CAD-Ray keeps knocking it out of the park. Upgraded from i500 to i700. Transition was seamless! Thanks again guys! - 11/15/2022
Jansen Bean
Heather with CADRay provided wonderful assistance with setting up our new scanner, and was able to work around a minor scheduling issue on my part. Top notch service! - 6/28/2024
Stephanie O'Rourke
I am fairly new to scanning with my Medit I700. I am loving this in my business. It has had its challenges at times but the best part is the accessibility and support from Frank DeLuca. He has been instrumental in helping me when I have a patient in...read moreI am fairly new to scanning with my Medit I700. I am loving this in my business. It has had its challenges at times but the best part is the accessibility and support from Frank DeLuca. He has been instrumental in helping me when I have a patient in the chair and need assistance. I couldn't be more grateful for his help. Thanks, Frank!read less - 12/16/2021
Eric Reum
I bought a i500 almost a year and a half ago. Sadly it ran into an issue with the cord after over a years use. Cad-ray was extremely quick to diagnose the issue and also send a replacement scanner. The quality and ease of scanning has been great! Als...read moreI bought a i500 almost a year and a half ago. Sadly it ran into an issue with the cord after over a years use. Cad-ray was extremely quick to diagnose the issue and also send a replacement scanner. The quality and ease of scanning has been great! Also very happy with the customer service.read less - 6/02/2022
John T
Frank and the CAD-Ray crew are awesome! They are always available for support with the technology you purchase from them. - 1/25/2023
Roopam Garg
I purchased Medit scanner few weeks ago . Frank and Nick have been really excellent answering my questions promptly. The scanner itself is wonderful with no back fees , customer service is top notch. The entire team works fast and helps you out. I st...read moreI purchased Medit scanner few weeks ago . Frank and Nick have been really excellent answering my questions promptly. The scanner itself is wonderful with no back fees , customer service is top notch. The entire team works fast and helps you out. I strongly recommend this scanner!read less - 6/17/2020
My rep Nick at Cad-ray was very helpful in my purchase of the Medit i700. So far, I love the scanner and have no regrets about my purchase. The setup and support from the company have been seamless as well and the purchase process with financing!
I ...read moreMy rep Nick at Cad-ray was very helpful in my purchase of the Medit i700. So far, I love the scanner and have no regrets about my purchase. The setup and support from the company have been seamless as well and the purchase process with financing!
I was considering the new itero as well and happy I got the Medit instead! The lightweight scanner as well as no monthly ongoing fees was what ultimately won me over, as well as the robust software.read less - 7/21/2021
I got my 3Dshape scanner, great support , my training with Destany was excellent. Great team!! - 2/15/2024
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
kenneth kim
Purchased Medit in 2019. Bang for the buck best investment and will get you started in digital dentistry with ease. No monthly subscriptions and Cad-Ray support is amazing. No regrets. - 6/16/2020
Cad-Ray has been instrumental in implementing and supporting our experience with scanning. Having scanned previously with other services I can truly say that Cad-Ray takes their clients very seriously and will not leave you hanging. They set the ba...read moreCad-Ray has been instrumental in implementing and supporting our experience with scanning. Having scanned previously with other services I can truly say that Cad-Ray takes their clients very seriously and will not leave you hanging. They set the bar very high. Cad-Ray all the way!read less - 12/09/2021
Jeff Keh
I love my medit i-500. Cad-Ray has wonderful customer support, I can not imagine getting a scanner from anyone else. Armen and Frank are great! Thanks again. Will recommend cad-ray to all my friends. - 6/16/2020
Meridien Dental
Got my Medit scanner from here. Purchase went very smoothly. Best part is the on going support. Cad-ray team is great with training and ongoing help if your scanner has hiccups here and there with various updates. - 12/11/2023
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! Thanksread less - 5/11/2023
Jeff Johnston
Very Helpful, good company to work with. Always been there for me - 3/10/2017
Steven Polasek
The cad ray team is the best! Jon and Nick offer first class service! I ordered a medit i500 from another supplier and had to cancel my order after it had not arrived within 3 weeks. Placed my order with Jon and Nick, had the scanner to me within 24 ...read moreThe cad ray team is the best! Jon and Nick offer first class service! I ordered a medit i500 from another supplier and had to cancel my order after it had not arrived within 3 weeks. Placed my order with Jon and Nick, had the scanner to me within 24 hours of purchase. I love my medit! Best scanner on the market!read less - 6/15/2020
I recently made a purchase from Cad-Ray and the experience was truly outstanding. From my initial enquiry, Nick was incredibly supportive and knowledgeable, answering all of my questions thoroughly and guiding me to the product that would best meet m...read moreI recently made a purchase from Cad-Ray and the experience was truly outstanding. From my initial enquiry, Nick was incredibly supportive and knowledgeable, answering all of my questions thoroughly and guiding me to the product that would best meet my needs. What really set this experience apart was his non-pushy approach. Nick showed genuine interest in understanding my specific requirements, ensuring that I would be fully satisfied with my choice. This type of customer service is rare and it made the whole process much more enjoyable. I can confidently recommend Cad-Ray to others not just for their high-quality products, but for their exceptional customer service. A big thank you to Nick and the entire Cad-Ray team for their professionalism and dedication.read less - 5/17/2023
Aaron - Cooleysmiles
fantastic experience with this company for over 7 years! Top customer service and support! Its great having them as part of our team! Highly recommend! - 3/22/2022
Cana Pasierb
Cad-Ray has been excellent with support and training. They respond promptly and have a vested interest in your success with the products that they supply. - 6/17/2020
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
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
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
DERYCK PHAM
STOP SEARCHING NOW!
Best bang for your buck scanner on the market. we have been using out medit for 8 months now. love our crowns, margins are fantastic. almost no adjustments needed at all. maybe one in ten crowns might have to adjust mesial or...read moreSTOP SEARCHING NOW!
Best bang for your buck scanner on the market. we have been using out medit for 8 months now. love our crowns, margins are fantastic. almost no adjustments needed at all. maybe one in ten crowns might have to adjust mesial or distal to get crown to drop in. occlusion is always spot on. patients love the technology and WOW factor -"SOOO COOOLLL." customer service is great also! dont waste your money on anythign else. our lab even comments on how easy it is to deal with medit and how good the scans are. they recommend it to their other doctors now as well.read less - 10/09/2019
fantastic support, I always ask random, specific to me, could be found on a training video, questions and they always quickly tell me how to fix my problem. - 6/16/2020
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
David Christensen
I purchased the Medit i500 from Cad-Ray December 2018. I couldn’t be happier with the scanner. The improvements Medit has made over the last 10 months are nothing short of astounding! I can’t imaging what they’ll come up with next.
As for Cad-Ray...read moreI purchased the Medit i500 from Cad-Ray December 2018. I couldn’t be happier with the scanner. The improvements Medit has made over the last 10 months are nothing short of astounding! I can’t imaging what they’ll come up with next.
As for Cad-Ray, their support has been second to none. Never have I experienced the kind of attention and help from any other company. Wether it’s with help installing, computer hardware issues or technical help they respond IMMEDIATELY!
Armen is also a huge reason why I chose Cad-Ray. No one selling a product has helped me more evolve my scanning technique. He’s quick to respond to questions and issues I feel his service is a huge reason why to buy from CAD-RAY.read less - 10/09/2019
We had an outstanding experience purchasing two Medit scanners. The delivery was timely . The onboarding clean. Laura was dazzling with her acumen and quick solutions . We highly recommend the investment in Cad Ray .Pobanz Orthodontics , Ogden Utah :...read moreWe had an outstanding experience purchasing two Medit scanners. The delivery was timely . The onboarding clean. Laura was dazzling with her acumen and quick solutions . We highly recommend the investment in Cad Ray .Pobanz Orthodontics , Ogden Utah :)read less - 12/10/2021
Jay Siddiqui
Amazing support and install, Jesse went through everything and made sure I was comfortable with my equipment before leaving. He also introduced me to the world of anodizing and now I am hooked! Highly recommend them for any tech you may need. - 8/23/2022
Matt Stratman
only dental company that I have no complaints about - 11/03/2022
Ramin Goshtasbi
Great service even if you own a Primescan. Company is built on customer service. Thanks for the help guys…. - 1/05/2022
Bio Solution
Very great company, especially Frank. He is very helpful and has saved us a lot of money on resin for our 3D printers. We've recently bought a new scanner and Exocad software. He has been very gracious and quick to respond with the many questions I h...read moreVery great company, especially Frank. He is very helpful and has saved us a lot of money on resin for our 3D printers. We've recently bought a new scanner and Exocad software. He has been very gracious and quick to respond with the many questions I have had. Highly recommend Cad-Rayread less - 1/25/2023
Sarju Patel
Perfectly Placed Implant course in San Diego was very good. Armen and Brian are excellent lecturers and educators. A lot of practical tips and pearls of wisdom for those getting into cone beam and guided surgery. Would recommend this course highly. ...read morePerfectly Placed Implant course in San Diego was very good. Armen and Brian are excellent lecturers and educators. A lot of practical tips and pearls of wisdom for those getting into cone beam and guided surgery. Would recommend this course highly. Looking forward to other courses that they offerread less - 2/18/2017
Jonathan Acker
Awesome people who care about their clients. - 7/09/2021
Steven Cisternas
The future of digital dentistry is here now. Cad-ray provides all the tools needed to make it possible for us to provide digital care to our patients. Thanks Damien and Armen for a great course. - 8/07/2021
A Palmer
I'm a dentist in Maine and have been working remotely with CAD-RAY for about 5 years. They do all my implant planning and fabrication of surgical guides. I just send them a CBCT image and digital impressions and they take care of all the rest, it cou...read moreI'm a dentist in Maine and have been working remotely with CAD-RAY for about 5 years. They do all my implant planning and fabrication of surgical guides. I just send them a CBCT image and digital impressions and they take care of all the rest, it couldn't be smoother. I've only had good experiences with CAD-RAY, and am very grateful for this awesome service they offer.read less - 6/02/2019
John Pisacane
I purchased my Medit scanner after the ADA meeting in 2018. I did it primarily on the personal recommendation of Armen Mirzayan, the owner of Cad-Ray. I have known Armen for over 15 years (we both were CEREC trainers) and he has always been unbeli...read moreI purchased my Medit scanner after the ADA meeting in 2018. I did it primarily on the personal recommendation of Armen Mirzayan, the owner of Cad-Ray. I have known Armen for over 15 years (we both were CEREC trainers) and he has always been unbelievably knowledgeable about dental technology and was always moving on the cutting edge.
When you see Armen's daily FB posts, it’s obvious that he is constantly pushing the envelope and exploring the limits of the Medit and the processes we use to idealize our push towards completely digital dentistry. Medit owners are fortunate to have Armen finding glitches and pushing for improvements in our scanner.
As far as after sale service, I can’t find a flaw with Cad-Ray. You won’t find a more supportive and dentist-centered company. Armen and Frank do everything to make purchasers happy and back up their sales.
I’ve heard of horror stories when people shopped elsewhere and only positive comments about Cad-Ray.
In summary, buy your Medit and other high tech equipment from Cad-Ray, you will be totally satisfied.
.read less - 10/08/2019
Love my medit! Cad-ray has been awesome to work with and very educational in learning all things digital . Was doing a study club with 4 other dr's showing off the medit and the cerec dr who had just bought the newest kept saying, "mine doesn't do...read moreLove my medit! Cad-ray has been awesome to work with and very educational in learning all things digital . Was doing a study club with 4 other dr's showing off the medit and the cerec dr who had just bought the newest kept saying, "mine doesn't do that. No way! I wish mine could do that. For real? I paid 4 times as much."
Needless to say the medit is awesome.read less - 6/18/2020
Had a good experience when purchasing my scanner, it was very easy, and to date after three months of using the scanner no support is a plus, anytime I call me I will answer and troubleshoot - 7/10/2022
Lisa Greenstein
Exceptional customer service - 7/26/2023
Brian Jaques
After weeks of research I purchased the i700 through Nick at cad-ray. My office has never used a scanner before and despite the great pricing, this was still a major purchase for me. Nick was incredibly helpful guiding me through the process while an...read moreAfter weeks of research I purchased the i700 through Nick at cad-ray. My office has never used a scanner before and despite the great pricing, this was still a major purchase for me. Nick was incredibly helpful guiding me through the process while answering my many questions. The customer service was very responsive and my friends who have purchased medit scanner were correct that this is the way to go. 5 Stars!read less - 5/08/2021
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
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
vy pham
I have been a customer of CAD-Ray for about a year now. We have purchased multiple items from Laura, including exocad software, a milling machine, and the Imetric4d. I can’t express enough how happy we are that we made those purchases through them. T...read moreI have been a customer of CAD-Ray for about a year now. We have purchased multiple items from Laura, including exocad software, a milling machine, and the Imetric4d. I can’t express enough how happy we are that we made those purchases through them. The customer service and the fast responses, (especially Laura) has been top notch! At the beginning, just like anything else in dentistry, we needed support and reassurance of the items acquired and all I have to say is a big thank you for an amazing customer service and support!!!! And did I mention that they offer really good financial options? Again, thank you! Looking forward for the next purchase. - The Inspired Dental team in Las Vegas:)read less - 8/31/2021
Jennifer Ebner
After using the medit i500 scanner at an office as an employee, I purchased it from Cad-ray,com specifically because of their good reviews and their large, concise training library of videos. I've used CEREC as an instructor at a dental school and bo...read moreAfter using the medit i500 scanner at an office as an employee, I purchased it from Cad-ray,com specifically because of their good reviews and their large, concise training library of videos. I've used CEREC as an instructor at a dental school and bought a used Planscan, Planmill for my private office. Both were hard to learn and the fees and cost associated with training were a bitter pill to swallow after the costs to purchase. The ease of seating restoration was instant. The scanning learning curve is quick. I have easily added occlusal guard scanning, and implant scanning and will be trying a digital denture soon.
The purchase was easy, the product came quickly and the set-up videos guided me through very necessary adjustments to my Laptop I never knew I needed. Learning the new features with each FREE update is a treat. The DIY option was an extra bonus as the $2000 rebate came without having to ask for it. Cad-ray has delivered more than I expected with the purchase of the fantastic Mediti500 scanner.
I've included my cart set up. purchased from Amazon for $68. Its stable, has room for the necessities. I've taken it home and back to the office half a dozen times and it transports the scanner safely. It also keeps the cords from being run over. I haven't taken the included 2 day course but look forward too it after Social Distancing mandates are lifted.read less - 4/25/2020
Armen created series of these very helpful videos. They helped us tremendously in breaking into the new scanner we purchased. No matter you just got into digital dentistry or you are quite experienced with different fields of data acquiring or treatm...read moreArmen created series of these very helpful videos. They helped us tremendously in breaking into the new scanner we purchased. No matter you just got into digital dentistry or you are quite experienced with different fields of data acquiring or treatment planning, you will find those being tremendous help.read less - 5/24/2020
Great company with even better customer service. Premier dental business with digital dentistry and scanners! - 11/03/2022
Samir Rana
Ive had the medit since 2018. One of the best decisions in dentistry ive made. I met some of the great trend setters in digital dentistry(armen, jonathan ab and others through social media platforms). Medit Has changed The way i practice, live and ...read moreIve had the medit since 2018. One of the best decisions in dentistry ive made. I met some of the great trend setters in digital dentistry(armen, jonathan ab and others through social media platforms). Medit Has changed The way i practice, live and think! Happy not to have a monthly fee as i did for years. Support is always a message or call away. Would be glad
To further share my experience with you if u need.read less - 6/16/2020
Susan Latimer
Cad Ray has always provided me with the best customer support for my Medit scanner. Today, I worked with Destiny. She is quick to respond and identify problems and also great at explaining how to fix them! I highly recommend this company! - 5/01/2025
Anita Madhav
Absolutely love Laura. She was my initial contact and is an amazing resource for any questions even months later. Would highly recommend buying from Cad Ray especially Laura! - 6/28/2022
Harrison MacKenzie
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
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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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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