Acquiring intraoral and extraoral photos
You can acquire intraoral and extraoral photos with digital cameras and third-party programs.
Note: For the complete list of acquisition devices that are supported by Dentrix Ascend Imaging, see "Supported Acquisition Devices."
To acquire intraoral and extraoral photos
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If the correct patient is not already selected in Dentrix Ascend, use the Patient Search box to access the patient's record.
Note: You can include inactive patients in the search results by setting the Include inactive patients switch to On.
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On the Patient menu, under Clinical, click (or tap) Chart, Progress Notes, Quick Exam, Perio, Tx Planner, or Imaging.
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On the Chart, Progress Notes, Perio, Tx Planner, or Imaging tab of a patient's clinical record, on the Imaging tab's menu, click (or tap) Acquire images.
Notes:
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If the acquisition agent is not installed, the Acquisition Activation dialog box appears. Click (or tap) the Click here link to download the acquisition agent installer. Then, click (or tap) Done. After you install the acquisition agent and the drivers for your acquisition devices, you can begin acquiring images.
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If you have not already accepted the diagnostic use policy, the Diagnostic Use Warning dialog box appears. To begin using the imaging features of Dentrix Ascend, you must select the I accept the above-mentioned policy checkbox, and then click (or tap) Accept & Go to Imaging.
The options for acquiring images become available.
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Under Imaging Procedures, select one of the following tabs:
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Favorites - This tab contains the imaging procedures for the current location that have been marked as favorites. This tab is available only if there are favorite imaging procedures for the current location. If there are favorite imaging procedures for the current location, this tab is selected by default.
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Standard - This tab contains the standard imaging procedures that come with Dentrix Ascend Imaging. This tab is available for all locations. If there are not any favorite imaging procedures for the current location, this tab is selected by default.
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Custom - This tab contains the custom imaging procedures that have been created for the current location. This tab is available only if there are custom imaging procedures for the current location.
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Select an imaging procedure that corresponds to the acquisition type for intraoral and extraoral photos (such as 2D Oral/Facial Photo Images).
The options for the selected procedure become available.
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Under Billing Options, set up the following options:
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Apply charges - To post the fee for the selected procedure (such as D0350), select the checkbox. To post a zero amount for the procedure, clear the checkbox.
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Bill to insurance - To bill the patient's insurance carrier for the procedure, select the checkbox. To not bill the patient's insurance carrier for the procedure, clear the checkbox.
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Select provider - From the list, select the provider who you want to associate with the procedure.
Note: Only providers who have access to the current location and who are flagged as charting providers are available for selection. Also, the provider who is selected by default is determined by the current location's Default procedure provider setting.
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Set up the Acquisition Options for intraoral and extraoral photos.
Do the following:
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If you are acquiring a set of intraoral or extraoral photos using a custom imaging procedure, from the Acquisition sequence list, select Default sequence or a custom order (if available).
Notes:
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To change the acquisition sequence, click (or tap) each placeholder of the sequence diagram in the order that you will acquire the images.
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To undo previous order selections, click (or tap) Undo as needed. To undo all order selections, click (or tap) Reset.
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When you finish specifying the order for all placeholders, to save the custom sequence for future use, enter a name for the sequence in the Acquisition sequence box, and then click (or tap) Save as ([sequence name]).
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To delete a custom sequence, with that sequence selected in the Acquisition sequence list, click (or tap) the blue Delete button , which then turns red, and then click (or tap) the button again.
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If you are acquiring intraoral or extraoral photos using a standard imaging procedure, and if no interpretation or analysis of the acquired images will be done in your office, to use an alternative procedure code, select the Without interpretation/analysis using code D0703 checkbox.
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Under Task to Perform, on the Acquire Images tab, select the correct device on the Available Devices menu if it is not already selected.
Notes:
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For the complete list of acquisition devices that are supported by Dentrix Ascend Imaging, see "Supported Acquisition Devices."
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The first time that you attempt to use a camera with Dentrix Ascend Imaging on any computer, when a message from the browser appears and asks if you want to allow the browser to have access to the camera, allow it.
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Click (or tap) Proceed with Acquisition.
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Acquire one or more intraoral and/or extraoral photos with the specified device.
Individual images with a camera
The live video stream from your camera appears.
Notes:
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To tune your camera's settings, you can click (or tap) the Tune Camera button .
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If you need to change the acquisition device, select a different device on the Available Devices for Procedure menu.
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If the acquisition stops because of a device error, fix the issue, and then click (or tap) Start to proceed with the acquisition.
Do the following:
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Point the camera at the patient or at the correct area inside the patient's mouth.
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To pause or freeze the live video stream, with the camera properly positioned, do one of the following:
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Press the button on your camera.
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Click (or tap) Pause Streaming.
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To capture the current video frame, do one of the following:
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Press the button on your camera.
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Click (or tap) Take a Snapshot.
Note: If alternative button functionality has been enabled for your camera in the acquisition agent preferences, you can push the button twice to not capture the current video frame.
The resulting image is added to the snapshot panel, and the video stream automatically becomes live again.
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Repeat steps a-c as needed to acquire additional snapshots.
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On the snapshot panel, clear the checkbox of each snapshot that you do not want to save.
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Click (or tap) Assign Images.
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Do any of the following as needed:
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To save one or more snapshots as intraoral images and assign tooth numbers, select the snapshots that pertain to the same teeth (and be sure to deselect snapshots that are not intraoral images and that do not pertain to the same teeth), and then drag them to the Select Teeth, UR/UL/LR/LL, Upper Jaw, or Lower Jaw box.
If you drag snapshots to the Select Teeth box, the Assign Tooth Numbers dialog box appears. Select the correct teeth, and then click (or tap) Assign Teeth.
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To save one or more snapshots as extraoral images, select the snapshots that are extraoral images (and be sure to deselect snapshots that are not extraoral images), and then drag them to the Extraoral Photos box.
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To save the snapshots on the snapshot panel as intraoral images but not assign tooth numbers at this time, leave those snapshots on the snapshot panel.
Intraoral images with assigned tooth numbers appear on the left side of the preview area, extraoral images appear on the right side of the preview area, and images without assigned tooth numbers (which will be saved as intraoral images) appear on the snapshot panel.
Note: If you have a mix of intraoral and extraoral images, the intraoral images will be saved as one acquisition, and the extraoral images will be saved as another acquisition in the patient's imaging history in Dentrix Ascend Imaging; however, all the images will be associated with one procedure (D0350 or D0703), which will appear in the patient's progress notes with two imaging icons, in Dentrix Ascend.
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Click (or tap) Begin Uploading to save the images to the patient's record
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If any images fail to upload, a message appears and provides the option for you to recover the images. Click (or tap) Recover Images to begin the recovery process.
Individual images with a third-party program (TWAIN or bridge)
Do the following:
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Use the options in the third-party TWAIN interface or imaging program that opens to get ready to acquire images.
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Use the camera to capture images of the patient or the correct areas inside the patient's mouth.
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Close the third-party TWAIN interface or imaging program.
The images that you captured in the third-party imaging program appear as thumbnail images on the snapshot panel at the bottom of the Dentrix Ascend Imaging program.
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Do any of the following as needed:
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To save one or more snapshots as intraoral images and assign tooth numbers, select the snapshots that pertain to the same teeth (and be sure to deselect snapshots that are not intraoral images and that do not pertain to the same teeth), and then drag them to the Select Teeth, UR/UL/LR/LL, Upper Jaw, or Lower Jaw box.
If you drag snapshots to the Select Teeth box, the Assign Tooth Numbers dialog box appears. Select the correct teeth, and then click (or tap) Assign Teeth.
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To save one or more snapshots as extraoral images, select the snapshots that are extraoral images (and be sure to deselect snapshots that are not extraoral images), and then drag them to the Extraoral Photos box.
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To save the snapshots on the snapshot panel as intraoral images but not assign tooth numbers at this time, leave those snapshots on the snapshot panel.
Intraoral images with assigned tooth numbers appear on the left side of the preview area, extraoral images appear on the right side of the preview area, and images without assigned tooth numbers (which will be saved as intraoral images) appear on the snapshot panel.
Note: If you have a mix of intraoral and extraoral images, the intraoral images will be saved as one acquisition, and the extraoral images will be saved as another acquisition in the patient's imaging history in Dentrix Ascend Imaging; however, all the images will be associated with one procedure (D0350 or D0703), which will appear in the patient's progress notes with two imaging icons, in Dentrix Ascend.
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Click (or tap) Begin Uploading to save the images to the patient's record
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If any images fail to upload, a message appears and provides the option for you to recover the images. Click (or tap) Recover Images to begin the recovery process.
Set of images with a camera (applicable only for a custom imaging procedure)
The first step in the acquisition sequence is selected automatically (as indicated by the green, numbered box) on the sequence diagram, and the applicable teeth are selected on the Tooth status chart for your reference.
Also, the live video stream from your camera appears.
Notes:
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To tune your camera's settings, you can click (or tap) the Tune Camera button .
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If you need to change the acquisition device, click (or tap) Pause to pause the video stream, select a different device on the Available Devices for Procedure menu, and then click (or tap) Discard to resume the video stream.
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To skip ahead in the acquisition sequence by one step, click (or tap) Skip Forward (this button is available only if the current step in the sequence is not the last step).
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To go backward in the acquisition sequence by one step, click (or tap) Skip Backward (this button is available only if the current step in the sequence is not the first step).
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If the acquisition stops because of a device error, fix the issue, and then click (or tap) Start to proceed with the acquisition.
Do the following:
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Point the camera at the patient or at the correct area inside the patient's mouth.
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To pause or freeze the live video stream, with the camera properly positioned, do one of the following:
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Press the button on your camera.
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Click (or tap) Pause.
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To capture the current video frame, do one of the following:
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Press the button on your camera.
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Click (or tap) Save.
Notes:
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If alternative button functionality has been enabled for your camera in the acquisition agent preferences, you can push the button twice to not capture the current video frame.
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To return to a live video stream without capturing the current video frame, click (or tap) Discard. Then, repeat steps a-c.
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If you acquired an image for a step in the acquisition sequence that already has an image, the Select Image dialog box appears.The recaptured image appears on the left under New Image. The existing image appears on the right under Old Image. Either leave the Delete rejected image checkbox selected to have the rejected image be deleted when you choose one of the "Keep" options, or clear the checkbox to have the rejected image be hidden when you choose one of the "Keep" options. Then, click (or tap) either Keep New to keep the recaptured image and put it on the top of the image stack for the template slot or Keep Old to keep the existing image and leave it on the top of the image stack for the template slot.
A preview of the resulting image appears. Also, if the image that you just acquired was not for the last step in the acquisition sequence, the next step in the acquisition sequence is selected automatically (as indicated by the green, numbered box) on the sequence diagram, the applicable teeth are selected on the Tooth status chart for your reference, and the video stream automatically becomes live again.
Notes:
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To stop the acquisition session before you finish acquiring the entire set of photos, click (or tap) Finish Acquisition. You can resume the incomplete exam later if necessary.
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To skip ahead in the acquisition sequence one step, click (or tap) Skip Forward. This button is available only if the current step in the sequence is not the last step.
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To go backward in the acquisition sequence one step, click (or tap) Skip Backward. This button is available only if the current step in the sequence is not the first step, and if the previous step in the sequence does not have an image.
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To replace the image that you acquired in the previous step of the acquisition sequence, click (or tap) Skip Backward to navigate to the previous step. With the camera properly positioned, click (or tap) Pause to pause the video stream, and then click (or tap) Save to capture the current video frame. The Select Image dialog box appears. Either leave the Delete rejected image checkbox clear to have the rejected image be hidden when you choose one of the "Keep" options, or select the checkbox to have the rejected image be deleted when you choose one of the "Keep" options. Then, click (or tap) either Keep New to keep the recaptured image and put it on the top of the image stack for the template slot or Keep Old to keep the existing image and leave it on the top of the image stack for the template slot.
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Repeat steps a-d until you finish acquiring images for the set.
Set of images with a third-party program (TWAIN or bridge)
Do the following:
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Use the options in the third-party TWAIN interface or imaging program that opens to get ready to acquire images.
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Use the camera to capture images of the patient or the correct areas inside the patient's mouth.
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Close the third-party TWAIN interface or imaging program.
The images that you acquired in the third-party imaging program appear as thumbnail images on the panel at the bottom of the Dentrix Ascend Imaging program.
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One at a time, drag the thumbnail images from the panel to the correct boxes of the template.
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As needed, do any of the following:
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To stack multiple images in one template slot, drag either a thumbnail image from the panel at the bottom or an image from a template slot to a template slot that already has an image assigned. That image is put on the top of the image stack for that template slot (but you can choose a different image to be on top).
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To choose the top image for a template slot with multiple images, navigate between the images in the stack by clicking (or tapping) the corresponding Next or Previous button as needed. The image that is visible in the stack when you click (or tap) Begin Uploading will be set as the top image of the stack (but you can choose a different image to be on top later).
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To change the orientation of an image in the template, navigate to the desired image in the stack for a template slot (if multiple images are assigned to that template slot), select the image to view the toolbar, and then click (or tap) any of the available buttons as needed: Flip Horizontal, Flip Vertical, Rotate Counterclockwise (90 degrees), and/or Rotate Clockwise (90 degrees).
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To remove an image from the template, navigate to the desired image in the stack for a template slot (if multiple images are assigned to that template slot), and then drag the image back to the panel at the bottom.
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Click (or tap) Begin Uploading to save the mounted images to the patient's record.
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If not all thumbnail images have been mounted to the template when you click (or tap) Begin Uploading or Cancel, a message appears, stating that unassigned images will not be saved to the patient's record.
Click one of the following buttons:
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Send to Recovery - To save the unassigned images. You can assign them to the patient later using the existing functionality for recovering images.
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Discard Images - To delete the unassigned images permanently.
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Stay on Page - To return to where you were so you can assign unassigned images or make other changes.
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If any images fail to upload, a message appears and provides the option for you to recover the images. Click (or tap) Recover Images to begin the recovery process.
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