Case Study

Fabrication of 3D Printed Inlay and Onlay

This case study outlines the efficient workflow for creating chairside 3D-printed inlays and onlays. This minimally invasive approach not only enhances efficiency but also allows for precise customisation, leading to improved patient satisfaction and outcomes.
Fabrication of 3D Printed Inlay and Onlay

Designing for superb outcomes

Advanced CAD software: Utilising advanced CAD software (e.g., Medit CliniCAD or exocad), we are able to design a virtual model of the inlay or onlay with outstanding precision and accuracy. This digital environment allows for precise manipulation to achieve a perfect fit within the prepared cavity. Additionally, adjustments to the gap or thickness of the restoration can be made to optimise clinical outcomes. This customisation ensures exceptional strength, aesthetics, and optimal bite function.

3D Printed Inlay and Onlay CAD Sotfware
3D Printed Inlay and Onlay Nesting

Efficient nesting: Software such as Ackuretta Alpha AI and SprintRay RayWare Cloud can arrange inlays or onlays from multiple patients within the 3D printing chamber. Concurrent printing made possible by “nesting” maximises material usage, minimises waste, and optimises printing efficiency. Strategic angling of the restorations during nesting can further improve the effectiveness of the layering process, optimising print quality.

3D Printed Inlay and Onlay Nesting

Printing with high-performance materials

Ceramic-filled hybrid resin: We utilise a biocompatible hybrid ceramic or high impact resin specifically chosen for its exceptional strength, aesthetic qualities, and suitability for the oral environment.
3D Printed Inlay and Onlay Support removal

Post-processing for a flawless finish

Support removal: During printing, some models may require temporary support structures. These supports are meticulously removed with flush cutters or tweezers to avoid damaging the delicate inlay or onlay. Precise removal techniques ensure a pristine surface for finishing.

Polishing: Following support removal, the restorations are meticulously polished to achieve a smooth, natural-looking surface that reflects light similarly to surrounding teeth.

Cleaning: For ceramic-filled resin, we perform an initial wash in isopropyl alcohol (IPA) in a shaker for 30 seconds, followed by alcohol spraying and cleaning of surfaces and grooves with a micro brush. Then, we use compressed air drying to ensure no moisture remains on the surface. IPA left on the surface after washing can cause whitish streaks or a chalky film as it evaporates, particularly if the resin absorbs some of the IPA, altering its surface characteristics.

Post-curing in glycerine: A thin layer of glycerin is applied to prevent moisture absorption before final curing. Moisture can negatively impact the inlay or onlay’s strength and longevity. Glycerin eliminates oxygen effectively, allowing the resin to fully cure and reach its optimal strength.

3D Printed Inlay and Onlay Support removal
3D Printed Inlay and Onlay Glazing

Final curing: The restoration is then placed inside a UV curing unit for final hardening, ensuring the inlay or onlay achieves its maximum strength and durability.

Staining & glazing: For exceptional aesthetics, pigments, stains, and textures can be meticulously applied to perfectly match the colour, shade, and surface characteristics of the patient’s natural teeth. Throughout this phase, UV light is used to ensure proper bonding and curing of the applied glaze and coats.

Mock-up wax-up: A replica of the prepared tooth is used to verify the fit and function of the completed inlay or onlay. This mock-up step ensures proper function and minimises adjustments during the actual bonding, saving time and enhancing the overall treatment outcome.
Fabrication of 3D Printed Inlay and Onlay
3D Printed Inlay and Onlay
3D Printed Inlay and Onlay
3D Printed Inlay and Onlay

Conservative and efficient restorative approach

3D-printed inlays and onlays offer dentists a minimally invasive solution that enhances restorative procedures. Advanced technology and materials allow for precision-designed, customised restorations, ensuring optimal clinical outcomes. The digital workflow streamlines production, enabling efficient treatment while preserving healthy tooth structure and achieving excellent aesthetics and functionality. These benefits lead to improved patient satisfaction and more effective dental care.
Fabrication of 3D Printed Inlay and Onlay