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From analog to digital: evolving workflows in the fabrication of complete dentures


Journal of Dental Health, Oral Disorders & Therapy
Jefferson David Melo de Matos,1 João Pedro Oliveira de Batista,2 Thiago Baum da Silva,3 Ivan Pereira dos Santos,4 Diogo Henrique Pigato de Araujo,5 Jeanne Maria Melo de Matos,5 Guilherme da Rocha Scalzer Lopes,6 Daher Antonio Queiroz7

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Abstract

This integrative review critically evaluates analog and digital workflows for complete denture fabrication, highlighting clinical performance, mechanical behavior, adaptation, patient satisfaction, and workflow efficiency. Searches were conducted in PubMed/ MEDLINE, Scopus, Web of Science, SciELO, and Google Scholar (2015–2025). Findings indicate that CAD/CAM‑milled dentures exhibit superior adaptation, mechanical strength, predictability, and reduced clinical chair time. Although 3D‑printed dentures have evolved considerably, limitations remain regarding dimensional stability, long-term resistance, and soft tissue capture in edentulous arches. Patient reported outcomes are comparable to or better than those of conventional dentures, especially in comfort and retention. Challenges persist due to high equipment costs and difficulty acquiring accurate intraoral scans of movable tissues. Hybrid workflows that combine conventional impressions with digital design presently offer the most reliable and clinically feasible approach.

Keywords

prosthodontics, dental materials, complete denture, 3D-priinted dentures

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