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
High quality scanner. Super fast. Have been happy with the support that Cad-Ray has offered. I really like the innovative technology that medit allows users to implement into their practice. - 10/13/2021
Can not find a single negative thing to say about my transactions with CAD-Ray. Great people, absolutely unbelievable customer service, and the best products.They stand behind the products they sell as strongly as the manufacturers do. - 4/27/2022
P. Andrew Benson
For me, getting this scanner was not a choice between Medit vs Itero or Medit vs Trios. Those companies have already eliminated themselves from consideration based on ridiculous cost, ridiculous ongoing fees, and greater concern for petty proprieta...read moreFor me, getting this scanner was not a choice between Medit vs Itero or Medit vs Trios. Those companies have already eliminated themselves from consideration based on ridiculous cost, ridiculous ongoing fees, and greater concern for petty proprietary posturing than for ensuring full functionality of their products to their usership. Typical dental tech company stuff.
The real decision was between Medit vs continuing life in analog dentistry. Medit through Cad-ray was really the only choice. Awesome packages , awesome access to free training videos, awesome software updates, awesome access to live support, awesome support staff.
There's just nothing better in dentistry than to get a great product AND a chance to stick it to the man.read less - 6/16/2020
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
One of the best investments I’ve made for my office. A fraction of the cost compared to cerec. No monthly club fee. Easy maintenance. Saving a ton on lab costs. Milling and designing crowns is honestly my favorite things to do now. - 6/29/2020
only dental company that I have no complaints about - 11/03/2022
Hieu Pham
Been super happy with service from this company. Very responsive, really passionate about their work. - 7/16/2020
Mehryar Ebrahimi
Great costumer service. I needed a part for my i700 and they were able to ship overnight. No down time. - 5/06/2022
Kallen Wheeler
I always have enjoyed working with Cad-ray. Customer service is always on-point! - 5/25/2022
Mark Sperling
Got a great deal in the medit i700 and the training was top notch. I had about 3 one hour sessions with Ryan at cadray and he was clear, concise and knowledgeable in both the software and hardware components of the computer/scanner and the detailed a...read moreGot a great deal in the medit i700 and the training was top notch. I had about 3 one hour sessions with Ryan at cadray and he was clear, concise and knowledgeable in both the software and hardware components of the computer/scanner and the detailed aspects of the dentistry itself. Got a direct line going forward and would recommend cad ray to anyoneread less - 8/17/2022
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
Scot White
It's rare to find a company that actually has its customer's best interests in mind. They took all the intimidation out of the equation for me as I took the leap into the "digital dentistry." Frank Weinstein is the right person to know if you are try...read moreIt's rare to find a company that actually has its customer's best interests in mind. They took all the intimidation out of the equation for me as I took the leap into the "digital dentistry." Frank Weinstein is the right person to know if you are trying to learn about and buy and use digital tools in your office. It's so mush easier when you have knowledgeable people who are really on your side.read less - 7/07/2021
Carter Mitchell
Pretty much echoing what everyone else has said. Frank DeLuca and the whole team at CAD-RAY are fantastic. The best customer service and support in dentistry, hands down, not even a close second. We are thrilled with our Medit scanner and will certai...read morePretty much echoing what everyone else has said. Frank DeLuca and the whole team at CAD-RAY are fantastic. The best customer service and support in dentistry, hands down, not even a close second. We are thrilled with our Medit scanner and will certainly be choosing CAD-RAY for any future purchases.read less - 12/30/2021
Rodney Baier
Cad ray has been very nice to work with. Excellence service and support since I bought my Medit scanner - 6/16/2020
Evan Sachs
Great staff and support when needed! There is a bit of a learning curve like with any new tech, but I highly recommend the Medit i500 and the Cad-Ray staff is great. Special thanks to Laura and Jeff for helping out! You guys rock. Great company and ...read moreGreat staff and support when needed! There is a bit of a learning curve like with any new tech, but I highly recommend the Medit i500 and the Cad-Ray staff is great. Special thanks to Laura and Jeff for helping out! You guys rock. Great company and product!read less - 11/11/2020
Andrew Cole
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 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
Tiffany Lee
This is a unique place because it serves both dentists and patients. For patients, this is an imaging center only. There are no diagnostics done here. There is a dentist on staff, but he is only there for imaging purposes, no diagnosis. As a dentist,...read moreThis is a unique place because it serves both dentists and patients. For patients, this is an imaging center only. There are no diagnostics done here. There is a dentist on staff, but he is only there for imaging purposes, no diagnosis. As a dentist, I would say that to be fair a niche place like this couldn't be expected to bill insurances. They would have to hire an entire separate staff to deal with all the thousands of types of insurances you have. For dentists: This is a great service to your patients because if you do not own a 3d x ray machine, you don't have to invest the $200,000.00, you can refer your patients here and cad ray will send you the digital files. You can also send them files to have custom surgical guides made. The folks who work here go out of their way to explain how things work. If you don't have a doctor, they can refer you to a dentist who can diagnose your problems. I always call ahead to make an appointment.read less - 6/02/2018
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
We have been using the Medit i700 for about a year now. Frank and his customer service team has made it a smooth transition. He is always quick to reply and is friendly and professional! - 1/26/2023
Ashley Guarisco
Cad-Ray's customer service has been amazing since day one! From getting a quote to setting everything up and doing my first scan. Everyone has been super helpful! Heather Gramley has been awesome, it's like having a tech in my back pocket! They offer...read moreCad-Ray's customer service has been amazing since day one! From getting a quote to setting everything up and doing my first scan. Everyone has been super helpful! Heather Gramley has been awesome, it's like having a tech in my back pocket! They offer tons of training videos and offer one on one training. I would 10/10 recommend them for all of your scanning needs!read less - 11/21/2022
Diana Teverbaugh
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
Brenden Rogers
This company is excellent. Their knowledge, support, and sincerity is unmatched.Thank you, Frank, Damien, and Jonathan. You guys rock! - 5/08/2025
David Wheeler
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
Matt v
Matt Newman was excellent solving a cable problem.! Quick response and good follow up! - 9/11/2024
Nick Boyd
Great people. Very helpful with anything you need. - 6/16/2020
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
Mike Holt
We purchased the Medit i700. With the help of CAD-Ray and their amazing support team the transition to digital scanning was simple. Laura Geney walked us through the purchase and guided us during our training with the help of Andy Nova. Laura has bee...read moreWe purchased the Medit i700. With the help of CAD-Ray and their amazing support team the transition to digital scanning was simple. Laura Geney walked us through the purchase and guided us during our training with the help of Andy Nova. Laura has been there every step of the way checking in weekly answering all of our questions. We highly recommend CAD-Ray and look forward to doing business with them in the future.read less - 7/24/2022
Northwest Orthodontics
Every staff member has been very helpful and kind every time we call. Thank you! - 7/24/2024
Suresh Goel
CAD-Ray is a great resource for all things digital. Knowledgeable team but also able to anticipate your needs and because they’ve done it so many times they seem to know what you need before you do! Definitely the first place to look for digital ha...read moreCAD-Ray is a great resource for all things digital. Knowledgeable team but also able to anticipate your needs and because they’ve done it so many times they seem to know what you need before you do! Definitely the first place to look for digital hardware and integration!read less - 6/16/2020
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
Milton Ruiz
Best customer service I have ever experienced from any company I have worked with! They alway answer the phone and are ready to help with whatever question you may have. Love that I do not have to press 500 buttons to get to a live person. Bought my...read moreBest customer service I have ever experienced from any company I have worked with! They alway answer the phone and are ready to help with whatever question you may have. Love that I do not have to press 500 buttons to get to a live person. Bought my Medit from them and could not be happier with decision!read less - 12/20/2022
Mike Capio
Nothing but good things to say about CAD-Ray. All of the education, recommendations, and products they provide are truly the best in digital dentistry at the time. - 6/20/2020
Artin Sakhaee
The support is even better then the camera itself. I used many other scanners and this is by far the best one. Recommended to many people. Looking to purchase a second one for my practice. The use and results are amazing. No adjustments to the p...read moreThe support is even better then the camera itself. I used many other scanners and this is by far the best one. Recommended to many people. Looking to purchase a second one for my practice. The use and results are amazing. No adjustments to the prosthetics at all.read less - 7/15/2020
jeff-J65
You guys are great! I have been a Cerec user for about a decade and wanted to expand my horizons. I bought the I700 and have just loved it. We don't do impressions any more, only scanning, even for the full arch. The customer service has been excelle...read moreYou guys are great! I have been a Cerec user for about a decade and wanted to expand my horizons. I bought the I700 and have just loved it. We don't do impressions any more, only scanning, even for the full arch. The customer service has been excellent, even though I haven't had any problems with the scanner. I really like the online learning modules, they have been awesome getting me up to speed with the scanner quickly. I am looking forward to some of the in person courses to maximize the usefulness of this scanner. -- Jeff Allred, DDS FAGD DABOI FAAIDread less - 9/28/2021
Thanks for delivering amazing courses. Always thinking beyond dentistry. Thanks for sharing all so selflessly. - 11/13/2022
Abhinav Bhatnagar
We have been using the scanner for a few weeks now. It’s been a blast to use and they have made it easy to learn with video tutorials. We have yet to go to the training, but we are excited to continue learning and expanding our digital dentistry. - 6/19/2020
Office NHFD
Frank DeLuca was very helpful even though i didn't buy Medit from Cad ray ! Had an issue and my original dealer was not helpful and i contacted Cad ray thinking it was direct Medit. Frank was extremely nice to log in and do what ever he could until ...read moreFrank DeLuca was very helpful even though i didn't buy Medit from Cad ray ! Had an issue and my original dealer was not helpful and i contacted Cad ray thinking it was direct Medit. Frank was extremely nice to log in and do what ever he could until Medit could take over. would give 7 stars if available.read less - 8/10/2022
Paul Crespo
Cad-Ray has been instrumental in implementing and supporting our experience with scanning. Having scanned previously with other services I can truly say that Cad-Ray takes their clients very seriously and will not leave you hanging. They set the ba...read moreCad-Ray has been instrumental in implementing and supporting our experience with scanning. Having scanned previously with other services I can truly say that Cad-Ray takes their clients very seriously and will not leave you hanging. They set the bar very high. Cad-Ray all the way!read less - 12/09/2021
David Chong
Digital dentistry has changed my work flow for the better and could not imagine going back. So important that I have the support when things don't work as expected. CAD-Ray has been there every step and trust their expertise and knowledge! - 4/20/2022
Matt McReynolds
These guys are ALWAYS there to help if you get stuck. I’ve been happy with the mill (coritec one) and scanner (i500) I bought from them 2 years ago. I’d do business with them again. - 7/01/2021
Mital Patel
Cad-ray has been awesome with support and training! I got the medit in 2018 and couldn’t imagine practicing without it! Armen and frank somehow seem to be available at all hours of the day, and I can typically have them remote in same day if I need a...read moreCad-ray has been awesome with support and training! I got the medit in 2018 and couldn’t imagine practicing without it! Armen and frank somehow seem to be available at all hours of the day, and I can typically have them remote in same day if I need any help.read less - 6/16/2020
Minh Van
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
William Daily
Excellent support and price on our medit IOS! Bought a second one a year later. Can always count on Armen and Frank for help when we need it. - 6/16/2020
Micah Bickel
Great products, training and support - 11/01/2021
Page Barden
I have just recently purchased the Medit i700, and although it is "on its way" I have to comment on the support that I have already received, especially from Nick. He walked me through the benefits and features of the scanner and the transaction was...read moreI have just recently purchased the Medit i700, and although it is "on its way" I have to comment on the support that I have already received, especially from Nick. He walked me through the benefits and features of the scanner and the transaction was extremely easy. I can only think that the rest of the onboarding will be the same and in six months I will revisit this site and be extremely grateful I made the purchase.read less - 12/09/2021
A good maintenances practice for any milling machine is to check that the tip of the drill is getting adequate water, otherwise you may see sparks flying as you are essentially dry milling material that is not supposed to be dry milled leading to drill and block breakage. We recommend that you run the water for a minute or two at the start of the day and check and make sure the spray is right on the tip of the drill. A simple ortho wire can help unclog the ports and redirect the water spray to where it belongs.
This article features the new Meditlink 2.3 software which has some advanced functionality. One of the greatest achievements is he ability to tell the scanner to avoid imaging certain colors like green and blue. This greatly facilitates the imaging of full arches as you can let your gloves / fingers guide the camera and displace all the soft tissue that impedes image capturing. We also feature how easy it is to launch CAD software to design the restoration and mill it out of lithium disilicate material
Case set up: here we enter the patients name and a simple tab appears where we chose the material and restoration tab. Once you image, you can place an order to the lab or you can advance to the CAD tab:
After the Rx has been filled out, you can launch the Medit Scan and image the upper and lower arches. Please note how we tell the camera to avoid the color blue and it ignores the clinicians fingers during imaging. The upper jaw and lower jaw were captured, then the bite registration even before the preparation was finished. This allows the verification of proper reduction and space for the ceramic material
Lower Arch Scan
The lower arch is the most difficult area to scan as you frequently have to battle the tongue, saliva, and the lips. The optragate can be of great help but notice how we use the color filter to hide the blue gloves while we advance the camera. It is a great aid in facilitating the capture of the lower arch
The same principle is applied to the upper arch. Notice that the software does not care if you start with the upper or lower arch. Here, you can visualize how the blue glove was used to displace the cheek and capture the pre-op condition of the upper second molar. The rest of the arch was easily imaged. It is not necessary to capture full arch impressions and this was done just for demonstration purposes. For a single unit case, generally imaging distal from the canine is adequate.
Checkingthe reduction and aquiiring the bite registration
We recommend that you capture the bite before you finish imaging the preparation. This gives you one last chance to verify that you have reduced enough to accommodate material thickness. You can see how we just take regular photos to document the lack of clearance and we continue to adjust the height of the preparation until we achieve the required space. We then activate the imaging process and capture the occlusal relationship between the upper jaw and the lower jaw
Image the preparation and place margin in native MeditScan Software that transfers to CAD Software
The preop condition is then transferred to the arch model and the tooth in question is cropped out. The rest of the arch is protected so no extra data is added unnecessarily to the equation. This protect feature is used for demonstration purposes and is subsequently removed. The prep in question is then highlighted and the local area is processed and the margins are placed. This margin line can be sent to the lab or it can be automatically carried to the design software
The Meditlink software allow you to launch a variety of CAD programs that include 3shape, exocad, cerec, etc… Here we launch exocad which automatically imports and aligns the models and marks the margins. The restoration is then designed to completion.
The CAD software allows you or the lab to alter the marked margins if necessary. The restoration is aligned in the arch for and the contacts are adapted to the adjacents and the oppising
Milling of Lithium Disilicate with Imes Icore Coritec One
The final restoration design can be exported as an stl and taken to a variety of mills or printers. Here we designed it millbox and milled with the coritec One. The material used was Amber Mill and it was crystalized and seated
The following pictures depict the sequence of burs we recommend that you use to finish a preparation quickly. While patient is getting numb, take a quick look at the clearance you will need to reach proper material thickness. Once the quadrant is isolated with isolite and optragate, take an occlusal router bur and create a trough to gain the proper depth. Follow that with a flat disk, and you can quickly reduce the occlusal height.
A shoulder bur of .8 mm thickness can help you reduce the interproximal areas as well as the buccal and lingual margin lines. Before finishing the prep, place hemostatic agent like expasyl in the sulcus and place retraction cord. while it is setting, check your reduction. If you need more space, now is the time to reduce some more.
Once you have adequate clearance, retraction, and hemostatis, you can readily image and find your margins in the CAD software
Shining3d has a projector and a single camera that takes photos of the surfaces it is scanning. at first, you may think this is a shortcoming, but in many ways, it dramatically reduces errors a new user can introduce.
in the early days of cerec, all you needed to do was capture the margins and the area above the height of contours of the adjacent teeth. This made the try-in and the contacts really easy as the design software just dropped straight a straight wall down to make contacts to. same concept here!
also, after you image and place margins, A SINGLE CLICK takes you to design software where you can finish the case and mill it right away.
This molar’s suggested mill times with the MCXL are for either Size 12 or 14 blocks:
Sprue on distal in normal speed mode is 14:05 minutes, fast speed at 7:54
Sprue on buccal in normal speed is 13:48 minutes, fast speed at 7:46
This molar would only fit in a size 14 block of Amber Mill in Imes Icore Coritec
Sprue on distal in normal speed mode is 14:15 minutes, sprue on buccal in normal speed is 14:42 and speed crown is proosed at 13:23
For our advanced users who mill in house or what to speed up their digital impressions we advocate taking advantage of digital dentistry’s unique features that allow you to take impressions over a period of time and segments, building larger models over different sequences and time. In this particular case we have two molars in the lower left quadrant that warranted replacement. The traditional method would be to prep both, isolate both, retract both, and take your final impression, but we will approach this as if there are two separate patients involved
Case Presentation on how to manage two crowns with a single milling machine
For the second molar, we will take advantage of the anesthesia time and capture the first bite, the opposing, the pre-existing situation and then crop out the preparation area digitally. Once the tooth is prepared, we will check for proper reduction. We will then take the second bite to verify the vertical dimension has not changed.
While the second molar is being designed and milled in the first case, we will launch a second window by cloning the first case. All the data remains the same and this time we crop out the first molar digitally and protect the rest of the arch. Once the first molar is isolated, it is digitally captured and then designed and milled.
image first molar while second molar is being milled
To manage the contact between the two crowns, there are many advanced applications. Here is a simple explanation of how we use the prep model from case 1 as the pre-op model for case two. Since the second molar in case 1 made contact with the distal wall of the first molar, when we design the crown for the first molar in case 2, all we have to do is make sure the distal wall is flush to the pre-op. This guarantees us a contact between the two. There are lots of shortcuts to this puzzle once you get the basics of digital impressions under your belt.
One of the big limitations of CEREC (a registered trademark of denstply sirona) with tibases and implant crowns is that it is limited to very few implant lines and the antirotational notch can just ruin your day as it needs to go into a specific location. You also have to deal with making sure the tibase is seated all the way and the scanbody is properly indexed. The one benefit is that you are dealing with just crown and bridge and you do not need to know implant position or timing at all when doing the design.
In this case, we demonstrate how we utilize the Medit i500 to capture a Tibase from Blueskybio, Biomax NP Conical Connection. Once the tibase is seated, we simply start scanning and then use the artificial intelligent implant suprastructure identification system to identify the location of the tibase. This in essence allows you to capture your margins OUTSIDE the mouth and you don’t have to bother with imaging the tibase, which is highly reflective in the patient’s mouth.
Once processed, you can then modify the tissue digitally and gain access to the tibase margins. You can print the model if you want and manufacture the restoration. In this particular case, we took the design to the CEREC mcxl inlab cam, nested it, and milled it out to demonstrate how we can image with one device from one manufacturer and fabricate a restoration by another company’s manufacturing machine. But the single greatest benefit is that you can place the sprue wherever you want.
IMPORTANT NOTE: The Tibase that you use MUST be wider than the drill milling the intaglio and the sprue must be thick enough to handle the milling process.
Once you understand how the digital workflow goes, you can image with one device, design in another, and then either print or manufacture with yet another device. Here we mill a sectional stent with the cerec that was designed in Blueskybio plan, although printing makes more sense because it is less wear and tear on your drills
For our coritec users: new users often mislabel restorations in the Rx form that leads to a lot of trouble. like calling a crown and onlay or vice versa. this can lead to all kinds of trouble
first sign of trouble is if the two purple lines don’t define the borders of the the restoration. sometimes it is missing, other times it is off the restoration. so always double check this step and usually the missed nomenclature is what causes the trouble.
the next problem people have is that the default setting for the sprue design is poor. it makes the sprue thicker at the mandrel than the restoration. this creates a crevice that the drill can’t get to. this leads to quick drill breakage as it tries to drill into that space (red circle). it is easy to set change these settings so the drill “flows” with the design of the sprue and you get a lot of use out of it. it’s annoying to do this manually so a subsequent video shows you how to change this by default.
another problem is the offset. the last video shows the distance from the restoration to the mandrel as 2mm. the drill is 2.5 in diameter. if you set it at 2, the calculation doesn’t allow enough space for the drill that also breaks it off. set it at 2.7 or 3 and it will last you a long time.
two subsequent videos will show you how to create your own blocks and change their orientation, so you can fit a taller design into a smaller size block
In this clinical case a patient lost a pre-existing crown. The remaining tooth structure had recurrent decay and a new crown was warranted.
After anesthesia was administered, the clearance from opposing dentition was assessed. The preparation was reduced to accommodate the necessary thickness of the material.
Once adequate clearance was achieved an Optragate was placed and an isolite was used to isolate the area. The preparation was scanned and then the lower arch was captured. The buccal bite was then taken to along the arches together
With Meditlink software, you have the option of designing the case yourself or sending it off to your partnered lab. The following video shows what happens to your case once the lab downloads the case
In this particular case, we designed our own crown and milled it with the coritec one milling machine
Once the amber lithium disilicate material was milled, its for was verified clinically. The crown was then crystallized and seated with NX3 resin cement
In this clinical presentation, we demonstrate the removal of a crown that has recurrent decay. The bleeding tissue was managed with a double cord technique and expasyl and the margin was captured with the medit i500. The margin was also defined in the native imaging software which allows the user to visualize the detail before designing it or send it off to the lab. Once the case is transferred to cad software, the designed margins carry through and there is an opportunity to modify it
Have you ever compared the milled product with the designed restoration?
We scanned with the medit i500, designed with exocad and milled with coritec. after try-in, we scanned the restoration in the bluephase and then merged it with the design in exocad to see how well our material, or design, and our margins measured up against the proposal. we also documented the fit clinically and with radiographs. you can download the 3d models of the case and compared them yourself
In this video we demonstrate a simple premolar case that is prepared and imaged with the Medit i500, designed in the cad software named exocad and then milled with the imes icor coritec one machine. Pay attention to the order and sequence of events and how we leverage anesthesia time with scanning time.
We have a large library of instructional videos on our site that can be found on our support page that can help you learn everything there is to know about the Medit i500
Every distal extension case I have to accomplish the following:
take two bites to make sure my vertical dimension does not change with pre-op and prep images
make sure I have proper clearance
We usually take the bites and all other images BEFORE I have even imaged the prep- I usually grab the prep images last
most of this you can delegate to your team and just take the prep images and make it simple for yourself
this video shows the clinical steps. to see what the lab does with your case, click in the link to see the subsequent steps. you can also choose to design and mill it, which is what I did
We are very pleased with millbox and the imes icore coritec one for a chairside milling solution. We’ve been testing it for a long time and its CAM (millbox) is very intuitive and the results are always predictable. It can mill titanium abutments, emax, and zirconia blocks.
The following videos illustrate how you can image a scanbody intra-orally and then design it in cad software. Here we used exocad to identify the biomax RP implant and designed both the custom titanium abutment and the suprastructure, both of which were milled with the CORiTEC ONE
There are so many implant and component libraries in cad/cam dentistry which can lead to a lot of confusion. What we highly recommend is that you visually compare the part numbers that you will be using with the part numbers displayed on the millbox software. One letter or number difference and the mistakes will have a profound impact on the bottom line of a dental practice
In this case presentation, we utilize the medit i500 to image the pre-existing crown and to fabricate a restoration that is a replica of the pre-existing condition. The patient was advised that the recurrent decay was in close proximity to the canal space and that endodontic treatment may be a possibility. The CBCT showed no evidence of any peri-apical radiolucency and the premolar tested vital prior to treatment
CT used to evaluate apex of premolar for crown replacement
Case set up involved imaging the pre-existing condition in the pre-op catalog box. Excess information was cropped to reduce file size. The data was then copied to the maxillary arch catalog box and the area to prepared was edited out in preparation for final optical impressions.
Immediate Post Op
The remaining decay and previous build up material was removed just prior to bonding the restoration with NX3 dual cure resin cement so the dentin was exposed for the least amount of time possible.
In this case presentation, we feature a crown that needs to be replaced due to open margins and recurrent decay.
With the Medit i500, after the patient is anesthetized and the area is isolated, the pre-existing crown is imaged in the pre-op catalog box. The area to be prepared is cropped out in anticipation of the imaging the modified preparation.
Once the crown is removed, expasyl is packed into the sulcus with a Number 2 cord. With the pre-op bitewings X-ray it was readily apparent that the tissue should be positively displaced in order to capture the margins. It took two layers of cord to achieve hemostasis for imaging with the Medit i500.
While placing the margin in the native imaging software, it was noted that some tissue was obscuring the margin on the lingual side. The area was isolated both clinically and in the software. It was cropped out and filled in with ‘good data’ after proper protection of the adjacent teeth and margins so that we did not obscure their geometry.
Once the margins are identified and the case is processed it is automatically imported into exocad for design and then sent to the Imes Icore CORiTEC Once for manufacturing. The emax restoration was tried in and then delivered after crystalization.
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