You can import image files (.bmp, .png, .jpg, and .tiff files) to attach to a patient's record.
To import images
If the correct patient is not already selected, 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.
On the Patient menu, under Clinical, click (or tap) Chart, Progress Notes, Quick Exam, Perio, Tx Planner, or Imaging.
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.
The options for acquiring images become available.
Under Imaging Procedures, either leave the Standard tab selected, or click (or tap) the Custom tab or the Favorites tab.
Note: Custom and favorite imaging procedures are location specific.
Select the procedure that you want to perform (each corresponds to a particular acquisition type: individual intraoral X-ray, intraoral X-ray series, extraoral X-ray, intraoral photo, extraoral photo, or CAD/CAM scan).
The options for the selected procedure become available.
Under Billing Options, set up the following options:
Apply charges - To post the fee for the selected procedure (such as D0210 for a full mouth series), select the check box. To post a zero amount for the procedure, clear the check box.
Bill to insurance - Specify whether you want to bill or not bill the patient's insurance carrier for the procedure by selecting or clearing the check box, respectively.
Provider - Select the provider who you want to associate with the procedure. Only providers who have access to the current location are available.
If you are importing an individual intraoral X-ray image, on the Tooth chart, select the teeth that apply to the current importing session; otherwise, skip this step.
Note: To deselect all selected teeth, click (or tap) the Clear selected link.
If you are importing intraoral X-ray images for a series with two types of sequences, under Acquisition sequence, do one of the following (otherwise, skip this step):
For a full-mouth series - Select FMX 18 or FMX 21.
For a 3-periapical series - Select Maxillary or Mandibular.
For a 4-bitewing and 3-periapical series - Select Maxillary or Mandibular.
For a 7-bitewing and 3-periapical series - Select Maxillary or Mandibular.
Under Task to Perform, do one of the following:
On the Acquire Images tab, select the Import From File device in the Available Devices button pop-up list if it is not already selected.
Note: For the complete list of acquisition devices that are supported by Dentrix Ascend Imaging, see the "Supported Acquisition Devices" section.
Click (or tap) the Import Images tab. This tab is not available for a CAD/CAM Scan.
If the Import Images tab was selected in step 9, select one of the following options (otherwise, skip this step):
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 check boxes under Billing Options become unavailable because the procedure will be posted with a zero dollar fee and will not be billed to insurance.
Completed Procedure - Use this for a procedure that you are performing. Today's date and time will be associated with the procedure.
Click (or tap) Proceed with Acquisition.
Do one of the following:
To import one or more intraoral or extraoral X-ray images if Import from File was selected as the acquisition device on the Acquire Images tab in step 9, click (or tap) Start Acquisition.
To import one or more intraoral or extraoral photos if Import from File was selected as the acquisition device on the Acquire Images tab in step 9, click (or tap) Start Acquisition.
To import a CAD/CAM Scan, click (or tap) Start Acquisition.
To import one or more introral or extraoral X-ray images if the Import Images tab was selected in step 9, click (or tap) Start Importing.
To import one or more intraoral or extraoral photos if the Import Images tab was selected in step 9, click (or tap) Start Importing.
The Import File dialog box appears.
Select the desired image files, and then click (or tap) Open.
For an intraoral X-ray series, intraoral photos, or extraoral photos, the selected image files appear as thumbnail images on the panel at the bottom of the Dentrix Ascend Imaging program.
For an intraoral X-ray series, intraoral photos, or extraoral photos, repeat steps 10 - 11 as needed to import additional images.
For X-ray images, from the Automatically Apply Enhancement list, select the type of enhancement that you want to have applied automatically to the images (Entire Image, For Perio, For Endo), or select Not Enhanced to not apply any enhancement.
Note: When viewing an image after it has been imported, you can turn the enhancement off and on. The original, raw image is preserved. For more information about enhancements and turning them on and off, see the "Processing images" section.
For an intraoral X-ray series, do the following:
One at a time, drag the thumbnail images from the panel to the appropriate boxes of the template.
Do any of the following:
To change the orientation of an image in the template, select it 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).
To swap two images in the template, drag one of the images to the box with another image.
To remove an image from the template, drag it back to the panel at the bottom.
For intraoral or extraoral photos, do the following:
Clear the check box of any thumbnail image on the panel that you do not want to save to the patient's record.
Click (or tap) Assign Images.
Do any of the following:
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.
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.
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.
For a CAD/CAM scan, the Set Model Orientation dialog box appears.
Do the following:
Adjust the orientation of the model as you want it to appear in Dentrix Ascend Imaging:
Select the yellow circle to make it active, and then drag to rotate the model clockwise or counterclockwise.
Select the green line to make it active, and then drag to rotate the model on the x-axis.
Select the red line to make it active, and then drag to rotate the model on the y-axis.
Click (or tap) anywhere within the purple circle to make it and the yellow circle active, and then drag to move the model in any direction.
Note: When you save the orientation, that view of the model becomes the default you can adjust it further from within Dentrix Ascend Imaging later on.
Click (or tap) Save.
The resulting image appears in the Dentrix Ascend Imaging program.
Click (or tap) Finish Acquisition (only for an individual intraoral or extraoral X-ray image, or a CAD/CAM Scan) or Begin Uploading (only for an intraoral X-ray series, intraoral photos, or extraoral photos).
Note: For an intraoral X-ray series, if not all thumbnail images have been mounted into the template when you click (or tap) Begin Uploading, a confirmation message appears. If you choose to continue, only the mounted images will be saved.
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.
For an intraoral X-ray series, intraoral photos, or extraoral photos, when the images are finished being saved to the patient's record, click (or tap) Continue.
For a set of intraoral photos (or an individual intraoral photo or X-ray), you can assign tooth numbers to a selected snapshot by clicking the Edit button .
For each snapshot that needs tooth numbers assigned to it, do the following:
Under Image Navigator, click (or tap) an image thumbnail. You can skip this step if there is only one image thumbnail.
A larger version of the current image appears in the viewing area.
Click the Edit button .
The Assign Tooth Numbers dialog box appears.
Select the applicable tooth numbers.
Click (or tap) Assign Teeth.