Evaluating the fit of onlay fabricated using 3D printing and CAD/CAM technology: An in-vitro study

Nghiem Tuan Anh, Tong Minh Son, Pham Thai Thong, Vo Truong Nhu Ngoc, Nguyen Thu Tra, Vo Nhat Minh, Trinh Khanh Linh, Lam Khanh Duy, Tran Le Quynh Phuong, Phan Thanh Loi, Pham Ngoc Tu

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Abstract

The degree of fit between the restoration and the prepared cavity is one of the important criteria for evaluating treatment effectiveness and predicting the long-term functional efficacy of dental restorations. An in-vitro study was conducted to evaluate the fit of hybrid ceramic onlay restorations fabricated using 3D printing and CAD/CAM technology. The fit was assessed at 100 points in the pulpal wall and marginal adaptation using Reference-Point Matching (RPM) and Silicone Replica Geomagic (SRG). The results showed that CAD/CAM-fabricated onlay restorations had a higher fit than the 3D-printed onlay group at most points, with a statistically significant correlation (p < 0.05). However, the deviation values assessed by RPM and SRG were both less than 120 μm, which is acceptable in clinical practice. Restorations fabricated using 3D printing and CAD/CAM both exhibit a higher risk of marginal application at the finish line compared to other locations.

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References

1. Alshehri HA, Altaweel SM, Alshaibani R, et al. Effect of Different Wax Pattern Manufacturing Techniques on the Marginal Fit of Lithium Disilicate Crowns. Materials. 2022;15(14). doi:10.3390/ma15144774
2. Palacios T, Tarancón S, Pastor JY. On the Mechanical Properties of Hybrid Dental Materials for CAD/CAM Restorations. Polymers (Basel). 2022 Aug 10;14(16):3252. doi: 10.3390/polym14163252.
3. Al-Sharifee EB, Al-Ali AA. Mechanical evaluation of hybrid ceramic compared with zirconia as an implant abutment material. J Res Med Dent Sci. 2023;11(5):63-67.
4. Ottoni R, Marocho SMS, Griggs JA et al. CAD/CAM versus 3D-printing/pressed lithium disilicate monolithic crowns: Adaptation and fatigue behavior. J Dent. 2022;123:104181. doi:10.1016/j.jdent.2022.104181
5. Alrabiah MA. Comparative Evaluation of Mechanical Properties Between CAD/CAM-Milled and 3D-Printed Dental Zirconia: A Systematic Review and Meta-Analysis. Materials. 2025;18(22):5112. doi:10.3390/ma18225112
6. Hussain M, Wadei D, Sayed M, et al. Marginal Adaptation and Internal Fit of 3D-Printed Provisional Crowns and Fixed Dental Prosthesis Resins Compared to CAD/CAM-Milled and Conventional Provisional Resins: A Systematic Review and Meta-Analysis. Coatings. 2022;12:1777. doi:10.3390/coatings12111777
7. Yassine J, Diken Türksayar AA, Beuer F et al. Accuracy and Fit of Three-Unit Dental Restorations Fabricated from 3D-Printed Resins and CAD/CAM Milling Materials: A Micro-CT Study. Bioengineering. 2026;13:362. doi:10.3390/bioengineering13030362
8. Srimaneepong V, Heboyan A, Zafar MS et al. Fixed Prosthetic Restorations and Periodontal Health: A Narrative Review. J Funct Biomater. 2022 Feb 1;13(1):15. doi: 10.3390/jfb13010015.
9. Topdagi B, Guler CC, Sultanoglu EG. Marginal and internal fit accuracy of single-crown restorations: the impact of digital and conventional impression techniques. BMC Oral Health. 2025;26:79. doi:10.1186/s12903-025-07491-0
10. Duarte S, Phark J. Advances in Dental Restorations: A Comprehensive Review of Machinable and 3D-Printed Ceramic-Reinforced Composites. J Esthet Restor Dent. 2025;37(1):257-276. doi:10.1111/jerd.13371
11. Alanazi KK, Elkaffas AA. Physical Assessment of CAD/CAM and 3D-Printed Resin-Based Ceramics Integrating Additive and Subtractive Methods. Polymers. 2025;17(16):2168. doi:10.3390/polym17162168
12. Alanazi KK, Alzaid AA, Elkaffas AA, et al. Mechanical Assessment of CAD/CAM Fabricated Hybrid Ceramics: An In Vitro Study. Appl Sci. 2024;14(17). doi:10.3390/app14177939
13. Zarate-Maquera A, Sánchez-Tito M, Tozo-Burgos J. Mechanical Performance of 3D-Printed Resins versus CAD/CAM PMMA for Provisional Crowns: New Evidence under Simulated Clinical Conditions. J Clin Exp Dent. 2025;17:e1235-e1240. doi:10.4317/jced.63128
14. Alqahtani NM, Chaturvedi S, Addas MK, et al. Advanced superimposition method to evaluate the marginal and internal fit of ceramic crowns fabricated using heat pressing techniques. PeerJ. 2025;13:e19117. doi:10.7717/peerj.19117
15. Park JY, Bae SY, Lee JJ, Kim JH et al. Evaluation of the marginal and internal gaps of three different dental prostheses: comparison of the silicone replica technique and three-dimensional superimposition analysis. J Adv Prosthodont. 2017;9(3):159-169. doi:10.4047/jap.2017.9.3.159