Importing intraoral and extraoral photos
You can import image files (.bmp, .png, .jpg, and .tiff files) of intraoral and extraoral photos to attach to a patient's record in Dentrix Ascend Imaging, such as in the following scenarios:
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Importing images from another office or provider (most common).
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Importing images acquired in your office with non-integrated third-party imaging software.
To import intraoral and extraoral photos
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If the correct patient is not already selected, use the Patient Search box to access the patient's record.
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On the Patient menu, under Clinical, select Chart, Progress Notes, Quick Exam, Perio, Tx Planner, or Imaging.
The patient's clinical record opens with the Chart, Progress Notes, Quick Exam, Perio, Tx Planner, or Imaging tab selected.
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On the Imaging tab's menu, select Acquire Images.
Notes:
Alternatively, you can press Alt+X to start the acquisition process (instead of using the Acquire Images option on the Imaging tab's menu). To use this keyboard shortcut, you must be viewing the patient's clinical record (on the Chart, Progress Notes, Quick Exam, Perio, Tx Planner, or Imaging tab).
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.
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.
On the navigation panel, select one of the following tabs:
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.
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.
Custom - This tab contains custom imaging procedures. This tab is available only if custom imaging procedures exist.
On the Custom tab, you can filter procedures according to the following options:
Organization - Displays all custom procedures that were created in your organization.
Location - Displays only the custom procedures that were created in the location that you are currently viewing.
User - Displays only the custom procedures that were created by the user whose account you are currently logged in with.
Note: By default, Location is selected the first time you access Imaging. Whichever option you select after that is saved for the next time you view the custom procedures list.
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Select an imaging procedure that corresponds to the acquisition type for intraoral and extraoral photos (such as 2D Oral/Facial Photos).
The options for the selected procedure become available.
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Under Billing Options, set up the following options:
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Without interpretation/analysis - If you are acquiring intraoral or extraoral photos using a standard imaging procedure, and if no interpretation or analysis of the imported 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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Apply charges - Do one of the following:
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If you are importing images from another office or provider - Ignore this setting because it will become unavailable when you select the Existing procedure option in a later step.
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If you are importing images acquired in your office with non-integrated third-party imaging software - Either select the checkbox to post the fee for the selected procedure (such as D0350), or clear the checkbox to post a zero amount for the procedure.
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Bill to insurance - Do one of the following:
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If you are importing images from another office or provider - Ignore this setting because it will become unavailable when you select the Existing procedure option in a later step.
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If you are importing images acquired in your office with non-integrated third-party imaging software - Either select the checkbox to bill the patient's insurance carrier for the procedure, or clear the checkbox to not bill the patient's insurance carrier for the procedure.
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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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If you are importing a set of intraoral or extraoral photos using a custom imaging procedure, from the sequence list, select Default sequence or a custom order (if available).
Note: To manage the acquisition sequences for the selected imaging procedure, do the following:
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Next to the sequence list, click (or tap) Edit.
The Edit Acquisition Sequence dialog box appears.
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Do any of the following:
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To add a sequence, do the following:
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Click (or tap) each placeholder of the sequence diagram in the order that you will acquire the images.
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 Start typing a new name 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 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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Click (or tap) Finish.
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Do one of the following:
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If you are importing images from another office or provider - On the Import tab, select the Existing Procedure option, and then specify the date that the procedure was performed.
Note: With this option selected, the Apply charges and Bill to insurance checkboxes under Billing Options become unavailable because the procedure will be posted with a zero dollar fee and will not be billed to insurance. The procedure (which will have an "Existing" status) will appear in the patient's clinical record but not on the patient's ledger.
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If you are importing images acquired in your office with non-integrated third-party imaging software - Do one of the following:
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On the Input tab, select the Import From File device on the Available Devices menu if it is not already selected.
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On the Import tab, select one of the following options:
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Existing Procedure - Use this for a procedure that was performed prior to today (and may already have been billed to the patient's insurance carrier). Specify the date that the procedure was performed.
Note: With this option selected, the Apply charges and Bill to insurance checkboxes under Billing Options become unavailable because the procedure will be posted with a zero dollar fee and will not be billed to insurance. The procedure (which will have an "Existing" status) will appear in the patient's clinical record but not on the patient's ledger.
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Completed Procedure - Use this for a procedure that you performed today. Today's date and time will be associated with the procedure.
Note: The procedure (which will have a "Completed" status) will appear in the patient's clinical record and on the patient's ledger.
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Click (or tap) Start.
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Import one or more images:
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If you selected the Import from File option on the Input tab in step 8, do the following:
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In the Import File dialog box appears that appears, select the correct image file.
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Click (or tap) Open.
The image appears as thumbnail image on the snapshot panel at the bottom of the Dentrix Ascend Imaging program.
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For each additional image that you want to import, click (or tap) Start Acquisition, and then repeat steps a-b.
The imported images appear as thumbnail images on the snapshot panel at the bottom of the Dentrix Ascend Imaging program.
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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:
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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 (deselect snapshots 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, select the applicable 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 (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.
Assigned intraoral images appear on the left side of the preview area; extraoral, on the right.
Note: If you have a mix of intraoral and extraoral images, they map to one procedure (D0350), which will appear in the progress notes with two icons. Also, you can delete or reassign the intraoral or extraoral exam as needed in the future.
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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.
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If you selected an option on the Import Images tab in step 8, do the following:
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In the Import File dialog box appears that appears, select the correct image file.
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Click (or tap) Open.
The image appears as thumbnail image on the snapshot panel at the bottom of the Dentrix Ascend Imaging program.
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For each additional image that you want to import, click (or tap) Start Importing, and then repeat steps a-b.
The imported images appear as thumbnail images on the snapshot panel at the bottom of the Dentrix Ascend Imaging program.
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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:
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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 (deselect snapshots 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, select the applicable 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 (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.
Assigned intraoral images appear on the left side of the preview area; extraoral, on the right.
Note: If you have a mix of intraoral and extraoral images, they map to one procedure (D0350), which will appear in the progress notes with two icons. Also, you can delete or reassign the intraoral or extraoral exam as needed in the future.
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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.
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For each image that needs tooth numbers assigned to it, do the following:
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If there are multiple image thumbnails, under Image Navigator, click (or tap) an image thumbnail; otherwise, if there is only one image thumbnail, skip this step.
A larger version of the current image appears in the viewing area.
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Click the Edit button
.The Assign Tooth Numbers dialog box appears.
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To change dentition, click (or tap) the Toggle primary/permanent link to show a tooth chart and the dentition buttons, select the applicable teeth, and then click (or tap) the Permanent or Primary button. Repeat this process as needed to change the dentition of other teeth. Then, click (or tap) the Back to assignment link.
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Select the correct tooth numbers.
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Click (or tap) Assign Teeth.
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