coDiagnostiX

[Brett Hansen CDT]

We recently purchased coDiagnostiX to fabricate our surgical guides. I was just wondering if anyone else has experience with this software. What's your workflow? How do you attain the doctor's approval before fabricating the guide? I was using BlueSkyPlan before we bought this software.

 

[KingGhidorah]

Yep, workflow is real easy with codiagnostix. All your steps are numbered so you just run through them as numbered. The only time I’d go out of order is to get the STL loaded up sooner rather than later. Then there’s the icon directly to the left of the number 1, which is also a step you got to do, but isn’t numbered for some reason. I always would also design my crown in 3shape and bring it into codiagnostix as an extra STL. Also, when you’re doing the implant placement, a couple icons to the right of the numbered workflow there’s a little implant icon that will align all your views to your currently selected implant, so you can do a 360 view around the implant, as opposed to slices along the jaw. I kept that view active nearly constantly and would do the majority of my placement using that view.

As far as doctor approval I’d just use teamviewer and run them through the placement, and then have them sign a waiver that they reviewed everything and all that stuff

 

[Brett Hansen CDT]

Yep, workflow is real easy with codiagnostix. All your steps are numbered so you just run through them as numbered. The only time I’d go out of order is to get the STL loaded up sooner rather than later. Then there’s the icon directly to the left of the number 1, which is also a step you got to do, but isn’t numbered for some reason. I always would also design my crown in 3shape and bring it into codiagnostix as an extra STL. Also, when you’re doing the implant placement, a couple icons to the right of the numbered workflow there’s a little implant icon that will align all your views to your currently selected implant, so you can do a 360 view around the implant, as opposed to slices along the jaw. I kept that view active nearly constantly and would do the majority of my placement using that view.

As far as doctor approval I’d just use teamviewer and run them through the placement, and then have them sign a waiver that they reviewed everything and all that stuff

Thanks! I am absolutely designing the crown in 3shape as you described.

 

[KingGhidorah]

My only complaints with codiagnostix is that the tools to align the cbct and STL aren’t quite as robust as some other softwares I’ve used, and also the measurement system is kind of annoying. If you take a measurement it won’t latch onto the implant, so if you’re going for a specific distance in a certain area, you got to take the measurement, move the implant slightly, delete the measurement, and then take it again. Just adds a couple extra clicks, but it becomes annoying if you got doctors that are very particular about having certain measurements.

 

[Brett Hansen CDT]

My only complaints with codiagnostix is that the tools to align the cbct and STL aren’t quite as robust as some other softwares I’ve used, and also the measurement system is kind of annoying. If you take a measurement it won’t latch onto the implant, so if you’re going for a specific distance in a certain area, you got to take the measurement, move the implant slightly, delete the measurement, and then take it again. Just adds a couple extra clicks, but it becomes annoying if you got doctors that are very particular about having certain measurements.

Does the software have built in "guardrails." I have some experience in planning implant placement, but I'm trying to get as much info as I can. Is there a site you recommend that has guidelines for distances from neighboring teeth, crest of the tissue, etc that you reccommend?

 

[KingGhidorah]

Does the software have built in "guardrails." I have some experience in planning implant placement, but I'm trying to get as much info as I can. Is there a site you recommend that has guidelines for distances from neighboring teeth, crest of the tissue, etc that you reccommend?

Yep, it’s got some built in guardrails, on the bottom right of the software are all your minimum distances and it’ll turn red if you go below them. Honestly though, those preferences are good to just ask the dentist, because a lot of them have slightly different measurements they are comfortable with. Or just set it how you normally set it, take all your measurements, then TeamViewer the doc and see what stuff they have you change.

 

[Brett Hansen CDT]

Yep, it’s got some built in guardrails, on the bottom right of the software are all your minimum distances and it’ll turn red if you go below them. Honestly though, those preferences are good to just ask the dentist, because a lot of them have slightly different measurements they are comfortable with. Or just set it how you normally set it, take all your measurements, then TeamViewer the doc and see what stuff they have you change.

Ran into a possible issue. On the Implant Verification tool bar....the Average Density is "yellow". What does that mean? Also, the guide I'm working on now is a bridge from 31-29. Do you do anything different for guides that don't have a distal stop?

 

[KingGhidorah]

Ran into a possible issue. On the Implant Verification tool bar....the Average Density is "yellow". What does that mean? Also, the guide I'm working on now is a bridge from 31-29. Do you do anything different for guides that don't have a distal stop?

Average density is the bone density around your currently selected implant. You’ll notice if you move it to a spot that has denser bone it’ll go up, and go down if you place it right in the center of the bone where it’s usually the most soft. I’ve had drs place stuff even in the red zone, which is considered “spongy” bone. The dr should definitely be made aware of it, because some drs won’t want to place an implant if the bone is too spongy. If you type in something like “bone density for dental implants” you should see a chart come up that explains the densities in more detail, and at which points the drs should consider not placing an implant because of the bone being too soft.

As far as not having a distal rest, I’ve only done tooth supported guides that go out a max of one or two teeth spaces just hanging in free space, and whenever I get something like that I just wrap the guide a couple teeth farther back than normal to help stabilize it. If you’re doing 29-31 though with no distal rest, that’s quite a large gap, I’d probably reach out to support and ask what they’d recommend. Unless someone else here is able to answer it lol. Let me know what they say when you find out, I’m curious too.