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Operations Manual

Applications Guide
for the
Dental Anatomy & Interactive
Three Dimensional (3-D) Tooth ATLAS

Demonstration Version
Copyright 2002, Brown and Herbranson

Part 1: Operations Manual
Installation of Atlas Software___________________________________ 4
Copying Images from the Atlas
1. Copying rotation, cross section and case images________ 4
2. Copying other images_______________________________ 7

Linking the Atlas to PowerPoint___________________________ 8


Locating the linking file_____________________________ 8

Creating an action button____________________________ 9
Finding and copying the URL address_________________ 10
Pasting the URL address_____________________________ 10

Photoshop and Photoshop Essentials


Creating a Photoshop file of an image_________________ 11

Saving a file for later use____________________________ 12
Cropping an image_________________________________ 12
Contrast and brightness_____________________________ 12
Conversion to grayscale_____________________________ 13
Removing the background of an image________________ 13
Preparing images for print___________________________ 14

Troubleshooting_________________________________________ 15
Part 2: Applications Guide
Atlas Overview_________________________________________ 16
General Reference
1. Information on dental anatomy______________________ 16
2. Common variations________________________________ 16
3. Cases_____________________________________________ 17

Classroom, Clinical and Lab Tool


Study assignments__________________________________ 17
Lectures___________________________________________ 17
Tests______________________________________________ 17
Laboratory resource_________________________________ 17
Clinical resource____________________________________ 17
National Board Examinations________________________ 17

Part 3: Laboratory Manual

Loma Linda University School of Dentistry Laboratory Manual_18
Part 4: Copyright Information
Copyright_______________________________________________ 19

Part 1: Operations Manual

Installation of Atlas Software
The ATLAS may be run from the CD or it can be installed directly onto
your computer. Installing the ATLAS on to your computer is
recommended, especially if the ATLAS is linked to a PowerPoint
To install the CD:
1. Create a folder on your computers main hard drive called
2. Copy all of the contents from the CD into that folder.
3. Use the START_HERE.htm file to open the Atlas.

Copying Images from the ATLAS

There are two ways of copying images: copy and paste for Rotation and
Slices images, and screen dump for all other images.
1) Copying Rotation and Slices images from the In Depth Anatomy page:
(this is a copy and paste operation)
a. For direct pasting in a lecture,
1. Right click on image and
2. Left click on Copy

4. open the presentation in PowerPoint

5. select the page in the presentation that you want to place
the image
6. click Edit (upper tool bar)

7. select Paste (or use the key commands Ctrl + V)

The image is now pasted into the presentation page.

Using the Picture Tool bar, it can be edited as desired. The

image size requirements of the ATLAS are similar to what is
needed for PowerPoint, so no change in file size is required.
b. If the image is to be stored for later use, it can be saved in a file
1. Right click on image
2. Left click on Save Picture As

The Save Picture dialog box will appear.

3. Select the location for the file in Save in: box.

4. Create the file name in the File name: box.
5. Click Save. The image is now saved in that location and
can be accessed at a later time.
To insert the above image into PowerPoint,
1. Open the presentation in PowerPoint.
2. Select the page in which the image will be pasted.
3. On the upper menu bar, click Insert.
4. Click Picture.
5. Click From File. The Insert Picture dialogue box will
6. In the Look in: box, find the appropriate file or folder in
which the image has been stored.

7. Browse to find the desired image and click on its file name
or icon.
8. Click on Insert to paste the image into the page.
9. Using the Picture Tool bar, the image can be edited as
desired. The image size requirements of the ATLAS are similar
to what is needed for PowerPoint, so no change in file size is
2) Copying other images (not Rotation and Slices images)
In this process, which is called a screen dump, the whole screen is
copied. The desired image or part of the screen is then cropped, sized,
and placed in a PowerPoint presentation.
a. If the selected image is to be used immediately,
1. Click on Print Screen key on the keyboard. This will copy
the whole screen image into the computer.

2. Open the presentation in PowerPoint.

3. Select the page in the presentation in which the image will
be placed.
4. Click Edit.
5. Click Paste (or use the key commands Ctrl + V).
The screen dump image is now pasted into the presentation page.
Using the Picture Tool bar, it can be edited as desired. Usually, the
image will need to be cropped in order to select the area of interest.
Images that are taken from the three dimensional models in a
semitransparent mode can be improved if the contrast and
brightness are increased prior to copying. Because the image size

requirements of the ATLAS are similar to what is needed for

PowerPoint, no change in file size is required.
If the image is to be stored for later use, the screen dump can be
loaded into Photoshop, processed and then save to a file. This file
can be accessed from PowerPoint as outlined above.

Linking the ATLAS to PowerPoint

The ATLAS has been designed so that it can be incorporated into
PowerPoint presentations without loss of function or interactivity of the
ATLAS. Clicking on an image in the PowerPoint presentation will open the
Atlas window, and closing the ATLAS window returns the presenter to the
PowerPoint presentation. This section will discuss how to select the image
or action button for linking into the Atlas, and how to create a hyperlink
to the Atlas.
1) Locating the Linking File
Included on the Atlas CD is a file called PowerPoint Url
Forwarding.htm. This file will act as a key for linking the Atlas to a
PowerPoint presentation.
1. Go to the Atlas files
2. Open the Extras file
3. Highlight PowerPoint Url Forwarding.htm
4. Copy this .htm file and place the copy in the Atlas file or on
your desktop.

Note: This file should be copied and placed into the ATLAS file on your
computer that is being used for the presentation. It is important not to
change the file locations once this link is established. Changing the file
location will inactivate the link.

2) Creating an Action Button

Any object on a PowerPoint page can be made into an action button by
using any one of the following procedures.
a. To use an image as an action button,
1. left click on the desired image to act as the action button.
2. On the upper toolbar,
a. left click on Insert, then
b. select Hyperlink
1. Right click on the object.
2. Left click on Action Settings.
b. Create an action button (see diagram below) by,
1. clicking on AutoShapes (tool bar at the bottom of the age, left
side), then
2. click on Action Buttons.
3. Pick a button shape.
4. Place the button on the presentation page.
All of the above procedures lead to the Action Setting dialogue
5. Select Hyperlink to:
6. Choose Other file

7. Find the PowerPoint URL Forwarding.htm in your Atlas file or

on your desktop,

8. Select the file and click OK. This will link the PowerPoint URL
Forwarding.htm file to the action button you have made. The link
will only be active when the presentation is in Slide Show mode.
3) Finding and Copying the URL Address
1. Browse through the ATLAS and find the page that you wish
linked to the Power Point.
2. Highlight the entire URL address from the Address line
found at the top of the page by left clicking on the address.
3. Right click on the address, and
4. Left Click Copy.

4) Pasting the URL Address

a. Go to the ATLAS file
1. Right click the PowerPoint URL Forwarding.htm file
2. Left click Open With
3. Select and left click Notepad


Here, three lines of code are found.

1. Highlight the entire second line (with the URL address
found in the ATLAS).
2. Paste the new address it in this line by clicking Edit, then
Paste. Then
3. left click File, and
4. left click Save. The presentation is now linked.

The file must be saved as a .htm file.

Clicking on the action button in Slide Show will open the section of the
ATLAS you have selected and it will be fully active. Closing the ATLAS file
will return you to the PowerPoint presentation.
b. To create Multiple links: can
1. Copy the PowerPoint URL Forwarding.htm file and rename
the new file PowerPoint URL Forwarding2.htm
2. Continue as described in Pasting the URL address, and
use PowerPoint URL Forwarding2.htm when linking the new
Atlas page.

Photoshop and Photoshop Essentials

Photoshop and Photoshop Essentials are useful programs in handling the
images from the ATLAS. A few of the more important tasks are outlined
1) Creating a Photoshop file of an image
This assumes the image has been copied or screen dumped from the
ATLAS, as described above, into a folder.
a. Open Photoshop
1. Left Click File
2. Left Click New

3. In the Name box, enter the file name

4. Left Click OK
2) Saving the Photoshop file for later use, go to:
1. Left Click File
2. Left Click Save as
3. In the Save As dialogue box define where the
image is to be saved and what will be the file
name. Under format save as a JPEG.
4. Left click on Save. When the JPEG options
dialogue box comes up, change the quality to 12
and click OK.
The file format in which to save an image is open to discussion. If,
for example, some editing has been done, more will be done later,
and the image contains layers, it should be saved as a Photoshop
document in a .psd file with the layers option activated. This will
create a file with all the information intact, including the layer and
history information. If the image has not been edited but will be at
a future date it should be saved as a .tiff. This is a lossless file
format and no information is lost: it is, however, memory intensive.
If the image has been edited and is ready for use it can be saved as
a .jpg file at a high quality setting (ie; low compression =12). This
file format compresses the image to save memory and creates some
loss of quality, albeit very small, for the high quality compressions.
While one compression will not affect the image, quality decrease is
cumulative. Multiple compressions create the potential for image
3) Cropping an image
1. Select the crop tool
2. Outline the desired area
3. Left click Enter
4) Contrast and brightness
There are a number of ways in Photoshop to handle these issues. A
thorough discussion of them is beyond this manual. A generally adequate
and simplified method is as follows:
1. Left click on Image
2. Left click Adjustment
3. Left click Image
4. Left click Contrast/Brightness
When the Brightness and Contrast dialogue box comes
up adjust the slider bars until the images are optimized,
then click OK. The screen dumps of the three

dimensional models can benefit from an increase in

contrast and brightness. Start with approximately +25
on contrast and brightness, and adjust until the images
are most pleasing.

5) Conversion to grayscale
If an image is to be used in a handout that will not support color, the
image should be converted to a grayscale image to conserve file size. To
convert the image to a grayscale image:
1. Go to Image
2. Highlight Mode
3. Select Grayscale
4. Select Flatten Image
The image will be converted into a gray scale image with
no color data. It can still be adjusted for contrast and
brightness and may well benefit from that exercise.
6) Removing the background of an image
If the image is to be pasted into a presentation that has a white
background the background can be removed and the image will appear to
be floating on the page when it is pasted into PowerPoint. To remove the
1. Select the Magic Wand


2. Set the tolerance to 32

3. Click on the background
4. Click the Delete key (or go to Edit, then select Clear)

The background has now been removed from the image.

This can also be performed directly in PowerPoint but
with less control and potentially unsatisfactory results.
7) Preparing images for print
The pixel size of the images in the ATLAS has been carefully selected to
maximize quality and speed of execution; however, this pixel size may not
be optimal for some print use. As a rule, if the image is small (i.e.
approximately 2to 3 in size) and is printed on non-glossy paper, the pixel
size does not require alteration. This covers most images in the Atlas for
use in handouts. Image sizes less than 2 should print successfully on
glossy paper, such as the paper used in journals. Higher resolution
original images can be made available if needed. Please contact us if you
have any questions.


If the ATLAS runs slowly on your computer, copy it to your main harddrive. This allows your computer to more easily access the program and
its contents.
If your computer shows an error message when trying to display images or
models from the ATLAS, the following system requirements may remedy
the problem:

The computer must be operating Windows 98 or higher.

The computer must be using Internet Explorer 5.5
or higher.
All ActiveX controls and plug-ins must be enabled in Internet
Explorer. To do this:
1. Go into Internet Explorer
2. Click on Tools
3. Select Internet Options
4. Select Security
5. Select Custom Level
6. In the Settings window click on Enable under all
ActiveX controls
When first using the ATLAS, a window may appear asking
permission to install certain files on your computer. Click Yes.
Installing these files will allow the ATLAS to function properly.

For Customer Service call: 1650854-4030


Part 2: Applications Guide

Atlas Overview
The Atlas is a comprehensive resource on the morphology of human
dentition. It is much more than an electronic textbook, since by using the
power of the latest computer technology, the Atlas presents information in
unique ways, such as stereopsis, and rotations and slices. Using these
types of images, there is the potential to increase the efficiency of learning
and understanding. As such, the Atlas can become an indispensable tool
for dental education.
The uses of the Atlas include:
General Reference
1) The Atlas contains the latest and most comprehensive
compilation of information on dental anatomy.
Dr. Charles Goodacre, the Dean of Loma Linda University
Dental School, has collated all morphology information in
current and historically relevant textbooks into one
comprehensive section on morphology, which is presented for
the first time. This section displays a combination of graphic
and textual forms that can be interfaced in a variety of ways.
For example, using this data, a set of median dimensions can
be generated and used as the basis for dimensionally accurate
drawings that represent the average tooth. These drawings
are also available as a separate lab manual.
2) All of the common variations in anatomy are represented.
Three dimensional data was collected on over 150 teeth
including all the major variations in form. This data can be
viewed interactively in 3D and in stereopsis. Much of it is
annotated to show specific characteristics of the individual


3) Database of specific cases.

Dr. Bruce Fogel has collected and categorized over 1000 cases
for inclusion in the ATLAS. The X-ray Database includes
endodontic cases, x-rays and photographs of an extensive
array of dental conditions. The database can be searched for
a specific tooth with one or more characteristics or conditions,
i.e. tooth #19 with four roots and five canals.
Classroom, Clinical and Lab Tool
There are many classroom uses for the Atlas material. They include:
1) Study assignments to give the student background
information for a lecture
2) The Atlas is organized for use as a self-study resource.
3) Images and cases from the Atlas can be included in electronic
presentations and lectures. See Part 1: Copying Images from
the Atlas, for directions. Other uses for lectures are:
Linking (see Part 1: Linking the Atlas to PowerPoint) is a
powerful way to incorporate selected sections of the ATLAS
into electronic presentations. Linking will maintain the
interactivity of the section.
The X-ray Database has a search function to select specific
dental conditions for inclusion in a lecture.
4) Testing
Images from the Atlas can be included in written tests,
and test questions from the Atlas can be used as a basis
for written tests.
Computer based competency testing is possible.
As a laboratory resource in bench courses, the Atlas can
be used by itself, or in combination with the stand-up lab
manual. The lab manual can be purchased separately and
used as a stand alone product.
6) Clinical resource
The Atlas can be used by the student and/or instructor to
review anatomy before, during and after a clinical
7) As a self study guide in preparation for the National
Board Examinations, the Atlas contains a self-testing quiz
that mimics the national board examination. Questions can be
copied from the Atlas and used as the basis for a written examination
in the classroom. Answers are linked to the area in the Atlas
that contains the answers for review. Acceptable scores on
these study exams should put the student in a good position
for the National Board Examination.


Part 3: Laboratory Manual

Loma Linda University School of Dentistry Laboratory Manual

Designed by Dr. Charles Goodacre, Dean of Loma Linda School of

Dentistry, and produced by Loma Linda, this manual is a
companion publication to the Atlas. It includes the drawings from
the Atlas and is designed to be a reference for laboratory bench
The Laboratory Manual can be ordered separately from the Atlas or
bundled with the Atlas at a cost savings.


Part 4: Copyright Information

Please refer you to the section on copyright in the Atlas for the limits on
the use of the Atlas material. This Atlas is intended as a tool for dental
education and, as such, the material may be used for that purpose. To use
images from the Atlas, please adhere to the following guidelines.
The Atlas logo must always be included. Failure to include this reference
removes permission to use the material. Most pages have the logo in
place. If not, one can be selected from the Logo page under the How to use
this Atlas section. Use of the content for university based dental
education is permitted without prior permission: this includes inclusion of
the material into lectures and classroom hand handouts. Non-commercial
use in peer-reviewed journals and use in university based continuing
education courses will be given on written notice of that use.
Prior Permission must be obtained for the following uses:
1) Non-university based commercial continuing education courses
2) Any use in advertising
3) Inclusion in textbooks
4) Commercial or use in journals
5) Inclusion in any electronic media