The future of digital dentistry is here now. Cad-ray provides all the tools needed to make it possible for us to provide digital care to our patients. Thanks Damien and Armen for a great course. - 8/07/2021
North Bakersfield Dental
Excellent customer service and product!! - 3/16/2022
Varghese George
The customer service has been top notch, every single time. I have only good things to say about them. - 4/05/2022
Cody Boseman
Cad-ray has been amazing, not to mention they have an amazing product in the medit i500. Their training is great, customer service is quick and thorough, and follow up is consistent. I highly recommend using cad-ray for anything that you may need. - 6/19/2020
Ryan Buckwalter
Couldn't have had a better experience. The training was excellent, and they've been great to work with. I recently had an issue that required a warranty claim. The process was super easy, and completely hassle free. In fact, I'm still in shock at...read moreCouldn't have had a better experience. The training was excellent, and they've been great to work with. I recently had an issue that required a warranty claim. The process was super easy, and completely hassle free. In fact, I'm still in shock at how great they were about the whole thing. I would (and do) highly recommend this company.read less - 2/09/2021
Daniel Thrall
I have owned this scanner for six months now. I have experience with other scanners including Trios and Carestream. The Medit scanner can stand with the big names. The scanned images are good. The ease of communication through the software with the l...read moreI have owned this scanner for six months now. I have experience with other scanners including Trios and Carestream. The Medit scanner can stand with the big names. The scanned images are good. The ease of communication through the software with the lab is probably my favorite part. Another thing I like is that the company is very open to improvements and listens to what its customers are wanting.
Cad Ray has a great team working alongside this product and continually updates all of the users on new features or new ways to use existing features. They are extremely responsive to questions and provide fast and competent support to the product that they sell.
I would recommend both the scanner and the company to anyone looking to get into the digital scanning world.read less - 10/09/2019
I’ve been using Medit 500 since spring of 2021 and really like it. The support system has been very good so far. I just called yesterday and spoke with Frank Deluca, he was very informative and helpful. - 12/07/2021
Samuel Schmidt
I purchased a SprintRay through them. I'm new to the 3D printer realm and they've been great with answering my questions and getting me set up. I've just really have been impressed with the quick responses, its much appreciated, thank you! - 4/20/2022
Alex Compton
I had been looking into scanners for a while and I could not deny the good reviews of CAD-Ray, so I gave them a call. I was pleasantly (not) surprised by the excellent service I received. Laura Geney set up a call quickly and very simply and plainly ...read moreI had been looking into scanners for a while and I could not deny the good reviews of CAD-Ray, so I gave them a call. I was pleasantly (not) surprised by the excellent service I received. Laura Geney set up a call quickly and very simply and plainly discussed with me my options. She gave me all the information I needed as well as told me about all the available specials I would be able to take advantage of! I ordered my Medit i700 and very soon after received training for myself and dental staff. We have been very happy with the service from CAD-Ray and look forward to maintaining a long lasting relationship with them. Would strongly recommend Laura and CAD-Ray!read less - 4/07/2022
lucas kim
Ordered some scanner parts. Laura was super helpful and replied very quickly. Great customer service! - 6/02/2022
Matt Stratman
only dental company that I have no complaints about - 11/03/2022
Jay Siddiqui
Amazing support and install, Jesse went through everything and made sure I was comfortable with my equipment before leaving. He also introduced me to the world of anodizing and now I am hooked! Highly recommend them for any tech you may need. - 8/23/2022
Matt v
Matt Newman was excellent solving a cable problem.! Quick response and good follow up! - 9/11/2024
Anu Isaac
I am a new user of Medit i500. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. I ordered it from CADRay. The purchasing process was quick & easy. Install...read moreI am a new user of Medit i500. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. I ordered it from CADRay. The purchasing process was quick & easy. Installation was also fairly straightforward. The staff is excited about the purchase. Can't wait to use it. Highly recommend purchasing it. Good practice booster.read less - 12/25/2021
i purchased medit intraoral scanner a year ago, other than the scanner is great, the customer service is outstanding whenever j need help or have a question they are ready instantly to answer my questions, cant ask for better customer service. - 6/16/2020
Arielle Forbes
Just got my Medit IOS delivered last week and the service from Jon was great! I had a ton of questions before placing the order and he happily answered. This is the type of customer support many dental suppliers are missing. Great company to work wit...read moreJust got my Medit IOS delivered last week and the service from Jon was great! I had a ton of questions before placing the order and he happily answered. This is the type of customer support many dental suppliers are missing. Great company to work with.read less - 6/19/2020
Iggy “Iggy” Deleon
There’s a reason why all cardray reviews are 5 stars only. They have the best people on their team. Jesse is the best trainer and provides above and beyond support. I can’t count the number of times that he’s saved me in the clinic with his designs. ...read moreThere’s a reason why all cardray reviews are 5 stars only. They have the best people on their team. Jesse is the best trainer and provides above and beyond support. I can’t count the number of times that he’s saved me in the clinic with his designs. He’s truly a master at his craft and one of the best assets to the cad ray team!read less - 2/02/2023
Rusty Fitton
Super happy with our purchase of the Medit i500 from Cad Ray. Overall its a work horse scanner that has handled anything weve thrown at it. The key to success with it is definitely taking the time to actually learn how to use it after purchase. Ca...read moreSuper happy with our purchase of the Medit i500 from Cad Ray. Overall its a work horse scanner that has handled anything weve thrown at it. The key to success with it is definitely taking the time to actually learn how to use it after purchase. Cad Ray has an immense library of straight forward education videos that are updated basically daily. I havent done the 2 day course but that is also included in the purchase. You really cant find that sort of service and education with any of the other scanners on the market. Id recommend them to anyone.read less - 6/26/2020
John T
Frank and the CAD-Ray crew are awesome! They are always available for support with the technology you purchase from them. - 1/25/2023
Barton Davis
Every time I need support for my scanner, the Cad-Ray team is there to help. I recently had a question on how to manipulate a scan and export it back to Medit Scan. Damien logged in and helped me out. Problem solved in under five minutes. Awesome ser...read moreEvery time I need support for my scanner, the Cad-Ray team is there to help. I recently had a question on how to manipulate a scan and export it back to Medit Scan. Damien logged in and helped me out. Problem solved in under five minutes. Awesome service. Thanks Cad-Ray support team!read less - 3/04/2022
Steve Acker
We received our i700 scanner from CAD-Ray yesterday. It was an upgrade from our i500. The scanner is amazing and Laura was amazing in helping us get up and running in no time. Their support, professionalism, and expertise is unmatched. Thanks CAD-Ray...read moreWe received our i700 scanner from CAD-Ray yesterday. It was an upgrade from our i500. The scanner is amazing and Laura was amazing in helping us get up and running in no time. Their support, professionalism, and expertise is unmatched. Thanks CAD-Ray!- Helena from Elite Dentalread less - 12/23/2021
SCOTT MEUSELBACH
I bought a Medit i700 and admittedly did not use it for a year or so. Once I got going on it, I now hate analog impressions (time, lab time, expense, questions of quality, etc). I had a cord go bad (fray) and could not scan. I called and spoke to Hea...read moreI bought a Medit i700 and admittedly did not use it for a year or so. Once I got going on it, I now hate analog impressions (time, lab time, expense, questions of quality, etc). I had a cord go bad (fray) and could not scan. I called and spoke to Heather, and she was outstanding in providing service. I texted a pic, she corresponded with Medit, and they got a new one to me the next day. Tracking, email correspondence, etc. all was provided there as well. I was back up and running in no time, and having to do some analog impressions made me realize how much we love the scanner. The service from Heather and Medit (Dane) verified it. I sent a text out to a pile of dental friends to let them know as well. Highly recommended!read less - 7/10/2024
Dixie Jernigan
The customer service we have received while working with Frank DeLuca is second to none! He is incredibly knowledgeable and enthusiastic, as well as always available to help with any issues. We are very pleased with CAD-RAY and relationship that they...read moreThe customer service we have received while working with Frank DeLuca is second to none! He is incredibly knowledgeable and enthusiastic, as well as always available to help with any issues. We are very pleased with CAD-RAY and relationship that they have with their clients.read less - 1/25/2023
ed borio
I was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it h...read moreI was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it has been a rewarding and relatively seamless transition to the world of scanning. I never dreamed implementation would have been this easy and its attributed to Laura's skillful training ability. The scanner is wonderful and powerful, but we would have never been able to unlock its potential without her assistance.read less - 8/31/2021
Got my Medit scanner from here. Purchase went very smoothly. Best part is the on going support. Cad-ray team is great with training and ongoing help if your scanner has hiccups here and there with various updates. - 12/11/2023
Charlyn Quiec
Fast response. Customer service eager to help and very friendly. :) - 3/21/2023
Jonathan Mason
I bought a Medit 3 years ago and have had amazing success with both the scanner and the support from Cad-Ray. My scanner recently broke and They were on the phone with my assistant trying to fix the problem, and when it was unfixable, they overnight...read moreI bought a Medit 3 years ago and have had amazing success with both the scanner and the support from Cad-Ray. My scanner recently broke and They were on the phone with my assistant trying to fix the problem, and when it was unfixable, they overnighted a new scanner and helped us set it up. Medit is now available through many dealers, but I would only buy next one from Cad-Ray.read less - 11/03/2022
Jason Ehtessabian
Fantastic! Scanner went down after a few years, and they had a new one in my office the next morning. Highly recommended. - 8/26/2021
Kurt Adamson
I was on the fence for a few years about getting into intra-oral scanning. I finally did it in the fall of 2019 and haven't looked back. I was hesitant mostly because I didn't want to spend a lot on $$$ on something that I don't end up implementing. ...read moreI was on the fence for a few years about getting into intra-oral scanning. I finally did it in the fall of 2019 and haven't looked back. I was hesitant mostly because I didn't want to spend a lot on $$$ on something that I don't end up implementing. I found that I love scanning, I feel like it has improved my quality of preps and my OCD of being able to verify accuracy. I recommend Cad-ray because they want you to succeed. They are always available. They have been through this process many times, they know what does and doesn't work. My experience is with the Medit i500 IOS.read less - 6/19/2020
Minh Van
I was referred to CAD-Ray by Medit Instagram help service. I have purchased Medit i700 from Laura, I was please to work with her and the whole team. They offered the best customer service and the fast responses, especially Laura. I look forward for t...read moreI was referred to CAD-Ray by Medit Instagram help service. I have purchased Medit i700 from Laura, I was please to work with her and the whole team. They offered the best customer service and the fast responses, especially Laura. I look forward for the next purchase.read less - 12/07/2021
Yordanka Ivanova
I had been on the market for a scanner for a while and the i700 is my first intraoral scanner purchase. We are still new to the scanning world and its capabilities. Frank DeLuca was my main contact from the beginning and the person who did our traini...read moreI had been on the market for a scanner for a while and the i700 is my first intraoral scanner purchase. We are still new to the scanning world and its capabilities. Frank DeLuca was my main contact from the beginning and the person who did our training. The scanner is incredible and has surpassed our expectations even though we haven’t used it to its full potential yet. Frank has been amazing and always there to guide us every step of the way. Having such fabulous customer service and support from CAD-Ray was key for us when making this purchase decision. Thank you!read less - 6/23/2022
Zachary Hickman
High quality scanner. Super fast. Have been happy with the support that Cad-Ray has offered. I really like the innovative technology that medit allows users to implement into their practice. - 10/13/2021
It was very powerful and enlightening experience today to do 2 day sessions with Dr. Armen and Damien. I learned a lot, quite amazed by how much we can do with knowledge and Medit scanner. As usual great support by CAD-RAY always. I absolutely love M...read moreIt was very powerful and enlightening experience today to do 2 day sessions with Dr. Armen and Damien. I learned a lot, quite amazed by how much we can do with knowledge and Medit scanner. As usual great support by CAD-RAY always. I absolutely love Medit scanner.read less - 8/08/2021
Mike Capio
Nothing but good things to say about CAD-Ray. All of the education, recommendations, and products they provide are truly the best in digital dentistry at the time. - 6/20/2020
Krupal Chhotu
Finally going digital and Cad-Ray was the place to start. Got the Medit i500 and began scanning right away. Now I am doing digital dentures, making my own surgical stents, etc. The support available is the best. "Frank" is always available! :) - 10/09/2019
I purchased a Medit scanner in August and I am very happy with the scanner. I was trained on an Omnicam in dental school and used Omnicam for 4 years in my associateship. The speed and quality of the Medit scanner is comparable to a CEREC scanner but...read moreI purchased a Medit scanner in August and I am very happy with the scanner. I was trained on an Omnicam in dental school and used Omnicam for 4 years in my associateship. The speed and quality of the Medit scanner is comparable to a CEREC scanner but you can’t beat the price of the Medit! I would highly recommend this if you are a beginner or pro in digital dentistry!read less - 9/22/2020
Roy Elturk
Outstanding customer service! Laura helped me purchase my first Trios scanner and she took the time to go over all the specs, models, and details with me. Their on going tech support is what sets this company a part from others. - 3/05/2024
Chad Gardner, DDS
Can not find a single negative thing to say about my transactions with CAD-Ray. Great people, absolutely unbelievable customer service, and the best products.They stand behind the products they sell as strongly as the manufacturers do. - 4/27/2022
K. Banani
Amazing customer service. I haven’t ever worked with a company where there is an issue, you can immediately get help and assistance and so far have not had an issue that CADRAY wasn’t able to fix. They made the process buy buying and maintaining a sc...read moreAmazing customer service. I haven’t ever worked with a company where there is an issue, you can immediately get help and assistance and so far have not had an issue that CADRAY wasn’t able to fix. They made the process buy buying and maintaining a scanner seamless. Highly recommend!read less - 2/23/2024
Hieu Pham
Been super happy with service from this company. Very responsive, really passionate about their work. - 7/16/2020
Aaron Sipos
CAD-RAY has the best customer service. They go above and beyond to make sure you have a good experience with your medit scanner. With most tech companies, the person that answers the phone has to put you on hold for who knows how long before getting ...read moreCAD-RAY has the best customer service. They go above and beyond to make sure you have a good experience with your medit scanner. With most tech companies, the person that answers the phone has to put you on hold for who knows how long before getting you in touch with someone to fix the issue. With CAD-RAY, I called and Heather answered the phone. Heather was able to remotely fix my issue within 30 minutes and have me back up and running. No holds, no waiting!!! I highly recommend.read less - 9/01/2022
Shant Aharonian
Cad-ray has to be the best company to work with when it comes to digital dentistry solutions. Here are the reasons why:
1. Experience. Everyone in the company has extensive experience in dentistry. They have used all digital platforms and offer cust...read moreCad-ray has to be the best company to work with when it comes to digital dentistry solutions. Here are the reasons why:
1. Experience. Everyone in the company has extensive experience in dentistry. They have used all digital platforms and offer customers first hand experience.
2. Honesty. Based on their experience they share all the good/bad of different systems. They work with you to find a solution that works best for you. Not sell you the piece of the equipment that gives them the biggest commission.
3. Support. Cad-ray offers the missing piece of the dentist/digital manufacturer puzzle. Many other distributors sell you a piece of equipment but don’t have true day-to-day experience with that equipment. Cad-ray’s team openly share their expertise to help customers optimize their workflows with great technology.
4. Passion. The Cad-ray team is extremely passionate about their craft. They truly believe in what they have to offer.
I took Armen Mirzayan’s course on intraoral scanning and it was truly mind blowing. Armen’s insights will help any dentist optimize their craft. I purchased the full sprintray 3d printing ecosystem the help of Frank. I plan to purchase more equipment from cad-ray.
Also, Jesse is a genius in regards to all aspect of digital workflows. I’m truly grateful for this company and everyone who I’ve worked with so far.read less - 10/07/2022
carlos Santos
I would like to let you know that Kaila Larson is excellent communicator, personable, professional and knowledgeableI have had the opportunity to talk to her 3 times and it has always been awesome.Regards,Dr Carlos santos - 4/08/2022
Michelle Duong
We are a new user of Medit i600. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. Installation was also easy and straightforward. Our staff is really happy...read moreWe are a new user of Medit i600. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. Installation was also easy and straightforward. Our staff is really happy with this new addition to our office. Thank youread less - 9/23/2022
Needed help with scanner updates and Frank is the man! Once he was done the scanner was operating in hyper-drive!!thanks frankoffice of Glenmont Dental - 2/15/2022
Rich Hirschinger
I had an issue that was due to the Medit settings. Damien logged on remotely to my laptop, and resolved the issue in a couple of minutes. Fantastic service. Thank you. - 8/27/2021
Value Dental
Excellent customer service and support. Kaila was extremely pleasant and professional over the phone. She sent us the replacement part in a timely fashion. Will recommend this product and their business to fellow colleagues. Thanks again! - 12/06/2021
Kirk Arritt (fldnstrm)
Whatever digital workflow addition you want to add to your dental practice look no further than Cad-Ray. Top notch support and training. - 1/29/2023
Rodney Baier
Cad ray has been very nice to work with. Excellence service and support since I bought my Medit scanner - 6/16/2020
DERYCK PHAM
STOP SEARCHING NOW!
Best bang for your buck scanner on the market. we have been using out medit for 8 months now. love our crowns, margins are fantastic. almost no adjustments needed at all. maybe one in ten crowns might have to adjust mesial or...read moreSTOP SEARCHING NOW!
Best bang for your buck scanner on the market. we have been using out medit for 8 months now. love our crowns, margins are fantastic. almost no adjustments needed at all. maybe one in ten crowns might have to adjust mesial or distal to get crown to drop in. occlusion is always spot on. patients love the technology and WOW factor -"SOOO COOOLLL." customer service is great also! dont waste your money on anythign else. our lab even comments on how easy it is to deal with medit and how good the scans are. they recommend it to their other doctors now as well.read less - 10/09/2019
With the Meditlink software you can design a case and then export the designs and take them to any milling machine of your choice. In this demonstration, we use the CORiTEC ONE to mill out the metal abutment in 45 minutes. This procedure is not intended to be a single appointment visit so timing is not critical and you don’t place undue wear and tear on the milling machine.
The crowns were milled with two different milling machines. A Celtra Duo block was used and milled with the CEREC MCXL and retrofitted to the abutment to verify the fit and accuracy. The same crown stl was milled out of Vita material in the imes icore machine. The whole point of the demonstration is that you can take scans from any intra-oral scan, take it to CAD software (in this case exocad) and then export the case and take it to any printer or milling machine of your choice. You must make sure critical information is accurately transferred from your CAD software to your CAM software, which is generally the construction / project file that accompanies the STL files of the prosthetic components
The same crown was milled out of Vita’s Suprinity material in 20 minutes with the imes-icore CORiTEC ONE. Take note of the internal adaptation of the metal abutment and the restoration and how when it is flipped upside down, the restoration does not fall out easily!
For our advanced users, we demonstrate how to plan and manage a two unit molar case so they can deliver multiple chairside restorations in a single visit. There are numerous short-cuts to this treatment protocol and we present them in great detail during our courses. The limiting factor for most doctors is that they have a single milling machine and we show our users how to balance prep and mill time so that they can complete 2 units in less than 90 minutes.
In this case however, we present two restorations that were prepared and delivered at the same time. The sequence of steps are:
Anesthetize the upper right first and second molar
While the patient is getting numb, image the arch to be prepped, image the opposing, and image the bite WITHOUT the teeth being prepared
Reduce the occlusal height of your preparation but do not image them
Check your reduction visually or with the camera function of the Medit i500
Reduce more tooth structure until you have the proper clearance for material strength
Finish refining your preparations, displace the tissue, reach hemostasis, and then crop out the area of the model that you have altered
Image the two preps into that equation. Most people turn on the HD mode for capturing the margins
For distal extension cases, we recommend that you take the second bite. While imaging the second bite (NOT the left vs right bite), if the occlusal model turns green, it is a clear Indication that the vertical has no changed from the pre-op to the prep situation and that you will have minimal post-op adjustments to make. If the second buccal bite does not register in green, it should serve as a warning to you that the vertical dimension has changed
As advanced users, you quickly recognize what areas in the model need to be closed either with imaging or with the “close hole” options during the processing step of the Meditlink software. If you are familiar with exocad or other CAD software programs you can just ignore these areas as they do not have any clinical significance whatsoever.
Once the case is designed you can mill them with your milling machine of choice. The testing of materials, fit, and milling machines are a constant at CAD-Ray.com so we milled the first molar with emax material and the MCXL and the second molar, a Celtra Duo material, was milled with the Imes Icore CORiTEC Once
An immediate post-op bitewing X-ray was taken to verify fit and to make sure that there was no excess resin cement left behind in the interproximal area. The premolar mesial to the working field also needs to be replaced and will be in the near future
In the following three videos we walk you through the steps of how the digital “scanbody drop” works to identify the location of an implant fixture. In the demonstration videos, we highlight this upcoming feature and how you an integrate the CAD software for implant designs and restorations. In the final video, we demonstrate how you can take the construction files to the milling machine of your choice and mill out the abutment and/or suprastructure.
When you start a case in exocad or in Meditlink, you have to define a project or define the job by entering a prescription. A dentalproject file is created that has all the pertinent data, like the type of restoration, the shade, the material, parameter settings,etc..
After the case is designed a dental cad project file is formed, along with the stl file of the restoration, accompanied by the construction information. Once the construction file is formed, the case can be import it into CAM software like cerec inlab. It carries a lot of information like the margin line.
Some CAM software can process simple redirections without the need for any other pertinent information from the construction file, while others require it. Some are so specific that a simple typo or wrong character will lead to mis-production.
In the case of cerec inlab, it’s best to have the construction file accompany the stl of the restorations, although there are numerous work-arounds in case you don’t. Once processed, the restoration is taken to the Mcxl milling machine.
Why are we so focused on teaching this concept ? Because it is critical for milling metal abutment where you have to keep track of an object that is cylindrical and symmetric in shape. The code in these files will dictate the indexing of the connections and how these abutments are milled.
The new Medit i500 software will feature the ability to mark margins in the imaging step before you import the case into a CAD software or send it to the lab. In this article we showcase a case where a 12 year old implant crown needed replacement. The pre-op images were captured, along with the opposing and the bite.
After the area was anesthetized and the crown was removed, expasyl was used to achieve hemostasis and tissue retraction. The margins of the abutment were imaged. Note how we used a feature in the Medit scanner to change the scan light from blue to white, which allows you to pick up red (blood and tissue) that is normally difficult to capture.
Once the margins were captured, we activated the margination tool. You highlight the area you want to address and the meshwork is calculated and processed locally, where you can then designate your margins that are exported to CAD software along with the jaw model, the opposing, the pre-op and the bite.
Alternatively, the traditional way would be to not place the margins in the native Medit software and to place it in the CAD software itself. As you can see both options are very viable and you do not lose any resolution of the scanned data between the imaging program or the design software.
The Medit i500 intra-oral scanner has two different software programs to operate, one is of which is geared towards clinical dentistry and the other is geared towards laboratories. Our advanced users are encouraged to use the lab version as it has a lot more functionality. One of them is to directly link to exocad software.
In this particular preview we show you the interface where you can launch the iScan program and define the work order and set all the parameters for your restorations.
Once all the settings are chosen, you launch the Medit scanner and image the case. Here, we defined the custom abutment for the crown and the opposing, which activated the catalog box for the antagonist, the arch, the scanbody, and the buccal bite. All respective images were captured.
Once the implant type is identified then you can design the abutment and crown with great control, where you can contour the underbelly of the abutment to help provide tissue support.
The design and the construction file is taken to the milling machine. Here, we used the CORiTEC ONE to mill the titanium abutment and then the Lithium Disilicate crown. You can see the great internal adaptation when the crown and the abutment are flipped around completely and the abutment does not fall out.
This case shows the amount of control one can have over the fit of a restoration. The upper right first molar was imaged with the Medit i500 and then imported into exocad design software. Once the margins are marked, the user can then define parameters that affect the fit of the restoration.
The diameter of the drill can be taken into consideration; in the design, 1.0 mm was chosen, but ultimately, we used the 0.6 mm bur to mill the intaglio of the emax restoration. The cement gap can be controlled as can the distance from the margin where it takes effect. The minimum thickness parameter also reinforces the material at the margins which will reduce the chances of chipping and ditching at deep chamfer margins. All of this translates into well fitting restorations with little space needed for the resin. That ultimately translates to easier clean up.
The case was milled using a few different materials and at varying speeds to see how thin the margins could be handled and how much detail the 0.6 mm burr can carve into emax and the glass ceramic material
At any given time, we are milling restorations with 3 or 4 milling machines. Recently, we designed a restoration with the Medit i500 scanner, designed in exocad, and milled with a chairside mcxl cerec milling machine. Here are the steps we took to do this:
You may have to install some .net framework files from Microsoft. It’s generally an automated installation
Once installed, make sure to have your milling machine turned on and connected. A lot of the functionality is closed if your machine is not on and connected to the PC with the software.
We had to follow certain steps in sequence to get this to work. We had to activate the license in a pre-installed CEREC software and then move that thumbdrive to the machine where the inlab CAM was going to be installed
You can contact Mr. Milos Gedosev who runs DentalCADCAM in Germany and has earned a great reputation over two decades if you have any questions.
If you are new to digital dentistry, this introductory video will show you how to judge if digital models are related to each other. As a simple exercise, we opened one digital model and then imported the exact same model as a pre-op scan into the equation.
Once the models are in the design software, they are manually related to each other with at least 3 common points. After the merge, we performed “best fit matching” and then demonstrate how the color histogram in exocad has the both models painted completely blue.
We then slightly altered one model by adding material to one cusp tip, reduce the adjacent cusp tip, and then smoothing the third cusp tip. We then re-aligned both models to each other again and you can see how the software lets you know the range of discrepancy in those areas. Notice that all three areas have the same histogram color but all three have distinct meshwork areas from the original.
Once you understand this concept, it opens up many avenues for you that you can never achieve with traditional impressions.
There are may advanced ways that you can articulate the maxilla with the mandible if you happen to have models that are not accompanied by a bite registration or the arches were scanned intra-orally in separate folders as files
Generally, when you scan intra-oral and complete the case with both arches and the buccal bite, the models maintain their relationship to each other when exported to CAD software. But if you do not include the buccal bite scan, or if you scan the arches in separate files or cases, there is no way for a software to know how they are supposed to align with each other.
This simple video tutorial shows beginners how they can hand articulate the arches together with digital software. There are two steps you should take to make this an easier process to visualize, once you become comfortable with the moving models around as a system or as independent units. Crop the model at its base so that you can see through it and then turn on the feature “show distances” in exocad that will give you a color map and help you with alignment.
Obviously a bite alignment scan will come in hand, whether you use a desktop scan or an intraoral buccal bites scan
Once in a while, our users get themselves in a bind and you have to rely on manual alignment of jaws to each other. Sometimes, it feels like you are doing gymnastics to get the process to work. The sequence of how you import the models and how you set up the case is important in exocad.
Here we have 3 models; one of the upper, one for the lower, and one for the bite. Don’t ask how we ended up here:) The “direction of travel” is important to keep in mind, and as you can see in this video that is sped up, how the case was managed. if you bring in the upper and lower models in together, and then the bite, as soon as you align the bite to one jaw, you end up dislodging it when you tack it to the opposing jaw.
Reversing the sequence of import helps. We first bring in the upper jaw and the bite alignment and stitch those together. Then we bring the lower jaw into the equation and then merge that to the whole complex. Once that is done, the arches now know their relationships to each other and when you save each arch individually and import them into other programs, they will know exactly how to line up.
At the end of this video demonstration you can see how we re-import the two models in stl format just to verify that they do align properly
In this particular case, we demonstrate an emax restoration fabricated with the Z4 milling machine by VHF. In the first video, you can see how the case was set up initially within the software. You will notice how we image the preop, image the opposing and can even image the bite out of sequence, all while the patient is being anesthetized.
Once the preparation is captured, we place the margins and design a crown in exocad. The emax is milled, tried in, and them placed in the oven for crystallization. It is then delivered to the patient. Note how the decay at the contacts of the adjacent teeth was drilled out and restored, while the crown was milling / crystalizing. An immediate post op x-ray was taken to make sure there was no resin left behin
When imaging a preparation, all you really need for a restoration to “fit’ is the contact area of the adjacent teeth (above the height of contour) and the opposing occlusal surface.
But the more you feed the computer aided design software the less work you have to do in the design of the restoration. For example, in the video below, you can see how the software automatically recognizes the adjacent teeth and a great initial proposal is rendered.
However, if you don’t capture all the data in the adjacent teeth, you will have to manually plot the adjacent teeth and spend more time in the design steps.
With exocad, the first step is to align the orientation of the arch so that the occlusal surface is directly facing you. Once the prepped arch and the opposing models are imported, then you place the margins.With the color OBJ files from the Medit i500 it is very easy to identify the margin based on color and geometry. Once the margins are placed, the next step in the wizard is to calculate the initial proposal.
This video demonstrates how the CAD software recognizes the adjacent teeth and renders a great initial proposal
Download the OBJ files and import them into smile design software and do a virtual wax up for a real case
This patient has had crown lengthening procedure performed on all the teeth in her smile line, greatly increased the tooth structure visible in this video. Her chief complaint was a gummy smile and now she is ready to “fill in the buccal corridor”
This is a first molar crown that was replaced with an in-office milled eMax restoration. The adjacent second molar had recurrent decay under the existing class 2 restoration. That was removed and replaced and pre-existing crown was also removed.
The preparation was refined and the recurrent decay was removed. Once hemostasis was achieved and the tissue was retracted the area was scanned with the medit i500. The crown was designed to full contour and milled chairside. After it was chrystalized, it was bonded into place with Nx3 resin cement. The excess was removed and an immediate post-op bitewing was taken to verify that no excess cement was left behind.
Pre-Op
This video shows the design of a crown after the impression was taken where vivid colors of the retraction cord, the sulcus, the preparation, and the details of the adjacent tooth can be visualized.
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Immediate Post-Op
Download the case files in OBJ Format
There are so many incredible and robust features to exocad and it is precisely why there are over 35,000 users around the world. There are many distributors to the software, including us, at CAD-Ray.com
We focus mostly on our clients who are generally dentists, and our main goal is to streamline your workflow and make this easy and not intimidating. During our two day hands-on course for new medit i500 owners, we install the software and design four cases in exocad.
Here are some of the top highlights for you to understand. The software is installed and self contained within a folder that you can place anywhere on a computer’s directory. What’s great about this is that your software operates completely independent of the windows operating system. So whenever there is an automatic windoes update, it does not mess with your configurations or settings and you don’t have to deal with firewalls and other technical terms we don’t even comprehend.
Another benefit to this is that you can place this folder on the cloud like dropbox and then you can go to ANY machine- at home, in another operatory, at another office and launch the program there, instead of carrying a laptop around. Since the data can only be accessed by a real license / dongle, there are no concerns about HIPAA violations as it is encrypted and only accessible by the active license. Moreover, one machine can be running Windows 7 and another could be runnng Windows 10, and you wouldn’t know the difference or have to worry about configurations
Also, multiple doctors in multiple locations could be working off the same program on the cloud, as long as they have an active dongle. This really allows for a lot of flexibility in a practice or a group setting.
You can see the basic elements in the folder, which are broken down into a case data storage folder, the CADApp and the DentalDB folders. We’ll explain what these other two folders do below.
As a distributor, we can custom make our own private label version of exocad. Since we are focused on chairside dentistry, or on dentists, generally, we strip the software down to the essentials. Namely, we’ve programmed it for inlays, onlays, crowns, and veneers. We also include bridges that can fit in 40mm blocks. You can choose to add on other modules like implant planning, implant designs, dentures, etc.. if you choose to.
It is important for you to understand that we provide a fully functional version of this software, and if you want to add more features as your confidence grows, all you have to do is swap out these files called WorkParamsDB.xml
Watch the video that shows you how we have multiple versions of the file. We provide you with many versions of this file that you always have access to and they are all configured differently. In seconds, you can change the look and the feel of the software to your liking, and turn on multiple modules that we hide from the version that we provide. Please note that we only provide support and tutorials for the what we call the Dentist Version of exocad, as opposed to the lab version. If you grow to the point where you want to add the other components, it is very to transition, just recognize that we don’t support the heavy duty version. We certainly can refer you to the right people to learn how to use those extended functions.
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One more thing for you to get excited about is the WorkParamConfigTool.exe
Now, if you are scared of the mouse and can’t press the “Any Key” button on keyboard, stop reading any further.
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