I'm a dentist in NJ, and I purchased the Medit i700 from CAD-Ray. Hands down they have the best support team. Laura is awesome with helping us using the Medit and with providing any support we may need. One of my best decisions so far was working wit...read moreI'm a dentist in NJ, and I purchased the Medit i700 from CAD-Ray. Hands down they have the best support team. Laura is awesome with helping us using the Medit and with providing any support we may need. One of my best decisions so far was working with CAD-Ray.read less - 4/15/2022
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
Mathew Rosinsky
Amazing support. Great product. Thoroughly happy with all that this organization offers and provides to our team. Looking forward to doing more business with them in the future. - 12/13/2021
Evan Bedell
Laura has always been so helpful with the medit when we needed assistance or resources. The training she provided the office was invaluable! She is quick to respond whenever we reach out. 13/10 - would recommend her to anyone looking to get a medit ...read moreLaura has always been so helpful with the medit when we needed assistance or resources. The training she provided the office was invaluable! She is quick to respond whenever we reach out. 13/10 - would recommend her to anyone looking to get a medit scanner.read less - 12/16/2021
Thomas Lim
5 stars for a great product and great service. After much research I knew I was set on the Medit 500. I considered some of my local equipment reps, as well as cad-ray. Cad-ray won out due to their efficiency, speed of service, and knowledge. The...read more5 stars for a great product and great service. After much research I knew I was set on the Medit 500. I considered some of my local equipment reps, as well as cad-ray. Cad-ray won out due to their efficiency, speed of service, and knowledge. Their online presence makes it easy to get help via messaging, social media, or phone.
The scanner itself works great, but make sure to contact them to get the minimum specs required for a laptop -- it will make a difference in how the scanner performs.
To make the scanner mobile, I purchased this cart from Staples: https://www.staples.com/Oklahoma-Sound-Premium-Audio-Visual-Presentation-Cart-40-1-2-H-x-18-W-x-30-D-Black-Ivory-Wood/product_932437.
Lastly, I purchased "3M Dual Lock Fastener" to keep the power module attached to the wand from falling off the cart. I carry the scanner between two offices, so I wanted something sturdy, but removable. (see in photos). The hockey puck shaped holder (comes with the scanner) works great for holding the wand itself.read less - 10/10/2019
Nicely done Cad-Ray- Thanks for helping me get back to work! The new i700 is our tech fav! - 3/03/2022
Mark Evans
I’d like to tell you a story about CAD-Ray.com.I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little indepe...read moreI’d like to tell you a story about CAD-Ray.com.I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little independent distributors. They just called us, and we just found out. What this means is that we won’t be able to provide you service after purchasing the VHF mill that you just bought.”Now, they could have just left it at that. They could have said, “Sorry, it’s out of our hands.” They could have said, “We appreciate your business, but it’s not our fault.” They could have said, “That’s the way the cookie crumbles.”But they didn’t.Frank Weinstein calls me up and tells me that they want to make this right, so they are going to hook me up with a brand new Imes Coritec One+ for the same price as the VHF. The Coritec One+ is like the Mercedes of mills for in-office. This is the new model that just barely came out. It is a 5 axis mill. It does wet and dry milling. It does blocks and pucks. It mills all materials know to man, including Vibranium. It can also fly the space shuttle, and make all your wishes and dreams come true. It’s that good. It came with the laptop, Exocad, all the tools, and all the bells and whistles. It came fully loaded. It came white glove delivered to my office. It came with in office training. It came with the extra bur package. It came with everything and the kitchen sink.So, I paid 36k for a mill, and because of something that was not Cad-Rays fault, they ended up giving me a 60k mill for the same price.In the words of the great Tony Stark: “That’s how Dad did it. That’s how Cad-Ray does it. And it’s worked out pretty well so far.”Thank you Frank Weinstein and Armen Mirzayan for having outstanding customer service and going the extra mile every time.read less - 4/09/2021
Ramin Goshtasbi
Great service even if you own a Primescan. Company is built on customer service. Thanks for the help guys…. - 1/05/2022
Thomas Lim
5 stars for a great product and great service. After much research I knew I was set on the Medit 500. I considered some of my local equipment reps, as well as cad-ray. Cad-ray won out due to their efficiency, speed of service, and knowledge. Their on...read more5 stars for a great product and great service. After much research I knew I was set on the Medit 500. I considered some of my local equipment reps, as well as cad-ray. Cad-ray won out due to their efficiency, speed of service, and knowledge. Their online presence makes it easy to get help via messaging, social media, or phone. The fact that one of the employees of Medit (an engineer?) posts on the cad-Ray Facebook group speaks volumes of the vendor-mfg relations.
The scanner itself works great, but make sure to contact them to get the minimum specs required for a laptop — it will make a difference in how the scanner performs. I had some slow scans at first but upgraded from 8gb to 32gb ram and also got some coaching from customer service (Frank) to get me up to speed.
To make the scanner mobile, I purchased this cart from Staples: https://www.staples.com/Oklahoma-Sound-Premium-Audio-Visual-Presentation-Cart-40-1-2-H-x-18-W-x-30-D-Black-Ivory-Wood/product_932437.
Lastly, I purchased “3M Dual Lock Fastener” to keep the power module attached to the wand from falling off the cart. I carry the scanner between two offices, so I wanted something sturdy, but removable. (see in photos). The hockey puck shaped holder (comes with the scanner) is heavy and sticks to the countertop without needing any adhesive.read less - 10/12/2019
Shout out to Nick, Frank and Armen ! Cheers . Great customer service by Nick and Frank. Too early to make a comment about the scanner but these guys are awesome. - 9/19/2020
Caroline Langlois
It's so nice to enter the digital age for scanning! I've been taking impressions since 1975. Medit i700 is amazing and our #1 supporter, Laura has been with us every step of the way. I truly don't know what I would do without Laura and Nick in tec...read moreIt's so nice to enter the digital age for scanning! I've been taking impressions since 1975. Medit i700 is amazing and our #1 supporter, Laura has been with us every step of the way. I truly don't know what I would do without Laura and Nick in tech support. They definitely need a raise! Yes, we had a couple of glitches (mostly operator error) but they were there with us all the way. The detail that the scan gives, whether it's a crown, bridge, full mouth scan for patient review and now many scans for NTI's is truly amazing! We recommend it highly to all who are interested! I am proof that as a dental assistant who's 64, you CAN teach an old dog new tricks!!!read less - 12/09/2021
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 had 3 Cerec machines and switched to medit. It’s awesome and do not regret the switch one bit. This is the place to buy it bc Armen and Frank are a wealth of knowledge and Frank is awesome with support. He’s always there whenever I need him! - 10/10/2019
This has been awesome, to be honest I have know idea how to use it but our team members have picked it up so easy!! - 6/16/2020
Page Barden
I have just recently purchased the Medit i700, and although it is "on its way" I have to comment on the support that I have already received, especially from Nick. He walked me through the benefits and features of the scanner and the transaction was...read moreI have just recently purchased the Medit i700, and although it is "on its way" I have to comment on the support that I have already received, especially from Nick. He walked me through the benefits and features of the scanner and the transaction was extremely easy. I can only think that the rest of the onboarding will be the same and in six months I will revisit this site and be extremely grateful I made the purchase.read less - 12/09/2021
I just purchased the CAD-Ray unit at Chicago Mid Winter meeting. We have used it for single crowns so far and have been very pleased. Nick was my sales contact and he has helped a great deal with some of our 'learning curve " issues. I looked at a nu...read moreI just purchased the CAD-Ray unit at Chicago Mid Winter meeting. We have used it for single crowns so far and have been very pleased. Nick was my sales contact and he has helped a great deal with some of our 'learning curve " issues. I looked at a number of scanners and felt CAD-Ray was the best-two of the labs I use also feel it is the best scanner.read less - 5/12/2020
Scott Terry
Six Stars! On a scale of one to five, I give CAD-Ray six stars. They really are that good. If you are purchasing an intra-oral scanner, I would recommend buying the Medit I-700. It is a dream machine. But, if you want incredible service every time, y...read moreSix Stars! On a scale of one to five, I give CAD-Ray six stars. They really are that good. If you are purchasing an intra-oral scanner, I would recommend buying the Medit I-700. It is a dream machine. But, if you want incredible service every time, you should buy your scanner from Cad-Ray. They have come through with flying colors each time I have contacted them. Their sales team great and their service is amazing. They have volumes of educational videos available, as well. I have worked with Jonathan, Damien, Frank, Armen and Laura. In a time where we are seeing the opposite, CAD-Ray will totally blow you away with the entire experience. I totally appreciate them and their value.read less - 11/01/2021
Michael Pagano
I bought a Medit i500 from Cad-Ray. The service was fantastic. This group also does ongoing training to keep you up to date on how to use the technology.I had a minor issue with hardware and Cad-Ray resolved the issues no questions asked!They have a ...read moreI bought a Medit i500 from Cad-Ray. The service was fantastic. This group also does ongoing training to keep you up to date on how to use the technology.I had a minor issue with hardware and Cad-Ray resolved the issues no questions asked!They have a very active online forum that is supportive. I wouldn’t hesitate to purchase more equipment from them!read less - 10/13/2020
Eric Turner
I bought my Medit from Cad-Ray a little over a year ago. The very few times I've needed any kind of help with it, Cad-Ray has been absolutely ON IT. Issues get completely resolved within minutes. It's great!! - 11/01/2021
Iseoluwa Adedeji
Just got this scanner a few weeks ago. Has changed my workflow. Easy scanner to use. What's truly great is the support behind the product. Whether by call or fb messenger, I have never not been able to reach someone who solved the issue! Very pleas...read moreJust got this scanner a few weeks ago. Has changed my workflow. Easy scanner to use. What's truly great is the support behind the product. Whether by call or fb messenger, I have never not been able to reach someone who solved the issue! Very pleased so far.read less - 6/19/2020
As a lab we see a lot of scans. Great quality and easy to create great restorations from the Medit offices that send us work.- Jarvis dental lab - 1/29/2019
Benjamin Polan
A while ago I became interested in an intra oral scanner for my office especially for dental sleep medicine and TMJ appliances. I searched online for Medit and found cad ray. Laura from Cad-ray quickly responded and set up a zoom meeting so she could...read moreA while ago I became interested in an intra oral scanner for my office especially for dental sleep medicine and TMJ appliances. I searched online for Medit and found cad ray. Laura from Cad-ray quickly responded and set up a zoom meeting so she could demo the unit. Great job at helping me understand. She set up the financing and I got my unit. A few glitches with my internet speed and getting IT to help with my upload and download speeds and I was ready to go. Every time I had a question I texted Laura and almost like she was waiting for my call she responds. We it turned out my unit wasn't just right so she immediately responded we will replace you unit. Laura has been a joy to work with and the customer service given will only encourage me to do business with cad-ray again.
Benjamin Polan DMD, D,ABDSMread less - 8/27/2021
Customer service is truly the best I've seen. You don't just buy a product from them. There are hundreds of hours of training videos, and they have answered any question we have had in a matter of minutes. We are so glad we purchased our IO scanner t...read moreCustomer service is truly the best I've seen. You don't just buy a product from them. There are hundreds of hours of training videos, and they have answered any question we have had in a matter of minutes. We are so glad we purchased our IO scanner through them!read less - 4/09/2021
Steven Polasek
The cad ray team is the best! Jon and Nick offer first class service! I ordered a medit i500 from another supplier and had to cancel my order after it had not arrived within 3 weeks. Placed my order with Jon and Nick, had the scanner to me within 24 ...read moreThe cad ray team is the best! Jon and Nick offer first class service! I ordered a medit i500 from another supplier and had to cancel my order after it had not arrived within 3 weeks. Placed my order with Jon and Nick, had the scanner to me within 24 hours of purchase. I love my medit! Best scanner on the market!read less - 6/15/2020
We have been using the scanner for a few weeks now. It’s been a blast to use and they have made it easy to learn with video tutorials. We have yet to go to the training, but we are excited to continue learning and expanding our digital dentistry. - 6/19/2020
Michael Martinsen
Honestly the best service that I've received in dental tech support. I had originally purchased a scanner with another supplier and was underwhelmed with the support I received. I switched over to CAD-Ray for my second scanner and have never been let...read moreHonestly the best service that I've received in dental tech support. I had originally purchased a scanner with another supplier and was underwhelmed with the support I received. I switched over to CAD-Ray for my second scanner and have never been let down. They are prompt and exceptionally knowledgeable about the products they support. Thank you CAD-Ray for keeping my practice moving smoothly!read less - 8/27/2021
Frank Gibbons
I just bought my first Intra-oral scanner (Medit I-700). I have demoed scanners from various companies in the past but have been less then thrilled with the applications, scanner ability, ease of use and overall user experience. I feel that now the...read moreI just bought my first Intra-oral scanner (Medit I-700). I have demoed scanners from various companies in the past but have been less then thrilled with the applications, scanner ability, ease of use and overall user experience. I feel that now the technology has caught up to where it should be and after reviewing many scanners on the market have decided to go with Medit. The Medit i-700 gives me all the functionality I could want, has an affordable price and works for all the procedures I need it for (scanning for ortho, dentures, partials, crowns, bridges, implants ect.). I love that they continually update their software and most importantly that those upgrades are free to the end users. Another huge plus is that when I have a question I get actually get someone on the phone!! For all these reasons I finally jumped in. I would recommend anyone else to do so as well!read less - 5/06/2021
Dana Mallard
Heather Gramely provided excellent costumer support today. She went above and beyond the reason I even called to update our computer and software and aid in warranty information/repairs. - 2/08/2022
Shilpa Jobanputra
New user and absolutely love my Medit i500 scanner. Easy to use, fast, affordable and so quick for a first timer IOS user like myself. Customer service is fantastic, as are the sales people. It’s good to know you have strong knowledgeable people beh...read moreNew user and absolutely love my Medit i500 scanner. Easy to use, fast, affordable and so quick for a first timer IOS user like myself. Customer service is fantastic, as are the sales people. It’s good to know you have strong knowledgeable people behind the scenes ready to help at every turn. I would recommend this product highly. Happy in PAread less - 9/09/2020
David Stall
These guys are great. Always available and helpful. My scanning issues were dealt with quickly and courteously. - 10/01/2021
Nick Boyd
Great people. Very helpful with anything you need. - 6/16/2020
Shahnam Shifteh
I just ordered my i700 and am
Very excited to get into the digital world of dentistry and Nick was extremely helpful with answering any questions and helping to put the order together. - 12/09/2021
Last year when I started looking into the Medit i500 I had my front desk call 3 sellers to get preliminary information. She told me hands down call CAD-RAY and don’t bother with the others. Boy was she right! Frank got us going with all our hardware ...read moreLast year when I started looking into the Medit i500 I had my front desk call 3 sellers to get preliminary information. She told me hands down call CAD-RAY and don’t bother with the others. Boy was she right! Frank got us going with all our hardware needs and trained us until all our questions were answered. Then Jonathon and Armen jumped in at our 2 day live training in Baltimore. I still review my notes to implement all the great ideas. When I get myself in a jam time to time CAD-RAY responds immediately and fixes my problem. Best decision I have made in the practice in a long time - Thank you everyone at CAD-RAY!read less - 10/09/2019
Cad-Ray is great! Great customer service and they are consistent with their followthrough . Always helpful when you need questions answered and helping to lower the learning curve with newly purchased equipment. I’m very satisfied with my medit i-...read moreCad-Ray is great! Great customer service and they are consistent with their followthrough . Always helpful when you need questions answered and helping to lower the learning curve with newly purchased equipment. I’m very satisfied with my medit i-500 intraoral scanner. Armen and Frank are solid!read less - 6/16/2020
Dong Lim
One of the best investments I’ve made for my office. A fraction of the cost compared to cerec. No monthly club fee. Easy maintenance. Saving a ton on lab costs. Milling and designing crowns is honestly my favorite things to do now. - 6/29/2020
Purchased the Medit right before the COVID shut down, which gave us time to train on it by watching all the awesome videos CAD-Ray provides. If I couldn’t figure something out, our questions were answered quickly. Now we’re back and using it like cra...read morePurchased the Medit right before the COVID shut down, which gave us time to train on it by watching all the awesome videos CAD-Ray provides. If I couldn’t figure something out, our questions were answered quickly. Now we’re back and using it like crazy. It’s quick, my assistant picked it up quickly and my cases have been coming back perfect. Super happy with the Medit!read less - 6/16/2020
kenneth kim
Purchased Medit in 2019. Bang for the buck best investment and will get you started in digital dentistry with ease. No monthly subscriptions and Cad-Ray support is amazing. No regrets. - 6/16/2020
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
Robert Loughlin
I Love it !!! I needed to replace my Omnicam because the computer hardware was old and not able to keep up with the software upgrades. The computer upgrade costs from Sirona were cost-prohibitive (another reason why the Medit is so good) and I wasn...read moreI Love it !!! I needed to replace my Omnicam because the computer hardware was old and not able to keep up with the software upgrades. The computer upgrade costs from Sirona were cost-prohibitive (another reason why the Medit is so good) and I wasn't about to make the same mistake twice and replace it with another system from Sirona. I was a bit unsure about making a big switch but after speaking with Nick Statly at Cad-Ray, he eliminated all of my reservations and I ordered it. I've used it for the past week and love it. Setting it up and getting it running was simple. I would not describe this as a do it yourself process, it's much easier. If you can make a cup of coffee you can set the scanner up and start making excellent scans. All one needs to do is watch the very well laid out and easy to follow videos and save a lot of money. The image quality and ease of use hands down beats the Omnicam. Also during the current pandemic, I really feel better about being able to cold sterlize the tips vs the omnicam's just "wiping down." I almost hope my desktop scanner craps out so I can get the Medit desktop. I'm glad I listened to you Nick!!!read less - 6/04/2020
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
Maggie Sh
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
Amber Thomas
Andy was very patient and informative during our Medit Training. He made sure that we understood exactly what we needed to know in order to be successful during scans. Since our training we've moved full steam ahead in completing scans for lab fabric...read moreAndy was very patient and informative during our Medit Training. He made sure that we understood exactly what we needed to know in order to be successful during scans. Since our training we've moved full steam ahead in completing scans for lab fabrications of crowns, bridges, and Invisalign. Thanks so much!!!read less - 4/05/2022
Cadray has great support and service! They are very responsive to questions. Love the new medit scanner! - 5/06/2021
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
Gunther Heyder
Fantastic Scanner. Has changed the way I practice dentistry. Opens up more time in my schedule and opens up new methods to allow for more consistent, satisfactory results. Customer service is fantastic. Feels like friends are on the other side of the...read moreFantastic Scanner. Has changed the way I practice dentistry. Opens up more time in my schedule and opens up new methods to allow for more consistent, satisfactory results. Customer service is fantastic. Feels like friends are on the other side of the phone. Good work CAD-Ray!read less - 12/08/2021
Ernesto Carmona
When I decided to purchase a digital scanner I decided on user experience. They have provided the best experience I could have asked for, from online support, Facebook support, and in person courses. There is no better team to buy Medit from period...read moreWhen I decided to purchase a digital scanner I decided on user experience. They have provided the best experience I could have asked for, from online support, Facebook support, and in person courses. There is no better team to buy Medit from period. Do yourself a favor and buy from them if you are in the market for an intraoral scanner.read less - 6/16/2020
Travis Kendall
This scanner is amazing! It’s hard to believe that it is less then half the price of 3 shape with zero yearly charges. I highly recommend you give it a try! - 10/09/2019
I've been fortunate to have had the opportunity to work with Frank DeLuca this past year. He is always pleasant, willing to help, responsive to my questions and extremely knowledgeable. I highly recommend Frank!! - 12/16/2021
Most if not all milling machines do not adequately cool the tools or restoration while milling. At CAD-Ray we have developed augmenting tools that reduce or eliminate any dry milling of glass ceramic restorations. We can either run tubing from the holding tank or we can submerge the block for soaked milling
The CAD-Ray team is happy to announce that CAD design software has experienced a breakthrough. One of the hurdles of using design software has always been that it was created with lab technicians in mind; the rationale being that technical staff would be using it more than clinicians. It is no wonder that many still send off their scans to labs to be designed “by the experts.”
With the boom in digital and CAD/CAM dentistry, many offices are finally making the leap to bringing some or all of that workflow in-house to be done chairside (as they should). While there are many solutions available to incorporate one or more aspects of the digital dentistry workflow into your practice, it’s safe to say that the innovative design of Clinux is a turning point for design software.
Clinux is the result of collaboration by a team of experts from the most reputable and recognizable brands in the dental industry, all previously involved with advanced technology and equipment. It is made by those who have seen the pain points of the best programs in the dental world. They came up with a plan to eliminate the confusing barriers to simple plug and play design. Clinux is made for dentists in mind, not lab technicians. Less time spent onboarding, less clicks to your finished designs, and clear, reasonable fees all result in the first dentist-friendly CAD design software. Best of all, storage is not required. It is the first CAD design software that operates in the cloud.
Clinux; it’s completely independent, and curiously intuitive. It’s reasonably (and transparently) priced and very accommodating to workflow integration. Combined with the power of Medit, it is easily the most portable and efficient digital solution you’ll find anywhere. As always, the CAD-Ray team, the leader at post-sale technology support will be in your corner with its White Glove service. We encourage you to check it out and see for yourself…
For advanced users of meditlink software, you can skip filling out the Rx form and go straight into scanning. But make sure to properly fill out the CAD Rx form so that all the necessary models are imported into the design software. If you don’t designate the opposing or the Pre-op / Wax-Up in the form, they will not be part of the design equation. Also, this video shows how to select multiple restorations at once.
here is a list of why the Medit Artificial Intelligent Implant Suprastructure Identification System is significantly more advantageous over all other cadcam systems.
It s technically a crown and bridge case and the implant location or timing does not matter
You can find margins outside the mouth! See the first video to appreciate the significance of this
You don’t have to deal with retraction or hemostatis at all
You don’t have to worry about sprue position. Many other systems force the placement of the sprue to a specific location often making the case more difficult to manage than necessary
you are not limited to just a few implant lines
you don’t have to worry about location of anti rotational notch
you can digitally alter the prep and get a virtual reduction coping in cad
Use any restorative block you want. There is no need to order special blocks with pre-fabricated access channels and keep a large inventory of many colors. Your regular block inventory will suffice. Just make sure the top of the tibase is wider than the diameter of the drill used to mill out the intaglio. Also, the CAM and the milling machine determine the exact product and different settings maybe utilized to give you relief off the walls. Some will even remove the antirotational notch because the adaptation is so tight, the restoration will not rotate due to the tall walls of the tibase
You can check the fit outside the mouth on the same tibase or a one you keep chairside for every case to let you know that if you are not seating, it is clearly a contact or contour issue as opposed to an intaglio issue.
This article features the new Meditlink 2.3 software which has some advanced functionality. One of the greatest achievements is he ability to tell the scanner to avoid imaging certain colors like green and blue. This greatly facilitates the imaging of full arches as you can let your gloves / fingers guide the camera and displace all the soft tissue that impedes image capturing. We also feature how easy it is to launch CAD software to design the restoration and mill it out of lithium disilicate material
Case set up: here we enter the patients name and a simple tab appears where we chose the material and restoration tab. Once you image, you can place an order to the lab or you can advance to the CAD tab:
After the Rx has been filled out, you can launch the Medit Scan and image the upper and lower arches. Please note how we tell the camera to avoid the color blue and it ignores the clinicians fingers during imaging. The upper jaw and lower jaw were captured, then the bite registration even before the preparation was finished. This allows the verification of proper reduction and space for the ceramic material
Lower Arch Scan
The lower arch is the most difficult area to scan as you frequently have to battle the tongue, saliva, and the lips. The optragate can be of great help but notice how we use the color filter to hide the blue gloves while we advance the camera. It is a great aid in facilitating the capture of the lower arch
The same principle is applied to the upper arch. Notice that the software does not care if you start with the upper or lower arch. Here, you can visualize how the blue glove was used to displace the cheek and capture the pre-op condition of the upper second molar. The rest of the arch was easily imaged. It is not necessary to capture full arch impressions and this was done just for demonstration purposes. For a single unit case, generally imaging distal from the canine is adequate.
Checkingthe reduction and aquiiring the bite registration
We recommend that you capture the bite before you finish imaging the preparation. This gives you one last chance to verify that you have reduced enough to accommodate material thickness. You can see how we just take regular photos to document the lack of clearance and we continue to adjust the height of the preparation until we achieve the required space. We then activate the imaging process and capture the occlusal relationship between the upper jaw and the lower jaw
Image the preparation and place margin in native MeditScan Software that transfers to CAD Software
The preop condition is then transferred to the arch model and the tooth in question is cropped out. The rest of the arch is protected so no extra data is added unnecessarily to the equation. This protect feature is used for demonstration purposes and is subsequently removed. The prep in question is then highlighted and the local area is processed and the margins are placed. This margin line can be sent to the lab or it can be automatically carried to the design software
The Meditlink software allow you to launch a variety of CAD programs that include 3shape, exocad, cerec, etc… Here we launch exocad which automatically imports and aligns the models and marks the margins. The restoration is then designed to completion.
The CAD software allows you or the lab to alter the marked margins if necessary. The restoration is aligned in the arch for and the contacts are adapted to the adjacents and the oppising
Milling of Lithium Disilicate with Imes Icore Coritec One
The final restoration design can be exported as an stl and taken to a variety of mills or printers. Here we designed it millbox and milled with the coritec One. The material used was Amber Mill and it was crystalized and seated
The following pictures depict the sequence of burs we recommend that you use to finish a preparation quickly. While patient is getting numb, take a quick look at the clearance you will need to reach proper material thickness. Once the quadrant is isolated with isolite and optragate, take an occlusal router bur and create a trough to gain the proper depth. Follow that with a flat disk, and you can quickly reduce the occlusal height.
A shoulder bur of .8 mm thickness can help you reduce the interproximal areas as well as the buccal and lingual margin lines. Before finishing the prep, place hemostatic agent like expasyl in the sulcus and place retraction cord. while it is setting, check your reduction. If you need more space, now is the time to reduce some more.
Once you have adequate clearance, retraction, and hemostatis, you can readily image and find your margins in the CAD software
I am not one to place much faith in published articles from academicians. I usually draw my information from trusted colleagues and also a very reliable source, Mr. Andrew Sedler, from Advanced Technology Centers in Burbank California. He is in charge of manufacturing thousands of full arch restorations for clinicians and many other labs that outsource their manufacturing.
One of the things I always get a kick out of is whenever they do purchase technology or implement a process, they always have to do it with redundancy. What that means is that their machines can never go down for whatever reason, so they always purchase printers and mills by multiple sets. Interestingly, I was witness to them incorporating printers into the lab about 6-7 years ago and now they have a large wing dedicated to printing with over 20 machines for many different purposes.
I trust his judgement and always follow his recommendation and tested methods. When he says “do not bypass verification jigs, no matter what scanner was used”, I don’t even question it. He sees all the cases many entities can’t manage and he can manufacture any screw, prosthetic, abutment, etc… with their high end milling machines. In fact, it was on his word alone we decided to distribute the ICam4d by imetric.
I thought it would be a good idea to revisit full arch implant restorations with him and see what the state of the industry is like today and what he would recommend for the end users and patients. A very good perspective for a clinician to keep is how a simple mistake or misunderstanding can wipe away all the profit margins for a lab and even for the clinician. A simple example is if you have to correct an angulation issue on an abutment which can dramatically impact the costs of the lab work.
Here is the Q/A session:
“Hi Andrew, I am writing an article on full arches and would appreciate some info”
what % of the full arches that docs order from you are zirconia on tibases only at implant sites?
what % are on titanium bars?
what % are hybrids with acrylic?
what % are MUA vs Implant level?
what is the most prescribed full arch prosthesis now compared to 5 -10 years ago?
what % are soft tissue level vs bone level / mua level?
what would you do for yourself?
which one has the most failure rate?
how often does zirc framework break?
how much damage do you think people do to zirconia frameworks while trying to mill it to sharp corners of tibases?
Answers:
MUA vs IMPLANT LEVEL : over 90% of upper arches will have MUA and 60 to 70 % of the lower arches will have MUA
BONE LEVEL vs TISSUE: majority of implants (90% and up) bone level that requires MUA .
The most failure rate in order is (all of these in respect to the material limitations ):
the traditional acrylic hybrid
composite hybrid next
zirconia monolithic
and the least breakage will be zirconia hybrid supported by metal frame
Zirconia failure is around 4 to 5 % (adding the internal lab remakes – i would say another 3 to 4 %)
The damage caused by adjusting the zirconia could be very considerable, especially around the access hole since those areas are thinner than the full teeth . For myself i would restore zirconia over metal frame if my choice is hybrid, while removable bar overdenture will be a more predictable and more hygienic choice .
Shining3d has a projector and a single camera that takes photos of the surfaces it is scanning. at first, you may think this is a shortcoming, but in many ways, it dramatically reduces errors a new user can introduce.
in the early days of cerec, all you needed to do was capture the margins and the area above the height of contours of the adjacent teeth. This made the try-in and the contacts really easy as the design software just dropped straight a straight wall down to make contacts to. same concept here!
also, after you image and place margins, A SINGLE CLICK takes you to design software where you can finish the case and mill it right away.
This molar’s suggested mill times with the MCXL are for either Size 12 or 14 blocks:
Sprue on distal in normal speed mode is 14:05 minutes, fast speed at 7:54
Sprue on buccal in normal speed is 13:48 minutes, fast speed at 7:46
This molar would only fit in a size 14 block of Amber Mill in Imes Icore Coritec
Sprue on distal in normal speed mode is 14:15 minutes, sprue on buccal in normal speed is 14:42 and speed crown is proosed at 13:23
For our advanced users who mill in house or what to speed up their digital impressions we advocate taking advantage of digital dentistry’s unique features that allow you to take impressions over a period of time and segments, building larger models over different sequences and time. In this particular case we have two molars in the lower left quadrant that warranted replacement. The traditional method would be to prep both, isolate both, retract both, and take your final impression, but we will approach this as if there are two separate patients involved
Case Presentation on how to manage two crowns with a single milling machine
For the second molar, we will take advantage of the anesthesia time and capture the first bite, the opposing, the pre-existing situation and then crop out the preparation area digitally. Once the tooth is prepared, we will check for proper reduction. We will then take the second bite to verify the vertical dimension has not changed.
While the second molar is being designed and milled in the first case, we will launch a second window by cloning the first case. All the data remains the same and this time we crop out the first molar digitally and protect the rest of the arch. Once the first molar is isolated, it is digitally captured and then designed and milled.
image first molar while second molar is being milled
To manage the contact between the two crowns, there are many advanced applications. Here is a simple explanation of how we use the prep model from case 1 as the pre-op model for case two. Since the second molar in case 1 made contact with the distal wall of the first molar, when we design the crown for the first molar in case 2, all we have to do is make sure the distal wall is flush to the pre-op. This guarantees us a contact between the two. There are lots of shortcuts to this puzzle once you get the basics of digital impressions under your belt.
One of the big limitations of CEREC (a registered trademark of denstply sirona) with tibases and implant crowns is that it is limited to very few implant lines and the antirotational notch can just ruin your day as it needs to go into a specific location. You also have to deal with making sure the tibase is seated all the way and the scanbody is properly indexed. The one benefit is that you are dealing with just crown and bridge and you do not need to know implant position or timing at all when doing the design.
In this case, we demonstrate how we utilize the Medit i500 to capture a Tibase from Blueskybio, Biomax NP Conical Connection. Once the tibase is seated, we simply start scanning and then use the artificial intelligent implant suprastructure identification system to identify the location of the tibase. This in essence allows you to capture your margins OUTSIDE the mouth and you don’t have to bother with imaging the tibase, which is highly reflective in the patient’s mouth.
Once processed, you can then modify the tissue digitally and gain access to the tibase margins. You can print the model if you want and manufacture the restoration. In this particular case, we took the design to the CEREC mcxl inlab cam, nested it, and milled it out to demonstrate how we can image with one device from one manufacturer and fabricate a restoration by another company’s manufacturing machine. But the single greatest benefit is that you can place the sprue wherever you want.
IMPORTANT NOTE: The Tibase that you use MUST be wider than the drill milling the intaglio and the sprue must be thick enough to handle the milling process.
Once you understand how the digital workflow goes, you can image with one device, design in another, and then either print or manufacture with yet another device. Here we mill a sectional stent with the cerec that was designed in Blueskybio plan, although printing makes more sense because it is less wear and tear on your drills
Do you want to straighten your teeth but don’t want to pay $5000?
This is how most patients think today.
“I want straighter teeth but I don’t want to go through the pains of an uncomfortable/inconvenient experience or ridiculous price tag.”
Of course you as the clinician first needs to first decide if the case presented is a candidate for clear aligners instead of brackets.
Either way, using technology allows dentists and orthodontists to offer the ultimate customer experience and drive costs down.
This also allows freedom of choice for clear aligner brands you want to work with. You can even offer aligners in-house using a 3D printer for ultimate control and cost savings.
If you’re interested in offering clear aligners in-house and branding them as your own, you will need a full CAD/CAM set up. This involves intraoral scanners, orthodontic planning softwares, 3D printers (with wash & cure stations), and suckdown machines.
Today, clinicians and lab technicians are leveraging technologies to produce better results and run a better business now more than ever.
So how does this work? Why should you care?
First we need to define the differences. What is a digital workflow?
A digital workflow is the process of using advanced technology and 3D precision without analog materials or human error to deliver patient care.
The reason clinicians or technicians should commit to mastering digital workflows is because it will lean out their production helping them avoid slow and costly processes.
Take for example a basic full coverage crown procedure. During the conventional process the clinician will start by taking an impression of the patient using polyvinyl materials. After the materials set and it’s determined there are no errors chairside, they will ship the impression to the lab which can take a few days depending on location. When the impression finally reaches the lab, a technician will pour up the impression in stone to produce a model and determine accuracy. After this time consuming process is completed, the technicians enter the manufacturing phase.
For comparison, if the clinician and lab practiced with a digital workflow, they would have the ability to cut out each of these steps therefore delivering superior accuracy. The clinician could use a device such as an intraoral scanner to digitally capture a 3D model of the patient and instantly deliver the model to the lab using electronic file exchange. The lab would download the file and immediately begin digitally designing the proposal before milling or 3D printing final prosthesis. Practicing with this process eliminates the costs and headaches of analog materials that can introduce errors and delays.
Digital workflows are very simple to learn. They make life so much easier once you understand.
In summary, any practice owner or lab owner can keep their production lean by introducing digital workflows to eliminate costs, time, and errors.
Proper isolation and retraction is key for all intra-oral scanners. In this video, you can appreciate how the upper and lower arches were isolated, the margins were exposed with retraction cord and imaged with the shining 3d aoralscan
In this clinical presentation, we demonstrate the removal of a crown that has recurrent decay. The bleeding tissue was managed with a double cord technique and expasyl and the margin was captured with the medit i500. The margin was also defined in the native imaging software which allows the user to visualize the detail before designing it or send it off to the lab. Once the case is transferred to cad software, the designed margins carry through and there is an opportunity to modify it
In this video we demonstrate a simple premolar case that is prepared and imaged with the Medit i500, designed in the cad software named exocad and then milled with the imes icor coritec one machine. Pay attention to the order and sequence of events and how we leverage anesthesia time with scanning time.
We have a large library of instructional videos on our site that can be found on our support page that can help you learn everything there is to know about the Medit i500
Download the framework and CAD-Ray Exocad Demo Software files. Double click to instal the Framework file first. After that has been completed, right click on the CAD-Ray Exocad Demo Software, choose 7Zip, and choose “extract here”. Do NOT use the native windows unzipping program for this!