how to select the cad/cam system that's right for your lab
TRANSCRIPT
CAD/CAM Solutions:What’s Right for You?
Sam Wainwright
“Intellectual growth should commence at birth and cease only at death.”
1 - Acquisition: Desktop and Intra-oral scanners
2 - CAD:The software used to design
3 - Manufacturing:Subtractive, additive, and materials
1 - Acquisition: Desktop and Intra-oral scanners
2 - CAD:The software used to design
3 - Manufacturing:Subtractive, additive, and materials
1 - Acquisition: Desktop and Intra-oral scanners
2 - CAD:The software used to design
3 - Manufacturing:Subtractive, additive, and materials
1 - Acquisition: Desktop and Intra-oral scanners
2 - CAD:The software used to design
3 - Manufacturing:Subtractive, additive, and materials
Desktop and Intra-oral scanners
Intra-oral scanners
Open or closed?
● 3Shape TRIOS○ Requires 3Shape or TRIOS inbox○ Open model system (.stl)
● 3M Lava True Definition○ Requires partnership with 3M○ Has 3M certified model system - Printed○ And open model system (.stl) - Depending
● Cadent iTero○ Requires partnership with Cadent○ Has certified model system - Milled○ Open model system (.stl)
Intra-oral scanners
Key features
● 3Shape TRIOS○ Best technology in the segment○ Color powderless scanning○ Expensive
● 3M Lava True Definition○ The most accurate scanner○ Requires powder (why its accurate)○ Least expensive scanner (upfront)○ Older technology
● Cadent iTero○ Owned by Invisalign○ Powderless○ Medium cost○ Older technology
Intra-oral scanners
Open or closed?
● E4D○ Made to be chairside solution○ Pay per case for output of .stl○ Open model system (.stl)
● Carestreams○ Made to be chairside solution○ Open .stl
● Sirona Cerec○ Made to be chairside solution○ Closed to Cerec CAD Systems
■ (Cerec Connect)
Desktop scanners: Laser or stripe
● 3Shape D500 - D800
● DentalWings 3 - 7
● Nobel 2G Scanner
● Accuracy - 7 to 15 µm
Desktop scanners: Laser
Desktop scanners: Structured lightAlso known as white light or blue light scanners
● 3Shape D900 (blue light)● Ceramill Map 400● inEos X5 (not automatic, manually move
models)● Identica (White and blue light)● Lava ST / Jensen● iMetric
● Accuracy - 5 to 20 µm
Desktop scanners: Structured lightAlso known as white light or blue light scanners
Desktop scanners: Structured lightAlso known as white light or blue light scanners
Desktop scanners: Touch probe
● Nobel Piccolo
● Renishaw
● Accuracy - <1 µm
Desktop scanners: Touch probe
Desktop scanners
● Laser or Structured Light is best
● Speed and accuracy
● Make sure it outputs .stl (open)
● Some scanners work best with certain CAD
CAD Software
CAD Software
CAD Software
CAD Software
CAD Software
ManufacturingSubtractive, additive, and materials
ManufacturingSubtractive
ManufacturingSubtractive
Dry materials
• Zirconia• Wax• PMMA• Nanocomposites• CrCo (Sintron)
Wet materials
• Ceramics• CrCo• Titanium
ManufacturingSubtractiveDry mills Wet mills
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible dry indication types
• Zirconia full contour / frame• Wax patterns full contour / frame• Diagnostic wax ups• Hybrid Zir custom abutments• Screw retained crowns and
bridges• Long term temps• Full contour same day nano• Non-precious frame (Sintron)
ManufacturingSubtractive
Possible wet indications types
• Full contour all ceramic• Non-precious framework• Ti custom abutments (prefab blank)• Hybrid denture bar• Ti custom abutments (raw mat.)
ManufacturingSubtractive
Possible wet indications types
• Full contour all ceramic• Non-precious framework• Ti custom abutments (prefab blank)• Hybrid denture bar• Ti custom abutments (raw mat.)
ManufacturingSubtractive
Possible wet indications types
• Full contour all ceramic• Non-precious framework• Ti custom abutments (prefab blank)• Hybrid denture bar• Ti custom abutments (raw mat.)
ManufacturingSubtractive
Possible wet indications types
• Full contour all ceramic• Non-precious framework• Ti custom abutments (prefab blank)• Hybrid denture bar• Ti custom abutments (raw mat.)
ManufacturingSubtractive
Possible wet indications types
• Full contour all ceramic• Non-precious framework• Ti custom abutments (prefab blank)• Hybrid denture bar• Ti custom abutments (raw mat.)
ManufacturingSubtractive4 axis 5 axis
ManufacturingSubtractive
5 axis
ManufacturingSubtractive
4 axis
ManufacturingMaterials
Open vs closed
What questions should I ask?
• Are my materials locked with codes / RFID tags
• Does the CAM software accept .stl files
• What kind of CAM software is equipped
• What size of material does it use
• What Indications are supported
• What machines does your company use
ManufacturingMaterials
Open vs closed
What questions should I ask?
• Are my materials locked with codes / RFID tags
• Does the CAM software accept .stl files
• What kind of CAM software is equipped
• What size of material does it use
• What Indications are supported
• What machines does your company use
ManufacturingMaterials
Open vs closed
What questions should I ask?
• Are my materials locked with codes / RFID tags
• Does the CAM software accept .stl files
• What kind of CAM software is equipped
• What size of material does it use
• What Indications are supported
• What machines does your company use
ManufacturingMaterials
Open vs closed
What questions should I ask?
• Are my materials locked with codes / RFID tags
• Does the CAM software accept .stl files
• What kind of CAM software is equipped
• What size of material does it use
• What Indications are supported
• What machines does your company use
3D Printing
ManufacturingAdditive
3D Printing
What can you print for dental?
ManufacturingAdditive
3D Printing
What can you print for dental?
ManufacturingAdditive
3D Printing
What can you print for dental?
ManufacturingAdditive
3D Printing
What can you print for dental?
ManufacturingAdditive
3D Printing
What can you print for dental?
ManufacturingAdditive
3D Printing
What can you print for dental?
ManufacturingAdditive
3D Printing
Does 3D printing make sense for your lab?
ManufacturingAdditive
3D Printing
Does 3D printing make sense for your lab?
ManufacturingAdditive
3D Printing
This is just the start.
ManufacturingAdditive
ManufacturingSintering
A few things about sintering
• Bottom entry
• Programable
• MoSi2 heating elements
Thank youQuestions?