3D Printing Full Dentures With Formlabs 3D Printers
Traditional denture manufacturing is a complex craft with a steep learning curve, and dental labs increasingly struggle to find technicians with the advanced skills and expertise required to produce them.
Formlabs Digital Dentures allows dental professionals to grow and expand production with an efficient, cost-effective 3D printed denture solution. Class II(a) long-term biocompatible Denture Base Resin enables dental professionals to produce 3D printed full dentures accurately and reliably, every time.
Although the manufacturing process to create a digital denture is different from the traditional workflow, the chairside process is very similar. This application guide details the critical considerations and steps needed to go from a digitized patient model to a 3D printed full denture on the Formlabs Form 3B+ desktop stereolithography 3D printer and full post-processing ecosystem.
For more information, please refer to the Instructions for Use (refer to the links for teeth and base).
3D Printing Full Dentures with Formlabs 3D Printers
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Needed From the Dentist:
- A final impression and a bite registration
- Bite rim with all necessary information, such as: lip line, midline, and occlusal plane
- Prescription with desired tooth shape, shade, and other clinical considerations
Essentials
Made by Formlabs:
- Form 3B+ 3D printer
- Resin Tank
- Any Form 3B+ Build Platform (used with biocompatible materials only): Standard, Stainless Steel Build Platform, or the Build Platform 2
- Formlabs Denture Base Resin and Denture Teeth Resin
- Form Wash or Finish Kit
- Form Cure or Fast Cure
Made by Third Parties:
- Pyrex 4 cup round container (to fit in the Form Cure or Fast Cure)
- Glycerin
- Silicone tongs
- Low-speed dental handpiece with cutting and finishing wheels
- Handheld UV light cure unit
- Lathe with rag wheel for polishing Steam cleaner
- Synthetic Pumice & Polishing Compound
- Desktop scanner
Required Software
Made by Formlabs
- PreForm 3.32.0 or higher (We recommend upgrading to the latest PreForm version)
- Firmware 2.2.1 or higher (We recommend upgrading to the latest firmware version)
Made by Third Parties
Purchased CAD Unlimited usage | Pay-per-Case CAD No upfront fees | Design Service Pay-per-case |
---|---|---|
Best for high production and is likely more powerful | Best for low volume and control | No access to CAD, send files and Rx Best for low volume and labor |
3Shape Dental system exocad FullDenture Module | DENTCA CAD/CAM Denture | Dental labs EviDent 3Shape Design Services |
1. Scan and Design
1.1 Scan
Digital denture design software requires a digitized model or impression of the patient’s oral anatomy in order to design the removable prosthetic.
The best available method for creating a digital file for edentulous patients is to scan the fully articulated, poured model and wax rim with a desktop laboratory scanner.
Alternatively, an intraoral digital impression can be used. This prevents any soft tissue compression during the impression, but makes it harder to identify lines between movable and fixed soft tissue for a fully functional denture. To optimize the accuracy of the bite, use a desktop scanner that can scan the bite of the fully articulated model without unmounting it.
1.2 Design
1.2a Denture Design Software
Adjust your workflow according to the software you use.
3Shape
> Download our 3Shape materials library (DME).
Use the following tips while designing the denture.
Design Settings
- Design Settings:
- Base thickness: greater than 2.0 mm. A thicker base creates a stronger 3D-printed denture.
- Vertical non-load-bearing walls can be thinner than 2.0 mm if needed (for example, to thin the facial of the denture for aesthetic reasons). Always use the 2D cut tool to confirm thickness.
- Disable drill compensation.
- For a 3D printed denture it is important to give consideration for the polishing. It is advantageous to increase the base thickness by 0.1-0.2 mm as polishing removes some of the surface to make it look shiny. For example, if you want a minimum thickness of 2 mm, set the base thickness as 2.2 mm.
- To achieve a natural look for the gingival margin, follow these “Coupling mechanism” recommendations. These settings determine how the denture teeth cut sockets from the denture base. Under “Coupling Settings,” confirm that the depth is set to 1 mm and the angle is between 15 and 30 degrees for optimal results.
- Since Formlabs Denture Base Resin is very translucent, long roots to the teeth can look unnatural. Unlike traditional denture teeth, a longer root does not correlate to a stronger bond. The final cure unites the two resins, base and teeth, into one solid part.
exocad
- Install the official Formlabs exocad materials library: follow the instructions here and install the materials library “Formlabs DentalCAD Materials (Materials Lab Formlabs@exocad)”
- This library contains all Formlabs Dental Resin settings, including Denture Base and Denture Teeth. All parameters are provided automatically during the CAD design.
- For best results, start with the provided parameters. You can adjust the coupling settings as you wish, but do not reduce the minimum thickness of 2 mm for the base.
- You can find a video about the design process with exocad here. You can design the base and the teeth for 3D printing with the Form 3B+ , or print the base and couple it with premanufactured teeth, or finally print the base and couple it with teeth milled from multilayer PMMA.
If you wish to use pre-manufactured teeth, consider using teeth designed for digital workflows. These will have a drastically reduced root portion, which leads to better aesthetics with our semi-translucent base material.
2. STL File Output
Denture teeth or card libraries are an important part of the digital denture process. Library compatibility varies by software. For example, some open libraries restrict output, while other libraries generate the denture teeth splinted, but not individually.
3Shape
> Open the Download Center in the 3Shape Dental Manager Control Panel to download new libraries. See 3Shape’s documentation for details.
Note
Denture teeth library availability and outputs will likely change as the industry evolves. Follow your digital denture design software provider’s guidelines for the most up-to-date information.
3. Preparation
3.1 Import Files Into PreForm
Once you export the STL files from the denture design software, import the files into PreForm, the software that nests files for printing on the 3D printer.
Select the material for printing: Denture Teeth or Denture Base Resin. Alternatively, show Dental PreForm print setup using custom preset (or standard denture preset once available).
Note:
For the best results, use the latest version of PreForm and printer firmware. You need to manually set-up your files in PreForm Dental Workspace.
Denture Teeth
Orientation:
Position the denture teeth at a 10 to 25-degree angle with the anterior teeth closest to the build platform. The occlusal surface of the teeth can face towards or away from the build platform, depending on preference in finishing the part.
Supports:
To edit support touchpoints, choose Edit in the Supports menu.
Add support touchpoints to the teeth or arch on the tallest areas of the anatomy, facing the build plate.
3.2 Orientation
Proper part orientation is critical to ensure accuracy and reduce post-processing after printing.
Denture Base
Orient the denture base parts at a slight angle, with the intaglio surface facing towards the build platform. The anterior buccal part can face towards or away from the build platform. We recommend placing the supports on the intaglio face of the denture base.
Concentrate support touchpoints around the perimeter of the denture. Support removal from these areas is less laborious and leaves critical detailed areas support-free.
On the intaglio surface of the palate, manually add as few supports as possible.
Concentrate support touchpoints around the perimeter of the denture. Support removal from these areas is less laborious and leaves critical detailed areas support-free.
On the intaglio surface of the palate, manually add as few supports as possible.
After auto-generating supports for the denture, enter the “Supports Edit Mode” for modifications.
Remove some of the intaglio supports on the palate.
Add small additional supports over the widest part of the palate for better fit. Remove support touchpoints from the denture teeth sockets or cervical margin if possible to reduce post-processing.
Tip:
While adding or editing supports, click the Printability button and enable Show Minima. The Printability feature allows you to add as many supports as necessary to reduce post-processing time.
4. Print
Thoroughly shake the resin cartridge before use. Prepare the 3D printer by inserting a resin tank, resin cartridge, and build platform into the printer. Send the job to the printer from PreForm, and start the print.
Notice:
For full compliance and biocompatibility, Formlabs Denture Base Resin and Denture Teeth Resin each require a dedicated resin tank, build platform, and Finish Kit or Form Wash.
5. Post-Processing
5.1 Primary Wash
Note:
Always use gloves when handling uncured resins and parts.
Remove the printed parts from the build platform. You can use the part removal tool provided by Formlabs. If you use the Build Platform 2, use the release handles. Alternatively, you can wash parts directly on the build platform using the Form Wash.
Rinse the part in isopropyl alcohol (IPA), 96% or higher, for 10 minutes in the Form Wash (or 5 minutes in an ultrasonic bath) to dissolve any uncured or excess resin.
After washing, allow the parts to air dry or use compressed air to remove alcohol from the parts’ surfaces.
5.2 Support Removal
Once the parts have been washed, remove the raft and supports from the base and teeth. To save time, consider using a low-speed dental handpiece, cutting disc, and a universal silicone polisher wheel.
To remove the raft and supports:
-
Cut through supports a few millimeters from where they meet the part.
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Remove the raft.
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Continue to remove and smooth the remaining support structure to the desired outcome.
If teeth were printed splinted together, reduce the embrasures between teeth with a thin flexible diamond disc for a more natural look.
5.3 Final Wash
Once the supports and raft are removed, wash the parts in IPA one more time for 5 minutes in the Form Wash or an ultrasonic bath to remove any debris. Again, let the part dry or use compressed air to remove alcohol from the parts’ surfaces.
6. Assembly
Follow the steps below to insert and bond the teeth into the base.
Insert the teeth into the denture base to test the fit. If anything inhibits seating, trim the teeth and base as needed using the hand tool.
Remove the top vent cap from the cartridge. Pour a small amount of uncured Denture Base Resin (the same shade as printed) into a glass container.
Fill a small glass cup with uncured Denture Base Resin (the same shade as printed). A large tipped syringe can be used to transfer the resin.
Use an instrument, like a small brush, to wet the internal surface of the tooth socket with resin. Do not fill the entire socket with resin.
Work around the entire base, painting the Denture Base Resin into each socket. Insert the teeth into the appropriate socket on the base and press together firmly, applying more pressure toward the posterior of the arch.
Using a small brush, remove any excess resin from the buccal and facial of the denture.
While still pressing the arch together, use a handheld UV cure light to start curing where the teeth and base meet. Start by curing the rearmost molars on both sides of the arch. Increase the clamping pressure towards the front of the arch, then move to cure the anterior teeth. Remove or add Denture Base Resin as needed. Finally, move the handheld UV cure light around the entire arch to complete the tack cure.
Inspect for proper assembly of the denture, and confirm that any triangles or open areas between the base and teeth have been filled with Denture Base Resin. If necessary, add additional resin and repeat the process above.
Warning
Always use protective eyewear when working with UV cure lights.
7. Final Post-Cure (Form Cure or Fast Cure)
See the instructions for post-processing in our Instructions for Use (refer to the links for teeth and base).
7.1a. Form Cure
At this point, the denture is ready for the final post-cure. Formlabs Form Cure is recommended for this process as it meets all of the requirements for optimal post-curing. Refer to 7.1b if you’re using Fast Cure.
Formlabs Denture Base and Denture Teeth Resins post-cure in glycerin. To begin, fill a glass container with glycerin. Preheat the glycerin to 80 °C in the Form Cure. Use heat-resistant silicone tongs to fully submerge the assembled denture into the glycerin, leaving the container inside the Form Cure. Please refer to the Form Cure settings table.
Fill a glass container with glycerin. Preheat the glycerin to 80 °C in Form Cure. Use heat resistant silicone tongs to fully submerge the assembled denture in the glycerin, leaving the container inside Form Cure. Cure at 80 °C for 30 minutes.
Note
To maintain biocompatibility, post-cure the assembled denture while submerged in glycerin. When using Form Cure, we recommend a Pyrex 4 cup round glass container and vegetable glycerin.
Warning
The glycerin and denture at 80 °C are hot. Use heat-resistant silicone tongs to insert and remove the denture from the curing chamber. To prevent burns, do not touch the metal turntable or container.
7.1b. Fast Cure
At this point, the denture is ready for the final post-cure. Formlabs Fast Cure is recommended for this process as it meets all the requirements for optimal post-curing.
Fill a glass container with glycerin. Use heat-resistant silicone tongs to fully submerge the assembled denture into the glycerin. Next, put the container inside the Fast Cure. Please refer to the Fast Cure time settings table.
Note
To maintain biocompatibility, post-cure the assembled denture while submerged in glycerin. When using the Fast Cure, we recommend a Pyrex 4 cup round glass container not higher than 2.5’’/6.35cm and vegetable glycerin.
Warning
The glycerin and denture are hot. Use heat-resistant silicone tongs to insert and remove the denture from the curing chamber. To prevent burns, do not touch the metal turntable or the container without heat-protective gloves.
8. Finishing
After post-curing is complete, carefully remove the denture from the glycerin with silicone tongs. Wash the part in a sink under room temperature water until it is no longer slippery or slick to the touch. Allow it to air dry. As with a traditional denture, polish the denture at low speeds using a rag wheel on a lathe with pumice. Finish polishing at high speeds using a polishing compound.
Rinse again with room temperature water and steam clean to sterilize the finished denture.
9. Deliver
Digital manufacturing of prosthetics is the present and future of removable prosthodontics, with the potential to bring increased affordability and quality to patient care as it evolves. Digital techniques do not remove the artistry from the production of dentures: they are another set of tools to help dental professionals produce highly customized, patient-specific prosthetics.
3D printing has promised to change the way things are made, and 3D printed dentures are one of the first truly economical ways in which people outside of fabrication industries will come to use and interact with 3D printed parts on a day-to-day basis. When you deliver your 3D printed denture, we hope you will take pride in being a part of this groundbreaking shift.