Skip to main content
. 2024 Nov 18;37(1):257–276. doi: 10.1111/jerd.13371

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.