Dental Office of the Future

Dental Chair 1

Imagine walking into your office unlocking the door, turning to your smart switch, instead of the traditional toggle switch, disarming your alarm system, turning on the heater or air conditioning to preset temperatures, turning on the lights, compressors, and hardware from that one smart switch. Walking to the front desk, turning on your patient check in a computer, as well as all of the other computers in the office. The computers are small enough to fit in the palm of your hand, the monitors are far larger than the computers. By this point in time, a proprietary operating system such as windows will have become irrelevant most likely running Android or some other Linux, as everything is based in the cloud. The staff sits down to prepare for the day, the entire phone system now a complete internet based Voice over Internet Protocol system VoIP, so you see more people able to use smartphones to operate the office phones. The phones for the office have been charging overnight in a case using UV-C rays to disinfect them each day. The first patient comes in for the day, goes to the check in computer signs in all electronically, and the patient management software automatically pulls up their history and everything, so the staff is aware. We bring the patient back to the operatory there are no TV screens on the walls, no speakers either, it’s been replaced with an immersive Holographic Augmented Virtual Reality smart glasses headset system for the patient to be able to use a personal screen with a switch the dentist can use to still directly interface with the patient when needing to be worked on. Perhaps the patient needs some work done and requires an impression, well no impression trays are needed, simply pull out a 3D Intraoral scanner to take a 3D impression of their mouth in STL or 3MF file format or CBCT in a football helmet out outing DICOM DCM. As the dentist is scanning, they are not looking at a laptop screen but rather a pair of Augmented Reality smart glasses that allow the dentist to see the world as normal, but with a 3D projection as well on the glasses, able to be manipulated by the dentist. The dentist reaches out into air manipulating the 3D models only he or she can see through these AR smart glasses. The 3D Intraoral Scanner is so precise, that the dentist can diagnose surface issues and cracks the naked eye can’t even reveal. If the dentist sees there are issues that require lab work, the dentist can have a mini in-office lab in the back to 3D print (Additive) or mill (Subtractive) any materials they might need, or send it off to an offsite lab to do the work. The dentist would not have to send physical models of impressions to labs, but rather drop it in a HIPAA compliant file storage network that allows the lab and the dentist to share files back and forth securely, and instantly. Once the dental technician receives the file most of the work can potentially be done without printing any physical materials until the end product needs to be made. If materials are required to be made they can be 3D printed out of ceramic, porcelain, carbon fiber, fiberglass, Kevlar, or other materials required. Imagine being able to cut down on time and money making physical materials for mocking up models for dental work, when it can all be virtualized, and have results much more expeditiously. Some dentists may even opt for a Chairside Computer Aided Design (CAD) system with Virtual Articulation and Jaw Movement Recording, so they can get the 3D models needed right at the patient chair side, and potentially able to run their own miniature lab in the back of the office. Dentists one day may become vertically integrated to not only service mouth, but the design and manufacture the hardware for the services rendered.

Author(s): Alon Ganon

Infographic(s): Internet




received_10154714272628316Imagine the world in which—if you owned a BMW­—you could only fill up at a BMW gas station using BMW gas. Ford gas won’t work. You can only drive in the BMW lane and take the BMW off ramp. If the BMW off ramp is closed for repairs, you can’t take the Ford or Toyota off ramp. That whole scenario is preposterous but it is basically what happens when we use closed proprietary dental systems.

Interoperability is the ability of different systems from different vendors to work together. The opposite is proprietary, where users are restricted to one vendor’s products. The classic examples of this are VHS vs. Beta and MAC vs. PC. Open systems give users more choice at lower cost.

When shopping for a digital product, let vendors know that open system is an important buying factor. Ask the sales person if you can transfer the digital impression to any lab of your choice or if you can load the impression into design software of your choice. In many cases, the answer will be no. Let the sales person—or, better yet, the sales managers and product managers—know that you won’t buy a closed system.

I promise you that when you do this the salesperson will be prepared with a very plausible sounding reason that their closed system is better and it is in your best interests to play in their private sandbox.

The fact is that closed proprietary systems benefit the manufacturers and vendors they do not benefit the profession and our patients. Vendors will not provide interoperable systems until dentists demand it as a condition of purchase.

Is an open system on your checklist when purchasing an intraoral scanner?

Authur(s) Larry Emmott, D.D.S

Infographic(s) iTray by Medentic

Source(s): Carestream Dental



Duret 1979 Labo

Prof. Francois Duret “father of Dental CAD/CAM” on the left at his lab [1979]

Though computer-aided design/computer-aided manufacturing (CAD/CAM) for Dentistry has been available for the past 25-30 years, it’s only been within the past decade that the technology has moved from the lab to chairside. Much like radiovisiography technology, dental CAD/CAM technology got its start in Europe in the 1970s and 1980s. However, early versions of CAD/CAM systems were so cumbersome and complicated that they were considered more of a hindrance to practice workflow than an advantage, and were mostly confined to laboratories. Fortunately, advances in the technology over the past few years have made CAD/CAM a more viable option for dentists looking to do restorations in-house.

From the Lab to Chairside—What has Changed?

CAD/CAM systems allow users to Scan, Design, and mill or 3D Print and place a crown in a single appointment. One reason that this system has become much more accessible has been the introduction to the market of intra oral scanners that eliminate both traditional impression materials and the powders and sprays associated with earlier scanners. These powder-free scanners save time and also create an overall more comfortable experience for the patient. Another advancement within the past few years has been scanners that don’t require trolley systems and can simply be unplugged and reconnected to a Laptop or Tablet computer in each operatory.

Some CAD/CAM systems even allow dentists to take traditional impressions if they so choose and then use an existing CBCT unit to scan the mold. This kind of flexibility is a key factor in why more and more dentists are choosing to bring their restorations in-house. When you have the option to use equipment you’re already using anyway, why not?

New advancements in design software also give dentists more control over the outcome of their restorations—guaranteeing consistent results for patients. Some software design automated 3D models that require almost no manipulation from the doctor and the design can be completed in just minutes.

Finally, compact and vibration-free milling machines can mill crowns, inlays and onlays in as little as 15 minutes. Some machines are only the size of a desktop printer, meaning practices don’t have to sacrifice valuable real estate for new equipment. Also contributing to the recent uptick of in-house restorations has been an expansion in the kinds of materials that can be used to mill crowns, such as all-ceramic, hybrid ceramic or resin-based materials. This means doctors can work with their preferred materials and it’s easier than ever to create natural-looking results for patients.

The Future of CAD/CAM Technology

Having been used by dentists for a few years now, CAD/CAM is experiencing yet another evolution. Orthodontists are finding the intraoral scanners used to create restorations are perfect for orthodontic applications.

Powder-free scanners make it easy to create digital models and orthodontic-specific design software can take basic distance measurements including overjet, overbite, pressure map, arch length, tooth size, crowding measurement and more, to further improve doctors’ diagnostic capabilities. Digital models eliminate the need to make and store physical plaster models, saving valuable time and space for practices. This environmentally friendly solution also ensures that patients’ models are not damaged, lost or mixed-up over time. Plus, digital models can be easily shared with third-party labs to produce orthodontic appliances.

From heavy machinery hidden in the back of labs to scanners easily portable from operatory to operatory, CAD/CAM technology has come a long way, and different specialties are continuing to reappropriate it to meet their practices’ needs.

When was the first time you saw CAD/CAM in action? Where do you see CAD/CAM going in the future?

Author(s): Caresstream Team




3D Intra Oral Scanners

Intra oral scanners

Existing 3D intra-oral scanning devices 3D IOS for restorative dentistry and orthodontics are listed below:

– If you know of any other companies that are in the 3D intra-oral scanning  3D IOS space please email

– If you need to know the status, go-to-market or technology of any 3D IOS

– Only some of these are already commercially available.

CEREC Apollo DI, BlueCam, OmniCam – by Dentsply Sirona (DE)

CS 3600 – by Carestream (US)

iTray – by Medentic S.A (LU) ( Concept)

Aadva – by GC (CH)

Emerald – by Planmeca Oy (FI)

PlanScan E4D Nevo – by Planmeca E4D Technologies (US)

SureSmile OraScanner – by Orametrix (US)

DW10 3D IOS Portable and Cart – by Dental Wings (CA)


TRIOS 3 – by 3shape (DK)

VIZ 3D IOS – by ADIN Digital (IL)

iTero Element – by Align (US)

True Definition 2.0 – by 3M ESPE (US)

MyCrown – by Fona (US) DentsplySirona

Condor – by SAS Condor (FR)/Condor International NV (BE)

MIA3D – by densys3d (IL)

Heron IOS – by 3Disc (DK) (US) (ES)

Optician- by DENT (RU)

3D Tooth Scanner – by Real3d.PK (PK)

iTray – by (DE)

IO-Scan – 3D by Voco GmbH (DE)

DL100 – by  Launca medical (CN)

Source: dtg


iTero Element Intraoral Scanner

iTero Element Back

First Impressions

The iTero Element Scanner is the latest intra-oral imaging technology from Align Technology, Inc. Powered by a new touchscreen interface, the system offers a sleek, minimalist appearance. Both the software and hardware have been reengineered and redesigned from the base up. Another noteworthy change is the elimination of the foot-pedal, with all of the scanning inputs driven from the redesigned wand.

Great Expectations

The first thing everyone should know it’s brand new system is a complete rebuild. The hardware, software, and interface are all brand new. Esthetically the new machine is very modern. Just having the machine in the office creates some expectations about the level of care patients about to receive. Patients see clinicians using this amazing piece of technology and think, ‘wow, clinicians must be the top of the top’ to be using something this sophisticated.

The Patient Experience

What really sets the iTero Element Scanner apart is the experience. Most patients have had at least one PVS impression taken in Patients lifetime. When a clinician explains the digital process, and how there’s not going to be any tray or putty, it puts them in a good mood. Once started, it takes a clinician about five to ten minutes to complete a full arch scan. Even for the most difficult cases where there’s a lot of crowding, it takes a clinician ten minutes, maximum. 

It doesn’t get said often. But there are times when the conventional impression can be painful. When a clinician removes an impression, especially if there’s a lot of crowding, it can put a lot of pressure on the teeth. It can feel like the clinician is trying to extract all patient’s teeth! Or just as bad is when a clinician gets a bubble in the alginate and clinician need to put the patient through the process again. Not only does a patient feels like a clinician is wasting patient’s time, and clinician’s time, but clinician is subjecting them to what’s a pretty horrible procedure.

But the scan is just the first part of the patient experience.

The Invisalign Outcome Simulator has quickly become an amazing resource for patients. Seeing the final outcome simulated is a big deal for the patient. It tells them they made the right choice in coming to a high tech dental office. It’s also a tremendous educational tool. Let’s say a clinician mention that patient needs to extract an incisor. When the patient can see the condition right there, and how the teeth will look, the patient can understand what we want to do, but more importantly, why we want to do it. Patients can see what we’re seeing, and what we’d like to accomplish.

Really, it gives the patients a sense of assurance and a sense of control. Most patients trust what we’re saying. But when patients can see it for themselves, they can feel like they’re involved in the process. As a result, they can reach a conclusion easier and begin moving forward with confidence.

The Practice Experience

The impact on every aspect of the practice can’t be ignored. The entire office runs better. Let’s face it, conventional impressions can cause a lot of stress. It’s a procedure that no one of clinicians likes doing. When clinician got a waiting room full and clinician start falling a little behind, having to retake an impression can throw a whole day into chaos. There was always an underlying fear that something would go wrong, and clinician does need to start over, or even worse, recall a patient for a second impression. With the iTero Element in the office, everyone’s stress level is much lower!

Every clinician likes working in a peaceful environment. Nobody wants the stress. By eliminating the conventional impression, the clinician has not only eliminated most of the stress the patient experiences but also for every clinician. It’s such a refreshing way to start the appointment and the overall patient relationship.

Is there a learning curve? Sure. It takes a little bit of getting used to watching the screen as clinician take’s the impression. But it’s something everyone on the clinical team is able to master in a few weeks. The video feed makes it easier to see what clinician is doing. It’s still far easier than a conventional impression.

The handpiece is really lightweight. It’s easy to turn on and turn off with the push of a button. The iTero Element team provides clinicians excellent support. If clinicians ever have a question or problem, the iTero Element team is always available to the clinicians.

End Results

None of the above would matter if the system didn’t deliver the end results. Clinicians seldom have to do a remake. It definitely improves productivity and clinical outcomes.

Clinicians can even do Invisalign with iTero Element Scanner because to clinicians, it’s the base.  If a clinician wants to do Invisalign, a clinician must have a digital scanner. It’s ridiculous to not be using this technology in 2017. It’s like a smart phone.

It is really amazing. It’s faster and easier. Patients are impressed. It saves clinicians time, it saves clinicians money. It allows clinicians to give patients a better experience when they’re in the office, and to do a better job for the patient from a clinical standpoint. Digital impression system; it’s a very good investment.


Editor(s): Eli Ganon




dtg 3d Public Relation Social Media Marketing


Public Relations

Public Relations PR is absolute, unequivocally the lowest-cost, highest-credibility and return on investment ROI initiative any company can launch. At dtg 3d, we leverage public relations across digital media such as internet and blogosphere and printed media to build explosive, positive awareness for our clients that ensures their brand gets heard above the fray. At the end of the day, the only thing that is going to drive a client’s brand awareness and the association is the digital and printed media coverage. Everything else is just noise.

At dtg 3d, we measure everything to demonstrate return on investment ROI. Using the industry-standard media value platform, we arm our clients with everything they need to justify their investment in public relations.


  • Digital and Printed Media Relations
  • Analyst Relations
  • Communications Strategies
  • Blogger Outreach
  • Stunt Public Relation (PR)
  • Award Submissions
  • Social Media News Releases
  • Media Training
  • Company & Product Launches
  • Social Media

dtg 3d offers fully outsourced social media services. These services include complete management of all social media channels such as Facebook, Twitter, Instagram, Pinterest, YouTube, LinkedIn, Google+, etc. These services cover daily content generation and user engagement. As a part of this outsourced model, we establish social media objectives and measure those objectives through detailed reporting.


  • Content Creation
  • User Engagement
  • Customized Facebook Tabs
  • Facebook Strategies
  • Twitter Strategies
  • Pinterest Strategies
  • LinkedIn Strategies
  • Management of Social Contests
  • Social Media Ads

For additional information contact Eli Ganon, Partner Founder & CEO,  mobile: +1 310 295 7964 or email

Source(s): dtg


About the author(s): Eli Ganon

Eli is an experienced technology marketing strategy consultant, storyteller, publisher, writer, copywriter and social media blogger on emerging technologies. Currently, Eli is the CIO of dtg 3d ‘ideation and imagineering’, a technology and operations strategy consulting firm based in Columbus, Ohio, USA. Eli holds a BS in Mathematics and Aerodynamics from The Ohio State University.You can follow Eli on Twitter @EliGanon or View all posts by Eli Ganon


Austria born_global_championway2productionWay2Production (W2P) Engineering GmbH develops and manufactures cutting-edge 3D printers of outstanding quality, performance, and design using DLP technology.

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Author(s): W2P

Infographic(s): W2P