trademarks of Align Technology, Inc.

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