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Cloud 9: Using the CephX Integration

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Karen Lewis
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Keywords: CephX, cephalometric, 2D imaging, 3D imaging, CBCT, STL, send to CephX, ceph tracing, imaging, orthodontic imaging, stage, DICOM, upload
Summary
This article reviews how to access and use the CephX imaging integration within Cloud 9, including uploading 2D and 3D images, sending existing images to CephX, and adding new imaging stages. It also covers CephX support resources and an overview of what CephX offers.



Overview
This guide walks through using the CephX integration within Cloud 9, which enables seamless management of 2D and 3D orthodontic imaging depending on your practice’s package. 2D images can be captured or imported into Cloud 9 via the patient’s imaging section and then sent to CephX. 3D images must be saved locally first and then manually uploaded to CephX within Cloud 9. This article covers how to do both, how to access CephX within Cloud 9, and some of the useful tools available to your practice.



Accessing CephX
Once your practice has a CephX package and setup has been completed, CephX can be accessed directly in Cloud 9 in two ways.

Method 1:
Navigate to Edit Patient > CephX under the imaging tab.

Method 2:
Navigate to Edit Patient > View Images and click on the Cephalometric image.
Note: If the patient already has a Ceph on file, a blue View in CephX button will appear. Click it to open CephX directly for that image.



Uploading a New 2D Ceph Image
If you navigate to Edit Patient > CephX and the patient does not have an image on file yet, the following message will appear:

“No images uploaded for this patient. There are no cephalometric or 3D images uploaded to CephX for [Patient Name] yet. You can upload images directly here or use the Send to CephX button from the patient’s images page.”

To upload a new 2D Ceph image:

  1. Click Upload 2D Ceph.
  2. A dialogue box will appear that says “Drag and Drop 2D Ceph File or click to upload.” Upload your file.
  3. After clicking upload, the integration performs some initial analysis. This may take one to two minutes. The screen will indicate when the upload and analysis are complete.

Once the upload is successful, the CephX page will show confirmation that a new stage has been created and is available on the CephX site.

When you click View Ceph in the CephX menu, it will take you directly into the CephX program where you can work with that image within the CephX system integrated inside of Cloud 9. This also means that when clicking View in CephX from the patient images tab, it will open CephX and direct you to this same page.


Uploading a 3D Image
Note: 3D images must be stored locally on your computer before they can be uploaded to CephX. They cannot be pushed directly from Cloud 9 the way 2D images can.

If your practice has the 3D Image package:

  1. Click Upload 3D Image. Four upload options will appear:
    • Single DICOM file
    • Multi slice delivery
    • ZIP/RAR file
    • IO Scan (STL)
  2. Select the appropriate option. A screen will appear with fields to drag and drop or upload your Mandible and Maxilla files. Make your selections and click Upload to begin.
  3. After clicking upload, the integration performs some initial analysis. This may take one to two minutes to get the file uploaded and complete the analysis, but it will indicate once it is successful.
  4. A status bar across the top of the screen will show the upload progress. This process can take a few minutes to complete.

Note: If there is an issue with the file or the upload, the status bar will turn red to indicate a problem. Once it turns green, the upload has completed successfully.

Note: CephX runs on purchased case numbers. If your practice has 5 or fewer cases remaining, you will be prompted to purchase more at this point if needed.



Sending an Existing Image from the Cloud 9 Images Tab
If a Cephalometric X-ray is already saved in Cloud 9 under the patient’s images, you can send it directly to CephX without re-uploading.

  1. Navigate to the Patient Menu and click the Images tab.
  2. Click on the Cephalometric image.
  3. On the right side of the screen, click the green Send to CephX button.
  4. A dialogue box will appear asking: “A facial profile image was found for this record set. Would you like to include it for superimposition analysis?”
    • Check the box and click Send to CephX to include the facial profile image.
    • Uncheck the box and click Send to CephX if you do not want to include it.

Below is the upload screen. The red arrow shows where the Send to CephX button is located.

Once the image is uploaded, a dialogue box will confirm: “Success! Your image was uploaded to CephX.”

At this point you can:

  • Click OK to exit and return to the patient’s images page.
  • Click Go to CephX to launch CephX and begin ceph tracing or add a stage.

Clicking Go to CephX takes you to the same screen you see after uploading a 2D or 3D image, covered in the next section.



Adding a New Stage
After uploading a 2D or 3D image, you have the option to update an existing stage or add a new one.

  • Select a specific stage from the list to open and work with that stage.
  • Click View Ceph to view the Cephalometric image and enter the CephX program.
  • Click New Stage to upload another Cephalometric X-ray and add it as a new stage. Once uploaded, click to enter CephX for that stage.



What CephX Offers
CephX is a web-based dental imaging platform that uses AI to automate cephalometric tracing and analyze 2D and 3D images, accessible from any device. Below is a quick overview of what is available inside the platform. For full documentation and tutorials see the CephX Support section below.

2D Imaging Features:

  • Images are automatically standardized for orientation, size, and brightness.
  • AI-generated cephalometric tracings are placed within seconds.
  • Hundreds of built-in cephalometric analyses.
  • Superimposition tool and profile image overlay.
  • Airway analysis and analysis wizard for custom workflows.
  • Measurements tool for angles and distances.

3D Imaging Features:

  • CBCT segmentation and STL viewing.
  • Panoramic image reconstruction from CBCT.
  • Asymmetry reporting and automated pathology alerts.
  • Identification of impacted teeth, root resorption, and supernumeraries.
  • DICOM multi-panel viewer.

Sharing and Exports:

  • Export cases as PDF or video directly from the platform.
  • Share via link, QR code, or file export.
  • Option to anonymize patient information before sharing.



CephX Help and Support
CephX has its own dedicated support team, Help Center, and video tutorial library for questions about using the CephX program itself. Cloud 9 Support can assist with the integration between Cloud 9 and CephX and making sure it works correctly within Cloud 9, but cannot provide support on CephX program features, edits, or workflows.

For CephX-specific questions, please use the following resources:

 

As always, if you have any further questions, please do not hesitate to reach out to Cloud 9 Support by emailing us at cloud9support@planetdds.com, or chatting us online using the chat bubble on the lower right at https://cloud9support.planetdds.com/hc/en-us, or giving us a call during our business hours of 8:00 AM EST to 8:00 PM EST at the 1.800.394.6050 option 2.

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