Kaila is an incredible Rep! Hope Cad-Ray knows what a great employee they have. Thank you Kaila! - 12/16/2021
Kristian Dietz
My wife and I practice together and bought our first i500 in August of 2018. This was very early on before Armen had a vast number of technique and online support articles in his blog! Little was publicly known at the time about this new scanner bu...read moreMy wife and I practice together and bought our first i500 in August of 2018. This was very early on before Armen had a vast number of technique and online support articles in his blog! Little was publicly known at the time about this new scanner but I felt confident in my purchase for a few reasons: 1) Armen had validated the product and was standing behind it... I knew of Armen from DentalTown and had many years of public posts to evaluate his character; 2) Limited demos available at the time; 3) some clinical accuracy data out of Europe that required zooming in on a powerpoint presentation that was recorded second-hand via camera phone ha! SO needless to say, I put a lot of eggs in the "Armen is standing behind this product" basket. We have NOT been disappointed. From personalized service from both Frank and Armen, to our vast success and joy using the product and deciding in late 2018 to buy a second Medit i500, I have nothing but good things to say about the product and Cad-Ray. What a bunch of self-less individuals. Armen has offered to remote in and I even took him up on the offer once and he remoted in immediately to take a look at something. Good luck getting service like this from ANYONE else in the industry. Cheers to digital dentistry with the RIGHT partner. Kristian C. Dietz, DDSread less - 3/08/2020
Ive had the medit since 2018. One of the best decisions in dentistry ive made. I met some of the great trend setters in digital dentistry(armen, jonathan ab and others through social media platforms). Medit Has changed The way i practice, live and ...read moreIve had the medit since 2018. One of the best decisions in dentistry ive made. I met some of the great trend setters in digital dentistry(armen, jonathan ab and others through social media platforms). Medit Has changed The way i practice, live and think! Happy not to have a monthly fee as i did for years. Support is always a message or call away. Would be glad
To further share my experience with you if u need.read less - 6/16/2020
Cary Ganz
One of the best companies I've dealt with in decades of dental practice. Not only is the product excellent but the support both personally and online has been just wonderful. - 8/08/2021
John Allen
fantastic support, I always ask random, specific to me, could be found on a training video, questions and they always quickly tell me how to fix my problem. - 6/16/2020
Chase Benson
New technology can be intimidating, but this i700 is user friendly and is everything you could ask for in regards to a great scanner. Cad-ray also made the transition easy and smooth. Customer support here is unreal. Telling all my dental buddies abo...read moreNew technology can be intimidating, but this i700 is user friendly and is everything you could ask for in regards to a great scanner. Cad-ray also made the transition easy and smooth. Customer support here is unreal. Telling all my dental buddies about these guys, and plan to make more purchases in the future.read less - 4/18/2022
Purchased the Medit right before the COVID shut down, which gave us time to train on it by watching all the awesome videos CAD-Ray provides. If I couldn’t figure something out, our questions were answered quickly. Now we’re back and using it like cra...read morePurchased the Medit right before the COVID shut down, which gave us time to train on it by watching all the awesome videos CAD-Ray provides. If I couldn’t figure something out, our questions were answered quickly. Now we’re back and using it like crazy. It’s quick, my assistant picked it up quickly and my cases have been coming back perfect. Super happy with the Medit!read less - 6/16/2020
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 medit intraoral scanner a year ago, other than the scanner is great, the customer service is outstanding whenever j need help or have a question they are ready instantly to answer my questions, cant ask for better customer service. - 6/16/2020
Tim Mininger II
Great product and company. all the help and support you need on their website and Facebook group. recommended them to many of my colleagues and bragged to other reps about how good my deal was compared to what they were offering. - 6/16/2020
Joshua Mathis
Fantastic support. Bought a Medit Intraoral scanner and it has been a game changer in my practice. Can’t wait to pair a mill with the help of cadets in the future! - 6/19/2020
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
Norman Knowles
I have had the original iTero, a Trios 3, and a Carestream CS3600. A staff member broke the lens on the Trios and while waiting 3 weeks for an RMA to send it to Poland for six weeks to get it repaired, Carestream was sniffing around and suggested tha...read moreI have had the original iTero, a Trios 3, and a Carestream CS3600. A staff member broke the lens on the Trios and while waiting 3 weeks for an RMA to send it to Poland for six weeks to get it repaired, Carestream was sniffing around and suggested that I trade in my Trios so I did which began a 4 month nightmare with their piece of junk scanner. Absolutely awful customer service from both 3Shape and Carestream. I needed a scanner and had heard great things about it the Medit i500 at the Florida Academy of Coesmetic Dentistry so I got one. It works really well and Medit keeps adding new and useful features and their architecture is completely open. Two weeks ago, my i500 died so I contacted Cad-Ray surrport and I had a new unit in my office 24 hours later! That's absolutely unheard of in the industry!!! Both Cad-Ray and Medit have positioned themselves to be industry giant killers and they're doing it. The i500 is a phenomenal scanner at a phenomenal price point and service and guidance at Cad-Ray is just plain excellent.If you are thinking about getting a scanner, do it! Just contact Cad-Ray and go for it. You will only be happy about your purchase! Highly recommended!read less - 3/09/2021
Bob D
Just got my Medit i700 from CAD-Ray and experienced what everyone raves about, the level of customer service by CAD-Ray. As you know you can buy this scanner from a lot of places but they won't offer you help and support. They called my cell and conn...read moreJust got my Medit i700 from CAD-Ray and experienced what everyone raves about, the level of customer service by CAD-Ray. As you know you can buy this scanner from a lot of places but they won't offer you help and support. They called my cell and connected to my laptop and configured everything at 7 PM.. Great great experience.read less - 12/08/2021
Jaspreet Ghuman
Shout out to Nick, Frank and Armen ! Cheers . Great customer service by Nick and Frank. Too early to make a comment about the scanner but these guys are awesome. - 9/19/2020
Michael Conte
Needed help with scanner updates and Frank is the man! Once he was done the scanner was operating in hyper-drive!!thanks frankoffice of Glenmont Dental - 2/15/2022
Esther Quintana
Se ve muy bien, aunque yo le tengo, pánico, a los Dentistas, Sorry, pero tengo que ir, Ni modo - 2/25/2015
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
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
lucas kim
Ordered some scanner parts. Laura was super helpful and replied very quickly. Great customer service! - 6/02/2022
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
Michael White
Everyone I have dealt with during the process of buying my new N4 VHF mill (which by the way is fantastic) last year to buying a new iMedit 500 scanner. Having the open type system has been a God send. No more held hostage by the 2 main systems us ...read moreEveryone I have dealt with during the process of buying my new N4 VHF mill (which by the way is fantastic) last year to buying a new iMedit 500 scanner. Having the open type system has been a God send. No more held hostage by the 2 main systems us same day crown dentists have had to deal with for years. Cad-ray made the financing a snap and the post customer support is unbelievable. Thank you everyone at Cad-Rayread less - 5/12/2020
Shahnam Shifteh
I just ordered my i700 and am
Very excited to get into the digital world of dentistry and Nick was extremely helpful with answering any questions and helping to put the order together. - 12/09/2021
I'm really grateful with the service CAD-Ray has provided! I'm also very happy with Laura's presentation with the Medit i700, and overall help in choosing the right scanner for my practice. I'm really happy with the scanner and the SprintRay Pro 95 P...read moreI'm really grateful with the service CAD-Ray has provided! I'm also very happy with Laura's presentation with the Medit i700, and overall help in choosing the right scanner for my practice. I'm really happy with the scanner and the SprintRay Pro 95 Printer as well. Thank you.read less - 8/31/2021
I love my medit scanner. I purchase many dental equipments each year and by far it’s the best thing I got for the bucks I spent ( beating my 6 digits equipments ).
We have omnicam and I hated it, multiple crushes, expensive monthly service fee, hor...read moreI love my medit scanner. I purchase many dental equipments each year and by far it’s the best thing I got for the bucks I spent ( beating my 6 digits equipments ).
We have omnicam and I hated it, multiple crushes, expensive monthly service fee, horrible support, etc. I was so frustrated and had to look for an alternative. Many mentioned itero to me and I was about to purchase it and suck another monthly fee until I came by Armen’s video about medit on one of the Facebook group in 2018. I was surprised with the image and the speed and started digging more and contacted Frank to explain the scanner more. Ended purchasing it late 2018 and I’m a happy user Since after. The support is excellent, Frank is there when you need any help plus the Facebook community is there to answer anything. Recently, I attended Armen’s course to learn how to mill from the medit and I got shocked by the AI and the options that the software has. This machine is a beast and you won’t regret it getting it from Armen and Frank. They go beyond and not like other salesman or equipments where you are left behind after they sale you and finish their training. We are in 2020 and I still get the same support as I bought it in 2018.read less - 1/09/2020
I just bought my first Intra-oral scanner (Medit I-700). I have demoed scanners from various companies in the past but have been less then thrilled with the applications, scanner ability, ease of use and overall user experience. I feel that now the...read moreI just bought my first Intra-oral scanner (Medit I-700). I have demoed scanners from various companies in the past but have been less then thrilled with the applications, scanner ability, ease of use and overall user experience. I feel that now the technology has caught up to where it should be and after reviewing many scanners on the market have decided to go with Medit. The Medit i-700 gives me all the functionality I could want, has an affordable price and works for all the procedures I need it for (scanning for ortho, dentures, partials, crowns, bridges, implants ect.). I love that they continually update their software and most importantly that those upgrades are free to the end users. Another huge plus is that when I have a question I get actually get someone on the phone!! For all these reasons I finally jumped in. I would recommend anyone else to do so as well!read less - 5/06/2021
Gary Benson
Our orthodontic office is new to scanning and printing, but CAD-Ray, Laura, Medit, and SprintRay have made the whole transition a huge win. Our first scan and print was cleaner than any traditional impression/pour up we've ever produced. On our first...read moreOur orthodontic office is new to scanning and printing, but CAD-Ray, Laura, Medit, and SprintRay have made the whole transition a huge win. Our first scan and print was cleaner than any traditional impression/pour up we've ever produced. On our first full clinic day, we scanned 14 arches and managed to stay on schedule! We were waiting for this technology to be affordable, fast, accurate, and reliable, and we can now say we are there. Thanks for all your help and ongoing support.read less - 6/25/2021
Still beginner to use IO scanner. best customer service. Live training was very useful. Andy Nova was great in improving my skill for scanning and showing me all features. Thank you. - 5/19/2022
I've only worked with this company for a short time but I have found them to be wonderful in every way. Call, emails, and texts are returned very quickly and the equipment that we have purchased works wonderfully. I would highly recommend. Dr Jim Ell...read moreI've only worked with this company for a short time but I have found them to be wonderful in every way. Call, emails, and texts are returned very quickly and the equipment that we have purchased works wonderfully. I would highly recommend. Dr Jim Ellisread less - 5/12/2020
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
Kenneth Gould
A most helpful, detailed, easy to follow, personal primer via Zoom on integrating the i700 scanner into our practice. Well done! Thank you Kaila! - 5/03/2022
Adam Bond
Purchased a Medit i500 from CAD-Ray earlier this year and I really like the scannner. It has great features at a great price point. And the support of the CAD-Ray team has been awesome. They have a great amount of online resources for the DIYers and ...read morePurchased a Medit i500 from CAD-Ray earlier this year and I really like the scannner. It has great features at a great price point. And the support of the CAD-Ray team has been awesome. They have a great amount of online resources for the DIYers and have helpful employees to help after the sale as well. I highly recommend them.read less - 6/16/2020
Gould Dentistry
A newcomer to scanning, I have been impressed with the ease of the process. The commitment shown by each CAD-Ray team member to successful customer training and their skill levelhave been extraordinary. Thank you Kaila, Frank and Andy!! - 5/15/2022
Artin Sakhaee
The support is even better then the camera itself. I used many other scanners and this is by far the best one. Recommended to many people. Looking to purchase a second one for my practice. The use and results are amazing. No adjustments to the p...read moreThe support is even better then the camera itself. I used many other scanners and this is by far the best one. Recommended to many people. Looking to purchase a second one for my practice. The use and results are amazing. No adjustments to the prosthetics at all.read less - 7/15/2020
Tony Cascino
I just purchased the CAD-Ray unit at Chicago Mid Winter meeting. We have used it for single crowns so far and have been very pleased. Nick was my sales contact and he has helped a great deal with some of our 'learning curve " issues. I looked at a nu...read moreI just purchased the CAD-Ray unit at Chicago Mid Winter meeting. We have used it for single crowns so far and have been very pleased. Nick was my sales contact and he has helped a great deal with some of our 'learning curve " issues. I looked at a number of scanners and felt CAD-Ray was the best-two of the labs I use also feel it is the best scanner.read less - 5/12/2020
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
Mayoor Patel
Kaila is awesome with training and her customer service skills. Enjoy learning from her... Product (scanner) so far loving it. - 12/02/2021
Johnny Vredenburg III
Before working with cad-ray, I was hesitant to dive into digital dentistry due to the complexity of it. Working with Laura at cad-ray made all of my concerns go away. She was there to help me with my Exocad software installation, even outside of norm...read moreBefore working with cad-ray, I was hesitant to dive into digital dentistry due to the complexity of it. Working with Laura at cad-ray made all of my concerns go away. She was there to help me with my Exocad software installation, even outside of normal business hours - really hard to come by! I also purchased a Medit i500 and getting that setup and working in my clinic was seamless. I could not have asked for better support while navigating digital dentistry. My next purchase will be a 3D printer, and i know exactly where i will buy it from! Highly recommend these guys.read less - 11/20/2020
Rodney Baier
Cad ray has been very nice to work with. Excellence service and support since I bought my Medit scanner - 6/16/2020
Vivek Singh
I have had done business with these guys. I am impressed with their Amazing Customer service. John and Armen are great. I have and will order lots of stuff from them. Kudos to them!!!! - 6/19/2020
Stephanie O'Rourke
I am fairly new to scanning with my Medit I700. I am loving this in my business. It has had its challenges at times but the best part is the accessibility and support from Frank DeLuca. He has been instrumental in helping me when I have a patient in...read moreI am fairly new to scanning with my Medit I700. I am loving this in my business. It has had its challenges at times but the best part is the accessibility and support from Frank DeLuca. He has been instrumental in helping me when I have a patient in the chair and need assistance. I couldn't be more grateful for his help. Thanks, Frank!read less - 12/16/2021
Gabriel Joel
Medit i500 is an incredible scanner. I have experience with other types of scanners including IO and Desktop but this one is really impressive. It is blazing fast and takes beautiful scans. But more importantly is the company itself. Medit is an amaz...read moreMedit i500 is an incredible scanner. I have experience with other types of scanners including IO and Desktop but this one is really impressive. It is blazing fast and takes beautiful scans. But more importantly is the company itself. Medit is an amazing company and is constantly trying to improve. They are always on the cutting edge and releasing new improvements all the time. They are always LISTENING to the customers on how to improve the scanning experience and change accordingly. The customer service is second to none. I highly recommend this scanner but even more highly recommend considering buying the scanner as a result of the great company and PEOPLE that stand behind it.read less - 10/09/2019
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
Aaron - Cooleysmiles
fantastic experience with this company for over 7 years! Top customer service and support! Its great having them as part of our team! Highly recommend! - 3/22/2022
Francois Dillinger
These guys are the best. They provide so much help and insight with the Medit. I can't say enough great things about them and their continued support. I truly appreciate everything!! - 6/16/2020
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
I always have enjoyed working with Cad-ray. Customer service is always on-point! - 5/25/2022
Lake Shore Dental of Tempe
Absolutely the best customer service I have ever seen. I couldn't be happier with the service received. I won't be going anywhere else!! Thank you again. - 2/01/2022
carlos Santos
I would like to let you know that Kaila Larson is excellent communicator, personable, professional and knowledgeableI have had the opportunity to talk to her 3 times and it has always been awesome.Regards,Dr Carlos santos - 4/08/2022
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.
A custom titanium metal abutment is milled in such a manner where the drills DO NOT touch the connection. The type of connection is predetermined by the blank manufacturer and the cylindrical part of the abutment is milled out. This makes the symmetric geometry of the abutment a bit tricky for some to handle as indexing it properly to manage the timing of the connection is critical for easy delivery.
It is a good idea to know the exact dimension of the screw access hole. You want to set the diameter just outside the channel so that you don’t have to do a lot of post production adjustments. if it is made too thin however, you can have a mis-mill and have to repeat it. We’ve found 2.5 mm the perfect setting for the DESS titanium abutments.
With the Meditlink software you can design a case and then export the designs and take them to any milling machine of your choice. In this demonstration, we use the CORiTEC ONE to mill out the metal abutment in 45 minutes. This procedure is not intended to be a single appointment visit so timing is not critical and you don’t place undue wear and tear on the milling machine.
The crowns were milled with two different milling machines. A Celtra Duo block was used and milled with the CEREC MCXL and retrofitted to the abutment to verify the fit and accuracy. The same crown stl was milled out of Vita material in the imes icore machine. The whole point of the demonstration is that you can take scans from any intra-oral scan, take it to CAD software (in this case exocad) and then export the case and take it to any printer or milling machine of your choice. You must make sure critical information is accurately transferred from your CAD software to your CAM software, which is generally the construction / project file that accompanies the STL files of the prosthetic components
The same crown was milled out of Vita’s Suprinity material in 20 minutes with the imes-icore CORiTEC ONE. Take note of the internal adaptation of the metal abutment and the restoration and how when it is flipped upside down, the restoration does not fall out easily!
Download the framework and CAD-Ray Exocad Demo Software files. Double click to instal the Framework file first. After that has been completed, right click on the CAD-Ray Exocad Demo Software, choose 7Zip, and choose “extract here”. Do NOT use the native windows unzipping program for this!