I bought the Medit i500 and self installed to save $$$. The web site provided great step by step instructions. The Facebook group filled in the gaps. The software has been continuously upgraded and works great for scanning and tracking cases sent and...read moreI bought the Medit i500 and self installed to save $$$. The web site provided great step by step instructions. The Facebook group filled in the gaps. The software has been continuously upgraded and works great for scanning and tracking cases sent and received. My tip for scanning single crowns: While waiting for anesthesia, Scan the upper and lower quadrants and record the bite. Then i delete the tooth to be scanned. That saves time later after tooth preparation. At that time, switch to HD and scan the prep, done!read less - 6/16/2020
Chris Kleist
Cad-Ray is the absolute best if you're in the market for digital dental tools. I have purchased two Medit scanners through them. There will be hiccups with any complex piece of machinery, but every time I have needed Cad-Ray, they have been there. I ...read moreCad-Ray is the absolute best if you're in the market for digital dental tools. I have purchased two Medit scanners through them. There will be hiccups with any complex piece of machinery, but every time I have needed Cad-Ray, they have been there. I recently had a scanner go down. I called Cad-Ray tech support and they got me on the phone with Medit immediately. Within a day, a replacement scanner was sitting on my desk. It doesn't get much better than that.read less - 10/03/2024
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
Frank and the CAD-Ray team are fantastic! They go above and beyond to help their doctors be successful. The CAD-Ray team doesn't just sell you a product and leave you high and dry. Frank is always ready to answer questions and offer support when need...read moreFrank and the CAD-Ray team are fantastic! They go above and beyond to help their doctors be successful. The CAD-Ray team doesn't just sell you a product and leave you high and dry. Frank is always ready to answer questions and offer support when needed. I highly recommend!read less - 1/24/2023
H C
I got my 3Dshape scanner, great support , my training with Destany was excellent. Great team!! - 2/15/2024
Stephen S
Choosing an digital intraoral scanner these days can be quite a daunting task. When I reached out to CAD-Ray, as was recommended by many colleagues, I was connected to Frank DeLuca, and he made my decision-making process very simple. Upon receiving...read moreChoosing an digital intraoral scanner these days can be quite a daunting task. When I reached out to CAD-Ray, as was recommended by many colleagues, I was connected to Frank DeLuca, and he made my decision-making process very simple. Upon receiving my 3shape Trios 4 scanner, Frank and the entire tech support team/customer service were very helpful every step of the way. Frank makes himself available when he can in order to address all of the questions I have regarding the digital workflow. I highly recommend CAD-Ray. It will make your transition to digital scanning a positive experience.read less - 1/24/2023
Mark Evans
I’d like to tell you a story about CAD-Ray.com.
I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little ind...read moreI’d like to tell you a story about CAD-Ray.com.
I ordered a VHF N4+ from CadRay. About two weeks after the order was placed, they called me up and said, “VHF just got an exclusive with “The Big Boys” so they are cutting ties with all the little independent distributors. They just called us, and we just found out. What this means is that we won’t be able to provide you service after purchasing the VHF mill that you just bought.”
Now, they could have just left it at that. They could have said, “Sorry, it’s out of our hands.” They could have said, “We appreciate your business, but it’s not our fault.” They could have said, “That’s the way the cookie crumbles.”
But they didn’t.
Frank Weinstein calls me up and tells me that they want to make this right, so they are going to hook me up with a brand new Imes Coritec One+ for the same price as the VHF. The Coritec One+ is like the Mercedes of mills for in-office. This is the new model that just barely came out. It is a 5 axis mill. It does wet and dry milling. It does blocks and pucks. It mills all materials know to man, including Vibranium. It can also fly the space shuttle, and make all your wishes and dreams come true. It’s that good. It came with the laptop, Exocad, all the tools, and all the bells and whistles. It came fully loaded. It came white glove delivered to my office. It came with in office training. It came with the extra bur package. It came with everything and the kitchen sink.
So, I paid 36k for a mill, and because of something that was not Cad-Rays fault, they ended up giving me a 60k mill for the same price.
In the words of the great Tony Stark: “That’s how Dad did it. That’s how Cad-Ray does it. And it’s worked out pretty well so far.”
Thank you Frank Weinstein and Armen Mirzayan for having outstanding customer service and going the extra mile every time.read less - 4/02/2021
Gould Dentistry
A newcomer to scanning, I have been impressed with the ease of the process. The commitment shown by each CAD-Ray team member to successful customer training and their skill levelhave been extraordinary. Thank you Kaila, Frank and Andy!! - 5/15/2022
Jared Gustafson
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
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
Yuriy Yakubov
Got Medit scanner from CAD-ray 5 months ago. Today got help from Rayan. Rayan has a lot of patience ,explained everything I asked him . Absolutly satisfied. Great service, great support. - 10/19/2023
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
Mike Capio
Nothing but good things to say about CAD-Ray. All of the education, recommendations, and products they provide are truly the best in digital dentistry at the time. - 6/20/2020
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
Maureen Copeland
Our office has been really happy with the i700 scanner so far. It was really easy to set up and use after watching only, 1-2 of the videos Cad-ray has on the website. Training with Andy was a breeze! Looking forward to taking level 2 training soon. - 1/20/2022
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
Adam Bond
Purchased a Medit i500 from CAD-Ray earlier this year and I really like the scannner. It has great features at a great price point. And the support of the CAD-Ray team has been awesome. They have a great amount of online resources for the DIYers and ...read morePurchased a Medit i500 from CAD-Ray earlier this year and I really like the scannner. It has great features at a great price point. And the support of the CAD-Ray team has been awesome. They have a great amount of online resources for the DIYers and have helpful employees to help after the sale as well. I highly recommend them.read less - 6/16/2020
Ramin Goshtasbi
Great service even if you own a Primescan. Company is built on customer service. Thanks for the help guys…. - 1/05/2022
Alex Compton
I had been looking into scanners for a while and I could not deny the good reviews of CAD-Ray, so I gave them a call. I was pleasantly (not) surprised by the excellent service I received. Laura Geney set up a call quickly and very simply and plainly ...read moreI had been looking into scanners for a while and I could not deny the good reviews of CAD-Ray, so I gave them a call. I was pleasantly (not) surprised by the excellent service I received. Laura Geney set up a call quickly and very simply and plainly discussed with me my options. She gave me all the information I needed as well as told me about all the available specials I would be able to take advantage of! I ordered my Medit i700 and very soon after received training for myself and dental staff. We have been very happy with the service from CAD-Ray and look forward to maintaining a long lasting relationship with them. Would strongly recommend Laura and CAD-Ray!read less - 4/07/2022
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
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
Just ordered my i700 yesterday and it ships today. Customer support has been amazing in answering all my questions completely. Looking forward to my delivery day like a kid at Christmas. - 11/03/2021
Excellent support and price on our medit IOS! Bought a second one a year later. Can always count on Armen and Frank for help when we need it. - 6/16/2020
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
Mark Sperling
Got a great deal in the medit i700 and the training was top notch. I had about 3 one hour sessions with Ryan at cadray and he was clear, concise and knowledgeable in both the software and hardware components of the computer/scanner and the detailed a...read moreGot a great deal in the medit i700 and the training was top notch. I had about 3 one hour sessions with Ryan at cadray and he was clear, concise and knowledgeable in both the software and hardware components of the computer/scanner and the detailed aspects of the dentistry itself. Got a direct line going forward and would recommend cad ray to anyoneread less - 8/17/2022
Trident Dental
Great help when you need it. Frank, Armen and team will take care of you. - 12/10/2021
Lisa Greenstein
Exceptional customer service - 7/26/2023
Caroline Langlois
It's so nice to enter the digital age for scanning! I've been taking impressions since 1975. Medit i700 is amazing and our #1 supporter, Laura has been with us every step of the way. I truly don't know what I would do without Laura and Nick in tec...read moreIt's so nice to enter the digital age for scanning! I've been taking impressions since 1975. Medit i700 is amazing and our #1 supporter, Laura has been with us every step of the way. I truly don't know what I would do without Laura and Nick in tech support. They definitely need a raise! Yes, we had a couple of glitches (mostly operator error) but they were there with us all the way. The detail that the scan gives, whether it's a crown, bridge, full mouth scan for patient review and now many scans for NTI's is truly amazing! We recommend it highly to all who are interested! I am proof that as a dental assistant who's 64, you CAN teach an old dog new tricks!!!read less - 12/09/2021
Archstone Weatherford
Medit i700 intraoral scanner is the first scanner that I actually used on my patients. Before I put my hands on it, I had some prejudices against all scanners. They were bulky, laggy in capturing the images, etc. When I finally had the chance to use ...read moreMedit i700 intraoral scanner is the first scanner that I actually used on my patients. Before I put my hands on it, I had some prejudices against all scanners. They were bulky, laggy in capturing the images, etc. When I finally had the chance to use an intraoral scanner and get introductory training with Laura from CAD-RAY a few weeks ago, I totally changed my view of this product. Very soon, I was able to scan crown, bridge, and even denture cases. Of course, I have had some knowledge about the digital scanner from CEs provided in the past, but being able to apply it in the daily practice in such a short time was beyond my expectations. I would highly recommend MEDIT i700 and training from CAD-RAY.
Big thanks to Laura!
-Lei Fu, D.D.S.read less - 9/12/2021
Kaila is an incredible Rep! Hope Cad-Ray knows what a great employee they have. Thank you Kaila! - 12/16/2021
Infinite Smiles
Can not say enough great things about Cad-Ray. Purchase an intraoral scanner from them and have had to have their support team help out a couple of times. They are top notch! I will be purchasing all of my tech they offer through them - 7/07/2022
Nolan Andrews
They all go absolutely above and beyond in all aspects. Whether it's tech support, products, CE, everything. Everyone I have dealt with has been wonderful. Love these guys! - 6/19/2020
Armen Mirzayan
Are you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: ...read moreAre you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: All testimonials are submitted by verified owners.read less - 5/08/2021
Best customer service I have ever experienced from any company I have worked with! They alway answer the phone and are ready to help with whatever question you may have. Love that I do not have to press 500 buttons to get to a live person. Bought my...read moreBest customer service I have ever experienced from any company I have worked with! They alway answer the phone and are ready to help with whatever question you may have. Love that I do not have to press 500 buttons to get to a live person. Bought my Medit from them and could not be happier with decision!read less - 12/20/2022
Steven Oshins
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
Paul Crespo
Cad-Ray has been instrumental in implementing and supporting our experience with scanning. Having scanned previously with other services I can truly say that Cad-Ray takes their clients very seriously and will not leave you hanging. They set the ba...read moreCad-Ray has been instrumental in implementing and supporting our experience with scanning. Having scanned previously with other services I can truly say that Cad-Ray takes their clients very seriously and will not leave you hanging. They set the bar very high. Cad-Ray all the way!read less - 12/09/2021
Alex Vo
Great service and scanner support! Company delivers well above my expectations! Love my medit scanner. - 1/29/2023
Evan Sachs
Great staff and support when needed! There is a bit of a learning curve like with any new tech, but I highly recommend the Medit i500 and the Cad-Ray staff is great. Special thanks to Laura and Jeff for helping out! You guys rock. Great company and ...read moreGreat staff and support when needed! There is a bit of a learning curve like with any new tech, but I highly recommend the Medit i500 and the Cad-Ray staff is great. Special thanks to Laura and Jeff for helping out! You guys rock. Great company and product!read less - 11/11/2020
A C
Kaila and Laura were amazing to work with. I would not hesitate to buy again from them. Super helpful/available and one of the best experiences I’ve had making such a big investment in equipment like I had to make for my practice. Way to go Cad Ray f...read moreKaila and Laura were amazing to work with. I would not hesitate to buy again from them. Super helpful/available and one of the best experiences I’ve had making such a big investment in equipment like I had to make for my practice. Way to go Cad Ray for running a solid business!read less - 11/15/2024
Michelle Duong
We are a new user of Medit i600. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. Installation was also easy and straightforward. Our staff is really happy...read moreWe are a new user of Medit i600. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. Installation was also easy and straightforward. Our staff is really happy with this new addition to our office. Thank youread less - 9/23/2022
I purchased my medit i500 scanner about a year ago from CAD Ray, and I have been extremely happy with both the scanner and the service / support.
Armen and Frank consider your purchase to be the beginning of your relationship with them, not...read moreI purchased my medit i500 scanner about a year ago from CAD Ray, and I have been extremely happy with both the scanner and the service / support.
Armen and Frank consider your purchase to be the beginning of your relationship with them, not the end. They do their best to make sure you learn everything you need to know in order to get the best possible results .
They answer calls and messages promptly, and it never takes me very long to get my questions answered.
I am VERY glad I bought from them, and not from one of the "big box" Dental Mega retailers.read less - 10/09/2019
Cad-Ray has been awesome to work with, very knowledgeable and quick to respond. Nick has been answering all my questions since day 1 and made the entire process of purchasing the Medit i700 a breeze. Can't believe how quick the product shipped and ca...read moreCad-Ray has been awesome to work with, very knowledgeable and quick to respond. Nick has been answering all my questions since day 1 and made the entire process of purchasing the Medit i700 a breeze. Can't believe how quick the product shipped and cannot wait to start scanning with it!read less - 12/15/2021
I bought a Medit i500 from Cad-Ray. The service was fantastic. This group also does ongoing training to keep you up to date on how to use the technology.I had a minor issue with hardware and Cad-Ray resolved the issues no questions asked!They have a ...read moreI bought a Medit i500 from Cad-Ray. The service was fantastic. This group also does ongoing training to keep you up to date on how to use the technology.I had a minor issue with hardware and Cad-Ray resolved the issues no questions asked!They have a very active online forum that is supportive. I wouldn’t hesitate to purchase more equipment from them!read less - 10/23/2020
Brian Wilkinson
This company is genuinely amazing. Amazingly good products, but the thing that sets them apart is the support. Frank and Sean have answered any questions I have unbelievably fast. And I LOVE the DOF Craft 5x milling unit. Learning the flow of same da...read moreThis company is genuinely amazing. Amazingly good products, but the thing that sets them apart is the support. Frank and Sean have answered any questions I have unbelievably fast. And I LOVE the DOF Craft 5x milling unit. Learning the flow of same day milling was tricky for me, but they held my hand the whole way. Can’t go wrong here.read less - 1/06/2024
Daniel Kim
CAD-Ray's online resources and customer support has made my Medit scanner implementation possible without the need for any hands on training. They are full of resources and have expert knowledge. - 7/01/2021
Robert Loughlin
I Love it !!! I needed to replace my Omnicam because the computer hardware was old and not able to keep up with the software upgrades. The computer upgrade costs from Sirona were cost-prohibitive (another reason why the Medit is so good) and I wasn...read moreI Love it !!! I needed to replace my Omnicam because the computer hardware was old and not able to keep up with the software upgrades. The computer upgrade costs from Sirona were cost-prohibitive (another reason why the Medit is so good) and I wasn't about to make the same mistake twice and replace it with another system from Sirona. I was a bit unsure about making a big switch but after speaking with Nick Statly at Cad-Ray, he eliminated all of my reservations and I ordered it. I've used it for the past week and love it. Setting it up and getting it running was simple. I would not describe this as a do it yourself process, it's much easier. If you can make a cup of coffee you can set the scanner up and start making excellent scans. All one needs to do is watch the very well laid out and easy to follow videos and save a lot of money. The image quality and ease of use hands down beats the Omnicam. Also during the current pandemic, I really feel better about being able to cold sterlize the tips vs the omnicam's just "wiping down." I almost hope my desktop scanner craps out so I can get the Medit desktop. I'm glad I listened to you Nick!!!read less - 6/04/2020
I had been on the market for a scanner for a while and the i700 is my first intraoral scanner purchase. We are still new to the scanning world and its capabilities. Frank DeLuca was my main contact from the beginning and the person who did our traini...read moreI had been on the market for a scanner for a while and the i700 is my first intraoral scanner purchase. We are still new to the scanning world and its capabilities. Frank DeLuca was my main contact from the beginning and the person who did our training. The scanner is incredible and has surpassed our expectations even though we haven’t used it to its full potential yet. Frank has been amazing and always there to guide us every step of the way. Having such fabulous customer service and support from CAD-Ray was key for us when making this purchase decision. Thank you!read less - 6/23/2022
Jeff Johnston
Very Helpful, good company to work with. Always been there for me - 3/10/2017
Kirk Arritt (fldnstrm)
Whatever digital workflow addition you want to add to your dental practice look no further than Cad-Ray. Top notch support and training. - 1/29/2023
Zachary Hickman
High quality scanner. Super fast. Have been happy with the support that Cad-Ray has offered. I really like the innovative technology that medit allows users to implement into their practice. - 10/13/2021
This is an advanced case and won’t make any sense unless you have taken our course on digital dentistry. If you are an advanced user, watch how we break this complex case up into many small manageable segments to create full arch impressions of multiple prepared teeth.
Take note of the fact how the buccal bite is captured over a long course of time. This indicates that the arches are related to each other properly and we have not lost track of the bite. Pay attention to how we operate “independent of time and sequence.”
There are numerous reasons for this. Clinically, you want to scan the jaw with the implant without the scanbody in place so that you can have access to the contact areas of the adjacent teeth. More importantly, the scanbody can be taller than the adjacent teeth, which would throw off the buccal bite capture when trying to relate the upper jaw to the lower jaw.
When you image the scanbody in the the Medit iScan software, the data is ignored for the occlusion calculation. When you, or a lab design with the scanbody, they also have to “feed the CAD Software” the right information. 3Shape software requires that 3 models be imported in a specific sequence: the jaw, the jaw with the scanbody ALREADY merged, and the opposing. If the designer is a novice, they may struggle with this and reject your case. There are numerous work arounds and easy fixes for this, but a good practice is to image them separately for all the benefits outlined above.
This article is for advanced users, where we detail a quick and easy scan, design, and mill. While the patient is anesthetized, the preop images are scanned. Excess data is removed as all it does is slow down processing. The prep catalog box is clicked, and the same model appears there. This is a source of confusion for many new users. Therefore, we recommend that you immediately crop out the area to be prepared so you don’t get the catalog boxes confused.
As an advanced user, you may be familiar with the reliability map. Here, we demonstrate how you can use the reliability map to capture your margins. Once the data turns green, this means you are done creating the model. This does NOT mean you captured your margins correctly. You could have just as easily captured tissue that is hiding your margins. The live view, in the bottom right corner, is where you can clearly asses if you have direct line of site to your margins!
Furthermore, as an advanced user, you may realize that it is NOT necessary to capture data below the height of contour of the adjacent teeth as you will not be making contact with that area! You can see in the try-in video at the end of the article how the restoration fits well to the contact area of the neighboring teeth even though the data was not captured.
Imaging depth and red tissue or blue can be complicated for all intra-oral scanners. In this demonstration case, we show how the Medit i500 performs scanning inside the canal space of a lower first molar after a pulpectomy. The dry canals are readily picked up by the scanner at a focal length of 21 mm. The bleeding from the distal canal space makes it a bit more challenging to capture.
Medit i500 uses two cameras that operate at different filter levels of color spectrum. The camera was changed from blue (great at capturing tooth structure) to white camera, which is better at capturing red (soft tissue and bleeding)
A friendly reminder- this case was table top scanned with a desktop scanner so don’t get distracted, but be aware that for oral appliances, particularly for apnea treatment or bruxism, to be aware of your lab’s capabilities. Many labs will just take your upper and lower scans and print them and hand make the appliances. To combat that, we recommend that you mount your models with support pins and edit / shape data , fill holes, etc,.. before sending it to the lab.
If you are using exocad, don’t make watertight models in the medit software, but do fill in major holes. Exocad doesn’t like closed models when it puts a base and adds support pins. If your lab prints these, at least the pins will force them to mount it in proper orientation
Digital impressions have turned one of the most complicated and error prone procedures in dentistry into one of the most predictable treatments we can provide.
When taking a physical impression of an impression abutment, you need to secure it to the PVS material so it remains rigid during pour ups. Some choose open trays while others prefer closed trays. When you deal with multiple units, their divergence or convergence can inadvertently lock the tray in the patient’s mouth. Sometimes, the impression abutments impinge on each other and keep you from seating them all the way.
That was a short list of the many things that can go wrong. With a digital impression, you can capture the contacts or the adjacent teeth, the opposing, and the tissue profile very easily. You can then place a scan-body and take an impression of it’s position and identify the location of the fixture.
In the following videos you can see the steps involved and how easy it is to manage the impression and accurately capture the implant location.
In titanium blanks, there is only one place to put the sprue, which is on the occlusal. One might think that this is would be easier to manage, but the trouble is that the titanium blank is cylindrical in shape, and it makes it difficult to keep track of the implant hex position and proper indexing.
There is one important matter to keep in mind when digitally designing an implant abutment for milling from a pre-milled blank. Unlike regular restorations you can design a restoration in (CAD software) and position it in a block , place a sprue in a desired position, and mill (CAM software) the final product.
The solution is to provide data to the milling machine so that it can properly index the titanium blank. To keep it simple, a regular restoration can just be milled from a designed stl file. The titanium pre-milled blanks need accompanying files to the designed stl to properly mill the abutment for indexing purposes. In exocad software, there is a construction file that accompanies the design and the CAM software can read both files and produce a desired result.
In all of our courses, once every user gets comfortable with the software and the camera, we quickly ramp up to reveal the greatest advantage of digital impressions over analog ones. The premise is that digital impressions can create models of data (note the deliberate omission of words like teeth, tissue, etc.) that are independent of time and sequence, and moreover, you can edit or manipulate the captured information.
In this particular case, we demonstrate how the upper anterior eight were prepared and how the preps were captured over an extended period of time. You can appreciate how one case protect margins and preparations from introducing subsequent errors. You can also visualize how you can create models without following a certain pattern.
Once you understand this concept, you can apply multiple ways to tackle the most complex and comprehensive cases and treat them with ease. We would love to host you at one of our courses to teach these principles and how you can take ANY intra-oral scan from any device, take it to CAD software, and take it to ANY milling machine you want. Oh yeah, we can also teach you how to introduce CT data into the mix from any machine to handle an even bigger case.
Click on our courses and events to see future courses. We’ll be adding more dates very soon.
Separate from how we imaged the arches, we think the perfect place to “hand off” a case like this is when you have mounted your upper and lower jaws, the opposing, marked margins, and set the path of insertion. At this point, as a clinician you have provided all the information needs to proceed with the case.
In this simple first molar case, we scan the pre-op condition as there is no room to add any contours to the pre-existing crown. In the video below, you can see how it occludes with the opposing and how it contacts the adjacent teeth. A pre-op scan is taken and the crown is removed. Images of the recurrent decay are taken and the preparation was modified. Final impressions were taken after tissue retraction and hemostasis.
The pre-existing condition must be trimmed away and you want to keep only the areas you want to make contact with in the proposal. This simple method gives you instant proposals where you only modify the contact areas and proceed to production
In just under a decade, we have turned dental implants from the most risky and stress inducing procedures we can perform both surgically and restoratively into one of the most predictable procedures we can perform while drastically reducing the cost of care, whether you fabricate the prothesis yourself or outsource it to a lab.
With guided surgery, the benefits are immeasurable. One good argument is that clinicians can avoid certain surgeries while discovering physical limitations during the planning stage. Furthermore, if performed fully guided, once can generally place the implant exactly where it was digitally planned in 3D on a CT scan.
Restoratively, we also have some tremendous advantages; whether you are performing single units or multiples, digital impressions give you an advantage you never had with physical impressions. In this first video, we emphasize how you and your team should take picture of the scanbody that is being used during the digital impression. It is very easy for you or the lab to mistakenly label digital impression in the design software.
The great benefit of digital impressions is realized when you can capture all of the contact areas of neighboring teeth. Furthermore, you have the ability to digitally sculpt the soft tissue and create the emergence profile for your abutment. When you take the soft tissue profile, the position of the head of the implant, and the contacts of the adjacent teeth into consideration in your design, you stack the odds of a successful restoration into your favor
This case demonstrate some advanced features our CAD-Ray software provides for CAD/CAM users. We first launch meditlink and define the prescription. You can take your time and input your selection at this step, BUT we give you the opportunity to edit it when you launch the CAD software.
You will note that after the imaging is done, the CAD software is launched which allows us to change the job definition. You have two choices for utilizing the pre-op condition with our software; you can either use the pre-op as a reference frame for your design or you can copy it exactly as a replica. The latter is called “Digital Wax-Up” for exocad users.
What we have done is to program the software and its wizard to get you from the model step to instant proposals after you place your margins. We guide you through the steps and ask you to trim away anything you don’t want your proposals to replicate and to only leave behind a shell of the exact form and function you want to keep in your proposals. This instant proposal is a dream for most dentists. It is the quickest way you can get to a design and to fabricate a restoration
The CORiTEC one can handle multiple types of blocks. It is also upgradable to pucks to mill round house prosthetics.
In this video, we demonstrate the milling of a 40 mm emax block. The machine can also handle 60 mm emax material. The height of the block is also important. In this particular case the Incisal edge would not fit in the confinement of the block dimensions. The margins were milled and then a little bit of layering material was added to the block
At any given time, we are milling restorations with 3 or 4 milling machines. Recently, we designed a restoration with the Medit i500 scanner, designed in exocad, and milled with a chairside mcxl cerec milling machine. Here are the steps we took to do this:
You may have to install some .net framework files from Microsoft. It’s generally an automated installation
Once installed, make sure to have your milling machine turned on and connected. A lot of the functionality is closed if your machine is not on and connected to the PC with the software.
We had to follow certain steps in sequence to get this to work. We had to activate the license in a pre-installed CEREC software and then move that thumbdrive to the machine where the inlab CAM was going to be installed
You can contact Mr. Milos Gedosev who runs DentalCADCAM in Germany and has earned a great reputation over two decades if you have any questions.
In this video we demonstrate how to capture implant impressions of scan bodies intra-orally with the medit i500 scanner and then design a screw retained crown with our customized CAD-Ray software.
The sequence of steps for a new user are critical. Although it doesn’t matter if you image the opposing arch first or after the arch that is being restored, the steps to capturing the scanbody must be followed in chronological order. You must capture the arch and then the scanbody impression. You should not return to the arch catalog box and add any more data. This can introduce a lot of error in the processing steps
In this video you can appreciate the distinct advantage you have tissue training on a digital model. You can contour to the soft tissue very easily. It is best to do so after you have identified the scanbody, which will pinpoint the location of the fixture. Once you have that in the equation, you can sculpt your tissue to your liking, making sure your abutment margins never drop apically below the head of the fixture
If you are new to digital dentistry, this introductory video will show you how to judge if digital models are related to each other. As a simple exercise, we opened one digital model and then imported the exact same model as a pre-op scan into the equation.
Once the models are in the design software, they are manually related to each other with at least 3 common points. After the merge, we performed “best fit matching” and then demonstrate how the color histogram in exocad has the both models painted completely blue.
We then slightly altered one model by adding material to one cusp tip, reduce the adjacent cusp tip, and then smoothing the third cusp tip. We then re-aligned both models to each other again and you can see how the software lets you know the range of discrepancy in those areas. Notice that all three areas have the same histogram color but all three have distinct meshwork areas from the original.
Once you understand this concept, it opens up many avenues for you that you can never achieve with traditional impressions.
One thing that I highly recommend is to take the bite before imaging the prep itself. It forces you to check for clearance and to keep reducing until you have the appropriate space for a ceramic restoration
You have to be comfortable with different workflows you may be accustomed to
Second molar can often be a difficult clinical case to manage. In this case, we diagnose a cracked tooth. Even though the patient is not symptomatic, the clinical condition and the wear on the second molar dictated a full coverage restoration. In the first video, you can see how the light test was used to show the abrupt transition and lack of light propagation through the second molar
In the second video, you can see how we imaged the pre-existing second molar in the pre-operative condition. Once the patient was completely numb, the second molar was reduced
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One of the most important lessons a digital dentist has to learn quickly is how to not introduce errors when scanning dentition. The most likely area when s/he can introduce...
For advanced users of meditlink software, you can skip filling out the Rx form and go straight into scanning. But make sure to properly fill out the CAD Rx form...
A good maintenances practice for any milling machine is to check that the tip of the drill is getting adequate water, otherwise you may see sparks flying as you are...
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