This scanner is amazing! It’s hard to believe that it is less then half the price of 3 shape with zero yearly charges. I highly recommend you give it a try! - 10/09/2019
I cannot say enough good things about Cad-Ray and the people involved with this organization. I have purchased equipment over the past few years from them and always been amazed at the non-pushy before the sale help and the after the sale support. ...read moreI cannot say enough good things about Cad-Ray and the people involved with this organization. I have purchased equipment over the past few years from them and always been amazed at the non-pushy before the sale help and the after the sale support. I have been deciding for the last 2 years to make a big purchase of a mill and sintering furnace and Jon has never made me feel like I was bothering him and never pushed me just to try to get a sale. It really is different from other sales experiences I've had with other companies/sales people.Jesse came out and installed and provided training for our new mill and sintering furnace. He went above and beyond what I was expecting to make sure myself and my team knew how everything works during the training. He has also been great with questions we have had since the installation. I just cannot say enough good things about my experience all around and will definitely be a Cad-Ray customer for many years to come. Thank you Cad-Ray!read less - 6/15/2022
Spark Dental
Just had a new i700 scanner.Service so far is great.Andy did our training, he was great in answering all our questions .loving the scanner so far .😊 - 9/01/2022
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
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
Dana Mallard
Heather Gramely provided excellent costumer support today. She went above and beyond the reason I even called to update our computer and software and aid in warranty information/repairs. - 2/08/2022
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
All Clear
Great experience with CAD-Ray, specifically Damien, with purchasing and customer service with servicing a scanner that needed replacing under warranty. All around excellent service and I will definitely come back for future technology we'll eventuall...read moreGreat experience with CAD-Ray, specifically Damien, with purchasing and customer service with servicing a scanner that needed replacing under warranty. All around excellent service and I will definitely come back for future technology we'll eventually be adding to our practice.read less - 10/23/2024
Dong Lim
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
Frank and the Cad Ray team have been nothing short of amazing. I continue to purchase digital equipment from Cad Ray because their support is unlike any in the dental industry. Frank has been instrumental in helping my team get the most out of our pr...read moreFrank and the Cad Ray team have been nothing short of amazing. I continue to purchase digital equipment from Cad Ray because their support is unlike any in the dental industry. Frank has been instrumental in helping my team get the most out of our products.read less - 1/25/2023
Dan Malloy
Extremely good customer service. From start to finish buying my Medit was flawless and they were very helpful in offering me information. When I got my scanner I had questions and my phone calls were returned immediately. They knew my name and guided...read moreExtremely good customer service. From start to finish buying my Medit was flawless and they were very helpful in offering me information. When I got my scanner I had questions and my phone calls were returned immediately. They knew my name and guided me through what I would need. Very impressed. Would recommend!read less - 2/02/2020
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
Lauri Ann
I am about the worst person when it comes to technology. I decided to get a scanner and chose the Medit due to all the positive comments users had. I haven't used it much-the pandemic started right as I received it, however, the customer service has ...read moreI am about the worst person when it comes to technology. I decided to get a scanner and chose the Medit due to all the positive comments users had. I haven't used it much-the pandemic started right as I received it, however, the customer service has truly been amazing! I had an online training and a rep checked in with me several times to see if I needed help. I am going to do another online training soon as a refresher. I wouldn't hesitate to recommend this company and scanner to anyone!read less - 6/16/2020
Alec Keon
I was on the fence on getting a scanner for years and finally pulled the trigger. CAD-Ray's support and knowledge has made this one of the best investments in my practice to date. When I spoke with Damien on the phone about my options he literally sa...read moreI was on the fence on getting a scanner for years and finally pulled the trigger. CAD-Ray's support and knowledge has made this one of the best investments in my practice to date. When I spoke with Damien on the phone about my options he literally saved me thousands after figuring out what my exact needs were. I went with the Medit i600, MSI laptop and 3D dental systems cart. The final product looks and feels as premium as it gets.read less - 2/21/2024
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
Evan Sachs
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
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
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
Daniel Thrall
I have owned this scanner for six months now. I have experience with other scanners including Trios and Carestream. The Medit scanner can stand with the big names. The scanned images are good. The ease of communication through the software with the l...read moreI have owned this scanner for six months now. I have experience with other scanners including Trios and Carestream. The Medit scanner can stand with the big names. The scanned images are good. The ease of communication through the software with the lab is probably my favorite part. Another thing I like is that the company is very open to improvements and listens to what its customers are wanting.
Cad Ray has a great team working alongside this product and continually updates all of the users on new features or new ways to use existing features. They are extremely responsive to questions and provide fast and competent support to the product that they sell.
I would recommend both the scanner and the company to anyone looking to get into the digital scanning world.read less - 10/09/2019
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
LoAn Huynh
Erika is one of a kind! She truly is patient with me. She has gone above and beyond to help me every time I call her. We have a few locations and she is always prompt in her responses and always manages to find a solution for me. I wish every rep was...read moreErika is one of a kind! She truly is patient with me. She has gone above and beyond to help me every time I call her. We have a few locations and she is always prompt in her responses and always manages to find a solution for me. I wish every rep was reachable ALL THE TIME and helpful! Thank you Erika! ❤️read less - 6/04/2025
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
Barton Davis
Every time I need support for my scanner, the Cad-Ray team is there to help. I recently had a question on how to manipulate a scan and export it back to Medit Scan. Damien logged in and helped me out. Problem solved in under five minutes. Awesome ser...read moreEvery time I need support for my scanner, the Cad-Ray team is there to help. I recently had a question on how to manipulate a scan and export it back to Medit Scan. Damien logged in and helped me out. Problem solved in under five minutes. Awesome service. Thanks Cad-Ray support team!read less - 3/04/2022
Matt St George
I had 3 Cerec machines and switched to medit. It’s awesome and do not regret the switch one bit. This is the place to buy it bc Armen and Frank are a wealth of knowledge and Frank is awesome with support. He’s always there whenever I need him! - 10/10/2019
I'm a dentist in NJ, and I purchased the Medit i700 from CAD-Ray. Hands down they have the best support team. Laura is awesome with helping us using the Medit and with providing any support we may need. One of my best decisions so far was working wit...read moreI'm a dentist in NJ, and I purchased the Medit i700 from CAD-Ray. Hands down they have the best support team. Laura is awesome with helping us using the Medit and with providing any support we may need. One of my best decisions so far was working with CAD-Ray.read less - 4/15/2022
Kurt Adamson
I was on the fence for a few years about getting into intra-oral scanning. I finally did it in the fall of 2019 and haven't looked back. I was hesitant mostly because I didn't want to spend a lot on $$$ on something that I don't end up implementing. ...read moreI was on the fence for a few years about getting into intra-oral scanning. I finally did it in the fall of 2019 and haven't looked back. I was hesitant mostly because I didn't want to spend a lot on $$$ on something that I don't end up implementing. I found that I love scanning, I feel like it has improved my quality of preps and my OCD of being able to verify accuracy. I recommend Cad-ray because they want you to succeed. They are always available. They have been through this process many times, they know what does and doesn't work. My experience is with the Medit i500 IOS.read less - 6/19/2020
David Christensen
I purchased the Medit i500 from Cad-Ray December 2018. I couldn’t be happier with the scanner. The improvements Medit has made over the last 10 months are nothing short of astounding! I can’t imaging what they’ll come up with next.
As for Cad-Ray...read moreI purchased the Medit i500 from Cad-Ray December 2018. I couldn’t be happier with the scanner. The improvements Medit has made over the last 10 months are nothing short of astounding! I can’t imaging what they’ll come up with next.
As for Cad-Ray, their support has been second to none. Never have I experienced the kind of attention and help from any other company. Wether it’s with help installing, computer hardware issues or technical help they respond IMMEDIATELY!
Armen is also a huge reason why I chose Cad-Ray. No one selling a product has helped me more evolve my scanning technique. He’s quick to respond to questions and issues I feel his service is a huge reason why to buy from CAD-RAY.read less - 10/09/2019
This was my intro into intraoral scanning and I did research for quite awhile. The i500 and the team at Cad Ray are top notch. The company has done such a great job putting this scanner in the ranks of the premier ones. With constant updates it gets...read moreThis was my intro into intraoral scanning and I did research for quite awhile. The i500 and the team at Cad Ray are top notch. The company has done such a great job putting this scanner in the ranks of the premier ones. With constant updates it gets better and better (though I’m still behind on updates). My crowns have never been better. They drop right in with no models. I didn’t believe it but I’m loving digital dentistry. I can’t wait to go to the class after COVID calms down!read less - 6/16/2020
Instant support, nice people at Cad-Ray but LOTS of trouble getting CIT 12m same-as-cash approval as offered. CIT fumbled around for 7d in finding credit report. Eventually fed up with inactivity or support after lifting Equifax credit freeze and d...read moreInstant support, nice people at Cad-Ray but LOTS of trouble getting CIT 12m same-as-cash approval as offered. CIT fumbled around for 7d in finding credit report. Eventually fed up with inactivity or support after lifting Equifax credit freeze and directed to Experian quagmire of automated phone calling tree.read less - 1/09/2021
H C
I got my 3Dshape scanner, great support , my training with Destany was excellent. Great team!! - 2/15/2024
Jay Siddiqui
Amazing support and install, Jesse went through everything and made sure I was comfortable with my equipment before leaving. He also introduced me to the world of anodizing and now I am hooked! Highly recommend them for any tech you may need. - 8/23/2022
Scott Chong
The i500 has been a game-changer for our orthodontic practice. Patients love not having to do alginate impressions. Records appointments and debands take much less time plus there's significantly less clean-up. And it's fast/easy enough to use tha...read moreThe i500 has been a game-changer for our orthodontic practice. Patients love not having to do alginate impressions. Records appointments and debands take much less time plus there's significantly less clean-up. And it's fast/easy enough to use that we've even been able to train summer interns to scans with zero prior dental experience. Our retainers, nightguards, and sleep apnea appliances all showed improved fit with less chair-side delivery time due to accuracy of the scans. Customer support is top-notch. Whenever we've had issues, we get someone immediately and they either talk us through a fix or login via screenshare to help us directly. They have a great loyalty program which gives significant discounts to upgrade to newer units. We recently took advantage and are excited to try out the new i700, especially since they're now Mac-compatible. Simple version: Great intra-oral scanner, easy to use/operate, intuitive software interface, fantastic support.read less - 8/16/2023
Steve Acker
We received our i700 scanner from CAD-Ray yesterday. It was an upgrade from our i500. The scanner is amazing and Laura was amazing in helping us get up and running in no time. Their support, professionalism, and expertise is unmatched. Thanks CAD-Ray...read moreWe received our i700 scanner from CAD-Ray yesterday. It was an upgrade from our i500. The scanner is amazing and Laura was amazing in helping us get up and running in no time. Their support, professionalism, and expertise is unmatched. Thanks CAD-Ray!- Helena from Elite Dentalread less - 12/23/2021
Jose Morales
Service is extremely quick and on point. Highly recommended to join the Cad Ray facebook group! - 6/01/2022
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
Absolutely love Laura. She was my initial contact and is an amazing resource for any questions even months later. Would highly recommend buying from Cad Ray especially Laura! - 6/28/2022
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
Jorge Gonzalez
Armen is a dentist and knows what a dentist need, on other words cad ray sells technology that works for dentists! - 6/16/2020
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
I always have enjoyed working with Cad-ray. Customer service is always on-point! - 5/25/2022
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
Obdulia Rondon
Thanks for delivering amazing courses. Always thinking beyond dentistry. Thanks for sharing all so selflessly. - 11/13/2022
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
Cad-Ray has been awesome to work with, very knowledgeable and quick to respond. Nick has been answering all my questions since day 1 and made the entire process of purchasing the Medit i700 a breeze. Can't believe how quick the product shipped and ca...read moreCad-Ray has been awesome to work with, very knowledgeable and quick to respond. Nick has been answering all my questions since day 1 and made the entire process of purchasing the Medit i700 a breeze. Can't believe how quick the product shipped and cannot wait to start scanning with it!read less - 12/15/2021
Frank helped me out when 3dbiocad could not help me with my trios issue. Thank you cad-ray. - 9/15/2024
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
Erica Zolnierczyk
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
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
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
At CAD-Ray, our mission has always been clear: to provide dental professionals with the most innovative technologies and the best possible value. Today, we’re proud to announce an exclusive partnership with the QLONE Dental Face Scanner App — making CAD-Ray the only dental dealer in the USA with this unique offering.
What is QLONE Dental?
QLONE is an intuitive, mobile-based 3D facial scanning app that runs on your smartphone or tablet. With just a few taps, clinicians can capture accurate 3D facial models and integrate them seamlessly into their digital workflow. The app allows STL and OBJ exports, making it compatible with virtually any CAD or smile design software you already use.
This means dentists and labs can quickly align facial scans with intraoral data, improve treatment planning, and enhance patient communication — all without additional hardware or complicated setups.
Free for the First Year with CAD-Ray
Normally, QLONE is a $200 per year subscription. But as part of this new partnership, CAD-Ray is including the first year of QLONE free of charge with every scanner or printer purchase (Starting 9/1/2025). That means you and your team can try it see the benefits firsthand, and explore how facial scanning can elevate your practice.
Why This Matters
Adding QLONE to our portfolio is more than just another product. It’s about:
Commitment to Our Customers – giving you access to the latest tools that strengthen your digital dentistry workflow.
Leading Technology – facial scanning is the next frontier, and QLONE makes it quick, affordable, and accessible.
Future Growth – this easy entry point into facial scanning naturally leads to advanced systems, ensuring you’re always ready for what’s next.
Reinforcing Trust – CAD-Ray continues to be the go-to partner for digital dental technologies, offering not only equipment but also training, service, and innovation.
See It in Action
We’ll be attaching demo videos below so you can see just how simple QLONE is to use. From capturing a scan in minutes to exporting into your preferred CAD or smile design software, it’s a game-changer for case presentation and patient engagement.
Download and Try It Today
We encourage you to download the QLONE Dental App and give it a try. It’s quick, easy, and designed to work seamlessly with the CAD-Ray technologies you already know and trust.
With CAD-Ray and QLONE, you’re not just getting an app — you’re getting a partnership in innovation.
A common property that is oftentimes used to describe how well scanners perform is how accurate, precise, or true it is. A lot of people use this incorrectly to describe intraoral scanners and it is utilized in poor judgment because there are too many variables in the input of the equation to ascertain any conclusion from the output file. But these characteristics CAN be used to study photogrammtery.
In this chart, the bullseye represents the true value (true location of the object), while black dots represent measurements (the estimated 3D locations of the object based on the 2D images) from this source. To measure the precision, we took 3 random arrangements of the dominos and found the output files to be identical. To measure its accuracy and trueness, we related it to a desktop scan of the same model
A frequent question we field is how does an operator know how much of the dominos / scanflags to capture. The manufacturer recommends a specific scan path and to completely capture the suprastructure. Our internal testing shows that there is no difference between the results as long as you allow the software to spit out the scanflag geometry while you are scanning. See this video for an explanation
How Well does the Intraoral Scanner Work on Soft and Hard Tissue?
lots of people ask about the intra oral scanning experience with the shining elite device. please note that this is COMPLETELY different technology than the intraoral photogrammetry unit. it has performed on par with every other scanner i use, if not better. it has such a huge field of view it picks up a lot of data at once. It is prone to every issue that all ios have, ranging from double models to introducing errors over long edentulous and symmetric spans, etc… so scan path is still important.
How to load libraries into Shining 3D Elite Intra-Oral Photogrammetry Software
This should be done by an experienced person. Here we load a dess MUA library into the equation in the first video. In the second video we import Jonathan Abeneim’s Xcell libraries, followed by Danny Domingue Vortex library import
In this article we detail everything you need to capture to design and all on x type of restoration so you can quickly print a prosthesis and deliver it to your patient as quickly after surgery as possible. We think it is best to start with the end in mind and work backwards to the models you need to capture.
Models Needed to Design
These are the models you need to bring into exocad per arch. Of course, you can bring in more information into the equation if you chose to:
Tissue scan (ideally when sutured and not a bloody field). This is usually captured with an intra-oral scanner. Some take an alginate of the arch and scan it with a desktop scanner.
Implant locations, which are the multi-unit abutment margins. These are captured in a variety of ways, all of which have to address the limitations of scanning edentulous flat and symmetric surfaces which introduce Veersing Errors. These options include extra-oral photogrammetry, intra-oral photogrammetry, and/or implant suprastructures that reduce or eliminate scanning errors, like the Scan Ladder, io connect from TruAbutment, etc…
Preop Scan, or more ideally a wax up scan to the correct vertical dimension
A designer also ideally would want the opposing model and buccal bites as well.
All of these models need to be properly related to each other which is an endeavor in itself. All of the models listed above are also disciplines of their own and many chapters could be devoted to each topic. Assuming you have this information imported into CAD software correctly, you can design the temps very quickly and get them into the printer for a temporary
The traditional approach to these cases required a model of the arch with some suprastructure that could be used to relate it to the photogrammetry scan. This process can be quite arduous and involves lots of steps. Other current systems, like the Shining Elite allow you to merge models in the native scanning software. Alternatively, you must make sure you have common stitching abutments to related models to each other in CAD software. You can use common landmarks that are found in both models to accomplish this like in this demonstration
Using Common Landmarks to Relate Models to Each Other
Managing Surgical Cases Where Stitching Landmarks are Removed to Accommodate Space for the Prosthesis
The approach to these get much more complicated when you don’t have those landmarks available to you from one model to the next, usually because the they have been surgically removed. You must:
Capture the pre-op or wax up and relate it to the tissue scan
capture the tissue scan and relate it to the implant location models.
One way to do this is to place arch trackers in areas away from the crucial areas of the arch, namely the retromolar pad area on buccal to the mental foramen. The Shining Elite Scanner allows you to do this in their own native imaging software. In the first video you will see how the arch tracker allows you to relate the iPG scans with your tissue scans.
Arch Tracker used to Relate the iPG and Ios Models to each other
You have to leave the arch tracker in place from the very beginning to the very end. If possible, we recommend you remove them only after you have placed the temporaries as it leaves you a back up in case something goes awry in the process. You will use it to relate the preop to the tissue to the iPG models.
The BIGGEST issue most people have with digital impression for full arch cases is how to keep track of relating models to each other, namely relating the preop to the tissue scan and to the domino scans.
In healed cases, this is much easier to manage. you have landmarks that are immobile in the tissue that you can use for this purpose, so make sure to capture data beyond your pre-existing prosthetic/teeth so that you can easily merge them later. relating the tissue scan to the dominos are also easy as the unaltered tissue between the two models can readily aid in that process
the degree of difficulty skyrockets when you have a surgical field with flaps moving and blood everywhere and you have many choices. my preference is to use a arch tracker that you place in bone and that stays in place throughout the whole process. the trouble with the arch tracker is that i can be in the way of surgical guides if you use them, or that they may move during the procedure if you bump into them. you’re ultimate savior then is the scancap. it is hard coded by shining to let you merge the dominos (scanbodies) with the scancaps.
Alternate methods include using proprietary material from sources that are very well versed in this matter, like Jonathan Abeneim’s Excel Protocol, which he highlights in this webinar. He used his THS caps to not only related these models to each other but also perfectly mount your models to the opposing arch
If you use trios, and you have been thinking about adding a 3D printer or milling setup to your office, but have been nervous about designs or CAD – time to think again.
3shape automate allows you to to use AI to design crowns, inlays, onlays, nightguards and more in seconds, with almost no experience needed. For as little as $2.99 per unit and 2 to 3 minutes – have your restorations or nightguards ready to print or mill. You and your team can focus on the patient, and have no fear about investing tons of time, money and heartache into learning CAD.
Check out this video from CAD-Ray technical team leader Ryan showing just how easy it could be.
Be sure to reach out to us at support@cad-ray.com or 1833-223-7292 to talk more about Trios, 3shape automate, or 3D Printer or Milling solutions with our world famous support from start to finish.
Stitching Abutments
One of the most important things to keep in mind when imaging with scanner is to keep a stitching abutments in tact between various models. In dentate cases, we usually keep a few teeth and extract them at the very end. Other times, some surgeons prefer to extract all the teeth, place the implants, and then scan the multi unit abutments. In that situation, it is imperative that you add adjuncts to the equation like bone screws or arch trackers.
This must be applied to relating the preop jaw scan with the jaw scan AND also the tissue scan and domino scan flags in the equation.
If you do not have the stitching landmarks to relate his tissue scan and the domino scan. What gets even more complicated is that the software forces you capture the tissue and merge it to the dominos before you proceed.
The first video explains the software requirements, and the second video demonstrates how you can bypass that requirement for an immediate case
How to Image Immediate Extraction and Fixture Placement
Comparing the results of this case between the icam scan and the shining intra-oral photogrammetry machine
You can download these models and compare them for yourself:
The field of view of or scan area is probably the most important factor to keep in mind with ios. i don’t know of a single study that discusses this. Admittedly i don’t read any studies on digital dentistry because they are riddled with errors and nonsense here i demonstrate how a small field of view set deliberately affects our results and introduces errors. what happens when you scan an edentulous area, the buccal and lingual vestibule are out of focal distance which dramatically reduces the scan area.
This is precisely why ios can veer off track and introduce errors in your models. to drive the point home, if you scan the intaglio of a physical impression, the same vestibular areas provide solid landmarks and data that help keep the scanner on track
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 and not derail and introduce errors. In this video, we demonstrate how a small scan area, rendered either digitally or by small sized tips, can readily introduce errors known as the Veersing Effect. We can overcome this easily just by holding the camera in a proper orientation. Some scanners make this much easier because of their tip dimensions. The Trios 5 is 19mm x 13mm, the Medit tip is 15 x 13, and the DEXIS 3800 Side Tip can capture up to 19.6 mms. The 19 mm tip size makes these scanners the preferred ones for larger implant cases with extended edentulous spaces between the suprastructures.
In the video below, we will explain how the capture window size (field of view) affects the accuracy of intraoral scanning and provide tips on how to optimize the capture of data during scanning
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 has put together an eye-opening video. In this demonstration, Dr. Mirzayan explores the intriguing concept of The “Veersing” Effect and how it can lead to scanning errors when using digital dental scanners. We’ll delve into the video to understand the nuances of these errors, using examples from some of the leading brands we sell, including the Trios 5, Dexis 3800, and Medit 700. Each of these devices possesses its own unique features and capabilities, making them essential tools in modern dentistry.
Understanding Scanning Errors:
Scanning errors can have significant consequences in the dental industry. From inaccurate digital models to flawed treatment planning, these errors can compromise patient care and results. In Dr. Mirzayan’s video, we uncover the ‘Veersing’ phenomenon and its relevance to scanning errors. “Veersing” is essentially the involuntary loss of awareness of a digital scanner, causing it to not recognize its position and create errant or double images.
Additional Note: It’s essential to understand that in dentate cases, the properties of enamel can introduce errors. These errors arise from refraction, reflection, and light transmission through enamel. The asymmetric tooth morphologies can help your scanner stay on track. In edentulous cases, we face a different set of challenges related to the symmetric anatomy of the object being scanned, making it easy for the software to plot data points where they don’t belong.
Handheld vs. Desktop Scanners:
One of the video’s key takeaways is the difference between handheld and desktop dental scanners. Handheld scanners, like the ones we’ve featured, capture images and stitch them together to create digital models. Desktop scanners, on the other hand, take multiple views of a stationary object (also, with a wider field of view), resulting in higher accuracy and less room for errors. Understanding this distinction is vital in avoiding ‘Veersing’ and other scanning errors.
Examples of Scanning Errors:
Dr. Mirzayan demonstrates the potential for scanning errors with real-world examples from the video. These examples provide a visual insight into how ‘Veersing’ can affect the accuracy of digital models created with these scanners.
Preventing Scanning Errors:
To prevent ‘Veersing’ and other scanning errors, proper scanner positioning is crucial. Maximizing the field of view is key, as it allows for more accurate data capture. Additionally, considering the virtues of desktop scanners, which inherently provide multiple views of stationary objects, is another important step toward achieving precision.
Importance of Accuracy in Digital Dentistry:
The overarching message of Dr. Mirzayan’s video is clear – accuracy in digital dental scanning is non-negotiable. Avoiding scanning errors is a cornerstone in treatment planning, leading to better patient outcomes and more precise dental work, and steps can be taken to reduce the potential for those errors.
Conclusion:
In a world where dental technology is constantly evolving, understanding and preventing scanning errors are paramount. Dr. Armen Mirzayan’s video is a valuable resource that highlights the nuances of ‘Veersing’ and scanning errors, providing insights for professionals to enhance their scanning processes. We invite you to watch the video and embark on a journey to a more accurate and precise dental practice.
Share your thoughts and experiences with us regarding digital dental scanning. If you have any questions or concerns about the scanners mentioned in the video or any other dental technology, don’t hesitate to reach out to CAD-Ray. For more information, please visit our website at www.cad-ray.com and watch Dr. Mirzayan’s video to gain a deeper understanding of ‘Veersing’ and the importance of avoiding scanning errors.
One of the most challenging designs to do chairside is the design of a multi unit temporary that needs to be printed. This is incredibly time consuming as you spent significant amount of time just marking margins on a dozen units. With this technique pioneered by CAD-Ray you can bypass the margination step and design a large case in about a minute.
There are specific rules and steps you need to follow and one mis-step can cost you a lot of time. You must also understand that you need to keep slicing software limitations in mind so you are not frustrated with the results. Here is a summary:
you cannot have any holes or gaps in any model or between two models that you are trying to combine/unite
you must understand the difference between working and non working surfaces and how to manipulate them
in your wax up designs, you must make sure that the wax up model ALWAYS extends past the margins of your preps.
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
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.
Are you interested in an office build out or incorporating technology into your practice?
feel free to visit us when we are conducting courses or sign up to take a self guided tour at your convenience when you come out to Las Vegas for a business trip. You can reach us by emailing support@cad-ray.com
There is a concept in digital dentistry that is called “mixing good and bad data”. What you have to appreciate is that two different objects can’t occupy the same space in the same 3D model. The clinical example of this is when you pack 2 cords, image the margins, then remove the top cord and image the preparation some more.
This introduces a lot of errors and distortion at the margins. You either have to image with 2 cords retracting the tissue at once or take top cord out and the image the only remaining cord. This is a habit that has carried over from analog that most users can’t seem to get past and often get frustrated with the results. See the video for a detailed explanation
In this presentation we detail the implant suprastructure identification system where an existing abutment is removed and scanned extra-orally to capture the margins readily after the abutment is anodized
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
At CAD-Ray, our mission has always been clear: to provide dental professionals with the most innovative technologies and the best possible value. Today, we’re proud to announce an exclusive partnership...
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If you use trios, and you have been thinking about adding a 3D printer or milling setup to your office, but have been nervous about designs or CAD – time...
Stitching Abutments One of the most important things to keep in mind when imaging with scanner is to keep a stitching abutments in tact between various models. In dentate cases...
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