Amazing customer service. Wayne Glassoff helped me with purchase decision, taking the time to find out my needs, and then my order was delivered quickly! Easily the best "dental" purchase experience that I have ever had. - 9/07/2022
Melissa Poynter
Very pleased with Heather :) She has been able to solve any and all issues I may be having, and does so within the same day if not right away! - 6/16/2022
Thomas Lim
5 stars for a great product and great service. After much research I knew I was set on the Medit 500. I considered some of my local equipment reps, as well as cad-ray. Cad-ray won out due to their efficiency, speed of service, and knowledge. The...read more5 stars for a great product and great service. After much research I knew I was set on the Medit 500. I considered some of my local equipment reps, as well as cad-ray. Cad-ray won out due to their efficiency, speed of service, and knowledge. Their online presence makes it easy to get help via messaging, social media, or phone.
The scanner itself works great, but make sure to contact them to get the minimum specs required for a laptop -- it will make a difference in how the scanner performs.
To make the scanner mobile, I purchased this cart from Staples: https://www.staples.com/Oklahoma-Sound-Premium-Audio-Visual-Presentation-Cart-40-1-2-H-x-18-W-x-30-D-Black-Ivory-Wood/product_932437.
Lastly, I purchased "3M Dual Lock Fastener" to keep the power module attached to the wand from falling off the cart. I carry the scanner between two offices, so I wanted something sturdy, but removable. (see in photos). The hockey puck shaped holder (comes with the scanner) works great for holding the wand itself.read less - 10/10/2019
For a few years I have been hesitating to get an intra oral scanner. I finally made the decision to get one and it turned out to be the best purchase I made in 2021!I love my Medit i700! - 11/23/2021
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
arthur lyford
I cannot say enough about the support I have received from the beginning. I chose CadRay ultimately because of the support reviews...I can attest first hand...they are all right on...though I have been practicing for more than 35 years, this old dog ...read moreI cannot say enough about the support I have received from the beginning. I chose CadRay ultimately because of the support reviews...I can attest first hand...they are all right on...though I have been practicing for more than 35 years, this old dog has been taught a lot of new tricks from the support staff at Cad Ray...Truly impressed with every interaction so far! Thanks 10/4/2023 And they did it again today with ten minutes before the pt came in 3Shpe server would not connect with the computer and Andy got to 3Shape directly and had us up and running...thankfully I didn't have to call anyone but CadRay...thanks again....read less - 10/05/2023
Rodney Baier
Cad ray has been very nice to work with. Excellence service and support since I bought my Medit scanner - 6/16/2020
Aaron Olson
This product is the best out there. Do the math and your ROI makes more sense than most products we purchase as dentists. Get on the digital train or you’ll be left behind. This is the best product to make the jump with. - 6/16/2020
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
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
Brenden Rogers
This company is excellent. Their knowledge, support, and sincerity is unmatched.Thank you, Frank, Damien, and Jonathan. You guys rock! - 5/08/2025
Jason Ehtessabian
Fantastic! Scanner went down after a few years, and they had a new one in my office the next morning. Highly recommended. - 8/26/2021
Jacob Rogers
I love this scanner. Seriously, how can you fit so much quality into the scanner, software and support and such a low price? Magic?!?! Probably. But, for real, we really like using this scanner and it produces great results. Best dental purchas...read moreI love this scanner. Seriously, how can you fit so much quality into the scanner, software and support and such a low price? Magic?!?! Probably. But, for real, we really like using this scanner and it produces great results. Best dental purchase I've ever made!read less - 10/09/2019
As important as the decision of which scanner to buy (I bought the Medit i500 - why is a separate review) is the decision of who to purchase it from. There is a Medit i500 distributor 5 miles from my office who agreed to lower their price to match C...read moreAs important as the decision of which scanner to buy (I bought the Medit i500 - why is a separate review) is the decision of who to purchase it from. There is a Medit i500 distributor 5 miles from my office who agreed to lower their price to match Cad-Ray. So why did I purchase it from Cad-Ray who is 2000 miles away from my office. Because I did my homework. Because the post purchase training and support offered by Cad-Ray was unmatched by any other dealer I spoke with. Their library of online training videos that came with the purchase is without equal. Bottom Line: I’m glad I purchased the Medit i500 and, with hindsight, I know I made the right choice to purchased it from Cad-Ray!read less - 5/12/2020
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
Brent Hale
Been using my i700 for a month now and it's been great. The tutorials that Cad-ray provides have been very helpful. This scanner with a fast computer turns out great results. - 11/01/2021
I've been fortunate to have had the opportunity to work with Frank DeLuca this past year. He is always pleasant, willing to help, responsive to my questions and extremely knowledgeable. I highly recommend Frank!! - 12/16/2021
dr sheth
It was very powerful and enlightening experience today to do 2 day sessions with Dr. Armen and Damien. I learned a lot, quite amazed by how much we can do with knowledge and Medit scanner. As usual great support by CAD-RAY always. I absolutely love M...read moreIt was very powerful and enlightening experience today to do 2 day sessions with Dr. Armen and Damien. I learned a lot, quite amazed by how much we can do with knowledge and Medit scanner. As usual great support by CAD-RAY always. I absolutely love Medit scanner.read less - 8/08/2021
George W
Frank DeLuca has been my rep for almost a year and has provided excellent, caring, professional service and with a great attitude. - 1/25/2023
Delicate Dentistry
Cad-Ray's support is truly exceptional. While the equipment represents a significant investment, the peace of mind that comes from knowing they stand firmly behind their products is invaluable. Their support team is efficient, professional, and remar...read moreCad-Ray's support is truly exceptional. While the equipment represents a significant investment, the peace of mind that comes from knowing they stand firmly behind their products is invaluable. Their support team is efficient, professional, and remarkably persistent in ensuring everything runs smoothly. I'm especially grateful to Destaney and Laura for their ongoing assistance- their dedication and expertise have made a world of a difference!read less - 5/15/2025
Johnny Vredenburg III
Before working with cad-ray, I was hesitant to dive into digital dentistry due to the complexity of it. Working with Laura at cad-ray made all of my concerns go away. She was there to help me with my Exocad software installation, even outside of norm...read moreBefore working with cad-ray, I was hesitant to dive into digital dentistry due to the complexity of it. Working with Laura at cad-ray made all of my concerns go away. She was there to help me with my Exocad software installation, even outside of normal business hours - really hard to come by! I also purchased a Medit i500 and getting that setup and working in my clinic was seamless. I could not have asked for better support while navigating digital dentistry. My next purchase will be a 3D printer, and i know exactly where i will buy it from! Highly recommend these guys.read less - 11/20/2020
Steven Acker
The i700 provides amazing ease of use and versatility for any digital restorative application. It’s been game changing for our practice. CAD-Ray’s amazing support and Medit’s constant improvement of the software are revolutionary. I’ve been taking di...read moreThe i700 provides amazing ease of use and versatility for any digital restorative application. It’s been game changing for our practice. CAD-Ray’s amazing support and Medit’s constant improvement of the software are revolutionary. I’ve been taking digital impressions for over 15 years with other systems and nothing comes close to the Medit.read less - 8/27/2021
We started our journey with CAD-Ray 3 years ago them helping us find a digital scanner that fits our practice needs and have relied on them for our 3D printing needs. They are an excellent company and I highly recommend them for their knowledge and s...read moreWe started our journey with CAD-Ray 3 years ago them helping us find a digital scanner that fits our practice needs and have relied on them for our 3D printing needs. They are an excellent company and I highly recommend them for their knowledge and service they provide. I would buy and dental tech needs from them!read less - 9/07/2022
Benjamin Polan
A while ago I became interested in an intra oral scanner for my office especially for dental sleep medicine and TMJ appliances. I searched online for Medit and found cad ray. Laura from Cad-ray quickly responded and set up a zoom meeting so she could...read moreA while ago I became interested in an intra oral scanner for my office especially for dental sleep medicine and TMJ appliances. I searched online for Medit and found cad ray. Laura from Cad-ray quickly responded and set up a zoom meeting so she could demo the unit. Great job at helping me understand. She set up the financing and I got my unit. A few glitches with my internet speed and getting IT to help with my upload and download speeds and I was ready to go. Every time I had a question I texted Laura and almost like she was waiting for my call she responds. We it turned out my unit wasn't just right so she immediately responded we will replace you unit. Laura has been a joy to work with and the customer service given will only encourage me to do business with cad-ray again.
Benjamin Polan DMD, D,ABDSMread less - 8/27/2021
Purchased Medit i700 from Frank/CAD-Ray and everything has been absolutely top-notch! Great service, quick responses, great training. Very happy with CAD-Ray and our i700! - 10/20/2022
Mark Gaches
Excellent company to work with. Best customer service and technology available. Can't recommend enough! - 5/05/2021
Suresh Goel
CAD-Ray is a great resource for all things digital. Knowledgeable team but also able to anticipate your needs and because they’ve done it so many times they seem to know what you need before you do! Definitely the first place to look for digital ha...read moreCAD-Ray is a great resource for all things digital. Knowledgeable team but also able to anticipate your needs and because they’ve done it so many times they seem to know what you need before you do! Definitely the first place to look for digital hardware and integration!read less - 6/16/2020
Jennifer Goodale
Fantastic class. Amazing scanner.Cad Ray has been helpful not only with my purchase of the Medit i500, but every step of the way.Level 2 seminar with Armen and Damien was extremely informative, useful and practical! ⭐️⭐️⭐️⭐️⭐️ - 8/08/2021
Reid Stone
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
Yen Tran
Jonathan and Nick have been a great tremendous help. They went out of their ways to help me upgrade my Medit i500 even though I didn’t purchase my Medit i500 scanner from them. They are the largest Medit scanner distributor and they have the custome...read moreJonathan and Nick have been a great tremendous help. They went out of their ways to help me upgrade my Medit i500 even though I didn’t purchase my Medit i500 scanner from them. They are the largest Medit scanner distributor and they have the customers’ interest at heart. They are super responsive to phone calls, emails, and Facebook messages. I highly recommend their servicesread less - 9/01/2021
Brandon Erickson
I have strong feelings about how great CAD-Ray has been. I purchased a medit i500 scanner from my lap, they wanted to use it for courses which aren't happening now so he didn't want to be sitting with this expensive piece of technology sitting aroun...read moreI have strong feelings about how great CAD-Ray has been. I purchased a medit i500 scanner from my lap, they wanted to use it for courses which aren't happening now so he didn't want to be sitting with this expensive piece of technology sitting around. Before purchasing he and I both talked to the Nobel sales rep who assured me that everything would transfer over just fine. I was concerned about the learning curve and wanted to be sure that I would have tech support. I asked the rep directly and he assured me again that everything would be great and he would come do an in-depth training with me. Long story short, the sales rep had no clue what he was doing and put very little effort in to helping me once the purchase was complete. I asked him over the phone how to do a few things and his response was to call CAD-Ray. They explained that this happens, they would love to help me but asked that I purchase the service package. That was a game changer. Now all of my questions getting answered, their response time is amazing and their understanding of the machine is by far better then the Nobel reps. The scanner is great but combine that with their tech support and I feel like I'm set up for success. If I were to do this again, I would skip the headache of trying to save a little bit of money and purchase it through CAD-Ray. But even with making the mistake, I feel like they have programs and support set up to point me in the right direction.read less - 10/15/2020
Yaqi Mu
I absolutely love using the Medit i500 Intra-oral scanner!!! The i500 scanner is small and easy to use on all patients. It is fast and gives a very clear image. I also think its very cool that you can change the music setting to whatever song you m...read moreI absolutely love using the Medit i500 Intra-oral scanner!!! The i500 scanner is small and easy to use on all patients. It is fast and gives a very clear image. I also think its very cool that you can change the music setting to whatever song you may like! I have used a few different scanners since i have been a dental assistant and have had several complications as far as: how long the scanner would take to load the image, The scanner not catching the image and even the system constantly kicking me out. With the i500 intra-oral scanner i have the BEST experience. I am happy and my patients are happier! I recommend the Medit i500 Intra-oral scanner to anyone who has never used it before! You wont be disappointed! 5 Stars for sure!!!!
- Samantha Brown @ Southern Oak Dental in Conway SC.read less - 6/17/2020
i purchased medit intraoral scanner a year ago, other than the scanner is great, the customer service is outstanding whenever j need help or have a question they are ready instantly to answer my questions, cant ask for better customer service. - 6/16/2020
Office NHFD
Frank DeLuca was very helpful even though i didn't buy Medit from Cad ray ! Had an issue and my original dealer was not helpful and i contacted Cad ray thinking it was direct Medit. Frank was extremely nice to log in and do what ever he could until ...read moreFrank DeLuca was very helpful even though i didn't buy Medit from Cad ray ! Had an issue and my original dealer was not helpful and i contacted Cad ray thinking it was direct Medit. Frank was extremely nice to log in and do what ever he could until Medit could take over. would give 7 stars if available.read less - 8/10/2022
lucas kim
Ordered some scanner parts. Laura was super helpful and replied very quickly. Great customer service! - 6/02/2022
Geoff Seuk
Best service and support. Period. The product I purchased (Medit i500) is fantastic, but integrating it into my practice has been super smooth because of the support from Cad-Ray. They not only answer the phone with REAL people, but those people ACTU...read moreBest service and support. Period. The product I purchased (Medit i500) is fantastic, but integrating it into my practice has been super smooth because of the support from Cad-Ray. They not only answer the phone with REAL people, but those people ACTUALLY want to help you. Kind of a novel concept in this day and age. Definitely the best customer service I've experienced from an equipment dealer, and I've purchased equipment from just about all the big companies. Will definitely purchase from them in the future. I highly recommend them.read less - 8/07/2022
Jonathan Mason
I bought a Medit 3 years ago and have had amazing success with both the scanner and the support from Cad-Ray. My scanner recently broke and They were on the phone with my assistant trying to fix the problem, and when it was unfixable, they overnight...read moreI bought a Medit 3 years ago and have had amazing success with both the scanner and the support from Cad-Ray. My scanner recently broke and They were on the phone with my assistant trying to fix the problem, and when it was unfixable, they overnighted a new scanner and helped us set it up. Medit is now available through many dealers, but I would only buy next one from Cad-Ray.read less - 11/03/2022
Michael White
Everyone I have dealt with during the process of buying my new N4 VHF mill (which by the way is fantastic) last year to buying a new iMedit 500 scanner. Having the open type system has been a God send. No more held hostage by the 2 main systems us ...read moreEveryone I have dealt with during the process of buying my new N4 VHF mill (which by the way is fantastic) last year to buying a new iMedit 500 scanner. Having the open type system has been a God send. No more held hostage by the 2 main systems us same day crown dentists have had to deal with for years. Cad-ray made the financing a snap and the post customer support is unbelievable. Thank you everyone at Cad-Rayread less - 5/12/2020
Ashley Guarisco
Cad-Ray's customer service has been amazing since day one! From getting a quote to setting everything up and doing my first scan. Everyone has been super helpful! Heather Gramley has been awesome, it's like having a tech in my back pocket! They offer...read moreCad-Ray's customer service has been amazing since day one! From getting a quote to setting everything up and doing my first scan. Everyone has been super helpful! Heather Gramley has been awesome, it's like having a tech in my back pocket! They offer tons of training videos and offer one on one training. I would 10/10 recommend them for all of your scanning needs!read less - 11/21/2022
Jordan Bower
Frank helped me out when 3dbiocad could not help me with my trios issue. Thank you cad-ray. - 9/15/2024
Cody Boseman
Cad-ray has been amazing, not to mention they have an amazing product in the medit i500. Their training is great, customer service is quick and thorough, and follow up is consistent. I highly recommend using cad-ray for anything that you may need. - 6/19/2020
Charlyn Quiec
Fast response. Customer service eager to help and very friendly. :) - 3/21/2023
Thomas Lim
Just updating my post to show my cart setup. Hope it can help for someone :) - 10/12/2019
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
I had an issue that was due to the Medit settings. Damien logged on remotely to my laptop, and resolved the issue in a couple of minutes. Fantastic service. Thank you. - 8/27/2021
Kristian Dietz
My wife and I practice together and bought our first i500 in August of 2018. This was very early on before Armen had a vast number of technique and online support articles in his blog! Little was publicly known at the time about this new scanner bu...read moreMy wife and I practice together and bought our first i500 in August of 2018. This was very early on before Armen had a vast number of technique and online support articles in his blog! Little was publicly known at the time about this new scanner but I felt confident in my purchase for a few reasons: 1) Armen had validated the product and was standing behind it... I knew of Armen from DentalTown and had many years of public posts to evaluate his character; 2) Limited demos available at the time; 3) some clinical accuracy data out of Europe that required zooming in on a powerpoint presentation that was recorded second-hand via camera phone ha! SO needless to say, I put a lot of eggs in the "Armen is standing behind this product" basket. We have NOT been disappointed. From personalized service from both Frank and Armen, to our vast success and joy using the product and deciding in late 2018 to buy a second Medit i500, I have nothing but good things to say about the product and Cad-Ray. What a bunch of self-less individuals. Armen has offered to remote in and I even took him up on the offer once and he remoted in immediately to take a look at something. Good luck getting service like this from ANYONE else in the industry. Cheers to digital dentistry with the RIGHT partner. Kristian C. Dietz, DDSread less - 3/08/2020
This is a unique place because it serves both dentists and patients. For patients, this is an imaging center only. There are no diagnostics done here. There is a dentist on staff, but he is only there for imaging purposes, no diagnosis. As a dentist,...read moreThis is a unique place because it serves both dentists and patients. For patients, this is an imaging center only. There are no diagnostics done here. There is a dentist on staff, but he is only there for imaging purposes, no diagnosis. As a dentist, I would say that to be fair a niche place like this couldn't be expected to bill insurances. They would have to hire an entire separate staff to deal with all the thousands of types of insurances you have. For dentists: This is a great service to your patients because if you do not own a 3d x ray machine, you don't have to invest the $200,000.00, you can refer your patients here and cad ray will send you the digital files. You can also send them files to have custom surgical guides made. The folks who work here go out of their way to explain how things work. If you don't have a doctor, they can refer you to a dentist who can diagnose your problems. I always call ahead to make an appointment.read less - 6/02/2018
Collin Kwasnik
will never buy any product they offer from any other company regardless of price. this team is the best and incredible. - 6/05/2022
Emerson Gower
Nothing but great things to say about Cad-Ray! Excellent customer support from Laura after the purchase of our Medit i500 and the cart from Damien. I’ve been very impressed with the Medit in restoring crown and bridge, as well as fixed hybrids, and...read moreNothing but great things to say about Cad-Ray! Excellent customer support from Laura after the purchase of our Medit i500 and the cart from Damien. I’ve been very impressed with the Medit in restoring crown and bridge, as well as fixed hybrids, and learning more of its capabilities each day. We have intentions to buy a second Medit shortly and will definitely be using Cad-ray again.read less - 12/13/2021
Tim Mininger II
Great product and company. all the help and support you need on their website and Facebook group. recommended them to many of my colleagues and bragged to other reps about how good my deal was compared to what they were offering. - 6/16/2020
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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