Imaging

“Awaiting report” holds studies that are prepared and not yet signed. “Clear the filters” brings them all back. Each list shows the newest 100 rows; for an older one, search for the patient.

Two more lists may appear above:

• “⚠️ They could not be prepared” — with the reason on each; “↻ Resume” tries again. They come first, because nobody resumes them unless they see them.
• “⏳ Being prepared” — studies in progress; the list refreshes by itself.

The “Patients” tab and the imaging profile exist when the clinic has the “Raport radiologic pe dinte” (Per-tooth radiology report) module on (Settings → Personalization → Modules). With it off, each study has a simple “Radiology record” (see the simple radiology record); nothing written is lost when you switch.

In the profile, on the left are “Patient's doctors”, “Shared with”, “Case notes”, the “Photos” and “Documents” cards, then one card per study, with its status: “Being prepared”, “Preparation failed”, “Signed v…” or “Nesemnat” (Unsigned). The “i” button on a card shows the device, the field of view, the voxel, the dose and the series UID. On the right are the “New analysis” tiles and the patient's reports.

When the patient has a panoramic and periapicals from the same day, the “Panoramică + retroalveolare” (Panoramic + periapicals) card opens them side by side. The record icon next to the name leads to the full record.

What you can upload:

You can also drag files onto the box; a .zip archive works too, or “Choose a folder”. Anything that does not match the chosen type is set aside and counted on screen, and the limit reads “Up to … per file and … per study”.

“The device” fills itself in from the file, if it is written there. In “Note”, write why the study was taken, if you like.

Dental devices' compressed formats (JPEG Lossless, JPEG 2000, JPEG-LS and others) are read on the server — do not convert anything first.

A radiograph uploaded to the record's gallery, or added from a tooth's panel, also goes into Imaging as a study of the patient (with the tooth already marked, from the tooth panel). Old radiographs from the file are moved once by the technical administrator, with a script.

Requires the “Încarcă studii imagistice” (Uploads imaging studies) permission.

The toolbar above the image:

• Tools: “Move”, “Length”, “Angle”, “Marker” (one click, then the text), “Profile” (density along a line), “Calibration”.
• Display: “◐ Negative”, rotate, “Mirror”, “Magnifier”, “↺ Restore”.
• Filters: “◆ Sharpness” (first click normal, second strong, third off), “▤ Equalization”, “▦ Relief”, pseudo-color.
• “PNG” downloads the image on screen, “⛶ Full screen” enlarges it.

Double-click fits the image. Shortcuts: I negative, L magnifier, R restore.

A CBCT opened once is kept in the browser for 14 days, so it opens faster next time. “Sync zoom” zooms all planes at once.

The volume opens at reduced resolution so it is fast. For a canal or a crack, put the crosshair there and click “Detail at the crosshair”: the area around it loads at the original resolution. “The whole volume” takes you back.

3D renderings: “Bone”, “Teeth”, “Soft tissue”, “Metal”, “Density”, “Radiograph”, “MIP”, plus “3D: transparent bone” (the canal and implants show through the bone). Height cut: “Stays underneath”, “Stays on top”, “No cut”.

Shortcuts: 1–4 one view, 0 all, D dental, C crosshair, M move, W window, R restore, F full screen. Double-clicking a view opens it across the whole scene.

On a radiograph, “Default” restores the window the device wrote into the file. On a CBCT, right-click dragging over the image changes the window (or the “◐ Window” tool).

On a volume you can thicken the slice (“Lama” (Slab) or “thickness”): averaging slices smooths the noise, and “MIP” (maximum intensity) keeps a canal, an implant or a filling visible through the whole slab.

On a CBCT, measurements appear under “Measurements on the volume” and save themselves, in exact millimeters. On a radiograph, the file's millimeters are measured at the sensor, not at the tooth, so they show with “~”; a file with no scale (a JPEG) measures in pixels. For exact millimeters, calibrate.

Measurements on the old viewer's slices are not drawn in 3D: “Move them into 3D” brings them onto the 3D scene, in millimeters.

After calibration, the image caption reads “Calibrated on a known length: measurements are in real millimeters.” An image has only one calibration.

Anything not in the catalog is written as a free finding, “What is seen, in the doctor's words”. The card also has “Notă” (Note — the doctor's comment on the tooth) and “＋ Add image”. A validated tooth shows “✓ Approved”, with your name; “Cancel the confirmation” reopens it.

Anything not tied to a tooth — the sinuses, the TMJ, the bone — goes in the “Across the whole study” card, also with “＋ Finding”.

• The pills above the chart choose which teeth go into the report: “All” or “Select the teeth”, then a click on a tooth takes it out or puts it back.
• “Show grade and surfaces” shows the details on the chart.
• Everything saves by itself; “Cancel” in the bottom bar undoes the last change.

Teeth are written in FDI (11–48 permanent, 51–85 primary), shown in the format the clinic chose (see the number format).

Requires the “Completează fișa radiologică” (Fills in the radiology record) permission.

“Extended conclusion” has separate sections, for a longer report. Teeth not yet approved are approved on signing. “Sign the report”, in the conclusion panel, signs without approving the teeth.

A signed report closes the study: the findings, files, study details, measurements and 3D scene (implants, canal, models) no longer change. The study can still be read, printed and shared.

Requires the “Semnează raportul radiologic” (Signs the radiology report) permission.

In the window you can also choose “Limba” (Language), “Culori” (Colors), “The images in negative” and “What goes on the sheet”. Your choice stays on your computer; “Save for the clinic” makes it the default for everyone, and “↺ How the clinic prints it” brings it back.

A draft prints without the conclusion and without signatures, with a note in the footer. If the volume is not open in the viewer, the sheet prints without the panoramic and without slices.

“Archive to file” puts the signed version in the patient's documents; “in the file” then appears.

The signed version stays untouched. The same path is used when a study that has been read needs planning: sign the reading, then start the next version. Versions are also visible from the profile: “i” on the report card → “The report versions” → “Open the report”.

The rows go into the patient's plan with no price; the service is chosen in the plan. Requires the “Propune plan de tratament” (Proposes a treatment plan) permission.

The image is attached to the report. On the per-tooth report, a view can go straight onto a tooth's card (see a tooth's slices). Remove an image with “Remove the image from the report”.

An image with no teeth marked is not linked to teeth and does not appear on their cards. Teeth that already have findings stay marked.

“Bone level” places the bone-loss ruler and proposes the grade (“Proposes: bone loss …”); “Remove the ruler” deletes it. “↖ Select” selects a drawing.

The mask groups (“Perio”, “Restorative”, “Endo”, “Anatomy”) can be hidden and shown. Other buttons: “Focus on tooth”, “◫ Bitewings” (the premolar and molar areas), “▦ Matrix” (all the images in the series, laid out on the arch), “◐ Negative”, “⤢ Enlarge”.

Slices appear once the arch curve has been drawn. On the enlarged slice you have “Ruler”, “Arrow”, “Angle” and “Eraser”, then “Save the markings”.

“The tooth's planes” → “Center the viewer on the tooth” puts the three planes on the tooth; “Add view to report” puts the view on its card.

Both need a CBCT with the arch curve drawn and the volume loaded.

This is how a study looks when the “Raport radiologic pe dinte” (Per-tooth radiology report) module is off. “Carry to the odontogram” marks the findings on the patient's odontogram (it also needs the “Editează fișa / istoricul” (Edits the record / history) permission). A signed version prints with “For the file” or “For the patient”.

Findings from the visit's signed reports go into the radiology section.

Form 043/e (the dental patient record) prints the newest signed version of each study, never a draft. The form's PDF is made when it is generated, so a report signed afterwards only appears on the next form generated.

Studies sent automatically by devices belong to no one until someone assigns them. Each suggestion says why it is proposed: “appointment”, “name and date of birth”, “name” or “Date of birth”.

A study sent by mistake is thrown out with “Discard”, with a reason; it never reaches a record.

The card is visible to anyone with “Încarcă studii imagistice” (Uploads imaging studies).

• If the connection drops, the screen shows how many seconds nothing has gone through; after 90 seconds the upload resumes by itself. “Resume the upload” continues where it stopped.
• Very large files upload in parts, four at a time; a failed part is resent by itself.
• Do not close the page: the app asks first, because files not yet uploaded would have to be chosen again.

After the upload, the server groups the slices into series and builds the volume and the thumbnail — for a CBCT, from a few seconds to a few minutes. The study's doctor, if one is chosen, gets a notification when it is ready. A study left “Being prepared” after an interruption is resumed automatically, within half an hour.

“↻ Full resolution” on an old radiograph prepares it again at the sensor's resolution; measurements stay in place.

“↻ Resume preparation” requires “Încarcă studii imagistice” (Uploads imaging studies).

The “Acquisition date” is often wrong: the device writes it from its own clock, never set. “The teeth it shows (FDI)” links the study to teeth.

Remove a wrong file from “Study files” with “Remove from the study”. On the per-tooth report, the list sits under the report, in the collapsed “All the study's images and files” section.

All of this closes after signing (see the correction).

The study alongside takes no measurements — they would end up on the other image's report. From a tooth's panel in the record, “Compare” puts the newest image next to the one before it.

Two CBCTs: on a CBCT's per-tooth report, click “Previous CBCT”. “Comparison with the previous CBCT” overlays them on the bone and shows them in the same planes, “now” and “previous”. If the mean error is large, check on the slices.

The tiles: “CBCT”, “Panoramic”, “Intraoral”, “3D model”, “Ortho”, “Intraoral scan”, “Implant”. Steps marked “optional” can be skipped. “Order” opens the main study ready for analysis — for “Implant”, with planning open; for “Ortho”, with the orthodontic analysis. “Ortho” needs a CBCT: the landmarks are placed in the volume, so a panoramic is not enough.

When sending with a code, enter the “Doctor's address”, a “Comment for the doctor”, and check the two statements: that the recipient is a dental professional and that the patient has consented. “Send the link by email to the doctor (the code does not go by email).” sends it by email. Give the six-digit code by phone or SMS.

“All the patient's studies, and those made from now on, for as long as the link lasts.” shares the whole patient. From the profile, “Share the patient” does the same.

Requires the “Completează fișa radiologică” (Fills in the radiology record) permission.

The list shows who the link is for, whether it covers the whole patient, whether it has a code, how long it is valid and how many times it has been opened. A revoked link no longer opens for anyone and cannot be reactivated.

They see the study in the viewer, the findings, the recommendations, the signed report and “The clinic's message:”; they can download the files (their links expire in an hour). They cannot change anything. An expired, revoked or wrong link shows the same sentence, “The link is no longer valid”, so nobody can learn whether it ever existed.

The archive is built in the browser, one folder per study. A single file is downloaded from “Study files”, with “Download”; the image on screen, with “PNG”.

The log shows opens, downloads, prints, exports and shared links, with who and when. When a patient asks who saw their radiograph, the answer is here. Requires the “Vede jurnalul de activitate” (Views the activity log) permission.

The study disappears from the record, but the row is kept with the reason, and the files stay in storage as long as the clinic decided. A study deleted by mistake is restored from Journal → Deleted. From the profile, “Delete the study” in the card's menu does the same. Requires the “Șterge studii imagistice” (Deletes imaging studies) permission.

“Shared” shows only patients sent outside the clinic. In the list, “Patient name” and “Last modified” sort on click, and “Age” and “Last modified” have filters (“Adults”, “Today”, “One week”…). The icons on a row show what the patient has: CBCT, radiographs, panoramic, scans, photos, documents. With the “Adaugă pacienți” (Adds patients) permission, the “Add patient” button is right here.

Case notes hold the reason for referral, what is being looked for and the relevant history. Remove a doctor with “Remove attending doctor”. The doctor from the record is marked “from the record”.

In the orthodontic protocol each photo has its own slot (“Față, frontal” (Face, frontal), “Face, smile”, “Profil drept” (Right profile), “Intraoral frontal”, “Ocluzal superior” (Upper occlusal)…). “Remove from the album” takes it out of the album only; the photo stays in the file. “Delete the album” deletes the album, not the photos. “Edit” renames the album.

Photos with consent refused carry “no consent”. From the same window, “Smile simulation” (marked “In progress”) opens the smile simulation.

Creating and editing albums requires the “Editează fișa / istoricul” (Edits the record / history) permission.

Editing does not touch the original: the photo in the file stays as uploaded, and the album shows it edited. “↺ Reset to original” discards all changes.

The video shows in the album, with playback. The “×” on it (“Remove the video”) removes it. If the browser cannot play the format, you see “This video cannot be played in your browser.”

“⟲ Fit” brings the model back into frame, “To report” attaches the view. The original file is downloaded from “Study files”, for example for the lab.

The button appears when the patient has periapicals. The status lays the images out on the arch and shows how many positions have an image.

The passport keeps every implant placed, with its lot — for a manufacturer recall. An implant from stock deducts exactly the lot chosen.

Implants ticked done at visits appear at the top, “To write in the passport, from visits”: click “Write in the passport” on the row and fill in the lot.

A removed row stays in the history, with the reason; stock does not change. With the “Trimite lucrări la laborator” (Sends work to the lab) permission, 🧪 on a row orders the implant crown from the lab.

Requires the “Editează fișa / istoricul” (Edits the record / history) permission.

The card shows today's patients with an untreated finding on their radiographs — a cavity, a periapical lesion — with nothing in the plan on that tooth. The same appears, briefly, in the appointment panel: “On radiographs, untreated:”.

Requires the “Vede ședința de dimineață…” (Views the morning huddle…) permission and the “Raport radiologic pe dinte” (Per-tooth radiology report) module.

A finding with “nothing scheduled” has neither a procedure in the plan on its tooth nor an appointment after the study. “By doctor” shows studies, signed reports, approved teeth, prints, exports and shares. Requires the “Vede rapoarte” (Views reports) permission.

The panoramic unrolls, with the cross-sections below it; a click on it moves the sections there. Adjust the “Panoramic thickness” and “Step between sections” sliders as needed. If the study has a Romexis session, “The curve from Romexis” brings it in. “↶ Last point” deletes the point placed; “〰 Redraw the curve” starts over.

The panoramic and the teeth's slices in the report appear only once the curve is drawn.

On a section, a click moves the nearest point. “Delete the canal” removes it.

The numbering comes from the curve's length and the average tooth width, so it is approximate. If another tooth already has the number you chose, the two swap numbers.

Sagittal and coronal slices through the condyle open. Saved condyles appear in the list; “Vezi” (View) takes the crosshair back to them.

“⊕ The platform” and “↘ The tilt” choose what a click moves. Next to the implant you see the distance to the canal and to the neighboring implant.

From the list under the panoramic: “Carry into the plan” adds the implant to the treatment plan; “Guide to the lab” orders the surgical guide (with the “Trimite lucrări la laborator” (Sends work to the lab) permission).

Implants from the clinic's stock can be found by name, code or manufacturer. For position, “⌖ In the planes” or “Drag in 3D” (the orange apex tilts the implant, the crown's squares resize it). For the check: “The density around” and “Show the 1.5 mm outline in 3D”.

“↶ Undo” and “↷ Redo” undo and redo the last move; “Withdraw the approval” reopens the tooth. “Surgical report”, in the panel header, produces the planning sheet.

The app overlays the volumes on the bone and compares each planned implant with the metal found around it: platform shift, depth, lateral deviation. The result is approximate (metal causes artifacts), and “Save the placed implant” records it in the implant passport.

The “Lateral” and “Frontal” cephalograms from the volume show the landmarks; a click on them moves the crosshair. With a field smaller than 15 × 13 cm, some landmarks may be missing, and the measurements that need them stay uncalculated.

The model is drawn in the 3D view, with its enclosed volume in cm³.

This is how you clean a model of artifacts (metal, bone stuck to a tooth). “Cancel” undoes the last erase; “Cancel” on the brush bar (“Renunță”) leaves the model as it was.

The region grows slice by slice, within the chosen area; read its volume in cm³.

The scan must first be uploaded as a separate study. If the automatic match is not reliable, place three pairs of points (a cusp tip on the scan, then the crosshair on the same tip and “Point on CBCT”) and click “Match”. “Show in 3D” / “Hide in 3D” toggles the overlaid scan.

The package is built in the browser: the area's CBCT, without the patient's name and uncompressed, plus the models, overlaid scans, planned implants and the canal, in millimeters — for coDiagnostiX or another planning program. Attaching to an order requires the “Trimite lucrări la laborator” (Sends work to the lab) permission and the lab module.

The scene holds measurements, curves, canals, implants, models and overlays. Each model exports as an STL file, in the CBCT's millimeters.

“Deleted radiographs”: 0 = files are never deleted; empty = the platform's rule. The study's record stays either way.

“The CBCT originals”: only the originals of a prepared CBCT with a signed report and no open correction are deleted. The volume stays and can be viewed and measured, but the DICOM files can no longer be downloaded and the study can no longer be prepared again. Deletion cannot be undone.

“Storage space”, on the same page, shows how much the clinic uses, by type.

Requires the permission to change settings.

A simulated implant with distances to the canal is medical software under the European MDR regulation, so the clinic decides whether to use it. When off, implants already placed can be seen and deleted, but no new ones are placed, none are moved and none go into the plan.

This changes the display in imaging, on screen and on the report sheet. What is saved stays in FDI, so the format can change at any time without touching signed reports.

The upload program watches the folder the device exports its studies to and uploads them by itself, every five minutes; it can also be the device's DICOM destination. It sends a study whole or not at all. If a study does not appear after a few minutes, check that the program is running and that the key has not been revoked.

Requires the “Leagă aparate radiologice (chei de încărcare)” (Connects radiology devices (upload keys)) permission.

The device sees the booked patients — name, date of birth and service — for a week around today and picks them from there instead of typing them. A study taken from the list goes straight into the booked patient's record when the name in the files matches; otherwise it goes to “To assign”.

The list is off for each device until someone turns it on, because it hands names and dates of birth to a computer in the practice. A device assigned to a branch sees only that branch's appointments; “The whole clinic” sees them all.