Click on the Registration menu item and fill out all obligatory details.
Here is where you establish your username and password for all future usage of
cephX.

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None.
As a new subscriber - you will be entitled to a free trial version for 1 patient record,including free cephalometric analysis and photo storage. There is no obligation to continue to use the system after the trial.
A credit card is not required for the initial registration

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Once you have registered you will automatically navigate to the cephx welcome page.
You can start acquiring online cephalometric analyses from cephX by clicking on "New" on the button toolbar.

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To get a cephalometric analysis of a patient you need to go to the "Add a new patient" screen. You do this either by clicking the left most icon labelled "New" on the button toolbar or by going to the file menu and clicking on "Upload New Patient".
Fill in all the required information in this page and then click on "Save New Patient".
You will receive a cephalometric analysis within 2 business days.

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Fill in the patient details: - name, age, and gender.
If you have a digital ceph ready (see details of digital ceph), use the Browse option to locate your digital ceph (the ceph must be in jpg format) in your computer's hard drive or floppy drive or CDROM.
Once you have located the specific file of the ceph on your computer, click on Open. You should see the directory pathway appear in the adjacent text box.
(Please note that you can upload the ceph in the same way at a later date via the Patient-Edit option).
You can optionally add the patient's growth and crowding details.
Then decide if you want this patient to be traced by cephX or not.
Alternatively you can decide to trace the ceph yourself or leave it untraced for the time being (you can always request a trace for a ceph at a later time).
When you are done entering all the information - click on "Save New Patient".

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This section is optional.
Optionally add in Curve of Spee (0-2) value and Model discrepancy value (mm) using the drop down lists if you require a fuller Steiner analysis workout.
Optionally add anticipated growth along S- N (1 mm per year in growing child) and anticipated growth at S-Gn (3 times that at S-N) if you wish to view the Holdaway VTO or Projected growth analyses.

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RTS is the unique process whereby trained cephX technicians will trace the ceph for you - this saves you the effort of tracing the ceph yourself.
A small service fee is requested.

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There are a number of ways to request a remote trace:

• When you add a new patient to your cephX account using the "Add new patient" form, you can decide as to weather cephX will trace this ceph or if you want to trace it yourself. If you requested a RTS you will be asked to confirm this before you upload your patient.
• If you have decided to trace yourself, you can still change your mind and request a RTS at any time by clicking on the "RTS" button after selecting the patient in the patient list.

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Once the ceph has been traced by a cephX technician, you will be informed via email that the ceph is ready for online viewing with a direct link to the patient's record.
In addition, your patient list will indicate as to which cephs have been traced or untraced under the Status column.

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You do not have to upload a ceph to use the archive; it may contain only photos or x-ray records.
Obviously, if no ceph has been uploaded, then there can be no cephalometric analyses or measurements.

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A supervisor is a cephX user who can monitor, supervise and create treatment plans for other cephX users.
If you want to be supervised by another cephX user you will need to ask this person for his/her cephX ID and enter it in the Designate page under the Supervision section.
When you want a treatment plan created for you by a designated supervisor, Select the patient you want supervision for and click on Request supervision.
If you chose a specific supervisor, he/she will be notified via email that he has a supervision request and the annotation pending will be added to the patient's row in the supervision column of the Patient list.
You can also request supervision when you upload a new patient.

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You will receive an email notifying you that the supervision for the specified patient is complete.
Also, the annotation completed will be added to the patient's row in the supervision column of the Patient list.

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You can upload a ceph when you add a new patient or at any later date via the Photos - Edit or Batch section).
To upload when you add a new Patient:
If you have a digital ceph ready, use the Browse button to locate your digital ceph (must be in jpg format) in your computer's hard drive.
Once you have located the specific file of your ceph in your computer, click on Open in the file browser dialog.
When you are done entering all the required information on this page, click "Save new patient".
The other way of uploading a ceph is via the Photos section. Select Edit under the Photos section and then click on Add.
Use the Browse button as mentioned before to select your file and set the picture type as Ceph.
Then click Upload.

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All digital photos and digital radiographs may be uploaded to the patient archive and arranged in Sets of 9.
It will be convenient if all your digital data relating to a specific patient is in the same directory.
The upload procedure is as follows:

• Click-select Patient in Patient List
• Choose Photos in the Menu Tree.
• Choose Edit.
• Click Add on the bottom toolbar.
• Optionally enter the label for the photo.
• Select the picture type.
• Locate your file using the Browse button and click Open in the file browser dialog.
• "Click Upload

You can optionally drag and drop your pictures in different cells of the photo set and you can also create new photo sets. If you decide to use these functionalities you will have to click Save when you are satisfied with your picture arrangement.

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The Batch Upload module is a very useful tool to assist in uploading multiple electronic images for an individual patient instead of the tedious one by one procedure.
To Access the Batch Dialog Box:
Click on the "Photos" control on the left side of the screen
Click on the Batch button which appears at the bottom toolbar - this will open the Batch Uploader.
Locate the jpg files in your computer that you wish to upload, click once on each file you want to highlight and when you have finished selecting all your files, you can simply drag them to the cephX server window or click the upload button. You will have the option of defining each one of your digital images e.g. unspecified / ceph / panoramic / intraoral / profile (See Defining Electronic Image).

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When you upload a digital image either using single upload or batch upload or if you are in Photo edit mode you will have the option of defining the image type:
The options are:

• Unspecified
• Ceph
• Panoramic
• Intraoral
• Profile

The cephalometric x-ray must defined as such in order to do a tracing The profile photo must be defined as such in order to do a tracing overlay on the photo.

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Yes. Digital data can be added to patient's archive at any later time.

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Please replicate steps offered in How do I upload a photo or other x-rays? Make sure you set the picture type as Ceph.

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If you have already uploaded a ceph and wish to change it (e.g. due to poor scan quality), you may upload the newer ceph using the same steps as How do I upload a ceph at a later time after I have entered a new patient The newer ceph simply overwrites the original. Please note that the ceph might have to be traced again if it has already been traced.

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You can use the cephX Photo Editor which allows you to edit your photos online with advanced features such as change size/crop/flip/rotate/colour contrast control/zoom etc.
Click on the "Photos" icon on the left side of the screen to enter the Photos section. You can access the Photo Editor either by going to the Edit section and clicking on Edit Picture or by clicking on view and then on edit from the top toolbar.
If you would like to make the changes permanent you must remember to click Save when you are done editing your photo.

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All photos, x-rays and cephs should be in jpg or jpeg format.
The maximum file size allowed for upload is 1MB.
If you are scanning the ceph, please make sure you set the DPI of the scanned ceph to less then 100 - this results in sufficient tracing quality.

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cephX recommends the ScanMaker 8700 from Microtek or the Epson Expression 1680 Professional - E1680-PRO from Epson.
Generally - any scanner with the capability to scan transparencies of about 8*9 Inch will do.
For more information contact support@cephx.com

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CephX runs service centers in various locations around the world that can satisfy all your electronic needs.
If you do not wish to bother with scanning procedures, simply mail your cephs and photos to a service center near you, and cephX will scan, upload and trace them for you.
Contact support@cephx.com for more details and a list of our global scanning. A list of service centers can be viewed in the Contact section at www.cephx.com

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If the quality of contrast between hard and soft tissue is good, (easily visible in weak indoor light) then there is no advantage in scanning at more than 100 dots per inch (DPI).An adequate ceph saved with jpg compression should not be larger than 350K (50-100K file size is perfectly suitable if the quality of the original X-ray is adequate).

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There will be discrepancy in the the mm readings of the ceph due to the divergence of light through the camera lens. Panoramic x-rays, bitewings and peri-apicals are acceptable as they are not distortion critical.

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Generally - it is best to scan your cephs at 100% scale. All scanning software allows scale adjustment and the default scan for most scanners is 100% (or 1 to 1).

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Stick a metal ruler or exact bar of known length (between 10 to 200 mm) either directly on the ceph before scanning or outside the cassette before taking the radiograph.

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The correct orientation is the profile pointing to the right of the computer screen.

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Place the ceph in the correct orientation before scanning OR use the rotate feature of the scan program or any other photo editor program.

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To use cephX all you need is Internet Explorer 5.5 or later. Connection to the internet - we recommend a fast internet connection (DSL, Cable, T1…).

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cephX recommends the ScanMaker 8700 from Microtek or the Epson Expression 1680 Professional - E1680-PRO from Epson. Generally - any scanner with the capability to scan transparencies of about 8*9 Inch will do.
For more information contact support@cephx.com

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Click on Preferences in the menu tree and then click Edit on the bottom toolbar to change your list details.

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In the Login page click on forgot password, enter your email address given at time of registration and your user name and password will sent via e-mail.

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Yes. Click on Preferences in the menu tree and then click on Options.
You will be able to change the way the cephX application behaves and displays data.

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Once you have logged in, click on the Folders item in the tree menu. At the bottom toolbar select the folder of patients you would like to view: All your patients or only the traced or untraced ones.

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Your patient list can be sorted in either ascending or descending order by clicking on the column title buttons:
ID, NAME, STATUS (traced or untraced), DATE, AGE, GENDER.

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There is a quick search toolbar to help you search for patients by name. You can turn this bar on or off by clicking the search button on the top toolbar. If you want to add more parameters to your search you can click on the advanced button on the quick search toolbar.

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Find your patient in the Patient list and double click on the row. In order to view an analysis, the ceph must have been traced. (Even a partial trace will allow you to see analyses that are dependant on those partially traced points).
If all the points have been traced either by yourself OR via a the cephx service center then all the analyses will be available for viewing and an accurate scaled graphic tracing of the patient will be seen on the right half of the screen. Click on the drop down list labeled Select Analysis on the bottom right of the screen and choose any analysis in the list.

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Click on the View Picture Archive icon OR click on Photos in the menu tree and then click on View on the bottom toolbar.
The Picture archive opens up with the patient's digital images arranged in sets of 9.
You can click on the thumbnails to change the central picture.

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Single click and highlight the appropriate row in the Patient list.
Click on Photos in the menu tree and then Edit on the bottom toolbar.
The Picture archive Edit screen will open up in the set mode.
Simply drag the image to another cell in the set.
If that cell is occupied with another image, the two images will swap position.

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After selecting a patient to view, you will have the option of assessing all the analyses currently available on the cephX system.
If you would like to pre-define which analyses are of interest to you and eliminate all the others, you would use the Filter Analysis Feature.
Click on the "Analyses" control on the left side of the screen
Click on the Filter Editor button and open the Filter list dialog box
Click on Create New Analysis Filter button and enter the Analysis Filter Manager
Select the Analyses of interest to you and provide a name for this group of Analyses You can then save this Filter with the name you provided.
You can also default to this filter list by choosing this list in the "Preferences" Option on the left side of the screen and then selecting "Options".

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Click on the "Analyses" control on the left side of the screen to enter the Analyses section and click on the Custom Analysis Button to enter the Custom Analysis Wizard.
Generally, there are two types of custom analyses

1. Selection of individual measurements taken from the whole range of all the analyses and combining them into your own personal list of measurements.
2. Custom defined points, lines, angles and graphics for your own defined measurements in degrees, millimetres, ratios etc.

Follow the sequence in the Wizard entering the name of the whole analysis and select the relevant options that suit your requirements.

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Yes. Click on the Tx plan icon on the tree menu.
Select the treatment plan template you prefer and click on create.
When you are done creating the treatment plan click on save.

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Yes. Click on the Tx worksheet icon on the tree menu. Enter the procedure that took place on that specific occurrence

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Yes. Click on the Export icon on the tree menu.
Here you will be able to view your analysis in PDF or Excel format.

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The info site allows you to build your own web site and helps you keep in touch with your patients and/or their parents after their appointment ends.
This is a great new marketing tool which lets the patients access their personal information page including time and date of their next appointment and any other message you want to send them.
To get started click on the "Info Site" icon on the left side of the screen to open the Info Site section.
There are three options

1. Create and send email memo or message to patient concerning treatment comments, next appointment time, fee balance outstanding and basically any other message you would like to send the patient.
2. Generate unique patient code whereby he/she can gain access to his/her own treatment record, message list and electronic material (Images, ceph analysis etc…).
3. Create your own personal web site - including your personal logo, practice information and any other content you might want to plug in.

The internet is an outstanding way to market your practice - Why not use it? It comes totally free.

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