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V2R-PR-SP-V01 V2R Scanning Protocol page 1 of 13
V2R Scanning Protocol
&
File Transfer Instructions
V2R-PR-SP-V01 V2R Scanning Protocol page 2 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
Table of Contents
Decision-Tree to Choose the Appropriate V2R Scanning Protocol ............................................................................................................................. 3
1. V2R™ Single Scan Protocol for Teeth-supported Surgical Guide ............................................................................................................................... 4
1A Full Arch Impressions ..................................................................................................................................................................................... 4
1B CT-Scan of the Patient .................................................................................................................................................................................... 4
Sending data to V2R ................................................................................................................................................................................................... 5
2. V2R™ Dual Scan Protocol for Teeth-supported Surgical Guide ................................................................................................................................. 6
2A. Full Arch Impressions ..................................................................................................................................................................................... 6
2B. CT-Scan of the patient wearing the radiographic guide ................................................................................................................................ 6
2C. CT-scan of the Radiographic Guide with the Master Model .......................................................................................................................... 7
Sending data to V2R ................................................................................................................................................................................................... 8
3. V2R™ Dual Scan Protocol for Gum-supported Surgical Guide ................................................................................................................................... 9
3A. Full Arch Impression ....................................................................................................................................................................................... 9
3B. Denture with Markers .................................................................................................................................................................................... 9
3C. CT-scan of the Patient Wearing the Denture ............................................................................................................................................... 10
3D. CT-scan of the Denture Alone ...................................................................................................................................................................... 11
Sending data to V2R ................................................................................................................................................................................................. 11
V2R™ File Transfer Instructions ................................................................................................................................................................................... 12
V2R-PR-SP-V01 V2R Scanning Protocol page 3 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
Decision-Tree to Choose the Appropriate V2R Scanning Protocol
Warning
Please make sure to use the V2R Scanning Protocol that is suited for your case.
V2R-PR-SP-V01 V2R Scanning Protocol page 4 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
1. V2R™ Single Scan Protocol for
Teeth-supported Surgical Guide
Warning: If the patient has metal crowns and/or amalgam, you
should preferably use the V2R™ Dual Scan Protocol for
Teeth-supported Surgical Guide (#2) because of possible
artifacts that could be created by existing restorations.
1A Full Arch Impressions
1A.1 Make an accurate impression
of the arch to be treated.
1A.2 Make an impression of the
opposing arch and take a bite
registration.
Note:
These impressions will later be scanned and transformed
into detailed 3D computer images that will be the basis for
the surgical guide design. It is therefore important to
provide accurate impressions.
1B CT-Scan of the Patient
Preparation of the Patient
1B.1 Patient must remove all
metal prosthesis, as well as metal
jewellery that might interfere with
the region to be scanned.
1B.2 Patient should be in a static position, with the head
upright.
1B.3 Patient’s bite should be secure with cotton pads in
order to avoid possible artifacts from the opposite arch.
Upper and lower teeth should
not touch each other during
the scan acquisition.
Recommended space = 5mm
1B.4 Patient must not move or swallow
during the scan acquisition. DO NOT
SWALLOW
DO NOT
MOVE
V2R-PR-SP-V01 V2R Scanning Protocol page 5 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
Scanning Instructions
1B.5 The occlusal plane should be parallel to the plane of
image slice generated, with no tilt.
1B.6 The height must be set in order to center the occlusal
plane in the field of view (FOV).
1B.7 In case that both arches need to be treated, please
provide a separate scan for each arch.
Use the following scanning parameters to
perform the CT-Scan :
Parameters Values Gantry Tilt None (0°)
Slice Thickness min 0.2mm / max 0.4 mm
Reconstructed Slice Increment Same as Slice Thickness
Reconstruction algorithm Bone
Compression None
Format DICOM 3
Requirements • Remaining teeth should be clearly visible (no artifacts).
• Upper and lower teeth should not touch each other.
Sending data to V2R
The following data must be sent to V2R:
Data Shipping Method
V2R prescription form By Fax (1.888.688.8421)
By Email
Impressions + Bite
registration (1A)
Must be sent with a copy of
the prescription form at the
following address:
V2R BIOMEDICAL
3012 IVAR AVENUE, ROSEMEAD,
CA 91770
DICOM files
• Scan of the patient (1B)
By following the V2R File
Transfer Instructions (at the
end of the document)
If you would like V2R to be in charge of the restoration,
please contact our sales department (1.800.369.5485)
Maxilla Mandible
V2R-PR-SP-V01 V2R Scanning Protocol page 6 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
2. V2R™ Dual Scan Protocol for
Teeth-supported Surgical Guide
2A. Full Arch Impressions
2A.1 Make an accurate impression of the arch to be treated.
2A.2 Make an impression of the opposing arch and take a bite
registration.
Note:
These impressions will later be scanned and transformed into
detailed 3D computer images that will be the basis for the
surgical guide design. It is therefore important to provide
accurate impressions.
2A.3 Contact V2R Biomedical in order to get a radiographic
guide for your case.
2B. CT-Scan of the patient wearing the
radiographic guide
Preparation of the Patient
2B.1 Patient must remove all metal
prosthesis, as well as metal jewellery
that might interfere with the region
to be scanned.
2B.2 Patient should be in a static position, with the head
upright.
2B.3 The radiographic guide must be placed firmly in the
patient's oral cavity.
2B.4 Patient should bite on cotton pad, in order to
avoid possible artifacts occurring from the opposite
arch.
2B.5 Patient must not move or
swallow during the scan acquisition. DO NOT
MOVE
DO NOT
SWALLOW
V2R-PR-SP-V01 V2R Scanning Protocol page 7 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
Scanning Instructions
2B.6 The occlusal plane shall be parallel to the plane of
image slice generated, with no tilt.
2B.7 The height must be set in order to center the occlusal
plane in the field of view (FOV).
2B.8 In case that both arches need to be treated, please
provide a separate scan for each arch.
Use the following scanning parameters to
perform the CT-Scan :
Parameters Values Gantry Tilt None (0°)
Slice Thickness 0.4 mm (maximum)
Reconstructed Slice Increment Same as slice thickness
Reconstruction algorithm Bone
Compression None
Format DICOM 3
Requirements • At least 6 radio-opaque markers must be distinguishable on
the CT-scan images. Please ensure that markers are not
"lost" in possible artifacts created by existing restorations.
2C. CT-scan of the Radiographic Guide with
the Master Model
Scanning Instructions
2C.1 The radiographic guide must be installed precisely
onto the master model.
2C.2 The resulting assembly must be placed in the scanner
in a position similar to its position during the patient scan.
2C.3 The resulting assembly must be supported by a highly
translucent material (such as polyethylene or polyurethane
foams).
Use the following scanning parameters to
perform the CT-Scan:
Parameters Values Gantry Tilt None (0°)
Slice Thickness min. 0.2mm / max. 0.4mm
Reconstructed Slice Increment Same as slice thickness
Reconstruction algorithm Bone
Compression None
Format DICOM 3
Note:
If both arches are to be treated, please proceed to scan one
assembly at a time.
V2R-PR-SP-V01 V2R Scanning Protocol page 8 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
Sending data to V2R
The following data must be sent to V2R
Data Shipping Method
V2R prescription form By Fax (1.888.688.8421)
By Email
Impressions + Bite
registration (2A)
Must be sent with a copy of
the prescription form at the
following address:
V2R BIOMEDICAL
3012 IVAR AVENUE, ROSEMEAD,
CA 91770
DICOM files
� Scan of the patient
(2B)
� Scan of the
radiographic guide
(2C)
By following the V2R File
Transfer Instructions (at the
end of the document)
If you would like V2R to be in charge of the restoration,
please contact our sales department (1.800.369.5485)
V2R-PR-SP-V01
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
3. V2R™ Dual Scan Protocol
supported Surgical Guide
3A. Full Arch Impression
3A.1 Make an accurate impression of the arch to be treated.
Note:
This impression will later be used to pour a master model in
order to validate the fit of the surgical guide. It is therefore
important to provide accurate impressions.
3B. Denture with Markers
3B.1 Examine the denture of your patient to decide if you can
use it to perform the Dual Scan protocol.
The ideal denture should have:
• Teeth of proper size, shape and length
• Well established occlusion
• Buccal flanges wide enough for gutta-percha markers and
retentive pins positioning
• Hard reline only
• Secure and close fit to soft tissue and patient cast
• No radio-opaque (like Triad® from Dentsply) or metal
materials
V2R Scanning Protocol
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
Dual Scan Protocol for Gum-
of the arch to be treated.
This impression will later be used to pour a master model in
order to validate the fit of the surgical guide. It is therefore
your patient to decide if you can
percha markers and
Secure and close fit to soft tissue and patient cast
from Dentsply) or metal
Warning:
If the actual denture does not meet the ideal denture criteria
that are mentioned above, please make a new one before doing
the scan acquisition.
The V2R™ Gum-supported Surgical Guide is designed from the
shape of the denture. It is therefore essential to work from a
denture of good quality in order to get a safe and accurate
surgical guide in return.
3B.2 Insert 6 or more radio-opaque markers
surface of the denture:
• Use the #3 round bur to create at least 6 small holes
flanges of the outer surface of the denture
tooth-gingiva border, others close to the outer border.
• Drill spherical holes of 1mm deep and 1
Avoid making the holes larger than indicated (larger volume of
radio-opaque material might cause artifacts).
• Fill holes with a radio-opaque material
gutta-percha).
• Plan marker positions evenly on lingual/palatal and
buccal/labial regions. Preferred positions of the markers on
the denture (case of six markers):
• Ensure markers are randomly distributed
Avoid placing markers on the inner surface of the denture.
page 9 of 13
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
If the actual denture does not meet the ideal denture criteria
make a new one before doing
supported Surgical Guide is designed from the
essential to work from a
denture of good quality in order to get a safe and accurate
opaque markers on the outer
to create at least 6 small holes on the
flanges of the outer surface of the denture - some close to the
border, others close to the outer border.
1mm deep and 1-1.5mm diameter.
Avoid making the holes larger than indicated (larger volume of
opaque material might cause artifacts).
opaque material (preferred material is
on lingual/palatal and
buccal/labial regions. Preferred positions of the markers on
randomly distributed in several planes.
n the inner surface of the denture.
V2R-PR-SP-V01
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
Note:
Radio-opaque markers are used to facilitate the merge of
the scanned denture to the CT-Scan of the patient wearing
the denture.
3C. CT-scan of the Patient Wearing
Denture
Preparation of the Patient
3C.1 Patient must remove all metal
prosthesis, as well as metal jewellery
that might interfere with the region
to be scanned.
3C.2 Patient should be in a static position, with the head
upright.
3C.3 Patient must wear the gutta-percha filled denture.
3C.4 Patient should bite firmly in centric occlusion.
3C.5 Patient must not move or
swallow during the scan acquisition.
DO NOT
MOVE
V2R Scanning Protocol
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
opaque markers are used to facilitate the merge of
Scan of the patient wearing
Patient Wearing the
Patient should be in a static position, with the head
percha filled denture.
centric occlusion.
Warning: If the patient is scanned without your presence, practice
the correct seated position of the denture with the patient.
Scanning Instructions
3C.6 The occlusal plane should be parallel to the plane of
image slice generated, with no tilt.
3C.7 The height must be set in order to center the occlusal
plane in the field of view (FOV).
3C.8 In case that both arches need to be treated, please
provide a separate scan for each arch.
Maxilla
Use the following scanning parameters to
perform the CT-Scan :
Parameters Gantry Tilt
Slice Thickness min 0.2mm / max 0.4 mm
Reconstructed Slice Increment
Reconstruction algorithm
Compression
Format
DO NOT
SWALLOW
page 10 of 13
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
scanned without your presence, practice
the correct seated position of the denture with the patient.
plane should be parallel to the plane of
The height must be set in order to center the occlusal
In case that both arches need to be treated, please
r each arch.
Mandible
Use the following scanning parameters to
Values None (0°)
min 0.2mm / max 0.4 mm
Same as slice thickness
Bone
None
DICOM 3
V2R-PR-SP-V01 V2R Scanning Protocol page 11 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
Requirements • Radio-opaque markers must be distinguishable on the CT-
scan images.
3D. CT-scan of the Denture Alone
Scanning Instructions
3D.1 The denture should be scanned in a position similar to
its position during the patient scan.
3D.2 The denture must be supported by a highly
translucent material (such as polyethylene or polyurethane
foams).
Use the following scanning parameters to
perform the CT-Scan:
Parameters Values Gantry Tilt None (0°)
Slice Thickness 0.3 mm preferably
min 0.2mm / max. 0.4mm
Reconstructed Slice Increment Same as slice thickness
Reconstruction algorithm Bone
Compression None
Format DICOM 3
Note:
If both arches are to be treated, please proceed to scan
one denture at a time.
Sending data to V2R
The following data must be sent to V2R
Data Shipping Method
V2R prescription form By Fax (1.888.688.8421)
By Email
Impression (3A) Must be sent with a copy of
the prescription form at the
following address:
V2R BIOMEDICAL
3012 IVAR AVENUE, ROSEMEAD,
CA 91770
DICOM files
• Scan of the patient (3C)
• Scan of the denture
alone (3D)
By following the V2R File
Transfer Instructions (at the
end of the document)
If you would like V2R to be in charge of the restoration,
please contact our sales department (1.800.369.5485)
Markers
V2R-PR-SP-V01 V2R Scanning Protocol page 12 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
V2R™ File Transfer Instructions
1. Before sending any scan data, please make sure that the
case prescription was previously sent to V2R Biomedical
(by fax: 1.855.432.2850 or email:
2. Create a .ZIP archive with each main folder containing the
DICOM file series. For a double scan, there should be 2
separate main folders, so you should create a .ZIP archive
for each.
3. Identify the .ZIP files by renaming them:
“LAST_FIRST_Patient.zip” for the patient scan and
“LAST_FIRST_Prosthesis.zip” for the prosthesis only scan
(if applicable).
4. Go to www.wetransfer.com
5. Add the first .ZIP archive by clicking the “+” sign in the
first box and locating it on your computer.
How to compress and uncompress files (zip files) on Windows
A. Locate the file or folder that you want to compress.
B. Right-click the file or folder, point to Send To, and then
click Compressed (zipped) Folder.
A new compressed folder is created. To rename it, right-click the
folder, click Rename, and then type the new name.
V2R-PR-SP-V01 V2R Scanning Protocol page 13 of 13
V2R USA
Phone: 1.800.369.5485 | Fax: 1.888.688.8421
V2R CANADA
Phone: 1.514.276.1827 | Fax: 1.855.432.2850
V2R ASIA
Phone: 1.886.4.24073076
6. Add the second .ZIP archive (if for a double scan)
7. Add "[email protected]" email address in the
second box
8. Add your email in the third box.
9. Click transfer and wait for the transfer confirmation
before closing the window.
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