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Outperform Traditional DentistryA Buyer’s Guide to 3D Printing

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The face of dentistry is changing.

While the industry is growing due to increased standards of patient care and an aging population, small to medium-sized labs are still being forced to consolidate. Today’s labs face the increasing commoditization of their core products and the resulting pricing pressure, making specialty labs a thing of the past. Dentists are looking for a lab with full-service capabilities.

But this can be a challenge given the skilled technician shortage labs are encountering today. With fewer than 10 dental trade schools still operating in the US, there’s an acute shortage of Certified Dental Technicians, making it difficult to sustain your business and add new capabilities.

The rise of digital dentistry with its ease-of-use and accuracy has created a new path to growth for labs. Intraoral scanners enable easy collection of highly accurate digital data and stramlined file transfer to labs; still, there isn’t always a clear path to scalability. Labs struggle with how to capitalize on digital dentistry while trying to grow their business.

But there is a tool that combines the patient satisfaction of intraoral scanners with the unrivaled throughput and accuracy today’s lab demands: 3D printing.

3D printing is helping dentistry define a new economic reality.

Are you interested in learning more about an in-house digital workflow?

3D Printing in Today’s Dental Labs

The introduction of 3D printing to our operations has revolutionized the way we work.”

Hugo Patrao

NimroDENTAL

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3D printing was once a playground for hobbyists and designers across industries looking to cheaply and quickly manufacture design prototypes. But today’s 3D printing is helping to lead Industry 4.0 in the digitized factory of the future, and in the dental lab space for dental lab owners looking to 3D printing’s ability to affordably keep innovation aligned with output. 3D printing provides dental labs the ability to complete their digital workflow, compensating for a declining number of CDTs, quality and cost challenges.

The number of 3D printing technologies and application, each with its own array of materials seems to expand every year. Defining your needs and goals is the first step to deciding which technology is right for you. We’ll focus on the leading technology for dentistry, PolyJet Technology™ in our exploration of 3D printing within the dental lab market.

What all 3D printing processes have in common is their computer software-driven approach to production. This digital environment means a scanned file can be seamlessly sent to the 3D printer. A fully-digital workflow means greater accuracy, faster turnaround, and a more efficient production process. Not all 3D printers or materials have the same capabilities. Scaling your lab to the growing needs of your customer-base, as well as ensuring the ability to maximize your print jobs to your expanding needs is the key to profitability.

3D printing definitely offered us a huge advantage over other labs when it comes to being able to print models from intraoral scanners. It definitely brought us new customers.” Manuel Stanescu

Protec Dental Laboratories

What Is 3D Printing And How Can It Help?

Consistency and accuracy are key terms we’d use to describe the benefits of 3D printing.”

Jeff Player

Protec

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It’s apparent that 3D printing allows a lab to produce more dental applications in less time. But the benefits go well beyond efficiency and productivity gains. Digital dentistry with 3D printing actually serves as a business growth opportunity.

Diminishing numbers of CDTs mean there’s a general inability to keep pace both with the necessary speed and quality of turnaround of dental devices. Scalability is nearly impossible when you can’t find the trained workers to expand your business.

Being able to design and print from intraoral scans mean a lab’s reach can expand geographically, instantly. Files can be sent electronically so shipping and proximity no longer need to be factored into the turnaround equation.

Realistic dental models with accurate color and lifelike textures are a reality today, no matter the size of your lab.

Newly designed printers tailored to support the medium to large dental lab can be the answer to entry at an acceptable price-point. The challenge is securing a printer that can meet the needs of all the applications your customers demand without having to continually change materials. Affordable, mixed-tray printing, or the ability to print different stages of a case using different materials, is the answer. An entry-level, multi-material printer can provide labs with mixed-tray capabilities which means you can print three materials on the same tray as well as an optimized material replacement process which means less material waste. These attributes simplify lab workflows by removing the need to plan print jobs by application.

3D printed custom surgical guides allow your lab to run at peak efficiency.

A Catalyst for Lab Growth

The 3D printers are running virtually 24/7, producing models for a range of simple and complex applications.”

Hugo Patrao

Nimrod Dental

When you’re out there battling for your market share, [3D printing is] definitely something that improved our ability to compete on that level.” Bob Belouin

Biogenic Dental Corporation

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PolyJet technology is known for its outstanding realism and aesthetics. The technology works similarly to traditional inkjet printing but instead of jetting ink onto paper, a print head jets liquid photopolymers onto a build tray where each droplet cures in a flash of UV light.

PolyJet technology offers sharp precision, smooth surfaces and ultra-fine details. Layer resolution of 0.0006 inches (16 microns) allows for precise details and smooth surfaces. PolyJet’s accuracy and smooth surface finish make it a great process for dental appliances. And, by combining a variety of different materials and colors you can achieve the look of gums and teeth, all in a single print.

PolyJet can combine rigid, rubberlike, heat-resistant, transparent and opaque materials to produce parts with varied color, opacity, hardness, flexibility or thermal stability.

PolyJet 3D Printing Technology

Digital Dental Materials

ClearBio-compatibleMED610

Transparent, bio-compatible material that is certified for temporary in-mouth placement.

Typical applications: Surgical guides and cast partial patterns

VeroGlaze™

MED620

Opaque white material with A3 shading designed to provide the best color match in the industry. VeroGlaze is certified for temporary in-mouth placement, up to 24 hours.

Typical applications: Denture try ins

MEDFLX625*

Biocompatibility for permanent skin contact for up to 24 hours. MEDFLEX625 has two key dental applications plus RP of medical devices and wearables.

Typical applications: Soft gingival mask and orthodontic indirect bonding trays

VeroDentPlus™

MED690

Dark beige material that creates amazingly fine features and finish. VeroDentPlus also offers excellent strength and durability and delivers a higher level of opacity than VeroDent.

Typical applications: Crown and bridge models

VeroDent™

MED670

Natural peach tone material with high-quality detail, strength and durability.

Typical applications: Orthodontic appliance model

*Available in October 2018

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Operations

Many businesses start with a single 3D printer. This is often the clearest path to justifying the space and cost. Over time, many institutions upgrade to multiple 3D printers, locating them either in their own dedicated 3D printing lab or within a larger space.

The only requirements necessary for PolyJet operation are: air-conditioned environment, dedicated space and ventilation.

Building the Business Case for an In-House 3D Printing Lab

The bottom line? Can you really afford not to go digital? At risk on a daily basis is the relationship you have with a single dentist, one who can easily replace your lab with a higher-quality appliance supplier in less time, sometimes after only one quality issue or missed deadline. At the least, your lab’s performance is being reviewed on a daily basis for cost, quality, turnaround and remakes. You need to be on top of your game, every day. And that’s before even counting in the re-dos from human error. Third-party outsourcing certainly isn’t the answer; that’s just a recipe for missed due dates and questionable quality.

3D printing really is an on-site insurance policy against loss of client-base due to third-party errors. Yes, there’s a CAPEX cost, but it can be an incremental one, scalable to fit your needs.

An in-house 3D printer can be the best business growth driver available to you.

The projections for the global dental market are for it to reach $43.08 billion by 2022 (up from USD $32.56B in 2017). That’s an annual growth of 5.8% during this period. This growth is fueled by a number of factors, such as dental tourism and the aging population. These factors and others mean dental labs are in a boom time, even amidst consolidation.

Our price point is a lot better because we can produce the appliance a lot cheaper than when we were outsourcing.”

Cody Iverson

Iverson Dental Laboratories

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Operations

Compare the cost of a 3D printer versus the costs associated with hiring a CDT: a 3D printer is capable of 24/7 productivity, all from one centralized console

The true cost of hiring CDTs is a tough one, with the shortage of certified, trained technicians. Add to this the cost of:

Salary: $50K

Rehiring/retraining: $50-100K

Benefits: $15,000

Add in the cost of human error/inefficiencies. For example 3D printing of casting partials increases production from 3 handmade models/day to up to 70 parts per day, with consistency and accuracy and no human error.

The potential cost of imperfect appliances, refittings, recasts, etc., are incalculable.

A typical bridge costs between $500 per artificial tooth and $1,200/tooth.

A crown costs between $700->$1,000, which means this can quickly add-up.

Consider the peace of mind you’d have if you could guarantee quality, high-efficiency and 24/7 productivity.

—The projections for the global dental market are for it to reach $43.08 billion by 2022

$43B

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Crown and Bridge

Improved Quality and Turnaround

Today’s crown and bridge labs have a number of challenges and business objectives where on-site 3D printing can be a real value-add. 3D printing models can reduce the overall number of restorations that need to be remade as well as a result of checking fit prior to shipping out:

• Print models as a visual tool that enable better case acceptance

• Help differentiate your lab

• Build additional revenue stream

• Enable a fully digital workflow that provides higher accuracy and reduced human error

• Provide faster turnaround for labs and their customers

• Eliminate outsourcing

We finally were able to increase our capacity with our existing workforce. We have faster turnaround times for our clients. And now with 3D printing, we have created new revenue streams.”

Luke Caruso

Ottawa Dental Laboratory

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Crown and Bridge

Quadrant Model and Removable DieThis 3D printed quadrant crown and bridge model is a working model, depicting opposing sides to check the occlusal bite of a restoration with a removable die that fits into the working model to check margins and contacts of the crown.

Printer: Objet30 Dental Prime, Objet Eden260VS DentalAdvantage, Objet260 Dental, Objet260/500 Dental SelectionMaterial: VeroDentPlus MED690 or VeroGlaze MED620Print Mode: High QualityFinish: Matte

Full Upper Crown & Bridge Working Model with Removable Dies and Opposing modelThis full upper crown and bridge working model fabricates a crown on #3 and bridge on #9-11. The opposing model is used to check forthe occlusal contact of the restoration.

Printer: Objet30 Dental Prime, Objet Eden260VS Dental Advantage, Objet260 Dental, Objet260/500 Dental SelectionMaterial: VeroDentPlus MED690 or VeroGlaze MED620Print Mode: High QualityFinish: Matte

Upper & Lower Study Models with Full PalateDoctors use dental study models to demonstrate to patients the before and after results of their restoration.

Printer: Objet30 Dental Prime, Objet Eden260VS DentalAdvantage, Objet260 Dental, Objet260/500 Dental SelectionMaterial: VeroDentPlus MED690 or VeroGlaze MED620Print Mode: High QualityFinish: Matte

Case examples

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Removable Prosthetics

Streamline Production

Removables labs are known for their labor intensive, manual processes. On-site 3D printing can take this protracted timeline and deliver fast, repeatable, accurate devices to more labs in their service line. 3D printing decreases labor and cost-per-part while increasing your lab’s productivity and the reliability of your products.

On-site 3D printing in removable laboratories allows for:

• Scaled production

• Reduced labor

• Increased accuracy

Appliances like removable partial dentures (RPDs) are a time-consuming, exacting appliance and are typically manually crafted. From molds to wax patterns to refractory models, RPDs are a complicated appliance.

Digital technology can revolutionize this process.

Stratasys 3D Dental printers offer professional dental-grade solutions.

The time required to 3D print a typical removable partial dental frame is reduced by 80%...”

Scott Udell

Udell Dental Laboratories

Material Cost Per RPD* Time to Produce RPS*

Previous 3D Printer $12 3 days

Objet Eden260V $2.84 1.5 days

Savings 76% cost savings 50% time savings

*Udell Dental Lab experienced these time and cost savings after switching to a Stratasys 3D printer.

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Removable Prosthetics

Denture Wax UpThis digital color denture prototype was used to physically preview a final outcome. Produced with enhanced realism, thanks to Stratasysmulti-material, multi-color capabilities, it delivers an accurate fit, requiring fewer appointments, and less labor.

Printer: Objet 260/500 Dental SelectionMaterial: VeroGlaze MED620, Vero Magenta, VeroWhitePlusPrint Mode: Digital MaterialFinish: Matte

Digital Removable Partial Denture (RPD) Frame Pattern with ModelThis removable partial denture was digitally designed and printed with castable Biocompatible MED610. Stratasys dental 3D printers produce a highly stable model, automat-ing the wax pattern process, decreasing labor, shortening turnaround, enabling a more reliable workflow, all while maintaining the highest accuracy. The final product generat-ed from this RPD pattern is included, demonstrating a high quality partial denture in form, fit, and function.

Printer: Objet30 Dental Prime, Objet Eden260VS Dental Advantage,Objet260 Dental, Objet260/500 Dental SelectionMaterial: Biocompatible MED610Print Mode: High QualityFinish: Glossy

Custom TrayWhen off-the-shelf impression trays don’t fit, easily produce a custom impression tray to fit the patient’s uniquely sized mouth when makingproper impressions for partials and dentures. Having the correct-sized tray will produce better impressions, resulting in fewer refittings andhigher patient satisfaction.

Printer: Objet30 OrthoDesk, Objet30 Dental Prime, Objet Eden260VS Dental Advantage, Objet260 Dental, Objet260/500 Dental SelectionMaterial: VeroGlaze MED620Print Mode: High SpeedFinish: Matte

Case examples

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Orthodontics

Align Your Bottom Line

Today’s orthodontic lab has a number of challenges and business objectives, not the least of which is faster turnaround and increased production but also increased product consistency and digital model manipulation.

But perhaps the most significant growth opportunity for orthodontic labs is the rise of clear aligners as a treatment method for crooked teeth. This market is poised for explosive growth, both in the U.S. and globally. Estimates point to an expected compound annual growth rate of nearly 13% for the clear aligner market for the period 2016-2020. The expansion and acceptance of aesthetic procedures, growth in disposable income, and procedural availability, all contribute to these projections. North America is the largest market and is expected to account for more than 63% of the total market share by 2020. Specifically, clear aligners which dominate this segment, are forecast to generate revenue of roughly $2 billion by 2020.

Clear aligners are a valid treatment option for six million of the estimated 10 million orthodontic cases each year. However, to date, the current clear aligner market leader has captured only nine percent of those six million cases.

This means it is a critical time to enter this market, as large suppliers and manufacturers in the dental industry who are early-to-market with clear aligner production have the potential to capitalize on this high-growth industry. Both established labs and new entrants to the market can benefit from this growth by taking advantage of scalable, 3D printing solutions which offer an alternative to large-investment 3D printers. Regardless of the size of your current lab, there is significant opportunity to capitalize on the projected explosive growth in the clear aligner market in the next few years.

On-site 3D printing means your lab can:

• Scale production with limited resources

• Convert from analog to digital dentistry

• Capitalize on the clear aligner boom

Today’s dental labs need a solution that provides the ability to print high quality arches out of the box, without a lot of engineering and calibrations which adds time and cost.

The time required to 3D print a typical removable partial dental frame is reduced by 80%...”

Luke Caruso

Ottawa Dental Laboratory

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Stratasys 3D Dental printers provide one of the fastest overall time-to-part, and require less post-processing and staff labor.

On-site 3D printing enables study models for:

• Case presentation

• Clean process

• Labor savings

• Enhanced digital impression patient experience

The benefits of digital storage include:

• Space requirements of physical model storage

• Having a model on-demand

• Remakes

• Increase geographic market via digital

Orthodontics

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Orthodontics

Case examples

Indirect Bonding (IDB) TrayCustom printed IDB tray in biocompatible materials for patient in-mouth use. Digitally designing the location of brackets ensures optimal placement for superior clinical outcomes. The 3D printed tray enables a faster workflow with quicker patient turnover.

Printer: Objet260/500 Dental SelectionMaterial: Biocompatible MED610 and MEDFLX 625 in combinationPrint Mode: Digital MaterialFinish: Matte

Full Upper Orthodontic Models with PalateThis upper ortho model is used for the fabrication of orthodontic appliances and retainers. Quickly produce highly accurate, custom orthodontic models for your patients. Reduce appointments by creating the best fitting appliances the first time. Two models: one printed in clear Biocompatible MED610, one in VeroDentPlus MED690.

Printer: Objet30 OrthoDesk, Objet30 Dental Prime, Objet Eden260VS Dental Advantage, Objet260 Dental, Objet260/500 Dental SelectionMaterial: Biocompatible MED610, VeroGlaze MED620 or VeroDentPlus MED690Print Mode: High SpeedFinish: Matte

Orthodontic Model with BracketsA digitally designed model with brackets used to thermoform an IDB tray for proper bracket placement. Produce accurate, digital models in-house quickly, improving the dental workflow and patient results.

Printer: Objet30 Dental Prime, Objet Eden260VS Dental Advantage, Objet260 Dental, Objet260/500 Dental SelectionMaterial: VeroGlaze MED620, VeroDent MED670, and VeroDentPlus MED690Print Mode: High QualityFinish: Matte

Lower Orthodontic Horseshoe ArchThis is an orthodontic model used to fabricate a clear aligner. The clear aligner market is a fast-growing, high-margin business for orthodontic labs and crown & bridge labs wanting to diversify business lines and generate new revenue streams. Stratasys provides a professional-grade system with the industry’s highest uptime and reliability for producing superior quality models for high quantity aligner production.

Printer: Objet30 OrthoDesk, Objet30 Dental Prime, Objet Eden260VS Dental Advantage, Objet260 Dental, Objet260/500 Dental Selection, Stratasys J700 DentalMaterial: VeroGlaze MED620 or Med670Print Mode: High SpeedFinish: Matte

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Implantology

Stay Competitive

There’s a way to improve your clinical outcomes. Precision is everything with implants and with on-site 3D printing you gain the ability to balance workloads, optimize production of precise dental devices and stay competitive. Improve clinical outcomes with the highest level of realism using multi-material implant models. Create implant models that mimic gum textures and color. Simplify your workflow using triple-jetting to produce three different models simultaneously on the same printer.

On-site 3D printing enables:

Surgical Guides

• New revenue stream

• High profit margin

• Minimal labor

• Differentiate from competitors with complete implant solution

Implant Models

• Soft tissue implant models

• No more impression copings

• Complete implant solution

• Decrease in labor

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Implantology

Relevant case examples

Implant Model with Opposing ModelAn implant model is used to fit check implant abutments and dentalrestorations. A 3D model of the patient’s mouth allows for preciseplacement of implants to meet the specific patient need. Stratasys’multi-material printing replicates rigid and soft tissue for a moreaccurate depiction of the patient’s mouth, providing a more realistic fit. Print both the rigid model and soft tissue at the same time.

Printer: Objet260/500 Dental SelectionMaterial: VeroDentPlus MED690 or VeroGlaze MED620 + VeroMa-genta + TangoPlusPrint Mode: High QualityFinish: Matte

Surgical GuideA surgical guide helps doctors and oral surgeons determine properimplant placement. Using a surgical guide saves procedure time,freeing the surgeon to treat more patients, and ensuring higherquality outcomes. Stratasys’ Biocompatible MED610 material can be used in a patient’s mouth, as well as being transparent to facilitate the procedure..

Printer: Objet30 Dental Prime, Objet Eden260VS Dental Advantage,Objet260 Dental, Objet260/500 Dental SelectionMaterial: Biocompatible MED610 or VeroGlaze MED620Print Mode: High Quality or High SpeedFinish: Matte

Maxillofacial ModelThis surgical model illustrates teeth with their roots in relation to the jaw nerve. Stratasys multi-color, multi-material dental printers allow the integration of transparency and color differentiation. This creates highly realistic models, for better surgical planning, practice and determining the optimal therapeutic approach, leading to better results.

Printer: Objet260/500 Dental Selection, Stratasys J750Material: VeroMagenta, VeroWhitePlus, VeroClearPrint Mode: Digital MaterialFinish: Matte

All on 4’sThis is an implant bridge try-in used to check the occlusal fit of thebridge to the implants, tooth size, and overall look of the bridge design in the patient’s mouth. Stratasys biocompatible VeroGlaze MED620 creates a patient mouth try-in, which is highly accurate in creating the best fit possible for the patient, meaning better and quicker outcomes.

Printer: Objet30 Dental Prime, Objet Eden260VS Dental Advantage,Objet260, Dental Objet260/500 Dental SelectionMaterial: VeroGlaze MED620Print Mode: High SpeedFinish: Matte

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Stratasys Dental Solutions

The Dental Printer Family

Dental Printer Family

Inve

stm

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Capabilities

Objet260Dental

Mixed Trays

Eden260VS

Objet260Dental Selection

Most Versatile,Mixed Trays &Models,Digital Materials

Objet30Dental PrimeSmall, lower volume labs for efficient production of basic appliance models

Medium to large dental and orthodontic labs for high production applications

Medium to large labs of all types with the versatility to support a variety of applications

Medium to large labs of all types with the highest versatility

Large, high volume production labs of all types with the highest versatility

Largest & Most Versatile, Mixed Trays and Models,Digital Materials

Objet500Dental Selection

High volume clear aligner manufacturing solution

Stratasys J700Dental

Largest &Fastest forClear Aligners

Professional grade desktop

Entry level high production

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A Fully Scalable Solution for Your Lab

Your fully scalable dental lab can begin with one 3D printer, adding more as you scale up, add multi-material capabilities to allow you to print mixed tray appliances, including clear aligners.

Objet Studio

Stratasys dental 3D printers come with Objet Studio software for an intuitive interface. Its ease-of-use enables you to choose materials, set-up the build and manage the print queues of one to many 3D printers, all to optimize your digital workflow.

With a simple software upgrade, the Stratasys 260 Dental is upgradeable to the Dental Selection which creates realistic colors.

Stratasys Dental Solutions

Stratasys 3D Dental Printer Capabilities

Objet30 Dental PrimeEden260VS Dental Advantage

Objet260 DentalObjet260 Dental Selection

Objet500 Dental Selection

Basic flexibility with two dedicated dental materials as well as MED610

General versatility – supporting four dedicated dental materials

Best-in-class versatility – at price point supports the wide range of use cases

Most versatile dental 3D printer

World’s largest and most versatile dental 3D printer

Jets one material at a time

Jets one material at a time

Triple-jetting multiple materials simultaneously with ability to create mixed material trays with up to 3 materials

Triple-jetting multi-materials and digital materials with different colors and durometers simultaneously creating mixed material parts and trays

Triple-jetting multi-materials and digital materials with different colors and durometers simultaneously creating mixed material parts and trays

Smaller dental/orthodontic labs

Small to medium dental and orthodontic labs

Medium to large dental, ortho, C&B, implant labs, removable lab owners, and full service labs

Medium to large dental, ortho, C&B, implant labs, removable lab owners, and full service labs

Large dental, ortho, C&B, implant labs, removable lab owners, and full service labs

Affordable low volume production solutions for small to medium labs

A production beast for single material applications

Mixed material trays to combine productivity with application versatility

Most realistic dental models – both color and “feel”

Most realistic dental models – both color and “feel”

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©2018 Stratasys Ltd. All rights reserved. Stratasys, Stratasys signet, PolyJet, MED610, VeroGlaze, VeroDent, VeroDentPlus, Objet30 Dental Prime, Objet Eden260VS Dental Advantage, Objet260 Dental, Objet 260 Dental Selection, Objet 500 Dental Selection, Objet Eden 260V, Vero Magenta, VeroWhite Plus, TangoPlus, Stratasys J700 Dental and Stratasys J750 are trademarks are trademarks or registered trademarks of Stratasys Ltd. and/or its subsidiaries or affiliates and may be registered in certain jurisdictions. All other trademarks belong to their respective owners. Product specifications subject to change without notice. Printed in the USA. BG_PJD_OutperformDentistry_0918a

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Outperform Traditional Dentistry

Whether you’re creating custom-fit crowns, producing bridges, implants or removables for your customers, 3D printing is helping dental labs take dentistry to the next level. Consistent and precise, digital dentistry is minimizing time-consuming processes, enhancing customization and improving labs’ bottom line. See for yourself how 3D printing with Stratasys is forming enhanced lab efficiencies.

To learn more or to speak with a representative, visit our website.

www.stratasys.com/dental

or CONTACT A REP