Assign Brackets
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Assign Brackets

The Dental Examination page appears in a new model order until the model has been returned for review.

Although you can view the Brackets/Attachments tab from the patient overview, you must use the Brackets tab on the Dental Examination page to record a patient’s bracket prescription and manage bracket sets.

You have the option to enter the patient’s bracket prescription before or after the bonding appointment. However, the information must be entered or updated prior to submitting the therapeutic model or update scan orders. A current and correct bracket prescription is required by the Digital Lab to process scans and  create custom archwires. Each jaw must have a minimum of 6 brackets assigned. Otherwise the order is placed in a Provide Information state and cannot be processed until you add the additional brackets.

You can assign one bracket at a time or you can assign a bracket set. If you mix labial and lingual brackets on a single jaw, a warning appears. Select either the Labial or Lingual button to indicate which treatment type you want. Likewise if you mix treatment types between jaws, i.e. if you choose lingual brackets for the upper jaw and labial brackets for the lower jaw, a warning appears, asking if you are certain you want to bond the brackets of each jaw differently. You must click either Yes or No to proceed.

Why is identification of the brackets  important to a SureSmile patient's treatment?

The accuracy of each bracket model is critical since brackets are part of the formula for computing the patient's custom wire design. To determine a bracket's position relative to a tooth, Digital Lab software runs a registration process to precisely position the bracket from the bracket library to the scan data.

Different slot size warning

When you add a bracket to a dental exam that already contains one or more brackets (or a bracket set, you get a warning if the slot size of the bracket being added is different from the slot size of those brackets already added.

If you really intend to add a bracket with a different slot size, click Apply. If you intend to add more brackets for this case with different slot sizes, select the Ignore further warnings check box.

Show intra-oral photos during bracket selection

When you select a tooth on the Dental Examination page and click Apply bracket..., the Brackets window opens and displays an intra-oral photograph appropriate to the tooth selected.

If the tooth selected is.. Then the photograph displayed is..
U or L 2-2 frontal
UR or LR 8-3 right buccal
UL or LL 3-8 left buccal
U or L 8-8 bonded lingually U or L occlusal

Select a single bracket

To assign a single bracket, follow these steps:

  1. From the patient overview, click a product in the timeline or click New and select the product you want to create.
  2. On the Dental Examination page, click the Brackets tab.
  3. Double click on a tooth or click the Assign Brackets button.
    Result: The Bracket Selection dialog box opens. The list is filtered for the type of tooth selected in the tooth chart. The list contains a picture of the bracket and a textual description including order number and prescription.
  4. To filter the list, select from the vendor, family, slot width, quadrant and tooth drop-down lists. Uncheck or check the Use Bracket Preference filter as needed to apply the filter or to temporarily remove the filter to see the full list of brackets.
  5. To further refine your search, click the More … button.
    Result: The Additional Filter window opens.
    1. Click any of the drop-down arrows to select additional bracket features. Click the Clear button in the Additional Filter window to quickly reset all selections to any.
      OR
    2. Type the manufacturer’s part number in the Part No. field.
      Result: As you type, the bracket list narrows to include brackets that match the partial number until you finish typing the number that corresponds to one bracket.

Note: Gold brackets are not acceptable for CBCT scanning.

  1. (Optional) If the patient's images have been uploaded, click the Show Images button on the right top of the dialog box to display a patient photo. Click Select Image... to select the appropriate photo. This feature can be very useful as you assign brackets as you can check the bracket you select against the bracket shown in the patient's photo.
  2. Click the appropriate bracket in the list at the bottom of the window, and then click Apply & Next to continue selecting brackets.

Tip: You can use your keyboard arrows to navigate the list of brackets, and you can use the keyboard shortcut ALT+a (Chrome browser) or ALT+SHIFT+a (Firefox or Safari browser) instead of clicking the Apply & Next button.

The list at the bottom of the window changes as you make each selection.

  1. Repeat steps 5, 6, and 7 until you have assigned all of the brackets.
  2. Click OK to close the Bracket Selection window.

 

Mark as Bonded or Not Bonded

You can assign brackets to the patient at the beginning of treatment, at the bonding appointment, or at any other time prior to ordering a therapeutic model. The Mark Bonded/Not Bonded buttons allow you to distinguish between the bracket prescription planned for this patient and brackets that are actually bonded.

On the Brackets tab from the patient overview or from the dental examination page, you can distinguish bonded brackets from unbonded by the background of the bracket: a white background indicates not bonded. If it is bonded, a green background indicates labial brackets and a blue background indicates lingual brackets.

The following table explains when to use these buttons on the Brackets tab. To affect a single tooth, you must first select it in the tooth chart.

Button When to Use
Mark Bonded The tooth has been bonded with this prescription.
Mark Not Bonded Prescription has been determined, but the tooth will be bonded later.
Mark All Bonded The patient has been bonded with this prescription, or the bonding tray has been checked.
Mark All Not Bonded Prescription has been determined, but the patient is not bonded.

When setting up the bonding tray, check the tray against the brackets assigned for this patient. They must match. If the tooth chart is not current, follow the steps for updating the dental exam and assigning brackets.

If the bracket assignments are correct and the patient is bonded, click Mark All Bonded.

Select a bracket set

To assign a bracket set, follow these steps:

  1. On the Dental Examination page, select the Brackets tab.
  2. Click Assign Bracket Set(s).
    Result: The Bracket Set Selection window opens.
  3. Select an existing bracket set from the drop-down list, such as Ormco Mini Diamonds.
  4. To modify or remove a single bracket click the Modify or Remove buttons. When you click the Modify button, the Bracket Selection window opens. Make your changes and click OK to return to the Bracket Set Selection window.
  5. Use the Target drop-down list to apply the bracket set selection to All Teeth, Upper Jaw Teeth, or Lower Jaw Teeth.
  6. Click Apply.
  7. Click Close to close the Bracket Set Selection window.

    Note: After you apply a new bracket or bracket set and submit the therapeutic model, the changes are logged in the product notes associated with that model.

    Important: Gold brackets are not acceptable for CBCT products such as CBCT scans or premium models.

    View the 3D model of a bracket

    If you want to see different angles in the 3D bracket display, follow these steps to rotate the bracket:

    1. In the chart at the top of the page on the brackets tab, click the bracket that you want to rotate.
      Result: The bracket appears in the large view on the left side of the page.
    2. Point to the large image of the bracket, and click to drag the bracket until it is in the appropriate position.

    Remove a bracket

    To remove a bracket, follow these steps:

    1. From the Dental Examination page, click the Brackets tab.
    2. Click to select a bracket that you want to remove.
    3. Click Clear Bracket.

    Remove all brackets

    To remove all brackets, follow these steps:

    1. Click Clear All Brackets.
      A confirmation window opens.
    2. Click OK to remove all brackets, or Cancel to keep the current bracket assignments.
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