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During the CAD-CAM crown procedure, instead of taking physical impressions, a dentist uses optical or laser scanning technology to capture a digital image of the tooth from all angles. The dental practitioner uses special 3D software to design the crown and sends it to a mill located in the office. The dentist then places a block of porcelain in the mill to form the tooth. Drills in the mill carve and shape the tooth, following the pattern of the mold sent via scan.

 Source: http://www.gazettes.com/news/digital-cad-cam-technology-cuts-time-in-dental-office/article_09cc7728-7b90-11e6-b38d-c7ecc0e02016.html