The 3D-printed prototype: a new protocol for the evaluation and potential adaptation of monolithic all-ceramic restorations before finalization.

Abstract

The prototyping protocol to evaluate and make the potential adjustments prior to finalization of the monolithic restorations was described by two clinical situations. In the first case report, following the digital impressions using an intraoral scanner (3Shape Trios, 3Shape) for an implant-supported four-unit fixed dental prosthesis, a digital design (3Shape Dental System, 3Shape) was performed and a prototype using subtractive CAM (milling) (PMMA, Telio CAD, Ivoclar Vivadent) was fabricated. The second case highlights the 3D-printed prototyping (additive CAM) (Sheraprint Model Plus UV, Shera) following digital impressions using an intraoral scanner and digital design in a patient requiring two opposing open-end three-unit fixed dental prostheses. By means of prototyping, the esthetic, fitting, and functional properties could be tested and the adjustments were completed on the prototypes. It is suggested that prototyping is an efficient tool that minimizes the clinical adjustment need for the final restoration while improving the communication between the dental practitioner and the technician.