As important as the decision of which scanner to buy (I bought the Medit i500 - why is a separate review) is the decision of who to purchase it from. There is a Medit i500 distributor 5 miles from my office who agreed to lower their price to match C...read moreAs important as the decision of which scanner to buy (I bought the Medit i500 - why is a separate review) is the decision of who to purchase it from. There is a Medit i500 distributor 5 miles from my office who agreed to lower their price to match Cad-Ray. So why did I purchase it from Cad-Ray who is 2000 miles away from my office. Because I did my homework. Because the post purchase training and support offered by Cad-Ray was unmatched by any other dealer I spoke with. Their library of online training videos that came with the purchase is without equal. Bottom Line: I’m glad I purchased the Medit i500 and, with hindsight, I know I made the right choice to purchased it from Cad-Ray!read less - 5/12/2020
Tara Ericson
Very pleased with the EXCELLENT support we have received from Frank DeLuca! Loving our new Medit so far, definitely more user friendly than our previous one. - 6/02/2022
Rich Hirschinger
I had an issue that was due to the Medit settings. Damien logged on remotely to my laptop, and resolved the issue in a couple of minutes. Fantastic service. Thank you. - 8/27/2021
David Paquette
Cad-Ray has been super-efficient and very easy to work with! Highly recommend them for Medit sales and support! - 11/09/2021
I seriously can't believe the amount of support I get from Cad-Ray. I bought a medit scanner 2 months ago through Laura and she was very quick to get it shipped to me. She helped me through the whole process and ensured that I was passed to the right...read moreI seriously can't believe the amount of support I get from Cad-Ray. I bought a medit scanner 2 months ago through Laura and she was very quick to get it shipped to me. She helped me through the whole process and ensured that I was passed to the right people to train me. They were always available whenever I called, even one time I ran into an emergency after hours and Kaila picked up and saved the night. Very cool how they can remote access to my computer and guide me through as if they were right next to me.I also recently bought an Ackuretta Sol printer with Laura's help and she got me paired up with Jessica for my printer training. Jessica is so awesome! She is very knowledgeable and guided me through a lot of troubleshooting and set me up for success.Thank you guys so much!! I will always refer my friends to you all.read less - 4/13/2022
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
David Wheeler
I have had excellent , prompt , customer service and support from the entire team . Especially from Frank DeLuca as I move along the learning curve. His patients and expertise is much appreciated - 1/24/2023
Ponciano Melo
If your planning to buy dental oral scanner look for Jon. He will give you a great deal. He is very friendly and knowledgeable about the advantage of Medit I500. AGAIN, Don't forget to look for Jon for your next oral scanner. I highly recommend this ...read moreIf your planning to buy dental oral scanner look for Jon. He will give you a great deal. He is very friendly and knowledgeable about the advantage of Medit I500. AGAIN, Don't forget to look for Jon for your next oral scanner. I highly recommend this guy.read less - 1/09/2021
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
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 purchased a Medit scanner in August and I am very happy with the scanner. I was trained on an Omnicam in dental school and used Omnicam for 4 years in my associateship. The speed and quality of the Medit scanner is comparable to a CEREC scanner but...read moreI purchased a Medit scanner in August and I am very happy with the scanner. I was trained on an Omnicam in dental school and used Omnicam for 4 years in my associateship. The speed and quality of the Medit scanner is comparable to a CEREC scanner but you can’t beat the price of the Medit! I would highly recommend this if you are a beginner or pro in digital dentistry!read less - 9/22/2020
Miller Loriaux
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
Mike Capio
Nothing but good things to say about CAD-Ray. All of the education, recommendations, and products they provide are truly the best in digital dentistry at the time. - 6/20/2020
JCarlos Mendoza
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
William Huszti
Nicely done Cad-Ray- Thanks for helping me get back to work! The new i700 is our tech fav! - 3/03/2022
Aaron LaRock
Dentist here. Bought a scanner, mill and 3d printer with Cad-Ray. I don't know what I'd do if I bought these items without their support. They've helped me so much and are awesome. I felt I had to repay by writing them this nice review. You won't reg...read moreDentist here. Bought a scanner, mill and 3d printer with Cad-Ray. I don't know what I'd do if I bought these items without their support. They've helped me so much and are awesome. I felt I had to repay by writing them this nice review. You won't regret getting whatever you need through Cad Ray.read less - 3/15/2024
Iggy “Iggy” Deleon
There’s a reason why all cardray reviews are 5 stars only. They have the best people on their team. Jesse is the best trainer and provides above and beyond support. I can’t count the number of times that he’s saved me in the clinic with his designs. ...read moreThere’s a reason why all cardray reviews are 5 stars only. They have the best people on their team. Jesse is the best trainer and provides above and beyond support. I can’t count the number of times that he’s saved me in the clinic with his designs. He’s truly a master at his craft and one of the best assets to the cad ray team!read less - 2/02/2023
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
Love my medit! Cad-ray has been awesome to work with and very educational in learning all things digital . Was doing a study club with 4 other dr's showing off the medit and the cerec dr who had just bought the newest kept saying, "mine doesn't do...read moreLove my medit! Cad-ray has been awesome to work with and very educational in learning all things digital . Was doing a study club with 4 other dr's showing off the medit and the cerec dr who had just bought the newest kept saying, "mine doesn't do that. No way! I wish mine could do that. For real? I paid 4 times as much."
Needless to say the medit is awesome.read less - 6/18/2020
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
Mike Davis
I have been very happy with the Medit I purchased from Cad Ray. Everyone has been very helpful and quick to respond to my questions. They have an awesome video library for the medit, I am new to scanning and have really enjoyed the tutorial videos. - 6/16/2020
Maureen Copeland
Our office has been really happy with the i700 scanner so far. It was really easy to set up and use after watching only, 1-2 of the videos Cad-ray has on the website. Training with Andy was a breeze! Looking forward to taking level 2 training soon. - 1/20/2022
One of the best investments I’ve made for my office. A fraction of the cost compared to cerec. No monthly club fee. Easy maintenance. Saving a ton on lab costs. Milling and designing crowns is honestly my favorite things to do now. - 6/29/2020
Love my Medit! Can’t beat the quality, and the price is even better! Also, great people who are always willing to help! - 6/16/2020
Emerson Gower
Nothing but great things to say about Cad-Ray! Excellent customer support from Laura after the purchase of our Medit i500 and the cart from Damien. I’ve been very impressed with the Medit in restoring crown and bridge, as well as fixed hybrids, and...read moreNothing but great things to say about Cad-Ray! Excellent customer support from Laura after the purchase of our Medit i500 and the cart from Damien. I’ve been very impressed with the Medit in restoring crown and bridge, as well as fixed hybrids, and learning more of its capabilities each day. We have intentions to buy a second Medit shortly and will definitely be using Cad-ray again.read less - 12/13/2021
Todd Haskin
The medit is one of the best scanners on the market with the best price. Cad ray's support and training is phenomenal and they are very quick to respond. We work with Laura. Highly recommend. - 12/16/2021
Ajitha Gereddy
We purchased Medit i-500 with CAD ray last December and customer support is great.One of best thing for our practice is having intra oral scanner ,works great . Laura was very patient with our learning curve. - 12/10/2021
Michael White
Everyone I have dealt with during the process of buying my new N4 VHF mill (which by the way is fantastic) last year to buying a new iMedit 500 scanner. Having the open type system has been a God send. No more held hostage by the 2 main systems us ...read moreEveryone I have dealt with during the process of buying my new N4 VHF mill (which by the way is fantastic) last year to buying a new iMedit 500 scanner. Having the open type system has been a God send. No more held hostage by the 2 main systems us same day crown dentists have had to deal with for years. Cad-ray made the financing a snap and the post customer support is unbelievable. Thank you everyone at Cad-Rayread less - 5/12/2020
Brandon Jones
Cad-Ray customer service is great! Super responsive and efficient. - 3/26/2024
Minh Van
I was referred to CAD-Ray by Medit Instagram help service. I have purchased Medit i700 from Laura, I was please to work with her and the whole team. They offered the best customer service and the fast responses, especially Laura. I look forward for t...read moreI was referred to CAD-Ray by Medit Instagram help service. I have purchased Medit i700 from Laura, I was please to work with her and the whole team. They offered the best customer service and the fast responses, especially Laura. I look forward for the next purchase.read less - 12/07/2021
Otto Herod
I received my Medit scanner a couple months ago from Cad-ray, and I can't express enough how awesome it is. I have done a ton of research and used the latest IOS from one of the big guys, and due to many software issues I was able to return that mach...read moreI received my Medit scanner a couple months ago from Cad-ray, and I can't express enough how awesome it is. I have done a ton of research and used the latest IOS from one of the big guys, and due to many software issues I was able to return that machine. And thank God, because it was so over priced and came with a $300/month support fee forever! The Medit scanner is as good or better than that one when it was working properly, and for the price it's a no brainier.read less - 9/17/2020
Mike Holt
We purchased the Medit i700. With the help of CAD-Ray and their amazing support team the transition to digital scanning was simple. Laura Geney walked us through the purchase and guided us during our training with the help of Andy Nova. Laura has bee...read moreWe purchased the Medit i700. With the help of CAD-Ray and their amazing support team the transition to digital scanning was simple. Laura Geney walked us through the purchase and guided us during our training with the help of Andy Nova. Laura has been there every step of the way checking in weekly answering all of our questions. We highly recommend CAD-Ray and look forward to doing business with them in the future.read less - 7/24/2022
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
Matt McReynolds
Great scanner (medit i500) and mill (coritec one). They were great for an open system that allows me to do just about anything. - 6/16/2020
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
Purchased a Trios 5 and the Sprint Ray Printer/Ecosystem from Cad-Ray at the end of 2022. Frank Deluca, my CAD-Ray rep, was instrumental in helping me see the value in purchasing both technologies to expand on my digital dental office. He came ac...read morePurchased a Trios 5 and the Sprint Ray Printer/Ecosystem from Cad-Ray at the end of 2022. Frank Deluca, my CAD-Ray rep, was instrumental in helping me see the value in purchasing both technologies to expand on my digital dental office. He came across as being very sincere and professional throughout the entire process. After the purchase, he even made himself available to go above and beyond what a normal dental rep would do. For instance, when I had my Sprint Ray Ecosystem installed, he set aside time on a Friday afternoon to walk me through the steps to print my first 3D study models. I would say he is one of the best dental reps that I have come across. Definitely received a 5 star experience and service from Frank. He is definitely and asset to CAD-Ray.read less - 1/25/2023
Ryan Buckwalter
Couldn't have had a better experience. The training was excellent, and they've been great to work with. I recently had an issue that required a warranty claim. The process was super easy, and completely hassle free. In fact, I'm still in shock at...read moreCouldn't have had a better experience. The training was excellent, and they've been great to work with. I recently had an issue that required a warranty claim. The process was super easy, and completely hassle free. In fact, I'm still in shock at how great they were about the whole thing. I would (and do) highly recommend this company.read less - 2/09/2021
Jorge Gonzalez
Armen is a dentist and knows what a dentist need, on other words cad ray sells technology that works for dentists! - 6/16/2020
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
Reid Stone
I cannot say enough good things about Cad-Ray and the people involved with this organization. I have purchased equipment over the past few years from them and always been amazed at the non-pushy before the sale help and the after the sale support. ...read moreI cannot say enough good things about Cad-Ray and the people involved with this organization. I have purchased equipment over the past few years from them and always been amazed at the non-pushy before the sale help and the after the sale support. I have been deciding for the last 2 years to make a big purchase of a mill and sintering furnace and Jon has never made me feel like I was bothering him and never pushed me just to try to get a sale. It really is different from other sales experiences I've had with other companies/sales people.Jesse came out and installed and provided training for our new mill and sintering furnace. He went above and beyond what I was expecting to make sure myself and my team knew how everything works during the training. He has also been great with questions we have had since the installation. I just cannot say enough good things about my experience all around and will definitely be a Cad-Ray customer for many years to come. Thank you Cad-Ray!read less - 6/15/2022
Page Barden
I have just recently purchased the Medit i700, and although it is "on its way" I have to comment on the support that I have already received, especially from Nick. He walked me through the benefits and features of the scanner and the transaction was...read moreI have just recently purchased the Medit i700, and although it is "on its way" I have to comment on the support that I have already received, especially from Nick. He walked me through the benefits and features of the scanner and the transaction was extremely easy. I can only think that the rest of the onboarding will be the same and in six months I will revisit this site and be extremely grateful I made the purchase.read less - 12/09/2021
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
Kristian Dietz
My wife and I practice together and bought our first i500 in August of 2018. This was very early on before Armen had a vast number of technique and online support articles in his blog! Little was publicly known at the time about this new scanner bu...read moreMy wife and I practice together and bought our first i500 in August of 2018. This was very early on before Armen had a vast number of technique and online support articles in his blog! Little was publicly known at the time about this new scanner but I felt confident in my purchase for a few reasons: 1) Armen had validated the product and was standing behind it... I knew of Armen from DentalTown and had many years of public posts to evaluate his character; 2) Limited demos available at the time; 3) some clinical accuracy data out of Europe that required zooming in on a powerpoint presentation that was recorded second-hand via camera phone ha! SO needless to say, I put a lot of eggs in the "Armen is standing behind this product" basket. We have NOT been disappointed. From personalized service from both Frank and Armen, to our vast success and joy using the product and deciding in late 2018 to buy a second Medit i500, I have nothing but good things to say about the product and Cad-Ray. What a bunch of self-less individuals. Armen has offered to remote in and I even took him up on the offer once and he remoted in immediately to take a look at something. Good luck getting service like this from ANYONE else in the industry. Cheers to digital dentistry with the RIGHT partner. Kristian C. Dietz, DDSread less - 3/08/2020
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
Ernesto Carmona
When I decided to purchase a digital scanner I decided on user experience. They have provided the best experience I could have asked for, from online support, Facebook support, and in person courses. There is no better team to buy Medit from period...read moreWhen I decided to purchase a digital scanner I decided on user experience. They have provided the best experience I could have asked for, from online support, Facebook support, and in person courses. There is no better team to buy Medit from period. Do yourself a favor and buy from them if you are in the market for an intraoral scanner.read less - 6/16/2020
Samir Rana
Ive had the medit since 2018. One of the best decisions in dentistry ive made. I met some of the great trend setters in digital dentistry(armen, jonathan ab and others through social media platforms). Medit Has changed The way i practice, live and ...read moreIve had the medit since 2018. One of the best decisions in dentistry ive made. I met some of the great trend setters in digital dentistry(armen, jonathan ab and others through social media platforms). Medit Has changed The way i practice, live and think! Happy not to have a monthly fee as i did for years. Support is always a message or call away. Would be glad
To further share my experience with you if u need.read less - 6/16/2020
kenneth kim
Purchased Medit in 2019. Bang for the buck best investment and will get you started in digital dentistry with ease. No monthly subscriptions and Cad-Ray support is amazing. No regrets. - 6/16/2020
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
Ed Borio
I was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it h...read moreI was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it has been a rewarding and relatively seamless transition to the world of scanning. I never dreamed implementation would have been this easy and its attributed to Laura's skillful training ability. The scanner is wonderful and powerful, but we would have never been able to unlock its potential without her assistance.read less - 5/07/2021
Trident Dental
Great help when you need it. Frank, Armen and team will take care of you. - 12/10/2021
The Medit I500 is powered by a software called Meditlink. Within the program, you have workboxes where you can scan, design, nest, and mill a restoration, when you utilize the software as a laboratory, instead of a clinic. The feature is not available when you log in as a dentist, but all you have to do is register as a lab, and you have access to all these features.
You can can manage a case all within the meditlink software in a
seamless workflow. More importantly, you can utilize whatever CAD
software you want, nest and mill with your CAM software of choice, or
just export the case to someone else to collaborate with
In this video, you can see how you can launch the scanner and capture the data, then you can choose to utilize exocad, 3shape, Maestro design software. You can even export the data to another platform or launch your CAD of choice. Here, we utilize the CAD-Ray software which is a private label program powered by exocad.
The following pdf files document all the changes and updates to the Medit i500 intra-oral scanner. Some of the new features include taking pre-operative images, localized high definition scanning, a variable and custom scan depth field, scanning of impressions and much more
A well fitting surgical stent makes guided surgery very easy. You can CT scan a stone model or an impression to get a digital model to design the surgical stent
This failing three unit fixed partial denture was replaced with the Medit i500 and the CAD-Ray Design Software. While the patient was getting numb, a physical quadrant impression was made to fabricate a temporary after the removal of the existing bridge
With distal extension case, we advocate that you take a the pre-op scans, the maxillan and mandibular scans, and the first of the buccal bites. After the preparations are done and imaged, we advocate that you take the second bite IN THE SAME area so that you can judge if the jaw has settled once your distal stops were prepared.
This preview shows how the two bites can aid with aligning the arches accurately and to determine if the jaw settled after the lateral pterygoid muscles releases.
For the sequence of events, you can see how the pre-op scan of the bridge was taken. The same model was then trimmed in the maxillar folder, the lower arch was scanned and the first buccal bite was taken.
After the bridge was removed, the premolar preparation was modified and the margins were exposed with expasyl and cord retraction. The premolar prep was imaged with the medit i500 and the pontic area was also captured
Proper isolation and retraction greatly contribute to ease of access and imaging. Here you can see how the isolite and the optragate are used in conjunction to control the clinical environment
Notice how the red soft tissue is harder to pick up in the scan and the camera mode was changed to white light, as opposed to blue light scanning. Blue light is great at picking up tooth structure, white light is great at picking up red- blood and soft tissue.
Once the premolar area was captured, the imaging was stopped and then the molar crown prep was modified and the model was extended to include the new prepration. The difficult access was address by breaking up the model into sections that are much easier to maintain. The protect mode was used to not “ruin a good impression” elsewhere on the preparation
After the case was processed, the margins were marked and the rough design was proposed and then shared with the lab through the dentalshare network
A common question we get about the Medit i500 is about its cross arch accuracy. There are dozens of ways one can introduce errors with digital impressions and the user must be able to recognize the potential pitfalls. Once you adhere to strict scanning protocols, you can achieve very accurate scans.
To demonstrate the accuracy of intra-oral scanning vs physical impressions, we place 6 DESS Desktop Scanning Scanbodies (REF: 5041) on a stone model that contained six implant analogs.
The original impressions were taken using traditional impression abutments on BioMax Implants from BlueSkyBio Narrow Platform Fixtures. The surgical stent was used to capture the impression duralay pattern resin was used to secure the relationship of the impression abutments to each other and the tray.
The model was poured and a stone cast with analogs were fabricated. The stone models were desktop scanned with the Medit T500 and the rendered models were exported to exocad software to analyze the precision of the intra-oral scan with the traditional method.
At CAD-Ray, we have a tough job balancing the interests of patients, dentists, and labs. The hand-off or delegation from dentist to the lab in a digital workflow is difficult to identify because of various habits all parties are accustomed to.
We think the sweet spot is for the dentist to mark the margins, verify that the case is mounted corrected for the proper vertical dimension, and then submit the case to the lab. A great tool is the DentalShare feature from exocad that allows collaboration between dentists and labs.
This eliminates so many obstacles, reduces cost for labs dramatically, and expedites the fabrication of the restorations. There are no phone calls that need to be made and it allows collaboration at the highest level where you can pass files and images back and forth to your technician at your and their convenience.
With the products we distribute and the number of clients we have managed over the years, we identify this segment of digital dentistry as the largest growth potential in our profession.
Click here to download the DESS library for exocad. It gets tricky making sure you have the right parts for both the scanbody identification and the tibases that would go with the zirconia substructures you will be ordering and/or manufacturing.
There are some great new features coming to Version 2.0 by the Medit i500. We now have the option to image the pre-operative condition, the upper and lower jaws, and the buccal bite, along with the catalog boxes for scan bodies.
In this particular case, we are restoring a left Central Incisor that has been temporized for approximately 4 months
To set up the case, the pre-op arch was imaged, then the mandible was scanned, and the buccal bite was taken. After the occlusal relationship was registered, we moved back to the maxillary catalog box.
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The screw retained temporary was removed and the contact areas and the gingiva was captured with the Medit i500. Then we moved to the scanbody catalog box, inserted a NT-Trading scan body, made sure it was completely seated and imaged that as well.
Once the case is processed, the relationship of the upper jaw to the lower jaw is preserved, as is the relationship of the pre-op condition to the maxilla as well as the scanbody relationship to the same arch. This is critical when you bring it into design software as the steps to relate the jaws to each other is dramatically reduced
A cool new feature in the upcoming Medit i500 is the opportunity to capture deep areas that are out of the camera’s focal length (-1.5 to 17mm). This usually happens in complex implant cases, or in this case where the anterior four teeth were traumatized.
With very little tooth structure remaining, a custom post and core was required to restored the dentition with a very guarded prognosis. After root canal therapy, the chamber was accessed and a conventional impression was taken.
Separate from this, a clinical digital impression was taken of the temporaries, the opposing and the buccal bite. The margins of the preps were protected and the chamber was deleted / cropped. As you can see, there are hollow areas in the depth of the chambers where the topography was outside the focal length. Scanning the impression as a negative gives easy access to the depths of the chamber, allowing you to form a model that is well outside the imagine range of the neighboring teeth.
The software allows you to image intra-orally and then allows you to fill in the voids by imaging the impression instead.
A new feature coming soon to Medit I500 is localized High Definition Scanning. There are two modes you can scan and save the models in; Normal and High Definition. In previous versions, either the whole arch model was process in regular or HD mode. Although of little clinical significance, if any, the visual properties provided by the High Definition mode resonate with all clinicians.
The processing times for HD mode was 4-5 times longer than regular mode. Now, you an just scan local areas in High Definition, greatly reducing processing time and provided you sharp details of the preparation.
In this video you can see clinically how the upper arch was imaged in regular mode. The whole lower arch was then imaged while expasyl was applied as a hemostatic agent. Once bleeding stopped, the area was irrigated and dried. In the software, the molar area was trimmed away and the local HD feature was turned on. The topography of the preparation was captured in the new Local HD mode.
As a clinician, you will appreciate the depth of the margin and the quality of the scan when designing the restoration in exocad
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Here, you can see the design process in our software powered by exocad.
A very common issue for a new user of Intra-Oral Scanners is to appreciate that, generally, the cameras nor the software, can tell the difference between tooth structure and soft tissue.
Furthermore, once soft or hard tissue is captured by a scanner, it assumes that the data is part of the model and part of the “equation”. What this means for automation is that this data, if you don’t take it into consideration, can actually hinder the automatic stitching of arches to each other via the buccal bite.
In the attached video, you can see how some excess data in the lower arch, namely the cheek, prevented the automatic stitching of the buccal bite with the upper and lower arches. Simply trimming away data sets that are in the line of sight for your camera can greatly speed up the process.
In the original version 1.0 of Medit Software, you would capture the upper jaw and lower jaw, then the buccal bite on either one side or both sides. Once you capture the arches and their occlusal relationships, you then process the case.
In the preview box, you will then find two models that you can export. The mandibular and maxillary files are readily visible, but the buccal bite, or the occlusion models are not present. This can be confusing to some new users or people used to other programs / software. Rest assured that when you import the case into another software, the relationship of the upper arch is maintained with the lower arch.
The above case is imported into another software and you can see how it automatically relates the arches to each other as there embedded coordinates in the two arches and they know their positions on the X,Y,Z planes
Now imagine if you actually wanted or needed the buccal bite models too. Once thing you could do is to start a new case, and take the right side buccal bite in one of the catalogs, and the left side buccal bite in the opposing arch catalog box.
You could then export both of those models to third party software to utilize them for their intended uses. In this video, you can see how this is managed- all you have to do is label them properly when exporting them because the software will label them as maxillary and mandibular files.
In the new software version 2.0, the buccal bite models can be exported along with the upper and lower arches. So can the preop models or wax ups if you wanted to utilize them in a particular design
Advanced users will like this feature as they can manipulate the models with the two bite models. For example, in the video attached, there are 4 models being utilized to establish the current bite. You can bring multiple other models to set the arches at differing vertical dimensions and tooth positions for more complex cases.
A couple of great new features are coming to Medit V2.0 really soon. One is the ability to capture the pre-existing situation in one catalog box and the prepped arch in the other.
In this video you can see how the initial maxilla is captured in the first catalog box. Once that is done, the appropriate arch is selected and the model appears in the respective arch. You simple crop out the area where the preparation belongs and start imaging to fill in the space with the prepped arch.
The great part of this program is that the imaging of the preparation does not start until the software recognizes the adjacent landmarks. It is imperative that the same “stitching abutments” exist in both models. As a bonus, you can click on localized HD mode for the preparation where the detail is captured in high-resolution.
When you capture both the pre-op and the preparation model in this manner, it is an easy workflow in the CAD software to render the restoration. Since the models are related to each other, you can command the program to adapt the restoration to the teeth (or pre-op condition). For best results, you must trim the pre-existing condition in manner so that the only remaining area is above the margin circumferentially.
To achieve that, simple trim the pre-existing condition with the edit tool in the software. If the pre-op is in great condition, you will not have to do any adjustments. One over-riding feature that always prevails is the minimum thickness around the margins.
With the localized High Resolution mode in Medit v2.0 you can speed up processing time but not compromise resolution that allows for great fitting restorations, as you can see in the try-in step of this emax 3/4 crown
With digital dentistry, you can approach complex cases with ease. For example, when you look at these two crowns that need to be replaced, your inclination is to prep them both, get hemostasis and retraction at the same time, and then take the impression.
Whether you only image with your 3Shape scanner or design within Design Studio, you can export the stl file into our milling machine’s native CAM software and start producing restorations in your office.
If you don’t have a computer aided design software, we can package our milling machine with our privately labeled CAD-Ray Software (exocad) and you design crowns, inlays/onlays, partial crowns, custom abutments and a lot more! If you already have the design software, all you have to do is export it and take the VHF milling machine
Both the N4 and the Z4 can nest your restoration and mill your desired product.
This recent publication in the Journal or the American Heart Association details the relationship between sleep apnea and cardiovascular disease. It is a comprehensive study evaluating the success rate of possible treatment modalities, including oral appliance therapy.
A recent study published in the Journal of Advanced Prosthodotics compared many Intra-oral scanners and used the Medit desktop scanner as the reference frame and benchmark for accuracy. Unfortunately the Medit Intra-Oral Scanner was not commercially available at the time of the study.
Our position at CAD-Ray is that any scanner can be accurate and inaccurate based on how it is utilized. Furthermore, once you capture accurate data, by the time you design a restoration and send it to production, the printing or milling machine has no idea where the scan came from and generally can produce restorations to the level of accuracy the resolution the scanners provide.
Keep in mind, there are dozens of ways an operator can introduce errors in imaging.
Here are fundamental principles every dentist should understand about intra-oral scanners, how we can introduce errors, how to manage them, follow proper scan strategies, maintain accuracy across the arch and lots of other nuggets
Every ios hates moving parts (tongue and cheek) Every ios hates dark areas like the oropharynx, black triangles, etc… Every ios hates liquids (blood on the margins) Every ios can “get off track” and form double images Every ios struggles with highly reflective surfaces like emax, zirconia, and shinny metal.
The principles shown in the video address every one of these factors and how you can control them and get accurate arch scans in just a minute with the medit i500
I have tried virtually every ios out there and they all struggle with my mouth full of emax. the focal length of the medit from -1.5 mm to 17 mm is the largest variation on the market, and the way the medit handles highly reflective surfaces also outperforms every other ios.
In January, it will be in turbo boost mode when new software is released.
Full arch scan, metal abutment, ceramics, lots of reflective surfaces all captured in under 90 seconds with no powder. just have to hit the metal at different angles and focal lengths, retract the lips and tongue and dry and you will fly with your ios
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