Preclinics of Dental Prosthetics · MU Sofia

75. CAD/CAM in complete denture fabrication.

Covers how complete dentures are made with CAD/CAM, from digital or conventional impressions and jaw relation records through design, try-in, and milling or 3D printing. A step-by-step table sets out the six stages, and a comparison table sets digital dentures against conventional flask-processed ones on visits, base material, fit, spares, tooth choice and cost. The note closes with a list of current limits, such as difficulty recording movable tissues and the reduced freedom in tooth characterisation.

Inside: 4 sections · 1 labelled picture · 2 tables · 14 flashcards · 2 min

Topic 75 of 75 in the MU Sofia syllabus for Preclinics of Dental Prosthetics (Dental Medicine, Year 2). The free AceMed note covers it in 4 sections, about 104 words (2 min of reading), with 14 flashcards.

In this note

  1. Introduction
  2. Workflow
  3. Comparison with conventional dentures
  4. Limits

Introduction

CAD/CAM has reached complete dentures too. Instead of waxing, flasking and heat-curing, the denture is designed on screen and milled from a pre-polymerized block or 3D-printed. The clinical steps are fewer, but the principles of impressions, jaw relations and tooth arrangement stay the same.

Limits

  • Recording movable tissues and the functional border shape digitally is still difficult.
  • Less freedom for individual characterization of teeth and gingiva, unless finished by hand.
  • Printed resins may be weaker and less colour-stable than milled ones.

The digital denture is still built on the same foundations: a correct impression, correct jaw relations, teeth in the neutral zone and balanced occlusion.

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