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
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
Cad-Ray has been excellent with support and training. They respond promptly and have a vested interest in your success with the products that they supply. - 6/17/2020
Cad-Ray's customer service has been amazing since day one! From getting a quote to setting everything up and doing my first scan. Everyone has been super helpful! Heather Gramley has been awesome, it's like having a tech in my back pocket! They offer...read moreCad-Ray's customer service has been amazing since day one! From getting a quote to setting everything up and doing my first scan. Everyone has been super helpful! Heather Gramley has been awesome, it's like having a tech in my back pocket! They offer tons of training videos and offer one on one training. I would 10/10 recommend them for all of your scanning needs!read less - 11/21/2022
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
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
Gabriel Joel
Medit i500 is an incredible scanner. I have experience with other types of scanners including IO and Desktop but this one is really impressive. It is blazing fast and takes beautiful scans. But more importantly is the company itself. Medit is an amaz...read moreMedit i500 is an incredible scanner. I have experience with other types of scanners including IO and Desktop but this one is really impressive. It is blazing fast and takes beautiful scans. But more importantly is the company itself. Medit is an amazing company and is constantly trying to improve. They are always on the cutting edge and releasing new improvements all the time. They are always LISTENING to the customers on how to improve the scanning experience and change accordingly. The customer service is second to none. I highly recommend this scanner but even more highly recommend considering buying the scanner as a result of the great company and PEOPLE that stand behind it.read less - 10/09/2019
Nicely done Cad-Ray- Thanks for helping me get back to work! The new i700 is our tech fav! - 3/03/2022
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
Lora Wonderly
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
Mark Gaches
Excellent company to work with. Best customer service and technology available. Can't recommend enough! - 5/05/2021
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
Very happy with my Sprint Ray 3D printer. Frank D. went above and beyond with training my team on how to use it. He offered remote training as a courtesy and followed up to make sure we were ok. Highly recommend! - 1/25/2023
Obdulia Rondon
Thanks for delivering amazing courses. Always thinking beyond dentistry. Thanks for sharing all so selflessly. - 11/13/2022
Haruna Memuneut
I'm fortunate enough to have her as my trading account manager I never believe investment was so profitable and genuine until I met her, she has proven herself very trustworthy that all that want to invest can reach out to her. I'm one of his benefic...read moreI'm fortunate enough to have her as my trading account manager I never believe investment was so profitable and genuine until I met her, she has proven herself very trustworthy that all that want to invest can reach out to her. I'm one of his beneficiaries, I'm here to testify how amazing she has been to me. With a little amount ($800) I started with, she trade and generated over $6,000 in 7days which surprised me because I have tried many others and failed
Contact her via Email: Avahenry2424@gmail.com
WhatsApp: +13303332730read less - 9/20/2023
Samuel Koth DDS
These guys are great. Always quick to answers questions and trouble shoot. Only a text away...they are spot on. Would purchase from them again in a heart beat......and will soon! We are getting close to adding a second Medit i500 to the office. Every...read moreThese guys are great. Always quick to answers questions and trouble shoot. Only a text away...they are spot on. Would purchase from them again in a heart beat......and will soon! We are getting close to adding a second Medit i500 to the office. Everyone whats to use the one we have!read less - 6/19/2020
Monika Reyes
For a few years I have been hesitating to get an intra oral scanner. I finally made the decision to get one and it turned out to be the best purchase I made in 2021!I love my Medit i700! - 11/23/2021
New technology can be intimidating, but this i700 is user friendly and is everything you could ask for in regards to a great scanner. Cad-ray also made the transition easy and smooth. Customer support here is unreal. Telling all my dental buddies abo...read moreNew technology can be intimidating, but this i700 is user friendly and is everything you could ask for in regards to a great scanner. Cad-ray also made the transition easy and smooth. Customer support here is unreal. Telling all my dental buddies about these guys, and plan to make more purchases in the future.read less - 4/18/2022
Pretty much echoing what everyone else has said. Frank DeLuca and the whole team at CAD-RAY are fantastic. The best customer service and support in dentistry, hands down, not even a close second. We are thrilled with our Medit scanner and will certai...read morePretty much echoing what everyone else has said. Frank DeLuca and the whole team at CAD-RAY are fantastic. The best customer service and support in dentistry, hands down, not even a close second. We are thrilled with our Medit scanner and will certainly be choosing CAD-RAY for any future purchases.read less - 12/30/2021
Vivek Singh
I have had done business with these guys. I am impressed with their Amazing Customer service. John and Armen are great. I have and will order lots of stuff from them. Kudos to them!!!! - 6/19/2020
Dr. Howard Lassin
Great 1st lesson with Ryan on the Mediti700. We are ready to scan:) - 12/30/2022
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
Great service and scanner support! Company delivers well above my expectations! Love my medit scanner. - 1/29/2023
Tim Mininger II
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
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
Jared Gustafson
We started our journey with CAD-Ray 3 years ago them helping us find a digital scanner that fits our practice needs and have relied on them for our 3D printing needs. They are an excellent company and I highly recommend them for their knowledge and s...read moreWe started our journey with CAD-Ray 3 years ago them helping us find a digital scanner that fits our practice needs and have relied on them for our 3D printing needs. They are an excellent company and I highly recommend them for their knowledge and service they provide. I would buy and dental tech needs from them!read less - 9/07/2022
carlos Santos
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
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
Michael Dickerson
Great experience purchasing my Medit through them. Always there if I have questions too. Thanks again! - 6/16/2020
Armen Mirzayan
Are you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: ...read moreAre you happy with the support and training you have received with our team at CAD-Ray.com?
Our business grows much like yours, with referrals and recommendations. We would greatly appreciate a quick review / testimonial
NOTE: All testimonials are submitted by verified owners.read less - 5/08/2021
Awesome! Great support. If you are planning on getting a scanner, make sure you have Cad-Ray on your side ! - 4/20/2022
Jansen Bean
Heather with CADRay provided wonderful assistance with setting up our new scanner, and was able to work around a minor scheduling issue on my part. Top notch service! - 6/28/2024
John T
Frank and the CAD-Ray crew are awesome! They are always available for support with the technology you purchase from them. - 1/25/2023
Jonathan Mason
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
Maureen Copeland
Our office has been really happy with the i700 scanner so far. It was really easy to set up and use after watching only, 1-2 of the videos Cad-ray has on the website. Training with Andy was a breeze! Looking forward to taking level 2 training soon. - 1/20/2022
Cadray is excellent and their medit scanner is amazing! - 6/16/2020
Shant Aharonian
Cad-ray has to be the best company to work with when it comes to digital dentistry solutions. Here are the reasons why: 1. Experience. Everyone in the company has extensive experience in dentistry. They have used all digital platforms and offer custo...read moreCad-ray has to be the best company to work with when it comes to digital dentistry solutions. Here are the reasons why: 1. Experience. Everyone in the company has extensive experience in dentistry. They have used all digital platforms and offer customers first hand experience. 2. Honesty. Based on their experience they share all the good/bad of different systems. They work with you to find a solution that works best for you. Not sell you the piece of the equipment that gives them the biggest commission. 3. Support. Cad-ray offers the missing piece of the dentist/digital manufacturer puzzle. Many other distributors sell you a piece of equipment but don’t have true day-to-day experience with that equipment. Cad-ray’s team openly share their expertise to help customers optimize their workflows with great technology. 4. Passionate. The Cad-ray team is extremely passionate about their craft. They truly believe in what they have to offer. I took Armen Mirzayan’s course on intraoral scanning and it was truly mind blowing. Armen’s insights will help any dentist optimize their craft. I purchased the full sprintray 3d printing ecosystem the help of Frank. I plan to purchase more equipment from cad-ray. Also, Jesse is a genius in regards to all aspect of digital workflows. I’m truly grateful for this company and everyone who I’ve worked with so far.read less - 10/07/2022
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
Aaron Sipos
CAD-RAY has the best customer service. They go above and beyond to make sure you have a good experience with your medit scanner. With most tech companies, the person that answers the phone has to put you on hold for who knows how long before getting ...read moreCAD-RAY has the best customer service. They go above and beyond to make sure you have a good experience with your medit scanner. With most tech companies, the person that answers the phone has to put you on hold for who knows how long before getting you in touch with someone to fix the issue. With CAD-RAY, I called and Heather answered the phone. Heather was able to remotely fix my issue within 30 minutes and have me back up and running. No holds, no waiting!!! I highly recommend.read less - 9/01/2022
Gregory Camfield
These guys are 1st in class service every time! - 7/08/2022
Christopher Chin
This was my intro into intraoral scanning and I did research for quite awhile. The i500 and the team at Cad Ray are top notch. The company has done such a great job putting this scanner in the ranks of the premier ones. With constant updates it gets...read moreThis was my intro into intraoral scanning and I did research for quite awhile. The i500 and the team at Cad Ray are top notch. The company has done such a great job putting this scanner in the ranks of the premier ones. With constant updates it gets better and better (though I’m still behind on updates). My crowns have never been better. They drop right in with no models. I didn’t believe it but I’m loving digital dentistry. I can’t wait to go to the class after COVID calms down!read less - 6/16/2020
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
Adam Bond
Purchased a Medit i500 from CAD-Ray earlier this year and I really like the scannner. It has great features at a great price point. And the support of the CAD-Ray team has been awesome. They have a great amount of online resources for the DIYers and ...read morePurchased a Medit i500 from CAD-Ray earlier this year and I really like the scannner. It has great features at a great price point. And the support of the CAD-Ray team has been awesome. They have a great amount of online resources for the DIYers and have helpful employees to help after the sale as well. I highly recommend them.read less - 6/16/2020
John Pisacane
I purchased my Medit scanner after the ADA meeting in 2018. I did it primarily on the personal recommendation of Armen Mirzayan, the owner of Cad-Ray. I have known Armen for over 15 years (we both were CEREC trainers) and he has always been unbeli...read moreI purchased my Medit scanner after the ADA meeting in 2018. I did it primarily on the personal recommendation of Armen Mirzayan, the owner of Cad-Ray. I have known Armen for over 15 years (we both were CEREC trainers) and he has always been unbelievably knowledgeable about dental technology and was always moving on the cutting edge.
When you see Armen's daily FB posts, it’s obvious that he is constantly pushing the envelope and exploring the limits of the Medit and the processes we use to idealize our push towards completely digital dentistry. Medit owners are fortunate to have Armen finding glitches and pushing for improvements in our scanner.
As far as after sale service, I can’t find a flaw with Cad-Ray. You won’t find a more supportive and dentist-centered company. Armen and Frank do everything to make purchasers happy and back up their sales.
I’ve heard of horror stories when people shopped elsewhere and only positive comments about Cad-Ray.
In summary, buy your Medit and other high tech equipment from Cad-Ray, you will be totally satisfied.
.read less - 10/08/2019
Great scanner (medit i500) and mill (coritec one). They were great for an open system that allows me to do just about anything. - 6/16/2020
Cody Boseman
Cad-ray has been amazing, not to mention they have an amazing product in the medit i500. Their training is great, customer service is quick and thorough, and follow up is consistent. I highly recommend using cad-ray for anything that you may need. - 6/19/2020
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
Suresh Goel
I have enjoyed using the Medit i500 scanner. Previously I had two 3Shape scanners, however, the yearly fees were adding up and there are no ongoing fees with the Medit. Quality is great, and support has also been solid. Overall very happy with thi...read moreI have enjoyed using the Medit i500 scanner. Previously I had two 3Shape scanners, however, the yearly fees were adding up and there are no ongoing fees with the Medit. Quality is great, and support has also been solid. Overall very happy with this purchase.read less - 2/16/2020
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In this article, we demonstrate how to manage a crown replacement on a second upper premolar with the Medit i500, exocad, and the imes icore CORiTEC ONE milling machine. The pre-existing crown was over 2 decades old and the recession revealed a supra-gingival margin. Furthermore, there was no room to improve the anatomy or its outline form as it was in occlusion with the opposing dentition.
A powerful design technique is the copy of the pre-existing crown. Images of the pre-op are taken while the patient is numb and its contours are copied onto the final design of the restoration. This process usually takes a minute or so, after which we milled a size 12 emax block restoration.
All milling machines have guidelines for proper cleaning and maintanance. The imes icore CORITEC ONE’s spray channels must be kept clean, otherwise they will spray off the target block materials. Essentially you will dry mill ceramic which will damage the material and break the drills very quickly.
You can see how little particles of ceramic and titanium dust can clog the lines.
Here we just used an ortho plier and orthowires to unclog the lines. It’s easiest to have the water spraying so you can identify the channels and see the immediate results.
In this article, we feature an upper left lateral crown that needed to be replaced due to recurrent decay. While the patient was getting numb, we defined the job description in the Medit i500 software and imaged the pre-existing crown, the opposing and the bite. We digitally cropped out the tooth to be prepared and proceeded with crown removal. Once the margins were refined and the tissue was displaced, we imaged the preparation in HD mode and processed the case.
Once the digital models were rendered, we launched the integrated CAD software that automatically imported the pre-op, the opposing, the prep model, and the bite. Their relationship is preserved in the CAD software and no modifications were necessary. You have two ways to copy the pre-op; one way is to program the CAD software so it replicates the pre-op perfectly while the other gives you a raw proposal that you can then choose to adapt to pre-existing situation.
Direct Import of Models into CAD Software for Design and Mill
Once the case is designed in the CAD software, you can then take it to any CAM and Milling Machine to produce a restoration. Here we milled an emax restoration with the CEREC MCXL and the imes icore CORiTEC ONE at the same time so we can compare the final results. The CEREC milling machine produced a restoration faster by about 90 seconds but the final results of the margins by the CORiTEC Machine was far superior. Also, the CAM software, Millbox in this situation, allows us to choose a third drill that is 0.6 mm in diameter. This increases milling time but results in less overmilling than the 1.2 mm burrs that milll the intaglio of the CEREC Machine.
Please, take a seat, you should not be standing while you watch this.
Artificial intelligence by Medit i500 now identifies the location of your scanbody but it also automatically launches all that proper information into CAD software for instant abutment designs. Make sure to watch both videos. Enjoy.
Few things in dentistry that can be as frustrating as seating a second molar restoration, whether you are doing same day dentistry or having a lab made prosthesis delivered. Here is a protocol we recommend that you follow to dramatically reduce surprises and post op adjustments. In this particular clinical case a zirconia crown debonded and we elected to fabricate an in-office emax restoration. The sequence is as follows:
While the patient is anesthetized and you are waiting for the onset of anesthesia, capture the opposing impression and the arch models. Trim away the prep digitally and then proceed to the buccal bite capture
Do NOT capture the bite until you verify clearance. In the sequences of videos that follow, watch how we use the Medit i500 to capture digital pictures of the clearance
Once we verify clearance, we image the bite. You have the option at this point to see how well your occlusal stamps match the digital stamps if you want to. A large deviation may mean the jaw settled or the patient moved during the bite capture. Note that unlike conventional dentistry, you capture the bite here BEFORE the prep is finalized
Once you achieve isolation you can finalize the prep and retract the tissue and capture the prep. We elected to capture the preparation in HD mode
The case is then immediately imported into the CAD software for design and fabrication
A custom titanium metal abutment is milled in such a manner where the drills DO NOT touch the connection. The type of connection is predetermined by the blank manufacturer and the cylindrical part of the abutment is milled out. This makes the symmetric geometry of the abutment a bit tricky for some to handle as indexing it properly to manage the timing of the connection is critical for easy delivery.
It is a good idea to know the exact dimension of the screw access hole. You want to set the diameter just outside the channel so that you don’t have to do a lot of post production adjustments. if it is made too thin however, you can have a mis-mill and have to repeat it. We’ve found 2.5 mm the perfect setting for the DESS titanium abutments.
With the Meditlink software you can design a case and then export the designs and take them to any milling machine of your choice. In this demonstration, we use the CORiTEC ONE to mill out the metal abutment in 45 minutes. This procedure is not intended to be a single appointment visit so timing is not critical and you don’t place undue wear and tear on the milling machine.
The crowns were milled with two different milling machines. A Celtra Duo block was used and milled with the CEREC MCXL and retrofitted to the abutment to verify the fit and accuracy. The same crown stl was milled out of Vita material in the imes icore machine. The whole point of the demonstration is that you can take scans from any intra-oral scan, take it to CAD software (in this case exocad) and then export the case and take it to any printer or milling machine of your choice. You must make sure critical information is accurately transferred from your CAD software to your CAM software, which is generally the construction / project file that accompanies the STL files of the prosthetic components
The same crown was milled out of Vita’s Suprinity material in 20 minutes with the imes-icore CORiTEC ONE. Take note of the internal adaptation of the metal abutment and the restoration and how when it is flipped upside down, the restoration does not fall out easily!
For our advanced users, we demonstrate how to plan and manage a two unit molar case so they can deliver multiple chairside restorations in a single visit. There are numerous short-cuts to this treatment protocol and we present them in great detail during our courses. The limiting factor for most doctors is that they have a single milling machine and we show our users how to balance prep and mill time so that they can complete 2 units in less than 90 minutes.
In this case however, we present two restorations that were prepared and delivered at the same time. The sequence of steps are:
Anesthetize the upper right first and second molar
While the patient is getting numb, image the arch to be prepped, image the opposing, and image the bite WITHOUT the teeth being prepared
Reduce the occlusal height of your preparation but do not image them
Check your reduction visually or with the camera function of the Medit i500
Reduce more tooth structure until you have the proper clearance for material strength
Finish refining your preparations, displace the tissue, reach hemostasis, and then crop out the area of the model that you have altered
Image the two preps into that equation. Most people turn on the HD mode for capturing the margins
For distal extension cases, we recommend that you take the second bite. While imaging the second bite (NOT the left vs right bite), if the occlusal model turns green, it is a clear Indication that the vertical has no changed from the pre-op to the prep situation and that you will have minimal post-op adjustments to make. If the second buccal bite does not register in green, it should serve as a warning to you that the vertical dimension has changed
As advanced users, you quickly recognize what areas in the model need to be closed either with imaging or with the “close hole” options during the processing step of the Meditlink software. If you are familiar with exocad or other CAD software programs you can just ignore these areas as they do not have any clinical significance whatsoever.
Once the case is designed you can mill them with your milling machine of choice. The testing of materials, fit, and milling machines are a constant at CAD-Ray.com so we milled the first molar with emax material and the MCXL and the second molar, a Celtra Duo material, was milled with the Imes Icore CORiTEC Once
An immediate post-op bitewing X-ray was taken to verify fit and to make sure that there was no excess resin cement left behind in the interproximal area. The premolar mesial to the working field also needs to be replaced and will be in the near future
At CAD-Ray, we are constantly looking for solutions that will satisfy a clinician’s needs in a dental practice. For the better part of a full year, we have been developing milling strategies that can speed up the manufacturing process and increase the longevity of the drills and the instruments used in fabrication.
In this video, we demonstrate a sample crown milling simulation where we try and place the restoration in the block to render the fastest crown in the shortest amount of time possible, with little wear on the drills.
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