Valentin Lamasanu, Ovidiu Nicolaiciuc, Vlad Constantin, Gabriel Rotundu, Cristian Cojocaru, Oana Butnaru, Teona Tudorici, Monica Tatarciuc
ABSTRACT
The integration of CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) technology in prosthodontics has revolutionized the planning, design, and fabrication of dental restorations. This review explores the historical evolution, essential components, clinical applications, and material options associated with CAD/CAM systems. From the early developments of systems like CEREC and Procera to the current implementation of intraoral scanners, advanced software, and milling or 3D printing units, CAD/CAM technology has improved accuracy, esthetics, and clinical efficiency.
The paper highlights its broad use in fixed restorations—such as crowns, bridges, and veneers—as well as removable and implant-supported prostheses, offering enhanced marginal adaptation, functional design, and patient-centered outcomes. Key restorative materials, including zirconia, lithium disilicate, and PMMA, are compared in terms of durability and esthetics. While CAD/CAM offers numerous advantages like reduced chairside time and precision, it also presents challenges such as high costs, a steep learning curve, and potential digital errors.
Looking to the future, the integration of artificial intelligence, cloud-based platforms, facial scanning, and 3D printable biomaterials points toward a more personalized, efficient, and predictive approach to prosthetic dentistry. The paper concludes that CAD/CAM represents a major paradigm shift in dental restorations and is poised to shape the next generation of prosthodontic care.
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