Highly Recommend working with Cad-Ray. Just purchased a MeditI700. So easy to work with. Training with Destaney was awesome. - 3/19/2024
Aaron Gelfand
Worked with Laura and she is incredibly knowledgeable. She gave me all the right advice and steered me in the right direction. Her ongoing support is as good as it gets. I feel like I have a 24 hour team at my beckoning call. For the meat and pot...read moreWorked with Laura and she is incredibly knowledgeable. She gave me all the right advice and steered me in the right direction. Her ongoing support is as good as it gets. I feel like I have a 24 hour team at my beckoning call. For the meat and potatoes. I got an Icam 4D from her and now I am printing all on 4 arches same day surgery at our practice in Denver(NUSET). We are going to put ICams and Trios’ in all our offices thanks to Laura and the Cad-Ray team. If you have any questions about the workflow and the success we are having with the Digital work flow call Laura and I will help you succeed with her product support.Thank you Laura and Cad-Ray!read less - 4/28/2022
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
Best place to buy a medit i500 from. Great support and an even better community. - 6/16/2020
Chirag Vaid
I ordered my Medit scanner from them in Feb 2020, so far no issues with support or the product. They are a great company with great support. Disclosure: they did promise me a scanner tip for this review, but in all honestly I was meaning to give it t...read moreI ordered my Medit scanner from them in Feb 2020, so far no issues with support or the product. They are a great company with great support. Disclosure: they did promise me a scanner tip for this review, but in all honestly I was meaning to give it to them anyway.... if you are looking to buy, this is a great way to go about it.read less - 7/19/2020
Office NHFD
Frank DeLuca was very helpful even though i didn't buy Medit from Cad ray ! Had an issue and my original dealer was not helpful and i contacted Cad ray thinking it was direct Medit. Frank was extremely nice to log in and do what ever he could until ...read moreFrank DeLuca was very helpful even though i didn't buy Medit from Cad ray ! Had an issue and my original dealer was not helpful and i contacted Cad ray thinking it was direct Medit. Frank was extremely nice to log in and do what ever he could until Medit could take over. would give 7 stars if available.read less - 8/10/2022
Bracy Haynie
I have had the wonderful experience of working with Ryan at Cad-Ray for the last several weeks and he has been very professional and informative on how to properly use the Medit I700 scanner with regard to the software. I would highly recommend using...read moreI have had the wonderful experience of working with Ryan at Cad-Ray for the last several weeks and he has been very professional and informative on how to properly use the Medit I700 scanner with regard to the software. I would highly recommend using Cad-Ray and contacting Ryan for any of your Medit needs.read less - 1/27/2023
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
I have used a medit scanner i purchased from CAD-Ray for a few years now. I've had nothing but great customer service with them, and their facebook group is great for nearly instant feed back before the days end. I actually just bought another scanne...read moreI have used a medit scanner i purchased from CAD-Ray for a few years now. I've had nothing but great customer service with them, and their facebook group is great for nearly instant feed back before the days end. I actually just bought another scanner from them because they've been awesome to work with and have enjoyed the first one so much. I'm def a long term fan of theirs now.read less - 2/20/2024
Jaspreet Ghuman
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
Russell Schafer
Overall great company to work with. They sell wondeful products and give stellar service for a much lower price than any of the supply houses. I can't recommend them enough. - 8/19/2022
dr sheth
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
P. Andrew Benson
For me, getting this scanner was not a choice between Medit vs Itero or Medit vs Trios. Those companies have already eliminated themselves from consideration based on ridiculous cost, ridiculous ongoing fees, and greater concern for petty proprieta...read moreFor me, getting this scanner was not a choice between Medit vs Itero or Medit vs Trios. Those companies have already eliminated themselves from consideration based on ridiculous cost, ridiculous ongoing fees, and greater concern for petty proprietary posturing than for ensuring full functionality of their products to their usership. Typical dental tech company stuff.
The real decision was between Medit vs continuing life in analog dentistry. Medit through Cad-ray was really the only choice. Awesome packages , awesome access to free training videos, awesome software updates, awesome access to live support, awesome support staff.
There's just nothing better in dentistry than to get a great product AND a chance to stick it to the man.read less - 6/16/2020
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
Allen Mortimer
So glad we used Cad-Ray. They absolutely helped set everything up and even helped us tremendously when we needed a replacement. We are using the i700 and are thrilled with it! - 11/03/2022
Anita Madhav
Absolutely love Laura. She was my initial contact and is an amazing resource for any questions even months later. Would highly recommend buying from Cad Ray especially Laura! - 6/28/2022
John Pisacane
This is my second review. I posted the first after having Medit for about 9 months. Loved it then, had great success with using the scanner to take full arch scans for clear aligner therapy, study models, removable partials, and crown and bridge. ...read moreThis is my second review. I posted the first after having Medit for about 9 months. Loved it then, had great success with using the scanner to take full arch scans for clear aligner therapy, study models, removable partials, and crown and bridge. Have kept using it and am still very happy with the Medit and with Cad-Ray. The scanner takes care of so many things in a way that impresses patients and pleases lab techs. Whenever I hit a computer glitch, I call Armen, Frank or any other members of the gang and my problems are solved quickly and without drama.read less - 6/16/2020
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 - 5/07/2021
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
Aram Grigoryan
I'm really grateful with the service CAD-Ray has provided! I'm also very happy with Laura's presentation with the Medit i700, and overall help in choosing the right scanner for my practice. I'm really happy with the scanner and the SprintRay Pro 95 P...read moreI'm really grateful with the service CAD-Ray has provided! I'm also very happy with Laura's presentation with the Medit i700, and overall help in choosing the right scanner for my practice. I'm really happy with the scanner and the SprintRay Pro 95 Printer as well. Thank you.read less - 8/31/2021
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
Jared Gustafson
We started our journey with CAD-Ray 3 years ago them helping us find a digital scanner that fits our practice needs and have relied on them for our 3D printing needs. They are an excellent company and I highly recommend them for their knowledge and s...read moreWe started our journey with CAD-Ray 3 years ago them helping us find a digital scanner that fits our practice needs and have relied on them for our 3D printing needs. They are an excellent company and I highly recommend them for their knowledge and service they provide. I would buy and dental tech needs from them!read less - 9/07/2022
Gwen Giannina
CAD-Ray is an amazing company. I purchased my scanner 3 years ago. Any small issue immediately resolved by calling them for help. I originally scanned with Cerec. The ROI doesn't even compare. The Medit was by far the best technology purchase of my ...read moreCAD-Ray is an amazing company. I purchased my scanner 3 years ago. Any small issue immediately resolved by calling them for help. I originally scanned with Cerec. The ROI doesn't even compare. The Medit was by far the best technology purchase of my 20 plus years in dentistry. I will upgrade at some point and will buy again from CAD-RAY!read less - 2/04/2022
Lauren Schulte
Frank and the CAD-Ray team are fantastic! They go above and beyond to help their doctors be successful. The CAD-Ray team doesn't just sell you a product and leave you high and dry. Frank is always ready to answer questions and offer support when need...read moreFrank and the CAD-Ray team are fantastic! They go above and beyond to help their doctors be successful. The CAD-Ray team doesn't just sell you a product and leave you high and dry. Frank is always ready to answer questions and offer support when needed. I highly recommend!read less - 1/24/2023
arthur lyford
I cannot say enough about the support I have received from the beginning. I chose CadRay ultimately because of the support reviews...I can attest first hand...they are all right on...though I have been practicing for more than 35 years, this old dog...read moreI cannot say enough about the support I have received from the beginning. I chose CadRay ultimately because of the support reviews...I can attest first hand...they are all right on...though I have been practicing for more than 35 years, this old dog has been taught a lot of new tricks from the support staff at Cad Ray...Truly impressed with every interaction so far! Thanksread less - 5/11/2023
Armen Mirzayan
Are you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: ...read moreAre you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: All testimonials are submitted by verified owners.read less - 5/08/2021
We have been using the Medit i700 for about a year now. Frank and his customer service team has made it a smooth transition. He is always quick to reply and is friendly and professional! - 1/26/2023
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
Lawrence Falender
W are an Oral Surgery practice. We started treating TMD patients with the Urbanek TMJ device and decided to switch from impressions to a scanner. We have no past experience with using a scanner. Ryan was very nurturing and patient. Though we are no...read moreW are an Oral Surgery practice. We started treating TMD patients with the Urbanek TMJ device and decided to switch from impressions to a scanner. We have no past experience with using a scanner. Ryan was very nurturing and patient. Though we are not ready to make the switch, we are well on our way. Looking forward to our next session.read less - 11/21/2022
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
Evan Sachs
Great staff and support when needed! There is a bit of a learning curve like with any new tech, but I highly recommend the Medit i500 and the Cad-Ray staff is great. Special thanks to Laura and Jeff for helping out! You guys rock. Great company and ...read moreGreat staff and support when needed! There is a bit of a learning curve like with any new tech, but I highly recommend the Medit i500 and the Cad-Ray staff is great. Special thanks to Laura and Jeff for helping out! You guys rock. Great company and product!read less - 11/11/2020
Robert Mabry
I don't scan in my practice my assist does. She says it's awesome. Better than the trios or cerecs we have had in the past. The image quality while designing cases is amazing. Haven't seated a restoration from it yet but expect it to be great as well...read moreI don't scan in my practice my assist does. She says it's awesome. Better than the trios or cerecs we have had in the past. The image quality while designing cases is amazing. Haven't seated a restoration from it yet but expect it to be great as well.read less - 6/16/2020
Great company with even better customer service. Premier dental business with digital dentistry and scanners! - 11/03/2022
Vivek Singh
I have had done business with these guys. I am impressed with their Amazing Customer service. John and Armen are great. I have and will order lots of stuff from them. Kudos to them!!!! - 6/19/2020
Dennis Wong
Best support ever. They are super responsive when a problem occurred, and immediately set up a support ticket with the vendor who contacted me within the hour to help me to solve the problem. - 7/27/2023
robert delaney
This summer I decided that it was time to purchase a scanner and train with my team. We could not be more excited as our experience with Laura at Cad-Ray has been just amazing. From the initial sales discussions to the support and training after the ...read moreThis summer I decided that it was time to purchase a scanner and train with my team. We could not be more excited as our experience with Laura at Cad-Ray has been just amazing. From the initial sales discussions to the support and training after the purchase I am very thankful to have purchased my Medit scanner from Cad-Ray. Every text and phone call has been given prompt attention and the after the sale support is first rate. It is a pleasure to leave a 5 star review for both the technology and for Laura!read less - 12/16/2021
Sarju Patel
Perfectly Placed Implant course in San Diego was very good. Armen and Brian are excellent lecturers and educators. A lot of practical tips and pearls of wisdom for those getting into cone beam and guided surgery. Would recommend this course highly. ...read morePerfectly Placed Implant course in San Diego was very good. Armen and Brian are excellent lecturers and educators. A lot of practical tips and pearls of wisdom for those getting into cone beam and guided surgery. Would recommend this course highly. Looking forward to other courses that they offerread less - 2/18/2017
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
Luciana Bretz-Pavie
Wayne Glassoff is the go-to guy here! The BEST!!! He is always on it, he helps figuring out exactly what you need, the best way possible. And fast! Great working with CAD-Ray, they have pretty much everything when it comes to digital dentistry. And t...read moreWayne Glassoff is the go-to guy here! The BEST!!! He is always on it, he helps figuring out exactly what you need, the best way possible. And fast! Great working with CAD-Ray, they have pretty much everything when it comes to digital dentistry. And they give you a damn good support too. Jessica Knott is awesome… training and support, just the BEST! Very satisfied customer here!read less - 2/05/2023
Mostafa Koperly
I love my medit scanner. I purchase many dental equipments each year and by far it’s the best thing I got for the bucks I spent ( beating my 6 digits equipments ).
We have omnicam and I hated it, multiple crushes, expensive monthly service fee, hor...read moreI love my medit scanner. I purchase many dental equipments each year and by far it’s the best thing I got for the bucks I spent ( beating my 6 digits equipments ).
We have omnicam and I hated it, multiple crushes, expensive monthly service fee, horrible support, etc. I was so frustrated and had to look for an alternative. Many mentioned itero to me and I was about to purchase it and suck another monthly fee until I came by Armen’s video about medit on one of the Facebook group in 2018. I was surprised with the image and the speed and started digging more and contacted Frank to explain the scanner more. Ended purchasing it late 2018 and I’m a happy user Since after. The support is excellent, Frank is there when you need any help plus the Facebook community is there to answer anything. Recently, I attended Armen’s course to learn how to mill from the medit and I got shocked by the AI and the options that the software has. This machine is a beast and you won’t regret it getting it from Armen and Frank. They go beyond and not like other salesman or equipments where you are left behind after they sale you and finish their training. We are in 2020 and I still get the same support as I bought it in 2018.read less - 1/09/2020
Just ordered my i700 yesterday and it ships today. Customer support has been amazing in answering all my questions completely. Looking forward to my delivery day like a kid at Christmas. - 11/03/2021
I live in Puerto Rico and Cad-Ray made my decision easy when it comes to purchasing Dental equipment. I decided to call after having connection issues with my i700 and Andy responded immediately. He was very pleasant to work with and within 2 days, r...read moreI live in Puerto Rico and Cad-Ray made my decision easy when it comes to purchasing Dental equipment. I decided to call after having connection issues with my i700 and Andy responded immediately. He was very pleasant to work with and within 2 days, received my brand new cord. I can always always rely on Cad-Ray for their incredible support and highly recommend this company to anyone looking to explore digital dentistry.read less - 12/30/2021
H C
I got my 3Dshape scanner, great support , my training with Destany was excellent. Great team!! - 2/15/2024
Brent Hale
Been using my i700 for a month now and it's been great. The tutorials that Cad-ray provides have been very helpful. This scanner with a fast computer turns out great results. - 11/01/2021
Had a good experience when purchasing my scanner, it was very easy, and to date after three months of using the scanner no support is a plus, anytime I call me I will answer and troubleshoot - 7/10/2022
Rosemary Toczydlowski
I had a phone call with Frank from support today, and he was awesome! Very helpful and knowledgeable. He sorted out all our issues no problem. Thank you Frank!! - 6/09/2021
Dong Lim
I’ve been using Medit for close to 2 years. It’s a must for any practice. No evil monthly subscription and great support from CAD ray - 6/16/2020
Norman Knowles
I have had the original iTero, a Trios 3, and a Carestream CS3600. A staff member broke the lens on the Trios and while waiting 3 weeks for an RMA to send it to Poland for six weeks to get it repaired, Carestream was sniffing around and suggested tha...read moreI have had the original iTero, a Trios 3, and a Carestream CS3600. A staff member broke the lens on the Trios and while waiting 3 weeks for an RMA to send it to Poland for six weeks to get it repaired, Carestream was sniffing around and suggested that I trade in my Trios so I did which began a 4 month nightmare with their piece of junk scanner. Absolutely awful customer service from both 3Shape and Carestream. I needed a scanner and had heard great things about it the Medit i500 at the Florida Academy of Coesmetic Dentistry so I got one. It works really well and Medit keeps adding new and useful features and their architecture is completely open. Two weeks ago, my i500 died so I contacted Cad-Ray surrport and I had a new unit in my office 24 hours later! That's absolutely unheard of in the industry!!! Both Cad-Ray and Medit have positioned themselves to be industry giant killers and they're doing it. The i500 is a phenomenal scanner at a phenomenal price point and service and guidance at Cad-Ray is just plain excellent.If you are thinking about getting a scanner, do it! Just contact Cad-Ray and go for it. You will only be happy about your purchase! Highly recommended!read less - 3/09/2021
Nate Cherof
Excellent customer service and communication. Could not recommend them more - 2/14/2023
In this video we showcase the set up page of the Medit i500 Lab Version for software version 2.1, where you define the job description, enter parameters, designate the opposing and proceed to the next step where you launch the imaging software.
Captured Impressions While Patient Was Reaching Anesthesia
While the patient was reaching anesthesia, the opposing arch was captured along with the preparation model. The area to be prepared was cropped out and once enough reduction was achieved the bite was captured. We highly recommend that you verify reduction and adequate clearance before you capture the final preparation. This way, you have one last ditched effort to verified you will have adequate thickness to your restorative material.
One of the biggest challenges of capturing a bite for an occlusal appliance is to properly tripod the upper arch to the lower arch. With PVS impressions we just send the impressions along with the patient’s bite registration in maximum intercuspation.
A unique advantage we have with digital impressions is that we can capture someone with an open bite while using their own mouth as the articulator. Moreover, with the following technique, you can rest assured you have little adjustments to make to the occlusal guard after it has been fabricated.
Now as we continue to image in the same catalog box, we can gauge if we are on track as the bite model turns green. Notice how when we move from the upper arch to the lower arch, across an open bite, and we maintain a green active box and green model formation, we can rest assured that our case is mounted correctly.
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.
There are multiple ways one can capture the bite for a patient. In this clinical case, we focus on the easiest way to capture two bites (one in maximum intercuspation and the other in an opened vertical dimension and in protrusive for a sleep apnea oral appliance).
The Medit iScan software allows you to capture two bites. Most people treat them as “Left Bite” and “Right Bite”, but the software doesn’t care if you follow this guideline. You can capture full arch bites in maximum intercuspation in one catalog box and then capture a full arch bite in the open / protrusive position in the second bite.
The next step is to clone or duplicate the case, where you set the first desired bite and process the case manually in maximum intercuspation and then in the second cloned case, you manually set the bite to the different occlusal scheme. As our users advance in their experience and knowledge level, they clone the same case multiple times so that they don’t have to re-image the upper and lower jaws multiple times and just capture different bites in all the different case files.
Our super advanced users image multiple bites in any folder they want, process it, and use that digital model to related the jaws together to any position they want in a CAD software like exocad.
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.
The models were then processed and exocad was launched for the design of the custom abutment and crown.
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.
The Medit i500 software can now identify a scanbody and digitally place a virtual one in its location. This has a lot of ramifications. For starters, this great opportunity affords a dentist the ability to image multiple implants in long span edentulous areas, where you would have a clear indication of distortion or artifact introduced during challenging scans.
In this single unit case in the video below, we preview this feature. Once the patient is anesthetized, the isolite was placed to protect the airway and the edentulous area was scanned.
After uncovery of the fixture, the type of scanbody was identified in the menu and the location of the scanbody was identified on the digital model.
Once scanning was resumed, the digital scanbody was placed on top of the intra-oral one. As more data was captured you can appreciate how steadily the software tries to adapt the physical fixture to the digital one.
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
This is an advanced case and won’t make any sense unless you have taken our course on digital dentistry. If you are an advanced user, watch how we break this complex case up into many small manageable segments to create full arch impressions of multiple prepared teeth.
Take note of the fact how the buccal bite is captured over a long course of time. This indicates that the arches are related to each other properly and we have not lost track of the bite. Pay attention to how we operate “independent of time and sequence.”
Digital impressions have turned one of the most complicated and error prone procedures in dentistry into one of the most predictable treatments we can provide.
When taking a physical impression of an impression abutment, you need to secure it to the PVS material so it remains rigid during pour ups. Some choose open trays while others prefer closed trays. When you deal with multiple units, their divergence or convergence can inadvertently lock the tray in the patient’s mouth. Sometimes, the impression abutments impinge on each other and keep you from seating them all the way.
That was a short list of the many things that can go wrong. With a digital impression, you can capture the contacts or the adjacent teeth, the opposing, and the tissue profile very easily. You can then place a scan-body and take an impression of it’s position and identify the location of the fixture.
In the following videos you can see the steps involved and how easy it is to manage the impression and accurately capture the implant location.
In titanium blanks, there is only one place to put the sprue, which is on the occlusal. One might think that this is would be easier to manage, but the trouble is that the titanium blank is cylindrical in shape, and it makes it difficult to keep track of the implant hex position and proper indexing.
There is one important matter to keep in mind when digitally designing an implant abutment for milling from a pre-milled blank. Unlike regular restorations you can design a restoration in (CAD software) and position it in a block , place a sprue in a desired position, and mill (CAM software) the final product.
The solution is to provide data to the milling machine so that it can properly index the titanium blank. To keep it simple, a regular restoration can just be milled from a designed stl file. The titanium pre-milled blanks need accompanying files to the designed stl to properly mill the abutment for indexing purposes. In exocad software, there is a construction file that accompanies the design and the CAM software can read both files and produce a desired result.
In all of our courses, once every user gets comfortable with the software and the camera, we quickly ramp up to reveal the greatest advantage of digital impressions over analog ones. The premise is that digital impressions can create models of data (note the deliberate omission of words like teeth, tissue, etc.) that are independent of time and sequence, and moreover, you can edit or manipulate the captured information.
In this particular case, we demonstrate how the upper anterior eight were prepared and how the preps were captured over an extended period of time. You can appreciate how one case protect margins and preparations from introducing subsequent errors. You can also visualize how you can create models without following a certain pattern.
Once you understand this concept, you can apply multiple ways to tackle the most complex and comprehensive cases and treat them with ease. We would love to host you at one of our courses to teach these principles and how you can take ANY intra-oral scan from any device, take it to CAD software, and take it to ANY milling machine you want. Oh yeah, we can also teach you how to introduce CT data into the mix from any machine to handle an even bigger case.
Click on our courses and events to see future courses. We’ll be adding more dates very soon.
Separate from how we imaged the arches, we think the perfect place to “hand off” a case like this is when you have mounted your upper and lower jaws, the opposing, marked margins, and set the path of insertion. At this point, as a clinician you have provided all the information needs to proceed with the case.
In this simple first molar case, we scan the pre-op condition as there is no room to add any contours to the pre-existing crown. In the video below, you can see how it occludes with the opposing and how it contacts the adjacent teeth. A pre-op scan is taken and the crown is removed. Images of the recurrent decay are taken and the preparation was modified. Final impressions were taken after tissue retraction and hemostasis.
The pre-existing condition must be trimmed away and you want to keep only the areas you want to make contact with in the proposal. This simple method gives you instant proposals where you only modify the contact areas and proceed to production
In just under a decade, we have turned dental implants from the most risky and stress inducing procedures we can perform both surgically and restoratively into one of the most predictable procedures we can perform while drastically reducing the cost of care, whether you fabricate the prothesis yourself or outsource it to a lab.
With guided surgery, the benefits are immeasurable. One good argument is that clinicians can avoid certain surgeries while discovering physical limitations during the planning stage. Furthermore, if performed fully guided, once can generally place the implant exactly where it was digitally planned in 3D on a CT scan.
Restoratively, we also have some tremendous advantages; whether you are performing single units or multiples, digital impressions give you an advantage you never had with physical impressions. In this first video, we emphasize how you and your team should take picture of the scanbody that is being used during the digital impression. It is very easy for you or the lab to mistakenly label digital impression in the design software.
The great benefit of digital impressions is realized when you can capture all of the contact areas of neighboring teeth. Furthermore, you have the ability to digitally sculpt the soft tissue and create the emergence profile for your abutment. When you take the soft tissue profile, the position of the head of the implant, and the contacts of the adjacent teeth into consideration in your design, you stack the odds of a successful restoration into your favor
This case demonstrate some advanced features our CAD-Ray software provides for CAD/CAM users. We first launch meditlink and define the prescription. You can take your time and input your selection at this step, BUT we give you the opportunity to edit it when you launch the CAD software.
You will note that after the imaging is done, the CAD software is launched which allows us to change the job definition. You have two choices for utilizing the pre-op condition with our software; you can either use the pre-op as a reference frame for your design or you can copy it exactly as a replica. The latter is called “Digital Wax-Up” for exocad users.
What we have done is to program the software and its wizard to get you from the model step to instant proposals after you place your margins. We guide you through the steps and ask you to trim away anything you don’t want your proposals to replicate and to only leave behind a shell of the exact form and function you want to keep in your proposals. This instant proposal is a dream for most dentists. It is the quickest way you can get to a design and to fabricate a restoration
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.
In this video we demonstrate how to capture implant impressions of scan bodies intra-orally with the medit i500 scanner and then design a screw retained crown with our customized CAD-Ray software.
The sequence of steps for a new user are critical. Although it doesn’t matter if you image the opposing arch first or after the arch that is being restored, the steps to capturing the scanbody must be followed in chronological order. You must capture the arch and then the scanbody impression. You should not return to the arch catalog box and add any more data. This can introduce a lot of error in the processing steps
In this video you can appreciate the distinct advantage you have tissue training on a digital model. You can contour to the soft tissue very easily. It is best to do so after you have identified the scanbody, which will pinpoint the location of the fixture. Once you have that in the equation, you can sculpt your tissue to your liking, making sure your abutment margins never drop apically below the head of the fixture
Second molar can often be a difficult clinical case to manage. In this case, we diagnose a cracked tooth. Even though the patient is not symptomatic, the clinical condition and the wear on the second molar dictated a full coverage restoration. In the first video, you can see how the light test was used to show the abrupt transition and lack of light propagation through the second molar
In the second video, you can see how we imaged the pre-existing second molar in the pre-operative condition. Once the patient was completely numb, the second molar was reduced
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
The Z4 Milling Machine can drill emax, zirconia and metal abutments. You can use a scanbody, identify the location of the fixture, design the abutment and mill our either ceramic or metal as the abutment.
Metal abutments in the posterior molar areas, tibases in canine and premolar regions, and angled abutments in incisor area is the general consensus for restoration of choice
One of the greatest advantages of the Z4 is that it can start milling while it is doing the calculation for milling. Furthermore, you can load multiple designs in preparation of continuous milling. In the picture attached, the CAM software is shown which operates in the background. Most users don’t usually see this interface.
Here you can see how there are 5 drills for the machine. The top tier, consisting of 3 drills, labeled G240, G100, and G060 are all labeled as R. The G120-T and G060-T are used only for a screw access holes
There is a concept in digital dentistry that is called “mixing good and bad data”. What you have to appreciate is that two different objects can’t occupy the same space...
In this presentation we detail the implant suprastructure identification system where an existing abutment is removed and scanned extra-orally to capture the margins readily after the abutment is anodized...
In this video we demonstrate for new and potential users of digital dentistry a implant restoration where the dynamic bite is captured. We initially imaged the upper and lower jaws...
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