Love my medit! Cad-ray has been awesome to work with and very educational in learning all things digital . Was doing a study club with 4 other dr's showing off the medit and the cerec dr who had just bought the newest kept saying, "mine doesn't do...read moreLove my medit! Cad-ray has been awesome to work with and very educational in learning all things digital . Was doing a study club with 4 other dr's showing off the medit and the cerec dr who had just bought the newest kept saying, "mine doesn't do that. No way! I wish mine could do that. For real? I paid 4 times as much."
Needless to say the medit is awesome.read less - 6/18/2020
If you are looking to buy a Medit, you shouldn't look anywhere else to buy it. My Medit i700 was having issues on a Friday and I was able to get Heather from Cad-Ray to troubleshoot the issue. She remoted into my computer to try and troubleshoot the ...read moreIf you are looking to buy a Medit, you shouldn't look anywhere else to buy it. My Medit i700 was having issues on a Friday and I was able to get Heather from Cad-Ray to troubleshoot the issue. She remoted into my computer to try and troubleshoot the issue and helped with getting Medit on board as well. Once it was confirmed it was a hardware issue, I got sent a BRAND NEW Medit i700 OVERNIGHT.Can you believe that? Service and warranty that Cad-Ray offers is really TOP NOTCH.Highly Recommend Cad-Ray for all things MEDIT. Thank you Heather from Cad-Ray for all your help!!!read less - 2/02/2022
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
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
Steven Oshins
I've been fortunate to have had the opportunity to work with Frank DeLuca this past year. He is always pleasant, willing to help, responsive to my questions and extremely knowledgeable. I highly recommend Frank!! - 12/16/2021
Michael Dickerson
Great experience purchasing my Medit through them. Always there if I have questions too. Thanks again! - 6/16/2020
Shilpa Jobanputra
New user and absolutely love my Medit i500 scanner. Easy to use, fast, affordable and so quick for a first timer IOS user like myself. Customer service is fantastic, as are the sales people. It’s good to know you have strong knowledgeable people beh...read moreNew user and absolutely love my Medit i500 scanner. Easy to use, fast, affordable and so quick for a first timer IOS user like myself. Customer service is fantastic, as are the sales people. It’s good to know you have strong knowledgeable people behind the scenes ready to help at every turn. I would recommend this product highly. Happy in PAread less - 9/09/2020
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
I bought a Medit i500 from Cad-Ray. The service was fantastic. This group also does ongoing training to keep you up to date on how to use the technology.I had a minor issue with hardware and Cad-Ray resolved the issues no questions asked!They have a ...read moreI bought a Medit i500 from Cad-Ray. The service was fantastic. This group also does ongoing training to keep you up to date on how to use the technology.I had a minor issue with hardware and Cad-Ray resolved the issues no questions asked!They have a very active online forum that is supportive. I wouldn’t hesitate to purchase more equipment from them!read less - 10/13/2020
Alex Vo
Great service and scanner support! Company delivers well above my expectations! Love my medit scanner. - 1/29/2023
Ryan Crain
I love my Medit and Cad-Ray has been so easy to work with, both from a sales and support standpoint. - 7/16/2020
Great people. Very helpful with anything you need. - 6/16/2020
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
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
Much like dentistry is not a commodity, CAD-RAY's service is not a commodity. What CAD-RAY does so well is not just sell pieces of technology affordably and smoothly, but provides service, training, and insight so these tools can be used meaningfully...read moreMuch like dentistry is not a commodity, CAD-RAY's service is not a commodity. What CAD-RAY does so well is not just sell pieces of technology affordably and smoothly, but provides service, training, and insight so these tools can be used meaningfully and profitably.read less - 12/12/2022
Joshua Mathis
Fantastic support. Bought a Medit Intraoral scanner and it has been a game changer in my practice. Can’t wait to pair a mill with the help of cadets in the future! - 6/19/2020
Engy Hassan
Amazing customer service! Excellent on time feedback. Thank you Kaila - 12/08/2021
Deryck Pham
best customer service on the planet. very easy to use. and always fine tuning to make the user experience better. - 6/16/2020
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
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
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
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
John Pobanz
We had an outstanding experience purchasing two Medit scanners. The delivery was timely . The onboarding clean. Laura was dazzling with her acumen and quick solutions . We highly recommend the investment in Cad Ray .Pobanz Orthodontics , Ogden Utah :...read moreWe had an outstanding experience purchasing two Medit scanners. The delivery was timely . The onboarding clean. Laura was dazzling with her acumen and quick solutions . We highly recommend the investment in Cad Ray .Pobanz Orthodontics , Ogden Utah :)read less - 12/10/2021
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
Great product and company. all the help and support you need on their website and Facebook group. recommended them to many of my colleagues and bragged to other reps about how good my deal was compared to what they were offering. - 6/16/2020
Nisarg Parikh
Absolutely a phenomenal company. Everyone you engage with is extremely knowledgeable and helpful.I’m sure they get the same questions day in, day out but they are happy to help you without being condescending. The entire team has been helpful through...read moreAbsolutely a phenomenal company. Everyone you engage with is extremely knowledgeable and helpful.I’m sure they get the same questions day in, day out but they are happy to help you without being condescending. The entire team has been helpful through phone calls, the Cad-Ray FB group, and recorded webinars. Jonathan helped me get a great deal, Laura was awesome on the webinar, Damien is always answering questions on FB, and Armen had a great in-person presentation in Dallas. 100% recommend.read less - 4/22/2022
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
Cody Kriegel
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
William Huszti
Nicely done Cad-Ray- Thanks for helping me get back to work! The new i700 is our tech fav! - 3/03/2022
Cole Smith
These guys are great. My favorite part about them is they set you up for success with your products. A lot of dental companies will be happy to sell you big ticket tech item but don't have much to set you up for success. I bought the Medit i500 and t...read moreThese guys are great. My favorite part about them is they set you up for success with your products. A lot of dental companies will be happy to sell you big ticket tech item but don't have much to set you up for success. I bought the Medit i500 and they have tons of videos on how to get it working and working well for you in your office. If you need a much of hand holding they have that our if you are like me and like the do it yourself videos they have that. I am sure you can buy these products all over but it is there service that sets them apart. If to are looking to buy some dental tech use these guys!read less - 6/05/2020
Alderman Dental
Frank DeLuca from CAD-Ray has been absolutely awesome from day one. Readily available and very knowledgeable to provide support when needed. - 1/25/2023
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
Shawn Van de Vyver
Most amazing customer service I've experienced with any dental office related company. It reminds me of the legend about the lady returning car tires to Nordstrom and getting a full refund, but with intraoral scanners. I've moved all my related purch...read moreMost amazing customer service I've experienced with any dental office related company. It reminds me of the legend about the lady returning car tires to Nordstrom and getting a full refund, but with intraoral scanners. I've moved all my related purchases (and all future equipment purchases) over to CAD-Ray. I couldn't ask for anything more.What else is there to say?read less - 6/02/2022
Iseoluwa Adedeji
Just got this scanner a few weeks ago. Has changed my workflow. Easy scanner to use. What's truly great is the support behind the product. Whether by call or fb messenger, I have never not been able to reach someone who solved the issue! Very pleas...read moreJust got this scanner a few weeks ago. Has changed my workflow. Easy scanner to use. What's truly great is the support behind the product. Whether by call or fb messenger, I have never not been able to reach someone who solved the issue! Very pleased so far.read less - 6/19/2020
Scott Terry
Six Stars! On a scale of one to five, I give CAD-Ray six stars. They really are that good. If you are purchasing an intra-oral scanner, I would recommend buying the Medit I-700. It is a dream machine. But, if you want incredible service every time, y...read moreSix Stars! On a scale of one to five, I give CAD-Ray six stars. They really are that good. If you are purchasing an intra-oral scanner, I would recommend buying the Medit I-700. It is a dream machine. But, if you want incredible service every time, you should buy your scanner from Cad-Ray. They have come through with flying colors each time I have contacted them. Their sales team great and their service is amazing. They have volumes of educational videos available, as well. I have worked with Jonathan, Damien, Frank, Armen and Laura. In a time where we are seeing the opposite, CAD-Ray will totally blow you away with the entire experience. I totally appreciate them and their value.read less - 11/01/2021
Dana Mallard
Heather Gramely provided excellent costumer support today. She went above and beyond the reason I even called to update our computer and software and aid in warranty information/repairs. - 2/08/2022
Ellen Huang
Armen created series of these very helpful videos. They helped us tremendously in breaking into the new scanner we purchased. No matter you just got into digital dentistry or you are quite experienced with different fields of data acquiring or treatm...read moreArmen created series of these very helpful videos. They helped us tremendously in breaking into the new scanner we purchased. No matter you just got into digital dentistry or you are quite experienced with different fields of data acquiring or treatment planning, you will find those being tremendous help.read less - 5/24/2020
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
I have had zoom training with Andy today. I can honestly say that he was the best. He was patient and very throughal. I learned a lot I would ask him again when I need support again Thanks Rodger - 3/15/2023
Michael White
Everyone I have dealt with during the process of buying my new N4 VHF mill (which by the way is fantastic) last year to buying a new iMedit 500 scanner. Having the open type system has been a God send. No more held hostage by the 2 main systems us ...read moreEveryone I have dealt with during the process of buying my new N4 VHF mill (which by the way is fantastic) last year to buying a new iMedit 500 scanner. Having the open type system has been a God send. No more held hostage by the 2 main systems us same day crown dentists have had to deal with for years. Cad-ray made the financing a snap and the post customer support is unbelievable. Thank you everyone at Cad-Rayread less - 5/12/2020
Eric Reum
I bought a i500 almost a year and a half ago. Sadly it ran into an issue with the cord after over a years use. Cad-ray was extremely quick to diagnose the issue and also send a replacement scanner. The quality and ease of scanning has been great! Als...read moreI bought a i500 almost a year and a half ago. Sadly it ran into an issue with the cord after over a years use. Cad-ray was extremely quick to diagnose the issue and also send a replacement scanner. The quality and ease of scanning has been great! Also very happy with the customer service.read less - 6/02/2022
Scot Bruce
We found the digital training very informative - 8/20/2021
Kurt Adamson
I was on the fence for a few years about getting into intra-oral scanning. I finally did it in the fall of 2019 and haven't looked back. I was hesitant mostly because I didn't want to spend a lot on $$$ on something that I don't end up implementing. ...read moreI was on the fence for a few years about getting into intra-oral scanning. I finally did it in the fall of 2019 and haven't looked back. I was hesitant mostly because I didn't want to spend a lot on $$$ on something that I don't end up implementing. I found that I love scanning, I feel like it has improved my quality of preps and my OCD of being able to verify accuracy. I recommend Cad-ray because they want you to succeed. They are always available. They have been through this process many times, they know what does and doesn't work. My experience is with the Medit i500 IOS.read less - 6/19/2020
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
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
I would like to let you know that Kaila Larson is excellent communicator, personable, professional and knowledgeableI have had the opportunity to talk to her 3 times and it has always been awesome.Regards,Dr Carlos santos - 4/08/2022
Ryan Buckwalter
Couldn't have had a better experience. The training was excellent, and they've been great to work with. I recently had an issue that required a warranty claim. The process was super easy, and completely hassle free. In fact, I'm still in shock at...read moreCouldn't have had a better experience. The training was excellent, and they've been great to work with. I recently had an issue that required a warranty claim. The process was super easy, and completely hassle free. In fact, I'm still in shock at how great they were about the whole thing. I would (and do) highly recommend this company.read less - 2/09/2021
Jordan Bower
Frank helped me out when 3dbiocad could not help me with my trios issue. Thank you cad-ray. - 9/15/2024
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
lucas kim
Ordered some scanner parts. Laura was super helpful and replied very quickly. Great customer service! - 6/02/2022
In this video we demonstrate how the Aoralscan from Shinning 3D captures deep margins.
An old PFM crown warranted replacement due to open margins and recurrent decay. After the crown was removed, the margins were refined and the tissue was displaced with expasyl and retraction cord.
This video is deliberately captured slowly so a new user can appreciate how to hold the camera to capture the margins and the contacts of the adjacent teeth. You also have the opportunity to place your own margins and the path of draw before submit the case to the lab.
This case was scanned by two different scanners. Once by the Medit i500 and another time with the Aoralscan. Both the meshes are included so you can compare the two. It was scanned to deliver a case that retrofits a partial denture
Most manufacturers recommend that you start your imaging at the second molar area, which is the least practical area to start with. The tongue and the lip and saliva are a quick distraction as the scanner does not know what you are trying to image. The incisal edges of lower anterior are also a tough place to start as the incisal translucency lets the light transmit through the enamel instead of reflecting to the cameras.
A good place to start is the second premolar first molar area where you can use the tip of the scanner to displace the tongue. Reducing the focal length to 12 mm’s allows the user to hide hard and soft tissue that can impede the rate of image capture. Watch the deliberate movement of the camera that helps the user manage the area to be captured with relative ease
Medit i500 was used to scan and duplicated a fractured denture. It was originally scanned in the patient’s mouth to capture the opposing and the bite and then submitted to the lab for fabrication
In this video we review with the instant replay feature of the medit i500 on how to scan a denture and not introduce double images or errors in the model. We first scan the occlusale surfaces of the denture intra-orally (this does not really matter as the software doesn’t know any differently), we then image the opposing, and then bite. We then remove the relined upper broken denture and continue the imaging to capture the intaglio
In this case presentation, we introduce the Shining Aoralscan for beginner doctors who want to get into digital impressions. Proper isolation and retraction is a key element of scanning. In this demonstration we showcase how a new user can easily control the operating field to deliver high quality restorations
Proper isolation and retraction is key for all intra-oral scanners. In this video, you can appreciate how the upper and lower arches were isolated, the margins were exposed with retraction cord and imaged with the shining 3d aoralscan
To date, the literature and research clearly points out that full arch scans with edentulous arches are prone to inaccuracies. That’s because we have never had a way to measure and verify models while scanning. There are two features unique to the Medit i500, namely the reliability map and the artificial intelligent implant suprastructure identification system. Individually, they do not provide much information with regards to accuracy, but if you understand how they work, you can utilize them to assess accuracy while you are scanning edentulous arches.
We proved the validity of this concept by utilizing these two features by incorporating a scan from the imetric Icam4D scanner and merging its data with the IOS to render a perfect match. Details are posted for our users in the Imaging Implants Section of our tutorial liabrary
This is a preview of a single unit case that was scanned using the Artificial Implant Suprastructure Identification System of the Medit Software. To see the full case follow this link
Hydroflouric Acid Etched Treated Scanbody Surface makes Intra-Oral Scanning much easier for all dental scanners. Apply a coat of HF for a mere 10 seconds and rinse off.
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 video we show how to you can digitally pour up the intaglio of a denture scan with the medit software where you scan in the impression mode, “reverse normal”, process the case and the add a base to it. You can then immediately send it to a printer
Taking impressions, digital or analog way, was one of the greatest hassles in implant dentistry. we can now image the margins of the implant suprastrucure OUTSIDE the mouth, merge it with the intra-oral condition, and mark the margins on the digital file as opposed to getting hemostasis and tissue retraction in difficult situations..
medit i500 takes one of the most complex and error prone situations and simplifies it, whether you send the case to the lab or do in office restorations.
In this video, we show a recall of an implant restored with a scanbody. When the implant was initially placed, a scanbody was seated and an X-ray was taken to verify that it was seated. The titanium scanbody allows for visualization of seat. A peek scanbody does have a metal carrier but it is confusing to some users to verify that it is engaged with the fixture.
The proper placement of this biomax implant, followed by ideal contouring of tissue and bone around the head of the fixture, allowed for enough “running room” to create the desired emergence profile
With analog dental impressions, it is imparative to separate the gum tissue from tooth structure and to create a trough for flash for dye work. This is not the case with the intra-oral scanner by Medit. All you need to do is displace the tissue so you have a clear line of site to the margins, and you just need to be flush. You don’t need flash like you do with stone work
Dental implant surgery and restorations were the most risky procedures just 10 years ago. They were also the most profitable, but also carried the largest liability and the most significant surgical and restorative lab costs. A simple error introduced in the restorative process could easily eliminate the profit margin and a more significant mishap can create an undesirable outcome
We have seen dramatic changes in implant surgery where both the cost of the surgical stent and the fixture placement have reduced to the point where fully guided surgery is now the norm as they speed up the surgery and normalize the accuracy of placement across a broad range of practitioners with varying levels of experience. We are now seeing the same type of effect on the restorative side of the implant treatment, where digital dentistry is greatly reducing costs and errors.
With permission from blueskybio.com, we captured some key elements with analog impressions to highlight potential errors that can be introduced. The full video can be seen here:
The common sources of errors that someone can introduce are:
The inherent nature of impression material that can distort during the impression step
The angulation of the impression abutment may prevent it from seating all the way or may bind on the adjacent teeth making it difficult to capture an accurate impression
The size of the impression abutment can usually block access to the contours of the adjacent teeth where the pvs material does not capture the detail needed to generate good contacts and emergence profiles
Not securing the implant analog with the abutment in the impression material so that it does not distort or vibrate out of its position while pouring stone into the PVS material
With multiple implant, the problems can compound exponentially if the implants do not draw well together with complications ranging from locking the tray in the patient’s mouth accidentally or distorting the impression material enough when removing it where you decrease the accuracy. Some practitioners prefer to do this in multiple steps, correcting angulation and collisions with custom abutments and several impressions
Fortunately, in this impression of 3 implants that were placed with a guided, the impression abutments are parallel to each other but just a few degrees in either direction, you can have multiple collisions of the abutments with the adjacent teeth or in between the abutment themselves. What a scanbody does is it allows for the optical scan of a geometric shape that helps CAD software identify the exact location of an implant fixture, its timing, and its relationship to the arch form.
It has significant advantages as there is no distortion of the impression material. Moreover, you can capture all the detail of the adjacent teeth before you place the scanbody in the mouth. This dramatically reduces the errors and adjustments you will need to make during the seat appointment.
This video shows you the contour or the shape of a specific scanbdoy. There are many manufacturers that produce the scanbodies for a variety of fixtures with different geometries. Ideally, you use a titanium based one so that you can take an x-ray to make sure it is seated all the way. A frequent cause for error with digital impression is that you bind on tissue of bone which block you form seating all the way.
Once you have scanned the pertinent information, you can then take the digital models to CAD software where the location of the fixture is identified digitally and you can design the restoration of your choice. This can be titanium abutment or a tibase that retrofits ceramic material like emax or zirconia. The following video demonstrates how you identify the scanbody in exocad and proceed with a sample design.
Once the design is completed, you can outsource the fabrication of the abutment and/or the crown. There are many machines that you can use to fabricate the titanium abutment. Please note that the milling machines do not mill the connection. The connection to the implant comes pre-manufactured. The cylindrical block is milled to shape. The cad software also maintains the relationship of the abutment to the crown so that they retrofit to each other.
Now imagine if you had multiple implants that did not draw together? What’s great about digital dentistry and how we use the Medit i500 here is how we utilize a single scanbody to capture the location of 3 fixtures. One thing we emphasize at CAD-Ray is how digital impression allow you to create models over time and out of sequence. They are also editable and additive. In the subsequent video we demonstrate how you can capture segments at a time, which can greatly help when you have implant abutments colliding into each other.
You can place the scanbdoy in one location, scan it, digitally protect the area, remove the scanbody, place it into another location and image it at the new location, dramatically overcoming all the obstacles described above
Now for the greatest news and the largest advancement in digital dentistry in a decade! Medit i500 has launched the Artificial Intelligent Implant Identification System where the software automatically recognizes these scanbody and lets you skip dozens of steps to get to the immediate design steps of the restoration. The algorithm utilized to match the digital scanbody to the physical one is proprietary to Medit and is unparalleled in its accuracy. A lot of the guess work and inherent errors in the digital platforms are reduced with this software which is a contrasting as the difference between analog and digital impressions.
When you have preops that you are trying to stitch to preps in medit, and this could also include relating scanbodies to arches as well, you need enough data that is redundant in both catalog boxes
if you watch this video carefully, you can see how i over trimmed the mesial part of the equation and even though the camera is active, it is not acquiring images. you can see the red box.
once i move the camera to the distal molar, the acquisition starts because the molar has more data points than the premolar and the software / camera recognized the area and started to acquire images.
understanding this will unlock a lot of complicated cases and make the easier for you
Many scanners limit the number of scans you can take on a patient. This becomes cumbersome when you want to image pre-existing conditions, tissue scans for implantology, and other advanced...
Scanning long span edentulous is a very likely culprit with rendering dimensionally accurate models because to the software and camera, the geometric shapes are too identical across the ridge. The...
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...
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