Had a good experience when purchasing my scanner, it was very easy, and to date after three months of using the scanner no support is a plus, anytime I call me I will answer and troubleshoot - 7/10/2022
Frank Gibbons
I just bought my first Intra-oral scanner (Medit I-700). I have demoed scanners from various companies in the past but have been less then thrilled with the applications, scanner ability, ease of use and overall user experience. I feel that now the...read moreI just bought my first Intra-oral scanner (Medit I-700). I have demoed scanners from various companies in the past but have been less then thrilled with the applications, scanner ability, ease of use and overall user experience. I feel that now the technology has caught up to where it should be and after reviewing many scanners on the market have decided to go with Medit. The Medit i-700 gives me all the functionality I could want, has an affordable price and works for all the procedures I need it for (scanning for ortho, dentures, partials, crowns, bridges, implants ect.). I love that they continually update their software and most importantly that those upgrades are free to the end users. Another huge plus is that when I have a question I get actually get someone on the phone!! For all these reasons I finally jumped in. I would recommend anyone else to do so as well!read less - 5/06/2021
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
Frank and his team have always been ready and able to help us with any issue we’ve come across in the last 2 years since we purchased our mill and equipment from them. Today, Griffen went above and beyond to find a solution to our software issue. I w...read moreFrank and his team have always been ready and able to help us with any issue we’ve come across in the last 2 years since we purchased our mill and equipment from them. Today, Griffen went above and beyond to find a solution to our software issue. I was able to finish a project on time for a patient in pain because of his dedication. “We’ve never had a more helpful team for any of our equipment” was a quote from our head Doctor today. Excellent job Griffen and team!read less - 5/14/2025
Inna Vinnikov
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
Mostafa Koperly
I love my medit scanner. I purchase many dental equipments each year and by far it’s the best thing I got for the bucks I spent ( beating my 6 digits equipments ).
We have omnicam and I hated it, multiple crushes, expensive monthly service fee, hor...read moreI love my medit scanner. I purchase many dental equipments each year and by far it’s the best thing I got for the bucks I spent ( beating my 6 digits equipments ).
We have omnicam and I hated it, multiple crushes, expensive monthly service fee, horrible support, etc. I was so frustrated and had to look for an alternative. Many mentioned itero to me and I was about to purchase it and suck another monthly fee until I came by Armen’s video about medit on one of the Facebook group in 2018. I was surprised with the image and the speed and started digging more and contacted Frank to explain the scanner more. Ended purchasing it late 2018 and I’m a happy user Since after. The support is excellent, Frank is there when you need any help plus the Facebook community is there to answer anything. Recently, I attended Armen’s course to learn how to mill from the medit and I got shocked by the AI and the options that the software has. This machine is a beast and you won’t regret it getting it from Armen and Frank. They go beyond and not like other salesman or equipments where you are left behind after they sale you and finish their training. We are in 2020 and I still get the same support as I bought it in 2018.read less - 1/09/2020
Excellent customer service and support. Kaila was extremely pleasant and professional over the phone. She sent us the replacement part in a timely fashion. Will recommend this product and their business to fellow colleagues. Thanks again! - 12/06/2021
Matt Stratman
only dental company that I have no complaints about - 11/03/2022
LoAn Huynh
Erika is one of a kind! She truly is patient with me. She has gone above and beyond to help me every time I call her. We have a few locations and she is always prompt in her responses and always manages to find a solution for me. I wish every rep was...read moreErika is one of a kind! She truly is patient with me. She has gone above and beyond to help me every time I call her. We have a few locations and she is always prompt in her responses and always manages to find a solution for me. I wish every rep was reachable ALL THE TIME and helpful! Thank you Erika! ❤️read less - 6/04/2025
W Timothy Brooks
Excellent fast color scanner. A great improvement over my old proprietary scanner. Easy to learn software and great free technical support. - 6/18/2020
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
Aaron Olson
This product is the best out there. Do the math and your ROI makes more sense than most products we purchase as dentists. Get on the digital train or you’ll be left behind. This is the best product to make the jump with. - 6/16/2020
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
jorge lube
I live in Puerto Rico and Cad-Ray made my decision easy when it comes to purchasing Dental equipment. I decided to call after having connection issues with my i700 and Andy responded immediately. He was very pleasant to work with and within 2 days, r...read moreI live in Puerto Rico and Cad-Ray made my decision easy when it comes to purchasing Dental equipment. I decided to call after having connection issues with my i700 and Andy responded immediately. He was very pleasant to work with and within 2 days, received my brand new cord. I can always always rely on Cad-Ray for their incredible support and highly recommend this company to anyone looking to explore digital dentistry.read less - 12/30/2021
Hieu Pham
Been super happy with service from this company. Very responsive, really passionate about their work. - 7/16/2020
Eric Turner
I bought my Medit from Cad-Ray a little over a year ago. The very few times I've needed any kind of help with it, Cad-Ray has been absolutely ON IT. Issues get completely resolved within minutes. It's great!! - 11/01/2021
All Clear
Great experience with CAD-Ray, specifically Damien, with purchasing and customer service with servicing a scanner that needed replacing under warranty. All around excellent service and I will definitely come back for future technology we'll eventuall...read moreGreat experience with CAD-Ray, specifically Damien, with purchasing and customer service with servicing a scanner that needed replacing under warranty. All around excellent service and I will definitely come back for future technology we'll eventually be adding to our practice.read less - 10/23/2024
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 ind...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 - 4/02/2021
Ray Voller
There’s nothing like a company with top notch support like Cadray! Frank DeLuca is one of THE most helpful, non- condescending people I’ve ever dealt with! He ALWAYS strives to make us the BEST we can be and almost immediately helps us with any quest...read moreThere’s nothing like a company with top notch support like Cadray! Frank DeLuca is one of THE most helpful, non- condescending people I’ve ever dealt with! He ALWAYS strives to make us the BEST we can be and almost immediately helps us with any questions or problems ( which are minimal with the i700!) HIGHLY recommend this company and their scanner!!read less - 10/06/2022
Debra Haselton DDS PLC
I had a training session with Laila this morning and she was fantastic! Very organized training, easy to follow and was able to get my scanner up and running. Thank you Kaila! - 1/06/2022
Michael Martinsen
Honestly the best service that I've received in dental tech support. I had originally purchased a scanner with another supplier and was underwhelmed with the support I received. I switched over to CAD-Ray for my second scanner and have never been let...read moreHonestly the best service that I've received in dental tech support. I had originally purchased a scanner with another supplier and was underwhelmed with the support I received. I switched over to CAD-Ray for my second scanner and have never been let down. They are prompt and exceptionally knowledgeable about the products they support. Thank you CAD-Ray for keeping my practice moving smoothly!read less - 8/27/2021
Jacob Masters
Best dental equipment company I have ever worked with! Great response and super helpful for any issues even years later. - 8/03/2023
Geoff Seuk
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
Tiffany Lee
Update to CAD-Ray as this company has morphed into something even better and grander than it was previously. This is the company where you go to when you need a scanner or 3d printer. Their customer service is second to none and their training on sca...read moreUpdate to CAD-Ray as this company has morphed into something even better and grander than it was previously. This is the company where you go to when you need a scanner or 3d printer. Their customer service is second to none and their training on scanners is top level. Don't buy your scanners anywhere else because Cad-Ray is the only company who knows how to solve any of your problems and provides the best technical support. I recently had purchased a software to mill crowns from my medit to my MCXL. No body could get it to work.12 months in and I was resigned to it not working and not being able to mill in house. With Cad-Ray's tremendous hard work, we were able to get the milling unit synchronized to the inlab and inlab synchronized to clinux and clinux meshed to medit. I am now milling scanned crowns for the first time in about 12 months. Yay Cad-Ray, Thank you!!!!!read less - 3/06/2024
Northwest Orthodontics
Every staff member has been very helpful and kind every time we call. Thank you! - 7/24/2024
Tony Cascino
I just purchased the CAD-Ray unit at Chicago Mid Winter meeting. We have used it for single crowns so far and have been very pleased. Nick was my sales contact and he has helped a great deal with some of our 'learning curve " issues. I looked at a nu...read moreI just purchased the CAD-Ray unit at Chicago Mid Winter meeting. We have used it for single crowns so far and have been very pleased. Nick was my sales contact and he has helped a great deal with some of our 'learning curve " issues. I looked at a number of scanners and felt CAD-Ray was the best-two of the labs I use also feel it is the best scanner.read less - 5/12/2020
AJ Ganir
Cadray has great support and service! They are very responsive to questions. Love the new medit scanner! - 5/06/2021
ed borio
I was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it h...read moreI was dragging my feet before purchasing my first scanner because I was apprehensive of the effort required to change to a digital workflow. Laura assured me my fears were overblown and because of her patience and exceptional training abilities it has been a rewarding and relatively seamless transition to the world of scanning. I never dreamed implementation would have been this easy and its attributed to Laura's skillful training ability. The scanner is wonderful and powerful, but we would have never been able to unlock its potential without her assistance.read less - 8/31/2021
It has been great to work with Laura and Heather. The purchase, financing, shipping, and training process has been smooth. The training was very comprehensive and not rushed at all. I love my Medit i-600 scanner, and I recommend CAD-RAY 100%! - 5/22/2024
blakesherrick-q6S
The Medit i700 is a game changer in speed and overall comfort for patients. I find it much smaller than other brands and have done almost 50 appliances/aligner cases the past 2 months with no fit issues from my lab. Love this scanner!
Dr. Sherric...read moreThe Medit i700 is a game changer in speed and overall comfort for patients. I find it much smaller than other brands and have done almost 50 appliances/aligner cases the past 2 months with no fit issues from my lab. Love this scanner!
Dr. Sherrick
Auburn Lakes Orthodonticsread less - 8/24/2021
Before working with cad-ray, I was hesitant to dive into digital dentistry due to the complexity of it. Working with Laura at cad-ray made all of my concerns go away. She was there to help me with my Exocad software installation, even outside of norm...read moreBefore working with cad-ray, I was hesitant to dive into digital dentistry due to the complexity of it. Working with Laura at cad-ray made all of my concerns go away. She was there to help me with my Exocad software installation, even outside of normal business hours - really hard to come by! I also purchased a Medit i500 and getting that setup and working in my clinic was seamless. I could not have asked for better support while navigating digital dentistry. My next purchase will be a 3D printer, and i know exactly where i will buy it from! Highly recommend these guys.read less - 11/20/2020
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
Caroline Langlois
It's so nice to enter the digital age for scanning! I've been taking impressions since 1975. Medit i700 is amazing and our #1 supporter, Laura has been with us every step of the way. I truly don't know what I would do without Laura and Nick in tec...read moreIt's so nice to enter the digital age for scanning! I've been taking impressions since 1975. Medit i700 is amazing and our #1 supporter, Laura has been with us every step of the way. I truly don't know what I would do without Laura and Nick in tech support. They definitely need a raise! Yes, we had a couple of glitches (mostly operator error) but they were there with us all the way. The detail that the scan gives, whether it's a crown, bridge, full mouth scan for patient review and now many scans for NTI's is truly amazing! We recommend it highly to all who are interested! I am proof that as a dental assistant who's 64, you CAN teach an old dog new tricks!!!read less - 12/09/2021
Michelle Duong
We are a new user of Medit i600. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. Installation was also easy and straightforward. Our staff is really happy...read moreWe are a new user of Medit i600. My rep Andy was very good with the training & very detailed & patient with the whole process. The online support is one of the best. Installation was also easy and straightforward. Our staff is really happy with this new addition to our office. Thank youread less - 9/23/2022
Service at CAD-Ray has been really great. About 6 months ago I purchased a Medit i700 scanner from them and have been really happy with it. Fortunately, I haven’t run into many problems, but if I need help they are so easy and friendly to work with. ...read moreService at CAD-Ray has been really great. About 6 months ago I purchased a Medit i700 scanner from them and have been really happy with it. Fortunately, I haven’t run into many problems, but if I need help they are so easy and friendly to work with. When my scanner did stop working, they quickly got me set up with a new one. If I have a computer question, they offer to log in and look at the computer with you. If you’re in the market for an intraoral scanner or any of their other products, I encourage you to talk with them to meet your goals. Thanks CAD-Ray!read less - 11/04/2022
Carter Weber
I had a great experience with CAD RAY. I was lucky enough to have Frank DeLuca come down to my office to demo the Medit I700. Needless to say, we were in love with the technology and the great hands on demo. CAD RAY overnighted me the scanner and we ...read moreI had a great experience with CAD RAY. I was lucky enough to have Frank DeLuca come down to my office to demo the Medit I700. Needless to say, we were in love with the technology and the great hands on demo. CAD RAY overnighted me the scanner and we were off to the races. Any time we have had a technical question, Frank has personal helped me or put me in touch with one of his colleagues if he wasn’t available. All around, it was as 5 star experience!read less - 12/16/2021
John Eum
Love all the staff there. Great support and instruction from Armen, Laura, Damien. We are very grateful for Kaila who has been incredible in getting us going - very friendly, professional and responsive. Thank you! - 7/03/2024
Reid Stone
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
Victoria Rinando
Danielle was super helpful and kind trouble shooting to get us back up and going very quickly this morning. We appreciate it! - 4/15/2025
Blake Ferando
I purchased my medit in April of 2019 from Cad-Ray. The support offered is second to none, and the training videos are some of the best out there. Add to that a great support team that is fast to answer questions and issues, its hard to beat Cad-Ray. - 6/19/2020
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
robert delaney
This summer I decided that it was time to purchase a scanner and train with my team. We could not be more excited as our experience with Laura at Cad-Ray has been just amazing. From the initial sales discussions to the support and training after the ...read moreThis summer I decided that it was time to purchase a scanner and train with my team. We could not be more excited as our experience with Laura at Cad-Ray has been just amazing. From the initial sales discussions to the support and training after the purchase I am very thankful to have purchased my Medit scanner from Cad-Ray. Every text and phone call has been given prompt attention and the after the sale support is first rate. It is a pleasure to leave a 5 star review for both the technology and for Laura!read less - 12/16/2021
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
Dong Lim
I’ve been using Medit for close to 2 years. It’s a must for any practice. No evil monthly subscription and great support from CAD ray - 6/16/2020
Nancy Hartrick
I am absolutely in love with my MEDIT i700, as is my entire staff. The Medit i700 is reliable, fast, easy to use and the software is incredibly intuitive. I couldn't be happier with the team at CAD-Ray. They are true professionals, and very hands and...read moreI am absolutely in love with my MEDIT i700, as is my entire staff. The Medit i700 is reliable, fast, easy to use and the software is incredibly intuitive. I couldn't be happier with the team at CAD-Ray. They are true professionals, and very hands and responsive in terms of their support and training. Thank you to the entire team.read less - 8/24/2021
Amazing customer service. Wayne Glassoff helped me with purchase decision, taking the time to find out my needs, and then my order was delivered quickly! Easily the best "dental" purchase experience that I have ever had. - 9/07/2022
Nick Boyd
Great people. Very helpful with anything you need. - 6/16/2020
Brian Wilkinson
This company is genuinely amazing. Amazingly good products, but the thing that sets them apart is the support. Frank and Sean have answered any questions I have unbelievably fast. And I LOVE the DOF Craft 5x milling unit. Learning the flow of same da...read moreThis company is genuinely amazing. Amazingly good products, but the thing that sets them apart is the support. Frank and Sean have answered any questions I have unbelievably fast. And I LOVE the DOF Craft 5x milling unit. Learning the flow of same day milling was tricky for me, but they held my hand the whole way. Can’t go wrong here.read less - 1/06/2024
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
David Christensen
I purchased the Medit i500 from Cad-Ray December 2018. I couldn’t be happier with the scanner. The improvements Medit has made over the last 10 months are nothing short of astounding! I can’t imaging what they’ll come up with next.
As for Cad-Ray...read moreI purchased the Medit i500 from Cad-Ray December 2018. I couldn’t be happier with the scanner. The improvements Medit has made over the last 10 months are nothing short of astounding! I can’t imaging what they’ll come up with next.
As for Cad-Ray, their support has been second to none. Never have I experienced the kind of attention and help from any other company. Wether it’s with help installing, computer hardware issues or technical help they respond IMMEDIATELY!
Armen is also a huge reason why I chose Cad-Ray. No one selling a product has helped me more evolve my scanning technique. He’s quick to respond to questions and issues I feel his service is a huge reason why to buy from CAD-RAY.read less - 10/09/2019
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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