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(1) Purpose: To compare the fabrication accuracy, internal fit, and marginal adaptation of three-unit definitive resin fixed dental prostheses (FDPs) produced by subtractive milling and additive manufacturing. (2) Materials and Methods: A typodont mandible was prepared for a three-unit FDP, with full crown preparations on teeth mandibular left canine and mandibular left second premolar featuring 1 mm chamfer finish lines. The FDP was designed with a 16 mm2 connector and a 100 µm cement gap. Two milling materials (Ambarino High-Class, IPS e.max CAD) and two experimental 3D printing hybrid resins (3D-1, 3D-2) were used. All restorations were scanned using an intraoral scanner and compared to the original STL using reverse engineering software for surface trueness and deviation analysis. The internal fit was evaluated using the triple-scan method, while marginal fit was assessed via micro-CT imaging. Statistical analysis was conducted using one-way ANOVA and Kruskal–Wallis tests (α = 0.05). (3) Results: Milled groups demonstrated a lower prevalence of external, marginal, and overall surface deviations (p < 0.001), while 3D-1 exhibited comparable deviations within the internal region with M-E (p = 0.067). Milled groups had average gap values that were similar to 3D-1 (p > 0.08), but significantly lower than 3D-2 (p < 0.002). In marginal adaptation evaluated by micro-CT, the M-A and M-E groups provided significantly lower gaps, while the 3D-1 and 3D-2 groups exhibited wider marginal and axial gaps. (4) Conclusions: These results indicate that while milling remains a more reliable manufacturing method for achieving external and marginal precision, position 3D-1 is a compelling, chairside alternative to milling.

Objective:. This in-vitro study aimed to evaluate the surface roughness (Ra) and color stability of novel monolithic CAD-CAM materials after thermomechanical aging. Methods: Forty specimens were obtained from 4 different materials (a resilient ceramic (C), ceramic-reinforced PEEK (BH), lithium disilicate glass ceramic (EX), and a resin based composites (B) (n=10). Initial Ra and color coordinates were recorded. All specimens were than subjected to thermomechanical aging. Ra and color coordinate measurements were repeated. CIEDE2000 formula was used to calculate the color changes (ΔE00). Kruskal-Wallis and Dunn tests were used to analyze data, while the effect of aging on Ra was analyzed with Wilcoxon test (α=.05). Results: Regardless of aging, BH showed higher Ra than EX (P.05). Ra of ceramic-reinforced PEEK was above clinical threshold, regardless of thermomechanical aging. Conclusion: Thermomechanical aging caused a color change that was perceptible for all the materials tested, while it was also unacceptable for ceramic-reinforced PEEK.

This study aimed to evaluate the dimensional stability of maxillary diagnostic casts fabricated from a biobased model resin, which consists of 50% renewable raw materials for sustainable production, a model resin, and stone, over one month. A master maxillary stone cast was digitized with a laboratory scanner to generate a reference file. This master cast was also scanned with an intraoral scanner to additively manufacture casts with a biobased model resin (BAM) and a model resin (AM). Polyvinylsiloxane impressions of the master cast were also made and poured in type III stone (CV) (n = 8). The same laboratory scanner was used to digitize each model one day (T0), 1 week (T1), 2 weeks (T2), 3 weeks (T3), and 4 weeks (T4) after fabrication. Deviations from the reference file were calculated with an analysis software and analyzed with generalized linear model analysis (α = 0.05). The interaction between the material and the time point affected measured deviations (p < 0.001). Regardless of the time point, CV had the lowest and AM had the highest deviations (p < 0.001). BAM mostly had lower deviations at T0 and mostly had higher deviations at T4 (p ≤ 0.011). AM had the highest deviations at T4 and then at T3, whereas it had the lowest deviations at T0 (p ≤ 0.002). The measured deviations of CV increased after each time point (p < 0.001). BAM casts had deviations within the previously reported clinically acceptable thresholds over one month and had acceptable dimensional stability. Therefore, tested biobased resin may be a viable alternative for the sustainable manufacturing of maxillary diagnostic casts that are to be used clinically.

[Abstract] To evaluate the effect of two different additive manufacturing technologies on the color stability, surface roughness and biaxial flexural strength of interim restorative materials after thermal aging. Disk-shaped specimens were manufactured via two types of vat polymerization methods [Stereo-lithography (SLA) and digital light processing (DLP)] and milling technology (n = 16). CIELab color coordinates and surface roughness were measured before and after thermal cycling. Then biaxial flexural strength tests were performed using a universal testing machine. The data were analyzed by Kruskal-Wallis, one-way ANOVA, and Tamhane and Tukey HSD tests (α < 0.05). There was no significant difference among ΔE values of all study groups (p = 0.191). The milled group showed a higher initial surface roughness value (p < 0.05), while there was no significant difference among the other groups after aging (p = 0.213). DLP had significantly lower flexural strength values than SLA and Milled (p = 0.000). After aging, SLA and DLP were similar to milling method, in terms of color stability and surface roughness. However, milling had an adverse effect on the initial surface roughness. The SLA and milled groups had better mechanical properties than the DLP group.