1. Digital Impressions and CadCam Marketplace
March 28, 2014 • BDM • Hawaii
Mark Ebersold, PlanmecaUSA 1

2. First, Let’s Get the definitions out of the way…
CAD- Computer Aided Design
CAM- Computer Aided Manufacturing
Digital Impressioning- (dental) Capturing an object
(scanning) so it can be transferred and manipulated in a virtual
Environment. (computer software)
.STL (STereoLithography) describes only the surface geometry
of a three-dimensional object without any representation
of color or texture
So.. Why do I care? 2

3. Because they all don’t do the same thing…
Stand-Alone Digital Impression Systems
Cerec
Apollo DI
3M True
Definition
Cadent
Itero
3 Shape
Trios 3

4. E4D, IOS Glidewell, Lab Network
Comparisons:
Stand-Alone Digital Impression Systems
Price
Fees
Open?
Partners
Scanning method
Powder?
$12,000
$199-
$349/mo
Some what
E4D, IOS Glidewell, Lab Network
White light
YES
Low entry price- fees equalize at 2.5 years
Sold by direct and multiple dealer networks
3M True
Definition 4

5. E4D, Lab Network, Invisalign, strong implant partners
Comparisons:
Stand-Alone Digital Impression Systems
Price
Fees
Open?
Partners
Scanning method
Powder?
$18,000
$4,000
Per yr
Some what
E4D, Lab Network, Invisalign, strong implant partners
laser
YES
Long learning curve, difficult to train,
but large fan base
Sold by multiple dealer networks
Cadent
Itero 5

6. E4D, Lab Network, Invisalign, strong implant partners
Comparisons:
Stand-Alone Digital Impression Systems
Price
Fees
Open?
Partners
Scanning method
Powder?
$28,000, $38,000 for color
$2000 per year
yes
E4D, Lab Network, Invisalign, strong implant partners
White light No
Strong Laboratory fan base
Sold by multiple dealer networks
Laptop and Kiosk form factors
Poor customer and dealer support
3 Shape
Trios 6

7. Comparisons: Stand-Alone Digital Impression Systems
Price
Fees
Open?
Partners
Scanning method
Powder?
$25,000,
$150/month
No, Cerec Connect only
Cerec labs only
White light
YES
No upgrade or partnering path
Sold by Patterson Dental
Cerec
Apollo DI 7

8. So where’s the Return on Investment of Scan-Only systems?
There isn’t any…
The dirty little secret is that every case that incorporates a Scan-Only system (without a mill) will cost your customer more money!
That doesn’t mean there’s no value though… 8

9. So where’s the Return on Investment of Scan-Only systems?
Fewer remakes
Better patient comfort
High Tech perception of practice
Savings on impression material (temps still required)
Possibly better fitting (and longer lasting) restortations
Possible discounts from labs
Possibly faster turnaround from labs
Integration to other systems (CBCT, Align, Removables) 9

10. Competition Planmeca chairside Sirona Cerec chairside 10
PlanScan, PlanCAD, Planmill 40
Omnicam & MC X & XL
Sirona Cerec chairside
Bluecam & MC
Carestream
CS 3500 IOS & CS 3000
BIOLASE
3Shape Trios & BioMill(imes-icore)
3M True Definition & TS150 10

11. Competition- Fully integrated systems
Planmeca chairside
PlanScan, PlanCAD, Planmill 40
Omnicam & MCXL
Sirona Cerec chairside
Bluecam & MC
Carestream
CS 3500 IOS & CS 3000
Advantages:
Single point of support (training, phone and technician)
Better Educated Field Reps
Modular systems (pick & choose functionality)
Fewer surprises
Guaranteed to work together
Seamless workflow 11

12. Competition- Fully integrated systems
Planmeca chairside
PlanScan, PlanCAD, Planmill 40
Omnicam & MCXL
Sirona Cerec chairside
Bluecam & MC
Carestream
CS 3500 IOS & CS 3000
Disdvantages:
Tied to a single supplier
Perceived pricing disadvantage
Held hostage to upgrades 12

13. Competition- Multiple Manufacturers
BIOLASE
3Shape Trios & BioMill(imes-icore)
3M True Definition & TS150
Advantages:
Pick and choose components
Upgrade path to milling (better ROI) possible 13

14. Competition- Multiple Manufacturers
BIOLASE
3Shape Trios & BioMill(imes-icore)
3M True Definition & TS150
Disdvantages:
Multiple vendors (finger pointing on support issues)
Unforeseen surprises (integration issues)
Smaller range of ceramic material choices (milling)
Requires a 3rd (sometimes 4th) station to design the restoration) 14

15. And then there’s the Planmeca Solution
Direct, validated collaboration with 3M, Itero and 3Shape scanners 15

16. And then there’s the Planmeca Solution
.stl
DENTAL LAB
Open format, no-per click fees send to Dental Labs through .stl format 16

17. And then there’s the Planmeca Solution
Scan only system
Scan, design and mill system
Practice can integrate the milling solution any time at a later date with NO penalty 17

18. And then there’s the Planmeca Solution18

19. 19 *Not for dentists, only to “selected” labs and export only $2495/yr
Planmeca
Sirona
Biolase 3M
Carestream
Scanners
Mill
PlanScan
Planmill
Omnicam
MC X & XL
Bluecam MC
Trios
BioMill
True Definition
TS150
CS 3500
CS 3000
PRODUCTIVITY
LAPTOP BASED ✔ ✖
OPEN SYSTEM
✖✔*
Can be bought
To E4D
In advanced mode
Only markets it with CS 3000 at the moment
3 CPUs (LAPTOP, MILL & JOB SERVER)
CAD in Trios CAM in BioMill ✔✖
3 CPUs with E4D
When work is in progress the system is locked
PLUG & PLAY CAPABILITIES
SPEED
Anatomical molar e-max crown minutes
Anatomical molar e-max crown minutes
Anatomical molar e-max crown minutes
No info
*Not for dentists, only to “selected” labs and export only $2495/yr 19

20. 20 Scanners Mill PlanScan Planmill Omnicam MC X & XL Bluecam MC Trios
Planmeca
Sirona
Biolase 3M
Carestream
Scanners
Mill
PlanScan
Planmill
Omnicam
MC X & XL
Bluecam MC
Trios
BioMill
True Definition
TS150
CS 3500
CS 3000
SCAN 1/2
REMOVABLE TIPS ✔ ✖
DIFFERENT TIP SIZES
3 DIFFERENT, targeted Q2/2014
2 DIFFERENT
HEATED MIRRORS
Heated Pad - Fogging occurs on larger scans
RECESSED MIRRORS
Exposed Mirrors - Easily Scratched- Must Hover to proper distance
Exposed Mirrors - Easily Scratched/ spotted with powder
3D BLUE LASER TECHNOLOGY
Single wavelength = better accuracy.
White Light (LED)
Top Down blue light (LED)
LED 20

21. In acquisition voids seen only
Planmeca
Sirona
Biolase 3M
Carestream
Scanners
Mill
PlanScan
Planmill
Omnicam
MC X & XL
Bluecam MC
Trios
BioMill
True Definition
TS150
CS 3500
CS 3000
SCAN 2/2
POWDER FREE ✔ ✖
ICE VIEW
Color Interpolated - No visibility or feedback on missing data and scan accuracy
Stone model view only
Colour
Extrapolated from single image
VIDEO IMAGE CAPTURE
PREOP SCAN & ERASE
IRIS ADJUSTABLE FIELD OF VIEW
Correcting algoritm shown 21

22. Scan tab not interactive
Planmeca
Sirona
Biolase 3M
Carestream
Scanners
Mill
PlanScan
Planmill
Omnicam
MC X & XL
Bluecam MC
Trios
BioMill
True Definition
TS150
CS 3500
CS 3000
DESIGN
DESIGN TOOLS ✔
Complex procedures based workflow
Advanced design program
No experience with software
NATURAL DESIGN PROGRESSION
Design workflow is less linear- going backward to check loses work. Once scans are completed they are no longer editable without restarting case.
Design workflow is linear- going backward to check loses work. Once scans are completed they are no longer editable without restarting case.
GRAPHIC USER INTERFACE
menu flow
DENTAL
SOFTWARE
Full Romexis integration
Power user required? 22

23. 23 Scanners Mill PlanScan Planmill Omnicam MC X & XL Bluecam MC Trios
Planmeca
Sirona
Biolase 3M
Carestream
Scanners
Mill
PlanScan
Planmill
Omnicam
MC X & XL
Bluecam MC
Trios
BioMill
True Definition
TS150
CS 3500
CS 3000
MILLING 1/2
UNIT RESOLUTION
<10 micron
60 micron
5-10 micron
No info
TOOL CHANGER ✔
6 tool automatic changer
Available on higher priced inLab MCXL unit only 1 tool in backup ✖
AUTOMATIC TOOL WEAR/BREAKAGE DETECTOR
Changes automatically
Manual change in MC X, MCXL
Manual change
PREMIER BURS
Premier 2 striper 67 micron fine brazed diamond
Multiple manufacturers 85+ micron diamond 23

24. 24 Scanners Mill PlanScan Planmill Omnicam MC X & XL Bluecam MC Trios
Planmeca
Sirona
Biolase 3M
Carestream
Scanners
Mill
PlanScan
Planmill
Omnicam
MC X & XL
Bluecam MC
Trios
BioMill
True Definition
TS150
CS 3500
CS 3000
MILLING 2/2
INTERNAL MILL COMPUTER ✔
Flexibility to adjust doctor's schedule to fit their workflow - System does not dictate schedule.
No internal computer - Cart must remotely "drive" the mill - Cart cannot be shut down during milling. Tether must remain intact.
CAM on seperat pc, not automatic. Works needs to be manually put in workpiece. ✖
PREVENTATIVE MAINTENANCE
In-Office Quarterly
Annual Preventative Maintenance (ONLY with paid Service Club Subscription)
No info 24

25. Thank You
(cell) 1