Atria Sampaio

Atria Sampaio · Technology

Same-day crowns and restorations with CAD/CAM

Digital design, in-clinic milling, definitive placement in a single visit.

CAD/CAM stands for computer-aided design and computer-aided manufacturing. Applied to dentistry, it lets a crown, onlay, veneer, or inlay go from intraoral scan to patient's mouth in a single session, no provisionals, no two-week lab waits, no second visit.

Our workflow at Atria Sampaio is direct: we scan the prepared tooth with an intraoral scanner, design the restoration in CAD software considering occlusion, contacts, and aesthetics, and the clinic's mill carves the piece from a ceramic block. Polishing, glazing, and cementation happen in the same session. A crown that used to take three visits over two weeks now takes two to three hours.

The materials we use are premium grade: lithium disilicate (e.max) when we need high aesthetics and moderate strength, high-strength translucent zirconia for areas with heavier occlusal load, and hybrid ceramics in specific cases. The selection isn't arbitrary: it depends on the tooth, remaining structure, occlusion, and aesthetic demand.

Why does having the mill in-clinic matter? Because it eliminates a critical variable: the lab transfer. No impressions that deform, no casts that fracture, no provisionals that fall off over the weekend. Quality control is immediate. If something isn't right, it's remilled in minutes.

CAD/CAM isn't suitable for every case. Very complex full rehabilitations, high-end aesthetics with custom color effects, or specific periodontal situations still require traditional lab work. In the initial evaluation we tell you clearly which workflow is better for your case, without forcing technology where it doesn't belong.

How it works

  1. Step 1 · 5 min

    Digital scan

    We scan the prepared tooth with the intraoral scanner. No silicone mold.

  2. Step 2 · 20 min

    CAD design

    We design the crown in CAD software considering occlusion, shape, and color.

  3. Step 3 · 15 min

    CAM milling

    The mill carves the piece from a premium-grade ceramic block.

  4. Step 4 · 40 min

    Characterization & cementation

    Polishing, furnace glazing, and definitive cementation. You leave with the crown in place.

Frequently asked questions

Is it the same quality as a lab crown?

Yes, in cases where it's indicated. Modern CAD/CAM produces restorations with marginal fit and strength equal to or better than traditional lab work. The choice depends on the specific case.

How long does the full procedure take?

2 to 3 hours, including preparation, scanning, design, milling, and cementation. All in one visit.

What materials do you use?

Lithium disilicate (e.max), high-strength translucent zirconia, and hybrid ceramics depending on clinical indication.

How long do CAD/CAM restorations last?

With proper hygiene and regular check-ups, 10 to 15 years or more, similar to traditional lab restorations.

Is it CEREC?

CEREC is a specific brand of dental CAD/CAM system. We work with professional-grade equipment in the same technology segment. The principle is the same: digital design, in-clinic milling, same-day result.

Is anesthesia required for a same-day CAD/CAM crown?

Yes, in most cases. Tooth preparation under existing cement or carious tissue requires infiltrative local anesthesia. The digital impression with the intraoral scanner doesn't require additional anesthesia. If the case involves only cementation of a previously prepared restoration, it may not be needed. Anesthesia is tailored to your sensitivity and the procedure type.

Can multiple teeth be done at once?

Yes, within a reasonable range. In a multi-hour session we can prepare and cement between two and four adjacent crowns or veneers. Full rehabilitation cases (more than four to six units) are planned across two to three distributed sessions, not because the technology doesn't allow it, but to preserve your comfort and the precision of each occlusal adjustment. Each case is evaluated individually.

What if I need adjustments after cementation?

We make fine occlusal adjustments as part of the immediate post-cementation check, before you leave. If after a few hours or days you feel a high spot, tension, or chewing discomfort, you return to the clinic and we adjust. It's a quick procedure (5 to 15 minutes) without removing the restoration. Ceramic allows polishing and fine adjustment without compromising aesthetics.

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