u/OldMannArtie

Opinions on Axsys

Specifically I am interested in their "hardware as a service" offer. A versamill ax208d as a all in one monthly fee. I believe it includes support, repairs, replacements if needed, etc. I know it will end up being more expensive but I am new to CAM and having a relationship with an experienced company that is sort of there to help me as I figure things out is tempting, as is not having the buck stop with me as far as repairs goes.

If anyone has experiences with them I would be interested in hearing them.

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u/OldMannArtie — 1 day ago

Is there really no implant planning software that you actually own?

I've been using blue sky plan and tinkered with atomica ai. They're fine. That being said, I just feel like I want to own a dedicated piece of software that will do the job without dealing with the pay per use or annual licensing fees, and so far I am getting skunked. I can't find a single piece of software that doesn't keep you on that future revenue chain.

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u/OldMannArtie — 1 day ago

Coxo C-Puma

So in January I decided to grab a second implant motor and got a pretty good deal on a c sailor pro unit by buying several of the basic C-Puma electric motors with 8 cx245 handpieces. Ignoring the implant motor, the cost to outfit 4 ops was a little bit under $3,000. Still waiting to see if a tariff bill catches up to me.

Anyhow, I thought I'd leave a few thoughts here since inexpensive Chinese handpieces are extremely popular.

Firstly, the motor is very smooth and has torque for days. The pneumatic activation is somewhat more touchie and all or nothing compared to other higher pedigree electric units that I've used in the past, but given I can press a single button to turn the speed down to an exact RPM, I'm not all that worried about it. Installation is super easy, and the controls are very intuitive for those who understand what a ratio handpiece is doing. And of course you get rid of that highspeed air noise.

The handpieces themselves are actually super high quality. Like shockingly good for something that costs so little. They do cost more than double the cheap aliexpress modrls, but still like 1/5 of what an nsk cozts. In terms of feel and performance, it's right there with any of the big boys. It runs tight, has very well controlled and consistent water, is as quiet as any electric I've ever used, and the handpiece light isn't half bad. I'd probably say the light is where it compares the worst with some of the high end ones I've used, but it's certainly not horrible.

Anyways, just thought I'd share that. It's a way of going electric with a legitimate brand, but not breaking the bank.

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u/OldMannArtie — 4 days ago

Best way to merge dicom and stl with a mouth full of zirconia

I've always been able to find enough points on a dicom to slap my stl on top accurately, but this case has me stumped. Zirconia and scatter as far as the eye can see. Looking at what I have available at the office that I think maybe might work are the regular radiographic marker stickers (which I don't know how I'll adhere them anywhere useful), some TADs (the idea of screwing in a few of those for this purpose seems a bit extreme). I know the old method of scan markers on an impression tray, but I'm really hoping for a full digital approach here. Any ideas?

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u/OldMannArtie — 6 days ago

Thoughts on atomica.ai

I'm curious if anybody here is trying out atomica.ai and their software. Looks kike they have implant planning, crown design, cbct segmentation, basic smile design software, and a model designer. No mention of pricing, so I'm sure it's going to be pay per use or something.

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u/OldMannArtie — 10 days ago

Heck, or even a printed base. The more digital I do, the more I miss a well made denture tooth. I have tried it once before with a tooth on the exocad list of teeth approved for that work flow (artic digital) and yeah it kind of worked. Getting everything seated at the same time was a pain and I'm certain not everything ended up fully seated.

any tips or tricks to help assemble a digital denture with traditional carded teeth?

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u/OldMannArtie — 13 days ago

I'm a pretty heavy audible user. I typically go through 48 books a year, so I typically look for book series. The last several I've listened to are Sibyls war by Timothy Zahn, The Thrawn trilogy by Timothy Zahn, The Corps series by WEB Griffin, the Conquerors trilogy by Timothy Zahn, Dungeon Crawler Carl by Matt Dinninan, Sherlock Holmes the definitive collection, the Commonwealth saga by Peter Hamilton, and the first law trilogy by Joe Abercrombie. I'm a sci-fi guy first, fantasy second. Any recommendations of some great book series would be greatly appreciated.

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u/OldMannArtie — 18 days ago