Cad-Ray's support is truly exceptional. While the equipment represents a significant investment, the peace of mind that comes from knowing they stand firmly behind their products is invaluable. Their support team is efficient, professional, and remar...read moreCad-Ray's support is truly exceptional. While the equipment represents a significant investment, the peace of mind that comes from knowing they stand firmly behind their products is invaluable. Their support team is efficient, professional, and remarkably persistent in ensuring everything runs smoothly. I'm especially grateful to Destaney and Laura for their ongoing assistance- their dedication and expertise have made a world of a difference!read less - 5/15/2025
Ellen Huang
Armen created series of these very helpful videos. They helped us tremendously in breaking into the new scanner we purchased. No matter you just got into digital dentistry or you are quite experienced with different fields of data acquiring or treatm...read moreArmen created series of these very helpful videos. They helped us tremendously in breaking into the new scanner we purchased. No matter you just got into digital dentistry or you are quite experienced with different fields of data acquiring or treatment planning, you will find those being tremendous help.read less - 5/24/2020
Loving my Medit i700. My crowns have never fit better, and scanning is SOO easy. I started with cad-ray with the i500. The training and support have been second to none. I upgraded to the i700 shortly after it came out, and recently had a warranty is...read moreLoving my Medit i700. My crowns have never fit better, and scanning is SOO easy. I started with cad-ray with the i500. The training and support have been second to none. I upgraded to the i700 shortly after it came out, and recently had a warranty issue with the new scanner. immediately after calling them with my problem. A new scanner was overnighted to my office, I was very pleased, and had minimal down time.read less - 4/05/2022
W Timothy Brooks
Excellent fast color scanner. A great improvement over my old proprietary scanner. Easy to learn software and great free technical support. - 6/18/2020
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
Collins Woodside
I purchased my Medit i500 scanner almost a year ago from CAD-Ray. Laura and the team there have been so responsive and ready to help. It is so nice to have a person answer the phone and be willing and able to assist! - 12/09/2021
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
Geoff Seuk
Best service and support. Period. The product I purchased (Medit i500) is fantastic, but integrating it into my practice has been super smooth because of the support from Cad-Ray. They not only answer the phone with REAL people, but those people ACTU...read moreBest service and support. Period. The product I purchased (Medit i500) is fantastic, but integrating it into my practice has been super smooth because of the support from Cad-Ray. They not only answer the phone with REAL people, but those people ACTUALLY want to help you. Kind of a novel concept in this day and age. Definitely the best customer service I've experienced from an equipment dealer, and I've purchased equipment from just about all the big companies. Will definitely purchase from them in the future. I highly recommend them.read less - 8/07/2022
David Christensen
I purchased the Medit i500 from Cad-Ray December 2018. I couldn’t be happier with the scanner. The improvements Medit has made over the last 10 months are nothing short of astounding! I can’t imaging what they’ll come up with next.
As for Cad-Ray...read moreI purchased the Medit i500 from Cad-Ray December 2018. I couldn’t be happier with the scanner. The improvements Medit has made over the last 10 months are nothing short of astounding! I can’t imaging what they’ll come up with next.
As for Cad-Ray, their support has been second to none. Never have I experienced the kind of attention and help from any other company. Wether it’s with help installing, computer hardware issues or technical help they respond IMMEDIATELY!
Armen is also a huge reason why I chose Cad-Ray. No one selling a product has helped me more evolve my scanning technique. He’s quick to respond to questions and issues I feel his service is a huge reason why to buy from CAD-RAY.read less - 10/09/2019
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
Mark Gaches
Excellent company to work with. Best customer service and technology available. Can't recommend enough! - 5/05/2021
Jennifer Ebner
After using the medit i500 scanner at an office as an employee, I purchased it from Cad-ray,com specifically because of their good reviews and their large, concise training library of videos. I've used CEREC as an instructor at a dental school and bo...read moreAfter using the medit i500 scanner at an office as an employee, I purchased it from Cad-ray,com specifically because of their good reviews and their large, concise training library of videos. I've used CEREC as an instructor at a dental school and bought a used Planscan, Planmill for my private office. Both were hard to learn and the fees and cost associated with training were a bitter pill to swallow after the costs to purchase. The ease of seating restoration was instant. The scanning learning curve is quick. I have easily added occlusal guard scanning, and implant scanning and will be trying a digital denture soon.
The purchase was easy, the product came quickly and the set-up videos guided me through very necessary adjustments to my Laptop I never knew I needed. Learning the new features with each FREE update is a treat. The DIY option was an extra bonus as the $2000 rebate came without having to ask for it. Cad-ray has delivered more than I expected with the purchase of the fantastic Mediti500 scanner.
I've included my cart set up. purchased from Amazon for $68. Its stable, has room for the necessities. I've taken it home and back to the office half a dozen times and it transports the scanner safely. It also keeps the cords from being run over. I haven't taken the included 2 day course but look forward too it after Social Distancing mandates are lifted.read less - 4/25/2020
I bought I500 scanner two years ago. The scanner is great and the service is excellent. I have contacted Heather Gramley and Andy Nova about the updates of my scanner recently. They are absolutely amazing people. They go above and beyond. They repres...read moreI bought I500 scanner two years ago. The scanner is great and the service is excellent. I have contacted Heather Gramley and Andy Nova about the updates of my scanner recently. They are absolutely amazing people. They go above and beyond. They represent the company very well.read less - 7/05/2022
Fantastic folks. I'm an orthodontist and opened an office in 2020. They helped me find the perfect intraoral scanner to suit my needs. Not too much or too little, and a great price. Every time we have a technical question, a sharp human answers the p...read moreFantastic folks. I'm an orthodontist and opened an office in 2020. They helped me find the perfect intraoral scanner to suit my needs. Not too much or too little, and a great price. Every time we have a technical question, a sharp human answers the phone, troubleshoots, and remotes in when needed-- navigating MS updates and graphics card issues. My i500 died this week. They overnighted me a trade-in at a totally reasonable price, and even shipped me a laptop to drive the i600 while I got a new one (they knew my 2020 laptop wouldn't keep up!). CAD-Ray has consistently hit it out of the park.read less - 4/14/2025
Jim Ellis
I've only worked with this company for a short time but I have found them to be wonderful in every way. Call, emails, and texts are returned very quickly and the equipment that we have purchased works wonderfully. I would highly recommend. Dr Jim Ell...read moreI've only worked with this company for a short time but I have found them to be wonderful in every way. Call, emails, and texts are returned very quickly and the equipment that we have purchased works wonderfully. I would highly recommend. Dr Jim Ellisread less - 5/12/2020
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
Buddy “BTay” Taylor
I600 - so far its great! - 8/23/2022
Susan Latimer
Cad Ray has always provided me with the best customer support for my Medit scanner. Today, I worked with Destiny. She is quick to respond and identify problems and also great at explaining how to fix them! I highly recommend this company! - 5/01/2025
Francis Shin
Amazing customer service. Wayne Glassoff helped me with purchase decision, taking the time to find out my needs, and then my order was delivered quickly! Easily the best "dental" purchase experience that I have ever had. - 9/07/2022
Wes Buchman
Used CAD-Ray for my Medit scanner purchase, training, and assistance and have had zero problems. They are so quick to respond to inquiries and helping with any minor issues (which have been very minimal). Highly recommend working with this company - 8/27/2021
Christopher Godla
I have had my Medit i700 scanner for about 2 months now and have completed 67 restorative cases with it. Scans have generally been pretty quick, and the accuracy seems to be superior to the iTero I used. My first scanner ended up dying after a few ...read moreI have had my Medit i700 scanner for about 2 months now and have completed 67 restorative cases with it. Scans have generally been pretty quick, and the accuracy seems to be superior to the iTero I used. My first scanner ended up dying after a few weeks. Medit and cad-ray were great- they sent a new scanner within the week and haven't had any problems since. Customer service has been spot on. Overall I have been very satisfied.read less - 6/30/2021
Absolutely love dealing with this company. Purchased two intraoral scanners from them over the last 3 years and the support has been beyond exceptional. Frank patiently walked me through all the basics with many a phone call (to his personal cell p...read moreAbsolutely love dealing with this company. Purchased two intraoral scanners from them over the last 3 years and the support has been beyond exceptional. Frank patiently walked me through all the basics with many a phone call (to his personal cell phone, no less) on the first go round. Whenever we've even had a hint of technical difficulty there is ALWAYS a knowledgeable voice on the other end of the line. After 3 years of use a significant issue came up with the scanner and they went above and beyond to get it back up and running. Was so impressed (and I realized how dependent we've become on a scanner) that I purchased another one.Needed some assistance submitting a Valplast RPD design digitally this week. Damien worked me through it in literally 5 minutes and took the time to optimize my graphics card performance while he was there. Top shelf service.Certainly, the first place I go with any dental tech purchase.read less - 6/04/2022
Diana Teverbaugh
What can I say ! I have been extremely pleased with my scanner ! I recommend it to all my colleagues ! The support is the best , I bought the extended warranty and my scanner hada small crack and within one day they shipped my a new one ! I can’t wo...read moreWhat can I say ! I have been extremely pleased with my scanner ! I recommend it to all my colleagues ! The support is the best , I bought the extended warranty and my scanner hada small crack and within one day they shipped my a new one ! I can’t work without it ! Thank you !read less - 2/09/2022
Michael Dickerson
Great experience purchasing my Medit through them. Always there if I have questions too. Thanks again! - 6/16/2020
Al Villalobos
Great scanner at a good price...Excellent customer service . I never want to take a conventional impression again! Best upgrade to my office in years. - 11/16/2021
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
Amazing customer service! Excellent on time feedback. Thank you Kaila - 12/08/2021
Scott Chong
The i500 has been a game-changer for our orthodontic practice. Patients love not having to do alginate impressions. Records appointments and debands take much less time plus there's significantly less clean-up. And it's fast/easy enough to use tha...read moreThe i500 has been a game-changer for our orthodontic practice. Patients love not having to do alginate impressions. Records appointments and debands take much less time plus there's significantly less clean-up. And it's fast/easy enough to use that we've even been able to train summer interns to scans with zero prior dental experience. Our retainers, nightguards, and sleep apnea appliances all showed improved fit with less chair-side delivery time due to accuracy of the scans. Customer support is top-notch. Whenever we've had issues, we get someone immediately and they either talk us through a fix or login via screenshare to help us directly. They have a great loyalty program which gives significant discounts to upgrade to newer units. We recently took advantage and are excited to try out the new i700, especially since they're now Mac-compatible. Simple version: Great intra-oral scanner, easy to use/operate, intuitive software interface, fantastic support.read less - 8/16/2023
Kip Covington
Customer support! I've had handfuls of scanners over the years and support has always been the biggest variable. We recently had a scanner bought through and implant company and received limited to no support. Through recommendations from several fri...read moreCustomer support! I've had handfuls of scanners over the years and support has always been the biggest variable. We recently had a scanner bought through and implant company and received limited to no support. Through recommendations from several friends, I purchased a second scanner through cad-ray and had them transfer over our support for the first. I wish I would have done this years ago. Destaney, has been incredible helping us troubleshoot a hardware issue that came up. It was on 3-shapes side but not only did she run it up the ladder there and get us back up and running quickly, but she promptly answered all questions and continuously checked in to make sure things were moving along. I won't purchase from anyone else going forward.read less - 8/14/2024
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 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
Steven Acker
The i700 provides amazing ease of use and versatility for any digital restorative application. It’s been game changing for our practice. CAD-Ray’s amazing support and Medit’s constant improvement of the software are revolutionary. I’ve been taking di...read moreThe i700 provides amazing ease of use and versatility for any digital restorative application. It’s been game changing for our practice. CAD-Ray’s amazing support and Medit’s constant improvement of the software are revolutionary. I’ve been taking digital impressions for over 15 years with other systems and nothing comes close to the Medit.read less - 8/27/2021
We have worked with Cad-ray for over three years. There tech support should be modeled as the gold standard for tech support. Let me tell you why. When you call in someone answers the phone and even better than that they solve the problem. Lauren...read moreWe have worked with Cad-ray for over three years. There tech support should be modeled as the gold standard for tech support. Let me tell you why. When you call in someone answers the phone and even better than that they solve the problem. Lauren solved my tech problem in less than 5 minutes! Thank you Cad-ray!!read less - 1/24/2023
Laura
Very helpful and attentive when setting up my new Medit scanner. Seamless process from start to finish - 10/28/2024
Scot Bruce
We found the digital training very informative - 8/20/2021
Mitchell Rubinstein
I purchased my medit i500 scanner about a year ago from CAD Ray, and I have been extremely happy with both the scanner and the service / support.
Armen and Frank consider your purchase to be the beginning of your relationship with them, not...read moreI purchased my medit i500 scanner about a year ago from CAD Ray, and I have been extremely happy with both the scanner and the service / support.
Armen and Frank consider your purchase to be the beginning of your relationship with them, not the end. They do their best to make sure you learn everything you need to know in order to get the best possible results .
They answer calls and messages promptly, and it never takes me very long to get my questions answered.
I am VERY glad I bought from them, and not from one of the "big box" Dental Mega retailers.read less - 10/09/2019
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
blakesherrick-q6S
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
Before working with cad-ray, I was hesitant to dive into digital dentistry due to the complexity of it. Working with Laura at cad-ray made all of my concerns go away. She was there to help me with my Exocad software installation, even outside of norm...read moreBefore working with cad-ray, I was hesitant to dive into digital dentistry due to the complexity of it. Working with Laura at cad-ray made all of my concerns go away. She was there to help me with my Exocad software installation, even outside of normal business hours - really hard to come by! I also purchased a Medit i500 and getting that setup and working in my clinic was seamless. I could not have asked for better support while navigating digital dentistry. My next purchase will be a 3D printer, and i know exactly where i will buy it from! Highly recommend these guys.read less - 11/20/2020
Adam Bond
Purchased a Medit i500 from CAD-Ray earlier this year and I really like the scannner. It has great features at a great price point. And the support of the CAD-Ray team has been awesome. They have a great amount of online resources for the DIYers and ...read morePurchased a Medit i500 from CAD-Ray earlier this year and I really like the scannner. It has great features at a great price point. And the support of the CAD-Ray team has been awesome. They have a great amount of online resources for the DIYers and have helpful employees to help after the sale as well. I highly recommend them.read less - 6/16/2020
Caleb King
Kaila Larson is the support specialist for our office and has been outstanding. She gets back to us quickly with any questions we have, and will log into the computer and fix issues so we don't even have to worry about them. She is extremely knowled...read moreKaila Larson is the support specialist for our office and has been outstanding. She gets back to us quickly with any questions we have, and will log into the computer and fix issues so we don't even have to worry about them. She is extremely knowledgeable about the MEDIT scanner and the supporting software. She responds to calls and texts or emails and will communicate with us in whatever way is most convenient for our office. She has saved us hours of time and headache by always being available to help.read less - 5/25/2022
Alvin Aquino
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
jorge lube
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
Brandon Erickson
I have strong feelings about how great CAD-Ray has been. I purchased a medit i500 scanner from my lap, they wanted to use it for courses which aren't happening now so he didn't want to be sitting with this expensive piece of technology sitting aroun...read moreI have strong feelings about how great CAD-Ray has been. I purchased a medit i500 scanner from my lap, they wanted to use it for courses which aren't happening now so he didn't want to be sitting with this expensive piece of technology sitting around. Before purchasing he and I both talked to the Nobel sales rep who assured me that everything would transfer over just fine. I was concerned about the learning curve and wanted to be sure that I would have tech support. I asked the rep directly and he assured me again that everything would be great and he would come do an in-depth training with me. Long story short, the sales rep had no clue what he was doing and put very little effort in to helping me once the purchase was complete. I asked him over the phone how to do a few things and his response was to call CAD-Ray. They explained that this happens, they would love to help me but asked that I purchase the service package. That was a game changer. Now all of my questions getting answered, their response time is amazing and their understanding of the machine is by far better then the Nobel reps. The scanner is great but combine that with their tech support and I feel like I'm set up for success. If I were to do this again, I would skip the headache of trying to save a little bit of money and purchase it through CAD-Ray. But even with making the mistake, I feel like they have programs and support set up to point me in the right direction.read less - 10/15/2020
Chad Gardner, DDS
Can not find a single negative thing to say about my transactions with CAD-Ray. Great people, absolutely unbelievable customer service, and the best products.They stand behind the products they sell as strongly as the manufacturers do. - 4/27/2022
Thanh Huynh
I am beyond impressed with Destaney and Cad-Ray! Despite accidentally throwing away my old scanner, which I was supposed to return, their team went above and beyond to advocate for me. Their exceptional support and understanding turned a stressful si...read moreI am beyond impressed with Destaney and Cad-Ray! Despite accidentally throwing away my old scanner, which I was supposed to return, their team went above and beyond to advocate for me. Their exceptional support and understanding turned a stressful situation into a seamless experience. Highly recommend!read less - 8/02/2024
Tommy Han
Awesome service. Bought a Medit and was able to learn how to use it simply by watching Cad-Ray's support and education videos. Three thumbs up! - 6/16/2020
Mehryar Ebrahimi
Great costumer service. I needed a part for my i700 and they were able to ship overnight. No down time. - 5/06/2022
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
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
In this video we demonstrate how the Aoralscan from Shinning 3D captures deep margins.
An old PFM crown warranted replacement due to open margins and recurrent decay. After the crown was removed, the margins were refined and the tissue was displaced with expasyl and retraction cord.
This video is deliberately captured slowly so a new user can appreciate how to hold the camera to capture the margins and the contacts of the adjacent teeth. You also have the opportunity to place your own margins and the path of draw before submit the case to the lab.
This case was scanned by two different scanners. Once by the Medit i500 and another time with the Aoralscan. Both the meshes are included so you can compare the two. It was scanned to deliver a case that retrofits a partial denture
Most manufacturers recommend that you start your imaging at the second molar area, which is the least practical area to start with. The tongue and the lip and saliva are a quick distraction as the scanner does not know what you are trying to image. The incisal edges of lower anterior are also a tough place to start as the incisal translucency lets the light transmit through the enamel instead of reflecting to the cameras.
A good place to start is the second premolar first molar area where you can use the tip of the scanner to displace the tongue. Reducing the focal length to 12 mm’s allows the user to hide hard and soft tissue that can impede the rate of image capture. Watch the deliberate movement of the camera that helps the user manage the area to be captured with relative ease
Medit i500 was used to scan and duplicated a fractured denture. It was originally scanned in the patient’s mouth to capture the opposing and the bite and then submitted to the lab for fabrication
In this video we review with the instant replay feature of the medit i500 on how to scan a denture and not introduce double images or errors in the model. We first scan the occlusale surfaces of the denture intra-orally (this does not really matter as the software doesn’t know any differently), we then image the opposing, and then bite. We then remove the relined upper broken denture and continue the imaging to capture the intaglio
In this case presentation, we introduce the Shining Aoralscan for beginner doctors who want to get into digital impressions. Proper isolation and retraction is a key element of scanning. In this demonstration we showcase how a new user can easily control the operating field to deliver high quality restorations
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
To date, the literature and research clearly points out that full arch scans with edentulous arches are prone to inaccuracies. That’s because we have never had a way to measure and verify models while scanning. There are two features unique to the Medit i500, namely the reliability map and the artificial intelligent implant suprastructure identification system. Individually, they do not provide much information with regards to accuracy, but if you understand how they work, you can utilize them to assess accuracy while you are scanning edentulous arches.
We proved the validity of this concept by utilizing these two features by incorporating a scan from the imetric Icam4D scanner and merging its data with the IOS to render a perfect match. Details are posted for our users in the Imaging Implants Section of our tutorial liabrary
This is a preview of a single unit case that was scanned using the Artificial Implant Suprastructure Identification System of the Medit Software. To see the full case follow this link
Hydroflouric Acid Etched Treated Scanbody Surface makes Intra-Oral Scanning much easier for all dental scanners. Apply a coat of HF for a mere 10 seconds and rinse off.
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 video we show how to you can digitally pour up the intaglio of a denture scan with the medit software where you scan in the impression mode, “reverse normal”, process the case and the add a base to it. You can then immediately send it to a printer
Taking impressions, digital or analog way, was one of the greatest hassles in implant dentistry. we can now image the margins of the implant suprastrucure OUTSIDE the mouth, merge it with the intra-oral condition, and mark the margins on the digital file as opposed to getting hemostasis and tissue retraction in difficult situations..
medit i500 takes one of the most complex and error prone situations and simplifies it, whether you send the case to the lab or do in office restorations.
In this video, we show a recall of an implant restored with a scanbody. When the implant was initially placed, a scanbody was seated and an X-ray was taken to verify that it was seated. The titanium scanbody allows for visualization of seat. A peek scanbody does have a metal carrier but it is confusing to some users to verify that it is engaged with the fixture.
The proper placement of this biomax implant, followed by ideal contouring of tissue and bone around the head of the fixture, allowed for enough “running room” to create the desired emergence profile
With analog dental impressions, it is imparative to separate the gum tissue from tooth structure and to create a trough for flash for dye work. This is not the case with the intra-oral scanner by Medit. All you need to do is displace the tissue so you have a clear line of site to the margins, and you just need to be flush. You don’t need flash like you do with stone work
Dental implant surgery and restorations were the most risky procedures just 10 years ago. They were also the most profitable, but also carried the largest liability and the most significant surgical and restorative lab costs. A simple error introduced in the restorative process could easily eliminate the profit margin and a more significant mishap can create an undesirable outcome
We have seen dramatic changes in implant surgery where both the cost of the surgical stent and the fixture placement have reduced to the point where fully guided surgery is now the norm as they speed up the surgery and normalize the accuracy of placement across a broad range of practitioners with varying levels of experience. We are now seeing the same type of effect on the restorative side of the implant treatment, where digital dentistry is greatly reducing costs and errors.
With permission from blueskybio.com, we captured some key elements with analog impressions to highlight potential errors that can be introduced. The full video can be seen here:
The common sources of errors that someone can introduce are:
The inherent nature of impression material that can distort during the impression step
The angulation of the impression abutment may prevent it from seating all the way or may bind on the adjacent teeth making it difficult to capture an accurate impression
The size of the impression abutment can usually block access to the contours of the adjacent teeth where the pvs material does not capture the detail needed to generate good contacts and emergence profiles
Not securing the implant analog with the abutment in the impression material so that it does not distort or vibrate out of its position while pouring stone into the PVS material
With multiple implant, the problems can compound exponentially if the implants do not draw well together with complications ranging from locking the tray in the patient’s mouth accidentally or distorting the impression material enough when removing it where you decrease the accuracy. Some practitioners prefer to do this in multiple steps, correcting angulation and collisions with custom abutments and several impressions
Fortunately, in this impression of 3 implants that were placed with a guided, the impression abutments are parallel to each other but just a few degrees in either direction, you can have multiple collisions of the abutments with the adjacent teeth or in between the abutment themselves. What a scanbody does is it allows for the optical scan of a geometric shape that helps CAD software identify the exact location of an implant fixture, its timing, and its relationship to the arch form.
It has significant advantages as there is no distortion of the impression material. Moreover, you can capture all the detail of the adjacent teeth before you place the scanbody in the mouth. This dramatically reduces the errors and adjustments you will need to make during the seat appointment.
This video shows you the contour or the shape of a specific scanbdoy. There are many manufacturers that produce the scanbodies for a variety of fixtures with different geometries. Ideally, you use a titanium based one so that you can take an x-ray to make sure it is seated all the way. A frequent cause for error with digital impression is that you bind on tissue of bone which block you form seating all the way.
Once you have scanned the pertinent information, you can then take the digital models to CAD software where the location of the fixture is identified digitally and you can design the restoration of your choice. This can be titanium abutment or a tibase that retrofits ceramic material like emax or zirconia. The following video demonstrates how you identify the scanbody in exocad and proceed with a sample design.
Once the design is completed, you can outsource the fabrication of the abutment and/or the crown. There are many machines that you can use to fabricate the titanium abutment. Please note that the milling machines do not mill the connection. The connection to the implant comes pre-manufactured. The cylindrical block is milled to shape. The cad software also maintains the relationship of the abutment to the crown so that they retrofit to each other.
Now imagine if you had multiple implants that did not draw together? What’s great about digital dentistry and how we use the Medit i500 here is how we utilize a single scanbody to capture the location of 3 fixtures. One thing we emphasize at CAD-Ray is how digital impression allow you to create models over time and out of sequence. They are also editable and additive. In the subsequent video we demonstrate how you can capture segments at a time, which can greatly help when you have implant abutments colliding into each other.
You can place the scanbdoy in one location, scan it, digitally protect the area, remove the scanbody, place it into another location and image it at the new location, dramatically overcoming all the obstacles described above
Now for the greatest news and the largest advancement in digital dentistry in a decade! Medit i500 has launched the Artificial Intelligent Implant Identification System where the software automatically recognizes these scanbody and lets you skip dozens of steps to get to the immediate design steps of the restoration. The algorithm utilized to match the digital scanbody to the physical one is proprietary to Medit and is unparalleled in its accuracy. A lot of the guess work and inherent errors in the digital platforms are reduced with this software which is a contrasting as the difference between analog and digital impressions.
When you have preops that you are trying to stitch to preps in medit, and this could also include relating scanbodies to arches as well, you need enough data that is redundant in both catalog boxes
if you watch this video carefully, you can see how i over trimmed the mesial part of the equation and even though the camera is active, it is not acquiring images. you can see the red box.
once i move the camera to the distal molar, the acquisition starts because the molar has more data points than the premolar and the software / camera recognized the area and started to acquire images.
understanding this will unlock a lot of complicated cases and make the easier for you
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