Test Version

Step 1

Please select missing teeth, then click 'Next to proceed.'

Step 2

Click teeth to select retainers, then click 'Next to proceed.'.

Step 3

Select Rests and Clasps for each retainer, then click 'Next' to proceed or 'Back' to edit.

Draft Complete

. Click 'Create PDF' to view and save the file.

Error







Maxillary Linguoplating Mandibular

Click Teeth
To Change
Retainers

Choose From

Click Teeth
To Change
Retainers

Choose From

RPD Draft Manual Design

In the Draft application, users can manually change the Framework Design (left column). The framework appears in Step 3 after Retainers are selected. The default design reflects most common practice. Users may choose any retainer, any rest or listed clasp. Clasp lists are automatically limited to reasonable possibilities. An option to create a PDF is available at all times

Draft

Answer DesignYour Design

PDF Chart

Overview

What is AiDENTAL? It is a collection of unique applications for learning and treatment planning, especially taylored for Removable Partial Dentures. On the learning side, it provides an interesting and beneficial dental learning environment for students. Students and instructors can create scenarios or the application can create random scenarios. The students can then compare their answers to the solution generated by the system. For example, any set of dental findings may be entered which returns answers in the form of treatment plans, summaries and/or designs.

The RPD applications offer convenient design tools as well as a game which pits the student against the computer and gives an instantaneous score. In addition to RPD design tools, we offer a digital (STL files) surveyor which automatically produces a complete framework design. There are several separate AiDENTAL applications: Surveyor, RPD Design, RPD Game, Computer Generated Treatment Planning and the (Logged In) Digital Learning Environment. They are newly developed and may have issues. Please contact us with comments or suggestions.

The Computer Generated Treatment Planning may be used with voice commands. If your system has the Chrome browser, voice commands (as well as manual interaction) may be used for data entry, charting and treatment plan requests. If you wish to use voice, please view the Voice Commands (Voice Dropdown). Although all areas of the system should be accesible to Mobile devices, only the Computer Generated Treatment Planning has been specifically adapted to respond to small devices.

If you are not logged in (guest mode), you may enter information and use all the functionality, including creation of a PDF File. If you are not logged in, no information can be saved except for the PDF file that you generate for yourself.

The login is for students and teachers within an institution which has purchased a license.

Licenses cost $1500-2500 depending upon the requirements of the institution

If you registered as a teacher your view will only be from the teaching perspective. Likewise, if you registered as a student your experience will be as a student in the class

Teachers must have an institution code to register. It can be provided by calling 563-386-8300. Students must have a classcode provided by their instructor to register. Instructors must choose a subject, either TX Planning or RPD Game on first login. Students should see a class button on the landing page at login. If no class button is visible select your class from the list above. Detailed instructions should be available either visible on the page or by a 'Please Read' button. Please contact us if you have any questions by going to the 'Contact' link.

The design philosophies included in the AiDENTAL website or system are inspired by generalizations and examples published by certain authors. The designs produced by the system are intended to be used as a reference.

No suggestions, perceived recommendations or information associated with this system should be taken as advice for Treatment Planning or Treatment.

Surveyor Info

The AiDENTAL Surveyor is made available on an as-is basis. User assumes ALL liability. The system is being made available as a beta-test.

This is a newly developed browser-based 3D system to analyze and survey digital dental models in the STL format.

Successful use of the system requires some skill and understanding. Not all files will result in usable results. Best results occur with full, clear, well-oriented models.

It is emphasized that models MUST be ORIENTED within our system. Orientation analyzes and configures the file to be compatible with our system. Although some files may not need orientation, it is advisable to go through the ORIENT step.

It is also important to manually LEVEL the occlusal plane of the model and click Save And Confirm. The saved level position is the starting point of the survey. After saving the level position, you may then tip the model in any direction as you would on a physical surveyor.

After the survey starts you will see an arch confirmation dialogue box. Please confirm the arch. Following the dialogue box, green dots should appear over or near each tooth. If the occlusal plane is not level, not all the teeth will be covered with these dots. You may need to redo the LEVEL procedure if the scan does not find the teeth.

After completeing the survey, turn the model with the mouse or use the X, Y or Z buttons to change the plane. Tooth images with undercut labels appear alongside the model and may be added, edited or removed by clicking on them. Having the correct teeth allows for the next step: Create Framework Design. Click the button below the model to view designed framework.

Models have color markings which delineate height of contour and undercut depths. Toggle between Ribbon View and Point View. You may MARK the model with Mark tool and SaveAs STL. You may also reopen the saved STL file which, when used on an AiDENTAL system will preserve the color.

Colors may be saved in standard STL files through a proprietary AiDENTAL process. Standard editors and printers will not be able to read the AiDENTAL colors unless they have the AiDENTAL cipher installed in their systems.

The design philosophies included in the website or system are inspired by generalizations and examples published by certain authors. The designs produced by the system are intended to be used as a reference.

No suggestions, perceived recommendations or information associated with this system should be taken as advice for Treatment Planning or Treatment.

About Us

BotskoMahrous

AiDENTAL is a joint project between David L Botsko, DMD and Ahmed Mahrous, DDS, MS, FACP, a Prosthodontist and an Associate Professor at the Arizona School of Dentistry & Oral Health. Dr. Botsko joined Dr. Mahrous to develop teaching applications for dental students. The original idea was to 'gamify' dental learning using digital applications. Although Dr. Botsko is a practicing dentist, he also has an interest in programming and application design which has become a useful combination of skills.

Currently AiDENTAL has a suite of several RPD applications and a Treatment Planning application. The digital Surveyor (browser-based) has been a dream of Dr. Mahrous for many years, and now it is becoming a reality. Currently, the AiDENTAL Surveyor application is in beta-test mode and we are seeking feedback from users.

Privacy Policy

Your privacy is very important to us. Accordingly, we have developed this Policy in order for you to understand how we collect, use, communicate and disclose and make use of personal information. The following outlines our privacy policy. We will collect personal information by lawful and fair means and, where appropriate, with the knowledge or consent of the individual concerned. Personal data should be relevant to the purposes for which it is to be used, and, to the extent necessary for those purposes, should be accurate, complete, and up-to-date. We will protect personal information by reasonable security safeguards against loss or theft, as well as unauthorized access, disclosure, copying, use or modification. We will make readily available to customers, information about our policies and practices relating to the management of personal information. We are committed to conducting our business in accordance with these principles in order to ensure that the confidentiality of personal information is protected and maintained.

Contact

563-386-8300

Commands

Tooth	Say Tooth Number [whatever number] Example Tooth Number Four or Tooth Four
Perio	Mesio Central Disto	-	Buccal Lingual	-	N u m b e r
Surfaces	M, O, I, D, B, F, L (or name of surface) + Amalgam, Composite, or Caries. See undo below to remove surface findings.
Cusps	MB, ML, DB, DL or say cusp names (such as mesio-buccal) + Chip or Fracture (Repeat to remove)
Findings	Missing, Root tip, Impacted, Submerged, Endo, Root Canal, Apical Lesion, Apex, Post Core, Crown, Porcelain, Ceramic, Full Cast, Metal, PMC, Pontic, Implant, Defective, Hopeless,Mobility + number. To undo, repeat the command. Narrative brings up dialogue for dictation of text.
Undo	To undo specific surfaces, say Remove, Undo, or Clear + [surface(s)]. To undo a button finding, repeat the command. To undo all surfaces and button findings, say Reset. To Delete and Reset ENTIRE chart, say Delete.
Other	Voice On, Voice Off, Submit, Okay, Done, Cancel, Close, Generate Treatment Plan, and Chart. Most buttons respond to their names.

Tx Sequence

Treatments are in random order. Please drag treatments to a correct sequence and click "Save And View Answer." *Note - Treatments that may prevent/reduce pain or infection would normally be at the top, followed by perio. There is usually more than one correct sequence.

Narrative #

Please Read (How It Works)

Mouse over treatment row or say "tooth number whatever (ex. tooth number 2) to enter treatment decisions. Select treatments on a tooth by tooth basis. Where caries is noted, assume it has destroyed an average amount of the surface.

Enter treatments which could include Extractions, Perio (On the specific tooth), Restorations, Root Canal Treatment, Post Cores, Crowns, Bridges and Implants. Note that credit will be given for recommending Extraction even if the system deems the Extraction as Optional. Also note that Upper Anteriors and Lower Canines have a higher strategic value. If there are missing teeth, you may enter treatments such as Bridges (FPDs), Implants, or Removable Partial Dentures (RPDs). Use the 'Pontic' button to indicate a bridge. Use the 'Crown' button to indicate retainers. Long span (greater than 3 units) bridges are not recommended in this system.

Decisions are triggered by a set of findings and circumstances that cause certain treatments to be recommended. Below you will find some guidance as to what findings to look for in determining a certain treatment.

The most complicated decision may be when to recommend a Denture. Depending upon the degree of Periodontal Disease, Mobility, Caries and Missing Teeth, a decision may be made to go to a Complete Denture. If Complete Denture is selected and the system determines that a Complete Denture is recommended, scoring increases. Depending upon circumstances, the system may recommend a Removable Partial Denture, while at the same time allowing a Complete Denture. In this case, points are given for either answer.

Another controversial scenario is when to recommend a crown. If endo is NOT planned and there are more than (3) involved surfaces (caries and/or existing restorations), the system will recommend a crown. If endo IS planned, your class instructor recommends crowns (after endo) when there are () or more caries/restored surfaces (including access). Access surfaces are 'O' for Posteriors and 'L' for Anteriors. Please note if a crown already exists, the system recommends a new crown following endo with a new underlying build-up restoration.

Third molars are not considered strategic and the system recommends Extraction when certain pathological findings are present (moderate perio disease, mobility, caries). Optional Extractions are generally counted as correct in Posteriors and Lower Incisors where more than (3) surfaces are involved and caries is present. The most strategic teeth are Maxillary Anteriors and Mandibular Canines. To avoid Lower Complete Dentures, Mandibular Canines should be preserved for anchoring future Removable Partial Dentures. Optional Extractions are counted as correct in these strategic teeth when MORE than (4) surfaces are involved.

If PAIN and restorable caries is present the system will recommend Endo (Endo involvement would be highly likely). If PAIN is present with restorations, but no caries, the system will NOT recommend treatment (Endo will not be recommended due increased chances of other causes). If PAIN is present with a Post or Implant, Extraction will be a correct answer. However, Bridge Pontics and Implants (New) will be correct within certain conditions.

The Defective stripe generally indicates a Defective Restoration, Crown, Implant or Post Core. If a Defective stripe appears over Endo treatment, the Defective will only apply to the Restoration. If there is a Restoration present and there is a Defective stripe, assume the Endo is NOT defective and the restoration IS Defective.

Settings (All Your Classes)

Crown Prescribing Preference After Endo

All Endo-Treated Teeth

All Having (2) Or More Caries/Restored Surfaces

All Having (3) Or More Caries/Restored Surfaces (Recommended)

Scenarios

Set Random Case Findings

Caries Prone

Modify TX

Increase Oral Hygiene/Prophylaxis Frequency (3-Month)

Prescribe 1% Sodium Fluoride For Home Use

Advise Patient About Avoiding Sugary Foods/Drinks

Advanced Age

Modify TX

Increase Oral Hygiene/Prophylaxis Frequency (3-Month)

Prescribe 1% Sodium Fluoride For Home Use

Treatment plan should consider manual dexterity

Wants Dentures

Modify TX

Discuss challenges of wearing Full Upper/Lower

Look for one of more possible Lower Abutments for RPD

Try to get patient to accept a Lower Partial instead of Full Lower

Radiation Prep

Modify TX

Increase Oral Hygiene/Prophylaxis Frequency (3-Month)

Prescribe 1% Sodium Fluoride For Home Use

Remove teeth that do not have a good prognosis

Consult with Patient and Radiologist about radiation guards

Discuss/Fabricate radiation guards 3-4mm thick w/ suction opening

Major Connectors (Stewart)

Maxillary
	Periodontally Healthy		Periodontally Compromised
	Short Span (Up to 5 missing)	Long Span (6 or more missing incl anterior)	All Spans
Class I	A-P Strap (if only missing molars) -otherwise- Palatal Plate	Palatal Plate	Lingual Plating (if possible)
Class II	A-P Strap (if the space between the straps spans at least two teeth) -otherwise- Palatal Strap/Plate	Palatal Plate	Lingual Plating (if possible)
Class III	A-P Strap (if the space between the straps spans at least two teeth) -otherwise- Palatal Strap/Plate	A-P Strap	Lingual Plating (if possible)
Class IV	Horseshoe or A-P Strap	Horseshoe	Lingual Plating (if possible)
Mandibular
	Short and Long Span		All Spans
8mm or more vestibular depth	Lingual Bar		Lingual Plating
Less than 8mm vestibular depth	Lingual Plate		Lingual Plating

Stress Releasing Clasps

These designs are collectively referred to as "Stress Breaking" or "Stress Relieving" clasp designs.

The following clasps apply less stress to direct retainer teeth when the design allows the RPD to move during function as a result of a saddle compressing the soft tissue. The need for Stress Release applies to Premolars and Anterior teeth and NOT to strong, well-supported Molars. Designs that may need Stress Release are Class I and Class II. Class IV cases with more than (4) missing teeth may also need Stress Release. Stress Release is not needed for Class III cases because they are completely tooth supported and do not rely on soft tissue for support during function..

1. I-Bar Clasp

2. Modified T-Bar Clasp

3. Wrought Wire Clasp

Design Theories

Attributes	McCracken (Carr)-Mayo Clinic	Stewart (Phoenix)-US Air Force	Stratton-University of Oklohoma	Hybrid (Mahrous)-University of Iowa
Allows design changes for occlusal interferences.	No	No	Yes	Yes
Stress release recommended for mesial abutment adjacent to space in Class II, Mod 1, Dentate side.	Yes	No	Yes	Yes
Lingual Plating preferred instead of space when space would be adjacent to only one tooth.	Yes	Yes	No	Yes

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Lab Name*

Dentist Name*

Dentist Phone*

Patient Identifier*

Due Date*

Due Time*

Instructions*	Please fabricate framework with edentulous mesh Please fabricate framework with edentulous grid Please create model and return Please create dup and return Please survey and return Please mount and return Please evaluate and contact Please contact See Notes Below

Optional Notes

License/Initials*

We hope you are enjoying AiDENTAL. It is free to use and we want it to remain that way. To help us serve you better, please tell us which one best describes you.

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RPD Draft Manual Design

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