Tops Ortho Workstation Installer

Follow the steps below to prepare your Mac workstation and install Tops Ortho. This article includes a Quick Install section for experienced users and detailed setup instructions to ensure reliable performance.

Quick Install (Experienced Users)

Before starting, confirm the following:

• You are logged into a Standard macOS user account
• Your macOS version is approved (see Tops Ortho > p1nk)
• You have your Practice Fingerprint
• You know your Mac administrator password
• Energy & power settings are configured so the Mac does not sleep

Steps:

1. Configure Energy & Power settings (see section below).
2. Install any approved Apple software updates (confirm with your practice tech first).
3. Download the installer: http://downloads.topsortho.com/installer/topsortho_installer.dmg
4. Run the installer and complete setup.
5. Launch Tops Ortho, allow it to update, and enter the Practice Fingerprint.
6. Keep Tops Ortho in the Dock and delete installer files.

If this is your first installation or you’re unsure about any step, continue below.

Download the Tops Ortho Installer

Download the installer using the link below:

http://downloads.topsortho.com/installer/topsortho_installer.dmg

If the installer does not open in your browser, try using Safari.

Verify Your User Account

Tops Ortho must be installed while logged into a Standard user account.

1. Go to Apple Menu > System Settings (or System Preferences) > Users & Groups.
2. Verify the account type is Standard.
3. To confirm which account you are logged into, open the Apple Menu again.
   • The last menu item will show Log Out (username).
4. If needed, log out and sign back in using the Standard account.

Install Apple Software Updates

1. Go to Apple Menu > System Settings (or System Preferences).
2. Search for Software Update.
3. Install any approved updates.
4. Repeat until you see: “There are no more software updates available for this machine.”

Note: Always confirm the approved macOS version in Tops Ortho > p1nk before updating. Please also talk with your practice tech to confirm it is safe to perform available updates on your workstation.

Configure Energy & Power Settings

Correct energy and power settings are critical to maintain a stable connection to Tops Ortho. If a workstation goes to sleep, Tops Ortho will disconnect.

Apply these settings to all Tops Ortho workstations.

Important:

Tops Ortho workstations should remain powered on and should not be allowed to sleep during business hours.

macOS 15.x (Sequoia)

Desktop Macs (iMac, Mac mini, Mac Studio)

1. Go to Apple Menu > System Settings > Energy
2. Set:
   • Low Power Mode: Off
   • Prevent automatic sleeping when the display is off: On
   • Put hard disks to sleep when possible: Off
   • Wake for network access: On
   • Start up automatically after a power failure: On
3. Go to System Settings > Lock Screen
   • Turn display off when inactive: 30 minutes or longer
   • Start Screen Saver when inactive: 30 minutes (optional)

MacBooks (Laptops)

1. Go to Apple Menu > System Settings > Battery
2. Select Power Adapter
3. Set:
   • Prevent automatic sleeping when the display is off: On
   • Put hard disks to sleep when possible: Off
   • Wake for network access: On
   • Low Power Mode: Off
4. Go to System Settings > Lock Screen
   • Turn display off when inactive: 30 minutes or longer

MacBooks used as Tops Ortho workstations should remain plugged into power during normal use.

macOS 14.x (Sonoma)

Desktop Macs

1. Go to Apple Menu > System Settings > Energy
2. Set:
   • Prevent automatic sleeping when the display is off: On
   • Put hard disks to sleep when possible: Off
   • Wake for network access: On
   • Start up automatically after a power failure: On
3. Go to System Settings > Lock Screen
   • Turn display off when inactive: 30 minutes or longer

MacBooks

1. Go to System Settings > Battery > Power Adapter
2. Set:
   • Prevent automatic sleeping when the display is off: On
   • Put hard disks to sleep when possible: Off
   • Wake for network access: On
3. Go to System Settings > Lock Screen
   • Turn display off when inactive: 30 minutes or longer

macOS 13.x (Ventura)

Note: Screen Saver settings alone do not prevent system sleep.

1. Go to Apple Menu > System Settings > Lock Screen
   • Turn display off when inactive: 30 minutes or longer
   • Start Screen Saver when inactive: 30 minutes (optional)
2. Go to System Settings > Battery
   • Click Options
   • Set Wake for network access: Always
3. Desktop Macs only:
   • Go to System Settings > Energy
   • Enable Prevent automatic sleeping when the display is off

macOS 12.x and Earlier (Monterey and older)

1. Go to Apple Menu > System Preferences > Energy Saver
2. Set:
   • Computer Sleep: Never
   • Display Sleep: 30 minutes
   • Put hard disks to sleep when possible: Unchecked
   • Wake for network access: Checked
   • Allow power button to put the computer to sleep: Unchecked
   • Start up automatically after a power failure: Checked

Install Tops Ortho

1. Open the Downloads folder.
2. Double-click TopsOrtho_Installer.dmg.
3. From the desktop, double-click the Tops Installer icon.
4. Follow the on-screen prompts to complete the installation.

Launch and Finalize Setup

1. Open the Applications folder.
2. Double-click Tops Ortho.
3. When prompted that the app was downloaded from the internet, select Open.
4. Log in and allow Tops Ortho to update to the current version.
5. Log in again and enter your Practice Fingerprint.
6. Right-click the Tops Ortho icon in the Dock.
   • Select Options > Keep in Dock

Clean Up Installer Files

1. Drag the following items to the Trash:
   • TopsOrtho_Installer.dmg (from Downloads)
   • Tops Installer (from the desktop)
2. Empty the Trash.

Installation Complete 🎉

Tops Ortho is now installed and ready to use.

If you experience any issues during installation, contact your practice tech or Tops Ortho Support.

Common Causes of Tops Ortho Disconnects

Most Tops Ortho disconnect issues are caused by macOS power or sleep settings. Review the items below if users experience frequent disconnections, freezing, or unexpected logouts.

❌ Workstation Goes to Sleep

• System sleep ends active network connections.
• This is the most common cause of disconnect tickets.
• Ensure Prevent automatic sleeping when the display is off is enabled where available.

❌ MacBook Running on Battery or Low Power Mode

• macOS limits network activity when running on battery.
• Always configure Power Adapter settings on laptops.
• Tops Ortho workstations should remain plugged into power during business hours.

❌ Display Sleep vs. System Sleep Confusion

• Screen Savers and display sleep are not the same as system sleep.
• On macOS 13 and newer, settings are spread across multiple menus.
• Make sure system sleep is disabled, not just the screen turning off.

❌ Wake for Network Access Disabled

• If Wake for network access is off, the Mac may not respond to background network traffic.
• This can cause silent disconnects that require restarting Tops Ortho.

❌ Hard Disk Sleep Enabled

• Allowing disks to sleep can interrupt reads and writes.
• This may cause delays, freezing, or disconnects during active use.

Best Practice

Tops Ortho workstations must never enter system sleep during business hours.

Display sleep is acceptable; system sleep is not.