Objectives: This systematic review aimed to evaluate the cost, production time, clinical performance, and patient satisfaction of 3D printing workflows in prosthodontics compared to conventional and subtractive methods. Methods: Following PRISMA guidelines, a systematic search of electronic databases was performed to identify studies published between 2015 and 2025 that directly compared digital additive workflows with analogue or subtractive workflows. Studies were eligible if they included prosthodontic treatments such as dentures, crowns, or implant-supported prostheses and reported at least one relevant outcome. The primary outcomes were cost, time efficiency, clinical accuracy (e.g., marginal adaptation, fit), and patient satisfaction. Included studies were methodologically evaluated using MINORS scale and the risk of bias was assessed using ROBINS-I and RoB 2 tools. Results: Seven studies met the inclusion criteria. Overall, 3D printing workflows demonstrated reduced production time and cost in comparison to conventional or subtractive methods. Clinical outcomes were generally comparable or superior, particularly regarding adaptation and fit. Patient satisfaction was favourable in most studies, although reporting varied. Long-term follow-up was limited, which constrains the interpretation of sustained clinical performance. Conclusions: These findings suggest that 3D printing can serve as an efficient and cost-effective alternative in prosthodontic fabrication, with clinical results comparable to those already established. Further research is needed to assess long-term clinical performance and cost-effectiveness in various clinical scenarios.

Objective: This systematic review and meta-analysis aimed to evaluate the effects of moisture control strategies (including wet-bonding techniques, universal adhesives, and etching type) on dentin bonding performance in restorative dentistry. Methods: A comprehensive literature search was conducted across PubMed, Scopus, and Google Scholar, following PRISMA guidelines. Only in vitro and ex vivo studies comparing wet- and dry-bonding protocols, using human dentin substrates, and reporting microtensile bond strength (μTBS) were included. The data were synthesized using a random-effects meta-analysis and the methodological quality was assessed using the MINORS tool. Certainty of evidence was evaluated using the GRADE framework. Results: Nine studies met the inclusion criteria, eight of which were included in this meta-analysis. The moisture control strategies significantly influenced the bonding outcomes, with ethanol and acetone wet bonding yielding higher μTBS and enhanced hybrid layer morphology. The universal adhesives performed effectively under both moist and dry conditions, although their performance varied by the adhesive composition and solvent system. The meta-analysis revealed a statistically significant advantage for hydrated dentin (SMD = +1.20; 95% CI: 0.52 to 1.86; p < 0.001), with the moist and ethanol-treated substrates outperforming the dry and over-wet surfaces. The long-term durability was better preserved with ethanol and acetone pretreatments and the adjunctive use of chlorhexidine. Conclusions: Moisture conditions influence dentin bond strength, but modern universal adhesives show consistent bonding performance across different moisture conditions. Solvent-wet-bonding protocols, particularly with ethanol or acetone, enhance the immediate and long-term performance. While the current evidence is limited by the in vitro designs and heterogeneity, the findings demonstrate protocol flexibility and highlight strategies to optimize adhesion in clinical practice. Future clinical trials are necessary to validate these approaches under real-world conditions.

This scoping review mapped the clinical readiness of directly additively manufactured (AM) dental ceramics for single-unit definitive restorations (crowns, veneers, and partial-coverage restorations) using a predefined review-specific five-tier readiness framework (R1–R5) designed to organize evidence maturity from restoration-relevant foundational studies to comparative clinical evidence. MEDLINE (PubMed), Scopus, Web of Science Core Collection, EBSCO (Dentistry and Oral Sciences Sources), and ClinicalTrials.gov were searched from inception to February 2026, with citation tracking. Thirty-five sources were included: 31 in vitro studies and 4 clinical studies. Evidence clustered in preclinical tiers, with most studies classified as restoration-level in vitro investigations (R2, 22/35) or foundational specimen-level studies explicitly linked to restorative performance (R1, 9/35); only one feasibility study reached R3 (1/35), three studies provided comparative clinical evidence (R4, 3/35), and no R5-level evidence was identified. The additively manufactured definitive restorations evaluated were zirconia-based. Most restoration-level studies addressed zirconia crowns (18/35), with fewer studies focusing on veneers/laminates (5/35) and occlusal veneers/tabletops (2/35). Across AM routes (most commonly vat photopolymerization ceramic workflows and nanoparticle jetting) outcomes focused on fit/adaptation, manufacturing accuracy, mechanical performance, and aging simulations; clinical studies reported short- to mid-term performance using standardized evaluation criteria. Overall, the evidence suggests technical feasibility and increasing restoration-level evaluation under controlled conditions, but clinical applicability remains preliminary because higher-readiness clinical evidence is still limited. Future work should prioritize standardized reporting, clinically relevant aging/fatigue paradigms, and longer-term comparative clinical studies.

Background: Tooth-supported fixed dental prostheses (FDPs) remain relevant when implant therapy is limited, but their mechanical behavior depends on material selection, connector design, retainer design, prosthesis configuration, and abutment support. This systematic review assessed how these factors affect fracture behavior and stress transmission in tooth-supported FDPs. Materials and Methods: PubMed/MEDLINE, Scopus, Web of Science Core Collection, and Dentistry and Oral Sciences Source were searched for English-language studies published from 1 January 2016 to 15 May 2026. Eligible studies were in vitro mechanical, fatigue, fracture-resistance, or finite element analysis (FEA) studies of tooth-supported FDP designs. Clinical studies were screened during eligibility assessment, but no clinical study met the final inclusion criteria for primary synthesis. In vitro components were appraised with the Quality Assessment Tool for In Vitro Studies (QUIN), and FEA components were appraised with the Risk-of-bias Framework for Dental Finite Element Analysis (ROBFEAD). Findings were synthesized narratively by evidence type and biomechanical theme. Results: Twenty-nine studies were included: 11 in vitro-only studies, 14 FEA-only studies, and four combined experimental and computational studies. No eligible clinical study met the final inclusion criteria. Zirconia-based systems were the most frequent focus. Their behavior depended on connector dimensions, connector shape, framework design, span, retainer configuration, loading direction, abutment selection, periodontal support, and bone support. Larger connector dimensions or greater connector height often improved fracture resistance or reduced modeled stress in zirconia models, but connector area alone did not explain performance across all materials and designs. Conservative FDPs were sensitive to retainer geometry, adhesive-interface behavior, connector design, and abutment support. Conclusions: Current evidence is limited to laboratory and computational studies. Tooth-supported FDP biomechanics should be interpreted as a material, design, and support system, not as a material effect alone.

In this material, two clinical cases are described, regarding the use of CAD-CAM technology for producing the wax pattern of the metal substructure for a fixed prosthetic restoration. In fact, in these cases, it is about making a digital design and milling from a block of wax the patterns of future fixed metal-ceramic prosthetic restorations.

Digital technologies represent new alternatives in prosthetic rehabilitation of all kinds of maxillary or mandibular spans. This article is composed of two parts, in which different technological aspects will be presented regarding the prosthetic restoration of frontal maxillary areas using the CAD-CAM technology, but using different material for resistance framework, both veneered with ceramic materials to restore the aesthetics. The main materials that will be used are: Co-Cr dental alloy and zirconium dioxide (zirconia).