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i500, i600, i700 or i700 Wireless?

In 2018 Medit Corp. started marketing their first intraoral scanner, the i500, and quickly reached an impressive market penetration.

Today, just four years later, we now have to decide between 4 great scanners. Let’s dive into each and see what might be the right solution for you…

i500 (MSRP: 15.900€)

Medit i500 from CAD-Ray
Medit’s first IOS, the mighty i500

The i500 will remain in the Medit price list for the foreseeable future, but actually there is no reason to purchase this camera now. Please keep reading…

i600 (MSRP: 12.500€)

The mostly new Medit i600 is here!

What would happen if you removed some of the features of the i700 (UV disinfection, remote control button) and reduced the price? You would get the amazing i600.

The new i600 is a special product from Medit. Medit has improved their product line (i700 in 2021 and i700 Wireless in 2022), and wanted to make sure they did not price themselves out of the entry level IOS market. Thus the i600. Truly a workhorse for anyone taking their first steps into intra-oral scanning and with a price of 12.500€, the i600 is very, very hard to beat as an entry-level IOS.

Clever update of the i500 – now known as the i600

i700 (MSRP: 17.900€)

The i700 was introduced in April 2021 to resounding success. The i700 is probably the fastest-selling IOS in the world today and with good reason – small, light, easy to handle, with great scanning software and a host of Apps to play with after your scan – all at a great price. This is where Medit really shines, their software updates are nearly constant and always making their system faster and/or easier to use.

Of course, there are less expensive IOS scanners out there (and several more expensive), but overall the i700 has been a market winner. To pay less, you would either have to purchase a Chinese-made scanner, or one of the smaller IOS players in Europe or the US, but the performance of those scanners compared to the i700 is just not on the same level. Also, because Medit has more than 15,000 IOS users, their system is far more robust than nearly everyone in the CAD/CAM game.

i700 Wireless (MSRP: 19.900€)

The new Medit i700 Wireless launched on 20 April 2022

Medit’s new flagship product, the i700 Wireless is premium level technology at value-segment pricing. Medit has really done it again – if you fancy a wireless scanner in your practice, this is the only one available at less than 20k Euros. There is one other wireless IOS in the market (from Denmark), but at a much, much higher price.

I know what you are wondering now: “How does the wireless work in the real world?” The wireless technology in this camera is not WIFI – Medit is using their own proprietary technology. Does it work? Indeed it does. We attended the launch event of this product and had more than 20 i700 Wireless cameras working on one meeting room. That would never work with WIFI, so Medit has really figured something out with their latest technology.

Check out this video of Armen demonstrating the strength of wireless connection:

Dr. Armen Mirzayan testing the range of the i700 Wireless

Ok, great, there is good range with the camera (although we recommend scanning the patient in the same room as the camera!), but what about the intra-oral scanning performance?

Here again, Dr. Mirzayan demonstrates intra-oral scanning with the i700 Wireless:

Intraoral scanning is quick and easy with the new i700 Wireless

So there you go – a quick primer on the available IOS scanners from Medit.

There are some things to keep in mind when shopping for an IOS, like what kind of additional fees are involved? With Medit there are no such fees. Their software Apps are free of charge, their software is updated regularly without any fees and of course there are no scanning fees. No annual fees. No scanner fees. No price gouging of any kind.

Finally, a company that understands people like to purchase products OR rent them, but not both!

Would you like to test drive the new cameras from Medit?

We will have all three cameras at our upcoming CAD-Ray Europe Annual Meeting in Heidelberg on May 13-14th. There is no better way to learn how these cameras work in your own hands and, if you happen to purchase one, we deduct your course fee from your purchase.

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MEDIT is the CAD/CAM Market Challenger

MEDIT has captured a significant share of the Dentist CAD/CAM market in only a couple years. Already at 7% of the total CAD/CAM market* and with the release of the new i700 last Spring, we won’t be surprised to see MEDIT reach the double digits in 2022.

Our Conclusion: MEDIT is the fastest growing IOS in dentistry today due to: premium-segment product performance with value-segment pricing. Plus, no hidden costs, no scan fees, no update fees, free software apps and more.

Time to join the fun…!

* Source: https://www.insightsz.com/

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Re-set Your CAD-Ray Password

CAD-Ray operates in Europe and North America and, accordingly, we have two different websites:

CAD-Ray Europe:
https://europe.cad-ray.com

&

CAD-Ray North America:
http://www.cad-ray.com

If you have registered at one, or both, of these websites, you may want to change your password or maybe you have lost it. In either case, this video shows how you can simply reset your password and gain access to the sites once more:

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CAD-Ray @ IDS 2021

Dear CAD-Ray Family,  

Some of you already know the faces behind CAD-Ray, while others wonder “Who is CAD-Ray?”

Please take the opportunity to find out and visit the largest MEDIT dealer in the world at the upcoming IDS meeting in Köln. You find us in Hall 3.2, Booth C-038-D-039.  

Come to our booth and:

  • Meet the US and European CAD-Ray Team 
  • Discuss clinical topics with Dr. Armen Mirzayan (MEDIT Master)
  • Speak to CAD/CAM experts

And test drive CAD-Ray products:

  1. MEDIT i700
  2. Clinux cloud-based CAD software
  3. SprintRay Printers
  4. and more….

Can’t wait to see you there!!  

Your CAD-Ray Team

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CAD-Ray Goes Global

Sometime before the whole world went nuts, my old friend Dr. Armen Mirzayan, reached out to “bring me out of retirement” (his words) to open up CAD-Ray Europe and begin selling Medit. Armen and I have known each other for more than 20 years and I knew he was having great success with CAD-Ray, so I listened to what he said.

But when he first explained the CAD-Ray model of business, I have to admit I was a little confused.

Roddy: “So you don’t have reps in the field?”
Armen: “No.”
Roddy: “And you don’t have service technicians either?”
Armen: “Nope.”
Roddy: “So why does anyone buy CAD/CAM equipment from CAD-Ray?”
Armen: “Because we are the only ones who understand all this stuff!”

Okay, so “the only ones” might be a little exaggerated, but you should appreciate Armen has a passion for hyperbole. On the other hand, you can’t argue with success and CAD-Ray has been an overwhelming success. 90% CAGR over the last 3 years. If you don’t know CAGR, look it up. Very few companies have that kind of growth, especially when the whole planet basically shut down.

Then, I looked into their customer satisfaction scores and saw, actually, CAD-Ray is one of the highest rated dental companies out there. Hmm… they seemed to have developed a model of efficient selling and support, and all of it online.

Fast forward about a year later and here we are – CAD-Ray Europe is live! We follow the original model – the only team members we have are VERY experienced with Dentists and specifically, Dentist CAD/CAM. Everyone on the CAD-Ray Europe team has more than 14 years of dentist CAD/CAM experience – 74 years in total. Each one of us has helped dentists integrate CAD/CAM into their practice, and we’re sure we can for you too.

Dr. Armen Mirzayan (left) arm twisting Roddy

So, without further ado, here’s our media release that kicked off CAD-Ray Europe and our new cloud-based CAD software, Clinux.

2 April 2021
Las Vegas, USA
Heidelberg, Germany

CAD-Ray, the largest Medit dealer in the world and a global leader in intra-oral scanner installations, today announces the new Medit i700 intra-oral scanner will be the highlight of their April 16th Special Event in Las Vegas, Nevada, hosted by Dr. Michael DiTolla. The company also announces expansion of their Medit distribution into Europe and CAD-Ray’s own introduction of the world’s first affordable, cloud-based CAD software for dentists called Clinux.

“For over a year we have been working behind the scenes to establish distribution in Europe and the development of our own CAD software”, says Dr. Armen Mirzayan, Founder and CEO of CAD-Ray Inc. (USA). Our event in Las Vegas gives us the opportunity to not only show the incredible capabilities of the new Medit i700, but also premiere our Clinux CAD software and officially kick off our European distribution. And I am particularly excited about the management team we have in place for our European operations.”

Leading CAD-Ray Europe is the former global head of Sirona Dental Systems GmbH CAD/CAM business, Mr. Roddy MacLeod as CEO, along with former Sirona CAD/CAM Software R&D Group Leader, Mr. Ulf Willers as CTO and Head of R&D. Both Mr. MacLeod and Mr. Willers played instrumental roles in the development of dentist CAD/CAM systems over the last 20+ years and now bring their significant experience to CAD-Ray.

Dr. Mirzayan continues, “CAD-Ray’s goal is to become the number one CAD/CAM company in the world. To do that, we’re not only expanding our innovative distribution model to Europe, but we’re also making our own CAD software. Our experience shows us that dentists don’t need CAD software that is optimized for the Lab and dumbed-down for the dentist, they need software optimized for the dental practice, especially single unit crowns. Because Roddy and Ulf were part of the original group that helped establish chairside CAD/CAM in dentistry, we believe there is no one better to lead our manufacturing efforts.”

Along with manufacturing, CAD-Ray Europe will also begin distributing the popular Medit i700/i500 intra-oral scanners and other CAD/CAM products into the European market.

CAD-Ray’s rapid growth stems from their satisfied customers who overwhelmingly recommend CAD-Ray to their colleagues due to the high level of support offered by the company[1].

Roddy MacLeod comments: “CAD-Ray’s distribution model is unique. Not only do we have a 20+-year CAD/CAM dentist in Dr. Mirzayan, who has spent much of his career teaching thousands of dentists how to become experts in in-office CAD/CAM, but actually everyone on our team has more than 10 years of dentist CAD/CAM experience, so our customers are getting the support they need to be successful. Technologies are evolving quickly and dentists need experts to help them get the maximum benefit from their investment and we have those experts at CAD-Ray.”

Dentists from all over the world are invited to experience the impressive performance of the new Medit i700 at the 20 demo stations CAD-Ray will have at the Las Vegas event. Additionally, American and European dentists wishing to pre-order the new Medit i700 may do so on the CAD-Ray.com website now.

Registration for CAD-Ray’s Special Event may be done on the CAD-Ray.com website.

– 30 –

For more information, please visit or contact:

www.cad-ray.com

CAD-Ray USA:
Mr. Jon Acker
Email: jon@cad-ray.com
Mobile: +1 213 793 3407

CAD-Ray Europe:
Mr. Milos Gedosev
Email: milos@cad-ray.com
Mobile: +49 162 588 0885


[1] CAD-Ray customer survey (February 2021, n=219 responses) Net Promoter Score (NPS): “How likely are you to recommend CAD-Ray to your colleagues?” CAD-Ray NPS score = 79.

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Scan With Any IOS, Mill On CEREC MC XL

Incredibly, the CEREC MC XL was introduced in 2007. That’s more than 13 years ago and the new CEREC Primemill has only just been launched in early 2020. It is not common to see a 13 year old mill still being so dominant in a market.

The MC XL is a brilliant dry and wet milling machine, originally conceived as a wet-machine only. Just don’t ask me about the first 350 units we installed in the US market in 2007. It was a nightmare because the product was not really ready at that time and had many teething problems.

But it’s like that with mills. They are incredibly complex with many internal parts that are often moving and of course water is involved. Far more complex than a camera. In any case, all mills go through the same life cycle: Introduction and Teething Issues, Reliability Improvements, Functional Improvements, Phasing Out. The MC XL will likely not see any further functional improvements, but being the second-best chairside mill at the moment, it isn’t ready for phasing out yet either.

But isn’t CEREC a closed system, so how can we combine these technologies? Actually, our sister supplier, DentalCADCAM, has recently put together an overview of the workflows that are possible today with IOS “X” + MC XL.

Scenario 1

I own a 3rd Party Camera – How do I mill from my MC XL?

So it is possible to scan with any IOS, export the .STL of the scan, then import the scan into inLab CAD SW for designing. In order to import those scans, you also need the inLab SW Interfaces Module and in order to actually mill, you need additionally the inLab CAM software. Any inLab version higher than 18.0 will work.

Scenario 2

I own a 3rd Party CAD Software (e.g. exocad) and I want to mill (e.g. crowns) designed with 3rd Party software and mill them with my MC XL?

Now this workflow is more simple than it looks and less expensive than importing scans above. So that means if you already own Clinux or exocad software, for example, you can scan, import your scan into Clinux/exocad, design whatever you want to produce, then export that CAD-design into the inLab CAM (version 18.0 and above). That’s it!

You can purchase all the software you need for this workflow as a bundle at DentalCADCAMShop.com.

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“Digital dentistry doesn’t really work…”

In my 20+ years of driving CAD/CAM dentistry, how many times have I heard that? So, I’m just going to leave this here. 🙂

The chart above is one dentist’s revenue growth in his practice since 2007. He posted it on the CDocs.com forum a few months back and I filed it away when I saw it.

Naturally we don’t buy technology to (only) earn more revenue, but there is so much talk about ROI on equipment and I think the chart says it best, without uttering a word.

In 2016 the doctor invested in single-visit-dentistry and in 2018, cone beam x-ray. The numbers are the numbers.

As far as single-visit-dentistry is concerned, we have touched on this already and we’ve seen how it lowers the hurdles for patients to say “Yes” to the clinical work they need. Cone beam technology, on the other hand, allows us to diagnose more because we see more.

Crown procedures with less hurdles? = more crown procedures.

More diagnoses through CT? = more procedures.

Enjoy the curve.

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5 Hurdles To “Yes, I’ll Have That Crown”

We touched on this briefly in the previous blog post, but it’s worth spending some time on the 5 hurdles Patients cite when deciding to accept crown treatment or not. Why? Because in dentistry, as in business, the more hurdles we remove for customers, the more likely they are to say “Yes”.

So let’s look at the reasons patients say “No” to getting a crown.

Hurdle 1: Parking (Catch-all term for: phone tag with your Receptionist, taking time off work, babysitters, Parking, etc.)
Believe it or not, patients don’t want to visit your office. The more times they have to plan their visits, arrange baby-sitters, arrange time off work, find parking, pay for parking, return calls from your receptionist, etc., the less likely they are to accept treatment. The reverse is also true: less visits, less hassle = higher case acceptance.

Hurdle 2: Injection
Personally, I am one of these. I don’t know why I don’t like needles, but I do. They stress me out and I avoid them whenever possible. It’s not rational, but that’s the point, isn’t it? Our purchase decisions are emotional (backed by rationality), not the other way around.

Hurdle 3: Drill
Is handpiece noise a big deal? Actually, according to researchers Beutal et. al., loud noises of any kind produce depression and anxiety in humans*. And according to Yamada et. al., the sound of a dental drill elicits strong and negative associations, first among them: pain.**

Fig 1. “How much do you agree that each adjective is appropriate to express the impression of the sound of dental drills?”

Figure 1 above shows “Painful” is the strongest association with the dental drill. Also, patients report the dental drill is not “soft”, “vague”, “calm” or “amusing”. Go figure.

But wait, there’s more from this study…

Fig 2. Subjective impressions to the sounds of Drill E.

Patients associate the sound of a dental drill with: “shrill”, “distinct”, “painful”, “unpleasant”, “sharp”, “metallic”, “tense” and “dislike”, to name a few.

Hurdle 4: Impression Experience
Um, this video says it all.

Hurdle 5: The Temporary
What percentage of your patients already have a crown? If they’ve experienced the dental crown before, they might have a funny story about how their temporary crown fell out while at dinner with their boss, or the night before their wedding. Yes, it’s really funny going into the office on the weekend to re-seat a temp. Others might boast they still have their temporary in, and, not seeing how the final crown would be any better, never returned for their seat appointment. That would make an interesting internal study in your practice: What percentage of my crown patients have not returned for their final?

A friend of mine, Dr. Mike Di Tolla, an extremely funny and well-known speaker in the US once told me: “Nothing good happens during the weeks a temporary is in place.” He was referring to the propensity of leakage and for the temporary to impact the proximal contacts and even the occlusion. I guess he would know – he worked at Glidewell Lab for a long time and certainly became aware of the problems arising between the preparation and seat appointments. High crowns anyone?

How does In-Office CAD/CAM influence these hurdles?
As we saw previously, simply in-housing production of prosthetics does not, in itself, reduce or eliminate the 5 hurdles to accepting crown treatment. Let’s compare the patient’s experience with the crown experience over three scenarios: 1) The traditional method, 2) The digital impression experience (no in-office milling) and 3) The single visit experience.

The Traditional Crown Experience

In the traditional method (grey line), crowns take between 2-3 visits to complete on average. The Impression is analog, so about as bad as it can get. And as we have 2.5 appointments, that means injections each time as well as multiple sessions of handpiece noise. A temporary is also necessary. And, despite all that, more often than not, patients actually say “Yes” to getting a crown.

The Digital Impression Crown Experience

You would think with the explosion of digital impression cameras being used in the dental practice that there would be a significant improvement in the patient’s experience of getting a dental crown. But on closer examination, that assumption does not really hold up.

Actually, the patient experience with a crown procedure via digital impression is, measurably, better in only one area: the impression itself (red line). The number of office visits, injections, handpiece noise and the need for a temporary are exactly the same as for the traditional crown.

The Single Visit Crown Experience

With a Single Visit crown (green line), the entire patient experience is measurably improved. One visit means fewer hurdles. A digital impression is certainly better than the alternative, but so too only one injection and one session of handpiece noise. Forget the temporary. Really, is it any wonder patients at Single Visit practices accept crown procedures 250% more than at a traditional practice?

There are many examples where making a small change can effect a major improvement and, in the dental practice, maybe none more so than delivering crowns in a single appointment. Whether you start by adding Digital Impressions to your practice or whether you go all-in and start offering Single Visit, the main thing is to start. Your patients are waiting to say “Yes”.

  • Beutel ME, Jünger C, Klein EM, Wild P, Lackner K, Blettner M, et. Al. (2016) Noise Annoyance Is Associated With Depression And Anxiety in the General Population. PLoS ONE 11(5):e0155357 (Retrieved 20.11.19)

**Tomomi Yamada, Sonoko Kuwano, Shigeyuki Ebisu, Mikako Hayashi: Statistical Analysis for Subjective and Objective Evaluations of Dental Drill Sounds. PLOS Published: July 27, 2016 https://doi.org/10.1371/journal.pone.0159926

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Before You Invest in CAD/CAM, Part 1

Before investing in “chairside” CAD/CAM for your dental practice, there are some basics you should be considering. In this post we raise two important considerations for any dentist considering CAD/CAM: 1) Clinical considerations, and 2) Variations of CAD/CAM in the dental practice. Let’s get started…

Clinical Considerations

What CAD/CAM is right for your practice? In truth, CAD/CAM is a tool in the practice to bring doctor benefits, patient benefits, or both. However, like any machine it is rather dispassionate about your clinical skills. If you have great clinical skills, CAD/CAM will be a delight. If you have two left hands, you might struggle. On the other hand, nothing in dentistry has the power to teach like seeing your preps and impressions on the monitor in front of you. Imagine prepping a tooth, scanning it quickly and seeing it magnified 30X? If you can learn from your mistakes, you can master CAD/CAM.

Before we get into the systems themselves, let’s take a quick look at some common clinical considerations…

Fast or Slow?
Are you a fast dentist, or a slow dentist? Why do I ask? Well, if you are slow, you will probably be slow with CAD/CAM. If you are fast, you will probably also be fast with CAD/CAM. In fact, the machines don’t change your dentistry, only you can do that. The machines will not suddenly make you a better (or worse) dentist. It is just a machine, which means garbage-in-garbage-out.

Enjoy isolation?
You don’t realize how good your lab technician is until you start making your own restorations. That is because technicians receive deficient impressions all the time and nearly as often, under-prepared tooth preparations. They then work their magic and fix your mistakes and, 9 times out of 10, deliver something you can seat. If you don’t enjoy isolation, or you’re not particularly good at it, you will struggle taking digital impressions. There is one simple rule with digital impressions: you need to see the margin! All of the margin. If you can’t, whatever you mill won’t seat properly. Ask me how I know.

Too deep for rubber dam? This dentist used Isodry to expose the margins. IOS cameras have no problems here!

Prep God or Prep Newbie?
It doesn’t matter if you use your own CAD/CAM or the Lab, if your preps suck, so will your restorations. Milling/Grinding machines use burs to cut the intaglio of your restorations. The burs used typically vary in diameter from 1,2 mm to 0,6 mm. If the peaks of your preps have smaller circumferences than the milling/grinding burs, your restorations will often ‘hang’ on these peaks and not seat. Think round and flowing preps, think smooth. Do not think like G.V. Black and Co.

Think smooth, think flowing preps for CAD/CAM. Remember, CAD/CAM machines came AFTER dental school.

And this:

Isolation, prep design, reduction. Amen.

Variations of CAD/CAM in the dental practice

Now that we have some of the clinical topics out of the way, let’s look to the different types of CAD/CAM we can find in the dental practice today.

First, “chairside” means different things to different people, so let’s clear this up. There are three variations of Chairside CAD/CAM in the dental practice today: 1) In-Office Production, 2) Same Day Dentistry and 3) Single Visit Dentistry. But beware: they are not created equal!

In-Office Production means you have a CAD/CAM system in the office, but you are providing dentistry much as you did in the past: multiple appointments, placing a temporary, multiple drilling and anaesthetic sessions, etc. The focus of this workflow is on cost reduction per unit produced. And, depending on your production costs (machines costs plus variable material costs), you will likely save on a per-unit basis, but the main advantage of this approach is full control over the clinical outcome. Typically the dentist is doing the “lab work” during slow times, after hours or on off days. Patient benefit: No real change.

Same Day Dentistry means you are typically preparing the tooth and making a digital impression in the morning and having the patient return later in the day for the final placement of the prosthetic. This offers the patient benefit of receiving their restoration within the same day and for the dentist, you can design the case away from the patient and you are likely able to skip the temporization step. Patient benefit: Better-than-before.

Single Visit Dentistry is completing a prosthetic case within 1 to 2 hours and offer the most benefits for both patient and dentist. However, it comes at a price! For one, fully integrated systems are expensive today but also bring extra pressure for the dentist – namely performing the case in front of their patient. Patient benefit: Very high.

From the patient’s perspective, the single-visit treatment method offers the most benefits by far. For example, they only need to plan one one appointment, they receive no temporary and there’s also just one anaesthetic and drilling session. If you doubt this makes a difference, read 5 Hurdles To “Yes, I’ll Have That Crown”.

But as you already know, small things in dentistry make a big difference. According to a study of more than 600 patients*, offering Single Visit Dentistry yields a 250% increase in case acceptance for Crowns, a 36% higher satisfaction with the Crown itself and a 128% higher recommendation rate for the dentist. If you’ve ever wondered why the CEREC® dentist is smiling, this is it.

While the Single Visit approach delivers the most benefits for everyone involved, the one challenge for the dentist is to complete the procedure literally “at the chairside”. For some the thought of using a camera and software in front of their patient creates stress. For others it is an opportunity to bring value to their dentistry while the patient is waiting and maybe even deepen the relationship between the doctor and patient.

Conclusion
Using CAD/CAM inside the dental clinic gives the clinician the ability to control the entire process, which you may find is either very attractive or very frightening. If you find the idea of producing your own work exciting and a measure of professional growth, you are correct, and you are likely to enjoy having CAD/CAM in the office. If you believe chairside CAD/CAM is overwhelming and you would rather not have all that responsibility, you are also correct, and maybe CAD/CAM in the office is not for you.

Today there are as many digital impression cameras used in dental offices as there are complete chairside CAD/CAM systems. In North America, for example, about 40% of general dentists own a digital impression camera or a full chairside system. The adoption is similar in Europe and many dentists doing digital impressions today are looking to add milling in the coming years. As it happened in the dental laboratories over the last ten years, the flood of CAD/CAM systems into the dental practice is upon us.

The question you have to answer is, which is the right system for you: In-Office Production, Same Day Dentistry or Single Visit?

*Eric Mower and Associates, Study On Patient Perception Of Single Visit Dentistry, January 2012, USA, n=600 Patients