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32 Dental Tribune Middle East & Africa Edition | January-February 2016 cad/cam > Page 34 By Dr. Les Kalman, Canada The importance of records can- not be overstated. Records are a legal requirement, are vital in assisting with diagnoses, and fa- cilitate treatment planning, pa- tient comprehension and labo- ratory communication.1, 2 The clinician has the choice between virtual or tangible re- cords, which may include casts, a facebow, articulation and pho- tographs.3, 4 Accurately mounted diagnostic casts provide an im- mense amount of information for treatment and that informa- tion will have an impact on the final prosthodontic plan.5 Just as the correct mounting of casts provides valuable infor- mation, so too does incorrect mounting provide inaccurate information. In addition, incorrect mounting may result in false diagnoses and possibly even altered treat- ment plans, based on errors in inter-arch space, occlusal con- tacts and force directions (Fig. 1).5 Laboratory communication with the clinician remains an important aspect, yet this has been lacking.6 Without records, communication with the labora- tory can be even more limited. Communication tools must be employed7, 8 to provide informa- tion so that laboratory techni- cians can satisfy laboratory req- uisitions. Lack of information results in guesswork, assump- tions and incorrect dental work that is ultimately returned to the dental laboratory.9 Background: MaxAlign The MaxAlign application (Max; Whip Mix) is a communication tool for the clinician that cap- tures essential patient informa- Cast mounting using MaxAlign: The clinical component tion. It is a tablet-based technol- ogy that offers a unique set of records, enabling the accurate mounting of casts complete with a patient image. Max provides a calibrated pho- tograph with clinical informa- tion and a novel technique for the mounting of casts. This case report will explore the effective use of Max to acquire clinical in formation that is vital for the lab- oratory, third-party insurance, the clinician and the patient. Clinical protocol A healthy 36-year-old female patient with a non-contributory medical history presented for consultation regarding elective anterior aesthetic treatment. Records consisted of alginate impressions using stock trays, which were poured in JADE STONE (Whip Mix), and utili - sation of Max. The Max app was downloaded onto a Samsung tablet (provid- ed) and launched (Fig. 2). Pa- tient information was input (Fig. 3). The tablet was positioned in the tablet clamps (provided) and the clamps were tightened to en- sure a vertical orientation (Fig. 4). The tablet must be placed uch that the Samsung logo is on the right, so that the camera is located to the right. The patient was in the upright position, with the occlusal plane parallel to the floor, while the tablet was placed on the instrument delivery stand (Fig. 5). Max has anatomical guides for positioning: maxillary incisor midline and edge, loca- tion of orbits and inferior facial outline. The delivery stand was posi- tioned close enough to the pa- tient for her facial features to line up with the guides on Max (Fig. 6). Cheek retractors were employed to offer a clear view of the dentition (Fig. 6). Once the patient was in the correct posi- tion, the “arm auto capture” but- ton was pressed. The tablet then captured a photograph, with a flash, of the patient (Fig. 7). Once the photograph has been taken, the clinician has the abil- ity to maximise patient position by sizing or moving the image. The width of the central incisors can be selected from the boxes (Fig. 7). Once completed, the image is saved. The next step is to verify occlu- sion. This was done with stand- ard 8 μ shimstock while the patient is in maximum intercus- pation (Fig. 8). The contacts were observed and input into the second Max screen (Fig. 9). This screen represents the quadrants of the dentition, and each box repre- sents a tooth. In order to record occlusion, one touches the box that corresponds to the teeth contacting (Fig. 9). The image and record of occlusion are saved and the operator has the our website nd. Please or some on & list you day. The or shorts, el pools or dresses in S$ 2.6 or C ing malls. d in hotels Fridays & ue. in Oman. Tap water amage to egate and s in most n a group 31st March to 1st April 2016 Grand Hyatt Hotel - Muscat, Sultanate of Oman م2016 أﺑﺮﻳﻞ ١ - ﻣﺎرس ٣١ ﻋﻤـﺎن ﺳـﻠﻄـﻨﺔ ،ﻣﺴﻘﻂ - ﺣﻴﺎة ﺟﺮاﻧﺪ ﻓﻨﺪق For General Enquiries about the conference: Call: 00968 96469393 Email: info@odsoman.org Web: www.odsoman.org P.O. Box: 536, Postal Code 130, Azaibah Sultanate of Oman 18th OIDC 18th Oman International Dental Conference ﺳﻨﺎن ا ﻟﻄﺐ ﻋﺸﺮ اﻟﺜﺎﻣﻦ اﻟﺪوﻟﻲ اﻟﻌﻤﺎﻧﻲ اﻟﻤﺆﺗﻤﺮ 2nd Announcement SHAPING THE FUTURE OF THE DENTAL PROFESSION اﻟـﺜــﺎﻧـﻲ ﻋـﻼن ا Supported by Fig. 1. Inaccurate mounting. Fig. 2. Tablet app. Fig. 3. Patient information. Fig. 4. Tablet stand. Call: 0096896469393