Introduction to ClearPilot 3D Controls

ClearPilot 3D Controls are several tools that allow clinicians to edit their treatment setup by moving teeth and modifying the engagers, cutouts, bite ramps and IPR.  The 3D Controls features are accessed through the DR EDITS button. The 3D Controls features are:

• Individual and Multi-Tooth Movement
  • Using 3D Controls: Individual and Multi-Tooth Movement
• Engagers
  • Using 3D Controls: Engagers
• Cutouts
  • Using 3D Controls: Cutouts
• Bite Ramps
  • Using 3D Controls: Bite Ramps
• Direct Collision/Space Edits
  • Using 3D Controls: Direct IPR Edits

Individual and Multi-Tooth Movement

• 3D Controls: Individual Tooth Movement is a tool in ClearPilot that allows clinicians to move an individual tooth to a desired position.
• Two types of Multi-Tooth movement are available. To move an adjacent group of teeth, select the primary tooth then hold the Shift key and select the last tooth in the group. To select non-adjacent teeth, select the primary tooth then hold down the "Ctrl" key and select any other teeth in the same arch.
• 3D Controls: Tooth Movement allows each tooth to be:
  • Extruded/Intruded
  • Translated
  • Tipped
  • Torqued
  • Rotated
• After the clinician submits the desired final position and the instructions related to these changes, the technician will adjust the setup according to the edits made by the clinician.

Using 3D Controls: Tooth Movement

1. Click on Dr. Edits Pencil icon. Select Tooth Movement toolbar.
2. Double click on the tooth you want to move. The Movement Toolbar will appear along with directional arrows on the tooth. The selected tooth will be a dark blue color. To move an adjacent group of teeth, select the primary tooth then hold the Shift key and select the last tooth in the group. To select non-adjacent teeth, select the primary tooth then hold down the "Ctrl" key and select any other teeth in the same arch.
3. To move the tooth/teeth you can use the directional arrows in the toolbar or the compass anchored to the tooth.
4. Use the single arrow in the toolbar to "Undo movements and reset to technician's proposed final position" or double arrows to "Reset selected tooth/teeth to initial position". 

	Int./Ext. This button moves the selected tooth with an intrusion or extrusion movement.
	Trans. L/B This button moves the selected tooth with a (L) translation or buccal (B) lingual movement.
	Trans. M/D This button moves the selected tooth with a mesial (M) or distal (D) translation movement.
	Tip M/D This button moves the selected tooth with a mesial (M) or distal (D) tipping movement.
	Tq. L/B This button moves the selected tooth with a lingual (L) or buccal (B) torquing movement.
	Rot. M/D This button moves the selected tooth with a mesial (M) or distal (D) rotation movement.

When using the Individual Tooth Movement tool, past changes to tooth movements on this version of the Treatment Setup will appear in gray on the movement chart and the change the clinician is currently producing will appear in teal on the movement chart.

Engagers

• 3D Controls: Engagers, is a tool in ClearPilot that allows clinicians to customize engagers within their Treatment Setups.
• 3D Controls: Engagers allows clinicians to select:
  • Tooth
  • Engager orientation
  • Engager size: 2 mm, 3 mm (default), 4 mm
  • Engager depths depending on orientation:
    • Vertical: 1.00 (default) & 1.25
    • Horizontal: 0.75 (default) & 1.00
  • Engager position by rotating and/or translating engager
• After the clinician submits their edits to the Treatment Setup with their custom engager placement and the related instructions, the technician will adjust the Treatment Setup according to the edits made/requested by the clinician.

Using 3D Controls: Engagers

1. Select Dr. Edits at the top or beside the treatment timeline located at the bottom then toolbar will appear.
2. Click on the plus + icon under ADD ENGAGER to access the engagers feature or double-click on an existing engager to modify it.
3. To add an engager, double-click on the tooth you want the engager placed on. When engagers are placed on the teeth, the default engager is a 3 millimeter (mm) vertical engager.
4. To adjust an engager, double-click on the engager to select it and then customize using the different criteria from the toolbar. 

Cutouts

• 3D Controls: Cutouts, is a tool in ClearPilot that allows clinicians to customize cutouts within their Treatment Setups.
• 3D Controls: Cutouts allows clinicians to select:
  • The tooth they want the cutout placed on
  • The shape of the cutout: button (default) or slit
  • The surface position of the cutout: buccal (default) or lingual
  • Position
• After the clinician submits their edits to the Treatment Setup with their custom cutout placement and the related instructions, the technician will adjust the Treatment Setup according to the edits made/requested by the clinician.

Using 3D Controls: Cutouts

1. Select Dr. Edits at the top or beside the treatment timeline located at the bottom. The toolbar will  then appear.
2. Click on the plus + icon under ADD CUTOUT to access the cutout feature or double-click on an existing cutout to modify it.
3. To add a cutout, double-click on the tooth you want the cutout placed on. The system default will place a button cutout. You can then customize the cutout (type, position or lingual/buccal) according to your preference.
4. To adjust a cutout, double-click on the cutout to select it, and then customize it using the different criteria from the toolbar. 

Bite Ramps

• 3D Controls: Bite Ramp is a tool in ClearPilot that allows clinicians to customize bite ramps within their Treatment Setups.
• 3D Controls: Bite Ramps allow clinicians to select their preferred bite ramp grouping for the upper arch:
  • 2x2
  • 3x3
  • Only canines
• After the clinician submits their edits to the Treatment Setup with their custom bite ramp placement and the related instructions, the technician will adjust the Treatment Setup according to the edits made/requested by the clinician.

1. Select Dr. Edits at the top or beside the treatment timeline located at the bottom. Then the toolbar will appear.
2. Click on the plus + icon under ADD BITE RAMP to access the bite ramp feature or double-click on an existing bite ramp to modify it.
3. Before adding or editing bite ramps, use the view shortcuts to show the upper arch view of the image.
4. To adjust a bite ramp, double-click on the bite ramp to select it and then select different criteria from the toolbar.

• IPR (interproximal reduction) is a procedure where, by reducing the proximal surfaces of the teeth, a very small amount of space between the teeth is created to allow the teeth to move during treatment. IPR is often recommended when treating patients with clear aligners.
• Edits can be made by adjusting the amount of space in millimeters between the teeth by clicking on the associated flag.
• The collision/spacing flags between the teeth are color coded: green for spaces, red for collisions, and white for no contact/null.

Using 3D Controls: Direct IPR Edits

1. Select Dr. Edits at the top or beside the treatment timeline located at the bottom.
2. The "Show collision labels" in configuration menu must be toggled on to make changes.
3. Locate the contact point of two teeth. There will be a flag for the measurement (mm) of the space between the teeth.
4. Click on the +/- icon beside the measurement to modify the space or collision.