INTRODUCING CS 9000 3D

WHY 3D?

Benefits for your practice

Faster and more confident diagnosis:• True anatomical details

• Distortion free images, 1:1 anatomical accuracy

• Eliminate doubts from 2D exams

Predictability in surgery, improved treatment quality

Increased productivity and autonomy • In-office 3D exams– limit patient visits

Improved communication• Show patients images that are easier to understand

Increased treatment plan acceptance

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Public© Carestream Health, 2012

2D vs. 3D: Sometimes two dimensions don’t tell the whole story

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Panoramic image shows two supernumerary teeth in maxillary anterior

3D Volumetric view and sagittal view show precise labial location of supernumerary tooth with no resorption of the central incisor root

2D 3D

CS 9000 3D SYSTEM

Innovation, in reach

The advantages at a glance

• Affordable three-in-one solution– 3D, 2D panoramic and optional cephalometric imaging

• Highest resolution (76 µm), low dose 3D images

• Flexible 3D programs– from local exams to full-arch exams

• Compatible with guided surgery systems

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Three-in-one solution

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One unit for all your diagnostic needs

Panoramic imaging

3D imaging

Cephalometricimaging

User-friendly, yet powerful

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Automatic 2D/3D sensor’s switch

Face-to-face positioning

High-frequency X-ray generator (90 kV)

2D panoramic imaging with variable focal trough

Motorized movements

Computer controlled system for fast and easy exams

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3D MODALITY

FOV REGION OF INTEREST SAMPLE IMAGES RECOMMENDED APPLICATIONS

Flexible 3D programs

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• Implantology• Impactions• Other cases involving one

dental arch• Surgical guide production

• Endodontics• Single implants• Impactions• TAD planning• Any applications requiring a

high level of detail (90μm)

5 x

3.7

cmFu

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Clinical applications

Implants• Assessment of the bone’s volume

• Identify and mark critical anatomy

• Plan treatment using implant module

Endodontics• Diagnose endodontic pathosis

• Assess canal morphology

• Assessment of periapical lesions

• Evaluate root fractures and root resorption

• Plan surgeries

Diagnosis• Calcifications and fractures

• Apex / sinus connexion

• Impactions and misplaced teeth

• TMJ analysis

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Oral surgery• Extraction

• Relationship of wisdom teeth with mandibular canals

• Cysts and periapical lesions

Orthodontics• Impactions, supernumeraries,

misplacement

• Micro implants

Implantology

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Implant planning, full arch mode

Volumetric and sagittal views show virtual implant placement

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Endodontics

Extensive root fracture

3D image reveals fracture not evident on PA

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Endodontics

Missed 4th canal on previous endotreatment (missed MB2)

Alveolar fracture

Root resorption. 3D views show the full extent of the resorption

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Impaction / Supernumery

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Location of impaction, relationship to anatomical structures

Others

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Root fracture and bone loss diagnosis

Root fracture diagnosticprior implant placement

TMJ analysis

Focused field 3D imaging

Lower radiation dose, higher resolution

• Field of view limited to a focused area (50 mm x 37 mm)

• Highest resolution in the industry (76 microns)

• Adapted information even for demanding endodontic treatments

• Exposure is confined only to the area of interest for better patient’s protection

• Aligns with ALARA principle ("As LowAs Reasonable Achievable")

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High resolution advantages0.4 mm voxel

Competitive system0.3 mm voxel9500 system

0.07 mm voxelCS 9000 3D system

Smaller field of view higher resolution more precise visualization of the dental anatomy

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Focused field 3D imaging

Exam Effective dose µSv

Equivalent daily effective dose (2400 µSv/year)

Panoramic exam * 7 to 22 1 to 3 days

3D exam performed with the CS 9000 3D system *

5 to 19 1 to 3 days

3D exam performed with other 3D systems **

68 to 600 10 to 91 days

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Radiation dose comparison study

* Sources : Institut de la Radioprotection et de la Sûreté Nucléaire (IRSN) – Rapport 2008-07** Sources : Ludlow JB, Dosimetry of CBCT Units for Oral and Maxillofacial Radiology

Easy and fast operation

• Intuitive user interface for fast and easy exams

• Easy selection of the region of exam

• Preset programs automatically adjust exposure settings and collimation

• Fully motorized movement to easily select the region of exam

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Easy case review and planning

• Intuitive and comprehensive 3D imaging software

• Includes sophisticated implant planning feature with implant library

• Integrates seamlessly with our other digital imaging solutions

• Fully DICOM-compliant software

• Compatible with third-party imaging software (NobelGuide™, Simplant®)

• Easy image sharing for better communication

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Surgical guide production

Dual-scan compatible

• Compatible with guided surgery systems using double scan protocol (Simplant® and NobelGuide™)

• Exclusive user-friendly interface and scanning platform for scanning appliance

• Optimized data integration in third-party guided surgery software

• Very high image accuracy (+/- 0.5% in stitching mode)

Dedicated acquisition interface

Dedicated scanning platform

Data integration in guided surgery software

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2D PANORAMIC IMAGING

A high-end panoramic system

• State-of-the-art technology for excellent image quality:

– Adaptable focal trough– High frequency generator– CCD sensor– Powerful image processing

• Convenient and practical face to face positioning

• 6 programs available for all examination needs

• Open design, accessible by all patients including patients in wheelchair

• Upgradeable to one shot cephalometric imaging

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Easy and precise positioning

• Face to face positioning

–Convenient, fast and precise

–Direct visual control

• Double laser beam alignment

– Helps position the patient inside the focal trough for sharp images

• Lateral holders

– Ensure patient stability

– Prevent motion blur and retake

• Open patient positioning

–Comfortable for the patient

–Accessible by all patients, including patients in wheelchair

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High-grade results

• Focal trough adaptable to jaw morphology for optimized image quality:

– Jaw shape

– Jaw size

– Incisor tilt

• 12 pre-programmed anatomical settings

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Clinical results

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Size 1 image,Bitewing

Clinical results

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Complete set of 2D programs

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Standard panoramic

Pediatric program

Complete set of 2D programs

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Segmented panoramic

Maxillary sinus

Complete set of 2D programs

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TMJx4

TMJx2

Complete set of 2D programs

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Optional cephalometricimaging

CUSTOMER TESTIMONIALS

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Testimonials

“The CS 9000 3D system can be considered a unique category of imaging system, rather than simply a “me too” large-field cone beam CT machine. It combines the advantages of high-resolution, low dose, limited volume 3D imaging at an affordable price.”

Allan G. Farman, BDS, PhD, DSc, Oral and Maxillofacial Radiologist, Louisville, Kentucky

“The CS 9000 3D system provides an affordable, easy-to-use ‘three-in-one’ solution. High-resolution 3D images, combined with very low dose to patients, make this system an essential contribution to dentistry.”

Prof. Dr. U. J. Rother, Imaging Diagnosis of Facial Bones, Hamburg, Germany.

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Testimonials

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“I don’t know how I could do without the CS 9000 3D system today. It has changed my practice from a diagnostic standpoint, and also from a therapeutic one. It even helps me with patient communication and student education.”

Dr. Jean-Yves Doukhan, Ph.D., DDS, (France) and Paris VII University Professor.

“Although we initially acquired the CS 9000 3D system for implant surgeries, we discovered a range of additional applications for the unit, such as endodontics, periodontics, and surgeries. It has significantly improved our workflow and reduced treatment time, while increasing treatment quality and patient satisfaction.”

Dr. Eduardo Salvo, Dr. José Luís Saldaña, Ph.D., DDS, Coso Medical/Dental Centre, Zaragoza (Spain).

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Testimonials

“Because 3D exams performed with the CS 9000 3D system are low dose, the unit offers a broader range of orthodontic applications. It can be used for impactions, supernumerary teeth, wisdom teeth, or micro-implants. Focused-field 3D exams are an ideal complement to panoramic and cephalometric exams.”

Jean-Michel Foucart, Ph.D., DDS, specialised in Orthodontics and DentofacialOrthopedics. Professor at Paris 7 University in maxillo-facial imaging.

“The CS 9000 3D system, with its low dose and remarkable resolution, is an essential tool for modern endodontics. We can now visualize root canal anatomy beforehand and identify lesions or lateral canals that are not visible with periapical radiographs. Having a 3D unit that can deliver this level of anatomic details in my practice has literally changed my life.”

David Bensoussan, Ph.D., DDS, specialised in Endodontics, Paris.

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Testimonials

“3-D visualization of orthodontic problems is something we used to reserve for only the most challenging of problems due to cost and radiation exposure. The CS 9000C 3D system allows us to use site-specific 3-D technology to not only treat the most complex problems, but also to improve diagnostic capability of the routine problems we treat each and every day.”

Mark Yanosky, D.D.S., M.S., Sarver and Yanosky Orthodontics, Birmingham, AL

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More than 4,000 satisfied customers

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With more than 4,000 sytems installed, the CS 9000 3D is probably the most popular 3D systems in the world

2010 2010 2011 20112009

New 3D module interface and 3D rendering

New full arch mode (extended mode)

New head support

New implant library New compatibility with dual scan protocol

New Film composer

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Evolving to meet your growing needs

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A comprehensive range of solutions

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2D + 3D IMAGING PAN / CEPH /

LARGE FIELD 3D

2D IMAGINGPAN / CEPH

2D + 3D IMAGINGPAN / CEPH /

FOCUSED FIELD 3D

2D + 3D IMAGING PAN / CEPH / MID FIELD 3D

Price

Field of view size / Features

CS 9300C Select (ceph)

CS 9300 Select

CS 8100

8000C (ceph)

CS 9000

CS 9000 3D

CS 9300

CS 9000C 3D (ceph)

CS 9000 C (ceph)

CS 9300C (ceph)

Technical Specifications

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Tube voltage 60 - 90 kV (max) Pulsed mode for 3D modality

Tube current 2 - 15 mA (max)

Frequency 140 kHz (max)

Tube focal spot 0.5 mm (IEC 336)

Total filtration > 2.5 mm eq. Al

3D Modality

Technology Digital Volumetric Tomography (DVT)

Sensor technology CMOS sensor with optical fibre

Gray scale 16384 - 14 bits

Volume size Standard program 50 x 37 mmExtended mode: ~ 85mm (width) x 66mm (depth) x 37mm (height)

Voxel size 76 x 76 x 76 μm (isotropic voxel)

Reconstruction time Depends on the PC

Panoramic Modality

Sensor technology CCD Optical fibre sensor

Gray scale 16384 (14 bits)

Magnification 1.27

Exposure time Adult pan. 13.9 sec. / Pediatric pan. 13.2 sec.

Programs 12 anatomical settings

Radiological exam options • Panoramic / Segmented panoramic / Maxillary sinus / LA TMJ x2 / LA TMJ x4

Input voltage • 230-240 V - 50/60 Hz / 100-110-130V - 50/60 Hz

Weight 160 kg

Dimensions

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CEPHALOMETRIC MODALITY

CS 9000C

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The advantages at a glance

• One-shot cephalometric imaging

• Optimized image quality and radiation dose

• Broadest range of image formats

• Exclusive automatic tracings

One-shot cephalometric imaging

• Images are acquired in a single shot and in less than a second

• Minimizes distortion that is common with units using scanning technology

• Optimized image quality and reduced exposure time

• Prevents patient movement

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X-ray X-ray

8 to 14 seconds +/- 1 second

SCANNING SYSTEMS CS 9300C’S ONE-SHOT

Broadest range of image formats

• Broadest range of image formats including our exclusive full skull option (30 x 30 cm)

- 30 x 30 cm, 24 x 24 cm, 24 x 24 cm, 18 x 24 cm, 18 x 18 cm

• Addresses all orthodontic diagnostic and tracing needs

• Collimation limits the exposure zone according to patient morphology or diagnostic needs

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30 x 30 cm (12 x 12 in.)24 x 30 cm (10 x 12 in.)

24 x 24 cm (10 x 10 in.)18 x 24 cm (8 x 10 in.)

18 x 18 cm (8 x 8 in.)

Broadest range of image formats

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Multiple image formats- 30 x 30 cm- 24 x 24 cm- 24 x 24 cm- 18 x 24 cm- 18 x 18 cm

Exclusive automatic tracings

• A software that automatically recognizes anatomical structures and landmarks and traces them in two minutes or less*

• Time saving feature allows you and your staff to focus on tasks of greater importance

• Covers the most common analysis needs (Ricketts, McNamara, Steiner, Tweed)

• Tracings can be exported to other cephalometricsoftware

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Orthodontic enhancement filters

• Improve clarity and/or outline soft tissue with just one click

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Optimized contrast for a primary image analysis

Bone density enhancement for clear visualization of bone and cartilage

Edges enhancement for uniform gray shades on hard and soft tissue for a fast tracing

Clinical results

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Full range of cephalometric images

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Lateral, frontal AP/PA, Submento-vertex, carpus views

Technical Specifications

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Cephalometric Modality

Technology One shot

Sensor technology CCD with Optical Fiber

Gray scale 14 bits

Magnification 1.14

Exam optionsLateral, Oblique, Frontal (AP/PA), Submento-Vertex, Carpus

Multiple Cephalometric Field Choices: 30 cm x 30 cm, 24 cm x 30 cm, 24 cm x 24 cm, 18 cm x 24 cm, 18 cm x 18 cm.

Weight 438 lb (199 kg)