Fantastic! Scanner went down after a few years, and they had a new one in my office the next morning. Highly recommended. - 8/26/2021
Thuy Nguyen
CAD-Ray is amazing! Prompt replies, quick delivery, knowledgeable team! I had some cracks on my scanner that I read on their FB group may be a manufacturer's defect. My scanner was still covered under warranty. They overnighted a brand new one to me ...read moreCAD-Ray is amazing! Prompt replies, quick delivery, knowledgeable team! I had some cracks on my scanner that I read on their FB group may be a manufacturer's defect. My scanner was still covered under warranty. They overnighted a brand new one to me before I even knew they were going to replace it! That's how quick they are! Highly recommend them!!!read less - 12/23/2021
Suresh Patel
Kaila Larson is absolutely the best support person I have ever used. She knows her stuff and is a pleasure to work with. Medit is only as good as the support and SHE MAKES CadRay and Medit an amazing experience! - 1/05/2023
Jennifer Goodale
Fantastic class. Amazing scanner.Cad Ray has been helpful not only with my purchase of the Medit i500, but every step of the way.Level 2 seminar with Armen and Damien was extremely informative, useful and practical! ⭐️⭐️⭐️⭐️⭐️ - 8/08/2021
Donghyun Noh
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
Frank and the CAD-Ray crew are awesome! They are always available for support with the technology you purchase from them. - 1/25/2023
John Pisacane
This is my second review. I posted the first after having Medit for about 9 months. Loved it then, had great success with using the scanner to take full arch scans for clear aligner therapy, study models, removable partials, and crown and bridge. ...read moreThis is my second review. I posted the first after having Medit for about 9 months. Loved it then, had great success with using the scanner to take full arch scans for clear aligner therapy, study models, removable partials, and crown and bridge. Have kept using it and am still very happy with the Medit and with Cad-Ray. The scanner takes care of so many things in a way that impresses patients and pleases lab techs. Whenever I hit a computer glitch, I call Armen, Frank or any other members of the gang and my problems are solved quickly and without drama.read less - 6/16/2020
I 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
Kayla Dobmeier
Customer service is truly the best I've seen. You don't just buy a product from them. There are hundreds of hours of training videos, and they have answered any question we have had in a matter of minutes. We are so glad we purchased our IO scanner t...read moreCustomer service is truly the best I've seen. You don't just buy a product from them. There are hundreds of hours of training videos, and they have answered any question we have had in a matter of minutes. We are so glad we purchased our IO scanner through them!read less - 4/09/2021
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
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
Peipei Yu
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
Greg Camfield
CAD-Ray keeps knocking it out of the park. Upgraded from i500 to i700. Transition was seamless! Thanks again guys! - 11/15/2022
Russell Schafer
Overall great company to work with. They sell wondeful products and give stellar service for a much lower price than any of the supply houses. I can't recommend them enough. - 8/19/2022
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
Nisarg Parikh
Absolutely a phenomenal company. Everyone you engage with is extremely knowledgeable and helpful.I’m sure they get the same questions day in, day out but they are happy to help you without being condescending. The entire team has been helpful through...read moreAbsolutely a phenomenal company. Everyone you engage with is extremely knowledgeable and helpful.I’m sure they get the same questions day in, day out but they are happy to help you without being condescending. The entire team has been helpful through phone calls, the Cad-Ray FB group, and recorded webinars. Jonathan helped me get a great deal, Laura was awesome on the webinar, Damien is always answering questions on FB, and Armen had a great in-person presentation in Dallas. 100% recommend.read less - 4/22/2022
Richard Wu
Great customer service! Had an issue with our dongle and Cad-Ray got it squared away and a new dongle sent right away. - 1/25/2023
Blake Holt
Best place to buy a medit i500 from. Great support and an even better community. - 6/16/2020
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
Sean Landgraf
Truly Great Service. Glad I purchased my scanner here. - 8/03/2023
Maggie Sh
I’ve been using Medit 500 since spring of 2021 and really like it. The support system has been very good so far. I just called yesterday and spoke with Frank Deluca, he was very informative and helpful. - 12/07/2021
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
Great staff and support when needed! There is a bit of a learning curve like with any new tech, but I highly recommend the Medit i500 and the Cad-Ray staff is great. Special thanks to Laura and Jeff for helping out! You guys rock. Great company and ...read moreGreat staff and support when needed! There is a bit of a learning curve like with any new tech, but I highly recommend the Medit i500 and the Cad-Ray staff is great. Special thanks to Laura and Jeff for helping out! You guys rock. Great company and product!read less - 11/11/2020
Robert Crosby
The i700 is the second scanner I have purchased. It is hands down far superior in terms of quality and ease of use than my first scanner (3M Tru Def). I was hesitant to enter the market again but wanted to mainly for implant reasons. After talking...read moreThe i700 is the second scanner I have purchased. It is hands down far superior in terms of quality and ease of use than my first scanner (3M Tru Def). I was hesitant to enter the market again but wanted to mainly for implant reasons. After talking with Laura and watching her presentation with my staff, we were sold! The i700 was extremely reasonable in price while being similar to units costing twice as much. CAD-Ray made this possible. I found their on line training to be adequate in learning the necessary skills to start scanning, I continue to watch these videos as I sharpen my skills. Initially I was concerned about the on line training. But now I actually prefer this way of training as it is self paced and you always have the library of videos to watch when needed. Laura has been there to answer questions and help me whenever needed and I’m talking on nights and weekends too! I admit I was was extremely hesitant to get another scanner, especially with an online outfit; but I have no regrets and highly recommend CAD-Ray and Laura for anyone needing a scanner! They provide excellent services.read less - 4/23/2022
Robert Mabry
I don't scan in my practice my assist does. She says it's awesome. Better than the trios or cerecs we have had in the past. The image quality while designing cases is amazing. Haven't seated a restoration from it yet but expect it to be great as well...read moreI don't scan in my practice my assist does. She says it's awesome. Better than the trios or cerecs we have had in the past. The image quality while designing cases is amazing. Haven't seated a restoration from it yet but expect it to be great as well.read less - 6/16/2020
This summer I decided that it was time to purchase a scanner and train with my team. We could not be more excited as our experience with Laura at Cad-Ray has been just amazing. From the initial sales discussions to the support and training after the ...read moreThis summer I decided that it was time to purchase a scanner and train with my team. We could not be more excited as our experience with Laura at Cad-Ray has been just amazing. From the initial sales discussions to the support and training after the purchase I am very thankful to have purchased my Medit scanner from Cad-Ray. Every text and phone call has been given prompt attention and the after the sale support is first rate. It is a pleasure to leave a 5 star review for both the technology and for Laura!read less - 12/16/2021
Yoav Taub
I purchased my Medit from Cad-Ray just prior to Covid and they have been fantastic in getting me the proper training on the machine, both through there 2 day class as well as the many video's they post on the website. I recently purchased some acce...read moreI purchased my Medit from Cad-Ray just prior to Covid and they have been fantastic in getting me the proper training on the machine, both through there 2 day class as well as the many video's they post on the website. I recently purchased some accessories for a different office and they accidently sent it somewhere else. After a quick email they had my stuff at my door within 24 hrs and they threw in a box of tips which I was not expecting (around $300). It is a pleasure to deal with them!read less - 7/19/2021
arthur lyford
I cannot say enough about the support I have received from the beginning. I chose CadRay ultimately because of the support reviews...I can attest first hand...they are all right on...though I have been practicing for more than 35 years, this old dog...read moreI cannot say enough about the support I have received from the beginning. I chose CadRay ultimately because of the support reviews...I can attest first hand...they are all right on...though I have been practicing for more than 35 years, this old dog has been taught a lot of new tricks from the support staff at Cad Ray...Truly impressed with every interaction so far! Thanksread less - 5/11/2023
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
Kirk Arritt (fldnstrm)
Whatever digital workflow addition you want to add to your dental practice look no further than Cad-Ray. Top notch support and training. - 1/29/2023
Island Dental Lab
Just got my Medit IOS delivered last week and the service from Jon was great! I had a ton of questions before placing the order and he happily answered. This is the type of customer support many dental suppliers are missing. Great company to work wit...read moreJust got my Medit IOS delivered last week and the service from Jon was great! I had a ton of questions before placing the order and he happily answered. This is the type of customer support many dental suppliers are missing. Great company to work with.read less - 6/23/2020
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
These guys are 1st in class service every time! - 7/08/2022
Suresh Goel
I have enjoyed using the Medit i500 scanner. Previously I had two 3Shape scanners, however, the yearly fees were adding up and there are no ongoing fees with the Medit. Quality is great, and support has also been solid. Overall very happy with thi...read moreI have enjoyed using the Medit i500 scanner. Previously I had two 3Shape scanners, however, the yearly fees were adding up and there are no ongoing fees with the Medit. Quality is great, and support has also been solid. Overall very happy with this purchase.read less - 2/16/2020
Implant Planning Services Review I Am VERY experienced with "another system" but thought I would give CAD-Ray a try. At at LEAST 1/3 the fee, why not?
VERY happy. Fit GREAT, surgery was uneventful (the best kind) and I am a believer! This is a great company and great PEOPLE to...read moreI Am VERY experienced with "another system" but thought I would give CAD-Ray a try. At at LEAST 1/3 the fee, why not?
VERY happy. Fit GREAT, surgery was uneventful (the best kind) and I am a believer! This is a great company and great PEOPLE too! 5 stars aren't enough. Just like the Burj Al Arab, this is 7 star!read less - 3/03/2015
Shant Aharonian
Cad-ray has to be the best company to work with when it comes to digital dentistry solutions. Here are the reasons why: 1. Experience. Everyone in the company has extensive experience in dentistry. They have used all digital platforms and offer custo...read moreCad-ray has to be the best company to work with when it comes to digital dentistry solutions. Here are the reasons why: 1. Experience. Everyone in the company has extensive experience in dentistry. They have used all digital platforms and offer customers first hand experience. 2. Honesty. Based on their experience they share all the good/bad of different systems. They work with you to find a solution that works best for you. Not sell you the piece of the equipment that gives them the biggest commission. 3. Support. Cad-ray offers the missing piece of the dentist/digital manufacturer puzzle. Many other distributors sell you a piece of equipment but don’t have true day-to-day experience with that equipment. Cad-ray’s team openly share their expertise to help customers optimize their workflows with great technology. 4. Passionate. The Cad-ray team is extremely passionate about their craft. They truly believe in what they have to offer. I took Armen Mirzayan’s course on intraoral scanning and it was truly mind blowing. Armen’s insights will help any dentist optimize their craft. I purchased the full sprintray 3d printing ecosystem the help of Frank. I plan to purchase more equipment from cad-ray. Also, Jesse is a genius in regards to all aspect of digital workflows. I’m truly grateful for this company and everyone who I’ve worked with so far.read less - 10/07/2022
Andy M
It has been great to work with Laura and Heather. The purchase, financing, shipping, and training process has been smooth. The training was very comprehensive and not rushed at all. I love my Medit i-600 scanner, and I recommend CAD-RAY 100%! - 5/22/2024
Roopam Garg
I purchased Medit scanner few weeks ago . Frank and Nick have been really excellent answering my questions promptly. The scanner itself is wonderful with no back fees , customer service is top notch. The entire team works fast and helps you out. I st...read moreI purchased Medit scanner few weeks ago . Frank and Nick have been really excellent answering my questions promptly. The scanner itself is wonderful with no back fees , customer service is top notch. The entire team works fast and helps you out. I strongly recommend this scanner!read less - 6/17/2020
Our office is new to using the Meditscan so far we love it. Our rep andy was so detailed and great with the training. Everything has been good so far and easy. Defenitely recommend. - 9/23/2022
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
Dr Grace Simco
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
Frank DeLuca has been my rep for almost a year and has provided excellent, caring, professional service and with a great attitude. - 1/25/2023
Rebecca Booth
Great scanner easy to use with the software. Definitely recommend the i700 scanner. Great customer service from Laura. - 12/09/2021
Trident Dental
Great help when you need it. Frank, Armen and team will take care of you. - 12/10/2021
Shant Aharonian
Cad-ray has to be the best company to work with when it comes to digital dentistry solutions. Here are the reasons why:
1. Experience. Everyone in the company has extensive experience in dentistry. They have used all digital platforms and offer cust...read moreCad-ray has to be the best company to work with when it comes to digital dentistry solutions. Here are the reasons why:
1. Experience. Everyone in the company has extensive experience in dentistry. They have used all digital platforms and offer customers first hand experience.
2. Honesty. Based on their experience they share all the good/bad of different systems. They work with you to find a solution that works best for you. Not sell you the piece of the equipment that gives them the biggest commission.
3. Support. Cad-ray offers the missing piece of the dentist/digital manufacturer puzzle. Many other distributors sell you a piece of equipment but don’t have true day-to-day experience with that equipment. Cad-ray’s team openly share their expertise to help customers optimize their workflows with great technology.
4. Passion. The Cad-ray team is extremely passionate about their craft. They truly believe in what they have to offer.
I took Armen Mirzayan’s course on intraoral scanning and it was truly mind blowing. Armen’s insights will help any dentist optimize their craft. I purchased the full sprintray 3d printing ecosystem the help of Frank. I plan to purchase more equipment from cad-ray.
Also, Jesse is a genius in regards to all aspect of digital workflows. I’m truly grateful for this company and everyone who I’ve worked with so far.read less - 10/07/2022
Jeffrey Martins
Service at CAD-Ray has been really great. About 6 months ago I purchased a Medit i700 scanner from them and have been really happy with it. Fortunately, I haven’t run into many problems, but if I need help they are so easy and friendly to work with. ...read moreService at CAD-Ray has been really great. About 6 months ago I purchased a Medit i700 scanner from them and have been really happy with it. Fortunately, I haven’t run into many problems, but if I need help they are so easy and friendly to work with. When my scanner did stop working, they quickly got me set up with a new one. If I have a computer question, they offer to log in and look at the computer with you. If you’re in the market for an intraoral scanner or any of their other products, I encourage you to talk with them to meet your goals. Thanks CAD-Ray!read less - 11/04/2022
David Blanco
Cad-Ray is great! Great customer service and they are consistent with their followthrough . Always helpful when you need questions answered and helping to lower the learning curve with newly purchased equipment. I’m very satisfied with my medit i-...read moreCad-Ray is great! Great customer service and they are consistent with their followthrough . Always helpful when you need questions answered and helping to lower the learning curve with newly purchased equipment. I’m very satisfied with my medit i-500 intraoral scanner. Armen and Frank are solid!read less - 6/16/2020
Lisa Greenstein
Exceptional customer service - 7/26/2023
Armen Mirzayan
Are you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: ...read moreAre you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: All testimonials are submitted by verified owners.read less - 5/08/2021
Have been chatting with the CADRAY group for at least a year now even though I did not buy anything from them. They are very receptive, prompt and helpful. Finally bit the bullet and received my Medit yesterday! Now my Bluecam has a new buddy!! - 7/17/2020
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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An often overlooked characteristics of an intra-oral scanner is the scan area / window. The larger the area, the more likely it is that your scanner will stay on track...
In the world of digital dental scanning, precision and accuracy are paramount. To shed light on the potential pitfalls and challenges faced by dental professionals, Dr. Armen Mirzayan of CAD-Ray...
OXO has made capturing implant locations very easy. The software is very simple and intuitive and we can get you from a to z very quickly. But first lets showcase how...
DOWNLOAD THE CASE TO DESIGN ALONG One of the most challenging designs to do chairside is the design of a multi unit temporary that needs to be printed. This is...
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