I was on the fence on getting a scanner for years and finally pulled the trigger. CAD-Ray's support and knowledge has made this one of the best investments in my practice to date. When I spoke with Damien on the phone about my options he literally sa...read moreI was on the fence on getting a scanner for years and finally pulled the trigger. CAD-Ray's support and knowledge has made this one of the best investments in my practice to date. When I spoke with Damien on the phone about my options he literally saved me thousands after figuring out what my exact needs were. I went with the Medit i600, MSI laptop and 3D dental systems cart. The final product looks and feels as premium as it gets.read less - 2/21/2024
Nick Boyd
Great people. Very helpful with anything you need. - 6/16/2020
William Neurauter
As a small office, making the move to digital impression dentistry was a rather large commitment. After much research we settled on the Medit i500. We almost purchased from our implant supplier but were less than impressed with their training and...read moreAs a small office, making the move to digital impression dentistry was a rather large commitment. After much research we settled on the Medit i500. We almost purchased from our implant supplier but were less than impressed with their training and support options. After additional research we found Cad-Ray and couldn't be happier that we purchased from them. Their online tutorials and live support have been second to none. Having such a great support network behind the Medit made the transition and purchase so much better than it could have been had we gone a different route.read less - 11/30/2021
Very happy with my Sprint Ray 3D printer. Frank D. went above and beyond with training my team on how to use it. He offered remote training as a courtesy and followed up to make sure we were ok. Highly recommend! - 1/25/2023
Mark Gaches
Excellent company to work with. Best customer service and technology available. Can't recommend enough! - 5/05/2021
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
Rafael Dimayuga
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
Zachary Hickman
High quality scanner. Super fast. Have been happy with the support that Cad-Ray has offered. I really like the innovative technology that medit allows users to implement into their practice. - 10/13/2021
Excellent customer service and communication. Could not recommend them more - 2/14/2023
Mark Evans
I’d like to tell you a story about CAD-Ray.com.I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little indepe...read moreI’d like to tell you a story about CAD-Ray.com.I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little independent distributors. They just called us, and we just found out. What this means is that we won’t be able to provide you service after purchasing the VHF mill that you just bought.”Now, they could have just left it at that. They could have said, “Sorry, it’s out of our hands.” They could have said, “We appreciate your business, but it’s not our fault.” They could have said, “That’s the way the cookie crumbles.”But they didn’t.Frank Weinstein calls me up and tells me that they want to make this right, so they are going to hook me up with a brand new Imes Coritec One+ for the same price as the VHF. The Coritec One+ is like the Mercedes of mills for in-office. This is the new model that just barely came out. It is a 5 axis mill. It does wet and dry milling. It does blocks and pucks. It mills all materials know to man, including Vibranium. It can also fly the space shuttle, and make all your wishes and dreams come true. It’s that good. It came with the laptop, Exocad, all the tools, and all the bells and whistles. It came fully loaded. It came white glove delivered to my office. It came with in office training. It came with the extra bur package. It came with everything and the kitchen sink.So, I paid 36k for a mill, and because of something that was not Cad-Rays fault, they ended up giving me a 60k mill for the same price.In the words of the great Tony Stark: “That’s how Dad did it. That’s how Cad-Ray does it. And it’s worked out pretty well so far.”Thank you Frank Weinstein and Armen Mirzayan for having outstanding customer service and going the extra mile every time.read less - 4/09/2021
Tiffany Lee
This is a unique place because it serves both dentists and patients. For patients, this is an imaging center only. There are no diagnostics done here. There is a dentist on staff, but he is only there for imaging purposes, no diagnosis. As a dentist,...read moreThis is a unique place because it serves both dentists and patients. For patients, this is an imaging center only. There are no diagnostics done here. There is a dentist on staff, but he is only there for imaging purposes, no diagnosis. As a dentist, I would say that to be fair a niche place like this couldn't be expected to bill insurances. They would have to hire an entire separate staff to deal with all the thousands of types of insurances you have. For dentists: This is a great service to your patients because if you do not own a 3d x ray machine, you don't have to invest the $200,000.00, you can refer your patients here and cad ray will send you the digital files. You can also send them files to have custom surgical guides made. The folks who work here go out of their way to explain how things work. If you don't have a doctor, they can refer you to a dentist who can diagnose your problems. I always call ahead to make an appointment.read less - 6/02/2018
Ed Borio
I was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it h...read moreI was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it has been a rewarding and relatively seamless transition to the world of scanning. I never dreamed implementation would have been this easy and its attributed to Laura's skillful training ability. The scanner is wonderful and powerful, but we would have never been able to unlock its potential without her assistance.read less - 5/07/2021
Value Dental
Excellent customer service and support. Kaila was extremely pleasant and professional over the phone. She sent us the replacement part in a timely fashion. Will recommend this product and their business to fellow colleagues. Thanks again! - 12/06/2021
Sello Magabane
Magificent trading platform and great overall trading experience, I have been using this broker service for quite some time and I am truly satisfied with the services, Swift withdrawals and prompt customer service Perfect and honest broker company, I...read moreMagificent trading platform and great overall trading experience, I have been using this broker service for quite some time and I am truly satisfied with the services, Swift withdrawals and prompt customer service Perfect and honest broker company, I really had a great time trading with this broker company Withdrawal is fast and services are all efficient i invested $1,000 and made a profit of $11,150 within a week, if you are looking for a good forex trader quickly contact Mrs Sandra Billy Via,
WhatsApp:+1(512) 893-1587
Email:sandrabilly500@gmail.comread less - 9/06/2022
Nolan Andrews
They all go absolutely above and beyond in all aspects. Whether it's tech support, products, CE, everything. Everyone I have dealt with has been wonderful. Love these guys! - 6/19/2020
Richard Salvatore
I purchased a Medit Scanner from Cad Ray and the entire experience has been phenomenal. Their customer service is top notch and always accessible by text! I have FaceTimed Frank more than once during a hectic day to help me with my scanner. Thanks te...read moreI purchased a Medit Scanner from Cad Ray and the entire experience has been phenomenal. Their customer service is top notch and always accessible by text! I have FaceTimed Frank more than once during a hectic day to help me with my scanner. Thanks team!read less - 6/19/2020
Carter Mitchell
Pretty much echoing what everyone else has said. Frank DeLuca and the whole team at CAD-RAY are fantastic. The best customer service and support in dentistry, hands down, not even a close second. We are thrilled with our Medit scanner and will certai...read morePretty much echoing what everyone else has said. Frank DeLuca and the whole team at CAD-RAY are fantastic. The best customer service and support in dentistry, hands down, not even a close second. We are thrilled with our Medit scanner and will certainly be choosing CAD-RAY for any future purchases.read less - 12/30/2021
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
Jared H
Purchasing my medit i700 from Cad-Ray was a great decision. I did my first training with Kaila and she was fantastic! Super knowledgeable, patient and truly helpful in making sure I was ready to hit the ground running with patient care. I put a call ...read morePurchasing my medit i700 from Cad-Ray was a great decision. I did my first training with Kaila and she was fantastic! Super knowledgeable, patient and truly helpful in making sure I was ready to hit the ground running with patient care. I put a call into cad-ray support in the middle of a case and sure enough Kaila was also the one to answer and handle the situation. She jumped right on my computer and had things fixed in a matter of a few minutes. Awesome support, great staff and overall super positive experience with Cad-ray thus far!read less - 5/06/2022
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
Outstanding customer service! Laura helped me purchase my first Trios scanner and she took the time to go over all the specs, models, and details with me. Their on going tech support is what sets this company a part from others. - 3/05/2024
Eric Bailey
Couldn't be happier with the support I've gotten from these guys. Trouble-shooting a problem real time so you can call a patient and get them right back in with a solution is extremely hard customer service to match. Thanks a ton and no question wher...read moreCouldn't be happier with the support I've gotten from these guys. Trouble-shooting a problem real time so you can call a patient and get them right back in with a solution is extremely hard customer service to match. Thanks a ton and no question where I'll be going for any more purchases!read less - 10/06/2021
One of the best investments I’ve made for my office. A fraction of the cost compared to cerec. No monthly club fee. Easy maintenance. Saving a ton on lab costs. Milling and designing crowns is honestly my favorite things to do now. - 6/29/2020
Great scanner (medit i500) and mill (coritec one). They were great for an open system that allows me to do just about anything. - 6/16/2020
Asi Cohen
Armen Mirzayan's knowledge base sets CAD-RAY.COM apart from all other digital dental-equipment dealers. Not content with linking manufacturer support content, Armen's team provide instant feedback to any equipment queries, in-depth video tutorials, a...read moreArmen Mirzayan's knowledge base sets CAD-RAY.COM apart from all other digital dental-equipment dealers. Not content with linking manufacturer support content, Armen's team provide instant feedback to any equipment queries, in-depth video tutorials, and regular product testing, streamlining, and pushing the boundaries of their products - be it software, hardware, or connectivity between various brands. I highly recommend this team if you want to fully utilise your equipment and have the backup needed going forward!read less - 11/05/2019
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
Dath Collins D.D.S.
We have worked with Cad-ray for over three years. There tech support should be modeled as the gold standard for tech support. Let me tell you why. When you call in someone answers the phone and even better than that they solve the problem. Lauren...read moreWe have worked with Cad-ray for over three years. There tech support should be modeled as the gold standard for tech support. Let me tell you why. When you call in someone answers the phone and even better than that they solve the problem. Lauren solved my tech problem in less than 5 minutes! Thank you Cad-ray!!read less - 1/24/2023
Sean Landgraf
Truly Great Service. Glad I purchased my scanner here. - 8/03/2023
Aaron Gelfand
Worked with Laura and she is incredibly knowledgeable. She gave me all the right advice and steered me in the right direction. Her ongoing support is as good as it gets. I feel like I have a 24 hour team at my beckoning call. For the meat and pot...read moreWorked with Laura and she is incredibly knowledgeable. She gave me all the right advice and steered me in the right direction. Her ongoing support is as good as it gets. I feel like I have a 24 hour team at my beckoning call. For the meat and potatoes. I got an Icam 4D from her and now I am printing all on 4 arches same day surgery at our practice in Denver(NUSET). We are going to put ICams and Trios’ in all our offices thanks to Laura and the Cad-Ray team. If you have any questions about the workflow and the success we are having with the Digital work flow call Laura and I will help you succeed with her product support.Thank you Laura and Cad-Ray!read less - 4/28/2022
Keon Ahghar
Fantastic support and customer service! This is an awesome company. They aren't big box and actually know how to use, trouble shoot and ball out with the products they sell. They only will sell and endorse a good product. They are selective. Whatever...read moreFantastic support and customer service! This is an awesome company. They aren't big box and actually know how to use, trouble shoot and ball out with the products they sell. They only will sell and endorse a good product. They are selective. Whatever they sell they back. And they have your back too. Their support, service and training is industry leading. Also Laura from CadRay is a beast. She's wizardread less - 4/23/2022
Sonrisas Dental
Support was our main concern, and we chose very carefully. Frank is 100% every step of the way - 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
Mark Evans
I’d like to tell you a story about CAD-Ray.com.
I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little ind...read moreI’d like to tell you a story about CAD-Ray.com.
I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little independent distributors. They just called us, and we just found out. What this means is that we won’t be able to provide you service after purchasing the VHF mill that you just bought.”
Now, they could have just left it at that. They could have said, “Sorry, it’s out of our hands.” They could have said, “We appreciate your business, but it’s not our fault.” They could have said, “That’s the way the cookie crumbles.”
But they didn’t.
Frank Weinstein calls me up and tells me that they want to make this right, so they are going to hook me up with a brand new Imes Coritec One+ for the same price as the VHF. The Coritec One+ is like the Mercedes of mills for in-office. This is the new model that just barely came out. It is a 5 axis mill. It does wet and dry milling. It does blocks and pucks. It mills all materials know to man, including Vibranium. It can also fly the space shuttle, and make all your wishes and dreams come true. It’s that good. It came with the laptop, Exocad, all the tools, and all the bells and whistles. It came fully loaded. It came white glove delivered to my office. It came with in office training. It came with the extra bur package. It came with everything and the kitchen sink.
So, I paid 36k for a mill, and because of something that was not Cad-Rays fault, they ended up giving me a 60k mill for the same price.
In the words of the great Tony Stark: “That’s how Dad did it. That’s how Cad-Ray does it. And it’s worked out pretty well so far.”
Thank you Frank Weinstein and Armen Mirzayan for having outstanding customer service and going the extra mile every time.read less - 4/02/2021
Collin Kwasnik
will never buy any product they offer from any other company regardless of price. this team is the best and incredible. - 6/05/2022
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 - 9/21/2020
Kent Lysgaard
This company has the best customer support I have ever experienced. I purchased the I700 Intraoral scanner and the transition from impression material to io scanner has been so easy because of Cad-Ray. I highly recommend them. The response to questi...read moreThis company has the best customer support I have ever experienced. I purchased the I700 Intraoral scanner and the transition from impression material to io scanner has been so easy because of Cad-Ray. I highly recommend them. The response to questions/issues is instantaneous even with a patient in the chair they have the capability to go online and help. Absolutely first rate.read less - 4/13/2022
Dino Mantis
I purchased the Medit700 a couple of months ago. I have the Cerec Primescan and what a difference!!! The Medit is easy to use and efficient!!! They have a great support system> Laura Geney is amazing. She is almost like being on call anytime I have a...read moreI purchased the Medit700 a couple of months ago. I have the Cerec Primescan and what a difference!!! The Medit is easy to use and efficient!!! They have a great support system> Laura Geney is amazing. She is almost like being on call anytime I have a question. If she is not available (which was only once) the person that helped me logged in and took care of my problem!! I highly recommend this scanner!!!read less - 12/30/2021
Jennifer Ebner
After using the medit i500 scanner at an office as an employee, I purchased it from Cad-ray,com specifically because of their good reviews and their large, concise training library of videos. I've used CEREC as an instructor at a dental school and bo...read moreAfter using the medit i500 scanner at an office as an employee, I purchased it from Cad-ray,com specifically because of their good reviews and their large, concise training library of videos. I've used CEREC as an instructor at a dental school and bought a used Planscan, Planmill for my private office. Both were hard to learn and the fees and cost associated with training were a bitter pill to swallow after the costs to purchase. The ease of seating restoration was instant. The scanning learning curve is quick. I have easily added occlusal guard scanning, and implant scanning and will be trying a digital denture soon.
The purchase was easy, the product came quickly and the set-up videos guided me through very necessary adjustments to my Laptop I never knew I needed. Learning the new features with each FREE update is a treat. The DIY option was an extra bonus as the $2000 rebate came without having to ask for it. Cad-ray has delivered more than I expected with the purchase of the fantastic Mediti500 scanner.
I've included my cart set up. purchased from Amazon for $68. Its stable, has room for the necessities. I've taken it home and back to the office half a dozen times and it transports the scanner safely. It also keeps the cords from being run over. I haven't taken the included 2 day course but look forward too it after Social Distancing mandates are lifted.read less - 4/25/2020
I am absolutely in love with my MEDIT i700, as is my entire staff. The Medit i700 is reliable, fast, easy to use and the software is incredibly intuitive. I couldn't be happier with the team at CAD-Ray. They are true professionals, and very hands and...read moreI am absolutely in love with my MEDIT i700, as is my entire staff. The Medit i700 is reliable, fast, easy to use and the software is incredibly intuitive. I couldn't be happier with the team at CAD-Ray. They are true professionals, and very hands and responsive in terms of their support and training. Thank you to the entire team.read less - 8/24/2021
I purchased my Medit scanner after the ADA meeting in 2018. I did it primarily on the personal recommendation of Armen Mirzayan, the owner of Cad-Ray. I have known Armen for over 15 years (we both were CEREC trainers) and he has always been unbeli...read moreI purchased my Medit scanner after the ADA meeting in 2018. I did it primarily on the personal recommendation of Armen Mirzayan, the owner of Cad-Ray. I have known Armen for over 15 years (we both were CEREC trainers) and he has always been unbelievably knowledgeable about dental technology and was always moving on the cutting edge.
When you see Armen's daily FB posts, it’s obvious that he is constantly pushing the envelope and exploring the limits of the Medit and the processes we use to idealize our push towards completely digital dentistry. Medit owners are fortunate to have Armen finding glitches and pushing for improvements in our scanner.
As far as after sale service, I can’t find a flaw with Cad-Ray. You won’t find a more supportive and dentist-centered company. Armen and Frank do everything to make purchasers happy and back up their sales.
I’ve heard of horror stories when people shopped elsewhere and only positive comments about Cad-Ray.
In summary, buy your Medit and other high tech equipment from Cad-Ray, you will be totally satisfied.
.read less - 10/08/2019
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
Paul Crespo
Cad-Ray has been instrumental in implementing and supporting our experience with scanning. Having scanned previously with other services I can truly say that Cad-Ray takes their clients very seriously and will not leave you hanging. They set the ba...read moreCad-Ray has been instrumental in implementing and supporting our experience with scanning. Having scanned previously with other services I can truly say that Cad-Ray takes their clients very seriously and will not leave you hanging. They set the bar very high. Cad-Ray all the way!read less - 12/09/2021
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
Dr. Howard Lassin
Great 1st lesson with Ryan on the Mediti700. We are ready to scan:) - 12/30/2022
Preston Poole
Great company with even better customer service. Premier dental business with digital dentistry and scanners! - 11/03/2022
Chase Funk
This has been awesome, to be honest I have know idea how to use it but our team members have picked it up so easy!! - 6/16/2020
Ted Fang
Purchased a Trios 5 and the Sprint Ray Printer/Ecosystem from Cad-Ray at the end of 2022. Frank Deluca, my CAD-Ray rep, was instrumental in helping me see the value in purchasing both technologies to expand on my digital dental office. He came ac...read morePurchased a Trios 5 and the Sprint Ray Printer/Ecosystem from Cad-Ray at the end of 2022. Frank Deluca, my CAD-Ray rep, was instrumental in helping me see the value in purchasing both technologies to expand on my digital dental office. He came across as being very sincere and professional throughout the entire process. After the purchase, he even made himself available to go above and beyond what a normal dental rep would do. For instance, when I had my Sprint Ray Ecosystem installed, he set aside time on a Friday afternoon to walk me through the steps to print my first 3D study models. I would say he is one of the best dental reps that I have come across. Definitely received a 5 star experience and service from Frank. He is definitely and asset to CAD-Ray.read less - 1/25/2023
Dennis Wong
Best support ever. They are super responsive when a problem occurred, and immediately set up a support ticket with the vendor who contacted me within the hour to help me to solve the problem. - 7/27/2023
Collins Woodside
I purchased my Medit i500 scanner almost a year ago from CAD-Ray. Laura and the team there have been so responsive and ready to help. It is so nice to have a person answer the phone and be willing and able to assist! - 12/09/2021
The clash of the titans are in full effect. We are not smart enough to understand all the dynamics of patented software and hardware. While we let the manufacturers sort it out, we wanted to demonstrate how the new mandibular jaw movements are captured in Meditlink
Many scanners limit the number of scans you can take on a patient. This becomes cumbersome when you want to image pre-existing conditions, tissue scans for implantology, and other advanced needs
With version 3.0 in Meditlink software, launched in October of 2022, you can import or scan multiple models in the same patient chart
We’ve digitized the Vita 3D shade guide to help with color identification. The same Medit scanner was used to scan the tabs and then this digital file was created. the assumption is that the same camera and light will hit natural dentition and the net effect will be the same. Use at your own risk.
Still not a single article published that says Medit ios is a good scanner ! its just been user driven for 3 years now.
it’s a good thing, because the world just changed. it is irresponsible to extrapolate research done outside the mouth on stone models or impressions into clinical significance with intra-oral scanning. There are parameters that are impossible to quantify like focal distance throughout the scan (unlike desktop scanners with known focal distances), the codes use to do the algorithms, the scan patterns, and also how light is treated by enamel, dentin, and restored materials.
i can’t believe people still use terms like trueness and accuracy when they really don’t even exist when you scan intra-orally. Like analog impressions, it is impossible to judge digital impression accuracy LIVE while it is happening.
Enter Medit! There are a few distinct ways to demonstrate an accurate scan live while it is happening. One way is to import a geometric shape that doesn’t alter its form while models are being rendered. That’s what’s demonstrated here. To my knowledge no one has ever studied this approach because no other camera lets you do this. i did see some publications where the authors attached objects like radiographic markers and after it was processed, they could measure that object and see if it distorted or not, but nothing at this level.
To use the Artificial Implant Suprastructure Identification Software to identify a scanbody, you have to understand how it is listed in the library. It is not listed by the name of the implant company but rather the manufacturer that fabricates that implant lines scanbody. For example, there are multiple choices for Nobel Active Conical Connection scanbodies. The easiest way to find them is to search for the pre-loaded brands, but be aware of the routing abbreviations many companies utilize. For Nobel Active, usually NB AC is used.
Then you must choose whether you are going to fabricate a Ti-Base or a Custom Abutment, and whether you are using an intra-oral or extra oral scanbody. The connection type (diameter) and the material (titanium vs. chrome cobalt) also must be selected. Here’s a quick video that illustrates the selection process. You must also consider if a 10 or 14 mm diameter blank is going to be used to mill the product. In molar areas, a size 14 is preferred so that you can reach the outer most boundaries of your desired margins, whereas a 10 mm blank may be too narrow and small for a molar.
A fracture and worn overdenture greater than 10 years old was duplicated digitally where the lab was able to follow the vertical dimension and tooth position from digital impressions taken by the Medit i500. Clinically, we advise that you place the housings before taking the impressions to accommodate enough space for the chairside reline. In this particular case, most of the reline and imaging was done extra-orally
We have an MO a DO on adjacent teeth that need to be done and a crown in between. It took only 90 minutes to do all 3. I prepped the crown and got that milling and while it was milling I restored the adjacent teeth. I then tried the crown in. what’s great about lithium disilicate vs zirconia chairside is that I can easily add a contact on with powder while its crystalizing. or I can adjust the composites to nail the contacts. so we leverage mill time and oven time with prep time. Said another way, it takes me the exact same amount of time to do a crown + 2 class two’s as it does to do a single crown
In this video we demonstrate how to use the color extraction feature of the Medit i500 scanner to displace and ignore the pesky tissue and the coronoid process that are annoying you while you try and image the distobucall area of an upper second molar
With Medit i500, there is an incredible feature where you can import a 3D model from source, even another scanner and be able to add live scans to that model. This is a first in the dental industry and has great impact for advanced users who utilize multiple models.
One of the most important lessons a digital dentist has to learn quickly is how to not introduce errors when scanning dentition. The most likely area when s/he can introduce errors is in the anterior area where the incisor are not only narrower than molars but can also have translucent enamel. Add just a little spacing between teeth with diastemas and you can quickly distort the accuracy of the model. This is true of ALL intra-oral scanners in the market
Incisal Translucency / Transparency Causing Model Distortion
There are a few ways you can overcome these issues and the second video highlights some of our preferred methods. The concept is easy- block the light from travelling through the tooth structure and you are set! Watch the videos to learn how to do it
Here are some examples of how light shinning through the enamel and /or ceramic instead of bouncing back resulting in errors in model accuracy. Lesson #1 for every ios user is to know when and where they are likely to introduce error. in dentate cases, it usually is right that the transition from premolar to canine to lateral. The surface area decreases dramatically and if you have translucent enamel and / or material and / or highly reflective surfaces you can “derail” the model building. Here is an exaggerated demonstration
Translucent enamel can also play a role in distorting the cavosurface margins of a inlay or onlay restoration. When imaging from the occlusal, the gingiva below the margins acts as a barrier to block light transmission through the enamel, but as soon as you start to roll the camera to the buccal or lingual, and you have enamel with no substrate behind it to block light transmission, you can introduce errors in the equation with any scanner.
There are many ways to combat this which include powdering the tooth structure, using a rubber dam, or in Medit’s case, you can use the color subtraction filter. You selectively tell the scanner to ignore certain colors and you use that exact color (here, it is the color of the glove) to block light transmission through the enamel. So the software just ignores the blue, but the light is prevented from shining through reducing the errors you would introduce.
Here is another example of the distorted enamel margins on a conservative preparation and how blocking out the light from travelling through the tooth structure leads to crisp visualization of margins without any distortion or artifact
can you explain why we see blurred margins and artifact/distortion between the 2 centrals while in the second image the…
For advanced users of meditlink software, you can skip filling out the Rx form and go straight into scanning. But make sure to properly fill out the CAD Rx form so that all the necessary models are imported into the design software. If you don’t designate the opposing or the Pre-op / Wax-Up in the form, they will not be part of the design equation. Also, this video shows how to select multiple restorations at once.
in this case we import multiple models, videos, CT scans, and Face Scans so that our users can utilize all of these features. Click here to enter the member’s section to download the whole case and design along
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.
This article features the new Meditlink 2.3 software which has some advanced functionality. One of the greatest achievements is he ability to tell the scanner to avoid imaging certain colors like green and blue. This greatly facilitates the imaging of full arches as you can let your gloves / fingers guide the camera and displace all the soft tissue that impedes image capturing. We also feature how easy it is to launch CAD software to design the restoration and mill it out of lithium disilicate material
Case set up: here we enter the patients name and a simple tab appears where we chose the material and restoration tab. Once you image, you can place an order to the lab or you can advance to the CAD tab:
After the Rx has been filled out, you can launch the Medit Scan and image the upper and lower arches. Please note how we tell the camera to avoid the color blue and it ignores the clinicians fingers during imaging. The upper jaw and lower jaw were captured, then the bite registration even before the preparation was finished. This allows the verification of proper reduction and space for the ceramic material
Lower Arch Scan
The lower arch is the most difficult area to scan as you frequently have to battle the tongue, saliva, and the lips. The optragate can be of great help but notice how we use the color filter to hide the blue gloves while we advance the camera. It is a great aid in facilitating the capture of the lower arch
The same principle is applied to the upper arch. Notice that the software does not care if you start with the upper or lower arch. Here, you can visualize how the blue glove was used to displace the cheek and capture the pre-op condition of the upper second molar. The rest of the arch was easily imaged. It is not necessary to capture full arch impressions and this was done just for demonstration purposes. For a single unit case, generally imaging distal from the canine is adequate.
Checkingthe reduction and aquiiring the bite registration
We recommend that you capture the bite before you finish imaging the preparation. This gives you one last chance to verify that you have reduced enough to accommodate material thickness. You can see how we just take regular photos to document the lack of clearance and we continue to adjust the height of the preparation until we achieve the required space. We then activate the imaging process and capture the occlusal relationship between the upper jaw and the lower jaw
Image the preparation and place margin in native MeditScan Software that transfers to CAD Software
The preop condition is then transferred to the arch model and the tooth in question is cropped out. The rest of the arch is protected so no extra data is added unnecessarily to the equation. This protect feature is used for demonstration purposes and is subsequently removed. The prep in question is then highlighted and the local area is processed and the margins are placed. This margin line can be sent to the lab or it can be automatically carried to the design software
The Meditlink software allow you to launch a variety of CAD programs that include 3shape, exocad, cerec, etc… Here we launch exocad which automatically imports and aligns the models and marks the margins. The restoration is then designed to completion.
The CAD software allows you or the lab to alter the marked margins if necessary. The restoration is aligned in the arch for and the contacts are adapted to the adjacents and the oppising
Milling of Lithium Disilicate with Imes Icore Coritec One
The final restoration design can be exported as an stl and taken to a variety of mills or printers. Here we designed it millbox and milled with the coritec One. The material used was Amber Mill and it was crystalized and seated
The following pictures depict the sequence of burs we recommend that you use to finish a preparation quickly. While patient is getting numb, take a quick look at the clearance you will need to reach proper material thickness. Once the quadrant is isolated with isolite and optragate, take an occlusal router bur and create a trough to gain the proper depth. Follow that with a flat disk, and you can quickly reduce the occlusal height.
A shoulder bur of .8 mm thickness can help you reduce the interproximal areas as well as the buccal and lingual margin lines. Before finishing the prep, place hemostatic agent like expasyl in the sulcus and place retraction cord. while it is setting, check your reduction. If you need more space, now is the time to reduce some more.
Once you have adequate clearance, retraction, and hemostatis, you can readily image and find your margins in the CAD software
A Medit i500 scan was taken and merged with a CT scan and the distance to bone was measured (5.5 mm’s) giving enough space for soft tissue contouring with a diode laser. The 3D X-ray must be captured with cotton rolls placed in the vestibule so that you can differentiate between the gingiva and the lip. Ideally you should not close the base of the digital model by the intra-oral scanner as it can make the merge of the data sets more difficult than it needs to be.
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