You can acquire images with a device (such as an X-ray sensor or an intraoral camera) or by importing image files (such as .png or .jpg files). The images will be attached to a patient's record upon acquisition. When you acquire images, you can customize the acquisition settings, and there are options for posting the associated procedure and billing the procedure to insurance.
For the complete list of acquisition devices that are supported by Dentrix Ascend Imaging, see the "Supported Acquisition Devices" section.
To acquire images
Use the Patient Search box to access a patient's record.
Notes:
If the last patient record you accessed since you last logged on is the correct patient's record, you do not need to re-enter the patient's name in the Patient Search box.
You can include inactive patients in the search results by setting the Include inactive patients switch to On.
On the Patient menu, under Clinical, clicktap Chart, Progress Notes, Quick Exam, Treatment Planner, Perio, or Imaging.
On the Chart, Progress Notes, Treatment Planner, Perio, or Imaging tab of a patient's clinical record, on the Imaging tab's menu, clicktap Acquire images.
Notes:
If this computer is not set up to acquire images, a message appears and asks you to perform the necessary setup before you can proceed with an acquisition. ClickTap Done. After you complete the instructions to install the acquisition agent and the drivers for the selected acquisition devices, you can begin acquiring images.
If you have not already accepted the diagnostic use policy, a dialog box appears. To begin using the imaging features of Dentrix Ascend, you must select the I accept the above-mentioned policy check box, and then clicktap Accept & Go to Imaging.
The options for acquiring images become available.
Under Imaging Procedures, 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, or intraoral photo, or extraoral photo).
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.
Set up the Acquisition Options that apply to the corresponding acquisition type.
Intraoral X-ray
Do the following:
On the Tooth chart, select the teeth that apply to the current acquisition session.
Note: To deselect all selected teeth, clicktap the Clear selected link.
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To allow for the automatic retaking of the radiograph (without having to clicktap Recapture) until a satisfactory image is acquired, select the Enable auto-repeat check box. Only the last image you acquire will be saved.
Under Task to Perform, on the Acquire Images tab, select the desired 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.
Intraoral X-ray series
Do the following:
If you are acquiring a full-mouth series, under Acquisition sequence, select FMX 18 or FMX 21; otherwise, skip this step.
Under Acquisition sequence, select "Default sequence" or a custom order (if any).
To change the order of the acquisition sequence, on the graphic with the numbered boxes, clicktap each box in the order that you will acquire the images.
Tips:
To undo the previous selection, clicktap Undo as needed. To undo all selections, clicktap Reset.
When you finish specifying the order, to save the custom sequence for future use, type a name for the sequence, and then clicktap Save as ([sequence name]).
To delete a custom sequence, with that sequence selected, clicktap the white Delete button
, which then turns red, and then clicktap the button again.
Under Task to Perform, on the Acquire Images tab, select the desired 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.
Extraoral X-ray
Do the following:
Under Task to Perform, on the Acquire Images tab, select the desired 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.
Intraoral/extraoral photo
Do the following:
Under Task to Perform, on the Acquire Images tab, select the desired device in the Available Devices button pop-up list if it is not already selected.
Notes:
For the complete list of acquisition devices that are supported by Dentrix Ascend Imaging, see the "Supported Acquisition Devices" section.
The first time you attempt to use an intraoral 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.
ClickTap Proceed with Acquisition to start acquiring images for the corresponding acquisition type.
Intraoral X-ray
The selected acquisition device begins initializing.
Then, the X-ray sensor begins arming.
Then, the X-ray sensor becomes ready for exposure.
Do the following:
Note: A phantom, test target, and/or another non-human object should be X-rayed when installing or using any image acquisition device for the first time in Dentrix Ascend Imaging to verify proper operation prior to use on live patients.
To change the acquisition device, select a device in the Available Devices for Procedure button pop-up list.
In the Automatically Apply Enhancement list, select the type of enhancement that you want to have applied automatically to the image that will be acquired (Entire Image, For Perio, For Endo), or select Not Enhanced to not apply any enhancement.
Note: When viewing an image after it has been acquired, 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.
Position the sensor in the patient's mouth, and align your X-ray source cone to point at the sensor, utilizing the paralleling or bisecting angle techniques. Set the appropriate exposure time on your X-ray source's control panel for the specific imaging device in use, and then trigger the radiation emission, which initiates the capture of the X-ray image. (Refer to the documentation provided by the manufacturer of your X-ray source for details about changing settings and usage.)
Note: Radiation from an X-ray source initiates the imaging device (sensor) to capture an image, and this is controlled by someone triggering the X-ray source. The Dentrix Ascend Imaging program does not directly control the X-ray source or exposure settings.
The resulting image is saved to the patient's record, and a preview of the image appears.
Notes:
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If you are acquiring in endo mode, the Recapture button is not available. The sensor is re-armed automatically and becomes ready for another exposure. Continue retaking the radiograph until you have acquired a satisfactory image to replace the previous image.
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Intraoral X-ray (using a phosphor plate)
Do the following:
Note: A phantom, test target, and/or another non-human object should be X-rayed when installing or using any image acquisition device for the first time in Dentrix Ascend Imaging to verify proper operation prior to use on live patients.
Position a phosphor plate in the patient's mouth, and align your X-ray source cone to point at the sensor, utilizing the paralleling or bisecting angle techniques. Make sure that the edge of the phosphor plate with the dot or letter is pointing upward for all vertical placements or pointing toward the back of the mouth for all horizontal placements. Set the appropriate exposure time on your X-ray source's control panel for the specific imaging device in use, and then trigger the radiation emission, which causes the phosphor plate to capture the X-ray image. (Refer to the documentation provided by the manufacturer of your X-ray source for details about changing settings and usage.)
Note: Radiation from an X-ray source causes the phosphor plate to capture the image, and this is controlled by someone triggering the X-ray source. The Dentrix Ascend Imaging program does not directly control the X-ray source or exposure settings.
To change the acquisition device, select a device in the Available Devices for Procedure button pop-up list.
From the Automatically Apply Enhancement list, select the type of enhancement that you want to have applied automatically to the image (Entire Image, For Perio, For Endo), or select Not Enhanced to not apply any enhancement.
Note: When viewing an image after it has been acquired, 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.
ClickTap Start Acquisition.
When the scanner is ready, put the phosphor plate, with the edge with the dot or letter pointing up, in the scanner according to the manufacturer's instructions.
When the scanner finishes scanning the plate, the resulting image is saved to the patient's record, and a preview of the image appears.
Note:
Intraoral X-ray (using a software device)
If you have selected one of the software devices (bridges) as your acquisition device, the corresponding third-party imaging program opens. Do the following:
Acquire the image in the third-party imaging program.
Close the third-party imaging program.
The resulting image appears in the Dentrix Ascend Imaging program automatically.
Note:
Intraoral X-ray series
The selected acquisition device begins initializing.
Then, the X-ray sensor begins arming.
Then, the X-ray sensor becomes ready for exposure.
Do the following:
Note: A phantom, test target, and/or another non-human object should be X-rayed when installing or using any image acquisition device for the first time in Dentrix Ascend Imaging to verify proper operation prior to use on live patients.
To pause acquisition and change the acquisition device, clicktap Pause, and then select a device from the Available Devices for Procedure button menu. ClickTap Continue to resume acquisition.
To skip ahead in the acquisition sequence, clicktap Skip Forward. This button is available only if the current step in the sequence is not the last step.
To go backward in the acquisition sequence, clicktap 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.
In the Automatically Apply Enhancement list, select the type of enhancement that you want to have applied automatically to the image that will be acquired (Entire Image, For Perio, For Endo), or select Not Enhanced to not apply any enhancement.
Note: When viewing an image after it has been acquired, 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.
Position the sensor in the patient's mouth, and align your X-ray source cone to point at the sensor, utilizing the paralleling or bisecting angle techniques. Set the appropriate exposure time on your X-ray source's control panel for the specific imaging device in use, and then trigger the radiation emission, which initiates the capture of the X-ray image. (Refer to the documentation provided by the manufacturer of your X-ray source for details about changing settings and usage.)
Note: Radiation from an X-ray source initiates the imaging device (sensor) to capture an image, and this is controlled by someone triggering the X-ray source. The Dentrix Ascend Imaging program does not directly control the X-ray source or exposure settings.
Radiation triggers the X-ray sensor.
The resulting image is saved to the patient's record, and a preview of the image appears.
Wait until the timer counts down to zero to proceed to the next step in the acquisition sequence.
The current step in the acquisition sequence and the applicable teeth are selected for your reference.
Notes:
To stop the acquisition session before completing the series, clicktap Finish Acquisition. You can resume the incomplete exam later on if necessary.
To replace the image that you just acquired, clicktap Recapture. Reacquire the image. In the Select Image dialog box that appears, clicktap either Keep Existing to keep the original image or Keep Recaptured to replace the original image with the new image.
Repeat steps a - f until you finish acquiring the series.
Intraoral X-ray series (using phosphor plates)
Do the following:
Note: A phantom, test target, and/or another non-human object should be X-rayed when installing or using any image acquisition device for the first time in Dentrix Ascend Imaging to verify proper operation prior to use on live patients.
For each image you want to acquire, position a phosphor plate in the patient's mouth, and align your X-ray source cone to point at the sensor, utilizing the paralleling or bisecting angle techniques. Make sure that the edge of the phosphor plate with the dot or letter is pointing upward for all vertical placements or pointing toward the back of the mouth for all horizontal placements. Set the appropriate exposure time on your X-ray source's control panel for the specific imaging device in use, and then trigger the radiation emission, which causes the phosphor plate to capture the X-ray image. (Refer to the documentation provided by the manufacturer of your X-ray source for details about changing settings and usage.)
Note: Radiation from an X-ray source causes the phosphor plate to capture the image, and this is controlled by someone triggering the X-ray source. The Dentrix Ascend Imaging program does not directly control the X-ray source or exposure settings.
To change the acquisition device, select a device in the Available Devices for Procedure button pop-up list.
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 acquired, 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.
ClickTap Start Scanning.
When the scanner is ready, put the phosphor plates, with the edges with the dot or letter pointing up, in the scanner according to the manufacturer's instructions.
As the scanner finishes scanning a plate, the resulting image appears as a thumbnail image on the panel at the bottom of the Dentrix Ascend Imaging program.
One at a time, drag the thumbnail images from the panel to the appropriate boxes of the template.
Note: If the orientations the phosphor plates were correct when the radiographs were taken and when inserting them into the scanner, the images will have the correct orientation in the series. When you drop a thumbnail image into a box of the template, the image is rotated automatically as needed for that position in the series.
As needed, do any of the following:
To change the orientation of an image in the template, select it to view the toolbar, and then clicktap 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.
Intraoral X-ray series (using a software device)
If you have selected one of the software devices (bridges) as your acquisition device, the corresponding third-party imaging program opens. Do the following:
Acquire the images in the third-party program.
Close the third-party imaging program.
The resulting images appear as thumbnail images on the panel at the bottom of the Dentrix Ascend Imaging program automatically.
One at a time, drag the thumbnail images from the panel to the appropriate boxes of the template.
As needed, do any of the following:
To change the orientation of an image in the template, select it to view the toolbar, and then clicktap 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.
Extraoral X-ray
Do the following:
Note: A phantom, test target, and/or another non-human object should be X-rayed when installing or using any image acquisition device for the first time in Dentrix Ascend Imaging to verify proper operation prior to use on live patients.
To change the acquisition device, select a device in the Available Devices for Procedure button pop-up list.
ClickTap Start Acquisition.
In the Automatically Apply Enhancement list, select the type of enhancement that you want to have applied automatically to the image that will be acquired (Entire Image, For Perio, For Endo), or select Not Enhanced to not apply any enhancement.
Note: When viewing an image after it has been acquired, 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.
Use the options on the TWAIN interface window that appears to get ready to use the X-ray device. Dentrix Ascend Imaging waits to obtain the image from the device.
Position the patient properly for your extraoral X-ray imaging device (for example, place the patient in a stand-up panoramic imaging device). Set the appropriate exposure parameters on your X-ray source's control panel, and then trigger the radiation emission, which initiates the capture of the X-ray image. (Refer to the documentation provided by the manufacturer of your X-ray source for details about changing settings and usage.)
Note: Radiation from an X-ray source initiates the imaging device to capture an image, and this is controlled by someone triggering the X-ray source. The Dentrix Ascend Imaging program does not directly control the X-ray source or exposure settings.
The resulting image is saved to the patient's record, and a preview of the image appears.
Extraoral X-ray (using a phosphor plate)
Do the following:
Note: A phantom, test target, and/or another non-human object should be X-rayed when installing or using any image acquisition device for the first time in Dentrix Ascend Imaging to verify proper operation prior to use on live patients.
Put a phosphor plate in your extraoral X-ray imaging device. Position the patient properly for your extraoral X-ray imaging device (for example, place the patient in a stand-up panoramic imaging device). Set the appropriate exposure parameters on your X-ray source's control panel, and then trigger the radiation emission, which initiates the capture of the X-ray image on the phosphor plate. (Refer to the documentation provided by the manufacturer of your X-ray source for details about changing settings and usage.)
Note: Radiation from an X-ray source causes the phosphor plate to capture the image, and this is controlled by someone triggering the X-ray source. The Dentrix Ascend Imaging program does not directly control the X-ray source or exposure settings.
To change the acquisition device, select a device in the Available Devices for Procedure button pop-up list.
From the Automatically Apply Enhancement list, select the type of enhancement that you want to have applied automatically to the image (Entire Image, For Perio, For Endo), or select Not Enhanced to not apply any enhancement.
Note: When viewing an image after it has been acquired, 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.
ClickTap Start Acquisition.
When the scanner is ready, put the phosphor plate in the scanner according to the manufacturer's instructions.
When the scanner finishes scanning the plate, the resulting image is saved to the patient's record, and a preview of the image appears.
Extraoral X-ray (using a software device)
If you have selected one of the software devices (bridges) as your acquisition device, the corresponding third-party imaging program opens. Do the following:
Acquire the image in the third-party imaging program.
Close the third-party imaging program.
The resulting image appears in the Dentrix Ascend Imaging program automatically.
Intraoral/extraoral photo
Do the following:
To change the acquisition device, select a device in the Available Devices for Procedure button pop-up list.
ClickTap Start Acquisition.
The live video stream from your camera appears.
Note: To tune your camera's settings, you can clicktap the Tune Camera button
.With the camera properly positioned, use the button on your camera to pause or freeze the live video stream (or clicktap Pause Streaming).
Use the button on your camera to capture the current video frame (or clicktap Take a snapshot).
The resulting image is added to the snapshot panel, and the video stream automatically becomes live again.
Repeat steps c - d as needed to acquire additional shapshots.
On the snapshot panel, clear the check box of the snapshots that you do not want to save.
ClickTap 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 clicktap 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.
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.
Intraoral/extraoral photo (using a software device)
If you have selected one of the software devices (bridges) as your acquisition device, the corresponding third-party imaging program opens. Do the following:
Acquire the images in the third-party program.
Close the third-party imaging program.
The resulting images appear as thumbnail images on the panel at the bottom of the Dentrix Ascend Imaging program automatically.
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 clicktap 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.
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.
ClickTap Finish Acquisition or Begin Uploading (only for an intraoral X-ray series using phosphor plates or a software device or for intraoral/extraoral photos).
Note: For an intraoral X-ray series using phosphor plates or a software device, if not all thumbnail images have been mounted into the template when you clicktap Begin Uploading, a confirmation message appears. If you choose to continue, only the mounted images will be saved.
For an intraoral X-ray series using phosphor plates or a software device or for intraoral/extraoral photos, when the images are finished being saved to the patient's record, clicktap 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 clickingtapping the Edit button
.For each snapshot that needs tooth numbers assigned to it, do the following:
Under Image Navigator, clicktap 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.
ClickTap Assign Teeth.
Comments
1 comment
In order to locate images that did not upload to Ascend you will need to follow the exact same process for acquiring the images, but instead of using a device for the Acquisition Method you will choose Import From File.
The path to the recovery files for the various operating systems are as follows:
If you need further assistance uploading these files please give us a call at 855-232-9493 #2
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