Dental restoration in one visit. Is it possible?

Dental restoration is one of the most popular medical tourism services. The latest news on the process showcases that with CAD/CAM the restoration process is shortened significantly and done with more accuracy than those hand made. If CAD/CAM is offered you may not require traditional impressions, a temporary restoration or a second appointment. Important, isn’t it?

But is it really possible that this technology is without considerations?

Of course it is not.

What is CAD/CAM technology?

CAD/CAM technology is used to provide patients with milled ceramic crowns, veneers, onlays, inlays, dental implant restorations, implant abutments, and even full-mouth reconstruction.

It is an acronym for computer-aided design/computer-aided manufacturing. Used for decades in the manufacturing industry this technology has been incorporated into dentistry over the past 20 years.

CAD/CAM process is consisted of scanning, designing and milling phase.

In-office and dental laboratory CAD/CAM

Dental CAD/CAM technology is available for dental practices and dental laboratories, enabling dentists and their staff (or a laboratory technician) to design restorations on a computer screen.

Scanning phase; Teeth are prepared and digital or silicone impression is taken. If silicone impression is taken it is then scanned and 3-D custom image of your prepared tooth or teeth is displayed on a computer. Alternatively, the 3-D images can be obtained by scanning a traditional model obtained from conventional impressions of the preparations.

Designing phase; The dentist or laboratory technician then uses those 3-D images and software to draw and design the final restoration on a computer. The amount of time it takes by dentist, in-office restoration designer or laboratory technician to design a restoration varies based on skill, experience, and complexity of case and treatment. Some cases could take minutes, while others could require a half-hour or more for design time to ensure quality.

Milling phase; Once the final restoration is designed, the crown, inlay, onlay, veneer or bridge is milled from a single block of ceramic material in a milling chamber. The restoration then can be customized with stains and glazes to create a more natural look, before being fired in an oven (similar to ceramics and pottery), and then finished and polished.

Benefits of CAD/CAM Dentistry

If your dentist has the CAD/CAM technology in office, or collaborates with lab that has it:

1. Your restoration may be finished the same day within a single visit

2. You may not require traditional impressions, a temporary restoration or a second appointment. You will only receive local anesthetic (be numbed) once for any necessary tooth preparations

3. The restorations made by CAD/CAM are more accurate than those hand made and can be made much faster.

Special Considerations for CAD/CAM Dentistry

Dr. Nikola Stankovic from our partnering clinic, states that not all restorations are best done in CAD/CAM.

- Highly esthetic restorations such as front teeth veneers and crowns may still need customization by dental lab to obtain more natural look. Sometimes only a core of you restoration is done in CAD/CAM and ceramic (the aesthetic part) is done manually by dental technician.

Photo: Proestetik Belgrade

- The accuracy and skill with which restoration is designed is crucial, particularly since the fit of a restoration is critical to prevent future tooth damage. For example, an ill-fitted crown, veneer, inlay or onlay can leave space between the teeth, or between the tooth preparation and the restoration. This could lead to an increased risk of cavity or gingiva issues.

When to Choose CAD/CAM Dentistry?

1. Your dentist will determine if a CAD/CAM restoration is among the appropriate treatment options for your condition. It is important to note that not every tooth can be treated with a CAD/CAM restoration.

2. Patients may find that some CAD/CAM restorations look too opaque and lack natural characterizations despite improvements in the esthetics of CAD/CAM materials

3. Depending on the type of restoration that is needed (such as inlays/onlays), your dentist may prefer conventional laboratory fabrication techniques that have a longer and more proven track record for accuracy of fit.

Therefore, patients must discuss their particular situation and desires with their dentist, who will make the final treatment decision based on a thorough examination.

Cost of CAD/CAM Restorations

Although you can find different statements about the cost of CAD/CAM restorations around the globe, when you experience medical tourism in Serbia, you discover it is similar to all the other non-metallic restorations.

There is literally no difference in costing of CAD/CAM and manually made restorations. Also, there is no additional fee or cost to have a restoration placed in one visit as opposed to two.

All our partnering clinics has CAD/CAM in the office or cooperating closely with dental labs which uses CAD/CAM technology.

Discover all advantages of medical tourism in Serbia and request a free quote for your dental case at

Photo: Dental Clinic Belgrade