Frank helped me out when 3dbiocad could not help me with my trios issue. Thank you cad-ray. - 9/15/2024
Kenneth Gould
A most helpful, detailed, easy to follow, personal primer via Zoom on integrating the i700 scanner into our practice. Well done! Thank you Kaila! - 5/03/2022
Angelique Freking
I recently purchased the Medit i500 and am in love. I've used all the other scanners in my career, but this is my favorite hands down. I had a very easy, great purchasing experience and would happily refer anyone to this company and this particular s...read moreI recently purchased the Medit i500 and am in love. I've used all the other scanners in my career, but this is my favorite hands down. I had a very easy, great purchasing experience and would happily refer anyone to this company and this particular scanner.read less - 6/19/2020
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
Tiffany Lee
This is a unique place because it serves both dentists and patients. For patients, this is an imaging center only. There are no diagnostics done here. There is a dentist on staff, but he is only there for imaging purposes, no diagnosis. As a dentist,...read moreThis is a unique place because it serves both dentists and patients. For patients, this is an imaging center only. There are no diagnostics done here. There is a dentist on staff, but he is only there for imaging purposes, no diagnosis. As a dentist, I would say that to be fair a niche place like this couldn't be expected to bill insurances. They would have to hire an entire separate staff to deal with all the thousands of types of insurances you have. For dentists: This is a great service to your patients because if you do not own a 3d x ray machine, you don't have to invest the $200,000.00, you can refer your patients here and cad ray will send you the digital files. You can also send them files to have custom surgical guides made. The folks who work here go out of their way to explain how things work. If you don't have a doctor, they can refer you to a dentist who can diagnose your problems. I always call ahead to make an appointment.read less - 6/02/2018
John Eum
Love all the staff there. Great support and instruction from Armen, Laura, Damien. We are very grateful for Kaila who has been incredible in getting us going - very friendly, professional and responsive. Thank you! - 7/03/2024
Blake Ferando
I purchased my medit in April of 2019 from Cad-Ray. The support offered is second to none, and the training videos are some of the best out there. Add to that a great support team that is fast to answer questions and issues, its hard to beat Cad-Ray. - 6/19/2020
Chris Kleist
Cad-Ray is the absolute best if you're in the market for digital dental tools. I have purchased two Medit scanners through them. There will be hiccups with any complex piece of machinery, but every time I have needed Cad-Ray, they have been there. I ...read moreCad-Ray is the absolute best if you're in the market for digital dental tools. I have purchased two Medit scanners through them. There will be hiccups with any complex piece of machinery, but every time I have needed Cad-Ray, they have been there. I recently had a scanner go down. I called Cad-Ray tech support and they got me on the phone with Medit immediately. Within a day, a replacement scanner was sitting on my desk. It doesn't get much better than that.read less - 10/03/2024
Yen Tran
Jonathan and Nick have been a great tremendous help. They went out of their ways to help me upgrade my Medit i500 even though I didn’t purchase my Medit i500 scanner from them. They are the largest Medit scanner distributor and they have the custome...read moreJonathan and Nick have been a great tremendous help. They went out of their ways to help me upgrade my Medit i500 even though I didn’t purchase my Medit i500 scanner from them. They are the largest Medit scanner distributor and they have the customers’ interest at heart. They are super responsive to phone calls, emails, and Facebook messages. I highly recommend their servicesread less - 9/01/2021
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
I would like to let you know that Kaila Larson is excellent communicator, personable, professional and knowledgeableI have had the opportunity to talk to her 3 times and it has always been awesome.Regards,Dr Carlos santos - 4/08/2022
Gabriel Joel
Medit i500 is an incredible scanner. I have experience with other types of scanners including IO and Desktop but this one is really impressive. It is blazing fast and takes beautiful scans. But more importantly is the company itself. Medit is an amaz...read moreMedit i500 is an incredible scanner. I have experience with other types of scanners including IO and Desktop but this one is really impressive. It is blazing fast and takes beautiful scans. But more importantly is the company itself. Medit is an amazing company and is constantly trying to improve. They are always on the cutting edge and releasing new improvements all the time. They are always LISTENING to the customers on how to improve the scanning experience and change accordingly. The customer service is second to none. I highly recommend this scanner but even more highly recommend considering buying the scanner as a result of the great company and PEOPLE that stand behind it.read less - 10/09/2019
The Medit i700 is a game changer in speed and overall comfort for patients. I find it much smaller than other brands and have done almost 50 appliances/aligner cases the past 2 months with no fit issues from my lab. Love this scanner!
Dr. Sherric...read moreThe Medit i700 is a game changer in speed and overall comfort for patients. I find it much smaller than other brands and have done almost 50 appliances/aligner cases the past 2 months with no fit issues from my lab. Love this scanner!
Dr. Sherrick
Auburn Lakes Orthodonticsread less - 8/24/2021
I had a training session with Laila this morning and she was fantastic! Very organized training, easy to follow and was able to get my scanner up and running. Thank you Kaila! - 1/06/2022
Cooper Owens
I bought my Medit I-500 from them. Everything has been been first class, from the training to the customer support. I highly recommend buying through CAD RAY. - 6/16/2020
Engy Hassan
Amazing customer service! Excellent on time feedback. Thank you Kaila - 12/08/2021
Micah Bickel
Great support services and training from Cad-Ray, they are always very helpful and responsive. I have been using the I500 in my offices for the last two years and loving it. - 11/01/2021
I purchased a Medit scanner in August and I am very happy with the scanner. I was trained on an Omnicam in dental school and used Omnicam for 4 years in my associateship. The speed and quality of the Medit scanner is comparable to a CEREC scanner but...read moreI purchased a Medit scanner in August and I am very happy with the scanner. I was trained on an Omnicam in dental school and used Omnicam for 4 years in my associateship. The speed and quality of the Medit scanner is comparable to a CEREC scanner but you can’t beat the price of the Medit! I would highly recommend this if you are a beginner or pro in digital dentistry!read less - 9/21/2020
John Allen
fantastic support, I always ask random, specific to me, could be found on a training video, questions and they always quickly tell me how to fix my problem. - 6/16/2020
Shefali Pilar
Our office has been using the Medit scanner for a few months now and are loving it! CAD-Ray was super easy to work with in purchasing the scanner and providing support as needed. Their Facebook forum with the updates and video tutorials are incredibl...read moreOur office has been using the Medit scanner for a few months now and are loving it! CAD-Ray was super easy to work with in purchasing the scanner and providing support as needed. Their Facebook forum with the updates and video tutorials are incredibly helpful.read less - 6/16/2020
Erica Zolnierczyk
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
Krystyna
I recently purchased Medit scanner and my assistant and I went through training with Andy. He was great, knowledgeable and patient with us. Customer service is great! - 2/05/2023
Stephanie O'Rourke
I am fairly new to scanning with my Medit I700. I am loving this in my business. It has had its challenges at times but the best part is the accessibility and support from Frank DeLuca. He has been instrumental in helping me when I have a patient in...read moreI am fairly new to scanning with my Medit I700. I am loving this in my business. It has had its challenges at times but the best part is the accessibility and support from Frank DeLuca. He has been instrumental in helping me when I have a patient in the chair and need assistance. I couldn't be more grateful for his help. Thanks, Frank!read less - 12/16/2021
jeff-J65
You guys are great! I have been a Cerec user for about a decade and wanted to expand my horizons. I bought the I700 and have just loved it. We don't do impressions any more, only scanning, even for the full arch. The customer service has been excelle...read moreYou guys are great! I have been a Cerec user for about a decade and wanted to expand my horizons. I bought the I700 and have just loved it. We don't do impressions any more, only scanning, even for the full arch. The customer service has been excellent, even though I haven't had any problems with the scanner. I really like the online learning modules, they have been awesome getting me up to speed with the scanner quickly. I am looking forward to some of the in person courses to maximize the usefulness of this scanner. -- Jeff Allred, DDS FAGD DABOI FAAIDread less - 9/28/2021
I purchased My first Medit i500 in Sept 2019, fairly easy to set up and learn. I was able to follow the instructions and videos without a problem. I learned tips and trick along the way by following the facebook groups. Anytime help was needed the g...read moreI purchased My first Medit i500 in Sept 2019, fairly easy to set up and learn. I was able to follow the instructions and videos without a problem. I learned tips and trick along the way by following the facebook groups. Anytime help was needed the group at Cad-Ray were quick and sincere finding a solution to problems. I ended up purchasing 2 more i500's in Dec 2019 for my other 2 offices. I didn't think I would enjoy the digital workflow as much as I do. If you on the fence like i was, just do it. get on the facebook groups and post the tips you learn along the way.read less - 1/17/2020
Extremely good customer service. From start to finish buying my Medit was flawless and they were very helpful in offering me information. When I got my scanner I had questions and my phone calls were returned immediately. They knew my name and guided...read moreExtremely good customer service. From start to finish buying my Medit was flawless and they were very helpful in offering me information. When I got my scanner I had questions and my phone calls were returned immediately. They knew my name and guided me through what I would need. Very impressed. Would recommend!read less - 2/02/2020
Andy M
It has been great to work with Laura and Heather. The purchase, financing, shipping, and training process has been smooth. The training was very comprehensive and not rushed at all. I love my Medit i-600 scanner, and I recommend CAD-RAY 100%! - 5/22/2024
Suzanne Stock
Excellent experience, customer service has been stupendous! - 11/20/2023
Stuart Adam
Amazing team!
Andy was amazing with explaining everything needed to be successful with the medit i700 and encouraged me to give CADRAY a call if I have any questions in the future. I have some colleagues that have regarded CADRAY as the gold stand...read moreAmazing team!
Andy was amazing with explaining everything needed to be successful with the medit i700 and encouraged me to give CADRAY a call if I have any questions in the future. I have some colleagues that have regarded CADRAY as the gold standard for service and I can now say that I completely agree. Thank you!read less - 12/27/2021
will never buy any product they offer from any other company regardless of price. this team is the best and incredible. - 6/05/2022
Micah Bickel
Great products, training and support - 11/01/2021
Yu Gan
Great company. Pioneer in digital dentistry. Armen knows his stuff. Hands down the go to scanner reseller in the US. Support and training courses are incredible. - 10/02/2022
Penelope Lee
Frank and his team have always been ready and able to help us with any issue we’ve come across in the last 2 years since we purchased our mill and equipment from them. Today, Griffen went above and beyond to find a solution to our software issue. I w...read moreFrank and his team have always been ready and able to help us with any issue we’ve come across in the last 2 years since we purchased our mill and equipment from them. Today, Griffen went above and beyond to find a solution to our software issue. I was able to finish a project on time for a patient in pain because of his dedication. “We’ve never had a more helpful team for any of our equipment” was a quote from our head Doctor today. Excellent job Griffen and team!read less - 5/14/2025
Bob D
Just got my Medit i700 from CAD-Ray and experienced what everyone raves about, the level of customer service by CAD-Ray. As you know you can buy this scanner from a lot of places but they won't offer you help and support. They called my cell and conn...read moreJust got my Medit i700 from CAD-Ray and experienced what everyone raves about, the level of customer service by CAD-Ray. As you know you can buy this scanner from a lot of places but they won't offer you help and support. They called my cell and connected to my laptop and configured everything at 7 PM.. Great great experience.read less - 12/08/2021
All Clear
Great experience with CAD-Ray, specifically Damien, with purchasing and customer service with servicing a scanner that needed replacing under warranty. All around excellent service and I will definitely come back for future technology we'll eventuall...read moreGreat experience with CAD-Ray, specifically Damien, with purchasing and customer service with servicing a scanner that needed replacing under warranty. All around excellent service and I will definitely come back for future technology we'll eventually be adding to our practice.read less - 10/23/2024
Robert Crosby
The i700 is the second scanner I have purchased. It is hands down far superior in terms of quality and ease of use than my first scanner (3M Tru Def). I was hesitant to enter the market again but wanted to mainly for implant reasons. After talking...read moreThe i700 is the second scanner I have purchased. It is hands down far superior in terms of quality and ease of use than my first scanner (3M Tru Def). I was hesitant to enter the market again but wanted to mainly for implant reasons. After talking with Laura and watching her presentation with my staff, we were sold! The i700 was extremely reasonable in price while being similar to units costing twice as much. CAD-Ray made this possible. I found their on line training to be adequate in learning the necessary skills to start scanning, I continue to watch these videos as I sharpen my skills. Initially I was concerned about the on line training. But now I actually prefer this way of training as it is self paced and you always have the library of videos to watch when needed. Laura has been there to answer questions and help me whenever needed and I’m talking on nights and weekends too! I admit I was was extremely hesitant to get another scanner, especially with an online outfit; but I have no regrets and highly recommend CAD-Ray and Laura for anyone needing a scanner! They provide excellent services.read less - 4/23/2022
Karam ALrousan
i purchased medit intraoral scanner a year ago, other than the scanner is great, the customer service is outstanding whenever j need help or have a question they are ready instantly to answer my questions, cant ask for better customer service. - 6/16/2020
Dino Mantis
I purchased the Medit700 a couple of months ago. I have the Cerec Primescan and what a difference!!! The Medit is easy to use and efficient!!! They have a great support system> Laura Geney is amazing. She is almost like being on call anytime I have a...read moreI purchased the Medit700 a couple of months ago. I have the Cerec Primescan and what a difference!!! The Medit is easy to use and efficient!!! They have a great support system> Laura Geney is amazing. She is almost like being on call anytime I have a question. If she is not available (which was only once) the person that helped me logged in and took care of my problem!! I highly recommend this scanner!!!read less - 12/30/2021
Aaron Olson
This product is the best out there. Do the math and your ROI makes more sense than most products we purchase as dentists. Get on the digital train or you’ll be left behind. This is the best product to make the jump with. - 6/16/2020
I am absolutely in love with my MEDIT i700, as is my entire staff. The Medit i700 is reliable, fast, easy to use and the software is incredibly intuitive. I couldn't be happier with the team at CAD-Ray. They are true professionals, and very hands and...read moreI am absolutely in love with my MEDIT i700, as is my entire staff. The Medit i700 is reliable, fast, easy to use and the software is incredibly intuitive. I couldn't be happier with the team at CAD-Ray. They are true professionals, and very hands and responsive in terms of their support and training. Thank you to the entire team.read less - 8/24/2021
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
Ray Voller
There’s nothing like a company with top notch support like Cadray! Frank DeLuca is one of THE most helpful, non- condescending people I’ve ever dealt with! He ALWAYS strives to make us the BEST we can be and almost immediately helps us with any quest...read moreThere’s nothing like a company with top notch support like Cadray! Frank DeLuca is one of THE most helpful, non- condescending people I’ve ever dealt with! He ALWAYS strives to make us the BEST we can be and almost immediately helps us with any questions or problems ( which are minimal with the i700!) HIGHLY recommend this company and their scanner!!read less - 10/06/2022
Kelly Betts
Customer service has always been top-notch! I personally worked with Wayne Glassoff and he has been super helpful getting our office up and running with 3D printing and has always been a great resource and highly responsive whenever I need anything o...read moreCustomer service has always been top-notch! I personally worked with Wayne Glassoff and he has been super helpful getting our office up and running with 3D printing and has always been a great resource and highly responsive whenever I need anything or have any questions.read less - 9/24/2022
Mayoor Patel
Kaila is awesome with training and her customer service skills. Enjoy learning from her... Product (scanner) so far loving it. - 12/02/2021
David Chong
Digital dentistry has changed my work flow for the better and could not imagine going back. So important that I have the support when things don't work as expected. CAD-Ray has been there every step and trust their expertise and knowledge! - 4/20/2022
Christopher Chin
This was my intro into intraoral scanning and I did research for quite awhile. The i500 and the team at Cad Ray are top notch. The company has done such a great job putting this scanner in the ranks of the premier ones. With constant updates it gets...read moreThis was my intro into intraoral scanning and I did research for quite awhile. The i500 and the team at Cad Ray are top notch. The company has done such a great job putting this scanner in the ranks of the premier ones. With constant updates it gets better and better (though I’m still behind on updates). My crowns have never been better. They drop right in with no models. I didn’t believe it but I’m loving digital dentistry. I can’t wait to go to the class after COVID calms down!read less - 6/16/2020
After weeks of research I purchased the i700 through Nick at cad-ray. My office has never used a scanner before and despite the great pricing, this was still a major purchase for me. Nick was incredibly helpful guiding me through the process while an...read moreAfter weeks of research I purchased the i700 through Nick at cad-ray. My office has never used a scanner before and despite the great pricing, this was still a major purchase for me. Nick was incredibly helpful guiding me through the process while answering my many questions. The customer service was very responsive and my friends who have purchased medit scanner were correct that this is the way to go. 5 Stars!read less - 5/08/2021
David Jump
I can't even find the words to express how incredible CAD-Ray has been with their customer service. I've never worked with a company in ANY industry that has been as helpful and responsive at they have been. Based on their customer service alone I ...read moreI can't even find the words to express how incredible CAD-Ray has been with their customer service. I've never worked with a company in ANY industry that has been as helpful and responsive at they have been. Based on their customer service alone I would buy every piece of equipment I ever needed from them if they sold it. Truly a unique experience! Oh, and the medit i500 has been fantastic, super accurate and patients are blown away by digital impressions. Love it, great product and incredible customer serviceread less - 12/09/2021
Kyle Coffin
Bought a medit 6 months ago and customer service has been nothing short of amazing. Always very responsive and helpful. Great scanner, too! - 6/16/2020
Andrea Sleep
Thank you guys so much. You guys have the absolute best customer service! - 5/05/2025
A good maintenances practice for any milling machine is to check that the tip of the drill is getting adequate water, otherwise you may see sparks flying as you are essentially dry milling material that is not supposed to be dry milled leading to drill and block breakage. We recommend that you run the water for a minute or two at the start of the day and check and make sure the spray is right on the tip of the drill. A simple ortho wire can help unclog the ports and redirect the water spray to where it belongs.
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
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
For our coritec users: new users often mislabel restorations in the Rx form that leads to a lot of trouble. like calling a crown and onlay or vice versa. this can lead to all kinds of trouble
first sign of trouble is if the two purple lines don’t define the borders of the the restoration. sometimes it is missing, other times it is off the restoration. so always double check this step and usually the missed nomenclature is what causes the trouble.
the next problem people have is that the default setting for the sprue design is poor. it makes the sprue thicker at the mandrel than the restoration. this creates a crevice that the drill can’t get to. this leads to quick drill breakage as it tries to drill into that space (red circle). it is easy to set change these settings so the drill “flows” with the design of the sprue and you get a lot of use out of it. it’s annoying to do this manually so a subsequent video shows you how to change this by default.
another problem is the offset. the last video shows the distance from the restoration to the mandrel as 2mm. the drill is 2.5 in diameter. if you set it at 2, the calculation doesn’t allow enough space for the drill that also breaks it off. set it at 2.7 or 3 and it will last you a long time.
two subsequent videos will show you how to create your own blocks and change their orientation, so you can fit a taller design into a smaller size block
In this clinical case a patient lost a pre-existing crown. The remaining tooth structure had recurrent decay and a new crown was warranted.
After anesthesia was administered, the clearance from opposing dentition was assessed. The preparation was reduced to accommodate the necessary thickness of the material.
Once adequate clearance was achieved an Optragate was placed and an isolite was used to isolate the area. The preparation was scanned and then the lower arch was captured. The buccal bite was then taken to along the arches together
With Meditlink software, you have the option of designing the case yourself or sending it off to your partnered lab. The following video shows what happens to your case once the lab downloads the case
In this particular case, we designed our own crown and milled it with the coritec one milling machine
Once the amber lithium disilicate material was milled, its for was verified clinically. The crown was then crystallized and seated with NX3 resin cement
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
Have you ever compared the milled product with the designed restoration?
We scanned with the medit i500, designed with exocad and milled with coritec. after try-in, we scanned the restoration in the bluephase and then merged it with the design in exocad to see how well our material, or design, and our margins measured up against the proposal. we also documented the fit clinically and with radiographs. you can download the 3d models of the case and compared them yourself
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
Every distal extension case I have to accomplish the following:
take two bites to make sure my vertical dimension does not change with pre-op and prep images
make sure I have proper clearance
We usually take the bites and all other images BEFORE I have even imaged the prep- I usually grab the prep images last
most of this you can delegate to your team and just take the prep images and make it simple for yourself
this video shows the clinical steps. to see what the lab does with your case, click in the link to see the subsequent steps. you can also choose to design and mill it, which is what I did
We are very pleased with millbox and the imes icore coritec one for a chairside milling solution. We’ve been testing it for a long time and its CAM (millbox) is very intuitive and the results are always predictable. It can mill titanium abutments, emax, and zirconia blocks.
The following videos illustrate how you can image a scanbody intra-orally and then design it in cad software. Here we used exocad to identify the biomax RP implant and designed both the custom titanium abutment and the suprastructure, both of which were milled with the CORiTEC ONE
There are so many implant and component libraries in cad/cam dentistry which can lead to a lot of confusion. What we highly recommend is that you visually compare the part numbers that you will be using with the part numbers displayed on the millbox software. One letter or number difference and the mistakes will have a profound impact on the bottom line of a dental practice
In this case presentation, we utilize the medit i500 to image the pre-existing crown and to fabricate a restoration that is a replica of the pre-existing condition. The patient was advised that the recurrent decay was in close proximity to the canal space and that endodontic treatment may be a possibility. The CBCT showed no evidence of any peri-apical radiolucency and the premolar tested vital prior to treatment
CT used to evaluate apex of premolar for crown replacement
Case set up involved imaging the pre-existing condition in the pre-op catalog box. Excess information was cropped to reduce file size. The data was then copied to the maxillary arch catalog box and the area to prepared was edited out in preparation for final optical impressions.
Immediate Post Op
The remaining decay and previous build up material was removed just prior to bonding the restoration with NX3 dual cure resin cement so the dentin was exposed for the least amount of time possible.
In this case presentation, we feature a crown that needs to be replaced due to open margins and recurrent decay.
With the Medit i500, after the patient is anesthetized and the area is isolated, the pre-existing crown is imaged in the pre-op catalog box. The area to be prepared is cropped out in anticipation of the imaging the modified preparation.
Once the crown is removed, expasyl is packed into the sulcus with a Number 2 cord. With the pre-op bitewings X-ray it was readily apparent that the tissue should be positively displaced in order to capture the margins. It took two layers of cord to achieve hemostasis for imaging with the Medit i500.
While placing the margin in the native imaging software, it was noted that some tissue was obscuring the margin on the lingual side. The area was isolated both clinically and in the software. It was cropped out and filled in with ‘good data’ after proper protection of the adjacent teeth and margins so that we did not obscure their geometry.
Once the margins are identified and the case is processed it is automatically imported into exocad for design and then sent to the Imes Icore CORiTEC Once for manufacturing. The emax restoration was tried in and then delivered after crystalization.
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