We have worked with Cad-ray for over three years. There tech support should be modeled as the gold standard for tech support. Let me tell you why. When you call in someone answers the phone and even better than that they solve the problem. Lauren...read moreWe have worked with Cad-ray for over three years. There tech support should be modeled as the gold standard for tech support. Let me tell you why. When you call in someone answers the phone and even better than that they solve the problem. Lauren solved my tech problem in less than 5 minutes! Thank you Cad-ray!!read less - 1/24/2023
Vivek Singh
I have had done business with these guys. I am impressed with their Amazing Customer service. John and Armen are great. I have and will order lots of stuff from them. Kudos to them!!!! - 6/19/2020
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
Diego Humberto Marquez Rodriguez
I am a very happy customer, the team behind cad ray, is amazing. Ive had small issues, and tech support is always available. I always call for them to help me use new apps, or updates and they stay on the phone with me all thru out, until fixing the ...read moreI am a very happy customer, the team behind cad ray, is amazing. Ive had small issues, and tech support is always available. I always call for them to help me use new apps, or updates and they stay on the phone with me all thru out, until fixing the issue. Andy has helped me several times, and he's a really nice guy too, great attitude, doesn't make me feel dumb when I don't understand. Sometimes it feels like he's part of my office team! Thank you Cad Ray, thank you Andy!read less - 2/01/2023
Roy Elturk
Outstanding customer service! Laura helped me purchase my first Trios scanner and she took the time to go over all the specs, models, and details with me. Their on going tech support is what sets this company a part from others. - 3/05/2024
Kurt Adamson
I was on the fence for a few years about getting into intra-oral scanning. I finally did it in the fall of 2019 and haven't looked back. I was hesitant mostly because I didn't want to spend a lot on $$$ on something that I don't end up implementing. ...read moreI was on the fence for a few years about getting into intra-oral scanning. I finally did it in the fall of 2019 and haven't looked back. I was hesitant mostly because I didn't want to spend a lot on $$$ on something that I don't end up implementing. I found that I love scanning, I feel like it has improved my quality of preps and my OCD of being able to verify accuracy. I recommend Cad-ray because they want you to succeed. They are always available. They have been through this process many times, they know what does and doesn't work. My experience is with the Medit i500 IOS.read less - 6/19/2020
Gary Benson
Our orthodontic office is new to scanning and printing, but CAD-Ray, Laura, Medit, and SprintRay have made the whole transition a huge win. Our first scan and print was cleaner than any traditional impression/pour up we've ever produced. On our first...read moreOur orthodontic office is new to scanning and printing, but CAD-Ray, Laura, Medit, and SprintRay have made the whole transition a huge win. Our first scan and print was cleaner than any traditional impression/pour up we've ever produced. On our first full clinic day, we scanned 14 arches and managed to stay on schedule! We were waiting for this technology to be affordable, fast, accurate, and reliable, and we can now say we are there. Thanks for all your help and ongoing support.read less - 6/25/2021
I am beyond impressed with Destaney and Cad-Ray! Despite accidentally throwing away my old scanner, which I was supposed to return, their team went above and beyond to advocate for me. Their exceptional support and understanding turned a stressful si...read moreI am beyond impressed with Destaney and Cad-Ray! Despite accidentally throwing away my old scanner, which I was supposed to return, their team went above and beyond to advocate for me. Their exceptional support and understanding turned a stressful situation into a seamless experience. Highly recommend!read less - 8/02/2024
Travis Kendall
This scanner is amazing! It’s hard to believe that it is less then half the price of 3 shape with zero yearly charges. I highly recommend you give it a try! - 10/09/2019
Much like dentistry is not a commodity, CAD-RAY's service is not a commodity. What CAD-RAY does so well is not just sell pieces of technology affordably and smoothly, but provides service, training, and insight so these tools can be used meaningfully...read moreMuch like dentistry is not a commodity, CAD-RAY's service is not a commodity. What CAD-RAY does so well is not just sell pieces of technology affordably and smoothly, but provides service, training, and insight so these tools can be used meaningfully and profitably.read less - 12/12/2022
Russell Schafer
Overall great company to work with. They sell wondeful products and give stellar service for a much lower price than any of the supply houses. I can't recommend them enough. - 8/19/2022
Jeffrey Martins
Service at CAD-Ray has been really great. About 6 months ago I purchased a Medit i700 scanner from them and have been really happy with it. Fortunately, I haven’t run into many problems, but if I need help they are so easy and friendly to work with. ...read moreService at CAD-Ray has been really great. About 6 months ago I purchased a Medit i700 scanner from them and have been really happy with it. Fortunately, I haven’t run into many problems, but if I need help they are so easy and friendly to work with. When my scanner did stop working, they quickly got me set up with a new one. If I have a computer question, they offer to log in and look at the computer with you. If you’re in the market for an intraoral scanner or any of their other products, I encourage you to talk with them to meet your goals. Thanks CAD-Ray!read less - 11/04/2022
Nisarg Parikh
Absolutely a phenomenal company. Everyone you engage with is extremely knowledgeable and helpful.I’m sure they get the same questions day in, day out but they are happy to help you without being condescending. The entire team has been helpful through...read moreAbsolutely a phenomenal company. Everyone you engage with is extremely knowledgeable and helpful.I’m sure they get the same questions day in, day out but they are happy to help you without being condescending. The entire team has been helpful through phone calls, the Cad-Ray FB group, and recorded webinars. Jonathan helped me get a great deal, Laura was awesome on the webinar, Damien is always answering questions on FB, and Armen had a great in-person presentation in Dallas. 100% recommend.read less - 4/22/2022
Evelyn Chan
Going with CAD-RAY and Laura is one of best investment I've made year 2020 ( I have MEDIT 500). Jumping into scanning is something that intimidated me since I am not a techie person and taking PVS impression is something second nature to me. Laur...read moreGoing with CAD-RAY and Laura is one of best investment I've made year 2020 ( I have MEDIT 500). Jumping into scanning is something that intimidated me since I am not a techie person and taking PVS impression is something second nature to me. Laura made everything a breeze, she is very accomodating and most importantly responds so fast, I never felt left out. Attending the level 1 course of Armen M. was awesome , learned the basics and it was taught in a way so easy to apply. Since my first scan, I never looked back, thinking to myself , I should have done this earlier. The crowns comes back with little to no adjustements which saves a lot of chair time. Cannot get better than this. Big shout out to CAD-RAY, Laura and Armenread less - 10/19/2021
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
I don't scan in my practice my assist does. She says it's awesome. Better than the trios or cerecs we have had in the past. The image quality while designing cases is amazing. Haven't seated a restoration from it yet but expect it to be great as well...read moreI don't scan in my practice my assist does. She says it's awesome. Better than the trios or cerecs we have had in the past. The image quality while designing cases is amazing. Haven't seated a restoration from it yet but expect it to be great as well.read less - 6/16/2020
Great company with even better customer service. Premier dental business with digital dentistry and scanners! - 11/03/2022
Ajitha Gereddy
We purchased Medit i-500 with CAD ray last December and customer support is great.One of best thing for our practice is having intra oral scanner ,works great . Laura was very patient with our learning curve. - 12/10/2021
Iggy “Iggy” Deleon
There’s a reason why all cardray reviews are 5 stars only. They have the best people on their team. Jesse is the best trainer and provides above and beyond support. I can’t count the number of times that he’s saved me in the clinic with his designs. ...read moreThere’s a reason why all cardray reviews are 5 stars only. They have the best people on their team. Jesse is the best trainer and provides above and beyond support. I can’t count the number of times that he’s saved me in the clinic with his designs. He’s truly a master at his craft and one of the best assets to the cad ray team!read less - 2/02/2023
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
Mitchell Rubinstein
I purchased my medit i500 scanner about a year ago from CAD Ray, and I have been extremely happy with both the scanner and the service / support.
Armen and Frank consider your purchase to be the beginning of your relationship with them, not...read moreI purchased my medit i500 scanner about a year ago from CAD Ray, and I have been extremely happy with both the scanner and the service / support.
Armen and Frank consider your purchase to be the beginning of your relationship with them, not the end. They do their best to make sure you learn everything you need to know in order to get the best possible results .
They answer calls and messages promptly, and it never takes me very long to get my questions answered.
I am VERY glad I bought from them, and not from one of the "big box" Dental Mega retailers.read less - 10/09/2019
Highly Recommend working with Cad-Ray. Just purchased a MeditI700. So easy to work with. Training with Destaney was awesome. - 3/19/2024
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
Maggie Sh
I’ve been using Medit 500 since spring of 2021 and really like it. The support system has been very good so far. I just called yesterday and spoke with Frank Deluca, he was very informative and helpful. - 12/07/2021
Sherif Gabr
I have been suing the Medit i500 scanner for a little over 2 months now and I have had great success. I have used it for implant cases, immediate dentures and single unit crowns.
What I like the most is that the software is continuously improving ...read moreI have been suing the Medit i500 scanner for a little over 2 months now and I have had great success. I have used it for implant cases, immediate dentures and single unit crowns.
What I like the most is that the software is continuously improving and adding new features.
You really can not ask for more than that! Great product, excellent support and a software development team that listens to their customers feedback!
Very happy with my purchase!!!read less - 2/26/2020
The i500 has been a game-changer for our orthodontic practice. Patients love not having to do alginate impressions. Records appointments and debands take much less time plus there's significantly less clean-up. And it's fast/easy enough to use tha...read moreThe i500 has been a game-changer for our orthodontic practice. Patients love not having to do alginate impressions. Records appointments and debands take much less time plus there's significantly less clean-up. And it's fast/easy enough to use that we've even been able to train summer interns to scans with zero prior dental experience. Our retainers, nightguards, and sleep apnea appliances all showed improved fit with less chair-side delivery time due to accuracy of the scans. Customer support is top-notch. Whenever we've had issues, we get someone immediately and they either talk us through a fix or login via screenshare to help us directly. They have a great loyalty program which gives significant discounts to upgrade to newer units. We recently took advantage and are excited to try out the new i700, especially since they're now Mac-compatible. Simple version: Great intra-oral scanner, easy to use/operate, intuitive software interface, fantastic support.read less - 8/16/2023
Matt v
Matt Newman was excellent solving a cable problem.! Quick response and good follow up! - 9/11/2024
Collins Woodside
I purchased my Medit i500 scanner almost a year ago from CAD-Ray. Laura and the team there have been so responsive and ready to help. It is so nice to have a person answer the phone and be willing and able to assist! - 12/09/2021
William Huszti
Nicely done Cad-Ray- Thanks for helping me get back to work! The new i700 is our tech fav! - 3/03/2022
Matt McReynolds
Great scanner (medit i500) and mill (coritec one). They were great for an open system that allows me to do just about anything. - 6/16/2020
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
Lance Timmerman
Implant Planning Services Review I Am VERY experienced with "another system" but thought I would give CAD-Ray a try. At at LEAST 1/3 the fee, why not?
VERY happy. Fit GREAT, surgery was uneventful (the best kind) and I am a believer! This is a great company and great PEOPLE to...read moreI Am VERY experienced with "another system" but thought I would give CAD-Ray a try. At at LEAST 1/3 the fee, why not?
VERY happy. Fit GREAT, surgery was uneventful (the best kind) and I am a believer! This is a great company and great PEOPLE too! 5 stars aren't enough. Just like the Burj Al Arab, this is 7 star!read less - 3/03/2015
Aaron Sipos
CAD-RAY has the best customer service. They go above and beyond to make sure you have a good experience with your medit scanner. With most tech companies, the person that answers the phone has to put you on hold for who knows how long before getting ...read moreCAD-RAY has the best customer service. They go above and beyond to make sure you have a good experience with your medit scanner. With most tech companies, the person that answers the phone has to put you on hold for who knows how long before getting you in touch with someone to fix the issue. With CAD-RAY, I called and Heather answered the phone. Heather was able to remotely fix my issue within 30 minutes and have me back up and running. No holds, no waiting!!! I highly recommend.read less - 9/01/2022
Lauri Ann
I am about the worst person when it comes to technology. I decided to get a scanner and chose the Medit due to all the positive comments users had. I haven't used it much-the pandemic started right as I received it, however, the customer service has ...read moreI am about the worst person when it comes to technology. I decided to get a scanner and chose the Medit due to all the positive comments users had. I haven't used it much-the pandemic started right as I received it, however, the customer service has truly been amazing! I had an online training and a rep checked in with me several times to see if I needed help. I am going to do another online training soon as a refresher. I wouldn't hesitate to recommend this company and scanner to anyone!read less - 6/16/2020
larry bybee
We have been using an intra-oral scanner (not a medit) in our practice for 4 years and it was decided that we needed to purchase another scanner due to practice growth. After a thorough review we decided on the Medit i700. Due to the great team at Me...read moreWe have been using an intra-oral scanner (not a medit) in our practice for 4 years and it was decided that we needed to purchase another scanner due to practice growth. After a thorough review we decided on the Medit i700. Due to the great team at Medit I have learned more about scanning 1 week than i received from the other company in 4 years. i700 great price, great scanner and amazing customer service.read less - 12/23/2021
Robert Crosby
The i700 is the second scanner I have purchased. It is hands down far superior in terms of quality and ease of use than my first scanner (3M Tru Def). I was hesitant to enter the market again but wanted to mainly for implant reasons. After talking...read moreThe i700 is the second scanner I have purchased. It is hands down far superior in terms of quality and ease of use than my first scanner (3M Tru Def). I was hesitant to enter the market again but wanted to mainly for implant reasons. After talking with Laura and watching her presentation with my staff, we were sold! The i700 was extremely reasonable in price while being similar to units costing twice as much. CAD-Ray made this possible. I found their on line training to be adequate in learning the necessary skills to start scanning, I continue to watch these videos as I sharpen my skills. Initially I was concerned about the on line training. But now I actually prefer this way of training as it is self paced and you always have the library of videos to watch when needed. Laura has been there to answer questions and help me whenever needed and I’m talking on nights and weekends too! I admit I was was extremely hesitant to get another scanner, especially with an online outfit; but I have no regrets and highly recommend CAD-Ray and Laura for anyone needing a scanner! They provide excellent services.read less - 4/23/2022
Cristy Duval
Kaila is an incredible Rep! Hope Cad-Ray knows what a great employee they have. Thank you Kaila! - 12/16/2021
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
Michael Martinsen
Honestly the best service that I've received in dental tech support. I had originally purchased a scanner with another supplier and was underwhelmed with the support I received. I switched over to CAD-Ray for my second scanner and have never been let...read moreHonestly the best service that I've received in dental tech support. I had originally purchased a scanner with another supplier and was underwhelmed with the support I received. I switched over to CAD-Ray for my second scanner and have never been let down. They are prompt and exceptionally knowledgeable about the products they support. Thank you CAD-Ray for keeping my practice moving smoothly!read less - 8/27/2021
Matt Stratman
only dental company that I have no complaints about - 11/03/2022
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
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
John Pisacane
This is my second review. I posted the first after having Medit for about 9 months. Loved it then, had great success with using the scanner to take full arch scans for clear aligner therapy, study models, removable partials, and crown and bridge. ...read moreThis is my second review. I posted the first after having Medit for about 9 months. Loved it then, had great success with using the scanner to take full arch scans for clear aligner therapy, study models, removable partials, and crown and bridge. Have kept using it and am still very happy with the Medit and with Cad-Ray. The scanner takes care of so many things in a way that impresses patients and pleases lab techs. Whenever I hit a computer glitch, I call Armen, Frank or any other members of the gang and my problems are solved quickly and without drama.read less - 6/16/2020
I'm really grateful with the service CAD-Ray has provided! I'm also very happy with Laura's presentation with the Medit i700, and overall help in choosing the right scanner for my practice. I'm really happy with the scanner and the SprintRay Pro 95 P...read moreI'm really grateful with the service CAD-Ray has provided! I'm also very happy with Laura's presentation with the Medit i700, and overall help in choosing the right scanner for my practice. I'm really happy with the scanner and the SprintRay Pro 95 Printer as well. Thank you.read less - 8/31/2021
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
Shilpa Jobanputra
New user and absolutely love my Medit i500 scanner. Easy to use, fast, affordable and so quick for a first timer IOS user like myself. Customer service is fantastic, as are the sales people. It’s good to know you have strong knowledgeable people beh...read moreNew user and absolutely love my Medit i500 scanner. Easy to use, fast, affordable and so quick for a first timer IOS user like myself. Customer service is fantastic, as are the sales people. It’s good to know you have strong knowledgeable people behind the scenes ready to help at every turn. I would recommend this product highly. Happy in PAread less - 9/09/2020
Michael Dickerson
Great experience purchasing my Medit through them. Always there if I have questions too. Thanks again! - 6/16/2020
Lora Wonderly
Thank you Frank DeLuca for being so accessible and making everything right again! Customer service is above and beyond. We also love our Medit Scanner - we would be lost without it! - 1/25/2023
Kyle Coffin
Bought a medit 6 months ago and customer service has been nothing short of amazing. Always very responsive and helpful. Great scanner, too! - 6/16/2020
K. Banani
Amazing customer service. I haven’t ever worked with a company where there is an issue, you can immediately get help and assistance and so far have not had an issue that CADRAY wasn’t able to fix. They made the process buy buying and maintaining a sc...read moreAmazing customer service. I haven’t ever worked with a company where there is an issue, you can immediately get help and assistance and so far have not had an issue that CADRAY wasn’t able to fix. They made the process buy buying and maintaining a scanner seamless. Highly recommend!read less - 2/23/2024
Scanning highly reflective surfaces can be a challenge with every intra-oral scanner. Here’s a pointer that can help: don’t start by trying to scan the metal or highly reflective surface. Get your purchase point on material that is easy to scan, like gum tissue or tooth structure. Once the model starts to form, you can then build on your desired material.
In this example, we are scanning a metal framework for a hybrid. Notice how the scanner does not recognize the metal at first, until it starts to image the thumb holding it. Once you start building the metal model and then remove the thumb and image over that area, the fingers are removed from the equation
We just wrapped up with the Chicago Midwinter Meeting and are now preparing for the IDS meeting in Germany. This is the world’s largest dental convention that takes place on every odd numbered year. We look forward to reconnecting with old friends and making new ones.
One of the most popular design techniques in digital dentistry is copying the pre-existing morphology of a restoration. When it is in occlusion and has desirable contours, you can image the pre-op condition before removing the crown.
Once the crown is removed, the preparation can be modified and new images can be taken. Placing margins is immediately followed by a great proposal that takes very little effort to finalize.
Our CAD-Ray software, powered by exocad and exoplan (pending 510k clearance) allows you to import your intra-oral scans and merge them with dcm files from ANY CT machine.
All CBCT machines can export the 3D x-rays into our software where you can merge the data with your intra-oral scans, design implants, and fabricate surgical stents for fully guided surgery. Here’s a preview of what’s coming up soon.
The Medit I500 is powered by a software called Meditlink. Within the program, you have workboxes where you can scan, design, nest, and mill a restoration, when you utilize the software as a laboratory, instead of a clinic. The feature is not available when you log in as a dentist, but all you have to do is register as a lab, and you have access to all these features.
You can can manage a case all within the meditlink software in a
seamless workflow. More importantly, you can utilize whatever CAD
software you want, nest and mill with your CAM software of choice, or
just export the case to someone else to collaborate with
In this video, you can see how you can launch the scanner and capture the data, then you can choose to utilize exocad, 3shape, Maestro design software. You can even export the data to another platform or launch your CAD of choice. Here, we utilize the CAD-Ray software which is a private label program powered by exocad.
The following pdf files document all the changes and updates to the Medit i500 intra-oral scanner. Some of the new features include taking pre-operative images, localized high definition scanning, a variable and custom scan depth field, scanning of impressions and much more
A well fitting surgical stent makes guided surgery very easy. You can CT scan a stone model or an impression to get a digital model to design the surgical stent
This failing three unit fixed partial denture was replaced with the Medit i500 and the CAD-Ray Design Software. While the patient was getting numb, a physical quadrant impression was made to fabricate a temporary after the removal of the existing bridge
With distal extension case, we advocate that you take a the pre-op scans, the maxillan and mandibular scans, and the first of the buccal bites. After the preparations are done and imaged, we advocate that you take the second bite IN THE SAME area so that you can judge if the jaw has settled once your distal stops were prepared.
This preview shows how the two bites can aid with aligning the arches accurately and to determine if the jaw settled after the lateral pterygoid muscles releases.
For the sequence of events, you can see how the pre-op scan of the bridge was taken. The same model was then trimmed in the maxillar folder, the lower arch was scanned and the first buccal bite was taken.
After the bridge was removed, the premolar preparation was modified and the margins were exposed with expasyl and cord retraction. The premolar prep was imaged with the medit i500 and the pontic area was also captured
Proper isolation and retraction greatly contribute to ease of access and imaging. Here you can see how the isolite and the optragate are used in conjunction to control the clinical environment
Notice how the red soft tissue is harder to pick up in the scan and the camera mode was changed to white light, as opposed to blue light scanning. Blue light is great at picking up tooth structure, white light is great at picking up red- blood and soft tissue.
Once the premolar area was captured, the imaging was stopped and then the molar crown prep was modified and the model was extended to include the new prepration. The difficult access was address by breaking up the model into sections that are much easier to maintain. The protect mode was used to not “ruin a good impression” elsewhere on the preparation
A common question we get about the Medit i500 is about its cross arch accuracy. There are dozens of ways one can introduce errors with digital impressions and the user must be able to recognize the potential pitfalls. Once you adhere to strict scanning protocols, you can achieve very accurate scans.
To demonstrate the accuracy of intra-oral scanning vs physical impressions, we place 6 DESS Desktop Scanning Scanbodies (REF: 5041) on a stone model that contained six implant analogs.
The original impressions were taken using traditional impression abutments on BioMax Implants from BlueSkyBio Narrow Platform Fixtures. The surgical stent was used to capture the impression duralay pattern resin was used to secure the relationship of the impression abutments to each other and the tray.
The model was poured and a stone cast with analogs were fabricated. The stone models were desktop scanned with the Medit T500 and the rendered models were exported to exocad software to analyze the precision of the intra-oral scan with the traditional method.
At CAD-Ray, we have a tough job balancing the interests of patients, dentists, and labs. The hand-off or delegation from dentist to the lab in a digital workflow is difficult to identify because of various habits all parties are accustomed to.
We think the sweet spot is for the dentist to mark the margins, verify that the case is mounted corrected for the proper vertical dimension, and then submit the case to the lab. A great tool is the DentalShare feature from exocad that allows collaboration between dentists and labs.
This eliminates so many obstacles, reduces cost for labs dramatically, and expedites the fabrication of the restorations. There are no phone calls that need to be made and it allows collaboration at the highest level where you can pass files and images back and forth to your technician at your and their convenience.
With the products we distribute and the number of clients we have managed over the years, we identify this segment of digital dentistry as the largest growth potential in our profession.
Click here to download the DESS library for exocad. It gets tricky making sure you have the right parts for both the scanbody identification and the tibases that would go with the zirconia substructures you will be ordering and/or manufacturing.
There are some great new features coming to Version 2.0 by the Medit i500. We now have the option to image the pre-operative condition, the upper and lower jaws, and the buccal bite, along with the catalog boxes for scan bodies.
In this particular case, we are restoring a left Central Incisor that has been temporized for approximately 4 months
To set up the case, the pre-op arch was imaged, then the mandible was scanned, and the buccal bite was taken. After the occlusal relationship was registered, we moved back to the maxillary catalog box.
You must choose the Pre-Operation Model for each arch before you proceed to scanning
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The screw retained temporary was removed and the contact areas and the gingiva was captured with the Medit i500. Then we moved to the scanbody catalog box, inserted a NT-Trading scan body, made sure it was completely seated and imaged that as well.
Once the case is processed, the relationship of the upper jaw to the lower jaw is preserved, as is the relationship of the pre-op condition to the maxilla as well as the scanbody relationship to the same arch. This is critical when you bring it into design software as the steps to relate the jaws to each other is dramatically reduced
A cool new feature in the upcoming Medit i500 is the opportunity to capture deep areas that are out of the camera’s focal length (-1.5 to 17mm). This usually happens in complex implant cases, or in this case where the anterior four teeth were traumatized.
With very little tooth structure remaining, a custom post and core was required to restored the dentition with a very guarded prognosis. After root canal therapy, the chamber was accessed and a conventional impression was taken.
Separate from this, a clinical digital impression was taken of the temporaries, the opposing and the buccal bite. The margins of the preps were protected and the chamber was deleted / cropped. As you can see, there are hollow areas in the depth of the chambers where the topography was outside the focal length. Scanning the impression as a negative gives easy access to the depths of the chamber, allowing you to form a model that is well outside the imagine range of the neighboring teeth.
The software allows you to image intra-orally and then allows you to fill in the voids by imaging the impression instead.
A new feature coming soon to Medit I500 is localized High Definition Scanning. There are two modes you can scan and save the models in; Normal and High Definition. In previous versions, either the whole arch model was process in regular or HD mode. Although of little clinical significance, if any, the visual properties provided by the High Definition mode resonate with all clinicians.
The processing times for HD mode was 4-5 times longer than regular mode. Now, you an just scan local areas in High Definition, greatly reducing processing time and provided you sharp details of the preparation.
In this video you can see clinically how the upper arch was imaged in regular mode. The whole lower arch was then imaged while expasyl was applied as a hemostatic agent. Once bleeding stopped, the area was irrigated and dried. In the software, the molar area was trimmed away and the local HD feature was turned on. The topography of the preparation was captured in the new Local HD mode.
As a clinician, you will appreciate the depth of the margin and the quality of the scan when designing the restoration in exocad
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Here, you can see the design process in our software powered by exocad.
A very common issue for a new user of Intra-Oral Scanners is to appreciate that, generally, the cameras nor the software, can tell the difference between tooth structure and soft tissue.
Furthermore, once soft or hard tissue is captured by a scanner, it assumes that the data is part of the model and part of the “equation”. What this means for automation is that this data, if you don’t take it into consideration, can actually hinder the automatic stitching of arches to each other via the buccal bite.
In the attached video, you can see how some excess data in the lower arch, namely the cheek, prevented the automatic stitching of the buccal bite with the upper and lower arches. Simply trimming away data sets that are in the line of sight for your camera can greatly speed up the process.
In the original version 1.0 of Medit Software, you would capture the upper jaw and lower jaw, then the buccal bite on either one side or both sides. Once you capture the arches and their occlusal relationships, you then process the case.
In the preview box, you will then find two models that you can export. The mandibular and maxillary files are readily visible, but the buccal bite, or the occlusion models are not present. This can be confusing to some new users or people used to other programs / software. Rest assured that when you import the case into another software, the relationship of the upper arch is maintained with the lower arch.
The above case is imported into another software and you can see how it automatically relates the arches to each other as there embedded coordinates in the two arches and they know their positions on the X,Y,Z planes
Now imagine if you actually wanted or needed the buccal bite models too. Once thing you could do is to start a new case, and take the right side buccal bite in one of the catalogs, and the left side buccal bite in the opposing arch catalog box.
You could then export both of those models to third party software to utilize them for their intended uses. In this video, you can see how this is managed- all you have to do is label them properly when exporting them because the software will label them as maxillary and mandibular files.
In the new software version 2.0, the buccal bite models can be exported along with the upper and lower arches. So can the preop models or wax ups if you wanted to utilize them in a particular design
Advanced users will like this feature as they can manipulate the models with the two bite models. For example, in the video attached, there are 4 models being utilized to establish the current bite. You can bring multiple other models to set the arches at differing vertical dimensions and tooth positions for more complex cases.
A couple of great new features are coming to Medit V2.0 really soon. One is the ability to capture the pre-existing situation in one catalog box and the prepped arch in the other.
In this video you can see how the initial maxilla is captured in the first catalog box. Once that is done, the appropriate arch is selected and the model appears in the respective arch. You simple crop out the area where the preparation belongs and start imaging to fill in the space with the prepped arch.
The great part of this program is that the imaging of the preparation does not start until the software recognizes the adjacent landmarks. It is imperative that the same “stitching abutments” exist in both models. As a bonus, you can click on localized HD mode for the preparation where the detail is captured in high-resolution.
When you capture both the pre-op and the preparation model in this manner, it is an easy workflow in the CAD software to render the restoration. Since the models are related to each other, you can command the program to adapt the restoration to the teeth (or pre-op condition). For best results, you must trim the pre-existing condition in manner so that the only remaining area is above the margin circumferentially.
To achieve that, simple trim the pre-existing condition with the edit tool in the software. If the pre-op is in great condition, you will not have to do any adjustments. One over-riding feature that always prevails is the minimum thickness around the margins.
With the localized High Resolution mode in Medit v2.0 you can speed up processing time but not compromise resolution that allows for great fitting restorations, as you can see in the try-in step of this emax 3/4 crown
With digital dentistry, you can approach complex cases with ease. For example, when you look at these two crowns that need to be replaced, your inclination is to prep them both, get hemostasis and retraction at the same time, and then take the impression.
Whether you only image with your 3Shape scanner or design within Design Studio, you can export the stl file into our milling machine’s native CAM software and start producing restorations in your office.
If you don’t have a computer aided design software, we can package our milling machine with our privately labeled CAD-Ray Software (exocad) and you design crowns, inlays/onlays, partial crowns, custom abutments and a lot more! If you already have the design software, all you have to do is export it and take the VHF milling machine
Both the N4 and the Z4 can nest your restoration and mill your desired product.
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