Frequently asked questions

How can I improve the image quality in Blue Sky Plan?


Watch the video answer to the question or follow the step by step process that follows the video. There are several ways of improving the image quality in Blue Sky Plan
One important way is to start with larger 2D images which can be accomplished by cropping the DICOM images to just include the field of interest.
The Align and Select Volume window appears after loading the DICOM series. Left drag on the outer rotational controls in any of the three views in order to set the patient angle as necessary.
Left drag on anyofthe arrows of the cropping wipers in the orientation views to expose only the arch or interest. This focuses solely on this area, which will result in all the views in BSP displaying the images larger than if shared with an opposing arch. The 3 D view can be “cleaned up” by dragging on the Density Threshold slidebarfound beneath the 3D image. Dragging to the right increases the threshold thereby showing only the higher density portions of the scan. The 3D view vertical toolbar can also be used to enhance the 3D image. Left click on the Rendering icon, then move cursor on Presets. From the list, click on the preset mode to select the desired rendition. In addition, the quality level of the preset can be selected. Left click the Rendering icon, move the cursor to Quality and left click on the desired level. Brightness and Contrast levels can be adjusted in order to enhance all the 2D images simultaneously. From the main menu, left click on the Panels menu then on the Brightness/ Contrast selection. Left drag on the slidebarhandles to move the brightness and contrast controllers as needed. The 3D view can be further adjusted by using the adjustments found in the Volume Rendering Panel. From the main menu, left click on the Panels menu then on the Volume Rendering selection. The Volume Rendering panel will open. Left drag on the relevant slidebarhandles to obtain the most favorable 3D image. The panoramic image can be displayed in two forms, a composite view which appears as a panoreximage, as well as a single slice CT cut view. Although mostly used for diagnostic and not image enhancement purposes, this is included in this discussion because it is related to image control. From the vertical toolbar to the right of the panoramic image, left click on the third icon from the top. The slice/composite icon will toggle between these views. The adjustable panoramic curve is found on the Axial image contained in the top center view. When In single slice view adjust the curve by left dragging on any of the yellow control squares on the curve. This affects the presentation of the panoview, lower right, andcan be of benefit when needing tofocus on specific anatomy such as when trying to identify the nerve canal.
In composite view, the panoramic curve in the Axial view displays as a double line curve which are the inner and outer limits of the image shown in the pano. Left drag on any of the four control circles to widen or narrow the panofield of view. Return to Top




My implant seems to be stuck. How do I move It?


Watch the video answer to the question or follow the step by step process that follows the video. If implants cannot be placed into a plan, check that Blue Sky Plan is in the proper mode.
Plan contains three operational modes-Viewing Normal and Advanced. Viewing mode protects the plan from being modified. Normal mode allows for an easy approach to planning while Advanced mode opens the program’s more detailed functionality.
Viewing mode lets the user manipulate the images only, as all editing toolbars and functions are hidden.
Left click on the Module or in older versions the Mode menu. In the new version left-click on Surgical Guide. If Viewing is highlighted…
Left click on the Module menu. or in older versions the Mode menu. In the new version left-click on Surgical Guide. If Viewing is highlighted, left-click on Normal or Advanced as needed. You will now see the Add Implant icon as well as other treatment planning icons on the toolbar. You should now be able to place implants. If the issue was not being able to move implants there are several solutions.
The implant may be locked.
Look at the implant to see if there is a lock icon on it. If so, right click on the implant and from the menu, left click on “Unlock Implant”
Try to move the implant If the implant still cannot move, right click on the implant once more. From the pop up menu, left-click on Rotate Around. From the sub-menu left-click on Implant Axes. You can now see the widgets in 2D or 3D and be able to tilt or drag the implants. In the event that you have opened a locked case, a pop-up alert will immediately ask you to enter the password. The case cannot be modified until the appropriate password has been entered into the field and the OK button left-clicked.
If Cancel was selected instead, the case remains locked and no changes can be made. Left click on the File Menu, then left click on Unlock project. Then enter the appropriate password and left click on the OK button. The case is now unlocked for editing. Return to Top




How can I separate the jaws in the CT scan be to able to toggle each one on and off separately?


Separating Jaws | Using the CUT Function

To separate jaws in cases that include both upper and lower arches, the CUT function is used.

The Cut function is found in the Surfaces panel.

To open the Surfaces Panel, left click on the Panels icon on the main Toolbar, then left click on Surfaces.

In the Surfaces panel, (1) left click on the surface name Original, then (2) left-click Duplicate. A new surface is created called “Original duplicated.” Left click to uncheck Visible on the Original line. Left-click on Original Duplicate in order to highlight.

Left click on the CUT button.

Move the cursor to the 3D view, hold the key + left mouse button and drag the lasso around the maxilla. Release the left mouse button and the maxilla will be removed showing only the mandible. In order to edit the surface name for easier identification, in the Surfaces panel, double click on the name Original Duplicate and type Mandible, then Enter to complete the renaming. In the Surfaces panel, (1) left click on the surface name Original, then (2) left-click Duplicate. A copy of the Original 3D CT surface is made and given the name “Original duplicated” as before (underlined in red). Left click the Original Visible checkbox. Left click in the other Visible checkboxes in order to hide those CT surfaces. Only the “Original duplicated” CT surface will display in the 3D view. Left click the CUT button. Move the cursor to the 3D view, hold the key + left mouse button and drag the lasso around the mandible. Release the mouse button and the mandible will disappear. Rename this surface. In the Surfaces panel, double click on the name Original Duplicate and type Maxilla, then Enter. Either arch or both arches can be toggled on or off as needed by left clicking on their respective Visible checkboxes.. Return to Top




How can I remove a tooth from a model?


Tooth Extraction - Using the Cut Function

The first step to remove a tooth from a model is to make the relevant model the only surface appearing in the 3D view. This is done in the Surfaces Panel. In order to open the Surfaces Panel, left click on the Panels icon on the main toolbar, then left click on Surfaces in order to open the Surfaces panel. In the Surfaces Panel, left click on the Visibility checkbox to uncheck all other surfaces except the relevant model, thereby hiding the other surfaces. If the model is hollow or does not have a sealed base, it should be closed before extracting teeth. The Close Model function is found in the Model Manipulation panel. To open the panel, left click on the Panels icon, then left click on Model Manipulation. In the Model Manipulation panel, left click on the Close model button, which is found under the Stone Model heading. The Fabricating Closed Model progress box will show when the closed model is completed. The closed model, in green, is shown superimposed over the original model and provides a sealed base.

Left click on the Surfaces tab to open the Surfaces Panel. (Step 1)

Left click on the Visibility checkbox of the original open model in order to hide it. (Step 2)

The closed model, named Model Stone Model by the program, now appears as the only surface in the 3D view.

Teeth can now be extracted from this model.

In the 3D view, left-drag (hold the left mouse button down and move) the mouse. Rotate the model so there is a clear unobstructed view of the tooth to be removed. In the Surfaces panel left click on the model name in order to highlight the name line. Left click on the CUT button at the bottom of the panel. Move the cursor to the 3D view, hold the keyboard key + left mouse button and drag the lasso around the tooth outline.

Release the mouse button to execute the Cut function.

This may be repeated as necessary for trimming or performing additional cuts. Return to Top




Why Can't I See the Patient Scan in the 3D View?


3D Image is Missing - CT Scan not showing in 3D

In Blue Sky Plan there could be several reasons the CT scan is not showing in the 3D view.

The Density Threshold may be too high.

Left drag on the density threshold slidebar handle and drag it to the left to lower the threshold.

Another reason is that the 3D rendering was turned off

Left click on the Rendering icon on the vertical toolbar in the 3D view.

Left click on Rendering.

An additional reason could be that the CT surface was made invisible.

Left click on the Panels icon on the main toolbar, then left click on Surfaces.

In the Surfaces panel, left click on the CT Surface’s Visibility checkbox to make the surface visible.

In a more advanced situation, a Volume Rendering setting may need to be adjusted.

Left click on the Panels icon on the main toolbar, left click on Volume Rendering.

In the Volume Rendering panel, left drag on the Near and Far slidebar handles as necessary to show the image.

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How Can I Parallel Implants in Blue Sky Plan?


How to Parallel Implants

It is very easy to make implants parallel in Blue Sky Plan.

In this example Implant #1 has already been placed in its desired position and angle.

Right click on the implant to be aligned, in this example Implant #0.

Mouse over “Align With” then left click on Implant.

Point the cursor on the already aligned implant and left click.

The implants will now be parallel.

If an implant has already been placed, the user can make duplicate implants that are parallel to the original.

Right click on the implant then left click on Duplicate.

Left drag on the implant to separate the new implant.

The new implant will be completely identical to the original as well as have the same angulation.

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How Can I View the Implant Vertically?


Implant Centered Vertical View

Implants can be viewed vertically in the Tangential View in Blue Sky Plan.

If the Tangential View is not visible in the current layout, left click the Perspective icon on the main toolbar then left click on Implant Tangential 3.

In the Tangential panel on the upper right, left click on the second icon from the top on the vertical toolbar.

This will show the implants in the Tangential View as vertical.

This setting will be retained until changed by the user.

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How Can I Make the Projection Lines Visible?


Make the Projection Lines Visible If all the projection lines are missing from the plan. Left click on the All Projections icon on the main toolbar. The panoramic curve and all the other projection lines will reappear. If some projection lines are missing… …left click on the View menu, mouse over 2D and left click to highlight the view’s missing projection line. In this example, the dental (panoramic) curve… …and the cross section lines had been turned off. Return to Top




How can I Hide an Overlapping Implant?


Hide an Overlapping Implant If two implant guide hole cylinders are very close to each other, both implants may appear in the same cross section slice. If this is distracting, left click on the Drill Guide Visibility icon in the Implant List panel.. This will turn off the cylinders and also remove the second implant from the cross section slices. If the Implant List Panel is not showing, double left click on an implant. The Implant List panel will open. Return to Top




How do I update my video card drivers for optimal Blue Sky Plan performance?


How to update video drivers. Return to Top




How Can I Create A Pilot Hole Surgical Guide in Blue Sky Plan


How to make a Pilot Guide Return to Top




How can I restore the 2D Projection Lines and Screen Layout?


Restoring Lines and Views in BSP screen Return to Top





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