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
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
Matt McReynolds
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
Inna Vinnikov
Frank was fantastic in helping me obtain my medit scanner. He answered all of my questions in detail. After the purchase of the scanner, he continued to follow up with me and presently remains a tremendous support with any concerns that may arise. Wa...read moreFrank was fantastic in helping me obtain my medit scanner. He answered all of my questions in detail. After the purchase of the scanner, he continued to follow up with me and presently remains a tremendous support with any concerns that may arise. Was a great experience overall from transitioning my practice into a digital world!read less - 1/25/2023
Richard Wu
Great customer service! Had an issue with our dongle and Cad-Ray got it squared away and a new dongle sent right away. - 1/25/2023
Nick Boyd
Great people. Very helpful with anything you need. - 6/16/2020
Steve Blank
I bought the Medit i500 and self installed to save $$$. The web site provided great step by step instructions. The Facebook group filled in the gaps. The software has been continuously upgraded and works great for scanning and tracking cases sent and...read moreI bought the Medit i500 and self installed to save $$$. The web site provided great step by step instructions. The Facebook group filled in the gaps. The software has been continuously upgraded and works great for scanning and tracking cases sent and received. My tip for scanning single crowns: While waiting for anesthesia, Scan the upper and lower quadrants and record the bite. Then i delete the tooth to be scanned. That saves time later after tooth preparation. At that time, switch to HD and scan the prep, done!read less - 6/16/2020
larry bybee
We have been using an intra-oral scanner (not a medit) in our practice for 4 years and it was decided that we needed to purchase another scanner due to practice growth. After a thorough review we decided on the Medit i700. Due to the great team at Me...read moreWe have been using an intra-oral scanner (not a medit) in our practice for 4 years and it was decided that we needed to purchase another scanner due to practice growth. After a thorough review we decided on the Medit i700. Due to the great team at Medit I have learned more about scanning 1 week than i received from the other company in 4 years. i700 great price, great scanner and amazing customer service.read less - 12/23/2021
Mary Oliverie
Last year when I started looking into the Medit i500 I had my front desk call 3 sellers to get preliminary information. She told me hands down call CAD-RAY and don’t bother with the others. Boy was she right! Frank got us going with all our hardware ...read moreLast year when I started looking into the Medit i500 I had my front desk call 3 sellers to get preliminary information. She told me hands down call CAD-RAY and don’t bother with the others. Boy was she right! Frank got us going with all our hardware needs and trained us until all our questions were answered. Then Jonathon and Armen jumped in at our 2 day live training in Baltimore. I still review my notes to implement all the great ideas. When I get myself in a jam time to time CAD-RAY responds immediately and fixes my problem. Best decision I have made in the practice in a long time - Thank you everyone at CAD-RAY!read less - 10/09/2019
best customer service on the planet. very easy to use. and always fine tuning to make the user experience better. - 6/16/2020
Marc Prince
We’ve been using the Medit i700 in our office for approximately a year now. It has been a game changer and hard to remember what it’s like without using the intra-oral scanner. The Cad-Ray support team has been remarkable as well! - 9/11/2022
Kurt Adamson
I purchased My first Medit i500 in Sept 2019, fairly easy to set up and learn. I was able to follow the instructions and videos without a problem. I learned tips and trick along the way by following the facebook groups. Anytime help was needed the g...read moreI purchased My first Medit i500 in Sept 2019, fairly easy to set up and learn. I was able to follow the instructions and videos without a problem. I learned tips and trick along the way by following the facebook groups. Anytime help was needed the group at Cad-Ray were quick and sincere finding a solution to problems. I ended up purchasing 2 more i500's in Dec 2019 for my other 2 offices. I didn't think I would enjoy the digital workflow as much as I do. If you on the fence like i was, just do it. get on the facebook groups and post the tips you learn along the way.read less - 1/17/2020
Medit i700 intraoral scanner is the first scanner that I actually used on my patients. Before I put my hands on it, I had some prejudices against all scanners. They were bulky, laggy in capturing the images, etc. When I finally had the chance to use ...read moreMedit i700 intraoral scanner is the first scanner that I actually used on my patients. Before I put my hands on it, I had some prejudices against all scanners. They were bulky, laggy in capturing the images, etc. When I finally had the chance to use an intraoral scanner and get introductory training with Laura from CAD-RAY a few weeks ago, I totally changed my view of this product. Very soon, I was able to scan crown, bridge, and even denture cases. Of course, I have had some knowledge about the digital scanner from CEs provided in the past, but being able to apply it in the daily practice in such a short time was beyond my expectations. I would highly recommend MEDIT i700 and training from CAD-RAY.
Big thanks to Laura!
-Lei Fu, D.D.S.read less - 9/12/2021
Every staff member has been very helpful and kind every time we call. Thank you! - 7/24/2024
Esther Quintana
Se ve muy bien, aunque yo le tengo, pánico, a los Dentistas, Sorry, pero tengo que ir, Ni modo - 2/25/2015
Dr. Howard Lassin
Great 1st lesson with Ryan on the Mediti700. We are ready to scan:) - 12/30/2022
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
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
Alexandra Lentz
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
I seriously can't believe the amount of support I get from Cad-Ray. I bought a medit scanner 2 months ago through Laura and she was very quick to get it shipped to me. She helped me through the whole process and ensured that I was passed to the right...read moreI seriously can't believe the amount of support I get from Cad-Ray. I bought a medit scanner 2 months ago through Laura and she was very quick to get it shipped to me. She helped me through the whole process and ensured that I was passed to the right people to train me. They were always available whenever I called, even one time I ran into an emergency after hours and Kaila picked up and saved the night. Very cool how they can remote access to my computer and guide me through as if they were right next to me.I also recently bought an Ackuretta Sol printer with Laura's help and she got me paired up with Jessica for my printer training. Jessica is so awesome! She is very knowledgeable and guided me through a lot of troubleshooting and set me up for success.Thank you guys so much!! I will always refer my friends to you all.read less - 4/13/2022
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
Kip Covington
Customer support! I've had handfuls of scanners over the years and support has always been the biggest variable. We recently had a scanner bought through and implant company and received limited to no support. Through recommendations from several fri...read moreCustomer support! I've had handfuls of scanners over the years and support has always been the biggest variable. We recently had a scanner bought through and implant company and received limited to no support. Through recommendations from several friends, I purchased a second scanner through cad-ray and had them transfer over our support for the first. I wish I would have done this years ago. Destaney, has been incredible helping us troubleshoot a hardware issue that came up. It was on 3-shapes side but not only did she run it up the ladder there and get us back up and running quickly, but she promptly answered all questions and continuously checked in to make sure things were moving along. I won't purchase from anyone else going forward.read less - 8/14/2024
lizette aguero
Highly recommended. Ericka help me through all the process when we were having some trouble with our scanner. The help was super fast and secure. She answered all our questions and made sure our scanner were working perfectly. - 4/29/2025
Ravi Sawhney
Fantastic folks. I'm an orthodontist and opened an office in 2020. They helped me find the perfect intraoral scanner to suit my needs. Not too much or too little, and a great price. Every time we have a technical question, a sharp human answers the p...read moreFantastic folks. I'm an orthodontist and opened an office in 2020. They helped me find the perfect intraoral scanner to suit my needs. Not too much or too little, and a great price. Every time we have a technical question, a sharp human answers the phone, troubleshoots, and remotes in when needed-- navigating MS updates and graphics card issues. My i500 died this week. They overnighted me a trade-in at a totally reasonable price, and even shipped me a laptop to drive the i600 while I got a new one (they knew my 2020 laptop wouldn't keep up!). CAD-Ray has consistently hit it out of the park.read less - 4/14/2025
David Paquette
Cad-Ray has been super-efficient and very easy to work with! Highly recommend them for Medit sales and support! - 11/09/2021
Cadray is excellent and their medit scanner is amazing! - 6/16/2020
Michael Pagano (CPT 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 - 10/23/2020
Ryan Crain
I love my Medit and Cad-Ray has been so easy to work with, both from a sales and support standpoint. - 7/16/2020
CAD-Ray's online resources and customer support has made my Medit scanner implementation possible without the need for any hands on training. They are full of resources and have expert knowledge. - 7/01/2021
Armen Mirzayan
Are you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: ...read moreAre you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: All testimonials are submitted by verified owners.read less - 5/08/2021
I bought my Medit from Cad-Ray a little over a year ago. The very few times I've needed any kind of help with it, Cad-Ray has been absolutely ON IT. Issues get completely resolved within minutes. It's great!! - 11/01/2021
Provinces Dental
Cad-Ray has provided a great product! They have been super helpful with getting all of our questions answered and products to us in a timely matter! - 3/01/2022
Yordanka Ivanova
I had been on the market for a scanner for a while and the i700 is my first intraoral scanner purchase. We are still new to the scanning world and its capabilities. Frank DeLuca was my main contact from the beginning and the person who did our traini...read moreI had been on the market for a scanner for a while and the i700 is my first intraoral scanner purchase. We are still new to the scanning world and its capabilities. Frank DeLuca was my main contact from the beginning and the person who did our training. The scanner is incredible and has surpassed our expectations even though we haven’t used it to its full potential yet. Frank has been amazing and always there to guide us every step of the way. Having such fabulous customer service and support from CAD-Ray was key for us when making this purchase decision. Thank you!read less - 6/23/2022
Daniel Eley
I just bought the new Medit i700. I placed the order on Friday, it shipped on Monday, and it arrived on Tuesday. So far it has been a great experience. They also provide a lot of quality videos for learning to use the scanner. - 5/05/2021
ryan ku
I've been using this for almost 2 months now and I just love it. At this price point, ROI is a no-brainer. The convenience factor is amazing. I only did the DIY online training and I'm pretty confident doing the scan. I've signed up for the actual ...read moreI've been using this for almost 2 months now and I just love it. At this price point, ROI is a no-brainer. The convenience factor is amazing. I only did the DIY online training and I'm pretty confident doing the scan. I've signed up for the actual course so looking forward to seeing it's greater potentials.read less - 10/14/2019
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
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
Maureen Copeland
Our office has been really happy with the i700 scanner so far. It was really easy to set up and use after watching only, 1-2 of the videos Cad-ray has on the website. Training with Andy was a breeze! Looking forward to taking level 2 training soon. - 1/20/2022
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
Best customer service I have ever experienced from any company I have worked with! They alway answer the phone and are ready to help with whatever question you may have. Love that I do not have to press 500 buttons to get to a live person. Bought my...read moreBest customer service I have ever experienced from any company I have worked with! They alway answer the phone and are ready to help with whatever question you may have. Love that I do not have to press 500 buttons to get to a live person. Bought my Medit from them and could not be happier with decision!read less - 12/20/2022
Graham Reed
I got the Medit scanner last fall and I have been nothing but impressed by it and the support by CAD-Ray. The level of support, training videos, and continuously upgraded software is really impressive. If you are on the fence, you should feel confide...read moreI got the Medit scanner last fall and I have been nothing but impressed by it and the support by CAD-Ray. The level of support, training videos, and continuously upgraded software is really impressive. If you are on the fence, you should feel confident in moving forward with CAD-Ray.read less - 6/16/2020
Alvin Aquino
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
Tara Ericson
Very pleased with the EXCELLENT support we have received from Frank DeLuca! Loving our new Medit so far, definitely more user friendly than our previous one. - 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
Suzanne Stock
Excellent experience, customer service has been stupendous! - 11/20/2023
Andrea Sleep
Thank you guys so much. You guys have the absolute best customer service! - 5/05/2025
Madhavi Chavda
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 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
Choosing an digital intraoral scanner these days can be quite a daunting task. When I reached out to CAD-Ray, as was recommended by many colleagues, I was connected to Frank DeLuca, and he made my decision-making process very simple. Upon receiving...read moreChoosing an digital intraoral scanner these days can be quite a daunting task. When I reached out to CAD-Ray, as was recommended by many colleagues, I was connected to Frank DeLuca, and he made my decision-making process very simple. Upon receiving my 3shape Trios 4 scanner, Frank and the entire tech support team/customer service were very helpful every step of the way. Frank makes himself available when he can in order to address all of the questions I have regarding the digital workflow. I highly recommend CAD-Ray. It will make your transition to digital scanning a positive experience.read less - 1/24/2023
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
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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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