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CAD/CAM Systems
in Dentistry
DT: Amer Alkrad
ALHarkan dental clinics
What is CADCAM Systems
• CAD: Computer Aided Designing.
• 3Shap, Exocad , AutoCad…….
• CAM: Computer Aided Manufacturing .
• Subtractive : CNC Machines.
• Additive : 3D printing.
Laboratory workflow
Impression
Model
fabricating
scanning CAD CAM
Finishing
build up
Digital dentistry
Digital models (scanning)
CAD Software (1)
CAD software (2)
CAM (subtractive): CNC Machines
• Milling , carving the blocks.
• Fast , high precision.
• Too much wastes.
• Depending on Burs and sharp cutters  Hard to mill the
small fissures .
• Need to maintain and replace the cutters frequently.
CAM(Additive)
3D Printing Techniques
photopolymerization
Extrusion
paste tech
jetting
Layering
possessing
technique
melting sliding
photopolymerization
Stereo
Lithography
SLA
Vector Scan
UV LASER
Digital Light
Processing
DLP-CDLP
Digital projector
Tow Photons
Polymerization
2PP
Photons
Stereo Lithography SLA
• Charles Hill 1986
• High precision, Slow, Small projects.
• High risk duo to UV
• Input : Resin Liquid >>> Output:
plastic
• Point by point processing
• Dental , Bio laboratory .
Digital Light Processing DLP
• Faster than SLA
• Slides Processing
• CDLP (Carbon 3D) using .
Tow Photons Polymerization 2PP
• 100 NANO Technology
• Extra precise technology
• BIO manufacturing
• Femto second
Material extrusion
Syringe Based modeling Fused Deposition Modeling
FDM
• Easy to use.
• Low costs.
• Slow.
• Low accuracy .
• Plastic, Nylon , composites,
wax.
• Small objects
Syringe based
modeling
• easy to use.
• Low costs .
• Economic solution.
• Sweets , Buildings.
Material
Jetting
UV cured
Drop on
demand
Nano Particle
jetting
Polymer Jetting
UV Cured
• Polymer jetting.
• Multi materials printing.
• Good quality
• maxillofacial
Bed powder
fusion
Bender Jetting
Technology
Selective Laser
melting
SLM
Selective Laser
Sintering
SLS
Electron Beam
melting
EBM
Selective Laser Sintering
Selective Laser Melting
• Laser welding
• Highly recommended and best
choice for dental lab’s
• Expensive.
Electron Beam
Melting
EBM
• Bones ,joints
• very expansive
• High quality ,accuracy.
• Titanium , Cobalt
Chromium .
EBM
After Manufacturing
• Coloring (zirconia , PLA , ABS ..).
• Blasting .
• Finishing.
• Dipping in sealer liquid.
• Sintering.
• Hardening.
• Smoothing and polishing.
3D printers vs CNC
• Slow.
• Extreme accuracy (Nanos).
• Higher cost machines.
• limited range of materials .
• Small and easy to use and
maintenance.
• Approximately zero wastes .
• Fast
• High accuracy (microns ).
• Lower than 3D printers.
• Wide range materials .
• Big , heavy , hard to use and
maintenance.
• Huge amount of waste.
In Dentistry
3D printers
• Models
• Trays , Plates
• Metal RPD’s
• Metal Crown and bridge
• Maxillofacial
• splints
CNC
• Lithium silicate ceramics ( glass
ceramic)
• Zirconia C&B.
• Peek Restorations.
• Limited dentures
• Metal C&B.
Should we care ?
• Knowledge is free !!!
• 3D printers prices go down
Rapidly.
• Technology is going a head .
“Once a new technology rolls over you, if
you're not part of the steamroller, you're
part of the road.”
Stewart Brand
Thanks for attention

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