CAD-Ray is an amazing company. I purchased my scanner 3 years ago. Any small issue immediately resolved by calling them for help. I originally scanned with Cerec. The ROI doesn't even compare. The Medit was by far the best technology purchase of my ...read moreCAD-Ray is an amazing company. I purchased my scanner 3 years ago. Any small issue immediately resolved by calling them for help. I originally scanned with Cerec. The ROI doesn't even compare. The Medit was by far the best technology purchase of my 20 plus years in dentistry. I will upgrade at some point and will buy again from CAD-RAY!read less - 2/04/2022
Scott Chong
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
Marc Prince
We’ve been using the Medit i700 in our office for approximately a year now. It has been a game changer and hard to remember what it’s like without using the intra-oral scanner. The Cad-Ray support team has been remarkable as well! - 9/11/2022
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
Zachary Breen
I purchased the Medit i700 from CAD-Ray back in May and the purchasing process, setting-up and trouble shooting has been extremely easy and straight forward with CAD-Ray. The Medit i700 is one of the best, if not the best, scanner I have used in the ...read moreI purchased the Medit i700 from CAD-Ray back in May and the purchasing process, setting-up and trouble shooting has been extremely easy and straight forward with CAD-Ray. The Medit i700 is one of the best, if not the best, scanner I have used in the past 5 years of using intraoral scanners. Recently I ran into a software issues with my scanner and I am extremely impressed with CAD-Ray and Medit's timely manner in addressing my issue. Within minutes I was on the phone with them and they had my concerns addressed and solved. I previously recommended a few colleagues to CAD-Ray and I will continue to recommend with even greater enthusiasm. I am very pleased with their customer service and the Medit i700. Thank you CAD-Ray!read less - 9/30/2021
Frank was fantastic in helping me obtain my medit scanner. He answered all of my questions in detail. After the purchase of the scanner, he continued to follow up with me and presently remains a tremendous support with any concerns that may arise. Wa...read moreFrank was fantastic in helping me obtain my medit scanner. He answered all of my questions in detail. After the purchase of the scanner, he continued to follow up with me and presently remains a tremendous support with any concerns that may arise. Was a great experience overall from transitioning my practice into a digital world!read less - 1/25/2023
Levy Do
I'm a repeat customer because Cad-Ray's customer service is fast, efficient, and no nonsense. The classes offered for training for particularly for the Medit is awesome and it comes included which is phenomenal. All the classes that I've gotten to at...read moreI'm a repeat customer because Cad-Ray's customer service is fast, efficient, and no nonsense. The classes offered for training for particularly for the Medit is awesome and it comes included which is phenomenal. All the classes that I've gotten to attend so far has been well organized and I left learning very practical things. Remote support team solves my problem right then and there. Recently I had an issue, and instead of me talking to a sales rep who doesn't know what to do, Kaila remoted in and got it fixed just like that. Thank you and great job guys!read less - 4/19/2022
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
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 indepe...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 - 4/09/2021
Ernesto Carmona
When I decided to purchase a digital scanner I decided on user experience. They have provided the best experience I could have asked for, from online support, Facebook support, and in person courses. There is no better team to buy Medit from period...read moreWhen I decided to purchase a digital scanner I decided on user experience. They have provided the best experience I could have asked for, from online support, Facebook support, and in person courses. There is no better team to buy Medit from period. Do yourself a favor and buy from them if you are in the market for an intraoral scanner.read less - 6/16/2020
Delicate Dentistry
Cad-Ray's support is truly exceptional. While the equipment represents a significant investment, the peace of mind that comes from knowing they stand firmly behind their products is invaluable. Their support team is efficient, professional, and remar...read moreCad-Ray's support is truly exceptional. While the equipment represents a significant investment, the peace of mind that comes from knowing they stand firmly behind their products is invaluable. Their support team is efficient, professional, and remarkably persistent in ensuring everything runs smoothly. I'm especially grateful to Destaney and Laura for their ongoing assistance- their dedication and expertise have made a world of a difference!read less - 5/15/2025
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
Best service and support. Period. The product I purchased (Medit i500) is fantastic, but integrating it into my practice has been super smooth because of the support from Cad-Ray. They not only answer the phone with REAL people, but those people ACTU...read moreBest service and support. Period. The product I purchased (Medit i500) is fantastic, but integrating it into my practice has been super smooth because of the support from Cad-Ray. They not only answer the phone with REAL people, but those people ACTUALLY want to help you. Kind of a novel concept in this day and age. Definitely the best customer service I've experienced from an equipment dealer, and I've purchased equipment from just about all the big companies. Will definitely purchase from them in the future. I highly recommend them.read less - 8/07/2022
Jonathan Acker
Awesome people who care about their clients. - 7/09/2021
Tommy Han
Awesome service. Bought a Medit and was able to learn how to use it simply by watching Cad-Ray's support and education videos. Three thumbs up! - 6/16/2020
Eric Reum
I bought a i500 almost a year and a half ago. Sadly it ran into an issue with the cord after over a years use. Cad-ray was extremely quick to diagnose the issue and also send a replacement scanner. The quality and ease of scanning has been great! Als...read moreI bought a i500 almost a year and a half ago. Sadly it ran into an issue with the cord after over a years use. Cad-ray was extremely quick to diagnose the issue and also send a replacement scanner. The quality and ease of scanning has been great! Also very happy with the customer service.read less - 6/02/2022
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
Al Villalobos
Great scanner at a good price...Excellent customer service . I never want to take a conventional impression again! Best upgrade to my office in years. - 11/16/2021
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
Gunther Heyder
Fantastic Scanner. Has changed the way I practice dentistry. Opens up more time in my schedule and opens up new methods to allow for more consistent, satisfactory results. Customer service is fantastic. Feels like friends are on the other side of the...read moreFantastic Scanner. Has changed the way I practice dentistry. Opens up more time in my schedule and opens up new methods to allow for more consistent, satisfactory results. Customer service is fantastic. Feels like friends are on the other side of the phone. Good work CAD-Ray!read less - 12/08/2021
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
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
vy pham
I have been a customer of CAD-Ray for about a year now. We have purchased multiple items from Laura, including exocad software, a milling machine, and the Imetric4d. I can’t express enough how happy we are that we made those purchases through them. T...read moreI have been a customer of CAD-Ray for about a year now. We have purchased multiple items from Laura, including exocad software, a milling machine, and the Imetric4d. I can’t express enough how happy we are that we made those purchases through them. The customer service and the fast responses, (especially Laura) has been top notch! At the beginning, just like anything else in dentistry, we needed support and reassurance of the items acquired and all I have to say is a big thank you for an amazing customer service and support!!!! And did I mention that they offer really good financial options? Again, thank you! Looking forward for the next purchase. - The Inspired Dental team in Las Vegas:)read less - 8/31/2021
Dr Grace Simco
I bought I500 scanner two years ago. The scanner is great and the service is excellent. I have contacted Heather Gramley and Andy Nova about the updates of my scanner recently. They are absolutely amazing people. They go above and beyond. They repres...read moreI bought I500 scanner two years ago. The scanner is great and the service is excellent. I have contacted Heather Gramley and Andy Nova about the updates of my scanner recently. They are absolutely amazing people. They go above and beyond. They represent the company very well.read less - 7/05/2022
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
Laura
Very helpful and attentive when setting up my new Medit scanner. Seamless process from start to finish - 10/28/2024
Caleb King
Kaila Larson is the support specialist for our office and has been outstanding. She gets back to us quickly with any questions we have, and will log into the computer and fix issues so we don't even have to worry about them. She is extremely knowled...read moreKaila Larson is the support specialist for our office and has been outstanding. She gets back to us quickly with any questions we have, and will log into the computer and fix issues so we don't even have to worry about them. She is extremely knowledgeable about the MEDIT scanner and the supporting software. She responds to calls and texts or emails and will communicate with us in whatever way is most convenient for our office. She has saved us hours of time and headache by always being available to help.read less - 5/25/2022
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
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
Obdulia Rondon
Thanks for delivering amazing courses. Always thinking beyond dentistry. Thanks for sharing all so selflessly. - 11/13/2022
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
Finally going digital and Cad-Ray was the place to start. Got the Medit i500 and began scanning right away. Now I am doing digital dentures, making my own surgical stents, etc. The support available is the best. "Frank" is always available! :) - 10/09/2019
These guys are great. Always quick to answers questions and trouble shoot. Only a text away...they are spot on. Would purchase from them again in a heart beat......and will soon! We are getting close to adding a second Medit i500 to the office. Every...read moreThese guys are great. Always quick to answers questions and trouble shoot. Only a text away...they are spot on. Would purchase from them again in a heart beat......and will soon! We are getting close to adding a second Medit i500 to the office. Everyone whats to use the one we have!read less - 6/19/2020
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
Mayoor Patel
Kaila is awesome with training and her customer service skills. Enjoy learning from her... Product (scanner) so far loving it. - 12/02/2021
Greg Stepka
Highly Recommend working with Cad-Ray. Just purchased a MeditI700. So easy to work with. Training with Destaney was awesome. - 4/01/2024
Sarju Patel
Perfectly Placed Implant course in San Diego was very good. Armen and Brian are excellent lecturers and educators. A lot of practical tips and pearls of wisdom for those getting into cone beam and guided surgery. Would recommend this course highly. ...read morePerfectly Placed Implant course in San Diego was very good. Armen and Brian are excellent lecturers and educators. A lot of practical tips and pearls of wisdom for those getting into cone beam and guided surgery. Would recommend this course highly. Looking forward to other courses that they offerread less - 2/18/2017
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
Peipei Yu
I purchased a Medit scanner in August and I am very happy with the scanner. I was trained on an Omnicam in dental school and used Omnicam for 4 years in my associateship. The speed and quality of the Medit scanner is comparable to a CEREC scanner but...read moreI purchased a Medit scanner in August and I am very happy with the scanner. I was trained on an Omnicam in dental school and used Omnicam for 4 years in my associateship. The speed and quality of the Medit scanner is comparable to a CEREC scanner but you can’t beat the price of the Medit! I would highly recommend this if you are a beginner or pro in digital dentistry!read less - 9/21/2020
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
Michael Pagano (CPT Pagano)
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
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
Chirag Vaid
I ordered my Medit scanner from them in Feb 2020, so far no issues with support or the product. They are a great company with great support. Disclosure: they did promise me a scanner tip for this review, but in all honestly I was meaning to give it t...read moreI ordered my Medit scanner from them in Feb 2020, so far no issues with support or the product. They are a great company with great support. Disclosure: they did promise me a scanner tip for this review, but in all honestly I was meaning to give it to them anyway.... if you are looking to buy, this is a great way to go about it.read less - 7/19/2020
Roopam Garg
I purchased Medit scanner few weeks ago . Frank and Nick have been really excellent answering my questions promptly. The scanner itself is wonderful with no back fees , customer service is top notch. The entire team works fast and helps you out. I st...read moreI purchased Medit scanner few weeks ago . Frank and Nick have been really excellent answering my questions promptly. The scanner itself is wonderful with no back fees , customer service is top notch. The entire team works fast and helps you out. I strongly recommend this scanner!read less - 6/17/2020
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
Dan Malloy
Extremely good customer service. From start to finish buying my Medit was flawless and they were very helpful in offering me information. When I got my scanner I had questions and my phone calls were returned immediately. They knew my name and guided...read moreExtremely good customer service. From start to finish buying my Medit was flawless and they were very helpful in offering me information. When I got my scanner I had questions and my phone calls were returned immediately. They knew my name and guided me through what I would need. Very impressed. Would recommend!read less - 2/02/2020
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
Excellent customer service and product!! - 3/16/2022
Kent Lysgaard
This company has the best customer support I have ever experienced. I purchased the I700 Intraoral scanner and the transition from impression material to io scanner has been so easy because of Cad-Ray. I highly recommend them. The response to questi...read moreThis company has the best customer support I have ever experienced. I purchased the I700 Intraoral scanner and the transition from impression material to io scanner has been so easy because of Cad-Ray. I highly recommend them. The response to questions/issues is instantaneous even with a patient in the chair they have the capability to go online and help. Absolutely first rate.read less - 4/13/2022
Thanh Huynh
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
In this video we showcase the set up page of the Medit i500 Lab Version for software version 2.1, where you define the job description, enter parameters, designate the opposing and proceed to the next step where you launch the imaging software.
Captured Impressions While Patient Was Reaching Anesthesia
While the patient was reaching anesthesia, the opposing arch was captured along with the preparation model. The area to be prepared was cropped out and once enough reduction was achieved the bite was captured. We highly recommend that you verify reduction and adequate clearance before you capture the final preparation. This way, you have one last ditched effort to verified you will have adequate thickness to your restorative material.
One of the biggest challenges of capturing a bite for an occlusal appliance is to properly tripod the upper arch to the lower arch. With PVS impressions we just send the impressions along with the patient’s bite registration in maximum intercuspation.
A unique advantage we have with digital impressions is that we can capture someone with an open bite while using their own mouth as the articulator. Moreover, with the following technique, you can rest assured you have little adjustments to make to the occlusal guard after it has been fabricated.
Now as we continue to image in the same catalog box, we can gauge if we are on track as the bite model turns green. Notice how when we move from the upper arch to the lower arch, across an open bite, and we maintain a green active box and green model formation, we can rest assured that our case is mounted correctly.
The new Medit i500 software will feature the ability to mark margins in the imaging step before you import the case into a CAD software or send it to the lab. In this article we showcase a case where a 12 year old implant crown needed replacement. The pre-op images were captured, along with the opposing and the bite.
After the area was anesthetized and the crown was removed, expasyl was used to achieve hemostasis and tissue retraction. The margins of the abutment were imaged. Note how we used a feature in the Medit scanner to change the scan light from blue to white, which allows you to pick up red (blood and tissue) that is normally difficult to capture.
Once the margins were captured, we activated the margination tool. You highlight the area you want to address and the meshwork is calculated and processed locally, where you can then designate your margins that are exported to CAD software along with the jaw model, the opposing, the pre-op and the bite.
Alternatively, the traditional way would be to not place the margins in the native Medit software and to place it in the CAD software itself. As you can see both options are very viable and you do not lose any resolution of the scanned data between the imaging program or the design software.
There are multiple ways one can capture the bite for a patient. In this clinical case, we focus on the easiest way to capture two bites (one in maximum intercuspation and the other in an opened vertical dimension and in protrusive for a sleep apnea oral appliance).
The Medit iScan software allows you to capture two bites. Most people treat them as “Left Bite” and “Right Bite”, but the software doesn’t care if you follow this guideline. You can capture full arch bites in maximum intercuspation in one catalog box and then capture a full arch bite in the open / protrusive position in the second bite.
The next step is to clone or duplicate the case, where you set the first desired bite and process the case manually in maximum intercuspation and then in the second cloned case, you manually set the bite to the different occlusal scheme. As our users advance in their experience and knowledge level, they clone the same case multiple times so that they don’t have to re-image the upper and lower jaws multiple times and just capture different bites in all the different case files.
Our super advanced users image multiple bites in any folder they want, process it, and use that digital model to related the jaws together to any position they want in a CAD software like exocad.
The Medit i500 intra-oral scanner has two different software programs to operate, one is of which is geared towards clinical dentistry and the other is geared towards laboratories. Our advanced users are encouraged to use the lab version as it has a lot more functionality. One of them is to directly link to exocad software.
In this particular preview we show you the interface where you can launch the iScan program and define the work order and set all the parameters for your restorations.
Once all the settings are chosen, you launch the Medit scanner and image the case. Here, we defined the custom abutment for the crown and the opposing, which activated the catalog box for the antagonist, the arch, the scanbody, and the buccal bite. All respective images were captured.
Once the implant type is identified then you can design the abutment and crown with great control, where you can contour the underbelly of the abutment to help provide tissue support.
The design and the construction file is taken to the milling machine. Here, we used the CORiTEC ONE to mill the titanium abutment and then the Lithium Disilicate crown. You can see the great internal adaptation when the crown and the abutment are flipped around completely and the abutment does not fall out.
The Medit i500 software can now identify a scanbody and digitally place a virtual one in its location. This has a lot of ramifications. For starters, this great opportunity affords a dentist the ability to image multiple implants in long span edentulous areas, where you would have a clear indication of distortion or artifact introduced during challenging scans.
In this single unit case in the video below, we preview this feature. Once the patient is anesthetized, the isolite was placed to protect the airway and the edentulous area was scanned.
After uncovery of the fixture, the type of scanbody was identified in the menu and the location of the scanbody was identified on the digital model.
Once scanning was resumed, the digital scanbody was placed on top of the intra-oral one. As more data was captured you can appreciate how steadily the software tries to adapt the physical fixture to the digital one.
This case shows the amount of control one can have over the fit of a restoration. The upper right first molar was imaged with the Medit i500 and then imported into exocad design software. Once the margins are marked, the user can then define parameters that affect the fit of the restoration.
The diameter of the drill can be taken into consideration; in the design, 1.0 mm was chosen, but ultimately, we used the 0.6 mm bur to mill the intaglio of the emax restoration. The cement gap can be controlled as can the distance from the margin where it takes effect. The minimum thickness parameter also reinforces the material at the margins which will reduce the chances of chipping and ditching at deep chamfer margins. All of this translates into well fitting restorations with little space needed for the resin. That ultimately translates to easier clean up.
The case was milled using a few different materials and at varying speeds to see how thin the margins could be handled and how much detail the 0.6 mm burr can carve into emax and the glass ceramic material
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.”
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
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
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
In this particular case, we demonstrate an emax restoration fabricated with the Z4 milling machine by VHF. In the first video, you can see how the case was set up initially within the software. You will notice how we image the preop, image the opposing and can even image the bite out of sequence, all while the patient is being anesthetized.
Once the preparation is captured, we place the margins and design a crown in exocad. The emax is milled, tried in, and them placed in the oven for crystallization. It is then delivered to the patient. Note how the decay at the contacts of the adjacent teeth was drilled out and restored, while the crown was milling / crystalizing. An immediate post op x-ray was taken to make sure there was no resin left behin
The Z4 Milling Machine can drill emax, zirconia and metal abutments. You can use a scanbody, identify the location of the fixture, design the abutment and mill our either ceramic or metal as the abutment.
Metal abutments in the posterior molar areas, tibases in canine and premolar regions, and angled abutments in incisor area is the general consensus for restoration of choice
One of the greatest advantages of the Z4 is that it can start milling while it is doing the calculation for milling. Furthermore, you can load multiple designs in preparation of continuous milling. In the picture attached, the CAM software is shown which operates in the background. Most users don’t usually see this interface.
Here you can see how there are 5 drills for the machine. The top tier, consisting of 3 drills, labeled G240, G100, and G060 are all labeled as R. The G120-T and G060-T are used only for a screw access holes
There is a concept in digital dentistry that is called “mixing good and bad data”. What you have to appreciate is that two different objects can’t occupy the same space...
In this presentation we detail the implant suprastructure identification system where an existing abutment is removed and scanned extra-orally to capture the margins readily after the abutment is anodized...
In this video we demonstrate for new and potential users of digital dentistry a implant restoration where the dynamic bite is captured. We initially imaged the upper and lower jaws...
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