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
STAR DENTAL CLINIC
This has changed my way of doing things forever. I can’t live without my Medit scanner. I promote it to all my friends like crazy. Support with Cad ray is awesome. They return calls within seconds. The price for scanner is ridiculously good and the ...read moreThis has changed my way of doing things forever. I can’t live without my Medit scanner. I promote it to all my friends like crazy. Support with Cad ray is awesome. They return calls within seconds. The price for scanner is ridiculously good and the quality of images is amazing. Their website has soo many educational videos. It doesn’t end. I love the ability to mobilize it from one off to another until I buy a second one. I’m can’t wait u til I have the time to learn all the other cool technology cad ray has. It’s amazing.read less - 7/24/2020
Jennifer Ebner
After using the medit i500 scanner at an office as an employee, I purchased it from Cad-ray,com specifically because of their good reviews and their large, concise training library of videos. I've used CEREC as an instructor at a dental school and bo...read moreAfter using the medit i500 scanner at an office as an employee, I purchased it from Cad-ray,com specifically because of their good reviews and their large, concise training library of videos. I've used CEREC as an instructor at a dental school and bought a used Planscan, Planmill for my private office. Both were hard to learn and the fees and cost associated with training were a bitter pill to swallow after the costs to purchase. The ease of seating restoration was instant. The scanning learning curve is quick. I have easily added occlusal guard scanning, and implant scanning and will be trying a digital denture soon.
The purchase was easy, the product came quickly and the set-up videos guided me through very necessary adjustments to my Laptop I never knew I needed. Learning the new features with each FREE update is a treat. The DIY option was an extra bonus as the $2000 rebate came without having to ask for it. Cad-ray has delivered more than I expected with the purchase of the fantastic Mediti500 scanner.
I've included my cart set up. purchased from Amazon for $68. Its stable, has room for the necessities. I've taken it home and back to the office half a dozen times and it transports the scanner safely. It also keeps the cords from being run over. I haven't taken the included 2 day course but look forward too it after Social Distancing mandates are lifted.read less - 4/25/2020
I recently purchased the Medit i500 and am in love. I've used all the other scanners in my career, but this is my favorite hands down. I had a very easy, great purchasing experience and would happily refer anyone to this company and this particular s...read moreI recently purchased the Medit i500 and am in love. I've used all the other scanners in my career, but this is my favorite hands down. I had a very easy, great purchasing experience and would happily refer anyone to this company and this particular scanner.read less - 6/19/2020
William Huszti
Nicely done Cad-Ray- Thanks for helping me get back to work! The new i700 is our tech fav! - 3/03/2022
Krupal Chhotu
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
Dentist here. Bought a scanner, mill and 3d printer with Cad-Ray. I don't know what I'd do if I bought these items without their support. They've helped me so much and are awesome. I felt I had to repay by writing them this nice review. You won't reg...read moreDentist here. Bought a scanner, mill and 3d printer with Cad-Ray. I don't know what I'd do if I bought these items without their support. They've helped me so much and are awesome. I felt I had to repay by writing them this nice review. You won't regret getting whatever you need through Cad Ray.read less - 4/01/2024
Mark Gaches
Excellent company to work with. Best customer service and technology available. Can't recommend enough! - 5/05/2021
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
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
Frank and the Cad Ray team have been nothing short of amazing. I continue to purchase digital equipment from Cad Ray because their support is unlike any in the dental industry. Frank has been instrumental in helping my team get the most out of our pr...read moreFrank and the Cad Ray team have been nothing short of amazing. I continue to purchase digital equipment from Cad Ray because their support is unlike any in the dental industry. Frank has been instrumental in helping my team get the most out of our products.read less - 1/25/2023
Dr. Steven E. Hollister
Had a training session for use of my Medit scanner this afternoon, and Heather G. was simply the best.....knowledgeable, patient and a great trainer. She had a wealth of knowledge regarding my scanner and she was so very patient with my computer glit...read moreHad a training session for use of my Medit scanner this afternoon, and Heather G. was simply the best.....knowledgeable, patient and a great trainer. She had a wealth of knowledge regarding my scanner and she was so very patient with my computer glitches! CAD-Ray is number one in my book! Thanks Heather, your time was much appreciated! Dr. Steve Hollisterread less - 5/14/2025
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
Dong Lim
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
Very pleased with the EXCELLENT support we have received from Frank DeLuca! Loving our new Medit so far, definitely more user friendly than our previous one. - 6/02/2022
George W
Frank DeLuca has been my rep for almost a year and has provided excellent, caring, professional service and with a great attitude. - 1/25/2023
Anu Isaac
I am a new user of Medit i500. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. I ordered it from CADRay. The purchasing process was quick & easy. Install...read moreI am a new user of Medit i500. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. I ordered it from CADRay. The purchasing process was quick & easy. Installation was also fairly straightforward. The staff is excited about the purchase. Can't wait to use it. Highly recommend purchasing it. Good practice booster.read less - 12/25/2021
Absolutely love Laura. She was my initial contact and is an amazing resource for any questions even months later. Would highly recommend buying from Cad Ray especially Laura! - 6/28/2022
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
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
Daniel Hwang
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
Customer service has always been top-notch! I personally worked with Wayne Glassoff and he has been super helpful getting our office up and running with 3D printing and has always been a great resource and highly responsive whenever I need anything o...read moreCustomer service has always been top-notch! I personally worked with Wayne Glassoff and he has been super helpful getting our office up and running with 3D printing and has always been a great resource and highly responsive whenever I need anything or have any questions.read less - 9/24/2022
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
David Forrest
I have used a medit scanner i purchased from CAD-Ray for a few years now. I've had nothing but great customer service with them, and their facebook group is great for nearly instant feed back before the days end. I actually just bought another scanne...read moreI have used a medit scanner i purchased from CAD-Ray for a few years now. I've had nothing but great customer service with them, and their facebook group is great for nearly instant feed back before the days end. I actually just bought another scanner from them because they've been awesome to work with and have enjoyed the first one so much. I'm def a long term fan of theirs now.read less - 2/20/2024
Preston Poole
Great company with even better customer service. Premier dental business with digital dentistry and scanners! - 11/03/2022
Richard Salvatore
I purchased a Medit Scanner from Cad Ray and the entire experience has been phenomenal. Their customer service is top notch and always accessible by text! I have FaceTimed Frank more than once during a hectic day to help me with my scanner. Thanks te...read moreI purchased a Medit Scanner from Cad Ray and the entire experience has been phenomenal. Their customer service is top notch and always accessible by text! I have FaceTimed Frank more than once during a hectic day to help me with my scanner. Thanks team!read less - 6/19/2020
Robert Loughlin
I Love it !!! I needed to replace my Omnicam because the computer hardware was old and not able to keep up with the software upgrades. The computer upgrade costs from Sirona were cost-prohibitive (another reason why the Medit is so good) and I wasn...read moreI Love it !!! I needed to replace my Omnicam because the computer hardware was old and not able to keep up with the software upgrades. The computer upgrade costs from Sirona were cost-prohibitive (another reason why the Medit is so good) and I wasn't about to make the same mistake twice and replace it with another system from Sirona. I was a bit unsure about making a big switch but after speaking with Nick Statly at Cad-Ray, he eliminated all of my reservations and I ordered it. I've used it for the past week and love it. Setting it up and getting it running was simple. I would not describe this as a do it yourself process, it's much easier. If you can make a cup of coffee you can set the scanner up and start making excellent scans. All one needs to do is watch the very well laid out and easy to follow videos and save a lot of money. The image quality and ease of use hands down beats the Omnicam. Also during the current pandemic, I really feel better about being able to cold sterlize the tips vs the omnicam's just "wiping down." I almost hope my desktop scanner craps out so I can get the Medit desktop. I'm glad I listened to you Nick!!!read less - 6/04/2020
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
Aaron - Cooleysmiles
fantastic experience with this company for over 7 years! Top customer service and support! Its great having them as part of our team! Highly recommend! - 3/22/2022
Robin Thoman
Instant support, nice people at Cad-Ray but LOTS of trouble getting CIT 12m same-as-cash approval as offered. CIT fumbled around for 7d in finding credit report. Eventually fed up with inactivity or support after lifting Equifax credit freeze and d...read moreInstant support, nice people at Cad-Ray but LOTS of trouble getting CIT 12m same-as-cash approval as offered. CIT fumbled around for 7d in finding credit report. Eventually fed up with inactivity or support after lifting Equifax credit freeze and directed to Experian quagmire of automated phone calling tree.read less - 1/09/2021
Michael Dickerson
Great experience purchasing my Medit through them. Always there if I have questions too. Thanks again! - 6/16/2020
Nate Cherof
Excellent customer service and communication. Could not recommend them more - 2/14/2023
Matt v
Matt Newman was excellent solving a cable problem.! Quick response and good follow up! - 9/11/2024
Jonathan Van Dyke
Cadray is excellent and their medit scanner is amazing! - 6/16/2020
Shefali Pilar
Our office has been using the Medit scanner for a few months now and are loving it! CAD-Ray was super easy to work with in purchasing the scanner and providing support as needed. Their Facebook forum with the updates and video tutorials are incredibl...read moreOur office has been using the Medit scanner for a few months now and are loving it! CAD-Ray was super easy to work with in purchasing the scanner and providing support as needed. Their Facebook forum with the updates and video tutorials are incredibly helpful.read less - 6/16/2020
Keon Ahghar
Fantastic support and customer service! This is an awesome company. They aren't big box and actually know how to use, trouble shoot and ball out with the products they sell. They only will sell and endorse a good product. They are selective. Whatever...read moreFantastic support and customer service! This is an awesome company. They aren't big box and actually know how to use, trouble shoot and ball out with the products they sell. They only will sell and endorse a good product. They are selective. Whatever they sell they back. And they have your back too. Their support, service and training is industry leading. Also Laura from CadRay is a beast. She's wizardread less - 4/23/2022
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
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
Norman Knowles
I have had the original iTero, a Trios 3, and a Carestream CS3600. A staff member broke the lens on the Trios and while waiting 3 weeks for an RMA to send it to Poland for six weeks to get it repaired, Carestream was sniffing around and suggested tha...read moreI have had the original iTero, a Trios 3, and a Carestream CS3600. A staff member broke the lens on the Trios and while waiting 3 weeks for an RMA to send it to Poland for six weeks to get it repaired, Carestream was sniffing around and suggested that I trade in my Trios so I did which began a 4 month nightmare with their piece of junk scanner. Absolutely awful customer service from both 3Shape and Carestream. I needed a scanner and had heard great things about it the Medit i500 at the Florida Academy of Coesmetic Dentistry so I got one. It works really well and Medit keeps adding new and useful features and their architecture is completely open. Two weeks ago, my i500 died so I contacted Cad-Ray surrport and I had a new unit in my office 24 hours later! That's absolutely unheard of in the industry!!! Both Cad-Ray and Medit have positioned themselves to be industry giant killers and they're doing it. The i500 is a phenomenal scanner at a phenomenal price point and service and guidance at Cad-Ray is just plain excellent.If you are thinking about getting a scanner, do it! Just contact Cad-Ray and go for it. You will only be happy about your purchase! Highly recommended!read less - 3/09/2021
Yen Tran
Jonathan and Nick have been a great tremendous help. They went out of their ways to help me upgrade my Medit i500 even though I didn’t purchase my Medit i500 scanner from them. They are the largest Medit scanner distributor and they have the custome...read moreJonathan and Nick have been a great tremendous help. They went out of their ways to help me upgrade my Medit i500 even though I didn’t purchase my Medit i500 scanner from them. They are the largest Medit scanner distributor and they have the customers’ interest at heart. They are super responsive to phone calls, emails, and Facebook messages. I highly recommend their servicesread less - 9/01/2021
Brandon Erickson
I have strong feelings about how great CAD-Ray has been. I purchased a medit i500 scanner from my lap, they wanted to use it for courses which aren't happening now so he didn't want to be sitting with this expensive piece of technology sitting aroun...read moreI have strong feelings about how great CAD-Ray has been. I purchased a medit i500 scanner from my lap, they wanted to use it for courses which aren't happening now so he didn't want to be sitting with this expensive piece of technology sitting around. Before purchasing he and I both talked to the Nobel sales rep who assured me that everything would transfer over just fine. I was concerned about the learning curve and wanted to be sure that I would have tech support. I asked the rep directly and he assured me again that everything would be great and he would come do an in-depth training with me. Long story short, the sales rep had no clue what he was doing and put very little effort in to helping me once the purchase was complete. I asked him over the phone how to do a few things and his response was to call CAD-Ray. They explained that this happens, they would love to help me but asked that I purchase the service package. That was a game changer. Now all of my questions getting answered, their response time is amazing and their understanding of the machine is by far better then the Nobel reps. The scanner is great but combine that with their tech support and I feel like I'm set up for success. If I were to do this again, I would skip the headache of trying to save a little bit of money and purchase it through CAD-Ray. But even with making the mistake, I feel like they have programs and support set up to point me in the right direction.read less - 10/15/2020
Christopher Godla
I have had my Medit i700 scanner for about 2 months now and have completed 67 restorative cases with it. Scans have generally been pretty quick, and the accuracy seems to be superior to the iTero I used. My first scanner ended up dying after a few ...read moreI have had my Medit i700 scanner for about 2 months now and have completed 67 restorative cases with it. Scans have generally been pretty quick, and the accuracy seems to be superior to the iTero I used. My first scanner ended up dying after a few weeks. Medit and cad-ray were great- they sent a new scanner within the week and haven't had any problems since. Customer service has been spot on. Overall I have been very satisfied.read less - 6/30/2021
Armen is a dentist and knows what a dentist need, on other words cad ray sells technology that works for dentists! - 6/16/2020
lucas kim
Ordered some scanner parts. Laura was super helpful and replied very quickly. Great customer service! - 6/02/2022
Farshad Rouhani
I do not know if it is okay to use the F word on this page. But I F@#KING LOVE MY MEDIT with the new filters now.
Scan the teeth with the middle filter, then go to the first 1 and get the palate in less than 1 minute. AMAZING
I have since s...read moreI do not know if it is okay to use the F word on this page. But I F@#KING LOVE MY MEDIT with the new filters now.
Scan the teeth with the middle filter, then go to the first 1 and get the palate in less than 1 minute. AMAZING
I have since sold my ITERO and JUST HATE my OMNICAM EVERYDAY.read less - 3/01/2020
I cannot say enough good things about Cad-Ray and the people involved with this organization. I have purchased equipment over the past few years from them and always been amazed at the non-pushy before the sale help and the after the sale support. ...read moreI cannot say enough good things about Cad-Ray and the people involved with this organization. I have purchased equipment over the past few years from them and always been amazed at the non-pushy before the sale help and the after the sale support. I have been deciding for the last 2 years to make a big purchase of a mill and sintering furnace and Jon has never made me feel like I was bothering him and never pushed me just to try to get a sale. It really is different from other sales experiences I've had with other companies/sales people.Jesse came out and installed and provided training for our new mill and sintering furnace. He went above and beyond what I was expecting to make sure myself and my team knew how everything works during the training. He has also been great with questions we have had since the installation. I just cannot say enough good things about my experience all around and will definitely be a Cad-Ray customer for many years to come. Thank you Cad-Ray!read less - 6/15/2022
Diego Humberto Marquez Rodriguez
I am a very happy customer, the team behind cad ray, is amazing. Ive had small issues, and tech support is always available. I always call for them to help me use new apps, or updates and they stay on the phone with me all thru out, until fixing the ...read moreI am a very happy customer, the team behind cad ray, is amazing. Ive had small issues, and tech support is always available. I always call for them to help me use new apps, or updates and they stay on the phone with me all thru out, until fixing the issue. Andy has helped me several times, and he's a really nice guy too, great attitude, doesn't make me feel dumb when I don't understand. Sometimes it feels like he's part of my office team! Thank you Cad Ray, thank you Andy!read less - 2/01/2023
Rusty Fitton
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
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
Collins Woodside
I purchased my Medit i500 scanner almost a year ago from CAD-Ray. Laura and the team there have been so responsive and ready to help. It is so nice to have a person answer the phone and be willing and able to assist! - 12/09/2021
An often overlooked characteristics of an intra-oral scanner is the scan area / window. The larger the area, the more likely it is that your scanner will stay on track and not derail and introduce errors. In this video, we demonstrate how a small scan area, rendered either digitally or by small sized tips, can readily introduce errors known as the Veersing Effect. We can overcome this easily just by holding the camera in a proper orientation. Some scanners make this much easier because of their tip dimensions. The Trios 5 is 19mm x 13mm, the Medit tip is 15 x 13, and the DEXIS 3800 Side Tip can capture up to 19.6 mms. The 19 mm tip size makes these scanners the preferred ones for larger implant cases with extended edentulous spaces between the suprastructures.
In the video below, we will explain how the capture window size (field of view) affects the accuracy of intraoral scanning and provide tips on how to optimize the capture of data during scanning
Are you interested in an office build out or incorporating technology into your practice?
feel free to visit us when we are conducting courses or sign up to take a self guided tour at your convenience when you come out to Las Vegas for a business trip. You can reach us by emailing support@cad-ray-dev2.developerpad.com
the patient was sedated and intubated for the case so we could not keep track of the bite. Instead, we imaged all 30 prepared teeth and used medit compare / design to digitally mount them to the wax ups. In the link provided you can download the models and relate them to each other […]
To access this page and view the premium content and support, you must either be a customer of CAD-Ray or purchase CAD-Ray Membership.
Medit Compare, now called Medit Design, now has a boolean cut feature that lets you extract a temporary shell model from wax up or mock up model and prep model for easy and quick designs without painful margin marking on multiple units
Much like conventional impressions, digital impressions can render ill-fitting restorations. It is imperative to figure out the source of the problem and to understand if it is a scanning or manufacturing issue. We have compiled the top reasons for such errors in this article:
If the restoration is manufactured on printed models, you should be alarmed! There are so many variables that can be introduced in additive manufacturing process that can lead to less than desired results. Printed models should only be used after restorations are milled to assess contacts or to dial back bulky material to the margin on they die.
Translucent / transparent enamel can lead to inaccurate scans. This is most magnified when we work on conservative preparations made on enamel. See this article to understand the troubles that can be introduced while scanning glass. aa
3. We highly recommend that the clinician places his or her margins as soon as they image the preparation. Oftentimes, labs only work with STL models instead of color models and this leaves a lot of room for open interpretation and errors. Labs can then print the models to finish work like contacts and reducing margins they have bulked out to protect the material whilst milling.
With second molars, you should always be on the look out for not just the jaw settling, if you remove the first point of contact, but also with the temporary step forcing the tooth to tip towards the distal, if there is no third molar to stop its tilting.
In this case, a doctor was trying to seat a second molar crown he had just prepped a few weeks prior. There was an open contact and he could not ascertain the reason for this. He did take a second impression digitally so we had the chance to merge the two models and look for discreptancies between the preps. This video shows how the comparison of those two steps in Medit Compare
Still not a single article published that says Medit ios is a good scanner ! its just been user driven for 3 years now.
it’s a good thing, because the world just changed. it is irresponsible to extrapolate research done outside the mouth on stone models or impressions into clinical significance with intra-oral scanning. There are parameters that are impossible to quantify like focal distance throughout the scan (unlike desktop scanners with known focal distances), the codes use to do the algorithms, the scan patterns, and also how light is treated by enamel, dentin, and restored materials.
i can’t believe people still use terms like trueness and accuracy when they really don’t even exist when you scan intra-orally. Like analog impressions, it is impossible to judge digital impression accuracy LIVE while it is happening.
Enter Medit! There are a few distinct ways to demonstrate an accurate scan live while it is happening. One way is to import a geometric shape that doesn’t alter its form while models are being rendered. That’s what’s demonstrated here. To my knowledge no one has ever studied this approach because no other camera lets you do this. i did see some publications where the authors attached objects like radiographic markers and after it was processed, they could measure that object and see if it distorted or not, but nothing at this level.
One of the most important lessons a digital dentist has to learn quickly is how to not introduce errors when scanning dentition. The most likely area when s/he can introduce errors is in the anterior area where the incisor are not only narrower than molars but can also have translucent enamel. Add just a little spacing between teeth with diastemas and you can quickly distort the accuracy of the model. This is true of ALL intra-oral scanners in the market
Incisal Translucency / Transparency Causing Model Distortion
There are a few ways you can overcome these issues and the second video highlights some of our preferred methods. The concept is easy- block the light from travelling through the tooth structure and you are set! Watch the videos to learn how to do it
Here are some examples of how light shinning through the enamel and /or ceramic instead of bouncing back resulting in errors in model accuracy. Lesson #1 for every ios user is to know when and where they are likely to introduce error. in dentate cases, it usually is right that the transition from premolar to canine to lateral. The surface area decreases dramatically and if you have translucent enamel and / or material and / or highly reflective surfaces you can “derail” the model building. Here is an exaggerated demonstration
Translucent enamel can also play a role in distorting the cavosurface margins of a inlay or onlay restoration. When imaging from the occlusal, the gingiva below the margins acts as a barrier to block light transmission through the enamel, but as soon as you start to roll the camera to the buccal or lingual, and you have enamel with no substrate behind it to block light transmission, you can introduce errors in the equation with any scanner.
There are many ways to combat this which include powdering the tooth structure, using a rubber dam, or in Medit’s case, you can use the color subtraction filter. You selectively tell the scanner to ignore certain colors and you use that exact color (here, it is the color of the glove) to block light transmission through the enamel. So the software just ignores the blue, but the light is prevented from shining through reducing the errors you would introduce.
Here is another example of the distorted enamel margins on a conservative preparation and how blocking out the light from travelling through the tooth structure leads to crisp visualization of margins without any distortion or artifact
can you explain why we see blurred margins and artifact/distortion between the 2 centrals while in the second image the…
At CAD-Ray, we have now designed over 20,000 implant cases since 2013. One of the most common requests we get is from doctors doing full arches and their desires to reduce the conversion time. A simple thought to keep in mind is that A LOT can be derived from the actual implant plan, even if you don’t do the surgery guided. You can extract the digital implant positions and fabricate temps and based on your level of experience, your conversion / temporary time can drastically reduce.
Another very helpful matter to keep in mind is a concept we preach a lot at our courses. It deals with relating models to each other, both automatically and manually. This can be a CT scan to an intra-oral scan, or a pre-op to a post op. You just have to find redundant landmarks for the software to merge the models together. One thing to keep in mind, particularly with the Medit i500 is that when you merge models to each other and process it, their relationship to each other is preserved.
There is a lot of benefit that can be derived from that. For example, in this video, we have the dicoms converted to surface STL’s which is very easy to do. We also have the intra-oral scan merged to that stl file. You can digitally extract the teeth and do bone reductions, and if you are ever in a bind where you lost track of the vertical dimension, you can use the jaws as the means to related the preop to post-op. Or you can even use the nose if you are really desperate.
in this case we import multiple models, videos, CT scans, and Face Scans so that our users can utilize all of these features. Click here to enter the member’s section to download the whole case and design along
here is a list of why the Medit Artificial Intelligent Implant Suprastructure Identification System is significantly more advantageous over all other cadcam systems.
It s technically a crown and bridge case and the implant location or timing does not matter
You can find margins outside the mouth! See the first video to appreciate the significance of this
You don’t have to deal with retraction or hemostatis at all
You don’t have to worry about sprue position. Many other systems force the placement of the sprue to a specific location often making the case more difficult to manage than necessary
you are not limited to just a few implant lines
you don’t have to worry about location of anti rotational notch
you can digitally alter the prep and get a virtual reduction coping in cad
Use any restorative block you want. There is no need to order special blocks with pre-fabricated access channels and keep a large inventory of many colors. Your regular block inventory will suffice. Just make sure the top of the tibase is wider than the diameter of the drill used to mill out the intaglio. Also, the CAM and the milling machine determine the exact product and different settings maybe utilized to give you relief off the walls. Some will even remove the antirotational notch because the adaptation is so tight, the restoration will not rotate due to the tall walls of the tibase
You can check the fit outside the mouth on the same tibase or a one you keep chairside for every case to let you know that if you are not seating, it is clearly a contact or contour issue as opposed to an intaglio issue.
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.
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