The potential of additive manufacturing technologies and their processing parameters for the fabrication of all-ceramic crowns: A review
Corresponding Author
Mohammad Mujtaba Methani BDS, MS
Department of Biomedical Sciences, Texas A&M University, College of Dentistry, Dallas, Texas
Correspondence
Mohammad Mujtaba Methani, 3302 Gaston Avenue, Room 449, Dallas, TX 75246.
Email: [email protected]
Search for more papers by this authorMarta Revilla-León DDS, MSD
AEGD residency, Texas A&M University, College of Dentistry, Dallas, Texas
Affiliate Faculty Graduate Prosthodontics, School of Dentistry, University of Washington, Seattle, Washington
Revilla Research Center, Madrid, Spain
Search for more papers by this authorAmirali Zandinejad DDS, MSc
AEGD residency, Texas A&M University, College of Dentistry, Dallas, Texas
Search for more papers by this authorCorresponding Author
Mohammad Mujtaba Methani BDS, MS
Department of Biomedical Sciences, Texas A&M University, College of Dentistry, Dallas, Texas
Correspondence
Mohammad Mujtaba Methani, 3302 Gaston Avenue, Room 449, Dallas, TX 75246.
Email: [email protected]
Search for more papers by this authorMarta Revilla-León DDS, MSD
AEGD residency, Texas A&M University, College of Dentistry, Dallas, Texas
Affiliate Faculty Graduate Prosthodontics, School of Dentistry, University of Washington, Seattle, Washington
Revilla Research Center, Madrid, Spain
Search for more papers by this authorAmirali Zandinejad DDS, MSc
AEGD residency, Texas A&M University, College of Dentistry, Dallas, Texas
Search for more papers by this authorAbstract
Objective
This article aims to provide a review of the additive manufacturing technologies and the processing parameters that have been investigated for the fabrication of all ceramic crowns.
Overview
Additive manufacturing has crept its way into the field of dentistry for the fabrication of resin and metal prosthesis. To evaluate the current status of additive manufacturing for the fabrication of all ceramic crowns, literature review was targeted to include publications pertaining to the fabrication of dental ceramics and all ceramic crowns. With respect to the additive manufacturing of dental ceramics, five technologies have been investigated to date: stereolithography, material extrusion, powder based fusion, direct inkjet printing, and binder jetting. The processing parameters and experimental outcomes were collated and described for each of the aforementioned technologies.
Conclusion
Additive manufacturing has demonstrated promising experimental outcomes and corroborated to the fabrication all ceramic crowns. However, the technology is yet to witness a commercial breakthrough within this domain.
Clinical Significance
Additive manufacturing mitigates raw material wastage and tooling stresses that are associated with milling of ceramics. Continued research and development can lead to its approbation as an alternate technology for manufacturing all ceramic restorations.
CONFLICT OF INTEREST
The authors did not disclose a conflict of interest related to this article.
REFERENCES
- 1Birnbaum NS, Aaronson HB. Dental impressions using 3D digital scanners: virtual becomes reality. Compend Contin Educ Dent. 2008; 29: 494, 6, 8-494, 6, 505.
- 2Brawek PK, Wolfart S, Endres L, et al. The clinical accuracy of single crowns exclusively fabricated by digital workflow—the comparison of two systems. Clin Oral Investig. 2013; 17: 2119-2125.
- 3Revilla-Leon M, Ozcan M. Additive manufacturing technologies used for processing polymers: current status and potential application in prosthetic dentistry. J Prosthodont. 2019; 28: 146-158.
- 4 ACP. Digital Terminology.
- 5Dawood A, Marti Marti B, Sauret-Jackson V, et al. 3D printing in dentistry. Br Dent J. 2015; 219: 521-529.
- 6van Noort R. The future of dental devices is digital. Dent Mater. 2012; 28: 3-12.
- 7Zandparsa R. Digital imaging and fabrication. Dent Clin N Am. 2014; 58: 135-158.
- 8Beuer F, Schweiger J, Edelhoff D. Digital dentistry: an overview of recent developments for CAD/CAM generated restorations. Br Dent J. 2008; 204: 505-511.
- 9May KB, Russell MM, Razzoog ME, et al. Precision of fit: the Procera AllCeram crown. J Prosthet Dent. 1998; 80: 394-404.
- 10Mangano F, Gandolfi A, Luongo G, et al. Intraoral scanners in dentistry: a review of the current literature. BMC Oral Health. 2017; 17: 149.
- 11Burgess J. Digital DICOM in dentistry. Open Dent J. 2015; 9: 330-336.
- 12Cevidanes LH, Ruellas AC, Jomier J, et al. Incorporating 3-dimensional models in online articles. Am J Orthod Dentofacial Orthop. 2015; 147: S195-S204.
- 13Reiss B. Cerec standard 3-D occlusal contouring in comparison with the new biogeneric occlusal morphing: a case report. Int J Comput Dent. 2007; 10: 69-75.
- 14Mehl A, Gloger W, Kunzelmann KH, et al. A new optical 3-D device for the detection of wear. J Dent Res. 1997; 76: 1799-1807.
- 15 Standard Terminology for Additive Manufacturing Technologies: Designation F2792-12a. West Conshohocken, PA: ASTM International; 2012.
- 16Alharbi N, Osman R, Wismeijer D. Effects of build direction on the mechanical properties of 3D-printed complete coverage interim dental restorations. J Prosthet Dent. 2016; 115: 760-767.
- 17Farzadi A, Solati-Hashjin M, Asadi-Eydivand M, et al. Effect of layer thickness and printing orientation on mechanical properties and dimensional accuracy of 3D printed porous samples for bone tissue engineering. PLoS One. 2014; 9:e 108252.
- 18Silva DN, Gerhardt de Oliveira M, Meurer E, et al. Dimensional error in selective laser sintering and 3D-printing of models for craniomaxillary anatomy reconstruction. J Craniomaxillofac Surg. 2008; 36: 443-449.
- 19Murphy SV, Atala A. 3D bioprinting of tissues and organs. Nat Biotechnol. 2014; 32: 773.
- 20Strub JR, Rekow ED, Witkowski S. Computer-aided design and fabrication of dental restorations: current systems and future possibilities. J Am Dent Assoc. 2006; 137: 1289-1296.
- 21Yang L, Miyanaji H. Ceramic additive manufacturing: a review of current status and challenges, 2017.
- 22Zeng L, Zhang Y, Liu Z, et al. Effects of repeated firing on the marginal accuracy of Co-Cr copings fabricated by selective laser melting. J Prosthet Dent. 2015; 113: 135-139.
- 23Tay BY, Evans JRG, Edirisinghe MJ. Solid freeform fabrication of ceramics. Int Mater Rev. 2003; 48: 341-370.
- 24Ebert J, Özkol E, Zeichner A, et al. Direct inkjet printing of dental prostheses made of zirconia. J Dent Res. 2009; 88: 673-676.
- 25Duret F, Blouin J-L, Duret B. CAD-CAM in dentistry. J Am Dent Assoc. 1988; 117: 715-720.
- 26Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater. 2008; 24: 299-307.
- 27Conrad HJ, Seong WJ, Pesun IJ. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent. 2007; 98: 389-404.
- 28Bindl A, Mormann WH. Fit of all-ceramic posterior fixed partial denture frameworks in vitro. Int J Periodontics Restorative Dent. 2007; 27: 567-575.
- 29Huang H. Machining characteristics and surface integrity of yttria stabilized tetragonal zirconia in high speed deep grinding. Mater Sci Eng A. 2003; 345: 155-163.
- 30Uçar Y, Aysan Meriç İ, Ekren O. Layered manufacturing of dental ceramics: fracture mechanics, microstructure, and elemental composition of lithography-sintered ceramic. J Prosthodont. 2019; 28: e310-e318.
- 31Zhang S, Miyanaji H, Yang L, et al. An experimental study of ceramic dental porcelain materials using a 3D print (3DP) process, 2014.
- 32Alghazzawi TF. Advancements in CAD/CAM technology: options for practical implementation. J Prosthodont Res. 2016; 60: 72-84.
- 33Wang J, Shaw LL, Cameron TB. Solid freeform fabrication of permanent dental restorations via slurry micro-extrusion. J Am Ceram Soc. 2006; 89: 346-349.
- 34Wang W, Yu H, Liu Y, et al. Trueness analysis of zirconia crowns fabricated with 3-dimensional printing. J Prosthet Dent. 2019; 121: 285-291.
- 35Doreau F, Chaput C, Chartier T. Stereolithography for manufacturing ceramic parts. Adv Eng Mater. 2000; 2: 493-496.
- 36Miyanaji H, Yang L, Zhang S, et al. A preliminary study of the graded dental porcelain ceramic structures fabricated via binder jetting 3D printing, 2014.
- 37Hollander DA, Wirtz T, von Walter M, et al. Development of IndividualThree-dimensional bone substitutes using “selective LaserMelting”. Eur J Trauma Emerg Surg. 2003; 29: 228-234.
10.1007/s00068-003-1332-2 Google Scholar
- 38Zhao† X, Evans JRG, Edirisinghe MJ, et al. Direct ink-jet printing of vertical walls. J Am Ceram Soc. 2002; 85: 2113-2115.
- 39Silva NRFA, Witek L, Coelho PG, et al. Additive CAD/CAM process for dental prostheses. J Prosthodont. 2011; 20: 93-96.
- 40Halloran JW. Ceramic stereolithography: additive manufacturing for ceramics by photopolymerization. Annu Rev Mat Res. 2016; 46: 19-40.
- 41Griffith ML, Halloran JW. Freeform fabrication of ceramics via stereolithography. J Am Ceram Soc. 1996; 79: 2601-2608.
- 42Barazanchi A, Li KC, Al-Amleh B, et al. Additive technology: update on current materials and applications in dentistry. J Prosthodont. 2017; 26: 156-163.
- 43Chartier T, Badev A, Abouliatim Y, et al. Stereolithography process: influence of the rheology of silica suspensions and of the medium on polymerization kinetics – cured depth and width. J Eur Ceram Soc. 2012; 32: 1625-1634.
- 44Chartier T, Dupas C, Lasgorceix M, et al. Additive manufacturing to produce complex 3D ceramic parts. J Ceramic Sci Technol. 2015; 6: 95-104.
- 45Dehurtevent M, Robberecht L, Hornez J-C, et al. Stereolithography: a new method for processing dental ceramics by additive computer-aided manufacturing. Dent Mater. 2017; 33: 477-485.
- 46Wen MY, Mueller HJ, Chai J, et al. Comparative mechanical property characterization of 3 all-ceramic core materials. Int J Prosthodont. 1999; 12: 534-541.
- 47Guazzato M, Albakry M, Swain MV, et al. Mechanical properties of In-Ceram Alumina and In-Ceram Zirconia. Int J Prosthodont. 2002; 15: 339-346.
- 48Kelly JR, Denry I. Stabilized zirconia as a structural ceramic: an overview. Dent Mater. 2008; 24: 289-298.
- 49Della Bona A, Anusavice KJ, DeHoff PH. Weibull analysis and flexural strength of hot-pressed core and veneered ceramic structures. Dent Mater. 2003; 19: 662-669.
- 50 ISO. ISO 6872:2015 Dentistry - Ceramic Materials 2015.
- 51Yilmaz H, Aydin C, Gul BE. Flexural strength and fracture toughness of dental core ceramics. J Prosthet Dent. 2007; 98: 120-128.
- 52Scherrer SS, Denry IL, Wiskott HWA. Comparison of three fracture toughness testing techniques using a dental glass and a dental ceramic. Dent Mater. 1998; 14: 246-255.
- 53Gresnigt MMM, Özcan M, van den Houten MLA, et al. Fracture strength, failure type and Weibull characteristics of lithium disilicate and multiphase resin composite endocrowns under axial and lateral forces. Dent Mater. 2016; 32: 607-614.
- 54Quinn JB, Quinn GD. A practical and systematic review of Weibull statistics for reporting strengths of dental materials. Dent Mater. 2010; 26: 135-147.
- 55Lee KB, Park CW, Kim KH, et al. Marginal and internal fit of all-ceramic crowns fabricated with two different CAD/CAM systems. Dent Mater J. 2008; 27: 422-426.
- 56Balkaya MC, Cinar A, Pamuk S. Influence of firing cycles on the margin distortion of 3 all-ceramic crown systems. J Prosthet Dent. 2005; 93: 346-355.
- 57Kosyfaki P, del Pilar Pinilla Martin M, Strub JR. Relationship between crowns and the periodontium: a literature update. Quintessence Int. 2010; 41: 109-126.
- 58Contrepois M, Soenen A, Bartala M, et al. Marginal adaptation of ceramic crowns: a systematic review. J Prosthet Dent. 2013; 110: 447-454.
- 59Masood SH, Song WQ. Development of new metal/polymer materials for rapid tooling using fused deposition modelling. Mater Des. 2004; 25: 587-594.
- 60Evans C, Taneva E, Kusnoto B. 3D Scanning, Imaging, and Printing in Orthodontics, 2015.
- 61Liu Q, Leu MC, Schmitt SM. Rapid prototyping in dentistry: technology and application. Int J Adv Manuf Technol. 2006; 29: 317-335.
- 62Feilden E, Blanca EG-T, Giuliani F, et al. Robocasting of structural ceramic parts with hydrogel inks. J Eur Ceram Soc. 2016; 36: 2525-2533.
- 63Vallar S, Houivet D, El Fallah J, et al. Oxide slurries stability and powders dispersion: optimization with zeta potential and rheological measurements. J Eur Ceram Soc. 1999; 19: 1017-1021.
- 64Wang J, Shaw LL. Rheological and extrusion behavior of dental porcelain slurries for rapid prototyping applications. Mater Sci Eng A Struct Mater. 2005; 397: 314-321.
- 65Lao W, Li M, Masia L, et al. Approaching rectangular extrudate in 3D printing for building and construction by experimental iteration of nozzle design, 2017.
- 66King BH, Dimos D, Yang P, et al. Direct-write fabrication of integrated, multilayer ceramic components. J Electroceram. 1999; 3: 173-178.
- 67Cesarano J, III, Baer TA, Calvert P. Recent Developments in Freeform Fabrication of Dense Ceramics from Slurry Deposition. United States: 1997-11-01.
- 68L. Shaw, L. Li X, Wang J. Slurry extrusion and laser densification in rapid prototyping for dental restoration. 2014: p. 205. Fernand D.S Marquis: Powder Materials: Current Research and Industrial Practices III.
- 69Shaw L, Islam M, Li J, et al. High-speed additive manufacturing through high-aspect-ratio nozzles. JOM. 2018; 70: 284-291.
- 70Bhavar V, Kattire P, Patil V, et al. A review on powder bed fusion technology of metal. Addit Manuf. 2014.
- 71Vayre B, Vignat F, Villeneuve F. Metallic additive manufacturing: state-of-the-art review and prospects. Mech Ind. 2012; 13: 89-96.
- 72Revilla-León M, Özcan M. Additive manufacturing technologies used for 3D metal printing in dentistry. Curr Oral Health Rep. 2017; 4: 201-208.
10.1007/s40496-017-0152-0 Google Scholar
- 73Deckers J, Vleugels J, Kruthl JP. Additive manufacturing of ceramics: A review. J Ceram Sci Tech. 2014; 5: 245-260.
- 74Shahzad K, Deckers J, Kruth J-P, et al. Additive manufacturing of alumina parts by indirect selective laser sintering and post processing. J Mater Process Technol. 2013; 213: 1484-1494.
- 75Shahzad K, Deckers J, Boury S, et al. Preparation and indirect selective laser sintering of alumina/PA microspheres. Ceram Int. 2012; 38: 1241-1247.
- 76Di C. Research of for SLS forming and post-treatment of Al2O3 ceramics part. Wuhan: Huazhong University of Science and Technology, 2006.
- 77Shi Y, Liu J, Yan C, et al. The effect of processing parameters on characteristics of selective laser sintering dental glass-ceramic powder. Rapid Prototyp J. 2010; 16: 138-145.
- 78Subramanian K, Marcus H, Vail N, et al. Selective laser sintering of alumina with polymer binders. Rapid Prototyp J. 1995; 1: 24-35.
- 79Beaman JJ. Solid Freeform Fabrication: A New Direction in Manufacturing: with Research and Applications in Thermal Laser Processing. Kluwer Academic Publishers; The Netherlands: 1996.
- 80Nelson JC, Vail NK, Barlow JW, et al. Selective laser sintering of polymer-coated silicon carbide powders. Ind Eng Chem Res. 1995; 34: 1641-1651.
- 81Negi S, Sharma RK, Dhiman S. Experimental investigation of SLS process for flexural strength improvement of PA-3200GF parts. Mater Manuf Process. 2015; 30: 644-653.
- 82Liu ZH, Nolte JJ, Packard JI, et al. Selective Laser Sintering of High-Density Alumina Ceramic Parts. Proceedings of the 35th International MATADOR Conference 2007; London: Springer London.
- 83Derby B, Reis N. Inkjet printing of highly loaded particulate suspensions. MRS Bull. 2003; 28: 815-818.
- 84Lewis JA, Smay JE, Stuecker J, et al. Direct ink writing of three-dimensional ceramic structures. J Am Ceram Soc. 2006; 89: 3599-3609.
- 85Özkol E, Ebert J, Uibel K, et al. Development of high solid content aqueous 3Y-TZP suspensions for direct inkjet printing using a thermal inkjet printer. J Eur Ceram Soc. 2009; 29: 403-409.
- 86Cappi B, Ebert J, Telle R. Rheological properties of aqueous Si3N4 and MoSi2 suspensions tailor-made for direct inkjet printing. J Am Ceram Soc. 2011; 94: 111-116.
- 87Fromm JE. Numerical calculation of the fluid dynamics of drop-on-demand jets. IBM J Res Dev. 1984; 28: 322-333.
- 88Derby B. Inkjet printing ceramics: from drops to solid. J Eur Ceram Soc. 2011; 31: 2543-2550.
- 89Özkol E, Zhang W, Ebert J, et al. Potentials of the “direct inkjet printing” method for manufacturing 3Y-TZP based dental restorations. J Eur Ceram Soc. 2012; 32: 2193-2201.
- 90Gaytan SM, Cadena MA, Karim H, et al. Fabrication of barium titanate by binder jetting additive manufacturing technology. Ceram Int. 2015; 41: 6610-6619.
- 91Kumar A, Mandal S, Barui S, et al. Low temperature additive manufacturing of three dimensional scaffolds for bone-tissue engineering applications: processing related challenges and property assessment. Mater Sci Eng R Rep. 2016; 103: 1-39.
- 92Miyanaji H, Zhang S, Lassell A, et al. Process development of porcelain ceramic material with binder jetting process for dental applications. JOM. 2016; 68: 831-841.