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
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
Customer service is truly the best I've seen. You don't just buy a product from them. There are hundreds of hours of training videos, and they have answered any question we have had in a matter of minutes. We are so glad we purchased our IO scanner t...read moreCustomer service is truly the best I've seen. You don't just buy a product from them. There are hundreds of hours of training videos, and they have answered any question we have had in a matter of minutes. We are so glad we purchased our IO scanner through them!read less - 4/09/2021
vy pham
I have been a customer of CAD-Ray for about a year now. We have purchased multiple items from Laura, including exocad software, a milling machine, and the Imetric4d. I can’t express enough how happy we are that we made those purchases through them. T...read moreI have been a customer of CAD-Ray for about a year now. We have purchased multiple items from Laura, including exocad software, a milling machine, and the Imetric4d. I can’t express enough how happy we are that we made those purchases through them. The customer service and the fast responses, (especially Laura) has been top notch! At the beginning, just like anything else in dentistry, we needed support and reassurance of the items acquired and all I have to say is a big thank you for an amazing customer service and support!!!! And did I mention that they offer really good financial options? Again, thank you! Looking forward for the next purchase. - The Inspired Dental team in Las Vegas:)read less - 8/31/2021
larry bybee
We have been using an intra-oral scanner (not a medit) in our practice for 4 years and it was decided that we needed to purchase another scanner due to practice growth. After a thorough review we decided on the Medit i700. Due to the great team at Me...read moreWe have been using an intra-oral scanner (not a medit) in our practice for 4 years and it was decided that we needed to purchase another scanner due to practice growth. After a thorough review we decided on the Medit i700. Due to the great team at Medit I have learned more about scanning 1 week than i received from the other company in 4 years. i700 great price, great scanner and amazing customer service.read less - 12/23/2021
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
Thank you Frank DeLuca for being so accessible and making everything right again! Customer service is above and beyond. We also love our Medit Scanner - we would be lost without it! - 1/25/2023
Mary Oliverie
Last year when I started looking into the Medit i500 I had my front desk call 3 sellers to get preliminary information. She told me hands down call CAD-RAY and don’t bother with the others. Boy was she right! Frank got us going with all our hardware ...read moreLast year when I started looking into the Medit i500 I had my front desk call 3 sellers to get preliminary information. She told me hands down call CAD-RAY and don’t bother with the others. Boy was she right! Frank got us going with all our hardware needs and trained us until all our questions were answered. Then Jonathon and Armen jumped in at our 2 day live training in Baltimore. I still review my notes to implement all the great ideas. When I get myself in a jam time to time CAD-RAY responds immediately and fixes my problem. Best decision I have made in the practice in a long time - Thank you everyone at CAD-RAY!read less - 10/09/2019
Bought a medit 6 months ago and customer service has been nothing short of amazing. Always very responsive and helpful. Great scanner, too! - 6/16/2020
Chirag Vaid
I ordered my Medit scanner from them in Feb 2020, so far no issues with support or the product. They are a great company with great support. Disclosure: they did promise me a scanner tip for this review, but in all honestly I was meaning to give it t...read moreI ordered my Medit scanner from them in Feb 2020, so far no issues with support or the product. They are a great company with great support. Disclosure: they did promise me a scanner tip for this review, but in all honestly I was meaning to give it to them anyway.... if you are looking to buy, this is a great way to go about it.read less - 7/19/2020
Aram Grigoryan
I'm really grateful with the service CAD-Ray has provided! I'm also very happy with Laura's presentation with the Medit i700, and overall help in choosing the right scanner for my practice. I'm really happy with the scanner and the SprintRay Pro 95 P...read moreI'm really grateful with the service CAD-Ray has provided! I'm also very happy with Laura's presentation with the Medit i700, and overall help in choosing the right scanner for my practice. I'm really happy with the scanner and the SprintRay Pro 95 Printer as well. Thank you.read less - 8/31/2021
I'm a repeat customer because Cad-Ray's customer service is fast, efficient, and no nonsense. The classes offered for training for particularly for the Medit is awesome and it comes included which is phenomenal. All the classes that I've gotten to at...read moreI'm a repeat customer because Cad-Ray's customer service is fast, efficient, and no nonsense. The classes offered for training for particularly for the Medit is awesome and it comes included which is phenomenal. All the classes that I've gotten to attend so far has been well organized and I left learning very practical things. Remote support team solves my problem right then and there. Recently I had an issue, and instead of me talking to a sales rep who doesn't know what to do, Kaila remoted in and got it fixed just like that. Thank you and great job guys!read less - 4/19/2022
Yuriy Yakubov
Got Medit scanner from CAD-ray 5 months ago. Today got help from Rayan. Rayan has a lot of patience ,explained everything I asked him . Absolutly satisfied. Great service, great support. - 10/19/2023
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
Awesome! Great support. If you are planning on getting a scanner, make sure you have Cad-Ray on your side ! - 4/20/2022
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
Lance Timmerman
Implant Planning Services Review I Am VERY experienced with "another system" but thought I would give CAD-Ray a try. At at LEAST 1/3 the fee, why not?
VERY happy. Fit GREAT, surgery was uneventful (the best kind) and I am a believer! This is a great company and great PEOPLE to...read moreI Am VERY experienced with "another system" but thought I would give CAD-Ray a try. At at LEAST 1/3 the fee, why not?
VERY happy. Fit GREAT, surgery was uneventful (the best kind) and I am a believer! This is a great company and great PEOPLE too! 5 stars aren't enough. Just like the Burj Al Arab, this is 7 star!read less - 3/03/2015
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
Andy M
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
Spark Dental
Just had a new i700 scanner.Service so far is great.Andy did our training, he was great in answering all our questions .loving the scanner so far .😊 - 9/01/2022
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
Jared Gustafson
One of the best companies to work with for dental tech needs. They have a vast video training library that makes the transition easy to digital dentistry. I’ve recommended a few of my colleagues purchase the medit through them. It’s been a great year...read moreOne of the best companies to work with for dental tech needs. They have a vast video training library that makes the transition easy to digital dentistry. I’ve recommended a few of my colleagues purchase the medit through them. It’s been a great year!read less - 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
David Paquette
Cad-Ray has been super-efficient and very easy to work with! Highly recommend them for Medit sales and support! - 11/09/2021
Excellent experience, customer service has been stupendous! - 11/20/2023
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
Melissa Poynter
Very pleased with Heather :) She has been able to solve any and all issues I may be having, and does so within the same day if not right away! - 6/16/2022
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
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
Ma. Teresa Santana
Best support and customer service ever! My scanner is long past warranty and they still answer all my questions. When it's time to upgrade I'll be buying from them again. A friend bought same scanner from another vendor and got zero support. I had to...read moreBest support and customer service ever! My scanner is long past warranty and they still answer all my questions. When it's time to upgrade I'll be buying from them again. A friend bought same scanner from another vendor and got zero support. I had to help them. Told her next time buy from Cad Rayread less - 5/10/2024
David Weber
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
Steven Acker
The i700 provides amazing ease of use and versatility for any digital restorative application. It’s been game changing for our practice. CAD-Ray’s amazing support and Medit’s constant improvement of the software are revolutionary. I’ve been taking di...read moreThe i700 provides amazing ease of use and versatility for any digital restorative application. It’s been game changing for our practice. CAD-Ray’s amazing support and Medit’s constant improvement of the software are revolutionary. I’ve been taking digital impressions for over 15 years with other systems and nothing comes close to the Medit.read less - 8/27/2021
A newcomer to scanning, I have been impressed with the ease of the process. The commitment shown by each CAD-Ray team member to successful customer training and their skill levelhave been extraordinary. Thank you Kaila, Frank and Andy!! - 5/15/2022
K. Banani
Amazing customer service. I haven’t ever worked with a company where there is an issue, you can immediately get help and assistance and so far have not had an issue that CADRAY wasn’t able to fix. They made the process buy buying and maintaining a sc...read moreAmazing customer service. I haven’t ever worked with a company where there is an issue, you can immediately get help and assistance and so far have not had an issue that CADRAY wasn’t able to fix. They made the process buy buying and maintaining a scanner seamless. Highly recommend!read less - 2/23/2024
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
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 bought a Medit 3 years ago and have had amazing success with both the scanner and the support from Cad-Ray. My scanner recently broke and They were on the phone with my assistant trying to fix the problem, and when it was unfixable, they overnight...read moreI bought a Medit 3 years ago and have had amazing success with both the scanner and the support from Cad-Ray. My scanner recently broke and They were on the phone with my assistant trying to fix the problem, and when it was unfixable, they overnighted a new scanner and helped us set it up. Medit is now available through many dealers, but I would only buy next one from Cad-Ray.read less - 11/03/2022
Aaron LaRock
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 - 3/15/2024
Ponciano Melo
If your planning to buy dental oral scanner look for Jon. He will give you a great deal. He is very friendly and knowledgeable about the advantage of Medit I500. AGAIN, Don't forget to look for Jon for your next oral scanner. I highly recommend this ...read moreIf your planning to buy dental oral scanner look for Jon. He will give you a great deal. He is very friendly and knowledgeable about the advantage of Medit I500. AGAIN, Don't forget to look for Jon for your next oral scanner. I highly recommend this guy.read less - 1/09/2021
Alvin Aquino
I'm a dentist in NJ, and I purchased the Medit i700 from CAD-Ray. Hands down they have the best support team. Laura is awesome with helping us using the Medit and with providing any support we may need. One of my best decisions so far was working wit...read moreI'm a dentist in NJ, and I purchased the Medit i700 from CAD-Ray. Hands down they have the best support team. Laura is awesome with helping us using the Medit and with providing any support we may need. One of my best decisions so far was working with CAD-Ray.read less - 4/15/2022
kenneth kim
Purchased Medit in 2019. Bang for the buck best investment and will get you started in digital dentistry with ease. No monthly subscriptions and Cad-Ray support is amazing. No regrets. - 6/16/2020
My wife and I practice together and bought our first i500 in August of 2018. This was very early on before Armen had a vast number of technique and online support articles in his blog! Little was publicly known at the time about this new scanner bu...read moreMy wife and I practice together and bought our first i500 in August of 2018. This was very early on before Armen had a vast number of technique and online support articles in his blog! Little was publicly known at the time about this new scanner but I felt confident in my purchase for a few reasons: 1) Armen had validated the product and was standing behind it... I knew of Armen from DentalTown and had many years of public posts to evaluate his character; 2) Limited demos available at the time; 3) some clinical accuracy data out of Europe that required zooming in on a powerpoint presentation that was recorded second-hand via camera phone ha! SO needless to say, I put a lot of eggs in the "Armen is standing behind this product" basket. We have NOT been disappointed. From personalized service from both Frank and Armen, to our vast success and joy using the product and deciding in late 2018 to buy a second Medit i500, I have nothing but good things to say about the product and Cad-Ray. What a bunch of self-less individuals. Armen has offered to remote in and I even took him up on the offer once and he remoted in immediately to take a look at something. Good luck getting service like this from ANYONE else in the industry. Cheers to digital dentistry with the RIGHT partner. Kristian C. Dietz, DDSread less - 3/08/2020
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
Jim Ellis
I've only worked with this company for a short time but I have found them to be wonderful in every way. Call, emails, and texts are returned very quickly and the equipment that we have purchased works wonderfully. I would highly recommend. Dr Jim Ell...read moreI've only worked with this company for a short time but I have found them to be wonderful in every way. Call, emails, and texts are returned very quickly and the equipment that we have purchased works wonderfully. I would highly recommend. Dr Jim Ellisread less - 5/12/2020
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
Stephen S
Choosing an digital intraoral scanner these days can be quite a daunting task. When I reached out to CAD-Ray, as was recommended by many colleagues, I was connected to Frank DeLuca, and he made my decision-making process very simple. Upon receiving...read moreChoosing an digital intraoral scanner these days can be quite a daunting task. When I reached out to CAD-Ray, as was recommended by many colleagues, I was connected to Frank DeLuca, and he made my decision-making process very simple. Upon receiving my 3shape Trios 4 scanner, Frank and the entire tech support team/customer service were very helpful every step of the way. Frank makes himself available when he can in order to address all of the questions I have regarding the digital workflow. I highly recommend CAD-Ray. It will make your transition to digital scanning a positive experience.read less - 1/24/2023
Gregory Camfield
These guys are 1st in class service every time! - 7/08/2022
Blake Holt
Best place to buy a medit i500 from. Great support and an even better community. - 6/16/2020
Roy Elturk
Outstanding customer service! Laura helped me purchase my first Trios scanner and she took the time to go over all the specs, models, and details with me. Their on going tech support is what sets this company a part from others. - 3/05/2024
jeremiah choi
Never had customer care like Cad-Ray, you can't go wrong purchasing through them. Trios is a great scanner. All the reps at Cad-Ray are very knowledgeable and helpful and will make sure you are up and running smoothly. Above and beyond customer serv...read moreNever had customer care like Cad-Ray, you can't go wrong purchasing through them. Trios is a great scanner. All the reps at Cad-Ray are very knowledgeable and helpful and will make sure you are up and running smoothly. Above and beyond customer service.read less - 8/27/2022
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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