Sirona PDF

New as of: 06.
2018
Sidexis 4
Version 4.3
Operator's Manual
English
Table of contents Sirona Dental Systems GmbH
Table of contents
1 Dear SIDEXIS 4 user, ............................................................................................. 8
2 General information ................................................................................................ 9

2.1 About this user manual ................................................................................ 9
2.1.1 General information ....................................................................... 9
2.1.2 Conventions ................................................................................... 10
2.1.3 List of abbreviations ....................................................................... 10
2.1.4 Identification of the danger levels .................................................. 11
2.1.5 Formats and symbols used............................................................ 11
2.2 Intended use ................................................................................................ 12
2.3 Foreseeable misuse..................................................................................... 12
2.4 Indication and contraindication .................................................................... 12
2.4.1 Indications...................................................................................... 12
2.4.2 Contraindications ........................................................................... 12
2.5 Approval....................................................................................................... 12
2.6 System requirements ................................................................................... 12
2.7 General safety information........................................................................... 13
2.8 Program extensions (plug-ins) ..................................................................... 13
2.9 Contact information...................................................................................... 14
3 General operating functions.................................................................................... 15

3.1 Starting / exiting the program....................................................................... 15
3.2 Full-screen and window mode ..................................................................... 16
3.3 User manual in PDF format ......................................................................... 16
4 User interface.......................................................................................................... 17
4.1 Header line................................................................................................... 18
4.2 The phase bar.............................................................................................. 19
4.2.1 "Start" work phase ......................................................................... 20
4.2.1.1 Job list .......................................................................... 21
4.2.1.2 Appointment list ............................................................ 22
4.2.2 The "Patient" work phase............................................................... 23
4.2.3 The "Exposure" work phase........................................................... 24
4.2.4 The "Examination" work phase ...................................................... 28
4.2.4.1 Work areas ................................................................... 29
4.2.4.2 Tool kits ........................................................................ 33
4.2.5 The "Output" work phase ............................................................... 49
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Sirona Dental Systems GmbH Table of contents
4.3 System menu ............................................................................................... 50

4.3.1 Global tools .................................................................................... 50
4.3.1.1 "Exposure".................................................................... 52
4.3.1.2 "Sidexis Manager" ........................................................ 54
4.3.2 Configuration menu........................................................................ 55
4.3.2.1 "General settings"......................................................... 58
4.3.2.2 "Patient settings" .......................................................... 68
4.3.2.3 "Exposure".................................................................... 70
4.3.2.4 "Output" ........................................................................ 79
4.4 Docking window ........................................................................................... 82
4.5 Work area bar .............................................................................................. 84
4.6 General control elements............................................................................. 85
4.7 Call up shortcut menus ................................................................................ 87
4.8 Shortcut keys ............................................................................................... 88
4.8.1 General shortcut keys .................................................................... 88
4.8.2 Shortcut keys within the timeline.................................................... 90
5 Managing jobs ........................................................................................................ 92

5.1 Creating an X-ray job ................................................................................... 93
5.2 Accepting X-ray jobs .................................................................................... 94
5.2.1 Accepting X-ray jobs automatically ................................................ 94
5.2.2 Accepting X-ray jobs manually....................................................... 94
5.3 Sorting the job list ........................................................................................ 95
6 Creating X-ray exposures ....................................................................................... 96

6.1 Selecting an X-ray job.................................................................................. 97
6.2 Select X-ray component............................................................................... 99
6.3 Entering an indication .................................................................................. 101
6.4 Taking X-ray exposures on the device......................................................... 103
6.5 Repeat the exposure.................................................................................... 104
6.6 Intraoral exposure series ............................................................................. 105
6.6.1 Take an exposure series................................................................ 105
6.6.1.1 Example of performing an intraoral exposure series .... 107
6.6.1.2 Stopping / starting (pausing) exposure series in the
series dialog ................................................................ 110
6.6.1.3 Repeating an exposure in the series dialog ................. 111
6.6.1.4 Canceling an exposure series ...................................... 113
6.6.1.5 Continuing an exposure series ..................................... 115
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6.6.2 Templates for the exposure series................................................. 116

6.6.2.1 Open "Template management" menu .......................... 117
6.6.2.2 Sort / delete templates.................................................. 119
6.6.2.3 Edit templates............................................................... 121
6.6.2.4 Create a new template ................................................. 130
6.6.2.5 Copy templates............................................................. 132
6.6.3 Exchange exposures in an exposure series .................................. 134
7 Analysis and diagnosis ........................................................................................... 137

7.1 Work areas for 2D images, 3D volumes, and section views........................ 138
7.1.1 "3D examination" ........................................................................... 139
7.1.1.1 Examination window..................................................... 140
7.1.1.2 Position aids ................................................................. 143
7.1.1.3 Standard layouts........................................................... 145
7.1.1.4 Panoramic image.......................................................... 151
7.1.1.5 3D image ...................................................................... 152
7.1.1.6 Section views:............................................................... 160
7.1.1.7 Opening a new "3D examination" work area ................ 171
7.1.2 "Light box"...................................................................................... 172
7.1.2.1 Opening a new "light box" work area............................ 173
7.1.2.2 Working with media windows ....................................... 174
7.1.3 "Compare"...................................................................................... 183
7.1.3.1 Connect/disconnect views ............................................ 185
7.1.3.2 Opening a new "compare" work area ........................... 186
7.2 Opening last exposures ............................................................................... 188
7.3 Continue last patient session ....................................................................... 189
7.4 Save / open patient sessions ....................................................................... 190
7.4.1 "Session gallery" ............................................................................ 190
7.4.2 "Timeline"....................................................................................... 194
7.5 Set panoramic curve .................................................................................... 196
7.5.1 Opening the "panoramic curve editor" menu ................................. 197
7.5.2 Moving the panoramic curve to another section plane .................. 197
7.5.3 Automatically adjusting panoramic curves to preset dentition
shapes and sizes ........................................................................... 198
7.5.4 Editing the panoramic curve manually ........................................... 199
7.6 3D alignment................................................................................................ 202
7.6.1 Opening the "3D alignment" menu................................................. 202
7.6.2 Correcting positions ....................................................................... 204
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7.7 Editing images ............................................................................................. 206

7.7.1 Brightness / contrast / tonal value.................................................. 206
7.7.1.1 Setting the brightness / contrast via the mouse
controller....................................................................... 207
7.7.1.2 Automatic contrast optimization.................................... 208
7.7.1.3 Setting the brightness / contrast and tonal value
through the dials ........................................................... 208
7.7.1.4 Resetting the settings for brightness, contrast, and
tonal value .................................................................... 209
7.7.2 Image filters ................................................................................... 210
7.7.2.1 Relief ............................................................................ 210
7.7.2.2 Applying sharpness ...................................................... 211
7.7.2.3 Reducing noise............................................................. 211
7.7.2.4 Smooth down................................................................ 212
7.7.2.5 Invert............................................................................. 213
7.7.2.6 False colors .................................................................. 214
7.7.2.7 Resetting / hiding an image filter .................................. 215
7.7.3 Changing image orientation ........................................................... 217
7.7.3.1 Rotating ........................................................................ 218
7.7.3.2 Mirroring ....................................................................... 219
7.8 Editing surface data ..................................................................................... 221
7.8.1 Surface data editor......................................................................... 222
7.8.2 "Surface data" tool kit..................................................................... 224
7.8.2.1 Hiding/showing individual objects................................. 224
7.8.2.2 Changing the colors of individual objects ..................... 225
7.9 Performing measurements........................................................................... 227
7.9.1 Angles ............................................................................................ 227
7.9.1.1 Measuring angles ......................................................... 227
7.9.1.2 Editing angle sizes........................................................ 230
7.9.2 Lengths .......................................................................................... 231
7.9.2.1 Measuring lengths ........................................................ 231
7.9.2.2 Editing paths................................................................. 233
7.9.3 Reference measurement ............................................................... 234
7.9.3.1 Measuring a reference object ....................................... 234
7.9.3.2 Editing reference measurements.................................. 236
7.9.4 Measuring bone density................................................................. 237
7.10 Creating and editing remarks....................................................................... 238
7.10.1 Creating remarks ........................................................................... 239
7.10.2 Retrieving notes in section views................................................... 240
7.10.3 Moving remarks ............................................................................. 241
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7.10.4 Moving dimension indicators.......................................................... 242

7.10.5 Changing the color of the remarks................................................. 243
7.10.6 Showing/hiding remarks................................................................. 244
7.10.7 Delete notes................................................................................... 245
7.11 Optimizing the 3D image display ................................................................. 246
7.11.1 Setting the bone threshold value ................................................... 246
7.11.2 Setting surface transparency for FaceScan exposures ................. 248
7.11.3 Transfer curve editor...................................................................... 250
7.11.3.1 Adapting transfer curves............................................... 252
7.12 Adjust external volume................................................................................. 254
7.12.1 Setting the gray value distribution.................................................. 254
7.12.2 Set the bone reference value......................................................... 255
7.13 Documenting findings .................................................................................. 256
7.13.1 Creating a new diagnosis............................................................... 257
7.14 Parallel working on multiple stations............................................................ 260
8 "Managing patient data ........................................................................................... 261

8.1 Working with the patient table...................................................................... 262
8.1.1 Displaying patients according to consultant................................... 263
8.1.2 Sorting a patient table .................................................................... 263
8.1.3 Free text search in the patient table............................................... 264
8.2 Create a new patient.................................................................................... 265
8.3 Displaying patient details ............................................................................. 267
8.4 Editing patient details................................................................................... 268
8.5 Deleting patients .......................................................................................... 271
8.6 Logging patients in/out................................................................................. 274
9 Manage media items and sessions ........................................................................ 276

9.1 Moving along the "timeline".......................................................................... 278
9.2 Filter timeline................................................................................................ 279
9.3 Opening exposures for examination ............................................................ 282
9.3.1 Opening individual media items ..................................................... 282
9.3.2 Opening multiple media items in the work area simultaneously .... 283
9.4 Move medium to another patient ................................................................. 286
9.5 Exposures from TWAIN data sources.......................................................... 288
9.5.1 Important information on scanning X-ray images .......................... 289
9.6 Hide media items in the "timeline”................................................................ 290
9.7 Display hidden media items in the “timeline” ............................................... 291
9.8 Deleting media items ................................................................................... 293
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10 Import / export media items .................................................................................... 295

10.1 Import exposures ......................................................................................... 295
10.1.1 Import files / folder ......................................................................... 296
10.1.1.1 Select files or folder / Open "File import" menu............ 296
10.1.1.2 Edit import table / Start import ...................................... 299
10.1.1.3 Media import with patient not logged in ........................ 307
10.1.2 Automatic import via directory monitoring...................................... 309
10.1.3 Importing duplicates....................................................................... 312
10.2 Import volume / external volume.................................................................. 313
10.3 Exporting media items ................................................................................. 318
10.3.1 Exporting 2D views ........................................................................ 319
10.3.2 Sending 2D views by email............................................................ 322
10.3.3 DICOM Export Wrap&Go............................................................... 324
10.3.4 Exporting DICOM examination export and volumes ...................... 326
11 Printing.................................................................................................................... 328
11.1 Printing an image ......................................................................................... 328
11.2 Printing a work area ..................................................................................... 330
11.3 The "Printing tools" docking window ............................................................ 331
12 Personalizing Sidexis 4........................................................................................... 333

12.1 Call up the configuration menu .................................................................... 333
12.2 Setting the program language...................................................................... 334
12.3 Practice-specific settings ............................................................................. 335
12.3.1 Enter practice information .............................................................. 336
12.3.2 Define practice logo ....................................................................... 337
12.3.3 Configure headers for printing ....................................................... 339
12.3.4 Selecting the dental notation.......................................................... 342
12.4 User set up/administration ........................................................................... 344
12.5 Configuring patient display........................................................................... 346
12.6 Setting up an administrator password.......................................................... 347
12.7 Resetting the administrator password.......................................................... 349
13 Data recovery.......................................................................................................... 350

13.1 Data recovery for ORTHOPHOS XG and GALILEOS ................................. 350
13.1.1 Starting the "Sirona Control Admin Rescue" program ................... 351
13.1.2 Requesting data............................................................................. 353
13.2 Data recovery in other devices .................................................................... 353
Index ....................................................................................................................... 354
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1 Dear SIDEXIS 4 user, Sirona Dental Systems GmbH
1 Dear SIDEXIS 4 user,

Thank you for purchasing Sidexis 4 software from Dentsply Sirona
(Sidexis 4 V4.3 DVD REF 66 63 277).
This software provides you with functions for the acquisition,
administration, analysis, diagnosis, presentation, and transfer of digital
or digitized image data; e.g. X-ray images or video recordings, for
medical use, predominantly in dentistry.
We hope you have much success and enjoyment from your Sidexis 4
software.
Your Sidexis 4 team,
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Sirona Dental Systems GmbH 2 General information
2.1 About this user manual
2 General information

2.1.1 General information
Read the document Use this manual to become familiar with the software before using it. It
is essential that you observe the warning and safety information
specified in this manual.
Tip: You can access the PDF version of this manual via the help icon in
the system menu of the header line or via the F1 key. In order to display
the PDF, you must have a PDF viewer, e.g. Acrobat Reader, installed
on your computer.
Target group This user manual is aimed at dentists and other dental, orthodontic, and
medical specialists.
Original language The original version of this document was written in the German
language.
Keep the document safe Always keep the user manual handy in case you or another user
require(s) information at a later point in time. Save the user manual on a
PC or print it out.
If you sell the software, make sure that the user manual is included with
it either as a hard copy or on an electronic storage device so that the
new owner can familiarize himself with its functions and the specified
warning and safety information.
Online portal for technical documentation We have set up an online portal for technical documentation at
http://www.dentsplysirona.com/manuals. From here, you can download
this user manual and other documents in PDF format. If you require a
document in paper form, we request that you please fill out the web
form for
“Ordering paper-based operating instructions”.
We will then be happy to send you a paper copy free of charge.
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2 General information Sirona Dental Systems GmbH
2.1.2 Conventions
Example Meaning
Click A single click down and releasing of the left
mouse button.
Double-click Clicking and releasing of the left mouse button
twice in quick succession.
Ctrl+N On the keyboard: Press the Ctrl and N keys si-
multaneously.
Drag & drop Pulling along and letting go.
Click the left mouse button on an element, hold it
and then release the mouse button on a possible
target.
Activate / deactivate Selecting / deselecting a check box with a mouse
a check box click in order to activate / deactivate its underlying
function.
Activate / deactivate an Selecting / deselecting an option button with a
option button mouse click in order to activate / deactivate its
underlying function.
2.1.3 List of abbreviations

ENT Ear, Nose, and Throat
Orthodon- Orthodontics
tics
OMS Oral andMaxillofacial Surgery
MR Magnetic Resonance
PAS Practice Administration Software
FS Factory Settings
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2.1.4 Identification of the danger levels

To prevent personal injury and material damage, please observe the
warning and safety information provided in these operating instructions.
Such information is highlighted as follows:
DANGER
An imminent danger that could result in serious bodily injury or death.
WARNING
A possibly dangerous situation that could result in serious bodily
injury or death.
CAUTION
A possibly dangerous situation that could result in slight bodily injury.
NOTE
A possibly harmful situation which could lead to damage of the
product or an object in its environment.
IMPORTANT
Application instructions and other important information.
Tip: Information for simplifying work.
2.1.5 Formats and symbols used

The formats and symbols used in this document have the following
meaning:
Prerequisite Prompts you to do something.

1. First action step
2. Second action step
or
➢ Alternative action
Result
➢ Individual action step
See “Formats and symbols used Identifies a reference to another text pas-
[→ 11]” sage and specifies its page number.
● List Designates a list.
“Command / menu item” Indicates commands, menu items or quo-
tations.
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2.2 Intended use
2.2 Intended use

Sidexis 4 is software that offers functions for the acquisition,
administration, analysis, diagnosis, presentation, and transfer of digital
or digitized image data, e.g. X-ray images or videos recordings, for
medical use, predominantly in dentistry.
2.3 Foreseeable misuse

This software is intended solely for use with X-ray products and on
patients by trained personnel.
2.4 Indication and contraindication

2.4.1 Indications
● Manage, analyze, and diagnose digital / digitalized X-ray images
● Manage and analyze digital / digitalized optical exposures
● Preparing image data for further processing e.g. export and
treatment planning
2.4.2 Contraindications
● Using Sidexis 4 for contraindications of the respective imaging
system. Please pay attention to the corresponding operating manual
of the imaging system.
● Perform angle and length calculations in images that are not suitable
for this due to their image creation or their not containing validated
scaling information.
2.5 Approval
This product bears the CE mark in accordance with the provisions of the
Council Directive 93/42/EEC of June 14, 1993 concerning medical
devices.
0123 For the USA only:
Caution: Federal Law (USA) restricts the sale of this device to or on the
order of a physician, dentist, or licensed practitioner.
2.6 System requirements

System requirements can be found in the "readme.html" file on the
Sidexis 4 DVD.
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2.7 General safety information
2.7 General safety information

CAUTION
Incorrect system time
Sidexis 4 uses the system time on your PC as a time reference. If the
system time on your PC has been set incorrectly, the exposure time
saved at the time of an X-ray exposure will also be incorrect. This will
result in the incorrect documentation of patient data and make it
difficult to retrieve X-ray exposures.
For this reason, the system time on your PC should be checked
regularly. For instructions on how to set the system time, please refer
to the description of your operating system.
CAUTION
Mixing up patients
Incorrect diagnosis / treatment
➢ Please pay attention to the patient display which is permanently
visible in Sidexis 4 in order to prevent [→ 18] mixing patients up.
CAUTION
Loss of older X-ray images through defective data backup
Repeated radiation exposure for the patient as a result of taking new
X-ray exposures.
➢ Back up the patient data and images from the PC onto an
external data carrier multiple times each day. An automatic back-
up can be set in the "Reminders" configuration menu (see
“Configuration menu [→ 55]” section ⇒ "General settings"
[→ 58]).
2.8 Program extensions (plug-ins)

Sidexis 4 can be extended to include X-ray and video components
using plug-ins. To find out whether a device can be connected to
Sidexis 4, please refer to the installation instructions for the relevant
component.
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2.9 Contact information
2.9 Contact information

Customer service center For technical questions, use the contact form on the internet at the
following address:
http://srvcontact.sirona.com
Manufacturer's address Sirona Dental Systems GmbH
Fabrikstrasse 31
64625 Bensheim
Germany
Tel.: +49 (0) 6251/16-0
Fax: +49 (0) 6251/16-2591
e-Mail: contact@dentsplysirona.com
www.dentsplysirona.com
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Sirona Dental Systems GmbH 3 General operating functions
3.1 Starting / exiting the program
3 General operating functions
3.1 Starting / exiting the program

Start Sidexis 4 ➢ Double-click on the program icon.
Ä Sidexis 4 starts.
"Start" work phase with job list
Ä Sidexis 4 starts and jumps automatically to the work phase

"Start".
Ä The job list (A) and the appointments list (C) are displayed. The
display field (B) shows the number of open x-ray jobs or the
number of pending appointments. The lists are closed initially
when the program is started. Clicking on the arrow symbol (D)
opens the lists [→ 20].
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3 General operating functions Sirona Dental Systems GmbH
3.2 Full-screen and window mode
Close Sidexis 4 ➢ Click on the "Exit program" button in the header line.
Ä Sidexis 4 closes.
3.2 Full-screen and window mode

When starting Sidexis 4 for the first time following installation, the
program starts in full-screen mode as per the factory setting. Every time
Sidexis 4 is restarted, it keeps the setting that was active when the
program was last closed.
Switching display modes ➢ Click on the screen icon in the system menu of the header line.
Ä The display mode switches from full-screen mode to window
mode and vice-à-versa.
3.3 User manual in PDF format

ü A PDF viewer (e.g. Adobe Reader) is installed on your computer.
➢ Click on the help icon in the system menu of the header line.
or
press the F1 button.
Ä The user manual is opened in PDF format.
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Sirona Dental Systems GmbH 4 User interface
3.3 User manual in PDF format
4 User interface
NOTE: It may be the case that the depiction of pictograms in this
manual differs slightly from the depiction in your current software due to
an enhancement to Sidexis 4. Such differences are only of an optical
origin and have no influence over the functionality of the software.
With its modern and innovative design, Sidexis 4 provides you with the
best possible support for everyday work.
The functionality of Sidexis 4 is assigned to different work phases
[→ 19], which will typically pass through imaging systems while
preparing a report of dental findings. Sidexis 4 therefore helps you to
keep an overview.
User interface
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4 User interface Sirona Dental Systems GmbH
4.1 Header line
4.1 Header line
Header line
The currently logged in patient (J) and the button for logging a patient
out (K) are only displayed if a patient is logged in.
You can "Patient display"define [→ 68] which information about the
currently logged in patient (J) is displayed in the header line in the
configuration menu "Patient settings"⇨.
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4.2 The phase bar
4.2 The phase bar
Phase bar
The phase bar contains five buttons.
Button/work phase Function

"Start" Start window/job list/appointment list
"Patient" Managing patient data
"Exposure" Create digital X-ray exposures /
Import media items
"Examination" Analyze and diagnose media items
"Output" Export media items and findings
By clicking on the phase bar buttons you can access the appropriate
work phase.
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4.2 The phase bar
4.2.1 "Start" work phase

Selection: Click on the "Start" button or the [F12] shortcut
The "Start" work phase is opened automatically when Sidexis 4 is
restarted.
"Start" work phase
In the "Start" work phase, open X-ray jobs are displayed in the job list
[→ 21] along with important appointments [→ 22].
Collapsing and expanding lists
The lists can be collapsed or expanded by clicking on the small white

arrow points (D).
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4.2 The phase bar
4.2.1.1 Job list

If you work with central Practice Administration Software (PAS) in your
practice, the X-ray exposures are created in the PAS and sent from
there to Sidexis 4. The jobs then appear in the job list.
Job list
The job list shows you the open X-ray jobs with the patients' names,
image types, and the waiting time since the job was created. The
legend (B) displays the number of open jobs.
By double-clicking on an entry in the list you are taken directly to the
"Exposure" work phase.
By clicking on the recycle bin icon (E), jobs can be deleted from the list.
You can find more detailed information on the job list in the “Managing
jobs [→ 92]” section.
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4.2 The phase bar
4.2.1.2 Appointment list
Appointment list
The appointment list reminds you of important appointments. The

appointments can be defined via the "Reminders" configuration menu
[→ 58].
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4.2 The phase bar
4.2.2 The "Patient" work phase

Selection: Click on the "Patient" button
"Patient" work phase – Patient table and patient details
In the "Patient" work phase, patient data saved in the Sidexis 4

database is displayed in table form.
By selecting a patient with a mouse click on the corresponding line in
the patient table (A), the patient details (B) belonging to that patient, the
last X-ray exposures taken (C) (if available), and the last patient session
(D) are displayed. These can be opened by double-clicking on the
relevant image.
You can find detailed information on handling patient tables and patient
data in the “Managing patient data” section.
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4.2 The phase bar
4.2.3 The "Exposure" work phase

Selection: Click on the "Exposure" button
"Exposure" work phase
The X-ray exposure is created in the "Exposure" work phase. The X-ray
devices (A) and sensors (B) available in the network are displayed
according to X-ray room. The assignment of X-ray devices to X-ray
rooms can be configured via the SIXABCon technician's tool. Intraoral
sensors are always displayed under the general term "X-ray room".
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4.2 The phase bar
An import icon (C) is displayed in the "Import" menu area. If directory

monitoring has also been set up then the "monitored" folder (D) is also
displayed.
Device is ready
Device is in use
Device unavailable
Data could not be transferred to

Sidexis 4
(rescue status)
By double-clicking on the device icon, the dialog for preparing the X-ray
exposure opens.
In addition to the function for creating X-ray exposures, image data from
external sources can also be imported [→ 295] by double-clicking on the
folder icons (C or D).
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4.2 The phase bar
X-ray component selected NOTE: The menu for preparing an extraoral X-ray exposure in Sidexis 4
(entering the indication and establishing exposure readiness) is device-
specific. The ORTHOPHOS XG 3D/Ceph X-ray device menu is
depicted below as an example.
Example of the preparation of an intraoral X-ray exposure with the

ORTHOPHOS XG 3D/Ceph X-ray device
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4.2 The phase bar
Sensor selected NOTE: The menu for preparing an intraoral X-ray exposure in Sidexis 4
(entering the indication and establishing exposure readiness) is device-
specific. The XIOS XG sensor menu is depicted below as an example.
Example of the preparation of an intraoral X-ray exposure with the XIOS XG

sensor
You can find detailed information on preparing and taking X-ray

exposures in the “Creating X-ray exposures [→ 96]” section.
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4.2 The phase bar
4.2.4 The "Examination" work phase

Selection: Click on the "Examination" button
"Examination" work phase
The analysis and diagnosis of image data takes place in the

"Examination" work phase. In this phase, a wide range of tools are
available to you for diagnosing and evaluating 2D images and 3D
volumes. A 3D work area or a virtual light box can be selected as a
work area (A), as well as another work area for comparing image data.
You can find detailed information on working in the "Examination" work
phase in the “Analysis and diagnosis [→ 137]” section.
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4.2 The phase bar
4.2.4.1 Work areas

Sidexis 4 provides three different work areas for 2D images, 3D
volumes, and section views:
● "Light box"
– Displaying 2D images, 3D volumes, and their section views
– Free positioning of windows possible
– Automatic arrangement of all open media windows is possible
through the "Automatic Layout" function [→ 35]
– Windows do not correlate with one another and can be
configured independently
Example of displaying different 3D volumes, section views, and 2D images

in the light box
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4.2 The phase bar
● "3D examination"
– Targeted display and editing of a 3D volume and its section
views (no 2D images can be displayed)
– Different standard layouts available
(adjustments to window sizes possible)
– Windows within a layout correlate with one another
– By pulling the separation lines, the windows' size ratios can be
adjusted; no free positioning of the windows is possible.
Example of displaying a 3D volume and its section views in the work area
"3D examination"
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4.2 The phase bar
● "Compare"
– Comparison of a maximum of four 2D images, or two 3D
volumes, or two section views
– Images of the same kind can be compared
Example of a 2D image comparison in the "Compare" work area
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4.2 The phase bar
Example of a volume comparison in the "Compare" work area
You can find detailed information on working in the different work

phases in the “Analysis and diagnosis [→ 137]” section.
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4.2 The phase bar
4.2.4.2 Tool kits
"Tools" docking window
The "Tools" (A) docking window offers you a wide range of functions for
analyzing and diagnosing image data, which are arranged on different
"tool kits":
● "New examination"
● "Layout"
● "Tools"
● "Analysis" with annotations and filters
● "Annotations"
(only when the exposure selected in the work area contains
annotations)
● "Surface data"
(only when surface data is selected in the work area)
● "Info"
You can collapse and expand the tool kits by clicking on the palette
header with the mouse. To use the functions, click on the icons in the
tool kits.
The docking window "Tools" can either be docked or moved freely.
When docked, the docking window is firmly connected to the edge of
the work area. You can find detailed information on working with
docking windows in the Docking window [→ 82] section.
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4.2 The phase bar
4.2.4.2.1 "New examination"
Button Function
Opens volume in new "3D examination"
Opens media item in a new "Light box"
Opens media item in a new work area "Compare"

NOTE: Only media items of the same type – i.e. two
3D volumes, section views, or up to four 2D images
– can be compared with each other.
Open GALILEOS program

NOTE: The button will only appear if the GALILEOS
Implant program has been installed and a 3D vol-
ume is selected.
SICATSUITE program
NOTE: The button is only displayed if the SICAT-
SUITE program is installed.
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4.2 The phase bar
4.2.4.2.2 "Layout"
The "Layout" tool kit is only available if the "Examination" palette is
selected in the "3D examination" or "Light box" work areas.
"3D examination" work area Button Function Section views
Display 3D volumes in ● Panoramic image
the [→ 151]
panorama layout ● 3D image [→ 152]
● Tangential [→ 160]
● Longitudinal
● Axial (top view)
[→ 162]
Display 3D volumes ● Ceph a.p./p.a. [→ 165]
in the ceph a.p./p.a. ● 3D image [→ 152]
layout
[→ 162]
● Sagittal (from right)
[→ 163]
Display 3D volumes ● Ceph lateral [→ 166]
in the ceph lateral ● 3D image [→ 152]
layout
[→ 162]
● Coronal (front view)
[→ 164]
Display 3D volumes ● Axial (top view)
in the MPR/radiology lay- [→ 162]
out ● 3D image [→ 152]
● Coronal (front view)
[→ 164]
● Sagittal (from right)
[→ 163]
NOTE: The selected button is highlighted orange.
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4.2 The phase bar
"Light box" work area Button Function

Arrange media windows in "Light box" automatically
NOTE: The selected button "Automatic Layout" is highlighted orange.

Provided the button is highlighted orange, the media windows are
arranged in the light box in the automatic layout. If a media window is
selected and moved manually, the button is automatically deselected
and the highlighting disappears.
By clicking on the "Automatic Layout" button once more, the function
can be re-activated.
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4.2 The phase bar
4.2.4.2.3 "Tools"
Button Function Note

Rotating and mirroring
Rotating and mirroring This function is only

⇒ Submenu: Rotate 90 de- available for 2D im-
grees clockwise ages.

⇒Submenu: Rotate 90 de- available for 2D im-
grees counterclockwise ages.

⇒Submenu: Rotate horizon- available for photos
tally and scans of the XIOS
Scan and Dürr Vistas-
can devices.
⇒Submenu: Mirror vertically available for photos
and scans of the XIOS
Scan and Dürr Vistas-
can devices.
View selection This function is only
● AX = Axial (top view) available for 3D vol-
umes and section
● SAG = Sagittal (from right)
views.
● COR = Coronal (front
view)
● TSA = Section view
● LSA = Tangential
● 3D = 3D
● PAN = Panorama
● CA = Ceph a./p.
● CP = Ceph p./a.
● CL = Ceph Lateral
Transfer function editor This function is only
available for 3D vol-
umes (3D image).
This data is only avail-

able if surface data is
available in the data-
base.
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4.2 The phase bar

Volume corrections This function is only
⇒Submenu: Panoramic curve available for volume
editor (3D adjustment) exposures.
Adjust gray value distribution This function is only

and bone reference values available with external
volumes.
Send media item to communi- This function is only

cation partner available when
communication part-
ners have been con-
figured.
Print selected image After clicking this but-
ton, the print preview
and the "Print
Tools"docking window
are displayed.
NOTE: If "DICOM PS"
is installed, you can
choose between stan-
dard and DICOM-
Print.
Print current work area After clicking this but-
ton the "Printing
tools"displayed.
Show/hide position aids This function is only

available in the "3D
examination" work
area
NOTE: After clicking on the "Position Aid" button the position aids are
shown and the button is highlighted orange. If the button is clicked
again the position aids are hidden once more and the button is no
longer highlighted.
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4.2 The phase bar
4.2.4.2.4 "Analysis"
In the "Analysis" tool kit you will find three different types of button:
● Buttons which when clicked provide a tool for inspecting the media
items in the work area (e.g. the "Angle Measurement" tool).
After clicking on / selecting the the button ...
– the button is highlighted orange.
– the mouse pointer changes (via the media windows).
After clicking on the button once more, the button is deselected
again and the corresponding tool is therefore also deactivated.
● Buttons which use a function by clicking on them (e.g. the image
filters). By clicking on these buttons several times the respective
function is used multiple times.
● Dial
Buttons Button Function Note

Set brightness and contrast This function is not
with the mouse controller available for 3D vol-
umes (3D image).
Reset brightness and contrast This function is only

for the selected image available if the bright-
ness or contrast have
previously been
changed.
Measure density This function is not
available for the
panoramic and 3D im-
ages.
Slice plane This function is only
available for 3D im-
ages.
Angle measurement This function is not

available for the
ages.
Length measurement This function is not

available for the
ages.
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4.2 The phase bar

Draw in freehand annotations This function is not
"Freehand drawing" means available for the
free drawing with the mouse panoramic and 3D im-
pointer. ages.
Reference measurement This function is only

ages.
Use autocontrast This function is not

ages.
Use sharpness filter This function is only

available for grayscale
images.
Use soft focus This function is only

images.
Use relief filter This function is only

images.
Use noise filter This function is only

images.
Invert image This function is only

images.
Color image with false colors This function is only

images.
Reset filter This function is only

available if a filter has
previously been used.
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4.2 The phase bar
Dial Dial Function Note

Set brightness via dial This function is not
available in 3D images
of 3D volumes.
Set contrast via dial This function is not

of 3D volumes.
Set tonal value via dial This function is not

of 3D volumes.
Tilt section plane via dial This function is only

available in the "3D
Examination" work
area.
Set bone threshold value This function is only

via dial available for 3D vol-
umes (3D image).
Set surface trans- This function is only

parency (Facescan) via available for 3D vol-
dial umes (3D image) with
Facescan.
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4.2 The phase bar
Operating the dial 1. Move the mouse pointer over the dial..
Ä A slide controller appears over the dial.
2. Move the mouse pointer over the bar on the slide controller, press
the left mouse button, and move the bar (A) in a vertical direction
with the mouse button held down.
Ä The adjustment value changes.
NOTE: You can also enter the values directly into the entry fields under
the dials using the keyboard.
By clicking on the white reset arrow (B) you can reset the changes
again.
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4.2 The phase bar
4.2.4.2.5 "Surface data"

NOTE: The "Surface data" toolkit is only displayed if surface data is
selected in the work area.
All individual objects contained in the data are displayed in the "Surface
data" toolkit. You can change the color of individual objects or hide
them by clicking the buttons in the "Surface data" tool kit.
"Surface data" toolkit
Button Function
Hide individual object
Change the color of the individual object
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4.2 The phase bar
4.2.4.2.6 "Remarks"
NOTE: The "Annotations" tool kit is only displayed if annotations have
been made in the currently selected window through the "Measuring
Angles", "Measuring Length", or "Freehand Annotations" tools.
All drawn on annotations are displayed in the "Annotations" tool kit. You
can change the color of individual annotations or hide/delete them by
clicking the buttons in the "Annotations" tool kit.
"Annotations" toolkit
Button Function
Angle remark
Length remark
Freehand remark
Hide remarks
Changing the color of the remarks
Delete remarks
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4.2 The phase bar
Retrieving remarks in section views In section views, notes are always drawn into the currently displayed
section plane, and the ones adjacent to it. When navigating through the
section views the notes may thus no longer be visible.
To retrieve notes in the section views proceed as follows:
Retrieving notes
➢ Double-click on the area (A) of the note required in the

"Annotations" tool kit.
Ä The section view with the relevant note is displayed again in the
media window.
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4.2 The phase bar
4.2.4.2.7 "Filter"
NOTE: The "Filter" toolkit is only displayed if an image filter has been
used previously.
All used filter operations are displayed in the "Filter" tool kit. Individual
filter operations can be hidden or deleted by clicking the buttons in the
"Filter" tool kit [→ 210].
"Filter" toolkit
Button Function
Hide filter operation
Delete filter operation
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4.2 The phase bar
4.2.4.2.8 "Info"
The "Info" toolkit provides information on the media item currently
displayed in the examination and on the associated patient.
Different information is displayed depending on the media type.
2D images
"Info" toolkit with selection of a 2D image
3D volumes and section views
"Info" toolkit with selection of a 3D image or section view
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4.2 The phase bar
Image title, anatomical region, and dose area product can be edited and
changed in the "Info" toolkit.
➢ Click on the "Image title" to change the image title and change it in
the input field.
➢ To change the "Anatomic region", click on the button with the 3
points.
➢ Click on the "Area dose product" (in front of the unit) to change the
dose area product, and change it in the input field.
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4.2 The phase bar
4.2.5 The "Output" work phase

Selection: Click on the "Output" button
"Output" work phase
Media items can be exported or sent via email in the "Output" work
phase.
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4.3 System menu
4.3 System menu

You can use the system menu to perform general functions that are
independent of the respective examination.
System menu
L Access the Sidexis 4 help menu

M Access [→ 50] global system tools
N Access [→ 55] the configuration menu
O Configure [→ 16] full-screen/window mode
P Exit [→ 15] program
4.3.1 Global tools

The "Global tools" menu provides you with tools for setting your Sidexis
4 system environment.
"Global tools" menu, e.g. "Intraoral templates" menu
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4.3 System menu
The menus for presetting the system are compiled into groups:
● "Exposure"
● "Sidexis Manager"
By clicking on the group name (D) (e.g. "Exposure") the buttons (E) for
the corresponding menu become visible.
When you click on a button, the corresponding menu opens.
Close the menu Click on the "Global tools" button (C) to close the "Close" menu.
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4.3 System menu
4.3.1.1 "Exposure"
"Intraoral templates" Managing and configuring templates for intraoral exposure series
[→ 105].
"Intraoral templates" menu
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4.3 System menu
Button Function
"New…" Add an empty template to set up a new in-
traoral exposure series
"Edit…" Open an existing template for editing.
NOTE: Not possible with standard templates.
"Copy…" Copy the template for an intraoral exposure
series.
"Remove" Delete the template for an intraoral exposure
series.
NOTE: Not possible with standard templates.
Move the selected template to the top posi-
tion in the list.
Move the selected template up one position

in the list.
Move the selected template down one posi-

tion in the list.
Move the selected template to the bottom po-

sition in the list.
Managing, editing and creating new templates is described in the

sections "Creating X-ray exposures [→ 96]" ⇒ "Intraoral exposure
series [→ 105]" ⇒ "Templates for the exposure series [→ 116]".
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4.3 System menu
4.3.1.2 "Sidexis Manager"

"Devices" Global device settings
"Devices" menu
Button Function
SIXABCon Configuration of the X-ray components
SIConst Constancy test
Other Depending on which X-ray components or
intraoral sensors are installed on the com-
puter, other buttons for opening the relevant
configuration programs are displayed in this
menu.
"Miscellaneous" These settings may only be made by authorized service engineers (see
Sidexis 4 Service Manual).
"Database" These settings may only be made by authorized service engineers (see
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4.3 System menu
4.3.2 Configuration menu

You can adjust Sidexis 4 according to the requirements of your practice.
To do this, you are provided with a clear configuration menu
Configuration menu, e.g. the "Application language" menu
The menus for presetting the program are compiled into groups.
● "General settings"
● "Patient settings"
● "Exposure"
● "Output"
NOTE: If plug-ins for treatment units that require settings are installed in
Sidexis 4, these are also displayed as buttons here.
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4.3 System menu
By clicking on the group name (E) (e.g. "General settings") the buttons
(F) for the relevant menu become visible.
When you click on a button, the corresponding menu opens.
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4.3 System menu
Identifying changes to the configuration
Identifying a change to the configuration that has not yet been activated by
restarting the software
If you have made changes in the configuration menu which require a

restart to activate the software, the corresponding buttons in the
structure tree (H) are labeled with an * (I). This designation is deleted
again following successful restart of the software or activation of the
change.
Saving the changes The changes made are automatically saved on closing the configuration
menu or on changing to a submenu.
Closing the configuration menu If you wish to close the configuration menu, click on the "Close" button
(J). The menu is closed.
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4.3 System menu
4.3.2.1 "General settings"

"Sidexis 4 language" User-specific settings for the program language
"Application language" menu
List field Function

Application language Selecting the program language
Button Function
"Adopt system lan- Select system language as the program lan-
guage" guage.
The currently set system language is adopted
as the program language. If the system lan-
guage is not available as program language,
English is automatically used as the program
language.
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4.3 System menu
"Practice" Global settings for the practice data; e.g. how data is displayed on a
printout
The "General settings" menu contains the following sub-areas:
● "Practice information"
● "Header definition"
● "Dental chart"
You can move the menu up or down in the window using the scrollbar to
the right of the menu.
Menu area "Practice information":
"Practice information" menu
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4.3 System menu
Entry fields Entry

"Practice name" Name of the practice
"Additional informa- Any additional information
tion"
Example of a practice address in a printout
"Street" Street
"Zip" Zip code
"City" City
"Country" Country
"Phone" Phone number
"Fax" Fax number
"E-mail" Email address
"Web address" Website
Button Function
"Practice logo" Define practice logo for printouts
"Show preview" Preview the display of practice data;
e.g. on printouts
Menu area "Header definition":

See section "Configure headers for printing [→ 339]".
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4.3 System menu
Menu area "Dental chart":
Option button Option button activated

"International (FDI)" International dental notation is used
"American Dental As- American dental notation is used
sociation (ADA)"
The configuration for displaying the practice address in the printout is

described in the Practice-specific settings
[→ 335] section.
"Multistation" These settings may only be made by authorized service engineers (see
"Communication partners" These settings may only be made by authorized service engineers (see
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4.3 System menu
"Presentation" Workstation-related settings for the depiction a ceph projection.

The "Presentation" configuration menu can be used to switch the ceph
projection direction from "Ceph (a.p.)" (factory settings) to "Ceph (p.a.)"
[→ 145].
In addition, the line thicknesses for the focus point axes can be selected
and rendering settings can be configured.
"Presentation" menu
Button Function
"CA Ceph (a.p.)" "CA" anterior – posterior projection
"CP Ceph (p.a.)" "CP" posterior – anterior projection
List field Function

"Axis line thickness in Set line thickness for the axes in the 3D sec-
3D sectional views" tion views, 4 stages (1–4 pixels)
Slider Function
"Graphics card set- High: HD rendering + acceleration for
ting" panoramic curve editor (recommended for
quick graphics cards)
Medium: HD rendering (factory setting)
Low: SD rendering (recommended for older
graphics cards)
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4.3 System menu
"User" Global user setup.

Users set up here are entered into different list fields of Sidexis 4 (e.g.
when entering the indication prior to exposure) and can be selected
there. Each user must at least be allocated one "User role".
Menu "User"/"User details"/"User role"
Entry fields Entry

"Title" Title of the user
"First name" First name of the user
"Surname" Surname of the user
Check box Check box activated

"Default for all sta- Selected users are defined as standard con-
tions" sultants.
If a patient is not assigned to a consultant,
this standard consultant is suggested as the
main consultant in the menus.
"Inactive" Deactivate user
Button Function
"Add" Add new user
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4.3 System menu
"Delete data" Global settings for deleting data
"Delete data" menu
Configuring deletion frequency:
Option buttons Entry

"manuel" Data is only deleted manually using the
"Delete now" button.
"Daily" Data is deleted daily;
time can be adjusted
"Weekly" Data is deleted weekly;
weekday and time of the deletion operation
can be adjusted
"Monthly" Data is deleted monthly;
day of the month (1-31) and time of the dele-
tion operation can be adjusted
NOTE: If a month has less days than the set
day, the data is deleted on the last day of the
month.
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4.3 System menu
Further options can be defined depending on which option button is

selected:
● "Daily" deletion frequency: Set the time
● "Weekly" deletion frequency: Set the weekday and time
● "Monthly" deletion frequency: Set the day of the month (1-31) and
time
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4.3 System menu
Configuring data export before deletion:

"Export data before Data is backed up to a defined storage loca-
deleting" tion prior to deletion. The path to the storage
location is defined in the input field "Spe-
icherort".
Entry fields Entry

"Speicherort" Path to the storage location to which the data
is backed up prior to deletion if the "Export
data before deleting" check box is activated.
Buttons Entry
"Create new folder" Create a new folder as a storage location for
the data.
Selecting the data which is deleted:

"Bilder" "Bilder" (media) are deleted.
"Patientendaten" "Patientendaten" (patients are deleted.
"Corrected Raw Im- Data group Orthophos SL
ages PAN" NOTE: This data group with the "Corrected
Raw Images PAN" data type can always be
selected. Further check boxes may be dis-
played here, depending on whether other de-
vice plugins for Sidexis 4 are installed.
"Corrected Raw Im- GALILEOS / ORTHOPHOS XG 3D data
ages" group
NOTE: This data group with the "Corrected
Raw Images" data type can always be se-
lected. Further check boxes may be dis-
Entry fields Entry

"Days" Minimum age of the data that can be deleted.
NOTE: The input field always relates to the
adjacent check box.
Buttons Entry
"Delete now" Delete data directly (regardless of the auto-
matic deletion cycle)
NOTE: The button always relates to the adja-
cent check box.
Switch Switch setting "Yes" Switch setting "No"

"Temporarily display Deleted and hidden Deleted and hidden
deleted and hidden images and patients images and patients
images and patients" are displayed tem- are not displayed tem-
porarily. porarily.
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4.3 System menu
"Reminders" Global settings for the diary.

Via the "Reminders" configuration menu, entries are defined that appear
as reminders in the list of appointments in the "Start" area [→ 22].
"Reminders" menu
Entry fields Entry

"Name" Appointment title
"Interval (in days)" Interval for automatically creating regular ap-
pointments in the diary
"Executing program" Selecting the program that should be started
when clicking on an appointment in the diary.
"Next reminder date" Date of the next appointment

"Automatically set to Appointments are automatically set to the
done" "Completed" status after clicking on them in
the diary.
"Enable Reminder" The defined appointment is activated and ap-
pears in the diary
Button Function
"Add" Add new appointment
"Remove" Delete existing appointment
Folder icon Path selection
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4.3 System menu
4.3.2.2 "Patient settings"

"Patient display" Global settings for displaying the logged in patient in the header line
"Patient display" menu
Displayed patient data selection:
Switch Switch setting "Yes" Switch setting"No"

"Card-index no." Information is dis- Information is not dis-
played in the header played in the header
"Last name"
line line
"First name"
"Date of birth"
"Patient image"
Area selection on to which the above selection is to be applied:
Switch Switch setting "Yes" Switch setting"No"

"Patient list" Selection is applied. Selection is not ap-
plied.
"Patient details"
"Patient display"
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4.3 System menu
IMPORTANT
At least the "Card ID" check box or the check boxes "Surname", "First
name", and "Birth date" must be checked to uniquely identify a
patient.
If just the "Card ID" check box is checked, a card index number must
be entered for each patient.
If a patient is logged in for whom this does not apply (no card index
number, even though only the "Card ID" check box is ticked in the
configuration, with the exception of check box "Patient image"), the
red text "Not clearly identifiable" appears in the display for the logged-
in patient.
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4.3 System menu
4.3.2.3 "Exposure"
"Import" User-specific settings for importing available media
When importing media items, a check is performed to see whether the
media item is already in the Sidexis 4 database. It is possible to import
duplicates into the database. To import duplicates without further
actions in the import table the "Allow import of duplicates (if image
already exists in database)" check box must be selected in the "Default
Import Settings" configuration menu.
If the "Allow import of duplicates (if image already exists in database)"
check box is not activated in the "Default Import Settings" configuration
menu, an icon is displayed for an existing import problem when an
attempt is made to import a duplicate in the import table of the "File
Import" menu (see also the "Edit import table / Start import [→ 299]"
section).
"Default Import Settings" menu

"Allow import of dupli- If a media item to be imported is already
cates (if image al- present in the database, it is marked in the
ready exists in data- import table as a duplicate and must be se-
base)" lected explicitly for import (see Chapter “Im-
porting duplicates [→ 312]").
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4.3 System menu
"TWAIN" Workstation-related settings for TWAIN devices
"TWAIN devices" menu
You can set the TWAIN connection via the check boxes in the "TWAIN
devices" menu.
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4.3 System menu
"File watcher" Workstation-related settings for directory monitoring for media imports
Via the directory monitoring, you can set up an automatic import of
media items from a "monitored" folder. Via the "File watchers" menu,
you can create and delete "monitored" folders and specify which media
items are to be automatically imported with which patient assignment
[→ 309].
"File watchers" menu
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4.3 System menu
Entry fields Entry

"Name" Name of the practice
"Folder" Path to the “monitored” folder

"include subfolders" Media items that sit in subfolders of moni-
tored folders are also imported.
"delete source files The original files are deleted in the monitored
after import" folder after the import.
NOTE: The "deleted" files are not actually
deleted, but are moved from the import to the
"temp" folder. The temp folder must therefore
be deleted every now and then. You can ac-
cess the required directory using the environ-
ment variable "%TMP%".

"interactive import" Media items are assigned manually to pa-
tients during imports.
"automatic import Automatic import functions only with tif/tiff
(background mode)" and DICOM formats. If these file formats con-
tain patient data, the import of this data is
carried out automatically in the background.
Button Function
"Add" Add monitored folder
"Remove" Delete monitored folder
"Icon" Define icon for the monitored folder or restore
to factory settings
Folder icon Select the path to the “monitored” folder via
the directory tree
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4.3 System menu
"Templates" Global settings for the exposure series [→ 105]
"Templates" menu
Entry fields Entry

"Holding time for Time interval between the exposure appear-
viewing the exposure ing and the request for triggering the next ex-
(sec.)" posure
List fields Selection

"Sensor holder sys- Selection of the sensor hold systems for in-
tem" traoral exposures
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4.3 System menu
"Daten löschen" Global settings for deleting data
"Daten löschen" menu
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4.3 System menu
Configuring deletion frequency:
Option buttons Entry

"manuel" The data is only deleted after manually click-
ing on the "Delete now" button.
"Weelky" Data is deleted weekly;
can be adjusted
month.
Entry fields Entry

"manuel" No data is deleted.
"Weelky" Data is deleted weekly;
can be adjusted
month.
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4.3 System menu
Further options can be defined depending on which option button is

selected:
● "Daily" deletion frequency: Set the time
● "Weelky" deletion frequency: Set the weekday and time
● "Monthly" deletion frequency: Set the day of the month (1-31) and
time
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4.3 System menu
Defining the selection of the data group and data type for the data to be
deleted

"GALILEOS / OR- GALILEOS / ORTHOPHOS XG 3D data
THOPHOS XG 3D" group
NOTE: This data group with the "Corrected
Raw Images" data type can always be se-
lected. Further check boxes may be dis-
Entry fields Entry

"Days" Minimum age of the data that can be deleted.
NOTE: The input field always relates to the
adjacent check box.
Buttons Entry
"Delete now" Delete data directly (regardless of the auto-
matic deletion cycle)
NOTE: The button always relates to the adja-
cent check box.
Configuring data export before deletion:

"Daten vor dem Data is backed up to a defined storage loca-
Löschen exportieren" tion prior to deletion. The path to the storage
location is defined in the input field .
Entry fields Entry

"Speicherort" Path to the storage location to which the data
is backed up prior to deletion if the "Daten vor
dem Löschen exportieren" check box is acti-
vated.
Buttons Entry
"Neuen Ordner anle- Create a new folder as a storage location for
gen" the data.
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4.3 System menu
4.3.2.4 "Output"
"Output Profiles" Global settings for the output profiles
"Output Profiles" menu
Entry fields Entry

"Profile Name" Name of output profile
List fields Entry

"Profile Type" Selected type of profile
"Export raster images Choose format for the export of JPEG
as" 2D images BMP
PNG
TIFF (8 bit)

"Anomymize" Without patient data, media items are there-
fore forwarded anonymously.
Button Function
"2D Export Profile" The definitions in the menu are performed for
the export of 2D media items.
"E-Mail Profile" The definitions in the menu are performed for
the export of 2D media items as an attach-
ment in an email.
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4.3 System menu
"Export options" Workstation-related settings for the availability of export formats
"Export options" menu

"E-mail" These formats are displayed in the
"2D export" "Output" work phase.
The export function "E-mail" is only
"DICOM Export Wrap&Go" available if MS Outlook is installed on
"DICOM exam export" the computer.
"Volume for third party manu- NOTE: No examination can be ex-

facturer (DICOM)" ported or output if none of the check
"DICOM Report export" boxes are activated. The "Output"
button is then deactivated in the
"Facescan (OBJ) Export"
phase bar.
"DICOM Media export (to
dcm file)"
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4.3 System menu
"2D Settings" Workstation-related settings for the output of 2D media items
"2D Settings" menu
Entry fields Entry

"Default target desti- Standard target directory for the output of 2D
nation" media items
List fields Entry

"Default Output Pro- Output profile for the output of 2D media
file" items

"Include in 2D export" The raw data is included in the 2D export.
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4.4 Docking window
4.4 Docking window

Various docking windows are available in the "Examination" phase:
● "Tools"
● "Diagnosis"
● "Gallery"
● "Session gallery"
After selecting the print functions via the "Tools" tool kit icons, the
"Printing tools" docking window is available in the "Output" phase.
Docking window
Docking windows (A) can either be docked or moved freely. When

docked, a docking window is firmly connected to the edge of the work
area. It can then be temporarily shown or hidden by clicking the mouse
on the tab (B). The size of the docking window can be altered by
dragging the edge of the docking window with the mouse button held
down.
Docking windows can also be permanently displayed.
NOTE: The "Gallery" and "Session gallery" or "Tools" and "Diagnosis"
docking windows can only ever be expanded alternately at the edge of
the work area. If the windows are released from the edge of the window
and can be moved freely then all docking windows can be displayed in
parallel.
In the factory setting, docking windows are docked and hidden.
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4.4 Docking window
Permanently show / hide docking window ➢ Click on the pin icon (C) in the tab.
Ä The pin icon changes.
Ä The docking window remains permanently hidden.
A movable docking window is released from the other components of
the work area, so that it can be moved easily.
Undocking docking windows 1. Move the mouse onto the docking window tab (B).
2. Press the left mouse button.
3. With the mouse button held down, move the mouse pointer to
another position in the work area.
Ä The docking window is released from the edge and can now be
positioned freely.
Ä You can scroll through the docking window using the scroll bar
(E).
Docking docking windows ➢ Click on the "Close Window" icon (D) in the header line of the
undocked docking window.
Ä The docking window automatically becomes docked to the edge
again.
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4.5 Work area bar
4.5 Work area bar
Work area bar
In the software factory setting, the work area bar (A) is permanently
shown. By clicking on the pin icon (B) in the "Workspaces" tab, the
permanent displaying of the work area bar can be canceled. In this case
the work area bar can be displayed and hidden temporarily by clicking
on the "Workspaces" tab (C).
All opened work areas are displayed as buttons on the displayed work
area bar. By clicking on these buttons, you can toggle between the
opened work areas.
Arrow icons (D) are displayed in the session bar if there are so many
work areas open that they cannot all be displayed simultaneously in the
work area bar. You can scroll through the work area bar by clicking
these arrows.
By clicking on the cross (E) in the buttons, the respective work areas
are closed.
You can find information on saving and re-opening patient sessions in
the "Save / open patient sessions [→ 190]" section.
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4.6 General control elements

The following control elements are available in Sidexis 4:
Check box ● Function selection, multiple selection possible ("AND" condition)
● When you hover the mouse pointer over the check box...
– The pointer changes from an "arrow" to a "hand"
– The button is highlighted in blue
● Clicking on the check box selects/deselects it and activates/
deactivates the relevant function.
● Possible states:
– Check box activated (selected)
– Check box deactivated (not selected)
Option buttons ● Function selection, only one button can be selected in a group of
option buttons ("OR" condition)
● When you hover the mouse pointer over the option button...
– The option button is highlighted in blue
● Clicking on the option button selects it and activates the relevant
function. If you have selected an option button, this selection will be
deleted as soon as you click on another option button in the same
group.
● Possible states:
– Option button activated (selected)
– Option button deactivated (not selected)
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Buttons ● Function control (e.g. accessing a menu)

● Buttons can include text, icons, or other areas of the user interface.
● When you hover the mouse pointer over a button...
– The button is highlighted in blue
● Clicking on the button starts the relevant function.
Entry fields ● Free entry of texts or numbers
● When you hover the mouse pointer over an entry field, the pointer
changes from an "arrow" to an "I-beam".
● Clicking on the entry field places the text cursor in the field.
Text is entered using the keyboard.
List fields ● Selection list of possible entries for a field
● When you hover the mouse pointer over a list field, the pointer
changes from an "arrow" to a "hand".
● Clicking on the list field opens the list of possible entries. Clicking on
an entry inserts it in the list field.
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4.7 Call up shortcut menus
4.7 Call up shortcut menus

Some of the "Tools" docking window functions can also be accessed via
shortcut menus. You can call up these menus by right-clicking over the
media window.
Call up shortcut menus ü The "Examination" work phase is opened.
1. Place the mouse pointer over the desired media window.
2. Right-click on the content of the media window.
popup menu
Ä The context menu opens.

3. Left-click on the desired function in the shortcut menu.
Ä The function is called up.
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4.8 Shortcut keys
4.8 Shortcut keys

4.8.1 General shortcut keys
Shortcut keys Function Prerequisites Note
[+/-] Zooms into media win- A work area must be
dow. opened and the desired
media window must be
selected.
[BACKSPACE] Opens previous logical None "Start" Work phase ⇒
step (one step back). work phase "Examination"
⇒
work phase
Patient(cursor in the input
field for the search) ⇒
work phase "Start" ⇒
NOTE! If the focus is in
an input field, then the
shortcut will likely be pro-
cessed from the input
field.
[IMAGE up/down] Scroll through layers. A section view (volume)
must be opened and se-
lected in the work area.
[ENTER] Opens next logical step None "Start" Work phase ⇒
(one step forward) work phase "Patient"
(cursor in the input field
for the search) ⇒
"Gallery" ⇒
work phase "Examination"
⇒
work phase "Output"
NOTE! If the focus is in
an input field, then the
shortcut will potentially be
processed from the input
field.
[Esc] Deactivates tool. A tool – e.g. the length
measurement tool – is ac-
tivated.
[F1] Opens help. None
[SPACE BAR] Activates full-screen A work area must be
mode. opened and the desired
selected.
[SPACE BAR] Exits full-screen mode. Full-screen mode must be If a tool is activated, this
activated. must first be deactivated;
e.g. through the "Esc"
shortcut
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4.8 Shortcut keys
Shortcut keys Function Prerequisites Note

[ARROW KEY Changes the image sec- A work area must be
up/down/left/right] tion displayed. opened and the desired
selected.
[Ctrl]+[–] Minimize content. Print preview
[Ctrl]+[+] Maximize content. Print preview
[Ctrl]+[0] Opens gallery for adding a A work area must be
media item to an opened opened.
work area.
[Ctrl]+[1] Display "100%" Print preview
[Ctrl]+[2] "Page width" display. Print preview
[Ctrl]+[3] "Whole page" display Print preview
[Ctrl]+[4] "Two pages" display Print preview
[Ctrl]+[C] Copy Print preview
[Ctrl]+[E] Changes to the "Output" A work area must be
work phase. opened.
[Ctrl]+[F4] Closes current work area. A work area must be
opened.
[Ctrl]+[P] Print a work area. Print preview:
Print a work area.
[Ctrl]+[P] Prints the image Print preview:
Print selected image
[Ctrl]+[Tab] Selects the next image in A work area with multiple
the current work area. images must be opened.
[Ctrl]+[Shift]+[3] Creates a volume (3D) ex- A patient must be logged
posure. in.
[Ctrl]+[Shift]+[C] Creates a Ceph exposure. A patient must be logged
in.
[Ctrl]+[Shift]+[I] Creates an intraoral expo- A patient must be logged
sure. in.
[Ctrl]+[Shift]+[P] Creates a panoramic ex- A patient must be logged
posure. in.
[Ctrl+C] Copy the image from the A work area must be
work area to the Windows opened and the desired
clipboard. media window must be
selected.
[Ctrl+S] Save patient session. An examination must be
open.
ARROW KEY Select images in the me- Media gallery must be
left/right dia gallery. open.
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4.8 Shortcut keys
4.8.2 Shortcut keys within the timeline

NOTE: The shortcut keys described in this section only apply if you
have opened the "Timeline".
The terms "highlighted" and "selected" are used below in conjunction
with the media items of the "Timeline".
A highlighted media item is enabled (with blue border) but not yet
transferred to the "Clipboard".
A selected media item (with orange border) is located in the "Timeline"'s
"Clipboard".
"Timeline" in the "Exposure" view

Shortcut keys Function Prerequisite
ARROW KEY Selects the first media item within the No media item is highlighted or se-
right / left highlighted "Timeline" row (exposure lected.
date).
If a media item has already been high-
lighted or selected in the "Timeline" row,
the media item to the left or right of the
media item last highlighted or selected in
this line is selected.
ARROW KEY Changes the "Timeline" row (exposure
up / down date). The first media item of the "Time-
line" row is automatically selected.
[Ctrl]+SPACE BAR The previously highlighted or selected At least one media item is highlighted
media item becomes selected or high- or selected.
lighted.
[Ctrl]+ The media item next to the last high-
ARROW KEY lighted or selected media item is high-
right / left lighted. The highlighted media item is se-
lected via the shortcut [Ctrl] + SPACE
BAR. The [Ctrl] key must not be released
throughout this process.
Previously selected media items remain
selected.
[Shift]+ Selects all the media items present in the
ARROW KEY "Timeline" row + all media items of the
right/ left / up / down highlighted "Timeline" rows above and
below it.
[Ctrl]+[A] Selects all media items present in the
"Timeline".
[Enter] Opens all selected media items (from the At least one media item is highlighted
"Clipboard" in the "Light box" work area) or selected.
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4.8 Shortcut keys
"Timeline" in the "Sessions" view

Shortcut keys Function Prerequisite
ARROW KEY Selects the first session within the high- No session is highlighted or selected.
right / left lighted "Timeline" row (session date).
If during the current "Timeline" session a
session has already been highlighted or
selected in this "Timeline" row, the ses-
sion to the left or right of the session last
highlighted or selected in this line is se-
lected.
ARROW KEY Changes the "Timeline" row (exposure
up / down date). The first session of the "Timeline"
row is automatically selected.
[Ctrl]+SPACE BAR The previously highlighted or selected One session is highlighted or selected.
session becomes selected or highlighted.
[Ctrl]+ The session next to the last highlighted or One session is highlighted or selected.
ARROW KEY selected session is highlighted. The high-
right / left lighted session is selected via the short-
cut [Ctrl] + SPACE BAR.
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5 Managing jobs Sirona Dental Systems GmbH
4.8 Shortcut keys
5 Managing jobs
Jobs are managed in the "Start" work phase.
Note: After Sidexis 4 restarts the software automatically goes into the
"Start" work phase.
Accessing the "Start" work phase ➢ Click on the "Start" button in the phase bar.
"Start" work phase
Ä Sidexis 4 jumps to the "Start" work phase.

Ä The job list (A) and the appointments list (C) are displayed. The
display field (B) shows the number of open x-ray jobs or the
number of pending appointments. The lists are closed initially
when the program is started. Clicking on the arrow symbol (D)
opens the lists [→ 20].
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Sirona Dental Systems GmbH 5 Managing jobs
5.1 Creating an X-ray job
5.1 Creating an X-ray job
Job list
B Number of open jobs

E Recycle bin
If you work with central Practice Administration Software (PAS) in your

practice, the X-ray exposures are created in the PAS and sent from
there to Sidexis 4. The jobs from the PAS are displayed in the job list
[→ 20] of the "Start" work phase.
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5 Managing jobs Sirona Dental Systems GmbH
5.2 Accepting X-ray jobs
5.2 Accepting X-ray jobs

An X-ray job can be accepted either automatically or manually. You can
set the method of accepting in the configuration menu. When an X-ray
job is accepted, the corresponding patient is also automatically logged
in.
5.2.1 Accepting X-ray jobs automatically

If the "Orders can be accepted here" and "Accept single order directly"
check boxes are activated in the "General settings" ⇒ "Multistation"
configuration menu, Sidexis 4 switches directly to the "Exposure" work
phase upon encountering an X-ray job from the PAS. The respective
patient is logged in and displayed in the header line.
If a patient is currently logged in and you are in the "Examination" work
phase at the time, the job is written into the job list and must be
accepted manually later.
If you are not in the "Examination" work phase, the patient currently
logged in is automatically logged out. The new patient is logged in and
Sidexis 4 establishes exposure readiness.
5.2.2 Accepting X-ray jobs manually

ü The "Start" work phase is opened.
➢ Double-click on the X-ray job in the job list that you want to do next.
Tip: You can sort the job list [→ 95] for a better overview.
"Exposure" work phase with logged in patient
Ä Sidexis 4 jumps directly to the "Exposure" work phase.

Ä The X-ray job is accepted. The respective patient is logged in
and displayed in the header line (D).
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Sirona Dental Systems GmbH 5 Managing jobs
5.3 Sorting the job list

You can sort the job list according to the terms in the header line; e.g.
surnames.
1. Click on the relevant term in the table header (e.g. "Last name").
Ä The list is sorted accordingly.
Ä A small arrow point is displayed in the header next to the term.
This indicates the sorting direction (upwards or downwards).
2. By clicking on the same term again, you can change the sorting
direction around.
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6 Creating X-ray exposures Sirona Dental Systems GmbH
6 Creating X-ray exposures

X-ray exposures are created in the "Exposure" work phase.
Device availability Device is ready
Device is in use
Device unavailable
Data could not be transferred to

Sidexis 4
(rescue status)
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Sirona Dental Systems GmbH 6 Creating X-ray exposures
6.1 Selecting an X-ray job

Accepting jobs automatically from the If the "Orders can be accepted here" and "Accept single order directly"
PAS check boxes are activated in the "General settings" ⇒ "Multistation"
configuration menu, an X-ray job arriving from the PAS is adopted
directly.Sidexis 4 automatically switches to the "Exposure" work phase.
The respective patient is logged in and displayed in the header line.
If a patient is logged in and you are not in the "Examination" work phase
at the same time when the new X-ray job arrives, then this patient is
automatically logged out.
The new job from the PAS is selected in the "Current Order" list field
(C). Only the relevant devices for this job are available.
If you want to take a different X-ray exposure to the one defined in the
job, you can select the "New order" entry in the "Current Order" list field.
The job from the PAS will then be moved to the job list and you can take
an X-ray exposure separate from the job first. All X-ray devices in the
network will then be available again.
If you are currently in the "Examination" work phase when the new X-
ray job arrives, the job is written into the job list and must be accepted
manually later.
Accepting jobs manually via the job list If the "Orders can be accepted here" and "Accept single order directly"
check boxes are deactivated in the "Multistation" configuration menu or
you are currently in the "Examination" work phase when the new X-ray
job arrives, the jobs from the PAS are automatically written into the jobs
list and must be accepted manually later.
➢ Double-click on the desired entry in the job list.
Ä Sidexis 4 opens the "Exposure" work phase.
Ä The new patient (A) is logged in and displayed in the header
line.
Ä The job from the job list is selected in the "Current Order" list
field. Only the relevant devices (B) for this job are available.
If you want to take a different X-ray exposure to the one defined in the
job, you can select the "New order" entry in the "Current Order" list field
(C). The job from the PAS will then be moved back to the job list and
you can take an X-ray exposure separate from the job first. All X-ray
devices in the network will then be available again.
New job without PAS via the "Patient" If no X-ray job has been created via the PAS, you can also define a
work phase completely new X-ray job via the "Patient" work phase.
1. Open the "Patient" work phase.
2. Click on the required patient name in the patient list.
Ä The patient's details, the last exposures, and the last patient
session are displayed.
3. Click on the "Exposure" button to create a new exposure.
line.
Ä "New order" is selected in the "Current Order" list field. All X-ray
devices in the network are available.
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Repeating a job via the "Patient" work You can repeat the last exposure for a particular image type via the
phase "Patient"phase [→ 104].
1. Open the "Patient" work phase.
2. Click on the required patient name in the patient list.
Ä The patient's details, the last exposures, and the last patient
session are displayed on the right next to the patient list.
3. Right-click on one of the last exposures and then on the "Create
new order" button in the shortcut menu.
line.
Ä The old job for the "last exposure" is selected in the "Current
Order" list field. Only the relevant devices (B) for this job are
available.
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6.2 Select X-ray component

ü The "Exposure" work phase is opened.
➢ Select an X-ray component for the exposure.
To do this, click on the device icon.
Ä The dialog for preparing the exposure appears.
NOTE: Depending on the device or sensor selected, the dialog
for preparing the exposure may differ from the version
presented here. The following section therefore only describes
the preparation of the exposure as an example.
Extraoral X-ray device selected
Preparation of an extraoral X-ray exposure using the ORTHOPHOS XG 3D/

Ceph X-ray device as an example
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Intraoral sensor selected
Preparation of an intraoral X-ray exposure using the XIOS XG intraoral

sensor as an example
Next enter the indication for the X-ray exposure.

To do this, proceed as described in the "Entering an indication [→ 101]"
section.
By clicking on the "Back" button, Sidexis 4 jumps back again to the
dialog for selecting the X-ray device.
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6.3 Entering an indication

NOTE: The indication is entered as described below for many X-ray
components from Dentsply Sirona. Depending on the device or sensor
selected, the dialog for preparing the exposure may differ from the
version presented here. The following section therefore only describes
the process for entering the indication as an example.
IMPORTANT
For intraoral exposures:
For intraoral exposures, only one L/R marker is displayed if, at the
time the exposure is created, a tooth region has been selected
manually. The specific selected tooth region determines whether an R
or L is set. If a tooth region is selected incorrectly at the time of the
exposure, the wrong marker may be applied. Please therefore change
the L/R markers particularly carefully for IO exposures.
ü The X-ray component is selected.

ü The dialog for preparing the exposure is selected.
"Indicating doctor" list field
1. Select the corresponding practice employees on the "Indicating

doctor" and "Exposure technician" list fields.
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Tooth selection through the dental notation
2. Choose a tooth to be examined from the dental notation by mouse

click. You can choose several teeth at once. By clicking on a tooth
again, it becomes deselected.
Tooth selection using the dental notation is especially important for
intraoral exposures, as the IO exposure is oriented using this dental
notation.
NOTE: You can switch the dental notation to adult or pediatric
dentitions by selecting option buttons "Mixed Dentition" or
"Permanent Dentition".
Ä The selected tooth is framed in orange.
Selecting an indication
3. Now add the indication for the selected tooth by clicking on the
buttons (C).
By clicking on the button (D), a shortcut menu opens for selecting
further indications.
Ä The indication for the selected teeth is entered into the
"Indication" entry field automatically.
You can also enter the indication into the entry field manually
via the computer keyboard.
4. If so desired, repeat the entry from point 2 for additional indications.
Ä The "Next" button becomes selectable.
5. If an X-ray is to be taken of a pregnant patient, activate the
"Pregnant" check box (E).
6. When you have completed all entries, click on the "Next" button.
Ä Sidexis 4 makes the unit ready for exposure.
By clicking on the "Back" button, Sidexis 4 jumps back again to the
dialog for selecting the X-ray device.
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6.4 Taking X-ray exposures on the device
6.4 Taking X-ray exposures on the device

CAUTION
X-rays
No X-ray can be triggered via Sidexis 4 itself. Only readiness for
exposure is established.
The release button has to be activated on the device to trigger the X-
ray. For details on how to take the X-ray exposure, please refer to
your detailed operating instructions for the device. It is essential that
you observe the warning and safety information specified therein.
ü The X-ray device is selected.

ü The indication for the X-ray exposure is entered.
ü Sidexis 4 has made the unit ready for exposure.
1. Insert the accessory parts onto the device and put on the relevant
hygienic protective sleeves.
2. Select the desired exposure program on the device.
3. Set the exposure parameters and kV/mA values.
4. Position the patient on the device.
5. Release an exposure.
Ä The exposure is displayed in Sidexis 4 in the "Examination"
work phase and saved in the Sidexis 4 database.
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6.5 Repeat the exposure
6.5 Repeat the exposure

Sidexis 4 offers you two simple options for repeating X-ray exposures:
● To repeat the last X-ray exposure from the "Patient" work phase.
● To repeat one of the X-ray exposures currently opened in the
"Examination" work phase.
Last X-ray exposure The last exposure for any image type can be repeated from the
"Patient" work phase.
ü A patient must be logged in.
1. Change to work phase "Patient".
2. Under "Latest exposures", right-click on the exposure that you want
to repeat.
New X-ray job in the job list
Ä A context menu opens.

3. Click on the "Create new order" button with the left mouse button.
Ä Sidexis 4 switches to the "Exposure" work phase.
Ä The new X-ray job (A) is shown in list field "Current Order".
Ä The new X-ray job is displayed in the job list.
Currently opened X-ray exposure Any exposure opened in the "Examination" work phase can be
repeated.
ü An exposure is opened in the "Examination" work phase.
1. Change to work phase "Examination".
2. Right-click on the exposure that you want to repeat.
3. Click on the "Retake exposure" button with the left mouse button.
Ä Sidexis 4 switches to the "Exposure" work phase.
Ä The new X-ray job (A) is shown in list field "Current Order".
Ä The new X-ray job is displayed in the job list.
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6.6 Intraoral exposure series

6.6.1 Take an exposure series
In order to be able to perform multiple intraoral X-ray exposures on the
same patient without the exposure readiness and the selection of the X-
ray components having to be established repeatedly manually on the
PC for each exposure, templates are available in Sidexis 4 for different
intraoral exposure series (C).
Example of selecting an exposure series (XIOS XG USB sensor)
Generally there are two types of exposure series:

● Type 1 exposure series, during which exposures of different
anatomical regions are recorded successively, e.g. for .
If configured, you will receive information about which position the
sensor fixing should assume during the individual exposures while
the exposure series is completed.
● Type 2 exposure series, during which several exposures of the
same anatomical region are recorded, e.g. for "endo vertical".
If this exposure series is selected, the corresponding region (tooth/
teeth) must be selected in the "Indication" within the odontogram.
Use the menu "Global tools" ⇒ "Exposure" ⇒ "Intraoral templates" to
create new templates or to edit [→ 116] existing templates.
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After an intraoral X-ray is taken using a template, readiness for

exposure is restored automatically after each individual exposure
without any further user interaction. This is of great advantage
especially if the PC and X-ray sensor are located at different places. In
the same room, the user can also view the dental record with the
selected anatomical regions as well as the positioning of the sensor
next to the exposure standby dialog on the screen even if the user is
standing next to the patient (even at a distance of 1.2 meters).
You can find detailed information on performing exposure series in the
respective plugin description of the sensors.
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6.6.1.1 Example of performing an intraoral exposure series

ü A patient is logged in.
ü An intraoral sensor is selected as the X-ray component in the "XIOS
XG" example.
Work phase "Exposure" with selected intraoral sensor
1. Select the template (A) for the desired exposure series, "Bitewings"
in the example.
2. Enter the indication (B) [→ 101]:
3. Click on the "Next" button.
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"Bitewings" series dialog
Ä The "Bitewings" series dialog opens.

4. Click the "Exposure start" button (E).
Ä The exposure series is started.
Ä The exposure dialog appears (see also operating instructions of
the corresponding X-ray machine).
5. Start the X-ray exposure.
Ä Following the exposure, the X-ray is displayed in the preview
window. Following elapse of the "Holding time for viewing the
exposure (sec.)", which can [→ 70] be defined via the
configuration menu, the next tooth region is automatically
selected and exposure standby recurs.
6. Repeat the process from step 5.
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Exposure series in the work area "Light box"
Ä Once taken, all of these exposures are displayed in the "Light

box" work area.
Exposure series (single images and compilation) in the "Exposures" view of

"Timeline"
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Ä The individual exposures (I) as well as the compilation of the

exposure series (J) are displayed in the "Exposures" view of the
"Timeline" and can also be re-opened through this [→ 282].
6.6.1.2 Stopping / starting (pausing) exposure series in the series dialog

In order to look at a preview image without any time pressure or to
repeat a previously made exposure once more calmly [→ 111], you can
pause and later restart the exposure series using the pause function.
1. Click on the "Exposure pause" button to stop the exposure series.
Ä The exposure series stops.
Ä The lapsing of the delay time stops.
2. Click on the "Exposure start" button to start or continue with the

exposure series.
Ä The exposure series continues.
Ä The delay time continues lapsing.
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6.6.1.3 Repeating an exposure in the series dialog

Provided the series dialog is opened, exposures that have already been
performed can be repeated once more.
ü The series dialog opens.
1. Stop the exposure series with the "Exposure start" button.
2. Right-click on the image in the series dialog for which you want a
new exposure.
Repeating an exposure in the series dialog

3. Click on the "Retake individual exposure" button with the left mouse
button.
Ä The exposure is repeated.
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Selecting the desired exposure
Ä A window appears with a preview of the old and new exposure.

4. Select the exposure (highlighted in orange) that you want to use
from the window and confirm this with the "Confirm" button.
Ä The selected exposure is used in the exposure series.
NOTE: Instead of steps 2 and 3, you can also select the image whose
exposure you want to repeat through the "forward / back double arrow
keys" (A) and then clicking on the "Repeat exposure" button (B).
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6.6.1.4 Canceling an exposure series

If some of the images of an exposure series are not needed, these can
also be canceled prematurely.
Series dialog
➢ Click on the "Examination" button (A) to cancel the exposure series.

Ä The exposure series is canceled.
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Display of an exposure series ended prematurely in the "Light box" work

area
Ä The images taken up to the cancellation are displayed in the

"Light box" of the "Examination" work phase.
Ä Placeholders (B) are displayed in the "Light box" of the
"Examination" work phase for the exposures of the series that
are not used.
The exposure series can be continued at any time using these
placeholders [→ 115].
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6.6.1.5 Continuing an exposure series

An exposure series that has been canceled can be continued later at
any time.
1. Open the compilation of the exposure series from the
"Timeline" (see the “Opening exposures for examination [→ 282]”
section).
Continuing an exposure series
2. Right-click on the placeholder of the exposure on which you want to

continue the exposure series.
Ä Sidexis 4 switches to the series dialog.
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Starting the series dialog / exposure series
3. Click on the "Exposure start" button (A) to start or continue with the
exposure series.
Ä The exposure series continues.
6.6.2 Templates for the exposure series

Use the menu "Global tools" ⇒ "Exposure" ⇒ "Intraoral templates" to
manage the templates for intraoral exposure series, edit and delete
templates that have been set up or to create new templates.
NOTE: Standard templates cannot be edited or deleted.
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6.6.2.1 Open "Template management" menu

1. Click on the tool icon (A) in the header line of the software.
Ä The "Global tools" menu opens.
2. Click the "Intraoral templates" button (B) in the structure tree.
Ä The "Intraoral templates" submenu is displayed.
"Global tools" menu, "Exposure" /"Intraoral templates" submenu
Display / Function
control elements
C Template list;
the selected template is highlighted orange.
D Scroll bar; for scrolling within the template list.
E Preview window;
shows the arrangement of the exposures in the
"Light box".
F Template name.
G Template description.
Aside from the display and control elements the "Intraoral templates"
menu also includes the following buttons:
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Buttons Function
"New…" Create a new template.
"Edit…" Edit the selected template.
"Copy…" Copy the selected template.
"Remove" Delete the selected template.
"Close" Close the "Intraoral templates" submenu.
Move the selected template to the top position in
the list.
Move the selected template up one position in the

list.
Move the selected template down one position in

the list.
Move the selected template to the bottom position

in the list.
You can close the menu again via the "Close" button (I).
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6.6.2.2 Sort / delete templates

Sort templates in the list
Sort templates
ü The "Intraoral templates" menu (B) is opened.

1. In the template list (C) click on the template required (e.g. "Special
bitewing exposures").
NOTE: You can scroll up or down in the list using the scroll bar (D).
Ä The selected template is highlighted orange.
Ä The arrangement of the exposures in the "Light box" is
displayed in the preview window (E).
2. Click on one of the arrow buttons (H) (see table).
Ä The template moves up or down in the list.
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Delete templates
Delete templates
NOTE: Standard templates cannot be deleted.

2. Click on the "Remove" button (J)
Ä The template is deleted.
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6.6.2.3 Edit templates

NOTE: Standard templates cannot be edited.
Start template editing
Edit templates

2. Click on the "Edit…" button (K).
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Edit templates
Ä The menu for editing the template opens.
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6.6.2.3.1 Adjust the view for the preview window

In order to be able to position the exposure window in the preview
window exactly the "Intraoral templates" ⇒ "Edit…" menu provides
different options which you are able to select via the check boxes:
● "Quadrants"
When the check box is selected the preview window is divided into
four quadrants using blue lines (T). This allows the exposure
windows to be positioned easily into the required quadrants.
The quadrant view is not visible in the Lightbox once the exposure
series has been completed.
● "Grid on/off"
A grid is displayed in the preview window if the check box is
selected. The exposure windows can be positioned precisely using
the grid. The grid is not "magnetic" initially.
● "Crosshairs on/off"
If the check box is selected an orange colored crosshair (U) is
displayed in the preview window when an exposure window is
moved. The crosshair permits alignment of the exposure window
without a grid network or "magnetic" grid or precise positioning of the
windows on the grid displayed.
● "Snap to grid on/off"
If the check box is selected an invisible "magnetic" grid is activated
in the preview window. The magnetic grid makes it easier to position
the exposure window in the preview window.
The magnetic grid corresponds with the grid to be displayed via the
"Grid on/off" check box.
Click the button marked "Confirm" to save the changes made.
Click the "Cancel" button to discard the changes.
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6.6.2.3.2 Editing individual exposures

The exposure window presents the individual exposure from the
exposure series in the preview window.
You can select the required anatomical region and sensor alignment for
each individual exposure. To do this, proceed as follows:
ü The template editing opens.
1. Click on the desired exposure window (V).
Ä The exposure window button is highlighted in orange.
2. Select the desired anatomical region by clicking on the
corresponding teeth in the odontogram.
Ä The selected teeth numbers (V) are displayed in the exposure
window (in accordance with the defined odontogram).
Ä A sensible position (orientation) for the intraoral sensor in the

patient's mouth is suggested in the "Sensor orientation" menu
area. The corresponding option button (X) is selected by
default. A preview image is displayed for the selected
orientation of the sensor (Y).
Ä A preview image (Z) is displayed for the location of the
positioning aid (only if the selection of the tooth region is
sensible).
3. You can change the default selection for the orientation for the
sensor if required at any time by clicking option buttons (X).
Ä The preview images for the sensor orientation (Y) and
positioning aid (Z) change accordingly.
4. You can change the exposure position for the exposure if required
within the exposure series, see the "Change the exposure
sequence [→ 126]" section.
Ä The top left corner of the exposure window shows the position
at which the individual exposure is completed within the
exposure series (W).
Example:
"1" means the individual exposure is the 1st exposure within the
exposure series.
5. Click the button marked "Apply" to save the changes made.
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6.6.2.3.3 Arrange individual exposures in the preview window

The exposure windows for a template can be arranged freely in the
preview window. The arrangement in the preview window of the
template corresponds with the subsequent arrangement of the
exposures in the Lightbox.
To move the exposure window in the preview window, proceed as
follows:
1. Click on the desired exposure window (V).
Ä The exposure window button is highlighted in orange.
2. Tip: Use the view options for the preview window to position the
exposure windows exactly (see the "Adjust the view for the preview
window [→ 123]" section).
Press on the left mouse button and move the exposure window with
the mouse button held down.
Ä The exposure window button is highlighted in orange and has
moved to the new position.
3. Release the left mouse button.
Ä The exposure window is placed at the new position.
4. Click the button marked "Apply" to save the changes made.
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6.6.2.3.4 Change the exposure sequence

The exposure window presents the individual exposure from the
exposure series in the preview window.
The top left corner of the exposure window shows the position which the
individual exposure is at within the exposure series (W).
There are two options for configuring for exposure sequence for the
individual exposures within the exposure series:
● Automatic configuration
● Manual configuration
Automatic configuration With automatic configuration of the exposure sequence the sequence
for the exposures is assigned in accordance with the arrangement of
the exposure window in the preview window. The exposure sequence
is assigned to the exposure windows from top to bottom.
Proceed as follows for automatic configuration:
1. Arrange the exposure windows in the preview window in such a way
that the position of the exposure windows corresponds with the
required exposure sequence from top to bottom.
Ä The top left corner of the exposure window shows the position
at which the individual exposure is completed within the
exposure series (W).
Example:
"1" means the individual exposure is the 1st exposure within the
exposure series.
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Configure exposure sequence automatically
2. Click the "Auto-Sequence" button (A).

Ä The exposure sequence is assigned automatically.
Ä The relevant exposure position is displayed in the top left corner
of the exposure windows (W).
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Manual configuration With manual configuration of the exposure sequence the sequence for
the exposures is assigned independently of the arrangement of the
exposure window in the preview window.
Proceed as follows for manual configuration:
Exposure window in the preview window
1. Arrange the exposure windows in the preview window according to

how they are supposed to appear subsequently in the Lightbox.
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Configure exposure sequence manually
2. Click on the "Sequence" button (B).

3. Click on the exposure windows successively in the desired
exposure sequence.
Ä The exposure sequence is assigned accordingly.
Ä The relevant new exposure position is displayed in the top left
corner of the exposure windows (W).
Save a modified template ➢ Click the button marked "Apply" to save the changes made.
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6.6.2.4 Create a new template
Add a new template

1. Click on the "New…" button (L).
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Edit templates
Ä The menu for editing the new template opens.

2. Edit the new template as described in the "Edit templates [→ 121]"
section.
3. Click the button marked "Apply" to save the new template.
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6.6.2.5 Copy templates
Copy templates

1. Click on the "Copy…" button (M).
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Edit templates
Ä The menu for editing the copied template opens.

2. Edit the copied template as described in the "Edit templates
[→ 121]" section.
3. Click the button marked "Apply" to save the copied template.
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6.6.3 Exchange exposures in an exposure series

Sidexis 4 provides the option of subsequently exchanging the position
of two exposures in an intraoral exposure series in the "Light box" (e.g.
in order to remedy an incorrect exposure sequence). To do this,
proceed as follows:
ü A complete unmodified intraoral exposure series is loaded into the
"Light box".
1. Move the mouse pointer over one of the intraoral exposures and
press the right mouse button.
Open the context menu

2. Click the "Change image order..." button in the context menu.
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"Swap images" Menu
Ä The "Swap images" menu opens.

Ä The first image (A) in the series is selected.
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"Swap images"
3. E.g. to exchange image (B) and image (C), drag image (B) onto
image (C) using Drag & Drop.
NOTE: During the Drag & Drop process the original position of the
selected image is highlighted in orange and the target position is in
a blue frame.
Ä The images are exchanged.
4. If you want to save the changes for the series, click the "Apply"
button.
Ä The intraoral exposure series is saved.
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Sirona Dental Systems GmbH 7 Analysis and diagnosis
7 Analysis and diagnosis

The analysis and diagnosis of image data takes place in the work phase
"Examination" Various work areas and a wide range of tool kits are
available to you here for analyzing volumes and images.
Accessing the "Examination" work phase Immediately after opening a media item or creating an X-ray exposure,
Sidexis 4 automatically jumps to the "Examination" work phase.
Depending on whether it is a 2D image, a 3D volume exposure, or a
section view, the exposure is initially displayed in the "Light box" or the
"3D examination" work area. As long as a work area is open, you can
change back to this work phase from any point in the software. After
logging a patient off or closing all examinations, the work phase can no
longer be selected.
To change to the "Examination" work phase, proceed as follows:
ü An exposure has been taken.
➢ Click on the "Examination" button in the phase bar.
"Examination" work phase
Ä The "Examination" work phase opens.
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7 Analysis and diagnosis Sirona Dental Systems GmbH
7.1 Work areas for 2D images, 3D volumes, and section views
7.1 Work areas for 2D images, 3D volumes, and

section views
Work areas
Images are displayed, processed, and diagnosed in the work phase

"Examination" Depending on the type of image (volumes or 2D grid
images) there are three different work areas available to you [→ 29]:
● "Light box"
● "3D examination"
● "Compare"
After opening a 3D volume or a 2D image from the media gallery of the
"Patient" work phase, Sidexis 4 automatically opens a new work area in
the "Examination" work phase. Depending on the type of image, a new
3D work area or a new light box is opened. All opened work areas are
displayed as buttons in the status bar and can be shown, hidden, or
closed using this [→ 84].
IMPORTANT: The "3D examination" work area is suitable for displaying
and diagnosing 3D volumes and their section views, whereas in the
work area "Light box"all image types (i.e. both volumes and section
views, as well as 2D images) can be displayed and diagnosed.
In the third "Compare" work area, image data of the same image type
can be compared [→ 183].
In the "Light box" and "Compare" work areas, multiple volumes and/or
the same volume can be loaded multiple times. Different section views
of a volume can be displayed next to each other, for example, and/or
views of the same volume can be edited (e.g. filtered) separately using
this function.
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7.1.1 "3D examination"

Selection: Click on the "3D examination" button in the "New
examination" tool kit.
Example of displaying a 3D volume in the "3D examination" work area
3D volumes and their section views are typically displayed and

analyzed in the "3D examination" work area for detailed examination. In
the "Layout" tool kit, four conventional, standard layouts are available to
you for the "3D examination" which you can select via the "3D", "CA",
"CL", and "MPR" buttons [→ 145].
The section planes can be changed via the examination window [→ 140]
and via the section views are changed. If the position of the section
plane is changed, the change takes effect in the displayed views and
the examination window.
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7.1.1.1 Examination window
Panoramic image with superimposed "Inspection window" (A)
Using the "Inspection window" (A), you can examine thin layers of the
volume along the panoramic curve to evaluate anatomical structures
(usually individual teeth) in all three dimensions.
The "Panorama" section plane displayed in the "Inspection window" is
displayed as a position aid (B) in the 3D image.
The examination window can be shown or hidden in the panoramic
image.
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7.1.1.1.1 Showing / hiding the examination window

ü The "3D examination" work area is selected.
ü The examination window is hidden.
1. Place the mouse over the panoramic image.
2. Click the right mouse button.
3. Click the "Show inspection window" button in the context menu.
Ä The examination window is displayed.
4. By clicking once more on the "Show inspection window" button, the
examination window becomes hidden.
7.1.1.1.2 Moving section and projection planes through the examination

window
Moving section planes mesial ⇔ distal ü The "3D examination" work area is selected.
and longitudinal direction OK ⇔ UK ü The examination window is shown.
1. Move the mouse over the header line of the examination window.
Ä The mouse pointer changes its form.
Moving the examination window
2. Press on the left mouse button and move the examination window
with the mouse button held down in a vertical or horizontal direction.
Ä The section planes are moved accordingly.
– Horizontal = moves section planes in a mesial ⇔ distal
direction
– Vertical = moves section planes in an OK ⇔ UK
longitudinal direction
Ä The "Panorama" and "Transversal" section planes are
displayed [→ 143] as position aids in the 3D image.
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Ä The section views change according to the selected section

plane.
Moving lingual/palatinal ⇔ buccal section ü The "3D examination" work area is selected.
planes ü The examination window is shown.
1. Move the mouse over the content of the examination window.
Navigating the examination window
2. Press the left mouse button and move the mouse pointer up and
down while holding down the mouse button.
Ä The section planes are moved accordingly.
– Upwards = lingual/palatinal section plane movement
– Downwards = buccal section plane movement
Ä The "Panorama" and "Transversal" section planes are
displayed [→ 143] as position aids in the 3D image.
Ä The section views change according to the selected section
plane.
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7.1.1.2 Position aids

Position aids can be shown and hidden for 3D images and section
views. These display the position of the section planes.
Position aids in the "3D examination" work area
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7.1.1.2.1 Showing and hiding position aids

ü The "3D examination" work area is selected.
1. Click on the "Show positioning aid" button in the "Tools" tool kit.
Ä The position aids are shown.
Ä The button is highlighted orange once it is activated.
2. If the button is clicked again the position aids are hidden once more
and the button is no longer highlighted.
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7.1.1.3 Standard layouts

In the "3D examination" work area, five conventional, standard layouts
are available to you, which you can select via the "3D", "CA", "CL",
"MPR", and "ENDO" buttons of the "Layout" tool kit.
Panorama layout The "3D" layout contains the following views::
● "Panorama" with examination window (if shown), see [→ 151]
● "3D", see [→ 152]
● "Longitudinal", see [→ 160]
● "Transversal", see [→ 161]
● "Axial (from above)", see [→ 162]
Panorama layout
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Ceph a.p. / p.a. layout The "CA" layout contains the following views:
● "Ceph (a.p.)"/"Ceph (p.a.)", see [→ 165]
● "3D", see [→ 152]
● "Sagittal (from the right)", see [→ 163]
Ceph a.p./p.a. layout
Ceph lateral layout The "CL" layout contains the following views:
● "Ceph lateral" see [→ 166]
● "3D" see [→ 152]
● "Coronal (from the front)", see [→ 164]
Ceph lateral layout
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MPR layout The "MPR" layout contains the following views:

● "3D", see [→ 152]
● "Coronal (from the front)", see [→ 164]
● "Sagittal (from the right)", see [→ 163]
MPR layout
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Endo layout The "Endo" layout contains the following views::

● "Panorama" with examination window (if shown), see [→ 151]
● "3D", see [→ 152]
● "Longitudinal", see [→ 160]
● "Transversal", see [→ 161]
Endo layout
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7.1.1.3.1 Selecting standard layouts

ü The "3D Examination" work area is selected.
Choosing a layout
➢ In the "Layout" tool kit, click on the "3D", "CA", "CL", or "MPR"
button.
Ä The 3D volume is displayed in the selected layout.
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7.1.1.3.2 Changing standard layouts

You can change the standard layout division. To do this, proceed as
follows:
ü The "3D Examination" work area is selected.
ü The desired layout is selected.
1. Move the mouse pointer over the white division line that you want to
move.
2. Press on the left mouse button and move the line with the mouse
button held down.
Layout with modified divisions
Ä The windows/image sizes change accordingly
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7.1.1.4 Panoramic image
Panoramic image
In the panoramic image (A) of the "3D examination" work area, a

panoramic tomogram, calculated / reconstituted from the 3D volume, is
displayed.
The panoramic layer radiogram is calculated on the basis of the
panoramic curve (B) from the volume. The panoramic curve can be best
adjusted to the mandibular arch using the "Panorama curve editor"
[→ 196].
An examination window (C) can be superimposed on the panoramic
image. The section plane (D) of the volume is displayed in the
examination window.
The section planes can be moved to the 3D image and the section
views through the examination window [→ 140].
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7.1.1.5 3D image
A 3D reconstruction of the DVT exposure is displayed in the 3D image
of the "3D examination" work area.
The 3D reconstruction can be rotated in the three axes x, y, and z using
the mouse. [→ 153]
3D image
A 3D reconstruction
B "Panorama" section plane
C "Transversal" section plane
D Panoramic curve
E Orientation display
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7.1.1.5.1 Changing angles

Changing angles with the mouse You can freely rotate the 3D reconstruction in the three axes x, y, and z
using the mouse. To do this, proceed as follows:
1. Move the mouse pointer over the 3D image.
3. Move the mouse pointer in an x, y, or z direction holding the mouse
button down.
Changing angles
Ä The 3D reconstruction is rotated according to the movement of

the mouse pointer.
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Selecting fixed angles Sidexis 4 offers you eight standard angles which you can select via
icons in the 3D image:
● Top
● behind
● Bottom
● the right
● diagonal right
● the front
● diagonal left
● the left
To select an angle, proceed as follows:
1. Move the mouse pointer onto the orientation display in the 3D
image.
Ä The icons for selecting the angle are superimposed. The
current angle is displayed in orange (A).
2. Click on the icon with the desired angle; e.g. "right" (B).
Selecting standard angles
Ä The 3D reconstruction is turned to the desired angle.
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7.1.1.5.2 Planar sections
Interactive section screen (A) in the 3D image
In the 3D image you can interactively set planar sections in order to be

able to analyze anatomical structures. To do this, you can place a
section screen (A) in the currently selected angle. This screen (a
clipping plane) can be moved through the volume using a mouse.
Setting a section screen 1. Select the angle at which you want [→ 153] to set the planar
section.
2. Click the "Create interactive clipping plane in the selected 3D view."

button.
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Setting a section screen
Ä The section screen (A) is set.
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Moving a section screen 1. Move the mouse pointer onto the content of the section screen.

3. Move the mouse pointer inside the section screen with the mouse
button held down.
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Moving a section screen through the 3D reconstruction
Ä The section screen is moved through the 3D reconstruction.

The section through the 3D reconstruction changes accordingly.
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Changing the angle of the 3D

reconstruction including the section
screen
Changing the angle of the 3D construction including the section screen
Changing the angle of the 3D reconstruction including the section

screen is the same as in the description from the section "Changing
angles" [→ 153].
NOTE! When changing the angle with the mouse, you must however
ensure that the mouse pointer (B) is located outside the section screen
(A) when pressing the left mouse button. Otherwise the angle is not
change, and instead the section screen is moved.
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7.1.1.6 Section views:

Each (section) plane of the 3D volume can be displayed as a section
view in Sidexis 4. Using the sectional views it is possible to assess
anatomical structures from various angles and to measure them with
precision. Sidexis 4 provides different standard section views in the
Standard layouts [→ 145]. You can navigate interactively through the
sections using the mouse.
7.1.1.6.1 Longitudinal
The "Longitudinal" section view displays planar sections that run
tangentially to the panoramic curve. The panoramic curve can be best
adjusted to the patient's mandibular arch using the panoramic curve
editor. Sections along the mandibular arch can thus be examined using
the longitudinal section view.
You can find information on shifting and tilting section planes in the
"Navigating the section views [→ 167]" section.
"Longitudinal" section view
A Orientation display
B Vertical position of the "Transversal" section plane
C Horizontal position of the
Axial (from above) section plane (corresponds to the position of
the panoramic curve)
E Measurement indicator
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7.1.1.6.2 Transversal
The "Transversal" section view displays planar sections that run
vertically to the panoramic curve. The panoramic curve can be best
adjusted to the patient's mandibular arch using the panoramic curve
editor. Sections across the mandibular arch can thus be examined
using the transverse section view.
"Transversal" section view
B Vertical position of the "Longitudinal" section plane
Axial (from above)section plane (corresponds to the position of
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7.1.1.6.3 Axial (top view)

The "Axial (from above)" section view displays planar, transverse
sections that run parallel to the panoramic curve. Transverse sections in
the occlusal plane can thus be examined using the axial section. The
axial section planes can be moved and tilted [→ 167].
"Axial (from above)" section view
B Position of the "Transversal" section plane
C Position of the "Longitudinal" section plane
D Panoramic curve
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7.1.1.6.4 Sagittal (from right)

The "Sagittal (from the right)" section view displays planar sections in
the sagittal plane. Sections in the sagittal plane can thus be examined
using the sagittal section view. The sagittal section plane can be
moved, slanted, and [→ 167]tilted.
"Navigating the section views [→ 167] “ section.
"Sagittal (from the right)" section view
B Position of the "Coronal (from the front)" section plane
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7.1.1.6.5 Coronal (front view)

The "Coronal (from the front)" section view displays planar sections in
the coronal plane. Sections in the coronal plane can thus be examined
using the coronal section view.
You can find information on moving and tilting section planes in the
Navigating the section views [→ 167] section.
"Coronal (from the front)" section view
B Position of the "Sagittal (from the right)" section plane
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7.1.1.6.6 Ceph a.p./p.a.

The "Ceph AP"/"Ceph PA" thick film projection is calculated from the
volume data.
● Ceph a./p. = front view
● Ceph p./a. = rear view
Which of the two Ceph a./p. or Ceph p./a. thick film projections is
displayed at this point can be configured in the "General settings" ⇒
"Presentation" configuration menu [→ 58].
Thick film projection "Ceph AP"/"Ceph PA"
Tip: The "3D align" function can be used to optimize Ceph views
[→ 202].
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7.1.1.6.7 Ceph lateral

The "Ceph lateral" thick film projection is calculated from the volume
data.
"Ceph lateral" thick film projection
Tip: The "3D align" function can be used to optimize Ceph views
[→ 202].
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7.1.1.6.8 Navigating the section views

Sidexis 4 displays the following section planes in the layouts:
● "Longitudinal"
● "Transversal"
● "Axial (from above)"
● "Coronal (from the front)"
● "Sagittal (from the right)"
● "Ceph AP"/"Ceph PA"
● "Ceph lateral"
7.1.1.6.8.1 Moving section planes
1. Move the mouse pointer over the section view in which you want to
navigate.
2. Click the left mouse button.
Ä The corresponding media window is selected.
3. Move the mouse pointer in a vertical direction holding the mouse
button down.
Ä The section plane is moved accordingly.
– "Longitudinal" = Moving the section plane in a lingual/palatinal
⇔ buccal
direction
– "Transversal" = Moving the section plane tangentially along
the panoramic curve
– "Axial (from above)" = Moving the section plane longitudinally
in an OK ⇔ UK direction
– "Sagittal (from the right)" = Moving the section plane
transversally
– "Coronal (from the front)" = Moving the section plane sagittally
Ä In the 3D image, the new section and projection planes
"Transversal", "Panorama", and the panoramic curve are
displayed as position aids [→ 143].
Ä The section views change according to the new section plane.
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7.1.1.6.8.2 Slanting / tilting section planes

The "Longitudinal", "Transversal", "Axial (from above)", "Sagittal (from
the right)", and "Coronal (from the front)" section planes can be slanted /
tilted.
There are two procedures for tilting or slanting the planes:
● By moving the mouse pointer over the section view
● Using the "Incline" dial (D) in the "Analysis" tool kit
Tilting / slanting section planes by moving 1. Move the mouse pointer over the left or right (orange dashed) edge
the mouse pointer over the section view of the horizontal position aid in the desired section view.
2. Press the left mouse button. Move the mouse pointer in a vertical
direction holding the mouse button down.
Tilting / slanting a section plane (a section plane in this example)

"Longitudinal"
Ä The section plane (A) is turned around the rotary axis (yellow
horizontal position aid).
Ä Provided the section plane is displayed in the projections, the
position of the tilted section plane is displayed as a dashed
yellow line (C) in the other section views.
Ä In addition the position of the section plane is displayed via the
position aid (B).
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"Incline" dial (D)
Ä The selected section plane's tilt angle is displayed on the

"Incline" dial (D) in the "Analysis" tool kit.
Tilting / slanting the section plane with 1. Select the desired section view in the work area.
the "Incline" dial
"Incline" dial (D)
2. Move the mouse pointer over the "Incline" controller (D).

the left mouse button, and move the bar in a vertical direction with
or
➢ Enter the value in the entry field under the controller using the
keyboard.
Ä The section plane is turned around the rotary axis (yellow
horizontal position aid).
Ä Provided the section plane is displayed in the projections, the
position of the tilted section plane is displayed as a dashed
yellow line in the other section views. The selected section
plane's tilt angle is displayed on the dial "Incline" (D).
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Undoing the section plane tilt / slant 1. Select the tilted section plane in the work area.
2. Place the mouse pointer on the "Incline" controller.
the left mouse button.
Ä The slide controller is activated.
4. Click on the white reset arrow (E) on the "Incline" slide controller.
Ä The section plane's tilt is put back to its original position;
i.e. 0°.
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7.1.1.7 Opening a new "3D examination" work area

There are various ways of opening a new "3D examination":
● From the "Timeline" of the "Patient" work phase
● Via the "3D examination" button of the "New examination" tool kit
Opening a new "3D examination" from ü The "Patient" work phase is selected.
the "Timeline" 1. Click on the "Register and exposure" button.
Ä The "Timeline" is displayed.
2. Scroll with the mouse to the desired 3D volume.
3. Double-click on the 3D volume.
Ä The 3D volume is opened as a new "3D examination".
Opening new "3D examination" via the ü The "Examination" work phase is selected.
"3D examination" button 1. Select an open "3D examination".
2. Click on the "3D examination"button on the "New examination" tool
kit
Ä The selected "3D examination" is opened as a copy in a new
work area.
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7.1.2 "Light box"

Selection: Click on the "Light box" button in the "New examination" tool
kit.
Example of displaying different media windows in the light box
The functionality of the traditional light box is recreated. In this "virtual

light box" you can open 2D images, as well 3D volumes and section
views. Each image is opened in its own media window.
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7.1.2.1 Opening a new "light box" work area

There are various ways of opening a new "Light box":
● From the media gallery of the "Patient" work phase
● Via the "Light box" button of the "New examination" tool kit
Opening a new "Light box" from the ü The "Patient" work phase is selected.
"Timeline" 1. Click on the "Register and exposure" button.
Ä The "Timeline" is displayed.
2. Scroll with the mouse to the desired 2D image.
3. Double-click on the 2D image.
Ä The 2D image is opened in a new "Light box".
IMPORTANT
You can also open multiple media items in a new light box at the
same time or add media items to an opened light box later on. You
can find information on this in the "Manage media items and sessions
[→ 276]" section.
Opening a new "Light box" via the "Light ü The "Examination" work phase is selected.
box"button 1. Select an open "Light box".
2. Click on the "Light box" button on the "New examination" tool kit.
Ä The selected "Light box" is opened as a copy in a new work
area.
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7.1.2.2 Working with media windows

In the "Light box" work area, each media item is displayed in its own
media window, whether that be a 3D volume, section view, or a 2D
image. Several media windows and media items can be opened in
parallel. By clicking on a media window, this is selected and placed in
the foreground. You cannot select more than one media window at a
time. A header is shown on the selected media window. The header
displays the type of media, the date, and time of the exposure, and the
"Full screen / Window mode" button.
Media window
P Media type display (3D / 2D / panorama)

Q Date and time of exposure/video
R "Full screen / Window mode" button
S "Close" button
T Choose / cut media window (image detail)
U Proportionally zoom in/out of media window (content)
V Paper clip, if a diagnosis is saved with the media item [→ 256].
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7.1.2.2.1 Closing a media window

➢ Click on the blue cross in the top right of the header line of the
media window.
Ä The media window is closed.
7.1.2.2.2 Arranging media windows automatically in the work area

ü Several media windows (media) are opened in the "Light Box".
➢ Click on the "Automatically Layout" button.
Automatic arrangement of the opened media windows
Ä The opened media windows (media) are automatically arranged

in the "Light Box". In so doing, media items of the same kind are
arranged next to each other in chronological order.
Ä The "Automatically Layout" button is highlighted orange.
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7.1.2.2.3 Moving media windows

1. Select the desired media window.
2. Move the mouse pointer onto the header line of the media window.
Moving the media window in the "Light Box"
3. Press on the left mouse button and move the media window with
the left mouse button held down.
Ä The media window is moved to another position.
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7.1.2.2.4 Choose / cut image detail

2. Move the mouse pointer onto a drag point of the media window.
Choose / cut media window (image detail)
Ä The frame of the media window is displayed as a white line over

the image.
4. With the mouse button held down, make the media window smaller
or larger.
Ä The image is cut. The actual image size remains unchanged.
Changing the image size ü The desired media window is selected.
1. Place the mouse pointer over the image in the media window.
2. Roll the mouse wheel forwards or backwards.
Ä The image size in the media window changes.
– Rolling the mouse wheel forwards = Enlarges the image
– Rolling the mouse wheel backwards = Reduces the image
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Moving an image ü The desired media window is selected.

2. Press the right mouse button.
Moving an image in the media window
3. Move the image with the right mouse button held down.
Ä The image is moved in the media window.
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7.1.2.2.5 Proportionally enlarging / reducing the media window

2. Move the mouse pointer to the white arrow point in the lower corner
of the media window.
Proportionally enlarging / reducing the media window (image)
3. Press on the left mouse button and pull the media window in a
diagonal direction to become larger or smaller with the mouse
button held down.
Ä The media window is expanded or reduced in size. The content
is also zoomed in or out with the size of the window. The image
detail is not changed.
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7.1.2.2.6 Maximizing the media window on the work area (single image
mode)
ü The desired media window is selected.
1. Click on the "Maximize Image" button in the top right of the header
line of the media window.
or
➢ Press the space bar.
Ä The media item is maximized on the work area.
➢ By clicking on the "Normal view" button or pressing the space bar,
the single image mode is reset.
Ä The media item is displayed once again in the media window.
7.1.2.2.7 Changing projection type in the media window
In media windows in "Light Box" that contain a 3D volume or a section
view, the projection type can be changed. To do this, proceed as
follows:
Example: Media window in "Light Box" with a 3D volume
ü In "Light Box" a media window with a 3D volume or a section view is

selected (a 3D volume in this example).
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Changing the projection type
1. Click on the "Projection type" button (A) in the "Tools" tool kit.
Changing a projection in the media window via the context menu
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or
➢ Click on the "Change View" button of the context menu [→ 87].
Ä A sub menu opens.
2. Click on the desired projection type in the sub menu, e.g. "Coronal
(from front)".
Example: "Coronal (from front)" section view
Ä In the media window the "Coronal (from front)" section view is

displayed).
Ä The "Projection type" button in the tool kit changes (from "3D" to
"COR" in this example).
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7.1.3 "Compare"
Sidexis 4 offers a special work area for comparing exposures. In the
"Compare" work area, you can compare two volumes or two section
views or up to four 2D images.
The images compared correlate with each other (provided that the
"Synchronize views" function is [→ 185] switched on), so that the
following functions, when performed in one of the windows, are applied
to all opened windows:
● Changing the brightness or contrast [→ 206]
● Changing the tonal value (gamma) [→ 206]
● Image filters [→ 210]
● Zooming in/out of media window content [→ 177]
● Moving content in the media window
● Changing projection types (when comparing 3D volumes or section
views) [→ 180]
● Navigating through the section views
The correlation of the views can be [→ 185] deactivated and reactivated.
Example of a 2D image comparison in the "Compare" work area
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Example of a volume comparison in the "Compare" work area
NOTE: As a user, please always ensure that you are comparing

clinically equivalent areas.
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7.1.3.1 Connect/disconnect views

The correlation of the views can be deactivated and reactivated. To do
this, proceed as follows:
1. Move the mouse over a media item.
Connect or disconnect views
3. Click the "Desynchronize views" or "Synchronize views" button in

the context menu.
Ä Correlation of the views is switched off or on.
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7.1.3.2 Opening a new "compare" work area

There two ways of opening the "Compare" work area:
● Open media items from the "Patient" ("Image selection") work phase
in the "Compare" work area.
● Open or add media items in the "Examination" work phase in the
"Compare" work area.
IMPORTANT
You can compare a maximum of two volumes or section views or up
to four 2D images.
Opening media items from the ü The "Patient" work phase is opened.
"Patient" ("Image selection") work phase ü The "Image selection" is opened.
in the "Compare" work area
1. Drag the media items that you want to compare and drop them onto
the clipboard of the "Image selection".
Ä The media items are on the clipboard.
2. Click the button with the three dots and then click the "Compare"
icon.
Ä The media items are opened in the "Compare" work area.
See also the “Opening multiple media items in the work area
simultaneously [→ 283]”.
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Open or add media items in the ü The "Examination" work phase is opened.
"Examination" work phase in the 1. Select a media window.
"Compare" work area. 2. Click on the "Compare" button in the "New examination" tool kit.
Ä The media window is opened in a new compare work area.
3. Open the "Gallery" docking window.
Ä The "Image selection" is displayed in the "Gallery" docking
window.
4. Drag the media items that you want to compare using "Drag&Drop"
and drop them onto the clipboard of the "Image selection" and then
click on the "Open" button.
or
➢ Drag the media items you would like to compare using "Drag&Drop"
and drop them directly into the work area.
Ä The media items are added in the "Compare" work area.
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7.2 Opening last exposures
7.2 Opening last exposures

ü The "Patient" work phase is opened.
1. Click on the row of the patient you are looking for in the patient
table.
Ä The patient's data is displayed in detail next to the patient table.
Ä The patient's last exposures (any type of image) and the last
patient session are also displayed [→ 23].
You can scroll through the window using the scroll bar (A).
2. Under "Latest exposures", click on the media item type that you
want to open, e.g. "Volume".
Ä The last media item is displayed.
3. Double-click on the media item.
Ä If a patient is already logged in, they are automatically logged
out and the new patient is logged in [→ 274].
Ä Depending on the type of media item, the last media item is
opened in the "3D examination" or "Light box" work area.
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7.3 Continue last patient session
7.3 Continue last patient session

The last opened patient session is displayed in the "Patient" work phase
as a session; even if this has not been explicitly saved [→ 190]. This last
session can be continued.
However, an unsaved session is not present in the "Session gallery".
ü The "Patient" work phase is opened..
1. Click on the row of the patient you are looking for in the patient
table.
Ä The patient's last exposures (of each image type) and their last
patient session are also displayed.
NOTE: If this involves a saved patient session, the name of the
session is also displayed there.
2. Double-click the "Latest session" image.
Ä If a different patient is logged in, they are automatically logged
out and the new patient is logged in [→ 274].
Ä The new patient's last session is opened and can be continued.
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7.4 Save / open patient sessions

You can save patient sessions and open them again later for
processing.
Saved patient sessions are displayed in the "Sessions" view of the
"Timeline": They can also be renamed [→ 190] and opened there.
The "Exposure", "Examination" and "Output" work areas have the
"Session gallery" docking window available [→ 194] for saving,
changing, and opening sessions.
7.4.1 "Session gallery"

The "Session gallery" docking window provides a convenient option for
renaming, saving and opening patient sessions.
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"Session gallery"
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A Name of the current patient session

B Creation date of the current patient session
C Last date that the current patient session was changed
D Number of work areas available in the current patient session
E Arrow icon Open or close the session overview
F List field Sort the saved patient sessions by the follow-
ing criteria:
– "modified"
– "created"
G saved patient session in the session overview
Buttons
"save" Save the current session
"save as" Save the current session with a new name
"Open" Open the patient session selected in the ses-
sion overview
NOTE: Once you make changes to the patient session an asterisk (H) is
displayed next to the "Name" entry field in the "Session gallery" docking
window. The "save" button in the "Session gallery" docking window is
activated along with the disk icon (I) in the docking window tab.
Save patient session ü A patient is logged in.

ü A "Examination" is open.
1. Display the "Session gallery"docking window [→ 82].
2. Change the name of the patient session if necessary in the "Name"
entry field (A).
3. Click on the "save" button.
or
➢ Click on the disk icon (I) in the tab.
Ä The patient session is saved.
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Save patient session under a new name ü A patient is logged in.

ü A "Examination" is open.
2. Click on the "save as" button.
Ä The dialog for saving the current session opens.
3. Enter the desired name for the patient session in the input field (A)
and click on the "save" button.
Ä The patient session is saved under the name entered.
Opening a saved patient session ü A patient is logged in.
ü At least one saved patient session is available.
ü The "Exposure", "Examination" or "Output" work phase is opened.
2. In the session overview select the desired patient session and then
click on the "Open" button or double-click the patient session.
or
➢ Use "Drag&Drop" to drag the patient session from the session
overview to the Sidexis 4 user interface.
Ä The patient session is opened in the "Examination" work phase.
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7.4.2 "Timeline"
Saved patient sessions can be displayed in the "Timeline" and opened
via the "Sessions" view of "Timeline" [→ 276].
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Opening a saved patient session ü A patient is logged in.

ü At least one saved patient session is available.
ü The "Timeline" is opened.
1. Select the desired patient in the patient table.
2. Switch to the "Sessions" view in the "Timeline".
3. Click on the desired patient session.
Re-establishing the session
Ä The selected session (B) is highlighted in orange.

Ä Additional information (C) is displayed for the selected session.
NOTE: You can edit the title of the patient session here. If the
title already exists, it points to a corresponding message text.
To save the changed title, press the "Enter" button. To discard
changes, press the "ESC" button.
4. Click on the "Restore session" button (D).
Ä The patient session is opened in the "Examination" work phase.
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7.5 Set panoramic curve

If the quality of the automatically generated views in the Panoramic view
workspace does not meet your diagnostic requirements, you can
reconstruct the Panoramic view workspace.
The panoramic curve should be set up so that ...
● The panoramic curve covers all the teeth and jaw
● The tooth roots are shown as centrally as possible Ideally, the
central (middle) line of the panoramic curve (mandibular arch)
should go through the center of the dental roots.
"Panorama curve editor"
To do this you improve the panoramic curve (C) using the "Panorama
curve editor". The "Panorama curve editor" offers the following options
for setting up the panoramic curve:
● Vertical movement of the panoramic curve in the section view
● Automatic adjustment of the panoramic curve through the
preselection of appropriate dentitions (mandibular arch).
● Manual editing of the panoramic curve
(thickness, shape, horizontal position, symmetry)
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7.5.1 Opening the "panoramic curve editor" menu

ü A 3D examination is opened in the "Examination" work phase.
1. Click on the "Adjust 3D (PAN curve, Align 3D)" icon in the "Tools"
tool kit.
or
➢ Click the right mouse button in the 3D examination above the
panoramic view and click the "Panorama curve editor" button in the
context menu.
Ä The "Panorama curve editor" menu is displayed. [→ 196]
7.5.2 Moving the panoramic curve to another section plane

ü "Panorama curve editor" is open.
Moving the panoramic curve to another section plane
1. Move the mouse pointer over the orange-colored line (B) in the
panoramic view (A).
2. Press the left mouse button and move the line in a vertical direction
with the mouse button held down. Releasing the mouse button ends
the process.
Ä The panoramic curve (C) is shifted to a new section plane.
Ä The new section plane is displayed in the window (D).
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7.5.3 Automatically adjusting panoramic curves to preset

dentition shapes and sizes
The "Panorama curve editor" provides three different standard dentition
shapes and three different sizes. We proceed as follows to set the
panoramic curve to the dentition shape and size:
Automatically adjusting panoramic curves to dentitions

➢ Click on a dentition shape and size in the "Presets" window (E) of
Dentition shape
the "Panorama curve editor".
Ä The panoramic curve (C) and the panoramic view (A) are
automatically adjusted to the new dentition shape and size.
Dentition size
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7.5.4 Editing the panoramic curve manually

NOTE: Please ensure that the panoramic curve also has a clinically
practical course after manual editing so that the panoramic view can still
fulfill an overview function.
You can adjust the panoramic curve to the mandibular arch manually.
ü The panoramic curve is in the desired section plane.
ü The form of the mandibular arch is preselected through the button
of the Presets window [→ 198].
➢ Adjust the thickness, contours, symmetry, and position of the
panoramic curve to the mandibular arch manually.
Setting the curve thickness The curve thickness of the panoramic curve can be modified using the
slide controller (F) of the panoramic curve editor.
Setting the thickness of the panoramic curve
1. Move the mouse pointer over the slide controller (F).

2. Press the left mouse button and move the slide controller to the left
(thinner curve) or the right (thicker curve) with the mouse button
held down.
Ä The panoramic curve (C) becomes thinner or thicker.
Ä The panoramic exposure is adjusted accordingly.
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Adjust the form of the panoramic curve to The shape of the panoramic curve (C) can be optimally adjusted to the
the mandibular arch mandibular arch.
Tip: By activating the "Synchronize" button (G), the changes of the
panoramic curve are automatically synchronized for both sides of the
mandibular arch. The button is activated by clicking on the button with
the mouse. The active button is highlighted orange.
To adjust the shape of the panoramic curve, proceed as follows:
Changing the shape of the panoramic curve
1. Place the mouse pointer over the base point (H) of the panoramic
curve.
2. Press and hold the left mouse button and move the base point in
any direction.
Ä The shape of the panoramic curve (C) is changed.
Ä If button is activated (G):
Changing a base point of the panoramic curve automatically
affects both sides of the panoramic curve (mirrored).
Ä The panoramic exposure (A) is adjusted accordingly.
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Panning the panoramic curve The panoramic curve (C) can be panned. That might be necessary if the
patient was not optimally positioned during image acquisition.
To pan the panoramic curve, proceed as follows:
Panning the panoramic curve
1. Move the mouse pointer over the arrow (J) in the window (D) of the
panoramic curve editor.
2. Press and hold the left mouse button and move the mouse pointer
to the left or right. Releasing the mouse button ends the process.
Ä The panoramic curve (C) is panned accordingly.
Ä The panoramic exposure (A) is adjusted accordingly.
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7.6 3D alignment
7.6 3D alignment
The function "3D align" is available for correcting an exposure in Sidexis
4..
NOTE: After the 3D alignment, in most cases the panoramic curve must
be adjusted once more using the "Panorama curve editor".
7.6.1 Opening the "3D alignment" menu

ü A 3D examination is opened in the "Examination" work phase.
1. Click on the "Adjust 3D (PAN curve, Align 3D)" icon in the "Tools"
tool kit.
or
➢ Click the right mouse button in the 3D examination above the
panoramic view and click the "Panorama curve editor" button in the
context menu.
Ä The "Panorama curve editor" menu is displayed. [→ 196]
Tab "3D align"
2. Click the "3D align" tab.

Ä The menu switches to the "3D align" view.
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7.6 3D alignment
"Adjust 3D (PAN curve, Align 3D)" menu, "3D align" view
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7.6 3D alignment
7.6.2 Correcting positions

ü The "3D align" menu is opened.
"Adjust 3D (PAN curve, Align 3D)" menu, "3D align" view
1. Correct the position of the volume either using the dials (A)
or
➢ by rotating the volume in the views (B).
Position correction using the dials There are 3 dials for correcting the volume alignment.
➢ Change the position of the volume using the dials (A) The dials are
operated in the same way as the controllers in the tool kit"Analysis".
– The "Incline" dial ("coronal" correction direction highlighted in
orange)
– The "Tilt" dial ("sagittal" correction direction highlighted in green)
– The "Rotate" dial ("axial" correction direction highlighted in blue)
Ä The position of the volume changes accordingly.
Ä The drag points on the circular lines in the section views are
shifted accordingly.
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Position correction by rotating the section The position correction can also be performed in the section views
views using the drag points using the mouse pointer.
1. Move the mouse pointer onto a drag point (B).
2. Press the left mouse button and move the drag point along the
circular line with the mouse button held down.
– Movement along the orange line corresponds to the "Incline"
– Movement along the green line corresponds to the "Tilt"
– Movement along the blue line corresponds to the dial "Rotate"
Ä The position of the volume changes accordingly.
Ä The displays on the dials are changed accordingly.
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7.7 Editing images
7.7 Editing images

IMPORTANT
Archiving modified images
Changes to images made using the functions of the tool kits (e.g.
brightness, contrast, filter or annotations) must be saved for archiving
during the course of the patient session [→ 319]. Diagnoses that have
been documented using the "Diagnosis" docking window are
automatically and permanently saved to each individual exposure,
uncoupled from the context of the session.
7.7.1 Brightness / contrast / tonal value

NOTE: These functions are not available for 3D images.
To better accentuate or delineate image details or to enhance the image
quality you can adjust the brightness and contrast of the image.
To do this different tools are made available to you in the "Analysis" tool
kit of the "Tools" docking window.
Brightness/contrast
Example for setting brightness and contrast
A Original
B Brightness changed
C Contract changed
Tonal value (gamma)
Example for setting tonal value
A Original
B Tonal value changed
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7.7.1.1 Setting the brightness / contrast via the mouse controller

The mouse controller offers a simple and elegant way of adjusting
brightness and contrast. You can interactively adjust the brightness and
contrast using the mouse controller.
2. Click on the "Adjust brightness / contrast" button in the "Tools" tool
kit in the "Analysis" docking window.
Setting the brightness/contrast via the context menu
or
➢ Click on the "Adjust brightness / contrast" button of the context
menu [→ 87].
Ä The form of the mouse pointer changes into mouse controller.
4. Press the left mouse button and move the mouse controller
vertically or horizontally with the mouse held down.
– Vertical mouse controller movement = Brightness changes
– Horizontal mouse controller movement = Image contrast changes
Ä The configured values for brightness and contrast are displayed
on the dials of the "Analysis"kit [→ 208].
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7.7.1.2 Automatic contrast optimization

Automatic contrast optimization analyses the current distribution of
grayscale present in an image and optimizes this according to a non-
linear statistical method.
ü The "Analysis" tool kit of the "Tools" docking window is opened.
2. Click on the "Autocontrast" button.
Ä The contrast in the selected media window is optimized.
7.7.1.3 Setting the brightness / contrast and tonal value through the dials
ü The "Analysis" tool kit of the "Tools" docking window is opened.
Ä The current view settings for brightness, contrast, gamma, and
section plane rotation are displayed through the bars on the
dials and the values in the input fields.
Dial
Dial and entry field for ...

A Brightness 50% = Original
B Contrast 50% = Original
C Tonal value (gamma) 50% = Original
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2. Move the mouse pointer over the desired dial (A, B, or C).
or
➢ Enter the desired value in the corresponding input field and confirm
the entry with the Return key.
Ä The settings for brightness, contrast, and tonal value are
changed.
Ä The dial is highlighted in orange.
7.7.1.4 Resetting the settings for brightness, contrast, and tonal value
Resetting the brightness and contrast The combined resetting of an image's brightness and contrast is
together performed through the "Analysis" tool kit in the "Tools" docking window.
ü Brightness and/or contrast is changed through the "Adjust
brightness / contrast" button and the mouse controller.
➢ Click on the "Reset brightness / contrast" button.
Ä The brightness and contrast are reset to the original image
state.
Resetting brightness, contrast, and tonal The separate resetting of an image's brightness, contrast, and tonal
value individually value is performed through the dial of the "Analysis" tool kit in the
"Tools" docking window.
1. Move the mouse pointer over the desired dial (A, B, or C).
2. Click on the white Reset arrow on the dial.
Ä The relevant setting is reset.
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7.7.2 Image filters

NOTE: These functions are not available for 3D images.
In order to emphasize image details, to distinguish them more clearly, or
to improve the quality of image presentation, Sidexis 4 offers various
image filters in the "Tools" docking window of the "Analysis" tool kit. All
image filters can be applied multiple times on an image.
7.7.2.1 Relief
Through the "Edge gain (relief)" image filter, the borders between high-
contrast image details are analyzed and displayed lighter or darker. This
results in a relief-like detachment of the image, in which the contours
are more clearly distinguished.
Example of applying the "Edge gain (relief)" filter
A Original
B The "Edge gain (relief)" filter is used
2. Click on the "Edge gain (relief)" button in the "Analysis" tool kit in
the "Tools" docking window.
Ä The filter is applied to the selected image.
Ä The filter operation is displayed in the "Filters" tool kit [→ 46].
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7.7.2.2 Applying sharpness

Using the "Sharpen" image filter, the contrast of neighboring pixels is
increased. The edges and contour lines of the image are thus
enhanced. The impression of a sharper image is created.
NOTE! This "sharpening" can have a negative influence on image
impression in very noisy images.
Example of applying the "Sharpen" filter
A Original
B The "Sharpen" filter is used
2. Click on the "Sharpen" button in the "Analysis" tool kit in the "Tools"
docking window.
7.7.2.3 Reducing noise

Using the "Reduce Noise" image filter, individually scattered pixels and
smaller disturbances are eliminated without reducing the overall
sharpness of the image.
This filter may only have a slight effect in less noisy images or those
with low or "soft" contrast.
2. Click on the "Reduce Noise" button in the "Analysis" tool kit in the
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7.7.2.4 Smooth down

Neighboring pixels have their contrast reduced / averaged and sharp
edges are softened by the "Blur" image filter. A smoother image
impression is created. The overall definition of the image is reduced.
2. Click on the "Blur" button in the "Analysis" tool kit in the "Tools"
docking window.
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7.7.2.5 Invert
Using the "Invertieren" image filter, the brightness values of the image
pixels are inverted. The brightness and contrast values are adjusted
accordingly during this process. A positive or negative view of the X-ray
is obtained in this way.
Example of applying the "Invertieren" filter
A Original
B The "Invertieren" filter is used
2. Click on the "Invertieren" button in the "Analysis" tool kit in the
Ä The filter operation is displayed in the "Filters"kit [→ 46].
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7.7.2.6 False colors

You can use the "Falschfarben" option to obtain better distinction of
image details. The grayscale values of the image are replaced by colors
which the human eye can distinguish better from one another than the
corresponding gray levels.
NOTE: The "Falschfarben" option must always be taken as the final
step in the filter chain.
Example of applying the "Falschfarben" filter
A Original
B The "Falschfarben" option is used
2. Click on the "Falschfarben" button in the "Analysis" tool kit in the
Ä The "Falschfarben" button is highlighted orange.
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7.7.2.7 Resetting / hiding an image filter

Resetting all image filters at once The combined resetting of all image filters manually applied to an image
is performed via the "Analysis"tool kit "Reset Filters" button in the
ü Image filters have been applied to the selected media window.
➢ Click on the "Reset Filters" button.
Ä All filters that have manually been applied to the selected media
window are reset.
Resetting filter process individually The separate resetting of an applied image filter is performed through
the "Filters" tool kit in the "Tools" docking window.
2. In the "Filters" tool kit click on the "Remove" button (D) of the
desired filter operation (A).
Deleting individual filter operations
Ä The respective filter operation is reset.

Ä All other filter operations are left unchanged.
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Showing/hiding filter operations The superimposing and hiding of an applied image filter is performed
individually through the "Filters" tool kit in the "Tools" docking window.
2. In the "Filters" tool kit click on the "Toggle Visibility" button (C) of the
desired filter operation.
Hiding / superimposing individual filter operations
Ä The filter operation is hidden.

Ä The button changes its appearance (B).
3. To show the filter operation, click on the "Toggle Visibility" button
again.
Ä The filter operation appears again.
Ä The button changes its appearance (C).
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7.7.3 Changing image orientation

Various functions are available to you for modifying the image alignment
in the "Analysis" tool kit of the "Tools" docking window.
● " Rotate 90° clockwise"
● " Rotate 90° counterclockwise"
● " Flip horizontally"
● " Flip vertically"
Changing image orientation
IMPORTANT: The functions " Rotate & Flip" impact on the

original media item; i.e. the overall image is rotated or mirrored, even in
pre-existing sessions.
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7.7.3.1 Rotating
NOTE: These functions are only available in the "Light Box" and in the
"Compare" work area.
In order to be able to balance out various orientations when taking an
exposure, it is possible to rotate 2D images in 90° steps in a clockwise
or counter-clockwise direction.
2. Click on the " Rotate & Flip" " button in the "Tools" tool kit in
the"Tools" docking window and select the menu item " Rotate 90° clockwise"
or "Rotate 90° counterclockwise" from the submenu.
Rotating an image via the context menu
or
➢ Press the right mouse button above the image and then select the
" Rotate & Flip " menu item in the context menu, and then the
"Rotate 90° clockwise" or " Rotate 90°counterclockwise" menu item
from the submenu.
Ä The selected image is rotated by 90° in a clockwise or counter-
clockwise direction.
Ä If the same image is opened several times, all presentations of
it are rotated together accordingly.
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7.7.3.2 Mirroring
NOTE: These functions are only available in the "Light Box" and for
photos and scans of the XIOS Scan and Dürr Vistascan devices.
In order to compensate for positioning errors when scanning exposures,
it is possible to mirror scanned exposures horizontally and vertically.
2. Click on the " Rotate & Flip " button in the "Tools" tool kit in the
"Tools" docking window and select the menu item
" Flip horizontally" or " Flip vertically" from the sub menu.
Mirroring images through the context menu
or
➢ Press the right mouse button above the image and then select the
" Rotate & Flip" menu item in the context menu, and then the
" Flip horizontally" or " Flip vertically" menu item from the sub menu.
Ä The " Flip image" dialog box opens.
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" Flip image" dialog box
3. IMPORTANT: Note the instructions provided in the dialog box.

To mirror the image, click the "Yes" button.
The symbol (A) indicates a mirrored image
Ä The selected image is mirrored horizontally or vertically.

IMPORTANT: A mirrored image is always indicated by a symbol
(A) in the bottom left of the image. This symbol indicates
whether or not the image has been mirrored horizontally (as in
the example) or vertically, and is permanently embedded into
the image when exporting. The symbol (A) is also visible in
print-outs.
Ä If the same image is opened several times, then all other
depictions are also mirrored accordingly.
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7.8 Editing surface data
" Surface Data Editor "
You can retroactively edit imported surface data through the "Tools"
docking window.
For this purpose, the functions of the " Surface Data Editor " (A) and the
"Surface data" (B) tool kit are available to you.
" Surface Data Editor" ➢ Click on the symbol (A) in the tool kit.
Ä The " Surface Data Editor" opens.
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7.8.1 Surface data editor

You can set the properties of the surface data through the " Surface Data Editor".
" Surface Data Editor"
Selecting individual objects ➢ Click on the relevant object line (A).

Ä The individual object is selected and is highlighted in the
preview. Only ever one object can be selected.
Hiding individual objects 1. Click on the icon "Hide/Show" (B) in the relevant object line.
Ä The relevant individual object is hidden.
Ä The icon is indicated with a red cross.
2. To show, click on the icon once again.
Ä The individual object is displayed again.
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Changing views 1. You can rotate the model by clicking on the buttons (D) on the 3
rotation axes (orange, green, blue) in steps.
In this process, the colors match the rotation axes displayed in the
preview (E). One click produces one rotation of the model by +/- 90°
on the respective axis.
NOTE: The rotation is always induced on the entire model – even
on the hidden individual objects.
or
➢ You move the mouse pointer over the desired rotation axis, press
the right mouse button, and move the mouse pointer with the
mouse button held down (F) upwards/downwards and left/right.
The model is rotated along the axis of rotation steplessly.
Switching internal/external surfaces on ➢ Click on the switch (G) to swap the internal and external surface on
an object the object.
Resetting the adjustments of the view ➢ Click on the "Reset adjustments" icon (H).
Ä All changes to the view are reset.
Hiding/showing the grid ➢ Click on the "Display/hide grid" icon (I).

Ä The grid in the preview is shown/hidden.
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7.8.2 "Surface data" tool kit

7.8.2.1 Hiding/showing individual objects
Hiding/showing individual objects
1. Click on the icon (A).

Ä The relevant object is hidden.
Ä The object is shown again.
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7.8.2.2 Changing the colors of individual objects

1. Click on the color icon (A) of the object whose color you want to
change in the "Surface data" tool kit.
Selecting the color of the object
Ä A menu for selecting the color (B) opens through the tool kit.
2. Click on the desired color and confirm the color selection by clicking
on the "Apply" button.
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Changed object color
Ä The color of the object changes.
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7.9 Performing measurements

NOTE: These functions are not available for the panorama or 3D
images.
To perform measurement operations on 2D images and section views,
Sidexis 4 offers various tools in the "Analysis" tool kit in the "Tools"
docking window.
IMPORTANT
With images of unknown origin
Please be aware that the image resolution information of images of
unknown origin can be inaccurate. In such cases, meaningful
measurement operations are only possible after adjusting the
dimensions using a reference object [→ 234].
7.9.1 Angles
7.9.1.1 Measuring angles
For angle measurements, Sidexis 4 offers a simple measurement tool in
the "Analysis" tool kit in the "Tools" docking window.
1. Click on the "Angle measurement." button in the "Analysis" tool kit
of the "Tools" docking window.

3. Set the starting point of the first angle leg by clicking on the desired
point in the image.
4. Draw the first leg of the angle using the mouse pointer.
5. Set the end point of the first angle leg by clicking on the desired
point in the image.
6. Draw the second leg of the angle using the mouse pointer.
The angle can be measured to the right or left.
Ä The resulting angle is displayed "live" in the image and in the
7. Set the end point of the second angle leg by clicking on the desired
point in the image.
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Measuring angles
Ä The angle is drawn into the image as a colored line (A).

Ä The angular dimension (B) is displayed in the image at the start
point of the first angle leg.
Ä The angle is displayed as a remark (C) with display color and
angular dimension in the "Annotations" tool kit.
NOTE: The color of the angle can be changed subsequently
(see section Changing the color of the remarks [→ 243]).
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Several angles (remarks) in one image
If multiple angles are measured in an image, Sidexis 4 automatically

displays these in different colors. Each angle appears in the
"Annotations" tool kit as a new angle remark.
You can change or optimize the angle sizes drawn into the image at any
time subsequently. [→ 230]
The moving, hiding, showing, and deleting of angle remarks, and the
changing of remark colors, is described in the section “Creating and
editing remarks [→ 238]”.
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7.9.1.2 Editing angle sizes

1. Move the mouse pointer onto one of the angle's three drag points
(D).
another position.
Ä The angle changes.
Ä The new angular dimension is displayed.
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7.9.2 Lengths
7.9.2.1 Measuring lengths
For length measurement, Sidexis 4 offers a simple measurement tool in
the "Analysis" tool kit in the "Tools" docking window.
1. Click on the "Length Measurement" button in the "Analysis" tool kit
of the "Tools" docking window.

3. Set the start point for the length measurement by clicking on the
desired point in the image (single click).
4. Draw the path to be measured with the mouse pointer.
If required, set multiple base points for the path to be measured
using single clicks.
Ä The length of the path that results is displayed "live" in the
image and in the "Annotations" tool kit.
5. Set the end point for the length measurement by double-clicking on
the desired point in the image (double-click).
Measuring lengths
Ä The path is drawn in as a colored line (A).

NOTE: The color of the path can be changed subsequently (see
Changing the color of the remarks [→ 243] section).
Ä The linear measure (B) is displayed at the line's start point.
Ä The path is displayed as a remark (C) with display color and
length measurement in the "Annotations" tool kit.
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NOTE: If no referencing has been carried out before measuring

the length, the measured value is shown with an * after the unit.
Measuring several lengths (remarks) in one image
If multiple lengths are measured in an image, Sidexis 4 automatically

displays these in different colors. Each path appears in the
"Annotations" tool kit as a new length remark.
You can change or optimize the path drawn into the image at any time
subsequently. [→ 233]
The moving, hiding, showing, and deleting of length remarks, and the
changing of remark colors, is described in the section "Creating and
editing remarks" [→ 238].
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7.9.2.2 Editing paths

1. Move the mouse pointer to one of the path's drag points (D).
another position.
Ä The path changes.
Ä The new linear measure is displayed.
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7.9.3 Reference measurement

7.9.3.1 Measuring a reference object
If measurements have to be taken on a 2D image, then the image
resolution has to be adjusted using a reference object. That means that
the lengths measured in the 2D image (in mm*) of a reference object
are referenced with the actual length of the object (in mm). To do this,
the reference object must be placed in direct proximity to the area to be
measured during the exposure.
ü A reference object is placed right next to the area to be measured
on the 2D image.
1. Click on the "Reference measurement." button in the "Analysis" tool
kit of the "Tools" docking window.

3. Measure the length of the reference object as described in the
section "Measuring lengths" [→ 231].
Reference measurement
4. Enter the actual length of the reference object in the input field (C)
of the "Annotations" tool kit.
5. Click on the "Apply" button (B).
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Referenced measurement
Ä The referencing has been performed.

Ä The actual length of the reference object is displayed in the
image as a linear measure on the reference path with the add-
on "Ref.".
You can change the reference measurement later on at any time.
The moving, hiding, showing, and deleting of reference remarks, and
the changing of remark colors, is described in the section "Creating and
editing remarks" [→ 238].
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7.9.3.2 Editing reference measurements

1. Move the mouse pointer onto one of the reference path's drag
points (D).
another position.
Ä The path changes.
Ä The new linear measure is displayed.
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7.9.4 Measuring bone density

For bone density measurement, Sidexis 4 offers a simple measurement
tool in the "Analysis" tool kit in the "Tools" docking window.
1. Click on the "Measure density." button in the "Analysis" tool kit of
Measurement of bone density
Ä The bone density measured at the position of the mouse pointer

is displayed “live” in a window (A).
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7.10 Creating and editing remarks

NOTE: Remarks are not available in panoramic and 3D images.
Sidexis 4 offers various tools in the "Analysis" tool kit in the "Tools"
docking window for creating and editing remarks (annotations).
Remarks
Angles (A), lengths (B), and freehand curves (C) can be drawn onto a
2D image or a section view as remarks.
IMPORTANT
With section views, remarks are drawn onto the current section plane
and are therefore only visible in this section and neighboring section
planes.
By double-clicking on the remark in the "Annotations" tool kit, you can
have the section plane in which the remark has been drawn displayed
in the media window again [→ 240].
Remarks can be measurements (angles [→ 227] and lengths [→ 231])

as well as freehand curves.
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7.10.1 Creating remarks

NOTE: This function is not available for the panoramic and 3D images.
1. Click on the button for the desired remark in the "Analysis" tool kit of
– D = Angle [→ 227]
– E = Length [→ 231]
– F = Freehand remark
– G = Reference length [→ 234]
("Freehand drawing" = free drawing with the mouse pointer)
Depending on the remark selected, the mouse pointer looks
somewhat differently (mouse pointer for angle remark in this
example).
3. Draw the remark onto the image:
– To draw in freehand remarks, press on the left mouse button and
direct the mouse pointer over the desired line in the image.
To end the process, release the mouse button.
Drawn in remarks
Ä The remark is displayed with dimension and color in the

If multiple angle or length remarks are drawn onto an image, Sidexis 4
automatically displays these in different colors. To start with, freehand
remarks always have the same color. Each remark appears in the
" Annotations" tool kit as a new line.
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7.10.2 Retrieving notes in section views

In section views, notes are always drawn into the currently displayed
section plane, and the ones adjacent to it. When navigating through the
section views the notes may thus no longer be visible.
To retrieve notes in the section views proceed as follows:
Retrieving notes
➢ Double-click on the area (A) of the note required in the

Ä The section view with the relevant note is displayed again in the
media window.
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7.10.3 Moving remarks

NOTE: Freehand remarks cannot be moved.
1. Move the mouse pointer onto the remark – but not the drag point
(D) of a remark.
another position.
Ä The remark with corresponding dimension indicator is moved to
another position in the image.
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7.10.4 Moving dimension indicators

1. Move the mouse pointer onto the indicated dimension.
another position.
Ä The dimension indicator is moved to another position in the
image.
Ä The actual remark stays in its original position.
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7.10.5 Changing the color of the remarks

1. In the "Annotations" tool kit, click on the color icon (A) of the
comment whose color you want to change.
Selecting the color of the remark
Ä The relevant remark is displayed "in bold" in the media window

(B).
Ä You can open a menu for color selection (C) through the tool
kit.
2. Click on the desired color and confirm the color selection by clicking
on the "Confirm" button.
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Changed remark color
Ä The color of the remark is changed.
7.10.6 Showing/hiding remarks
Hiding "Annotations"
1. In the "Annotations" tool kit, click on the icon (A) of the remark that
you want to hide.
Ä The respective remark is hidden.
Ä The remark appears again.
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7.10.7 Delete notes
Deleting "Annotations"
➢ In the "Annotations" tool kit, click on the "Remove" button (A) of the
remark that you want to delete.
Ä The respective remark is deleted.
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7.11 Optimizing the 3D image display

The 3D image display can be optimized for DVT exposures with or
without FaceScan. Various functions are available in the "Tools"
docking window for this purpose.
7.11.1 Setting the bone threshold value

ü The "Examination" work phase is opened.
ü The "3D examination" work area is opened.
1. Select the 3D image.
"Adjust bone threshold value" dial
Ä The "Adjust bone threshold value" controller (A) is displayed in

the "Analysis" tool kit.
2. Place the mouse pointer on the dial.
or
keyboard and then press the "Enter" button.
Ä The bone threshold value is changed.
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Example for setting the bone threshold value
A 50% (original)
B 75%
C 25%
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7.11.2 Setting surface transparency for FaceScan exposures

ü The "3D examination" work area is opened.
1. Select the FaceScan exposure (3D image).
"Visibility of face scan" dial
Ä The "Visibility of face scan" controller (A) is displayed in the

"Analysis" tool kit.
2. Place the mouse pointer on the dial.
or
keyboard and then press the "Enter" button.
Ä The surface transparency (grid transparency) is changed.
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Example for setting the surface transparency for FaceScan exposures
A 50% (original)
B 75%
C 25%
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7.11.3 Transfer curve editor

NOTE: This function is only available for 3D images.
In the "Transfer curver editor", you can use pre-configured or self-
defined transfer curves on an opened volume.
In essence, a transfer curve determines how a volume is displayed. The
transfer curve defines how transparent certain density ranges should be
displayed in the volume and how they should be colored.
A typical application is to have the dense tooth material set completely
opaque (white, for example), and to make the unimportant parts (skin,
etc.) more transparent.
To use a transfer curve on an opened volume, please proceed as
follows:
ü The 3D image (volume is selected).
1. Click on the "Adjust transfer curve" button in the "Tools" tool kit of
or
➢ Right-click over the 3D image and select the "Transfer curver editor"
function in the shortcut menu.
Ä The "Transfer curver editor" opens.
Ä A preview image (A) is displayed.
"Transfer curver editor"
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2. Select the desired preset for the transfer curve in the "Presets"
menu area (B) by clicking on an image (B):
Ä The selected transfer curve is used on the preview image.
Ä The settings of the transfer curve are displayed in the "Transfer
curve" menu area (C).
3. If necessary:
Adapt the pre-selected transfer curve to your requirements.
Tip: You can save the adapted "Transfer curve" as a new preset.
Detailed information on adapting and saving a "Transfer curve" can
be found in the section "Adapting transfer curves [→ 252]".
4. Click on the button "Apply" to use the currently selected "Transfer
curve" on the 3D image.
Ä The "Transfer curve" is used on a 3D image.
Ä The "Transfer curver editor" closes and the modified 3D image
is displayed in the work area of the "Examination" work phase.
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7.11.3.1 Adapting transfer curves

The transfer curve contains the following materials (D):
● Air
● Tissue
● Dentin
● Bone
● Enamel
● Metal
Transfer curve
Using the sliders (E + F), you can adapt the material intensity and
opacity of every material individually to your requirements.
By changing the material intensity, you can shift the density ranges
assigned to the respective material. It is therefore possible, for example,
to define all bone parts in the volume to the bone area. The same can
be done with all other areas.
This is actually best visible using air as an example. The volume does
not only contain tissue, bone, etc. but also air, too. Were air to be set to
full opacity, then you would simply only ever see one block. For this
reason, the air area is fully transparent by default. With the air slider,
you can therefore set the point from which you can identify tissue in the
volume instead of air.
Opacity is the opposite of transparency. Full transparency would mean
an opacity of 0%. Full opacity means the respective density ranges are
completely covered, thus letting through no light at all. Material opacity
is one of the most important settings options, because you can use it to
configure how easily visible certain density ranges (materials) are,
meaning full, transparent, or completely invisible.
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Changing material intensity 1. Move the the mouse pointer on the slider (E).
2. Press the mouse button and move the slider in a horizontal
direction.
3. Perform this process for all materials, if needs be, to set the
material intensity for the various materials.
Ä The changes are displayed immediately in the preview image
(A).
Changing material opacity 1. Move the the mouse pointer on the slider (F).
2. Press the mouse button and move the slider in a vertical direction.
3. Perform this process for all materials, if needs be, to set the
material opacity for the various materials.
Ä The opacity of the materials is displayed in the transfer curve in
%.
Ä The changes are displayed immediately in the preview image
(A).
Saving transfer curves NOTE: The standard transfer curves "original", "color", "patient mode",
and "implant" cannot be overwritten.
You can save a transfer curve under a new name under the presettings:
1. To do this, click the button marked "save as" in the "Presets" menu
area.
Ä A dialog box opens.
2. Enter the desired name for the new preset in the input field of the
dialog box and then click on the "Apply" button.
Ä The new preset is displayed in the "Presets" menu area.
Saving transfer curves NOTE: The standard transfer curves "original", "color", "patient mode",
and "implant" cannot be overwritten.
You can save an adapted transfer curve under a new name under the
presettings:
1. To do this, click the button marked "save as" in the "Presets" menu
area.
2. Enter the desired name for the new preset in the input field of the
dialog box and then click on the "Apply" button.
Ä The new preset is displayed in the "Presets" menu area.
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7.12 Adjust external volume

Before importing an external volume. the gray value distribution and the
bone reference values must be adjusted, see also Chapter “Import
volume / external volume [→ 313]“.
7.12.1 Setting the gray value distribution
Setting the gray value distribution
1. Set the value range for the gray value distribution.

To do this, move the mouse pointer over the arrow symbol (A or B),
press and hold the left mouse button and move the arrow. Similarly,
you can also move the entire value range to the middle of the value
range using the arrow symbol (C).
Ä Adjustment of the value range can be checked on the thumbnail
images (D).
Ä The sliding switch (E) must be set to "Yes" to demarcate the
cropped areas in color. Change the switch by clicking on it.
2. Click on the "Apply" button.
Ä The change is saved.
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7.12.2 Set the bone reference value
Set the bone reference value
1. Set the bone reference value.

To do this, move the mouse pointer over the bar (F) on the slide
controller, press the left mouse button, and move the bar in a
horizontal direction with the mouse button held down.
Ä Adjustment of the bone reference value can be checked on the
thumbnail image (G).
2. Click on the "Apply" button.
Ä The change is saved. The adjusted bone reference value is
adopted as the zero reference (50%) for the setting of the bone
threshold value (see Chapter Optimizing the 3D image
display [→ 246] ⇒ Setting the bone threshold value [→ 246]").
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7.13 Documenting findings

The "Diagnosis" docking window is available in the "Examination" work
phase in Sidexis 4 for documenting findings.
Documenting findings
All findings from the analysis of image data can be documented in the
"Diagnosis" docking window.
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7.13.1 Creating a new diagnosis

ü A media item is opened.
1. Show the docking window permanently by clicking [→ 82] on the
"Diagnosis" tab and then on the pin icon (C) in the tab.
Ä The "Diagnosis" docking window is shown permanently.
2. Select the consultant from the list field (A).
NOTE: If a user has been [→ 58] entered by default for all stations
in the "General Settings" ⇒ "User" configuration menu, this
individual is preselected as the standard consultant in the list field
(A).
Select consultant and region
3. In the dental notation (B), click on the teeth to which the first
findings are to apply.
Ä The selected teeth are framed orange.
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Entering findings
4. Click on one or several of the buttons (D) corresponding to the

findings for the selected teeth.
Standard findings texts are automatically entered into the "Finding"
entry field (E) of the findings list using these buttons.
or
➢ Enter the finding directly into the "Finding" entry field (E) in the
findings list using the keyboard.
Ä The findings texts are assigned to the selected teeth or region.
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IMPORTANT
Additional findings texts
You can access a menu for further findings texts through the button
with the three dots.
5. If you require an additional line in the findings list, click on the "Add"
button (F).
Ä The findings list is expanded by one line.
Ä All entered findings are saved with the media item. Media items with
findings are indicated with a "paper clip" in the "Gallery", the
"Timeline", and in the header line of the relevant media window.
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7.14 Parallel working on multiple stations

Opening and processing the same session/media item in parallel on
multiple workstations is possible with Sidexis 4.
Functionality may be limited in such cases, however.
In the following table, you can see a few examples of how you might
use multi-operation in your practice.
Action on work station 1 Effect on work station 2

"Bildtitel", "Anatomische Region" or "Dosisflächenpro- The modified media information is automatically up-
dukt" are changed on workstation 1 in the "Info" tool dated on workstation 2.
kit.
Raw data is deleted from workstation 1. The opened media item remains opened on worksta-
tion 2. Only once the patient is logged off and the pa-
tient is logged on again will the action performed on
workstation 1 become visible.
Diagnostic results are created, changed, or deleted on The "Diagnosis" docking window is updated immedi-
workstation 1. ately on workstation 2.
A session is renamed on workstation 1. The "Sessions" docking window and the "Timeline" are
updated immediately on workstation 2.
A media item is hidden, rotated, or mirrored on work The opened media item remains opened and un-
station 1. changed on workstation 2. Only once the patient is
logged off and the media item/session is opened again
will the actions performed on workstation 1 become
visible.
A session is opened on workstation 1. The session can only be saved under a new name.
The panoramic curve is edited on workstation 1, the The adjustments and corrections made on workstation
grayscale display is adjusted for an external volume, or 1 only become visible once the patient is logged off
a position correction is performed for a volume. and the media item/session is opened again.
A media item is opened on workstation 1. The display "Latest exposures" and "Latest Session"
are updated immediately on workstation 2.
The following actions are blocked on the workstation if

the same media item is opened on workstation 1.
● Media item deletion or moving it to another patient
● Session deletion
● Replacing exposures or exposure series, and
repeating individual exposures of an exposure
series
A panoramic exposure is opened on workstation 1 in Parallel opening of the panoramic exposure in the "Or-
the "Orthophos SL Panorama editor". thophos SL Panorama editor" on workstation 2 is not
possible.
A volume is opened on workstation 1 in GALILEOS Im- Parallel opening of the volume in GALILEOS Implant
plant or SICAT Suite. and in SICAT Suite on workstation 2 is not possible.
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Sirona Dental Systems GmbH 8 "Managing patient data
8 "Managing patient data

If you work with central "Practice Administration Software" (PAS) in your
practice, patient data is primarily administered and maintained via PAS.
With every X-ray job arriving from the PAS, Sidexis 4 makes a copy of
the patient data record associated with it and puts it into the Sidexis 4
database and thus also the patient table.
In Sidexis 4, you can create further patients at any time.
In connection with a central PAS, the following should be noted:
● Patients created via the PAS (i.e. who have an external "Card ID")
cannot be edited in Sidexis 4.
● If you are creating patients with an internal card index number from
new via Sidexis 4 and your practice has a PAS, the "Report internal
patient ID if external ID is missing" check box must be checked in
the "Communication partners" configuration menu, as otherwise
duplicated entries may occur in the patient list.
The patient's image data (e.g. X-ray exposures) are managed in the
Sidexis 4 database. Access to the image data is, however, also possible
through the PAS.
The administration of patient data is managed in Sidexis 4 in the
"Patient" work phase.
Accessing the "Patient" work phase To change to the "Patient" work phase, proceed as follows:
➢ Click on the "Patient" button in the phase bar.
"Patient" work phase
Ä The "Patient" work phase opens.
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8 "Managing patient data Sirona Dental Systems GmbH
8.1 Working with the patient table

The patient table shows you all the patients whose data has been
imported from the PAS (if available) or created by you in Sidexis 4.
Patient table
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8.1.1 Displaying patients according to consultant

You can have all the patients displayed in the patient table, or just the
patients belonging to a particular consultant.
1. To display all the patients, select the entry "All main consultants"
from the list field (A).
Filtering patient tables by main consultant
Ä The patients of all consultants saved in Sidexis 4 are displayed

in the table.
2. To display the patients of just one particular consultant, select that
consultant from the list field (A).
8.1.2 Sorting a patient table

You can sort the patient table according to the terms in the header line;
e.g. "Last name".
1. Click on the relevant term in the table header (e.g. "Last name").
Ä The table is sorted accordingly.
Ä A small arrow point is displayed in the header next to the term.
This indicates the sorting direction (upwards or downwards).
2. By clicking on the same term again, you can change the sorting
direction around.
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8.1.3 Free text search in the patient table

You can search for text and numerical order in the patient table.
➢ Enter the search term in the input field on the left above the patient
table.
Example: "David"
Free text search in the patient table
Ä The search result is displayed in the patient table.

Example: All patients are displayed who have "David" as their
first name or surname.
Search result sorted by "Last name"
Tip: After the search, sort the patient table by the "Last name" or "First
name" column depending on whether you searched for "David" as a first
name or a surname (see also the "Sorting a patient table [→ 263]"
section).
Icon search assistance You can also enter individual letters or wildcards alone into the entry
field. The corresponding hits are always displayed in the patient table.
"?" can be entered as a wildcard for an individual letter, while "*" can be
entered for more than one letter. If a name is not entered in full, e.g. the
software treats "Dav" as if "*" had been added to the end of the name.
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8.2 Create a new patient

New patients can also be created via Sidexis 4"Patient editor".
IMPORTANT
If you are creating patients with an internal card index number from
new via Sidexis 4 and your practice has a PAS, the "Report internal
patient ID if external ID is missing" check box must be checked in the
"Communication partners" configuration menu, as otherwise
duplicated entries may occur in the patient list.
"Patient editor"
Entry fields Entry

"Last name" (mandatory Surname
field)
"First name" (mandatory First name
field)
"Date of birth"* Date of birth
(mandatory field)
"Card ID"* Internal card index number
(mandatory field)
"Birthplace" Place of birth
"Social security number" Social security number
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* The "Date of birth" or "Card ID" entry field must be completed.

"Male" Sex
"Female"
"Untitled"
List field Function

"Permanent dentist" Choosing main consultant

1. Click on the "Add" button.
Ä The "Patient editor" opens.
2. Enter the data for the new patient in the entry fields in the editor.
Tip: You can also select the date of birth by clicking on the calendar
button and selecting the date from the calendar.
Ä Once you have filled in the mandatory fields, the "save" button
becomes active.
3. Optional: Select the sex of the new patient via the option buttons
and select a main consultant via the list field.
Ä The new data record is created.
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8.3 Displaying patient details
8.3 Displaying patient details
Displaying patient details
➢ Click the row of the patient you are looking for (A) in the patient
table.
Ä The patient's data is displayed in detail (B) next to the patient
table.
Ä Additionally, the last exposures (of each image type) of the
patient (C) and their last patient session (D) are displayed.
These are opened [→ 189] by double clicking on the last
exposures or the last patient session.
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8.4 Editing patient details

IMPORTANT
If only the "Card ID" check box is ticked in the "Patient display"
configuration menu, a card index number must be entered for each
patient in order to uniquely identify the patients.
Patient data can only be edited via the Sidexis 4"Patient editor" if it does
not include an external card index number.
"Patient editor"
Entry fields Entry

"Last name" (mandatory Surname
field)
"First name" (mandatory First name
field)
"Date of birth"* Date of birth
(mandatory field)
"Card ID"* Internal card index number
(mandatory field)
"Birthplace" Place of birth
"Social security number" Social security number
* The "Date of birth" or "Card ID" entry field must be completed.
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"Male" Sex
"Female"
"Untitled"
List field Function

"Permanent dentist" Choosing main consultant

1. Left-click with the mouse on the row of the patient you are looking
for in the patient table and then on the "Edit" button.
Patient table context menu
or
➢ Right-click with the mouse on the row of the patient you are looking
for in the patient table and then on the "Edit" button in the context
menu that appears.
Ä The patient's data is displayed next to the patient table in
"Patient editor".
2. Change the data for the patient using the entry fields, option
buttons, and list fields in the editor.
Tip: You can also change the date of birth by clicking on the
calendar button and selecting the date from the calendar.
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3. Optional: Select the sex of the new patient via the option buttons
and select a main consultant via the list field.
Ä The modified data record is saved.
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8.5 Deleting patients

NOTE: The deleting of patients is offered in the menu if an administrator
password has already been set up in the configuration menu (see
section "Setting up an administrator password [→ 347]").
IMPORTANT: Please ensure not to delete any media items or patient
data subject to statutory safekeeping obligations.
Deleting patients
1. Left-click with the mouse on the row of the patient you want to
delete from the patient table and then on the "Delete" button.
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or
➢ Right-click with the mouse on the row of the patient you want to
delete from the patient table and then on the "Delete" button in the
context menu that appears.
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2. Enter the administrator password in the input window of the dialog

box and click on the "Yes" button.
Tip: You can display the password in plain text using the button (A).
Ä The patient is permanently deleted and no longer displayed in

the patient list.
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8.6 Logging patients in/out

There are several different ways to log a patient in/out.
NOTE: When a patient is logged out their last patient session is
automatically saved.
Automatically via PAS The patient is automatically logged in when an X-ray job arrives from
the PAS. The currently logged in patient is then automatically logged
out.
Manually via the patient table ü The "Patient" work phase is opened.
1. Double-click on the row of the patient you are looking for in the
patient table.
or
➢ Click on the row of the patient you are looking for in the patient table
and then on the "Register and exposure" or "Register and Timeline"
button.
or
➢ Right-click with the mouse on the row of the patient you are looking
for in the patient table and then on the "Register and exposure" or
"Register and Timeline" button in the context menu that appears.
Ä If a patient is currently logged in, they will be logged out.
Ä The new patient is logged in.
Ä The new patient is displayed in the login window in the header
line.
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By opening the "last session" or "last ü The "Patient" work phase is opened.
exposure" 1. Click on the row of the patient you are looking for in the patient
table.
Ä The patient's last exposures (of each image type) and their last
patient session are also displayed.
2. Double-click on one of the last exposures or the last patient
session.
Ä If a patient is currently logged in, they will be logged out.
Ä The new patient is logged in.
Ä The new patient is displayed in the login window in the header
line.
Logging out via the login window in the ü A patient is logged in.
header line
➢ Click on the "Log out patient" button (A) in the login window in the
header line.
Ä The patient is checked out.
Log out via the "Start" button on the ü A patient is logged in.
phase bar
➢ Click on the "Start" button in the phase bar.
Ä The patient is checked out.
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9 Manage media items and sessions Sirona Dental Systems GmbH
9 Manage media items and sessions

Media items and sessions are managed via the "Timeline".
"Timeline" in the "Exposures" view
In the "Timeline" all media items and patient sessions saved to a patient
are displayed arranged in chronological order on a timeline.
The "Timeline" is available in the "Gallery" docking window and a
"Session gallery" in the "Examination" work phase.
The "Timeline" can be opened from the "Patient" work phase through
the "Register and exposure" button.
If a media item is selected in the "Timeline" then all media info
belonging to the media item (A) is displayed.
Switching over the "Timeline" to the display of the patient sessions
takes place through the "Sessions" button in the top right of the
"Timeline"; provided patient sessions are saved for logged in patients
[→ 190].
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Sirona Dental Systems GmbH 9 Manage media items and sessions
You can switch back to the "Exposures" view using the "Exposures"
button in the top right of the "Timeline".
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9.1 Moving along the "timeline"
9.1 Moving along the "timeline"

ü The "Timeline" is opened.
1. Move the mouse pointer over the "Timeline"; but not on the image.
Moving along the "Timeline"
2. Press on the left mouse button and move the mouse pointer over
the "Timeline" in a vertical direction.
or
➢ Roll the mouse wheel forwards or backwards.
Ä You "move" along the "Timeline" through the media items or
sessions.
You can also move to the "Timeline" using the keyboard, see the
"Shortcut keys within the timeline [→ 90]" section.
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9.2 Filter timeline
9.2 Filter timeline

If a lot of media items are stored for a patient, it makes sense to filter
the presentation of media items based on "Timeline".
The following filters are available:
● Anatomical region
● Media type
Filter by anatomical region ü The "Timeline" is opened.
1. Click on the teeth in the dental notation that should be illustrated on
the media items.
NOTE: By selecting the corresponding option field (A), you can
switch between permanent and mixed dentition.
"Timeline" filtered according to tooth region
Ä The selected teeth are framed orange.

Ä The "Timeline" filters according to media items that match the
media item selected.
Ä The filter result is displayed.
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9.2 Filter timeline
2. To revoke the filter function, move the mouse pointer to the top right
corner of the odontogram and click on the reset icon (B).
Filter by media type ü The "Timeline" is opened.
NOTE: All media types are shown when the "Timeline" is first
opened.
1. Click on the arrow (A) in the list field "Panorama".
Media selection
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9.2 Filter timeline
Ä A list opens from which to select the media types.

2. Activate the check box in front of the media type to be shown in the
"Timeline" (In the example "Panorama").
Filtered "Timeline"
Ä Only media items with their check box activated are displayed.
3. To undo the filter function, activate either all or none of the check
boxes.
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9.3 Opening exposures for examination

There are various ways of opening media items in a work area.
9.3.1 Opening individual media items

Using the computer mouse ü The "Timeline" is opened.
1. Double-click on the desired media item in the "Timeline".
or
➢ Drag the desired media item and drop them onto the clipboard of
the "Timeline".
Ä Depending on the type of media item, the "Light box" or "3D
examination" button is displayed.
2. Click on the "Light box" or "3D examination" button.
Ä The media item is opened in the "3D examination" or "Light
box" work area.
Using the default arrow keys on your ü The "Timeline" is opened.
computer keyboard 1. Press the up or down arrow key on your computer keyboard to
select the desired row in the "Timeline".
Ä The first media item of the selected line is automatically
selected (marked in orange) and it is located in the clipboard.
2. Press the left or right arrow key to select a different media item from
the line.
Ä The media item in the clipboard changes accordingly.
Ä Depending on the type of media item, the "Light box" or "3D
examination" button is displayed.
3. Click on the "Light box" or "3D examination" button.
Ä The media item is opened in the "3D examination" or "Light
box" work area.
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9.3.2 Opening multiple media items in the work area

simultaneously
Using the computer mouse ü The "Timeline" is opened.
Clipboard of the "Timeline"
1. Drag different media items and drop them onto the clipboard (A) of
the "Timeline".
or
➢ Select several media items by clicking and holding down the "Ctrl"
or "Shift" key, or all media items using the "Ctrl"+"A" key
combination (see section "Shortcut keys").
Ä The media items are on the clipboard (A).
Ä Depending on what type of media items are on the clipboard,
these can be opened in the "3D examination", "Light box", or
"Compare" work areas.
NOTE: The opening operation in the "Compare" work area is
only offered if either 2x 3D exposures or up to 4x 2D exposures
can be found in the clipboard.
2. Click on the "3D examination" or "Light box" button.
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or
➢ First, click the button with the three dots and then click the "Light
box", "3D examination" or "Compare" icon.
Ä The media items are opened in the "Light box", "3D
examination" or "Compare" work areas.
Using the default arrow keys on your ü The "Timeline" is opened.

computer keyboard
Clipboard of the "Timeline"
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1. Select the desired media items in the "Timeline".

There are various ways of selecting multiple media items at the
same time using the computer keyboard:
– standard up/down arrow key: Select the first media item of the
selected row
– [Shift]+standard up/down arrow key: Select all media items of the
selected row
– standard left/right arrow key: Select another media item from the
row
– [Shift]+standard left/right arrow key: Select multiple “adjacent”
media items in the row
– [Ctrl]+standard left/right arrow key, then the space bar: Select
multiple “individual” media items in the row
Ä The selected media items are highlighted orange and displayed
in the clipboard (A).
Ä Depending on what type of media items are on the clipboard,
these can be opened in the "3D examination", "Light box", or
"Compare" work areas.
2. Click on the "3D examination" or "Light box" button.
or
➢ First, click the button with the three dots and then click the "Light
box", "3D examination" or "Compare" icon.
Ä The media items are opened in the "Light box", "3D
examination" or "Compare" work areas.
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9.4 Move medium to another patient

Sidexis 4 provides the option of moving media from one patient to
another patient, i.e. of reallocating a media item to another patient. To
do this, proceed as follows:
ü The media item to be moved must be opened in a work area.
1. Move the mouse pointer in the work area over the desired media
item.
popup menu
3. Click the "Assign image to other patient" button in the context menu.
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Patient list
Ä The patient list is displayed.

4. Select the patient in the list to whom the media item is to be
allocated and confirm the selection via the "Select" button.
By clicking the "Cancel" button the procedure is terminated and you
will return to the work area.
Ä A dialog is opened in which the patient info for the selected
patient is displayed along with the media item being moved.
5. Click on the "Ok" button to finally allocate the media item to the new
patient.
To cancel the process and return to the work area again, click the
"Cancel" button.
Ä A message appears stating that the media item has been
successfully allocated to a new patient.
6. Click on the "Ok" button to complete the process.
Ä "Light box" work area:
The media item is closed in the "Light box" work area. The
"Light box" work area itself remains open, even if no media item
is open any longer.
Ä "3D examination" work area:
The "3D examination" is closed. If no other work area is
opened, an empty "Light box" work area is automatically
opened.
Ä "Compare" work area:
The media item is closed in the "Compare" work area. The
"Compare" work area itself remains open, even if no media item
is open any longer.
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9.5 Exposures from TWAIN data sources

Sidexis 4 offers the possibility of importing media from TWAIN data
sources (e.g. scanners, etc.) to the Sidexis 4 database.
The following data and data sources are supported:
● TWAIN 2.2
● 32-bit TWAIN data sources
● 2D images with 8-bit palette, 24/32-bit Truecolor
● Single images and image series
Multiple TWAIN devices can be installed on the PC. The different
devices are displayed in the "Examination" work phase by a Twain icon
with the name of the data source.
NOTE: The quality of the display of scanned images depends on the
performance and the settings of the scanner as well as the quality of the
original.
Import of media from TWAIN data sources
1. Double-click the icon of the desired TWAIN data source (A).

Ä The scan dialog box of the TWAIN data source (if present)
opens.
IMPORTANT
The TWAIN import can be optimized via the "TWAIN devices"
configuration menu [→ 70].
2. Start the data import via the scan dialog box of the TWAIN data
source.
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Imported media item
Ä The media item imported from the data source is displayed in

the "Light box" work area.
9.5.1 Important information on scanning X-ray images

When scanning X-ray images, please observe the following points:
● In order to enable full analysis of scanned X-ray images in Sidexis 4,
they must be scanned with 256 gray levels.
● The scanner must be equipped with a backlight unit in order to
ensure maximum contrast of the scanned images.
● Intraoral X-ray images must be scanned at a resolution of 600 dpi.
● Panoramic, ceph or TSA X-ray images must be scanned at a
resolution of 300 dpi.
● If a length measurement is to be performed, the scanned image
must be calibrated [→ 234] first via a reference measurement in
Sidexis 4.
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9.6 Hide media items in the "timeline”.
9.6 Hide media items in the "timeline”.

1. Open the desired image in the "Light box" work area.
2. Move the mouse pointer over a media window and press the right
mouse button.
Permanently hide the image

3. Click the "Permanently hide image" button in the context menu.
4. Confirm the operation to hide the media item by clicking on the
"Yes" button.
Ä The media item is no longer shown in the "Timeline".
IMPORTANT
The media items are no longer displayed in the "Timeline" but are still
available in the Sidexis 4 database. Using the switch "Temporarily
display deleted and hidden images and patients" in the "General
settings" ⇒ "Delete data" configuration menu, you can display and
hide temporarily hidden media items in the "Timeline" [→ 291].
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9.7 Display hidden media items in the “timeline”

When media items have been hidden in "Timeline", they are still
available in the Sidexis 4 database. Proceed as follows to display these
hidden media items again in the "Timeline":
1. Activate the check box "Temporarily display deleted and hidden
images and patients" in the configuration menu "General settings" ⇒
"Delete data", see section "General settings" [→ 58].
Display hidden images in the "Timeline"
Ä All hidden media items that have ever been saved to the
logged-in patient are temporarily displayed again in "Timeline".
They are indicated by an eye icon on the image (A).
2. Open the media item that you would like to display again in the
"Light box"; see the "Opening exposures for examination [→ 282]"
section.
3. Click on the media item with the right mouse button.
Permanently show the image
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4. Click on the "Show image permanently" button.
5. Deactivate the switch "Temporarily display deleted and hidden
images and patients" in the configuration menu "General settings" ⇒
"Delete data"again.
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9.8 Deleting media items

NOTE: The deleting of media items is offered in the menu if an
administrator password has already been set up in the configuration
menu (see section "Setting up an administrator password [→ 347]").
IMPORTANT: Please ensure not to delete any media items or patient
data subject to statutory safekeeping obligations.
1. Open the desired image in the "Light box" work area.
2. Move the mouse pointer over a media window and press the right
mouse button.
"Delete image"

3. Click the "Delete image" button in the context menu.
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4. Enter the administrator password in the input window of the dialog

box and click on the "Yes" button.
Tip: You can display the password in plain text using the button (A).
Ä The media item is permanently deleted.
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Sirona Dental Systems GmbH 10 Import / export media items
10.1 Import exposures
10 Import / export media items

NOTE: Imported media items are indicated in the "Timeline" with an
import symbol.

IMPORTANT
L/R markers on images of type 01XC and 02XC:
In the case of tele-X-rays taken from SIDEXIS XG, an R is set on the
bottom right of the image, regardless of the image position. This may
lead to confusion. An L marker on images migrated from SIDEXIS XG
is therefore not the same as the typical R/L markers on conventional
exposures.
For all tele-X-rays, the R marker does not indicate the beam direction,
but ensures that the image is viewed in the original view and not back
to front.
The following media items can be imported:

2D data ● Formats:
(images and surfaces) – DICOMDIR
– DICOM files (*.dcm; *.)
– TIFF (*.tif, *.tiff)
– PNG (*.png)
– JPEG (*.jpg, *.jpeg)
– JPEG 2000 (*.f2k, *.j2c, *.jp2)
– BMP (*.bmp)
● X-ray images with 8 – 16 bits/pixel
● Optical images (photos) with 8-bit palette, 24/32-bit Truecolor
3D volumes ● Formats:
– DICOMDIR
– DICOM files (*.dcm; *.)
Surfaces ● Formats:
– DICOMDIR
Combi scan (DVT exposure+face scan
or face scan only)
– STL (*.stl) (device-independent format)
GALILEOS Implant planning ● Formats:
– DICOMDIR
DVT exposure + planning data from GALILEOS Implant
NOTE: If DICOM or TIFF files contain data that identifies patients, the
data is automatically transferred during the import. However, it can also
be reassigned during import.
If a media item to be imported does not have a capture date, this can be
entered manually.
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10 Import / export media items Sirona Dental Systems GmbH
10.1.1 Import files / folder

NOTE: Media items can be assigned exclusively to the logged-in patient
upon import
IMPORTANT
The following sections describe the process for importing media items
to a logged-in patient as this represents the standard case.
However, the media import can also be completed without the patient
logged in. Please note the "Media import with patient not logged in
[→ 307]" section for this special case.
10.1.1.1 Select files or folder / Open "File import" menu

There are several options available for selecting the files or folder to be
imported and opening the "File import" menu:
● Via the "Exposure" work phase
● "Drag&Drop" the files to any desired location in the Sidexis 4 user
interface.
Via the "Exposure" work phase 1. Click on the "Exposure" button in the phase bar.
Ä The "Exposure" work phase opens.

Ä The patient (A) logged in is displayed in the header line.
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2. Click on the "Import" button (B).

Ä The menu for the media selection opens.
File or folder selection for the media import
3. Select the desired files or folders in the file or folder window.

Tip: You can also select several files at the same time using "Ctrl".
4. Confirm the selection by clicking the "Open" button.
IMPORTANT
If there are no patients logged in upon the media import
The menu for assigning the patient opens first of all if no patient is
logged in at this point. In such a case the allocation of the files to the
patient must be defined via this menu. The menu as well as the
options for patient allocation are described in the "Media import with
patient not logged in [→ 307]" section.
The same behavior also occurs when files or volumes are to be

imported and the patient data is not recognized by Sidexis 4.
Ä The "File import" menu opens.
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Ä NOTE! A maximum of 30 files are imported into the menu

import table.
An import preview is displayed in the "File import" menu import
table (see the "Edit import table / Start import [→ 299]" section).
Using "Drag&Drop" ➢ Drag a file or a folder (or several at the same time) from your file
system to anywhere in the Sidexis 4 user interface using
"Drag&Drop".
IMPORTANT
The menu for assigning the patient opens first of all if no patient is
logged in at this point. In such a case the allocation of the files to the
patient must be defined via this menu. The menu as well as the
options for patient allocation are described in the "Media import with
patient not logged in [→ 307]" section.


Ä An import preview is displayed in the "File import" menu import
table (see the "Edit import table / Start import [→ 299]" section).
Once you have selected the files for the import and these are displayed
in the "File import" menu import table, edit the import table as described
in the "Edit import table / Start import [→ 299]" section.
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10.1.1.2 Edit import table / Start import

Continue with the editing for the import preview once the files or folder
have been imported into the "File import" menu via the "Import" button
of the "Exposure" work phase or using "Drag&Drop".
NOTE: You can add further files to the import table via the "Select more
items" button or using "Drag&Drop". The maximum limit for the number
of files in the import table is 30.
"File import" menu
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Icons are displayed in the import table in order to depict the different
(problem) cases for a data import. The following cases may occur:
Pic- Status/problem Action

togram
● No problem present 1. If the file is to be
● Status "to be imported" imported: No action
required.
2. If the file is not to be
imported: Click the
slider (E).
Ä The status changes
to "No".
Ä The status of the
icon in the import
table changes to
"do not import".
● No problem present 1. If the file is not to be
● Status "do not import" imported: No action
required.
2. If the file is to be
imported: Click the
slider (E).
to "Yes".
icon in the import
table changes to "to
be imported".
● Problem identified, e.g. ➢ Implement the
patient data does not appropriate actions to
match the patient logged rectify the problem.
in or the image is a Ä The status of the icons
duplicate. in the import table
● If the file is to be change accordingly to
imported, actions need "Problem rectified" and
to be taken to rectify the "to be imported".
problem:
● Status "do not import"
The corresponding informa-
tion on the problem along
with any advice on rectifying
it are displayed in the "File
info" area.
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Pic- Status/problem Action

togram
● There was a problem but 1. If the file is to be
this was rectified. imported: No action
● Status "Problem required.
rectified" 2. If the file is not to be
● Status "to be imported" imported: Click the
slider (E).
to "No".
icon in the import
table changes to
"do not import".
● There was a problem but 1. If the file is not to be
this was rectified. imported: No action
● Status "Problem required.
rectified" 2. If the file is to be
● Status "do not import" imported: Click the
slider (E).
to "Yes".
icon in the import
table changes to "to
be imported".
● File cannot be imported. No action possible.
1. Edit the import table in accordance with this action table.

2. Click on the "Import" button to start the import.
Ä The files with the status "to be imported" are added to the
patient logged in and appear in the "Timeline".
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10.1.1.2.1 Import of surface data in *.stl format
Menu "File import" with surface data in STL format
When importing surface data in STL format (A), the button "Configure
surface data" (B) appears in the menu "File import". By clicking on this
button, the " Surface Data Editor" opens:
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" Surface Data Editor"
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C Import preview
D Symbol for hiding an object
E List field for the object type:
"Lower jaw", "Upper jaw", "Buccal" or "Other"
F Switch: Select or deselect for import
NOTE: The switch always applies to the foremost item
G Object line: By clicking on the object line, the desired object is
also selected in the import preview.
NOTE: The selection of an object by clicking in the import pre-
view is not possible.
G Buttons: Rotate +/- 90°
The colors match the rotation axes in the import preview.
NOTE: You can also change the view interactively and step-
lessly in the import preview. To do this, you move the mouse
pointer over the desired rotation axis (orange, green, or blue),
press the left mouse button, and move the mouse pointer with
the mouse button held down upwards/downwards and left/right.
H Switch: Switch inside and outside
I Reset the view
J Hide/show grid
1. Assign the individual objects to an object type via the list field.
2. Select which individual objects are to be imported using the switch.
3. If so desired, set even more surface data in the " Surface Data Editor"
and confirm the settings by clicking on the "Confirm" button.
You can find further information on the " Surface Data Editor" " in the
section "Editing surface data [→ 221]".
Ä The " Surface Data Editor" closes.
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"File import" menu
Ä The "File import" menu appears.

4. Click on the "Import" button to start the import.
Imported surface data
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Ä The data is imported and displayed in the "Light box" of the

work phase "Examination".
NOTE: The " Surface Data Editor" can be accessed via the "Tools" tool
kit of the "Examination". The settings can also be amended there retroactively
[→ 37]. Furthermore, the "Surface data" tool kit also provides the option
of hiding/showing objects of the data record and coloring individual
objects [→ 43].
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10.1.1.3 Media import with patient not logged in

If no patient is logged in when the media import is started (see the
"Select files or folder / Open "File import" menu [→ 296]" section), then
the "Patient selection" menu opens first of all instead of the "File Import"
menu after selecting the files or folders.
"Patient selection" menu
The files to be imported must be allocated to a patient in this menu. To

do this, proceed as follows:
If the patient to whom the images are to be allocated is already

present in the patient list:
1. Select the patient to whom the images are to be allocated in the
patient list (A) and click the "Link patient to media and proceed"
button.
Ä The images are allocated to the selected patient.
Ä The "File Import" menu opens.
2. Proceed further as described in the "Edit import table / Start import
[→ 299]" section.
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If the patient to whom the images are to be allocated is not yet

present in the patient list:
1. Click on the pictogram (D) in front of the patient whom you wish to
add to the patient table.
"Patient Editor"
Ä The "Patient Editor" opens.

Ä Provided that it is known the patient data is automatically added
to the entry fields in the editor.
2. Enter all additional required data into the entry fields in the editor
(see also the "Editing patient details [→ 268]" section).
3. Click the "Save" button once you have entered the patient details.
Ä The images are allocated to the new patient who has been set
up.
Ä The "File Import" menu opens.
4. Proceed further as described in the "Edit import table / Start import
[→ 299]" section.
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10.1.2 Automatic import via directory monitoring

Via the directory monitoring, you can automatically import a media item
from a “monitored” folder.
To do this, this function must be set up via the "File watchers"
configuration menu. You can create and delete "monitored" folders and
specify which media items are to be automatically imported with which
patient assignment.
Setting up directory monitoring 1. Open the configuration menu.
To do this, click on the toothed wheel icon in the software's header
line [→ 50].
2. In the structure tree, select the submenu "Exposures" ⇒ "File
watcher".
"File watchers" menu
Ä The "File watchers" menu is displayed.

3. Select a directory from the "File watchers" list.
Ä The currently configured name for the monitored folder (as it is
displayed in the "Exposure" work phase) and the path to the
relevant folder (in which the image data to be imported is
located) are entered in the input fields "Name" (C) and
"Folder" (B).
4. If necessary, change the entries in the input fields.
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5. If the folder does not yet exist...

Create it by clicking on the "Add (+)" button (A), enter the desired
name and path into the "Name" (C) und "Folder" (B) input fields.
6. If image data from subfolders also has to be imported...
check the "include subfolders" checkbox in the "File watchers"
menu.
7. If image data also has to be deleted after import from the directory
folder ...
Check the "delete source files after import" check box in the "File
watchers" menu.
NOTE: The "deleted" files are not actually deleted, but are moved
from the import to the "temp" folder. The temp folder must therefore
be deleted every now and then.
8. Select the formats that have to be imported from the "Supported file
formats" list and transfer these formats by clicking on the button
with the (single) arrow in the "Monitored image formats" list.
By clicking on the button with the double arrow, all the formats from
the "Supported file formats" list are transferred over to the
"Monitored image formats" list.
9. Through the "interactive import" (D) and "automatic import
(background mode)" (E) options fields, choose whether the
imported media items are to be assigned to one or various patients
through the "File Import" menu (E), or whether the imported media
items are to be assigned to the logged-in patient automatically (E).
NOTE: Media items may only be assigned automatically when a
patient is logged in at the time of the import.
10. Click on the "Save" button.
Ä The configuration is saved.
Ä All the directories listed in the "File watchers" list appear in the
"Exposure" work phase.
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Importing media ü Folders are created for the directory monitoring.

1. Click on the "Exposure" button in the header row of Sidexis 4.
Ä The "Exposure" work phase opens.
Ä All folders defined for directory monitoring are displayed (F).

2. Double-click on the desired folder.
Ä Depending on whether you have activated the option field
"interactive import" (D) or "automatic import (background
mode)" (E) in the "File watchers" configuration menu ...
– The media items are now imported and automatically
assigned to the logged-in patient, or
– The "File Import" menu now appears in which you can assign
the media items (just as with media imports using "Drag &
Drop") manually to one or various patients individually or in
groups.
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10.1.3 Importing duplicates

It is possible to import duplicates into the database. To import
duplicates without further actions in the import table the "Allow import of
duplicates (if image already exists in database)" check box must be
selected in the "Default Import Settings" configuration menu.
Importing a duplicate
If the "Allow import of duplicates (if image already exists in database)"

check box is not activated in the "Default Import Settings" configuration
menu, an icon is displayed for an existing import problem when an
attempt is made to import a duplicate in the import table of the "File
Import" menu (see also the "Edit import table / Start import [→ 299]"
section).
1. To rectify the problem for the file selected in the import table: Click
on the "yes, import Duplicate" button (D).
Ä The status of the icon next to the file selected in the import table
changes to "Problem rectified" and "to be imported".
2. If the problem needs to be rectified for all duplicates of the patient
logged in: Activate the "import all duplicated items of patient" check
box (C) and then click on the "yes, import Duplicate" button (D).
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10.2 Import volume / external volume

1. Start the import for volumes or external volumes as described in
section "Import files / folder [→ 296]" via the work phase "Exposure"
or using "Drag&Drop". .
Volume import
Ä If Sidexis 4 recognizes that the selected files belong to a

volume, a message window opens querying whether the files
should be imported as volumes.
2. Click the "Volume" button (A).
IMPORTANT
If no patient is logged in at this point, first the "Patient selection" menu
opens In such a case the allocation of the files to the patient must be
defined via this menu. The menu as well as the options for patient
allocation are described in the "Media import with patient not logged
in [→ 307]" section.

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Importing external volumes
Ä If Sidexis 4 recognizes that an external volume should be

imported, the menu "File import" shows a button "Adjust
Grayscale" (B).
3. Only when importing external volumes:
Click on the "Adjust Grayscale" button (B).
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Gray value editor
Ä The gray value editor for setting the grayscale distribution and
the bone reference value opens.
4. Only when importing external volumes:
Adjust all settings in the gray value editor as described in section
"Adjust external volume [→ 254]" and then click on the button
"Apply".
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Import volume
Ä The "File import" menu is displayed again.

Ä A slide switch (C) is shown.
5. Set the slide switch to "Yes" to confirm the volume import.
6. Click on the "Import" button.
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Imported volume
Ä The volume is imported and opened in the "3D examination"

work area.
Ä If it is an external volume, an icon (E) is displayed in the tool kit
"Tools" for setting the gray value distribution and the bone
reference value of the external volume (see section "Adjust
external volume [→ 254]").
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10.3 Exporting media items

Sidexis 4 provides you with various options for exporting and sending
media items and examinations saved with a patient in the "Output" work
phase.
The export formats that are available to you in the "Output" work phase
can be configured in the "Output" ⇒ "Export options"configuration menu
[→ 79].
Exporting media items and examinations
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10.3.1 Exporting 2D views

The "2D export" function can be used to export 2D views of image,
volume and surface data. The following applies:
● all open 2D views for the current patient can be exported in 2D
image formats
● The 2D views are exported with the current settings for brightness,
contrast, filters, etc.
● The "Default target directory" defined in the "Output" ⇒ "2D export
settings" configuration menu is used for export.
NOTE: The export directory can be changed in the "2D export
settings" menu.
● The following file naming convention is used:
– For 2D (grid) images:
<Last name>_<First name>_<WorkspaceName>(possibly
instance)_<Image
type>_<Date(YYYYMMDD)_<Time(HHMMSS)>.<Filename
extension>
– For section views:
<Last name>_<First name>_<WorkspaceName> (possibly
instance)_<Image
type>_<Date(YYYYMMDD)>_<Time(HHMMSS)>_<View
type>.<Filename extension>
Proceed as follows to export the 2D views:
ü The "Output" work phase is opened.

ü At least one examination is open.
1. Click on the "2D export" button.
Ä The "2D export" export menu opens.
2. In the left "Clipboard" window, click on all media items that are to be
exported.
Ä The selected media items are highlighted orange.
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Selecting 2D media items for export
3. Transfer the highlighted media items by clicking with the mouse on

the button with the single arrow (A) in the right "Selected for export"
window.
or
➢ Transfer all media items by clicking with the mouse on the button
with the double arrow (B) in the right "Selected for export" window.
4. The media items appear in the right "Selected for export" window.
NOTE: By selecting the media items in the right "Selected for
export" window and then clicking on the buttons with the arrows (A
or B), you can deselect the 2D media items again for export and put
them back in the "Clipboard" window.
5. Click the "Options" tab.
Export options
Ä The window for setting the export options opens.

Ä The "Default target directory" defined in the "Output" ⇒ "2D
export settings" configuration menu is entered in the entry field.
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6. If you would like to select a different export directory, click on the

folder icon and select a different export path.
or
➢ Enter the export path using the keyboard.
7. If you want to export the media items without patient data, activate
the "Anonymize" check box.
NOTE: Depending on the setting of the check box in the "Output" ⇒
"Output profiles" configuration menu, this is activated or deactivated
by default after opening the export menu.
8. Click on the "Next" button.
Ä The selected 2D media items are exported.
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10.3.2 Sending 2D views by email

NOTE: Only Outlook-compatible email clients are supported by Sidexis
4.
The "E-mail" function can be used to send 2D views of image, volume
and surface data directly by email. The following applies:
● All open 2D views for the current patient can be sent in 2D image
formats directly by email
● The 2D views are saved with the current settings for brightness,
contrast, filters, etc. as attachments to an email. The subject, body
and recipients can be edited in the email client.
● The following file naming convention is used:
– For 2D (grid) images:
<Last name>_<First name>_<WorkspaceName>(possibly
instance)_<Image
type>_<Date(YYYYMMDD)_<Time(HHMMSS)>.<Filename
extension>
– For section views:
<Last name>_<First name>_<WorkspaceName> (possibly
instance)_<Image
type>_<Date(YYYYMMDD)>_<Time(HHMMSS)>_<View
type>.<Filename extension>
Proceed as follows to send the 2D views:

1. Click on the "E-mail" button.
Ä The "E-mail" menu opens.
2. In the left "Clipboard" window, click on all media items that are to be
sent.
Ä The selected media items are highlighted orange.
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Selecting 2D media items to be sent by email
3. Transfer the highlighted media items by clicking with the mouse on

the button with the single arrow (A) in the right "Selected for
sending" window.
or
➢ Transfer all media items by clicking with the mouse on the button
with the double arrow (B) in the right "Selected for sending" window.
4. The media items appear in the right "Selected for sending" window.
NOTE: By selecting the media items in the right "Selected for
sending" window and then clicking on the buttons with the arrows (A
or B), you can deselect the 2D media items again for sending and
put them back in the "Clipboard" window.
5. Click the "Options" tab.
Ä The window for setting the sending options opens.
6. If you want to export the media items without patient data, activate
the "Anonymize" check box.
NOTE: Depending on the setting of the check box in the "Output" ⇒
"Output profiles" configuration menu, this is activated or deactivated
by default after opening the export menu.
7. Click on the "Compose e-mail" button.
Ä A new email opens. The 2D views selected for sending are
attached as files.
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10.3.3 DICOM Export Wrap&Go

Using the "DICOM Export Wrap&Go", the active examinations including
SIDEXIS 4 Viewer can be automatically exported and burned to DVD or
forwarded to your data system. The following applies:
● All the media items of the currently logged-in patient – where
specified – are exported in a format compatible with DICOM.
● SIDEXIS 4 Viewer is also burned to the DVD.
Proceed as follows to perform a DICOM export:

1. Click on the button "DICOM Export Wrap&Go".
DICOM Export
Ä The DICOM Export starts.
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Windows software to burn DVDs
Ä The Windows software to burn DVDs opens.

2. Burn the DVD as usual with your Windows program.
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10.3.4 Exporting DICOM examination export and volumes

NOTE: External volumes cannot be exported.
All open media items in a work area (2D views, volumes, and face scan
surfaces) including raw 3D data, can be exported using the "DICOM
examination report". The following applies:
● Findings are included in the export.
For the "DICOM examination report", please proceed as follows:

1. Click on the "DICOM examination report" button.
"DICOM examination report" menu
Ä The "DICOM examination report" menu opens.

Ä The "Export" tab is selected.
2. Select the desired export directory by clicking on the folder icon.
or
➢ Enter an export path into the input field using the keyboard.
3. Click on the "Settings" tab.
4. Select your desired export settings.
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Export settings for the DICOM examination export or to export volumes
"16 bit to 8 bit" 2D views are converted to 8 bit

"Include transfer function, bright- The transfer function, as well as
ness, and contrast in pixel val- brightness and contrast settings,
ues" are included in the export
"Include main volumes" Main volumes are also exported
"Include detail volumes" Detail volumes are also exported
"Include raw data" Raw data are also exported
"Facescan (OBJ)" Face scan surfaces are also ex-
ported
5. When you have applied all your settings, click on the "OK" button.
DICOM Export
Ä The DICOM Export starts.

Ä The data is saved in the selected directory.
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11 Printing Sirona Dental Systems GmbH
11.1 Printing an image
11 Printing

ü The image to be printed out is opened and selected in the work
area.
NOTE: The selection of the image can be identified from the
superimposed header line of the media window.
1. Click on the "Print selected image." button.
Ä If "DICOM PS" is installed, you can now also choose between

standard and DICOM-Print in a submenu.
Information on DICOM-Print is available in the "SIDICOM PS
Installation and Operator´s Manual" technical documentation
(REF 62 59 241).
"Printing tools" print preview and docking window (A)
Ä Print preview and the "Printing tools" docking window (A) are
displayed.
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Sirona Dental Systems GmbH 11 Printing
2. Select the desired printer in the "Printing tools" docking window and
configure all the printer and printing settings [→ 331].
3. Click on the "Print" button.
Ä The image is printed.
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11.2 Printing a work area
11.2 Printing a work area

ü The work area is set as desired.
1. Click on the "Print entire workspace with all the images." button.
Ä If "DICOM PS" is installed, you can now also choose between

standard and DICOM-Print in a submenu.
Information on DICOM-Print is available in the "SIDICOM PS
Installation and Operator´s Manual" technical documentation
(REF 62 59 241).
"Printing tools" print preview and docking window
Ä Print preview and the "Printing tools" docking window (A) are
displayed.
2. Select the desired printer in the "Printing tools" docking window and
configure all the printer and printing settings [→ 331].
3. Click on the "Print" button.
Ä The work area is printed.
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Sirona Dental Systems GmbH 11 Printing
11.3 The "Printing tools" docking window

After clicking on the "Print selected image." and "Print entire workspace
with all the images." buttons of the "Tools" tool kit of the "Tools" docking
window, the "Printing tools" docking window is also shown with the print
preview. This contains the tools for setting the print options. The tools
are split into groups:
● "Preview"
● "Printer"
● "Settings"
These groups can be collapsed and expanded by clicking on the group
name with the mouse. The following tools and settings are available:
Button Function
Zoom in
Zoom out
Fitting to the work area
Scaling to the width of the work area
Scaling to original size
Printout anonymization
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List field Function

Select a printer
Select printing format
Select paper format
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Sirona Dental Systems GmbH 12 Personalizing Sidexis 4
12.1 Call up the configuration menu
12 Personalizing Sidexis 4
12.1 Call up the configuration menu

➢ Click on the toothed wheel icon (A) in the header line of the
software.
Configuration menu
Ä The configuration menu opens.
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12 Personalizing Sidexis 4 Sirona Dental Systems GmbH
12.2 Setting the program language
12.2 Setting the program language

ü The configuration menu is opened [→ 333].
1. Click the "General settings" ⇒ "Sidexis 4 language" buttons in the
structure tree (A).
"Application language" menu
Ä The "Application language" menu is displayed.

2. Select the desired program language by clicking on one of the
buttons (B).
or
➢ Adopt the current system language as the program language by
clicking the "Adopt system language" button (C).
NOTE: If the system language is not available as program
language, English is automatically used as the program language.
3. Click on the "Close" button (D) or switch to a new submenu.
Ä The message window opens. It points out to you that the setting
for the program language has been changed, but that the
change to the program language requires the software to be
restarted.
4. Confirm the message window by clicking the "Ok" button.
5. Exit Sidexis 4 and restart the software.
Ä Sidexis 4 starts in the new program language.
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12.3 Practice-specific settings

Via the configuration menu for "General settings" ⇒ "Practice" you can
carry out the following practice-specific adjustments in Sidexis 4:
● Enter [→ 336] practice information
● Define [→ 337] practice logo
● Configure [→ 339] headers for printing
● Select [→ 342] the dental notation
When examinations are printed the individual practice data (A) and the
practice logo (B) are shown in the examination. Proceed as described in
the Enter practice information [→ 336], Define practice logo [→ 337] and
Configure headers for printing [→ 339] sections to define this practice-
specific presentation..
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12.3.1 Enter practice information

1. Click the "General settings" ⇒ "Practice" buttons in the structure
tree (C).
Ä The "Practice information" menu area is displayed.
"Practice information" menu area
2. Enter the practice data into the entry fields (D) using the keyboard.
NOTE: The "Practice name" field is a mandatory field. This means
that there must be an entry made in this field. Entering data into the
other entry fields is optional.
3. Click on the "Close" button or switch to a new submenu.
Ä The changes are saved in the memory and are now activated. If
you have opened a print preview, this must be reopened in
order to update the display.
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12.3.2 Define practice logo

NOTE: The Sidexis 4 logo is defined as the practice logo when the
program is supplied.
ü The "General settings" ⇒ "Practice" configuration menu is opened
[→ 336].
Define practice logo display
1. Place the mouse pointer over the practice logo (H).
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Ä The "Folder" (I) and "Paper basket" (J) buttons are shown.
2. Click on the "Folder" button.
Ä The Windows file browser opens.
3. Select the desired file (practice logo) and confirm the selection via
the "Open" button.
Ä The selected practice logo is displayed in the preview window
(G).
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12.3.3 Configure headers for printing

[→ 336].
1. Scroll further down to the "Header definition" menu area via the
scrollbar (E).
Ä The practice information that should appear in the header of
your practice printouts is determined in rows 1-4 (F).
The following information is defined as a factory setting:
– Row 1 = "Practice name"
– Row 2 = "Street"
– Row 3 = "Zip" , "City"
– Row 4 = "E-mail"
Ä In the list fields (H) you can select the font size for the
corresponding row (in point).
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2. Move the mouse pointer over an element in the "Selection" area to

define the row contents.

4. Move the element to the desired row and to the desired position
with the mouse key held down.
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5. Release the mouse button.

Ä The element appears in the row at the desired position.
NOTE: You can move multiple elements in succession in a row.
The elements can be moved at any time via the same way
(Drag&Drop) within the row or to other rows.
Ä The modified header is displayed in the preview window (I).
Ä To delete an element from a row click on the cross in the

element with the right mouse button.
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12.3.4 Selecting the dental notation

NOTE: The "International (FDI)" dental notation is set when the
software is supplied.
This is not the case for deliveries to the USA. "American Dental
Association (ADA)" is set as the factory setting there.
[→ 336]..
Selecting the dental notation
1. Select the desired dental notation.

You can choose between the following dental notations (K):
– "International (FDI)"
– "American Dental Association (ADA)"
Activate the corresponding option field (K) to select the desired
dental notation.
restarted.
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Ä The changes are activated once the software is restarted.

"International (FDI)"
"American Dental Association (ADA)"
"Permanent Dentition" and "Mixed

Dentition"
Switching between transitional and permanent dentitions
You can switch between "Permanent Dentition" and "Mixed Dentition"

by activating the option fields (L) in the "Timeline".
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12.4 User set up/administration

User administration is performed in the "General settings" ⇒ "User"
configuration menu.
Users set up here are entered into different list fields of Sidexis 4 (e.g.
when entering the indication prior to exposure) and can be selected
there.
➢ Click the "General settings" ⇒ "User" buttons in the structure tree
(G).
Ä The "User" menu is displayed.
"User" menu
1. Click the "Add" button (A).

Ä The entry field "Surname" (B) is marked in red as an entry is
required (mandatory field).
2. Enter the surname of the new user in the "Surname" entry field.
3. Optional: Enter the user's title and first name into the "Title" and
"First name" entry fields.
4. If the new user who has been set up is supposed to be preset as a
main consultant at all workstations:
Select the "Default for all stations" check box (C).
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5. If the new user who has been set up is supposed to appear in the
list fields for consultants:
Select the "Inactive" check box (D).
NOTE: If the "Inactive" check box is selected the user is still
displayed with existing data records (e.g. with exposures) but no
longer in the list fields.
6. Click in the left "Available" window on the user role ("Dentist",
"Dental assistant" or "Radiology technician") which is supposed to
be assigned to the new user.
Ä The selected user role is highlighted orange.
7. Transfer the selected user role by clicking with the mouse on the
button with the single arrow (E) in the right "Assigned" window.
or
➢ Assign all user roles by clicking with the mouse on the button with
the double arrow (F) in the right "Assigned" window.
8. The user role(s) are assigned to the new user and appear in the
right "Assigned" window.
NOTE: By clicking on the user roles in the right "Assigned" window
and then clicking on the buttons with the arrows, you can deselect
the user roles for the user again and put them back in the
"Available" window.
restarted.
Ä The changes are activated once the software is restarted.
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12.5 Configuring patient display
12.5 Configuring patient display

IMPORTANT
At least the "Card ID" check box or the check boxes "Surname", "First
name", and "Birth date" must be checked to uniquely identify a
patient.
If just the "Card ID" check box is checked, a card index number must
be entered for each patient.
If a patient is logged in for whom this does not apply (no card index
number, even though only the "Card ID" check box is ticked in the
configuration, with the exception of check box "Patient image"), the
red text "Not clearly identifiable" appears in the display for the logged-
in patient.

1. Click the "Patient settings" ⇒ "Patient display" buttons in the
structure tree (A).
"Patient display" menu
Ä The "Patient display" menu is displayed.

2. Define the information of the registered patient to be displayed in
the title bar of Sidexis 4 by enabling the check box [→ 85].
Ä The patient display will be changed according to the settings.
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12.6 Setting up an administrator password

An administrator password is required for deleting media items and
patients from the database of Sidexis 4. This must be set up the first
time you access the configuration menu "Delete data".
To do this, proceed as follows:
1. Click the "General settings" ⇒ "Delete data" buttons in the structure
tree (A).
Setting up an administrator password
Ä The dialog box for setting up the administrator password opens.
Entering the administrator password
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2. Enter the password into the two input fields and then click on the
"Ok" button.
Tip: You can display the password in plain text using the button (B).
Ä The administrator password is saved.
The "Daten löschen" configuration menu is opened.
Note: When opening the "Daten löschen" configuration menu
the next time, only a one input field appears for entering the
administrator password. If you forget the password, or want to
change it, proceed as described in the section "Resetting the
administrator password [→ 349]".
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12.7 Resetting the administrator password
12.7 Resetting the administrator password

if you have forgotten the administrator password or want to change it,
proceed as follows:
1. Click the "General settings" ⇒ "Delete data" buttons in the structure
tree (A).
Resetting the administrator password
2. Click on the link "Forgot password?".

Ä The menu for resetting the password opens.
Entering the service password
3. Enter the service password into the input field of the menu and then
click on the "Ok" button.
Tip: You can display the password in plain text using the button (B).
Ä The dialog box for setting up the administrator password opens.
4. To set up a new administrator password, proceed as described in
the section "Setting up an administrator password [→ 347]".
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13 Data recovery Sirona Dental Systems GmbH
13.1 Data recovery for ORTHOPHOS XG and GALILEOS
13 Data recovery
13.1 Data recovery for ORTHOPHOS XG and

GALILEOS
In case of an unexpected network error, there may be problems with
image transfer from the X-ray components to Sidexis 4.
In this case the system closes the connection after a while and enters
the so-called Rescue state. This means that the image is not lost, but is
kept in the RAM of the X-ray component by a safety mechanism until it
is retrieved by the “Sirona Control Admin Rescue” rescue program. A
further exposure with this X-ray unit is blocked until this moment.
CAUTION
The X-ray component may not be switched off during the Rescue
state.
If the X-ray unit is switched off, the image is lost and the unit will be
ready for operation after the next power on.
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Sirona Dental Systems GmbH 13 Data recovery
13.1.1 Starting the "Sirona Control Admin Rescue" program

ü Sidexis 4 is installed.
ü The workstation software for the corresponding X-ray component is
installed on the workstation.
1. Start Sidexis 4.
2. Call up the Sidexis 4 menu "Global tools" by clicking on the
corresponding icon in the header line of the software.
Ä The "Global tools" menu opens.
3. Click the "Sidexis Manager" ⇒ "Devices" button in the structure tree.
Starting the "Sirona Control Admin Rescue" program
4. Click on the "Sirona Control Admin Rescue" button.
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13 Data recovery Sirona Dental Systems GmbH
"Sirona Control Admin Rescue" program
Ä The "Sirona Control Admin Rescue" program opens

Ä The program tries to establish a connection to the X-ray
component which is in Rescue state. If the X-ray component
cannot be located, the network must be checked.
Once a connection is successfully established, the X-ray
component will be displayed in the list.
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Sirona Dental Systems GmbH 13 Data recovery
13.2 Data recovery in other devices
13.1.2 Requesting data

ü The "Sirona Control Admin Rescue" program is opened [→ 351].
"Sirona Control Admin Rescue" program
➢ Click on the "Start rescue..." button.
13.2 Data recovery in other devices

Notes for data recovery, (e.g. for the Orthophos SL 3D X-ray equipment
can be found in the respective operating instructions of the devices.
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Index Sirona Dental Systems GmbH
Index
Numeric C
2D views, 319, 322 CA, 139, 146
3D, 139 CE mark, 12
3D alignment, 202 Ceph a.p., 165
3D examination, 30, 34, 138, 139, 171 Ceph a.p./p.a., 146
3D image, 143, 152, 246 Ceph lateral, 166
3D reconstruction, 152 Ceph lateral layout, 146
Check box, 10, 85
A CL, 139, 146
ADA, 61, 342 Clipping plane, 39
Address, 59 Color, 225, 243
Administrator password, 347 Communication partner, 38
Administrator password forgotten, 349 Comparison, , , 31, 34, 138, 183, 186
American Dental Association (ADA), 342 Configuration menu, 55, 333
Analysis, 39, 137 Context menus, 87
anatomical region, 279 Contours, 211
Angle dimensions, 227 Contrast, 39, 206
Angle measurement, 227 Coronal, 164
Angle sizes, 230 Correcting patient positions, 202
Angles, 39, 44, 160, 227 Create templates, 116
Angular dimension, 230 Ctrl+N, 10
Annotations, 44, 227, 231, 237, 238 Customer service center, 14
Application language, 58, 334, 346 Cuts, 160
Applying sharpness, 40
Appointment list, 20 D
Auto layout, 36, 175 Data backup, 13
Autocontrast, 40 Data, delete, 64, 75
Axial, 162 Database, 261
Delete, 271, 290, 293
B Deleting media items, 293
Backup, 13 Deleting patients, 271
BMP, 295 Density, 237
Bone density, 237 Density measurement, 237
Bone threshold value, 246 Dentition shape, 198
Brightness, 39, 206 Device, 99
Buttons, 39, 86 Device availability, 96
Device icon, 99
Device icons, 25
Device settings, 54
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Sirona Dental Systems GmbH Index
Diagnosis, , 137, 256 FS, 10

Diagnostics tools, Full screen mode, 16
Dial, 39, 41, 42
Diary, 67 G
DICOM exam export, 326 GALILEOS Implant, 34, 295
DICOM Export, 324 Gallery,
DICOM files, 295 General settings, 58
DICOMDIR, 295 Global tools, 50, 117
DICOM-Print, 38, 328, 330 Gray value editor, 313
Directory monitoring, 72
H
Display modes, 16
Header line, , 18, 68
Docking window, , , 82
Heading, 18
Drag & drop, 10
Hide, 290
Duplicates, 70
DVD, 324 I
DVT exposure, 295 Image detail, 177
Image filter, 210, 211
E Image filters, 40, 211, 212, 213, 214, 215
Edit templates, 116, 121
Image size, 177
E-mail, 49, 322
Import settings, 70
Endo layout, 148
Indication, 99, 101
ENT, 10
Intended use, 12
Entry fields, 86
Intensity, 39
Exam, , , 28, 137
International (FDI), 342
Examination window, 139, 140,
Intraoral exposure, 101
Export, 49, 318, 319
Intraoral exposure series, 116
Export formats, 80
Invert, 40, 213
Exposure dialog, 99
Exposure programs, , J
Exposure series, 52 Job acceptance, 94
External volume, 313 Job list, 20, 92, 93, 95, 104
Job management, 92
F JPEG, 295
FaceScan, 41, 295
FaceScan exposures, 248 L
False colors, 40, 214 L/R identification, 101, 295
FDI, 61, 342 Language, 58, 334, 346
File export, 318, 319, 324, 326 Last patient session, 189
File import, 70, 288, 295 Last scan,
Freehand annotations, 40, 44 Last scans, 188
Last session,
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Layout, 35, 139 Option button, 10

Length measurement, 231 Option buttons, 85
Lengths, 39, 44 Order acceptance, 97
Light box, , , 29, 34, 138, 172, 173 Ordering printed operating instructions, 9
List fields, 86 Orientation display, 152, 160, 161, 162, 163, 164
Login, 274 Orthodontics, 10
Login window, 274 Outlook, 322
Logoff, 274 Output, 49, 79, 80, 318
Logon, 274 Output profile, 79, 326
Logout, 274
Longitudinal, 160 P
Panorama layout, 145
M Panoramic curve, 38, , 196, 197, 198, 199
Mandibular arch, 198, 199 Panoramic curve editor, 151, 196, 197, 198, 199
Manufacturer's address, 14 Panoramic image, 140,
Material intensity, 252 Panoramic tomography, 151
Material opacity, 252 PAS, 10
Measurement indicator, 160, 161, 162, 163, 164 Password, 347
Measurement operations, 227 Password forgotten, 349
Measurements, 227 Patient, 261
Media export, 318, 319, 324, 326 Patient data, 23, 261
Media gallery, , , 276 Patient details, , 267, 268
Media info, 276 Patient display, 68
Media selection, 276 Patient editor, 265, 268
Media window, , 174, 175, 176, 177, 179, 180 Patient management, 261
Menu structure, 17 Patient session, 190, 194
Mirroring, 219 Patient sessions, 189, 276
Mixed dentition, 102 Patient settings, 68
MPR:, 139, 147 Patient table, , 262
MR, 10 Permanent dentition, 102
Personalize printouts, 335
N Phase bar, , 19
Navigation, 167 Pin icon, 83
Noise, 40, 211 Planes, 160, 167
Plugins, 13
O
PNG, 295
Object data editor, 221
Position aids, 38, 143
Odontogram, 61, 279, 342
Practice address, 335
OMS, 10
Practice data, 59, 335
Online help, 16
Practice logo, 60, 335
Open jobs,
Practice name, 335
Operation, 17
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Sirona Dental Systems GmbH Index
Practice settings, 335 Slice plane, 39, 197

Pregnant women, 101 Smooth down, 40, 212
Preview, 60 Standard layouts, 145
Print preview, 328, 330, 331 Status bar,
Printer, 331 STL, 295
Printer settings, 331 STL format, 302
Printing, 38, 328, 330, 331 Surface data, 43, 221, 302
Printing tools, 38, 331 Surface data editor, 37, 43
Profile, 79 Surface transparency, 41, 248
Program extensions, 13 System language, 58
Program language, 58, 334, 346 System menu, , 50
Program start, 15 System requirements, 12
Projection type, 180 System time, 13
R T
Reference measurement, 40, 234 Tab, 83
Relief, 40, 210 Template management, 52, 121
Rescue state, 25, 96 Templates, 53, 74
Resetting passwords, 349 Thick film projection, 165
Resetting the administrator password, 349 TIFF, 295
Rotate, 37 Time, 13
Rotating, 37, 218 Timeline, 171, 173, 194, 276, 278
Tonal value, 206
S Tool kits, 33
Safety instructions, 11 Tools, , 37
Sagittal, 163 Tooth region, 279
Scan, 24, 70 Transfer curve, 252
Section planes, 143, 167, 168 Transfer curve editor, 250
Section views, 139, 160, 167 Transfer function editor, 37
Sequence, 126 Transversal, 161
Session, 190 TWAIN, 71
Session gallery, , 276 TWAIN data sources, 288
Sessions, 189, 276
Sharpening, 211 U
SICATSUITE, 34 User, 63, 344
SIConst, 54 User administration, 344
SIDEXIS 4 Viewer, 324 User details, 63, 344
SIDEXIS XG, 295 User interface, 17
SIDICOM PS, 38, 328, 330 User role, 63, 344
Single image mode, 174, 180
SIXABCon, 24, 54
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V
Views, 37, 160
Volume, 313
Volume correction, 202
W
Window content, 179
Window mode, 16, 180
Work area, ,
Work area bar, 84
Work area row, 84
Work areas, 29, 138
Work phases, 19
Wrap&Go, 324
X
X-ray imaging, 24, 96, 103
X-ray job, 94
X-ray order, 92, 93, 97, 104
X-ray room, 24
X-ray unit, , , 99, ,
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We reserve the right to make any alterations which may be required due to technical improvements.
© Sirona Dental Systems GmbH Sprache: englisch Printed in Germany

D3592.208.01.08.02 06.2018 Ä.-Nr.: 125 517
Sirona Dental Systems GmbH
Fabrikstr. 31 Order No 64 47 028 D3592

64625 Bensheim
Germany
www.dentsplysirona.com

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New as of: 06.

2 General information ................................................................................................ 9

3 General operating functions.................................................................................... 15

4.3 System menu ............................................................................................... 50

5 Managing jobs ........................................................................................................ 92

6 Creating X-ray exposures ....................................................................................... 96

6.6.2 Templates for the exposure series................................................. 116

7 Analysis and diagnosis ........................................................................................... 137

7.7 Editing images ............................................................................................. 206

7.10.4 Moving dimension indicators.......................................................... 242

8 "Managing patient data ........................................................................................... 261

9 Manage media items and sessions ........................................................................ 276

10 Import / export media items .................................................................................... 295

12 Personalizing Sidexis 4........................................................................................... 333

13 Data recovery.......................................................................................................... 350

Index ....................................................................................................................... 354

1 Dear SIDEXIS 4 user,

2.1 About this user manual

2.1.3 List of abbreviations

2.1.4 Identification of the danger levels

Tip: Information for simplifying work.

2.1.5 Formats and symbols used

Prerequisite Prompts you to do something.

2.2 Intended use

2.3 Foreseeable misuse

2.4 Indication and contraindication

2.6 System requirements

2.7 General safety information

2.8 Program extensions (plug-ins)

2.9 Contact information

3 General operating functions

3.1 Starting / exiting the program

"Start" work phase with job list

Ä Sidexis 4 starts and jumps automatically to the work phase

3.2 Full-screen and window mode

3.3 User manual in PDF format

4.1 Header line

4.2 The phase bar

The phase bar contains five buttons.

Button/work phase Function

4.2.1 "Start" work phase

"Start" work phase

Collapsing and expanding lists

The lists can be collapsed or expanded by clicking on the small white

4.2.1.1 Job list

4.2.1.2 Appointment list

The appointment list reminds you of important appointments. The

4.2.2 The "Patient" work phase

"Patient" work phase – Patient table and patient details

In the "Patient" work phase, patient data saved in the Sidexis 4

4.2.3 The "Exposure" work phase

"Exposure" work phase

An import icon (C) is displayed in the "Import" menu area. If directory

Data could not be transferred to

Example of the preparation of an intraoral X-ray exposure with the

Example of the preparation of an intraoral X-ray exposure with the XIOS XG

You can find detailed information on preparing and taking X-ray

4.2.4 The "Examination" work phase

"Examination" work phase

The analysis and diagnosis of image data takes place in the

4.2.4.1 Work areas

Example of displaying different 3D volumes, section views, and 2D images

Example of a 2D image comparison in the "Compare" work area