Dimensional reliability in CAD/CAM production of complete denture bases: A comparative study of milling and various 3D printing technologies

Dent Mater J. 2024 Sep 28;43(5):629-636. doi: 10.4012/dmj.2023-215. Epub 2024 Aug 10.

Abstract

This study aims to assess the dimensional accuracy of complete denture bases fabricated from different CAD/CAM technologies and a conventional method, including milling (CNC), PolyJet (PJ), laser sintering (SLS), digital light processing (DLP), and injection molding (IM). It also examines the influence of the removal of technology-specific connectors or support structures when present. Denture base surfaces were digitized using a laboratory scanner, and virtual measurement points were calculated with tetrahedral reference geometries. Defined distances were measured in all spatial directions and compared to design data (p<0.05), revealing significant differences in sagittal (p=0.004), transversal (p<0.001), and vertical (p<0.001) dimensions. Connector removal had no significant impact for CNC but significantly affected DLP. All technologies yielded clinically acceptable results, with CNC milling demonstrating the best overall outcome.

Keywords: 3D printing; Additive manufacturing; CAD/CAM; Digital complete denture; Milling.

Publication types

  • Comparative Study

MeSH terms

  • Computer-Aided Design*
  • Denture Bases*
  • Denture Design*
  • Denture, Complete*
  • Humans
  • Lasers
  • Printing, Three-Dimensional*
  • Reproducibility of Results
  • Surface Properties