In May, Ortho2 began an exclusive partnership with Orchestrate Orthodontic Technologies to market and sell their 3D orthodontic CAD software. This powerful system allows the orthodontist to easily define tooth movements to design digitally perfect, yet inexpensive clear aligners and retainers in office. What’s unique about Orchestrate is that it is the first orthodontic system that allows the doctor to scan, design and create appliances completely in house. Since the Orchestrate software system is not aligned with any specific brand or type of appliance, it can be used for a multitude of purposes. Many of the existing Orchestrate users refer to it as “Photoshop for appliance design” with its ability to utilize data from a variety of sources and then easily manipulate this data.
The core of the Orchestrate system was designed by Rapidform, the leader in 3D scanning. Rapidform has developed the world’s most advanced CAD scanning systems currently used by eight of the top ten automobile manufactures, as well as NASA. The Orchestrate Design Studio allows the orthodontist to harness this same proven CAD technology and implement it in all aspects of patient care. Orchestrate can be used for simple archiving of models all the way to advanced diagnosis and orthodontic appliance design.
To begin, the Orchestrate system can be used to scan, store, and eliminate impressions in your office. Using either a desktop or an intraoral scanner, Orchestrate can scan existing models, and take extremely accurate and high resolution digital impressions of your patients. Within minutes, it is easy to scan a beautiful 3D digital model for archiving, diagnosis, treatment planning, and appliance fabrication. The Orchestrate system also works with any desktop or intraoral scanner that is able to save files in the STL format. This is great news for doctors who have already purchased intraoral or desktop scanners – adding the Orchestrate system will allow you to maximize your investment with these devices. And for doctors who don’t plan on purchasing a 3D scanner, impressions or models can be sent to the Orchestrate lab to create a digital file for design and fabrication.
Next, Orchestrate can be used to easily manipulate scanned images. After quickly cleaning, orienting, and segmenting the scanned data, Orchestrate provides a simple, yet powerful set of tools to move, rotate, and position teeth (see Figure 1). After a series of movements have been completed, precise digital models can be printed to fabricate a variety of appliances. In many offices, a staff member is trained to scan the patient and go through these initial steps so that the doctor is only required to make or validate the tooth movements. This process keeps doctor time to a minimum.
I can personally attest to the ease of use of the Orchestrate system – after receiving about 15 minutes of training I was able to create a series of tooth movements to sequentially create six aligners in about ten minutes!
For practices that expect to do a high volume of fabrication, Orchestrate offers an in-office, state of the art 3D object printer that dramatically reduces the costs involved in printing. The 3D printer is compact in size and prints durable plastic parts with an ultra-smooth finish to designed detailed features. Incredibly fast, it can print 10–14 dental models in 1–2 hours. Most offices, however, bypass purchasing the printer and simply upload their digital files to the Orchestrate lab where the digital models are printed. For a small fee, the file can also be sent to a local lab for printing or further fabrication.
Orchestrate is an extremely powerful tool when added to your arsenal of treatment options. Because of the system’s versatility, we are finding that doctors are using it in many different ways and to different degrees. While some doctors use Orchestrate to simply scan and archive models, most use it primarily to create inexpensive aligners for a variety of treatment plans. Some of these include minor tooth movement, relapse correction, finishing cases, and retainers. Since it is easy and inexpensive to create aligners with the system, it is possible to generate a single replacement aligner or retainer and create new ones throughout the course of treatment.
Orchestrate dramatically reduces costs associated with appliance fabrication and model storage, and provides a quick return on investment. Some examples of savings are provided in the table included on the cover of this issue. Note that in many offices, more than one will apply depending on the extent of usage of the Orchestrate system. In addition, it allows the orthodontist to treat cases that previously may have been turned away due to high lab fees.
For a limited time, Orchestrate is offering Ortho2 customers the opportunity to sample the power of their CAD design software at no charge. Just send a set of PVS impressions or a stone model to the Orchestrate lab, at the address below, where it will be digitally scanned. Orchestrate will contact you to schedule a quick demonstration and in about 20 minutes, you will be able to make several movements in the software that will allow for fabricated models to be printed. These models will be sent back to your office so that you can make aligners or other appliances from them. This process will give you great examples of the utility of the Orchestrate system, plus give you direct experience with the output.
Ortho2 is excited to be partnered with Orchestrate and we are confident that intraoral scanning and CAD design in orthodontics will be growing rapidly over the next several years. In an earlier JCO article this year, Dr. Ron Redmond stated that, “In the race between CBCT and scanning technologies, it appears to me that the intraoral scanner has taken the lead and is sprinting toward the finish line.” As with our new Edge products, Ortho2 is committed to staying on the forefront of new software technologies in orthodontics. If you have any additional questions about Orchestrate or any of the Ortho2 line of products, please contact your Ortho2 Systems Consultant.
Don’t forget to send your sample case to this address!
Orchestrate Orthodontic Technologies
1747 N. Riverside Ave.
Rialto, CA 92376
Craig has been with Ortho2 since 1987 and is the Director of Emerging Technologies. He graduated from the University of California-Santa Barbara in 1986, and later received his Ph.D. from Pepperdine University. In addition to his work with Ortho2, Craig owns two dental imaging centers in southern California and maintains an active interest in conebeam and intraoral 3D scanning and their application in orthodontics.