The digital workflow in dentistry: adoption and challenges

Authors

  • Seng Boon Chu Prosthodontic Department, Kulliyyah of Dentistry, International Islamic University Malaysia.
  • Huay Shuan Ooi Klinik Pergigian Dentaris.

DOI:

https://doi.org/10.31436/ijohs.v6i2.336

Keywords:

3D printing in dentistry, CAD/CAM, digital dentistry, digital workflow challenges, intraoral scanning, teledentistry

Abstract

The incorporation of digital technologies has brought about a revolution in the profession of dentistry, resulting in greater diagnostic accuracy, enhanced patient outcomes and streamlined operations. Intraoral scanners, cone beam computed tomography (CBCT), computer-aided design/computer-aided manufacturing (CAD/CAM) systems, and 3D printing have profoundly influenced the field of prosthodontics, implantology and orthodontics. These developments provide enhanced precision in planning, manufacture and customization of dental prostheses and surgical guides. Nonetheless, the implementation of digital workflows entails problems such as elevated expenses, steep learning curves and the need for ongoing equipment maintenance. This study examines the advantages and obstacles of digital dentistry, emphasizes technological improvements, and considers future directions, including the potential for AI integration. A balanced approach, addressing the technological and clinical challenges, is crucial for maximizing the benefits of digital tools in modern dental practice.

References

Aeran, H., Kumar, V., Seth, J., & Sharma, A. (2014). Computer aided designing-computer aided milling in prosthodontics: a promising technology for future. IJSS Case Reports & Reviews, 1.

Ahlholm, P., Sipilä, K., Vallittu, P., Jakonen, M., & Kotiranta, U. (2018). Digital versus conventional impressions in fixed prosthodontics: a review. Journal of Prosthodontics, 27(1), 35–41. https://doi.org/10.1111/JOPR.12527

Ahmed, S., Hawsah, A., Rustom, R., Alamri, A., Althomairy, S., Alenezi, M., et al. (2024). Digital impressions versus conventional impressions in prosthodontics: a systematic review. Cureus, 16(1). https://doi.org/10.7759/CUREUS.51537

Alharbi, N., Wismeijer, D., & Osman, R. (2017). Additive manufacturing techniques in prosthodontics: where do we currently stand? a critical review. The International Journal of Prosthodontics, 30(5), 474–484. https://doi.org/10.11607/IJP.5079

Andriessen, F. S., Rijkens, D. R., Van Der Meer, W. J., & Wismeijer, D. W. (2014). Applicability and accuracy of an intraoral scanner for scanning multiple implants in edentulous mandibles: A pilot study. Journal of Prosthetic Dentistry, 111(3), 186–194. https://doi.org/10.1016/J.PROSDENT.2013.07.010

Bae, E.-J., Jeong, I.-D., Kim, W.-C., & Kim, J.-H. (2017). A comparative study of additive and subtractive manufacturing for dental restorations. The Journal of Prosthetic Dentistry, 118(2), 187–193. https://doi.org/https://doi.org/10.1016/j.prosdent.2016.11.004

Barazanchi, A., Li, K. C., Al-Amleh, B., Lyons, K., & Waddell, J. N. (2017). Additive technology: update on current materials and applications in dentistry. Journal of Prosthodontics, 26(2), 156–163. https://doi.org/10.1111/JOPR.12510

Braian, M., Jönsson, D., Kevci, M., & Wennerberg, A. (2018). Geometrical accuracy of metallic objects produced with additive or subtractive manufacturing: a comparative in vitro study. Dental Materials, 34(7), 978–993. https://doi.org/10.1016/J.DENTAL.2018.03.009

Chu, S. B., Mohd Fitri, M. H. N., & Azizi, D. Y. (2024). The awareness and perception of teledentistry among Malaysian dental professionals in universities and private practices. IIUM Journal of Orofacial and Health Sciences, 5(1), 4-17.

Galante, R., Figueiredo-Pina, C. G., & Serro, A. P. (2019). Additive manufacturing of ceramics for dental applications: A review. Dental Materials, 35(6), 825–846. https://doi.org/10.1016/J.DENTAL.2019.02.026

Giachetti, L., Sarti, C., Cinelli, F., & Russo, D. S. (2020). Accuracy of digital impressions in fixed prosthodontics: a systematic review of clinical studies. International Journal of Prosthodontics, 33, 192–201. https://doi.org/10.11607/ijp.6468

Gross, D., Gross, K., & Wilhelmy, S. (2019). Digitalization in dentistry: Ethical challenges and implications. Quintessence International, 50(10), 830. https://doi.org/10.3290/J.QI.A43151

Harikrishnan, S., & Subramanian, A. (2023). 3D printing in orthodontics: A narrative review. Journal of International Oral Health, 15(1), 15–27. https://doi.org/10.4103/JIOH.JIOH_83_22

Jahangiri, L., Akiva, G., Lakhia, S., & Turkyilmaz, I. (2020). Understanding the complexities of digital dentistry integration in high-volume dental institutions. British Dental Journal, 229(3), 166–168. https://doi.org/10.1038/s41415-020-1928-5

Jemt, T., & Lie, A. (1995). Accuracy of implant?supported prostheses in the edentulous jaw. Analysis of precision of fit between cast gold?alloy frameworks and master casts by means of a three?dimensional photogrammetric technique. Clinical Oral Implants Research, 6(3), 172–180. https://doi.org/10.1034/J.1600-0501.1995.060306.X

Jeong, Y.-G., Lee, W.-S., & Lee, K.-B. (2018). Accuracy evaluation of dental models manufactured by CAD/CAM milling method and 3D printing method. The Journal of Advanced Prosthodontics, 245. https://doi.org/10.4047/jap.2018.10.3.245

Kan, J. Y. K., Rungcharassaeng, K., Bohsali, K., Goodacre, C. J., Lang, B. R., Kan, J. Y. K., Rungcharassaeng, K., Bohsali, K., Goodacre, C. J., & Lang, B. R. (1999). Clinical methods for evaluating implant framework fit. Journal of Prosthetic Dentistry, 81(1), 7–13. https://doi.org/10.1016/S0022-3913(99)70229-5

Kim, Y., Oh, T. J., Misch, C. E., & Wang, H. L. (2005). Occlusal considerations in implant therapy: Clinical guidelines with biomechanical rationale. Clinical Oral Implants Research, 16(1), 26–35. https://doi.org/10.1111/J.1600-0501.2004.01067.X

Mehl, A., Reich, S., Beuer, F., & Güth, J.-F. (2021). Accuracy, trueness, and precision-a guideline for the evaluation of these basic values in digital dentistry. International Journal of Computerized Dentistry, 24(4), 341–352.

Mikrogeorgis, G., & Delantoni, A. (2024). Digital Dental Applications in Endodontics. In Digital Dentistry, 233–255. https://doi.org/10.1007/978-3-031-52826-2_15

Nayar, S., & Mahadevan, R. (2015). A paradigm shift in the concept for making dental impressions. Journal of Pharmacy and Bioallied Sciences, 7, S213–S215. https://doi.org/10.4103/0975-7406.155910

Radwan, H. A., Alsharif, A. T., Alsharif, M. T., Aloufi, M. R., & Alshammari, B. S. (2023). Digital technologies in dentistry in Saudi Arabia: perceptions, practices and challenges. DIGITAL HEALTH. 2023;9. https://doi.org/10.1177/20552076231197095

Rajasekaran, A., & Chaudhari, P. K. (2022). Integrated manufacturing of direct 3D-printed clear aligners. Frontiers in Dental Medicine, 3, 1089627. https://doi.org/10.3389/FDMED.2022.1089627/BIBTEX

Reddy, N., Vempalli, S., Prakash, J., Suganna, M., Meenakshi, S. I., Shivakumar, G. C., et al. (2023). Evaluation of the effect of digital dentistry on the accuracy of implant placement and prosthesis fabrication—a systematic review and meta-analysis. Prosthesis, 5(3), 666–677. https://doi.org/10.3390/prosthesis5030047

Revilla-León, M., Sadeghpour, M., & Özcan, M. (2020). A review of the applications of additive manufacturing technologies used to fabricate metals in implant dentistry. Journal of Prosthodontics, 29(7), 579–593. https://doi.org/10.1111/JOPR.13212

Rokhshad, R., Ducret, M., Chaurasia, A., Karteva, T., Radenkovic, M., Roganovic, J., et al. (2023). Ethical considerations on artificial intelligence in dentistry: a framework and checklist. Journal of Dentistry, 135, 104593. https://doi.org/https://doi.org/10.1016/j.jdent.2023.104593

Seelbach, P., Brueckel, C., & Wöstmann, B. (2013). Accuracy of digital and conventional impression techniques and workflow. Clinical Oral Investigations, 17(7), 1759–1764. https://doi.org/10.1007/S00784-012-0864-4

Sulaiman, T. A. (2020). Materials in digital dentistry—A review. Journal of Esthetic and Restorative Dentistry, 32(2), 171–181. https://doi.org/https://doi.org/10.1111/jerd.12566

Tian, Y., Chen, C. X., Xu, X., Wang, J., Hou, X., Li, K., et al. (2021). A review of 3D printing in dentistry: technologies, affecting factors, and applications. Scanning, 2021(1), 9950131. https://doi.org/10.1155/2021/9950131

Turkyilmaz, I., & Wilkins, G. N. (2021). Milling machines in dentistry: a swiftly evolving technology. Journal of Craniofacial Surgery, 32(7), 2259–2260. https://doi.org/10.1097/SCS.0000000000007740

Vaid, N. R. (2018). Digital technologies in orthodontics–an update. Seminars in Orthodontics, 24(4), 373–375. https://doi.org/10.1053/J.SODO.2018.10.001

Wennerberg, A., & Albrektsson, T. (2011). Current challenges in successful rehabilitation with oral implants. Journal of Oral Rehabilitation, 38(4), 286–294. https://doi.org/10.1111/J.1365-2842.2010.02170.X

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Published

2025-07-31

How to Cite

Chu, S. B., & Ooi, H. S. (2025). The digital workflow in dentistry: adoption and challenges. IIUM Journal of Orofacial and Health Sciences, 6(2), 244–251. https://doi.org/10.31436/ijohs.v6i2.336