TABLE 3.
Advantages and limitations of CAD‐CAM machinable CRC versus 3D‐printed CRC for definitive restorations.
| Machinable CRC | 3D‐printed CRC | |
|---|---|---|
| Fabrication precision | High precision due to controlled industrial milling processes. | Precision can vary depending on the 3D printer type, quality, calibration, ethanol rinse procedures, curing device, and settings. |
| Material homogeneity | Generally uniform, with fewer defects due to pre‐fabrication under controlled conditions. | Potential for inhomogeneities, such as voids or inconsistent layers, depending on printing quality. |
| Mechanical properties | Higher mechanical properties compared to 3‐printed CRC, but lower than ceramics. | Generally lower mechanical strength and wear resistance compared to CAD‐CAM CRC, and significant inferior to ceramics. |
| Optical properties | Monochromatic but minor changes in translucency over time. | Monochromatic, but susceptible to discoloration in a short period of time. |
| Surface | Maintains smoother surface short‐term with less roughness progression compared to 3D‐printed CRC Requires higher maintenance with constant finishing and polishing steps than ceramic. | Increased susceptibility to surface roughness progression, especially after aging, leading to higher wear rates. Requires higher maintenance with constant finishing and polishing steps than machinable CRC. |
| Steps | Scan, design, mill, finish, and polish. | Scan, design, print, wash, dry, polymerize, finish, and polish. |
| Time efficiency | Faster turnaround for single units once blocks are milled. Must consider finishing and polishing steps. | Must consider printing and post‐processing times, finishing and polishing steps. Can be faster for complex or multiple units. |
| Cost | Higher investment due to the cost of CAD‐CAM software, milling software, milling machine, burs, and blocks. | Lower material costs but requires investment in 3D printing technology (3D printer, wash and dry machine, and curing device). Does requires constant calibration of the printer. |
| Material waste | Generates more waste due to milling from a solid block. | 20% less waste than machinable CRC as material is added layer by layer. |
| Bonding | Established protocols with predictable outcomes. | Bonding protocols are still evolving, with potential variability in outcomes. |
| Clinical longevity | Moderate clinical longevity in low‐stress applications; not ideal for high‐stress or full‐coverage restorations. | No long‐term data available; long‐term independent clinical trials are necessary. Could be better suited for provisional applications. |