Current and Emerging Applications of 3D Printing in Restorative Dentistry
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Purpose of Review
3D printing, or additive manufacturing, is an emerging technology in the dental field. As it continues to advance beyond diagnostic purposes, it shifts towards the fabrication of permanent prostheses utilizing existing and novel biomaterials. A review and comparison of the current research on materials, techniques, and applications of 3D printing available for restorative use was conducted.
Currently, 3D printing used across the field of restorative dentistry, includes laboratory models and casting patterns, interim full and partial coverage restorations, surgical guides, occlusal splints, maxillofacial prosthetics, removable prostheses, and implants. Resins are most often used while ceramic and hybrid materials are currently under investigation and development.
While the current research available highlights 3D printing’s potential in the dental field, more research is needed on the existing and developing materials and printers, thus allowing for an exponential increase of this technology’s applications in restorative dentistry.
Keywords3D printing Digital dentistry CAD/CAM Rapid prototyping Stereolithography Additive manufacturing
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 3.Yap CY, Chua CK, Dong ZL, Liu ZH, Zhang DQ, Loh LE, et al. Review of selective laser melting: materials and applications. Appl Phys Rev. 2015;2(4):041101. https://doi.org/10.1063/1.4935926.
- 5.Derby B. Inkjet printing ceramics: from drops to solid. J Eur Ceram Soc. 2011;31(14):2543–50. https://doi.org/10.1016/j.jeurceramsoc.2011.01.016.
- 6.• Alharbi N, Wismeijer D, Osman RB. Additive manufacturing techniques in prosthodontics: where do we currently stand? A critical review. Int J Prosthodont. 2017;30(5):474–84. https://doi.org/10.11607/ijp.5079. Current review of the status of additive manufacturing and 3D printing in the field of prosthodontics, particularly the different printing techniques, the materials involved, and its applications.
- 7.Liaw CY, Guvendiren M. Current and emerging applications of 3D printing in medicine. Biofabrication 2017:9(2):5090/aa7279. Doi: https://doi.org/10.1088/1758-5090/aa7279.
- 9.Huang H, Hsieh MF, Zhang G, Ouyang H, Zeng C, Yan B, et al. Improved accuracy of 3D-printed navigational template during complicated tibial plateau fracture surgery. Australas Phys Eng Sci Med. 2015;38(1):109–17. https://doi.org/10.1007/s13246-015-0330-0.
- 10.Hockaday LA, Kang KH, Colangelo NW, Cheung PY, Duan B, Malone E, et al. Rapid 3D printing of anatomically accurate and mechanically heterogeneous aortic valve hydrogel scaffolds. Biofabrication 2012:4(3):5082/4/3/035005. Epub 2012 Aug 23. https://doi.org/10.1088/1758-5082/4/3/035005.
- 11.Shaheen E, Sun Y, Jacobs R, Politis C. Three-dimensional printed final occlusal splint for orthognathic surgery: design and validation. Int J Oral Maxillofac Surg 2017:46(1):67–71. Doi:S0901–5027(16)30275–2.Google Scholar
- 14.• Torabi K, Farjood E, Hamedani S. Rapid prototyping technologies and their applications in prosthodontics, a review of literature. J Dent. 2015;16(1):1–9. Thorough review summarizing the technical progress of 3D printing in dentistry, specifically outlining the types rapid prototyping and their applications in restorative dentistry and facial prosthetics. Google Scholar
- 22.Bhargav A, Sanjairaj V, Rosa V, Feng LW, Fuh Yh J. Applications of additive manufacturing in dentistry: a review. J Biomed Mater Res B Appl Biomater. 2017; https://doi.org/10.1002/jbm.b.33961.
- 26.Homsy FR, Ozcan M, Khoury M, Majzoub ZAK. Marginal and internal fit of pressed lithium disilicate inlays fabricated with milling, 3D printing, and conventional technologies. J Prosthet Dent 2017. Doi:S0022–3913(17)30518–8.Google Scholar
- 27.Eftekhar Ashtiani R, Nasiri Khanlar L, Mahshid M, Moshaverinia A. Comparison of dimensional accuracy of conventionally and digitally manufactured intracoronal restorations. J Prosthet Dent 2017. Doi:S0022–3913(17)30230–5.Google Scholar
- 28.Bhaskaran E, Azhagarasan NS, Miglani S, Ilango T, Krishna GP, Gajapathi B. Comparative evaluation of marginal and internal gap of Co-Cr copings fabricated from conventional wax pattern, 3D printed resin pattern and DMLS tech: an in vitro study. J Indian Prosthodont Soc. 2013;13(3):189–95. https://doi.org/10.1007/s13191-013-0283-5. PubMedPubMedCentralGoogle Scholar
- 31.Inokoshi M, Kanazawa M, Minakuchi S. Evaluation of a complete denture trial method applying rapid prototyping. Dent Mater J 2012:31(1):40–46. Doi:JST.JSTAGE/dmj/2011–113.Google Scholar
- 34.Hu F, Pei Z, Wen Y. Using intraoral scanning technology for three-dimensional printing of Kennedy class I removable partial denture metal framework: a clinical report. J Prosthodont. 2017; https://doi.org/10.1111/jopr.12712.
- 36.Alifui-Segbaya F, Williams RJ, George R. Additive Manufacturing: A Novel Method For fabricating cobalt-chromium removable partial denture frameworks. Eur J Prosthodont Restor Dent. 2017;25(2):73–8. https://doi.org/10.1922/EJPRD_1598Alifui-Segbaya06. PubMedGoogle Scholar
- 39.Deeb GR, Allen RK, Hall VP, Whitley D, Laskin DM, Bencharit S. How accurate are implant surgical guides produced with Ddesktop stereolithographic 3-dimentional printers? J Oral Maxillofac Surg 2017:75(12):2559.e8. Doi:S0278–2391(17)31019–4.Google Scholar
- 40.Chen J, Zhang Z, Chen X, Zhang C, Zhang G, Xu Z. Design and manufacture of customized dental implants by using reverse engineering and selective laser melting technology. The Journal of Prosthetic Dentistry 2014:112(5):1095e1 Doi: https://doi.org/10.1016/jprosdent2014.04.026.
- 41.•• Tunchel S, Blay A, Kolerman R, Mijiritsky E, Shibli JA. 3D printing/additive manufacturing single titanium dental implants: a prospective multicenter study with 3 years of follow-up. Int J Dent. 2016;2016:8590971. https://doi.org/10.1155/2016/8590971.. Clinical study showing short-term success of 110 titanium single implants produced via additive manufacturing.
- 42.Osman RB, van der Veen, A J, Huiberts D, Wismeijer D, Alharbi N 3D-printing zirconia implants: a dream or a reality? An in-vitro study evaluating the dimensional accuracy, surface topography and mechanical properties of printed zirconia implant and discs J Mech Behav Biomed Mater 2017:75:521–528 Doi: https://doi.org/10.1016/j.jmbbm.2017.08.018
- 43.Cheng Y, Lin D, Jiang C, Lin Y. Dental implant customization using numerical optimization design and 3-dimensional printing fabrication of zirconia ceramic. Int J Numer Methods Biomed Eng 2017:33(5):n/a. Doi: https://doi.org/10.1002/cnm.2820.
- 45.• Ishida Y, Miyasaka T. Dimensional accuracy of dental casting patterns created by 3D printers. Dent Mater J. 2016;35(2):250–6. https://doi.org/10.4012/dmj.2015-278. In-vitro study that compares the quality of different printers.
- 47.Mai HN, Lee KB, Lee DH. Fit of interim crowns fabricated using photopolymer-jetting 3D printing. J Prosthet Dent. 2017:118(2):208–215. Doi:S0022–3913(16)30613–8.Google Scholar
- 49.Tahayeri A, Morgan M, Fugolin AP, Bompolaki D, Athirasala A, Pfeifer CS, et al. 3D printed versus conventionally cured provisional crown and bridge dental materials. Dent Mater 2017. Doi:S0109–5641(17)30447–5.Google Scholar
- 51.Alharbi N, Alharbi S, Cuijpers VMJI, Osman RB, Wismeijer D. Three-dimensional evaluation of marginal and internal fit of 3D-printed interim restorations fabricated on different finish line designs. J Prosthodont Res 2017. Doi:S1883–1958(17)30106–8.Google Scholar
- 52.Yue J, Zhao P, Gerasimov JY, van de Lagemaat M, Grotenhuis A, Rustema-Abbing M, et al. 3D-Printable Antimicrobial Composite Resins. Adv Funct Mater. 2015;25(43):6756–67. https://doi.org/10.1002/adfm.201502384.
- 54.Ebert J, Özkol E, Zeichner A, Uibel K, Weiss Ö, Koops U, et al. Direct inkjet printing of dental prostheses made of zirconia. J Dent Res. 2009;88(7):673–6. https://doi.org/10.1177/0022034509339988.