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20 Journal of Dental Technology April 2007 - JDT Unbound

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<strong>20</strong> <strong>Journal</strong> <strong>of</strong> <strong>Dental</strong> <strong>Technology</strong> <strong>April</strong> <strong>20</strong>07


ences may make<br />

good neighbors,<br />

but the virtual<br />

frontier’s fences <strong>of</strong> closed<br />

architecture can limit your<br />

choices and your success.<br />

Every piece <strong>of</strong> digital<br />

equipment you own from<br />

your cell phone to a CAD/<br />

CAM system has either a<br />

closed or an open system.<br />

In a closed system, the<br />

technological specifications<br />

are proprietary and the<br />

opposite is true in the<br />

case <strong>of</strong> open architecture<br />

systems.<br />

Take you cell phone, for example.<br />

Let’s say you bought a cell phone from<br />

Verizon. In a closed architecture system,<br />

you can only call people who had a<br />

Verizon phone. In an open architecture<br />

system, you can call anyone on any type<br />

<strong>of</strong> phone no matter the type or brand.<br />

The vast majority <strong>of</strong> technology<br />

in the dental laboratory industry<br />

from scanners to complete CAD/<br />

CAM systems is closed architecture.<br />

Manufacturers have been creative in<br />

meeting the needs <strong>of</strong> users without<br />

opening up their systems. For example,<br />

if you want to use the InEos scanner<br />

from Sirona, but don’t want to purchase<br />

the InLab CAD/CAM system or if<br />

you already own a CAD/CAM system<br />

from a different manufacturer, all is not<br />

lost. Sirona started InfiniDent, which<br />

<strong>April</strong> <strong>20</strong>07 <strong>Journal</strong> <strong>of</strong> <strong>Dental</strong> <strong>Technology</strong> 21


allows you to scan a die with InEos and<br />

send the digital information to Sirona’s<br />

production center, where your coping is<br />

manufactured.<br />

It’s a solution, but not a complete<br />

one. The drawback being that because<br />

Sirona’s is a closed system you can’t send<br />

the digital information from your InEos<br />

scanner to a Lava (3M) CAD/CAM<br />

system or any other type <strong>of</strong> CAD/CAM<br />

system not manufactured by Sirona. The<br />

close architecture dilemma has some <strong>of</strong><br />

the leading research and development<br />

technicians looking to see what other<br />

options are available.<br />

“One <strong>of</strong> the things that I’m going<br />

to spend a lot <strong>of</strong> time looking at during<br />

the (International <strong>Dental</strong> Show in<br />

Cologne, Germany) in March is what<br />

else is out there. Open architecture is<br />

going to be the way it’s going to end<br />

up. I think there is going to be pressure<br />

on the big players to open up at least<br />

part <strong>of</strong> their systems to that,” said Jim<br />

Boshoven, CDT, director <strong>of</strong> technical<br />

research at <strong>Dental</strong> Services Group. “I<br />

think if you open it up you encourage<br />

development from a lot <strong>of</strong> other people<br />

and I think you it could drive the<br />

prices down. That’s why I think open<br />

architecture has got some advantages.”<br />

The main advantages <strong>of</strong> open<br />

architecture being:<br />

Choice − You could utilize the same<br />

scanner to manufacture restorations<br />

using different CAD/CAM<br />

systems, whether outsourcing to<br />

another laboratory or using a system<br />

you have in house.<br />

Competition − Different manufacturers<br />

could produce peripheral equipment,<br />

such as a scanner, that would<br />

work with any CAD/CAM system<br />

and produce spare parts to meet<br />

any budget and schedule.<br />

Cost − Competition among<br />

manufacturers and the addition <strong>of</strong><br />

new players to the market could<br />

make it more financially feasible for<br />

small to medium sized laboratories<br />

to participate in CAD/CAM<br />

manufacturing.<br />

So why are there still technological<br />

fences Because manufacturers have to<br />

walk the line between creating products<br />

that are user friendly and maintaining a<br />

healthy bottom line, which allows them<br />

to pay their employees and continue<br />

researching technological advancement.<br />

In addition, manufacturers must agree<br />

on a standard set <strong>of</strong> output parameters.<br />

Manufacturers in Europe are leading<br />

the release <strong>of</strong> more open architecture<br />

systems, while the U.S. is lagging behind<br />

in this respect.<br />

For example, the Switzerland-based<br />

Laserdenta OpenScan 3D scanner was<br />

showing <strong>of</strong>f its five-axis scanner and<br />

computer-aided design modeler at the<br />

Chicago <strong>Dental</strong> Society Midwinter<br />

Meeting in Chicago. The scanner uses<br />

the standard scanning files, known as<br />

STL files, and can be used with any<br />

milling machine, fabrication center or<br />

3D printer that accepts those standard,<br />

open-file formats.<br />

According to the manufacturer, the<br />

five axis give the scanner the freedom <strong>of</strong><br />

movement necessary to precisely digitize<br />

any dental model including undercuts<br />

and abutments. It scans not only models,<br />

but also scans directly from impressions<br />

as well. And while it uses open format<br />

STL file, the drawback to this scanner<br />

is that the most commonly used computer-aided<br />

manufacturing systems in<br />

Laserdenta OpenScan User-Interface<br />

22 <strong>Journal</strong> <strong>of</strong> <strong>Dental</strong> <strong>Technology</strong> <strong>April</strong> <strong>20</strong>07


the U.S., such as Sirona’s inLab or 3M’s<br />

Lava, maintain closed systems.<br />

While many manufacturers say<br />

they are looking into the possibilities <strong>of</strong><br />

open architecture, until more companies<br />

go from looking to committing<br />

laboratory owners will continue to have<br />

limited choices even if they have an open<br />

architecture scanner.<br />

To be sure, there are challenges to<br />

setting a dental industry standard for<br />

open architecture. While many dentists<br />

and technicians doubt manufacturers<br />

will embrace the potential <strong>of</strong> open<br />

architecture, they crave the freedom <strong>of</strong> a<br />

fence-free virtual frontier.<br />

“On my side I want to be able<br />

to use the technician I’ve used my<br />

whole life. I don’t want to be forced,<br />

because I bought this system, to use<br />

some laboratory in another state. I<br />

want to have the option to use my<br />

ceramist here,” said Paul Feuerstein,<br />

DMD, a frequent writer and lecturer on<br />

technology in dentistry.<br />

Boshoven agrees that the<br />

possibilities for dentists and laboratory<br />

technicians abound with open<br />

architecture.<br />

“You’re going to have more options<br />

if you go with the open architecture. To<br />

be able to take the same information and<br />

send it to a number <strong>of</strong> different places or<br />

machines to create it,” he said. “It just<br />

makes sense to me that that’s the way the<br />

industry is going to go because that’s the<br />

way every other industry has gone. We’re<br />

kind <strong>of</strong> an odd industry in many ways<br />

but we’re not that much different.”<br />

LaserdentaCAD Modeler<br />

Open Architecture Basics<br />

What is it<br />

• A system in which the technology’s specifi cations are<br />

made public in order to encourage third-party vendors<br />

to develop add-on products. For example, your<br />

personal computer has open architecture so you are<br />

able to download s<strong>of</strong>tware and add on peripherals,<br />

such as a printer, not manufactured by the company<br />

that built your computer. In the dental laboratory world,<br />

an open architecture CAD/CAM system would enable<br />

you to accept a digital impression, for example, no<br />

matter what system the dentist used.<br />

What are the benefits<br />

• It will create additional competitive sources for<br />

components.<br />

• System integrators would be able to seamlessly connect<br />

different CAD/CAM systems into an effective enterprise.<br />

• You will be able to select from a variety <strong>of</strong> spare parts<br />

sources to meet you budget and schedule.<br />

<strong>April</strong> <strong>20</strong>07 <strong>Journal</strong> <strong>of</strong> <strong>Dental</strong> <strong>Technology</strong> 23

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