What can I say ! I have been extremely pleased with my scanner ! I recommend it to all my colleagues ! The support is the best , I bought the extended warranty and my scanner hada small crack and within one day they shipped my a new one ! I can’t wo...read moreWhat can I say ! I have been extremely pleased with my scanner ! I recommend it to all my colleagues ! The support is the best , I bought the extended warranty and my scanner hada small crack and within one day they shipped my a new one ! I can’t work without it ! Thank you !read less - 2/09/2022
Michael Conte
Needed help with scanner updates and Frank is the man! Once he was done the scanner was operating in hyper-drive!!thanks frankoffice of Glenmont Dental - 2/15/2022
Samuel Schmidt
I purchased a SprintRay through them. I'm new to the 3D printer realm and they've been great with answering my questions and getting me set up. I've just really have been impressed with the quick responses, its much appreciated, thank you! - 4/20/2022
Dr. Terry Zervos, DDS,PA.
Today I had to order new tips and Laura was EXTREMELY helpful, Cad-Ray has all the products you need for digital dentistry and they do Education, if you buy Medit scanner from them they include 12 CE training course. Cant just buy a Lamborghini you h...read moreToday I had to order new tips and Laura was EXTREMELY helpful, Cad-Ray has all the products you need for digital dentistry and they do Education, if you buy Medit scanner from them they include 12 CE training course. Cant just buy a Lamborghini you have to learn how to drive it!read less - 7/02/2020
ryan ku
I've been using this for almost 2 months now and I just love it. At this price point, ROI is a no-brainer. The convenience factor is amazing. I only did the DIY online training and I'm pretty confident doing the scan. I've signed up for the actual ...read moreI've been using this for almost 2 months now and I just love it. At this price point, ROI is a no-brainer. The convenience factor is amazing. I only did the DIY online training and I'm pretty confident doing the scan. I've signed up for the actual course so looking forward to seeing it's greater potentials.read less - 10/14/2019
Great scanner easy to use with the software. Definitely recommend the i700 scanner. Great customer service from Laura. - 12/09/2021
Provinces Dental
Cad-Ray has provided a great product! They have been super helpful with getting all of our questions answered and products to us in a timely matter! - 3/01/2022
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
Wes Buchman
Used CAD-Ray for my Medit scanner purchase, training, and assistance and have had zero problems. They are so quick to respond to inquiries and helping with any minor issues (which have been very minimal). Highly recommend working with this company - 8/27/2021
Ellen Huang
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
I have had excellent , prompt , customer service and support from the entire team . Especially from Frank DeLuca as I move along the learning curve. His patients and expertise is much appreciated - 1/24/2023
Eric Turner
I bought my Medit from Cad-Ray a little over a year ago. The very few times I've needed any kind of help with it, Cad-Ray has been absolutely ON IT. Issues get completely resolved within minutes. It's great!! - 11/01/2021
Mary Oliverie
Last year when I started looking into the Medit i500 I had my front desk call 3 sellers to get preliminary information. She told me hands down call CAD-RAY and don’t bother with the others. Boy was she right! Frank got us going with all our hardware ...read moreLast year when I started looking into the Medit i500 I had my front desk call 3 sellers to get preliminary information. She told me hands down call CAD-RAY and don’t bother with the others. Boy was she right! Frank got us going with all our hardware needs and trained us until all our questions were answered. Then Jonathon and Armen jumped in at our 2 day live training in Baltimore. I still review my notes to implement all the great ideas. When I get myself in a jam time to time CAD-RAY responds immediately and fixes my problem. Best decision I have made in the practice in a long time - Thank you everyone at CAD-RAY!read less - 10/09/2019
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
arthur lyford
I cannot say enough about the support I have received from the beginning. I chose CadRay ultimately because of the support reviews...I can attest first hand...they are all right on...though I have been practicing for more than 35 years, this old dog ...read moreI cannot say enough about the support I have received from the beginning. I chose CadRay ultimately because of the support reviews...I can attest first hand...they are all right on...though I have been practicing for more than 35 years, this old dog has been taught a lot of new tricks from the support staff at Cad Ray...Truly impressed with every interaction so far! Thanks 10/4/2023 And they did it again today with ten minutes before the pt came in 3Shpe server would not connect with the computer and Andy got to 3Shape directly and had us up and running...thankfully I didn't have to call anyone but CadRay...thanks again....read less - 10/05/2023
Northwest Orthodontics
Every staff member has been very helpful and kind every time we call. Thank you! - 7/24/2024
Barton Davis
Every time I need support for my scanner, the Cad-Ray team is there to help. I recently had a question on how to manipulate a scan and export it back to Medit Scan. Damien logged in and helped me out. Problem solved in under five minutes. Awesome ser...read moreEvery time I need support for my scanner, the Cad-Ray team is there to help. I recently had a question on how to manipulate a scan and export it back to Medit Scan. Damien logged in and helped me out. Problem solved in under five minutes. Awesome service. Thanks Cad-Ray support team!read less - 3/04/2022
Dwayne Bodie
Very happy with my Sprint Ray 3D printer. Frank D. went above and beyond with training my team on how to use it. He offered remote training as a courtesy and followed up to make sure we were ok. Highly recommend! - 1/25/2023
Nick Boyd
Great people. Very helpful with anything you need. - 6/16/2020
Ryan Buckwalter
Couldn't have had a better experience. The training was excellent, and they've been great to work with. I recently had an issue that required a warranty claim. The process was super easy, and completely hassle free. In fact, I'm still in shock at...read moreCouldn't have had a better experience. The training was excellent, and they've been great to work with. I recently had an issue that required a warranty claim. The process was super easy, and completely hassle free. In fact, I'm still in shock at how great they were about the whole thing. I would (and do) highly recommend this company.read less - 2/09/2021
Miguel DeLeon
I seriously can't believe the amount of support I get from Cad-Ray. I bought a medit scanner 2 months ago through Laura and she was very quick to get it shipped to me. She helped me through the whole process and ensured that I was passed to the right...read moreI seriously can't believe the amount of support I get from Cad-Ray. I bought a medit scanner 2 months ago through Laura and she was very quick to get it shipped to me. She helped me through the whole process and ensured that I was passed to the right people to train me. They were always available whenever I called, even one time I ran into an emergency after hours and Kaila picked up and saved the night. Very cool how they can remote access to my computer and guide me through as if they were right next to me.I also recently bought an Ackuretta Sol printer with Laura's help and she got me paired up with Jessica for my printer training. Jessica is so awesome! She is very knowledgeable and guided me through a lot of troubleshooting and set me up for success.Thank you guys so much!! I will always refer my friends to you all.read less - 4/13/2022
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
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
Kristine Keshishyan
My Intraoral scanner was not working. It wouldn’t scan, during the scan the screen was completely blue. I contacted Laura and she logged in remotely and took care of the problem. She was extremely helpful and knowledgeable. Thank you Laura for your o...read moreMy Intraoral scanner was not working. It wouldn’t scan, during the scan the screen was completely blue. I contacted Laura and she logged in remotely and took care of the problem. She was extremely helpful and knowledgeable. Thank you Laura for your outstanding service. Thank you.read less - 12/07/2021
Jason Oh
Everyone at CAD Ray has been amazing. Glad I chose them for my Medit and Sprint Ray purchase. Our training with Kaila was awesome. Thank you - 1/04/2023
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
carlos Santos
I would like to let you know that Kaila Larson is excellent communicator, personable, professional and knowledgeableI have had the opportunity to talk to her 3 times and it has always been awesome.Regards,Dr Carlos santos - 4/08/2022
Joshua Mathis
Fantastic support. Bought a Medit Intraoral scanner and it has been a game changer in my practice. Can’t wait to pair a mill with the help of cadets in the future! - 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
Thanks for delivering amazing courses. Always thinking beyond dentistry. Thanks for sharing all so selflessly. - 11/13/2022
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
Super happy with our purchase of the Medit i500 from Cad Ray. Overall its a work horse scanner that has handled anything weve thrown at it. The key to success with it is definitely taking the time to actually learn how to use it after purchase. Ca...read moreSuper happy with our purchase of the Medit i500 from Cad Ray. Overall its a work horse scanner that has handled anything weve thrown at it. The key to success with it is definitely taking the time to actually learn how to use it after purchase. Cad Ray has an immense library of straight forward education videos that are updated basically daily. I havent done the 2 day course but that is also included in the purchase. You really cant find that sort of service and education with any of the other scanners on the market. Id recommend them to anyone.read less - 6/26/2020
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
Suresh Goel
I have enjoyed using the Medit i500 scanner. Previously I had two 3Shape scanners, however, the yearly fees were adding up and there are no ongoing fees with the Medit. Quality is great, and support has also been solid. Overall very happy with thi...read moreI have enjoyed using the Medit i500 scanner. Previously I had two 3Shape scanners, however, the yearly fees were adding up and there are no ongoing fees with the Medit. Quality is great, and support has also been solid. Overall very happy with this purchase.read less - 2/16/2020
The D.I.Y. Medit i500 package was right for me. I bought a nice gaming PC for my 2 operative rooms, downloaded the software, watched some videos, and started scanning. It's really easy to use, my crowns fit better with fewer adjustments, and they cos...read moreThe D.I.Y. Medit i500 package was right for me. I bought a nice gaming PC for my 2 operative rooms, downloaded the software, watched some videos, and started scanning. It's really easy to use, my crowns fit better with fewer adjustments, and they cost less because they are made model-less and without impression materials. I will start to see a return on investment in less than 2 years and it makes my work more fun, and I can deliver better results. Armen puts on a 2 day course which is very helpful to refine your technique. Start with watching the videos, scan your employees, and then use it on patients. I considered buying an iTero Element 2 and I'm so glad I didn't. The Medit is smaller, as good or better, and it costs ~$25,000 less over the course of 5 years. Ongoing fees for other scanners are a joke. Medit keeps providing updates that make the software even better and there are no additional charges.read less - 3/29/2020
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
Dixie Jernigan
The customer service we have received while working with Frank DeLuca is second to none! He is incredibly knowledgeable and enthusiastic, as well as always available to help with any issues. We are very pleased with CAD-RAY and relationship that they...read moreThe customer service we have received while working with Frank DeLuca is second to none! He is incredibly knowledgeable and enthusiastic, as well as always available to help with any issues. We are very pleased with CAD-RAY and relationship that they have with their clients.read less - 1/25/2023
Karam ALrousan
i purchased medit intraoral scanner a year ago, other than the scanner is great, the customer service is outstanding whenever j need help or have a question they are ready instantly to answer my questions, cant ask for better customer service. - 6/16/2020
Ed Borio
I was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it h...read moreI was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it has been a rewarding and relatively seamless transition to the world of scanning. I never dreamed implementation would have been this easy and its attributed to Laura's skillful training ability. The scanner is wonderful and powerful, but we would have never been able to unlock its potential without her assistance.read less - 5/07/2021
Daniel Eley
I just bought the new Medit i700. I placed the order on Friday, it shipped on Monday, and it arrived on Tuesday. So far it has been a great experience. They also provide a lot of quality videos for learning to use the scanner. - 5/05/2021
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
SCOTT MEUSELBACH
I bought a Medit i700 and admittedly did not use it for a year or so. Once I got going on it, I now hate analog impressions (time, lab time, expense, questions of quality, etc). I had a cord go bad (fray) and could not scan. I called and spoke to Hea...read moreI bought a Medit i700 and admittedly did not use it for a year or so. Once I got going on it, I now hate analog impressions (time, lab time, expense, questions of quality, etc). I had a cord go bad (fray) and could not scan. I called and spoke to Heather, and she was outstanding in providing service. I texted a pic, she corresponded with Medit, and they got a new one to me the next day. Tracking, email correspondence, etc. all was provided there as well. I was back up and running in no time, and having to do some analog impressions made me realize how much we love the scanner. The service from Heather and Medit (Dane) verified it. I sent a text out to a pile of dental friends to let them know as well. Highly recommended!read less - 7/10/2024
Rosemary Toczydlowski
I had a phone call with Frank from support today, and he was awesome! Very helpful and knowledgeable. He sorted out all our issues no problem. Thank you Frank!! - 6/09/2021
John Allen
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
Jennifer Goodale
Fantastic class. Amazing scanner.Cad Ray has been helpful not only with my purchase of the Medit i500, but every step of the way.Level 2 seminar with Armen and Damien was extremely informative, useful and practical! ⭐️⭐️⭐️⭐️⭐️ - 8/08/2021
David Jump
I can't even find the words to express how incredible CAD-Ray has been with their customer service. I've never worked with a company in ANY industry that has been as helpful and responsive at they have been. Based on their customer service alone I ...read moreI can't even find the words to express how incredible CAD-Ray has been with their customer service. I've never worked with a company in ANY industry that has been as helpful and responsive at they have been. Based on their customer service alone I would buy every piece of equipment I ever needed from them if they sold it. Truly a unique experience! Oh, and the medit i500 has been fantastic, super accurate and patients are blown away by digital impressions. Love it, great product and incredible customer serviceread less - 12/09/2021
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
Nancy Hartrick
I am absolutely in love with my MEDIT i700, as is my entire staff. The Medit i700 is reliable, fast, easy to use and the software is incredibly intuitive. I couldn't be happier with the team at CAD-Ray. They are true professionals, and very hands and...read moreI am absolutely in love with my MEDIT i700, as is my entire staff. The Medit i700 is reliable, fast, easy to use and the software is incredibly intuitive. I couldn't be happier with the team at CAD-Ray. They are true professionals, and very hands and responsive in terms of their support and training. Thank you to the entire team.read less - 8/24/2021
Fantastic scanner and best company to buy from. They make sure you are happy with your product. Armen, Frank, and team are the best. High recommendations for CADRAY and the i500. - 7/18/2020
I was referred to CAD-Ray by Medit Instagram help service. I have purchased Medit i700 from Laura, I was please to work with her and the whole team. They offered the best customer service and the fast responses, especially Laura. I look forward for t...read moreI was referred to CAD-Ray by Medit Instagram help service. I have purchased Medit i700 from Laura, I was please to work with her and the whole team. They offered the best customer service and the fast responses, especially Laura. I look forward for the next purchase.read less - 12/07/2021
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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