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              20 prosthetic section                                                           DENTAL TECHNOLOGY, JANUARY-MARCH 2023






                                                                               FIRST TIME





                                                                               3D PRINTED




                                                                               DENTURES







                                                                               A COLLABORATIVE EFFORT


                                                                               ON THE TECHNIQUE AND


                                                                               ECONOMICS






















               ANDRÉ GAUL, C.D.T. AND HUNG HSUAN LIN D.D.


              The topic of 3D printed dentures has been bouncing about for a while
              now. There is certainly no shortage of adverts in dental literature and
              social media. But given the amount of questions that we at DenPlus Inc  FIG 1: DS-EX desktop dental scanner
              get about them, it is obvious that they remain somewhat enigmatic to
              many. The most frequent questions are why, how they compare to tra-
              ditional acrylic dentures and are they worth the upfront cost, which, in
              all honesty, can be quite high once all the required elements are fac-
              tored in.
                The latter is especially pertinent with small to medium sized denture
              clinics or labs that primarily or exclusively manufacture removables.
              Another  concern  is  how  fast  technologies  become  obsolete.  Indeed,
              today’s state of the art machine can become tomorrow’s paper weight
              before it’s paid off, prompting many to simply turn a blind eye to the
              potential benefits.
                For the past few years however, cost effective 3D printers and alter-
              native CAD design platforms have given rise to much more affordable
              solutions  that  were  previously  unavailable.  Slowly  but  surely,  new  FIG 2: Phrozen Sonic 4K 2022  FIG 3: Scanning of the primary upper model
              material options are on the horizon. Keystone Industries, among oth-
              ers, has been working on its own open system denture base 3D print-
              ing material, which is scheduled for release in the near future, under
              its KeyPrint label.
                This time around, 3D printed dentures is in our reticle. In an attempt
              to try to answer some of the questions surrounding 3D printed den-
              tures, we decided to do a deep dive. In May of last year, I invited a den-
              turist friend of mine, Mr. Hung Hsuan Lin, who had no prior experience
              in digital denture design or 3D printing, to participate. With one of his
              consenting patient in tow, we began the project. Our goal was to pro-
              duce a full set 3D printed dentures, from start to finish, using the most
              affordable means at our disposal, assess along the way how the fabri-
              cation process compared to the traditional method, and finally, how
              they  compared  to  traditional  dentures  in  terms  of  patient  comfort,
              function, esthetics and durability.
                The first step was to pick a 3D scanner. While we had access to an
              intraoral scanner, it was quickly ruled out. Firstly, its price fell outside  FIG 4: Finished upper and lower custom tray designs in Zirkonzahn Tray Modifier
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