Just purchased i700 and had training with Andy.
Andy was very patient and informative . He went through everything and made sure I was comfortable with my equipment before leaving. I am really excited about this new technology. - 1/05/2023
I’d like to tell you a story about CAD-Ray.com.I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little indepe...read moreI’d like to tell you a story about CAD-Ray.com.I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little independent distributors. They just called us, and we just found out. What this means is that we won’t be able to provide you service after purchasing the VHF mill that you just bought.”Now, they could have just left it at that. They could have said, “Sorry, it’s out of our hands.” They could have said, “We appreciate your business, but it’s not our fault.” They could have said, “That’s the way the cookie crumbles.”But they didn’t.Frank Weinstein calls me up and tells me that they want to make this right, so they are going to hook me up with a brand new Imes Coritec One+ for the same price as the VHF. The Coritec One+ is like the Mercedes of mills for in-office. This is the new model that just barely came out. It is a 5 axis mill. It does wet and dry milling. It does blocks and pucks. It mills all materials know to man, including Vibranium. It can also fly the space shuttle, and make all your wishes and dreams come true. It’s that good. It came with the laptop, Exocad, all the tools, and all the bells and whistles. It came fully loaded. It came white glove delivered to my office. It came with in office training. It came with the extra bur package. It came with everything and the kitchen sink.So, I paid 36k for a mill, and because of something that was not Cad-Rays fault, they ended up giving me a 60k mill for the same price.In the words of the great Tony Stark: “That’s how Dad did it. That’s how Cad-Ray does it. And it’s worked out pretty well so far.”Thank you Frank Weinstein and Armen Mirzayan for having outstanding customer service and going the extra mile every time.read less - 4/09/2021
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
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
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
Rosemary Toczydlowski
I had a phone call with Frank from support today, and he was awesome! Very helpful and knowledgeable. He sorted out all our issues no problem. Thank you Frank!! - 6/09/2021
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
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
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
Mital Patel
Cad-ray has been awesome with support and training! I got the medit in 2018 and couldn’t imagine practicing without it! Armen and frank somehow seem to be available at all hours of the day, and I can typically have them remote in same day if I need a...read moreCad-ray has been awesome with support and training! I got the medit in 2018 and couldn’t imagine practicing without it! Armen and frank somehow seem to be available at all hours of the day, and I can typically have them remote in same day if I need any help.read less - 6/16/2020
Alec Keon
I was on the fence on getting a scanner for years and finally pulled the trigger. CAD-Ray's support and knowledge has made this one of the best investments in my practice to date. When I spoke with Damien on the phone about my options he literally sa...read moreI was on the fence on getting a scanner for years and finally pulled the trigger. CAD-Ray's support and knowledge has made this one of the best investments in my practice to date. When I spoke with Damien on the phone about my options he literally saved me thousands after figuring out what my exact needs were. I went with the Medit i600, MSI laptop and 3D dental systems cart. The final product looks and feels as premium as it gets.read less - 2/21/2024
Daniel Kim
CAD-Ray's online resources and customer support has made my Medit scanner implementation possible without the need for any hands on training. They are full of resources and have expert knowledge. - 7/01/2021
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
Inna Vinnikov
Frank was fantastic in helping me obtain my medit scanner. He answered all of my questions in detail. After the purchase of the scanner, he continued to follow up with me and presently remains a tremendous support with any concerns that may arise. Wa...read moreFrank was fantastic in helping me obtain my medit scanner. He answered all of my questions in detail. After the purchase of the scanner, he continued to follow up with me and presently remains a tremendous support with any concerns that may arise. Was a great experience overall from transitioning my practice into a digital world!read less - 1/25/2023
Jared Gustafson
One of the best companies to work with for dental tech needs. They have a vast video training library that makes the transition easy to digital dentistry. I’ve recommended a few of my colleagues purchase the medit through them. It’s been a great year...read moreOne of the best companies to work with for dental tech needs. They have a vast video training library that makes the transition easy to digital dentistry. I’ve recommended a few of my colleagues purchase the medit through them. It’s been a great year!read less - 6/16/2020
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
Steven Oshins
I've been fortunate to have had the opportunity to work with Frank DeLuca this past year. He is always pleasant, willing to help, responsive to my questions and extremely knowledgeable. I highly recommend Frank!! - 12/16/2021
Linsay N Brandon Jarvis
As a lab we see a lot of scans. Great quality and easy to create great restorations from the Medit offices that send us work.- Jarvis dental lab - 1/29/2019
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
Amber Thomas
Andy was very patient and informative during our Medit Training. He made sure that we understood exactly what we needed to know in order to be successful during scans. Since our training we've moved full steam ahead in completing scans for lab fabric...read moreAndy was very patient and informative during our Medit Training. He made sure that we understood exactly what we needed to know in order to be successful during scans. Since our training we've moved full steam ahead in completing scans for lab fabrications of crowns, bridges, and Invisalign. Thanks so much!!!read less - 4/05/2022
So glad we used Cad-Ray. They absolutely helped set everything up and even helped us tremendously when we needed a replacement. We are using the i700 and are thrilled with it! - 11/03/2022
Steven Polasek
The cad ray team is the best! Jon and Nick offer first class service! I ordered a medit i500 from another supplier and had to cancel my order after it had not arrived within 3 weeks. Placed my order with Jon and Nick, had the scanner to me within 24 ...read moreThe cad ray team is the best! Jon and Nick offer first class service! I ordered a medit i500 from another supplier and had to cancel my order after it had not arrived within 3 weeks. Placed my order with Jon and Nick, had the scanner to me within 24 hours of purchase. I love my medit! Best scanner on the market!read less - 6/15/2020
Service is extremely quick and on point. Highly recommended to join the Cad Ray facebook group! - 6/01/2022
Melissa Poynter
Very pleased with Heather :) She has been able to solve any and all issues I may be having, and does so within the same day if not right away! - 6/16/2022
Jared H
Purchasing my medit i700 from Cad-Ray was a great decision. I did my first training with Kaila and she was fantastic! Super knowledgeable, patient and truly helpful in making sure I was ready to hit the ground running with patient care. I put a call ...read morePurchasing my medit i700 from Cad-Ray was a great decision. I did my first training with Kaila and she was fantastic! Super knowledgeable, patient and truly helpful in making sure I was ready to hit the ground running with patient care. I put a call into cad-ray support in the middle of a case and sure enough Kaila was also the one to answer and handle the situation. She jumped right on my computer and had things fixed in a matter of a few minutes. Awesome support, great staff and overall super positive experience with Cad-ray thus far!read less - 5/06/2022
Rebecca Booth
Great scanner easy to use with the software. Definitely recommend the i700 scanner. Great customer service from Laura. - 12/09/2021
Blake Holt
Best place to buy a medit i500 from. Great support and an even better community. - 6/16/2020
Michelle Duong
We are a new user of Medit i600. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. Installation was also easy and straightforward. Our staff is really happy...read moreWe are a new user of Medit i600. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. Installation was also easy and straightforward. Our staff is really happy with this new addition to our office. Thank youread less - 9/23/2022
Thanks for delivering amazing courses. Always thinking beyond dentistry. Thanks for sharing all so selflessly. - 11/13/2022
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
Sean Landgraf
Truly Great Service. Glad I purchased my scanner here. - 8/03/2023
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
Samuel Schmidt
I purchased a SprintRay through them. I'm new to the 3D printer realm and they've been great with answering my questions and getting me set up. I've just really have been impressed with the quick responses, its much appreciated, thank you! - 4/20/2022
North Bakersfield Dental
Excellent customer service and product!! - 3/16/2022
Michael Pagano
I bought a Medit i500 from Cad-Ray. The service was fantastic. This group also does ongoing training to keep you up to date on how to use the technology.I had a minor issue with hardware and Cad-Ray resolved the issues no questions asked!They have a ...read moreI bought a Medit i500 from Cad-Ray. The service was fantastic. This group also does ongoing training to keep you up to date on how to use the technology.I had a minor issue with hardware and Cad-Ray resolved the issues no questions asked!They have a very active online forum that is supportive. I wouldn’t hesitate to purchase more equipment from them!read less - 10/13/2020
Keith Bracy
My rep Nick at Cad-ray was very helpful in my purchase of the Medit i700. So far, I love the scanner and have no regrets about my purchase. The setup and support from the company have been seamless as well and the purchase process with financing!
I ...read moreMy rep Nick at Cad-ray was very helpful in my purchase of the Medit i700. So far, I love the scanner and have no regrets about my purchase. The setup and support from the company have been seamless as well and the purchase process with financing!
I was considering the new itero as well and happy I got the Medit instead! The lightweight scanner as well as no monthly ongoing fees was what ultimately won me over, as well as the robust software.read less - 7/21/2021
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
We received our i700 scanner from CAD-Ray yesterday. It was an upgrade from our i500. The scanner is amazing and Laura was amazing in helping us get up and running in no time. Their support, professionalism, and expertise is unmatched. Thanks CAD-Ray...read moreWe received our i700 scanner from CAD-Ray yesterday. It was an upgrade from our i500. The scanner is amazing and Laura was amazing in helping us get up and running in no time. Their support, professionalism, and expertise is unmatched. Thanks CAD-Ray!- Helena from Elite Dentalread less - 12/23/2021
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
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
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
Fantastic support and customer service! This is an awesome company. They aren't big box and actually know how to use, trouble shoot and ball out with the products they sell. They only will sell and endorse a good product. They are selective. Whatever...read moreFantastic support and customer service! This is an awesome company. They aren't big box and actually know how to use, trouble shoot and ball out with the products they sell. They only will sell and endorse a good product. They are selective. Whatever they sell they back. And they have your back too. Their support, service and training is industry leading. Also Laura from CadRay is a beast. She's wizardread less - 4/23/2022
Deryck Pham
best customer service on the planet. very easy to use. and always fine tuning to make the user experience better. - 6/16/2020
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
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
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
We have been using an intra-oral scanner (not a medit) in our practice for 4 years and it was decided that we needed to purchase another scanner due to practice growth. After a thorough review we decided on the Medit i700. Due to the great team at Me...read moreWe have been using an intra-oral scanner (not a medit) in our practice for 4 years and it was decided that we needed to purchase another scanner due to practice growth. After a thorough review we decided on the Medit i700. Due to the great team at Medit I have learned more about scanning 1 week than i received from the other company in 4 years. i700 great price, great scanner and amazing customer service.read less - 12/23/2021
Chase Funk
This has been awesome, to be honest I have know idea how to use it but our team members have picked it up so easy!! - 6/16/2020
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
David Forrest
I have used a medit scanner i purchased from CAD-Ray for a few years now. I've had nothing but great customer service with them, and their facebook group is great for nearly instant feed back before the days end. I actually just bought another scanne...read moreI have used a medit scanner i purchased from CAD-Ray for a few years now. I've had nothing but great customer service with them, and their facebook group is great for nearly instant feed back before the days end. I actually just bought another scanner from them because they've been awesome to work with and have enjoyed the first one so much. I'm def a long term fan of theirs now.read less - 2/20/2024
Scanning long span edentulous is a very likely culprit with rendering dimensionally accurate models because to the software and camera, the geometric shapes are too identical across the ridge.
The more we can disrupt the symmetry with large, short, non-reflective and asymmetric scanbodies, the more likely we are to keep the models accurate. This video presentation address some of those issues and how to overcome them.
In this video we demonstrate for new and potential users of digital dentistry a implant restoration where the dynamic bite is captured. We initially imaged the upper and lower jaws with 2 bites. Then we captured the dynamic bite and the returned for the jaw scan with the scanbody. There are many ways to approach this but this sequence we have found to be easiest for new users to digest.
The scanbody was captured after the bite because it usually is taller than the adjacent teeth. There is a chance you may injure the patient if you don’t follow the proper sequence
Here is why the Medit i700 is the best intra-oral scanner on the market if you do any kind of implant restorations. There are so many options and tools that are leap years ahead of other scanners and their software. Medit can automatically identify the scanbody for you so you don’t have to do cartwheels and gymnastics to pick up all of the scanbody. This is in part 1 of the video.
For advanced users, we are sick of dealing with scanbodies and checking to make sure they are seated all the way and not binding on the tissue or bone, so we developed this technique of just scanning the fixture itself. It is not ideal just yet, but it will be the future, as the inside of the fixture is too shiny. i just used some old cerec spray to mask the topography for this demonstration.
oh, and really, no one else can show you how to milk that medit like cad-ray.com can. we use it well beyond what it was intended for and frankly you are wasting your time and money with most others. contact Frank DeLuca, Frank Weinstein, Laura Geney, Nick Statly, Damien Bonner, Jonathan Acker in the US or Milos Gedosev, Mariangela Di Nato, Roddy MacLeod in Europe for more information
There is a lot of focus nowadays on the connection between the screw and the MUA and top clinicians are recognizing this to be the most vulnerable part of full arch prosthetics.
An issue to consider the space between the green and the blue arrows on the following photo and how some have designed solutions around the small area that is prone to chirping or breakage during milling or printing
“The powerball screw by Dr Jonathan Abenaim is one of a kind. Finally a screw designed to skip the tibase with the material in mind. It is rounded to provide gentle forces that are transferred to the body of the screw instead of the weak threads where the the screw is the weakest. It has the ability to be used in Zirkonia and pmma with no tibase. Its angle can be corrected up to 20 degrees. With our proprietary biaxial screw head the screw head is robust and cannot be stripped.”
here is a list of why the Medit Artificial Intelligent Implant Suprastructure Identification System is significantly more advantageous over all other cadcam systems.
It s technically a crown and bridge case and the implant location or timing does not matter
You can find margins outside the mouth! See the first video to appreciate the significance of this
You don’t have to deal with retraction or hemostatis at all
You don’t have to worry about sprue position. Many other systems force the placement of the sprue to a specific location often making the case more difficult to manage than necessary
you are not limited to just a few implant lines
you don’t have to worry about location of anti rotational notch
you can digitally alter the prep and get a virtual reduction coping in cad
Use any restorative block you want. There is no need to order special blocks with pre-fabricated access channels and keep a large inventory of many colors. Your regular block inventory will suffice. Just make sure the top of the tibase is wider than the diameter of the drill used to mill out the intaglio. Also, the CAM and the milling machine determine the exact product and different settings maybe utilized to give you relief off the walls. Some will even remove the antirotational notch because the adaptation is so tight, the restoration will not rotate due to the tall walls of the tibase
You can check the fit outside the mouth on the same tibase or a one you keep chairside for every case to let you know that if you are not seating, it is clearly a contact or contour issue as opposed to an intaglio issue.
I am not one to place much faith in published articles from academicians. I usually draw my information from trusted colleagues and also a very reliable source, Mr. Andrew Sedler, from Advanced Technology Centers in Burbank California. He is in charge of manufacturing thousands of full arch restorations for clinicians and many other labs that outsource their manufacturing.
One of the things I always get a kick out of is whenever they do purchase technology or implement a process, they always have to do it with redundancy. What that means is that their machines can never go down for whatever reason, so they always purchase printers and mills by multiple sets. Interestingly, I was witness to them incorporating printers into the lab about 6-7 years ago and now they have a large wing dedicated to printing with over 20 machines for many different purposes.
I trust his judgement and always follow his recommendation and tested methods. When he says “do not bypass verification jigs, no matter what scanner was used”, I don’t even question it. He sees all the cases many entities can’t manage and he can manufacture any screw, prosthetic, abutment, etc… with their high end milling machines. In fact, it was on his word alone we decided to distribute the ICam4d by imetric.
I thought it would be a good idea to revisit full arch implant restorations with him and see what the state of the industry is like today and what he would recommend for the end users and patients. A very good perspective for a clinician to keep is how a simple mistake or misunderstanding can wipe away all the profit margins for a lab and even for the clinician. A simple example is if you have to correct an angulation issue on an abutment which can dramatically impact the costs of the lab work.
Here is the Q/A session:
“Hi Andrew, I am writing an article on full arches and would appreciate some info”
what % of the full arches that docs order from you are zirconia on tibases only at implant sites?
what % are on titanium bars?
what % are hybrids with acrylic?
what % are MUA vs Implant level?
what is the most prescribed full arch prosthesis now compared to 5 -10 years ago?
what % are soft tissue level vs bone level / mua level?
what would you do for yourself?
which one has the most failure rate?
how often does zirc framework break?
how much damage do you think people do to zirconia frameworks while trying to mill it to sharp corners of tibases?
Answers:
MUA vs IMPLANT LEVEL : over 90% of upper arches will have MUA and 60 to 70 % of the lower arches will have MUA
BONE LEVEL vs TISSUE: majority of implants (90% and up) bone level that requires MUA .
The most failure rate in order is (all of these in respect to the material limitations ):
the traditional acrylic hybrid
composite hybrid next
zirconia monolithic
and the least breakage will be zirconia hybrid supported by metal frame
Zirconia failure is around 4 to 5 % (adding the internal lab remakes – i would say another 3 to 4 %)
The damage caused by adjusting the zirconia could be very considerable, especially around the access hole since those areas are thinner than the full teeth . For myself i would restore zirconia over metal frame if my choice is hybrid, while removable bar overdenture will be a more predictable and more hygienic choice .
If you place enough implants, you may find yourself in need of a prosthetic part that just isn’t manufactured by anyone. For example, you may have a hybrid case on Bicons and for some reason you wanted to restored them with Multi Unit Abutments (MUA) and photogrammetry, yet there are no parts manufactured for such an endeavor. The problem is complex because a manufacturer needs to mass produce these parts and get them past regulatory matters.
Some have found a simple solution, which is to have the parts custom made specifically for the implant. If they need the MUA part before the procedure, they just send a digital or physical model into a lab that can custom make the part. The lab itself needs a prescription form on the lab analog. Since it is custom made, you have direct input on how tall you want the height of the margin, how much you want to displace the tissue, how much would want the restorative head angled, etc..
Most people will order a variety of them to address any situation on the same model and keep it in stock. What’s important to realize is that from the restorative standpoint, all your CAD software needs to know is the location of your abutment margins. It doesn’t care where fixture is and how the timing is lined up in the arch form. As long as it knows where the margins are, you can proceed with the design of the prosthesis.
Contact Andrew Seddler to send a digital or physical model and an Rx to get your custom made MUA’s
Here are two very simple examples of clinical advantages of digital impressions over analog ones. You can edit or add to your models and you can work independent of time and sequence.
You can also know immediately if you have captured your margins correctly. Once you understand these concepts, there are dozens of ways you can apply these principles to make some of the most challenging clinical cases very easy to manage
distinct advantages of digital dentistry over analog dentistry
FIND OUT HOW RESTORING IMPLANTS CAN BE THE MOST PREDICTABLE PROCEDURE YOU CAN DO
For decades, placing and restoring implants was a very stressful and unpredictable procedure. Digital dentistry has reversed that trend, making it now the most predictable procedure you can perform. You can easily capture contacts, opposing dentition, and the location of the implant. More importantly, you can design the emergence profile to your liking.
SEE HOW EASY IT IS TO ADD A CONTACT TO A RESTORATION WITH AN OVEN
Emax restorations are milled in a pre-crystalized state (blue phase) as it is more gentle on the drills than the final crystallized form. A big advantage of emax lithium dissilicate material is that you can easily add contacts with addition powder in the same cycle as glazing. This reduces the stress of try-ins and allows you to recover without wasting precious time. Other materials on the other hand may require extensive oven times or a re-mill (or send the restoration back to the lab)
“Hi doc, I was not able to find this scan body in the automated system match. I tried to scan conventional but lab said it was not good. I am scanning strumann RC #3,4 implants. Using one scan body switching from one to another but I couldn’t get it right”
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
Photogammetry has set the highest standard for full arch accuracy in digital dentistry for edentulous patients with multiple implant fixtures. An easy scan in under 15 seconds captures enough detail on scanbodies that help the software capture the location of the fixtures. Conversely, Intra-Oral Scanners (IOS) do not garner support for most of the literature that is currently published in dental journals. Scan paths can dictate the outcome of 3D model and determine how correctly it replicates the intra-oral condition. The same scan can render a variety of results and models based on the user and the direction the scans are taken. Simply stated, the user is control over the final product.
To use the ICam 4D scanner you must first calibrate the machine with a plate immediately prior to the intra-oral scan capture. There are specific reference points that the camera and software recognizes and after you capture about a dozen landmarks, you are ready for an intra-oral scan
After the camera is calibrated, the patient, or in this demonstration case, the model with Multi-Unit Abutment analogs is mounted with ICam Reference Bodies that are shaped like dominos. They can attach to the multiunit abutment or directly to the implant fixture (available soon in the USA).
The markers are captured by the device in the software with multiple identification marks, ideally 10 marks on each scan post. This data is then exported as an stl file that has all the locations of each cylinder preserved. This whole process just takes minutes. Most people just utilize this device for full arch impressions so they can bypass the verification jig for large cases. Here, we use it to assess the accuracy of the medit i500 ios to provide cross arch accuracy if doctors follow our protocols for imaging, which utilizes the reliability map as a guide for imaging. When then utilize the Artificial Intelligent Implant Suprastructure Identification Software to merge and evaluate the accuracy of the ios scan.
save the implant scanbody cyliners and their coordinates
There are a lot of ways one can introduce errors into a full arch scan with any ios, but the medit’s powerful features that include the reliability map and the AI tool separate it from all other scans that do not allow you to assess the accuracy of your scan while you are imaging. You can only do so with the fabrication of a verification jig
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.
Using Medit’s Artificial Intelligent Implant Suprastructure Identification System to assess the accuracy of a cross arch digital impression! long title but it had to be to do it justice. For a primer, we highly recommend that you watch all of our videos on imaging fundamentals
here we put all the pieces of a puzzle together to answer how you can capture full arch impressions for implants accurately (or inaccurately). As the user, you are completely responsible for not introducing errors or capturing the data correctly
The Medit i500 has features that help you not only capture implant suprastructures, where you can bypass the scanbodies all together which impedes capturing the bite correctly for a lot of people, but you can identify their location and margins, even if they are hampered by bleeding. Most importantly you can use them as landmarks to accurately capture very accurate full arch impressions.
Medit’s reliability map, implant suprastructure identification system, and matching histogram colors can help you drastically reduce or eliminate steps and errors in full arch digital implantology
Using Medit’s Artificial Intelligent Implant Suprastructure Identification System to assess the accuracy of a cross arch digital impression! long title but it had to be to do it justice
here we put all the pieces of a puzzle together to answer how you can capture full arch impressions for implants accurately (or inaccurately). As the user, you are completely responsible for not introducing errors or capturing the data correctly
The Medit i500 has features that help you not only capture implant suprastructures, where you can bypass the scanbodies all together which impedes capturing the bite correctly for a lot of people, but you can identify their location and margins, even if they are hampered by bleeding. Most importantly you can use them as landmarks to accurately capture very accurate full arch impressions.
Medit’s reliability map, implant suprastructure identification system, and matching histogram colors can help you drastically reduce or eliminate steps and errors in full arch digital implantology
Posted by Armen Mirzayan on Wednesday, September 25, 2019
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
Please, take a seat, you should not be standing while you watch this.
Artificial intelligence by Medit i500 now identifies the location of your scanbody but it also automatically launches all that proper information into CAD software for instant abutment designs. Make sure to watch both videos. Enjoy.
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