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CEREC Go is Dentsply Sirona’s newly introduced chairside milling unit, launching first in select markets. (All images: Dentsply Sirona)

Fri. 7. November 2025

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The Class II restoration remains one of the most common—and technically demanding—procedures in dentistry. Every day, clinicians must deliver durable, aesthetic and anatomically precise posterior restorations under time pressure and often for limited return. Advanced resin composites such as TPH Spectra ST, bulk-fill materials such as SDR flow+ and sectional matrix systems such as Palodent continue to address core challenges in direct posterior composite restorations. However, outcomes in larger or more complex Class II cases—especially those involving cusp replacement—often depend less on materials and more on the clinical skill and experience of the practitioner.

We recently described the beginning of a new era in connected dentistry and its potential for improving treatment efficiency, practice growth and patient care.1 Could the innovations we discussed also benefit complex Class II restorations?

The answer lies in CEREC Go, which reintroduces a compelling vision: digitally designed, precisely milled composite inlays and onlays. CEREC Go is not primarily a crown mill; it is a direct restoration machine. Purpose-built for complex Class II cases, it allows clinicians to flexibly transition between manual and digital workflows according to their skill level and clinical scenario. This flexibility does not extend chair time, and the system combines speed, precision and material strength to deliver predictable results without compromising quality.

A smart solution for complex Class II cavities

Posterior composite restorations demand tight proximal contacts, natural interdental architecture, functional occlusal anatomy, excellent marginal integrity, and resistance to polymerisation stress and to wear and fracture. Even minor issues—such as air entrapment, bonding deficiencies, incomplete polymerisation or marginal overhangs—can compromise restoration longevity and patient satisfaction.2 Digitally designed composite inlays and onlays produced from prefabricated composite blocks help mitigate many of these variables.3 Historically, CAD/CAM workflows were seen as too slow, complex or costly for what was perceived as a simple restoration (Figs. 1a–e). CEREC Go changes that perception by leveraging connected dentistry technologies—integrating hardware, software and data platforms to streamline restorative workflows.

Fig. 1a: A typical workflow for a Class II direct restoration. Initial situation.

Fig. 1a: A typical workflow for a Class II direct restoration. Initial situation.

Fig. 1b: Preparation.

Fig. 1b: Preparation.

Fig. 1c: Matrix placement.

Fig. 1c: Matrix placement.

Fig. 1d: Composite build-up.

Fig. 1d: Composite build-up.

Fig. 1e: Final result.

Fig. 1e: Final result.

Introducing the direct restoration machine

CEREC Go enables chairside production of composite inlays and onlays with the simplicity and speed of conventional direct restorations—and without sacrificing quality. Its key features include automatic generation of design proposals using artificial intelligence (AI) using new design functionalities directly in DS Core in under a minute and milling of restorations in less than 2 minutes. The system offers a furnace-free workflow—polish, bond and finish. In short, CEREC Go delivers indirect restoration performance at direct restoration speed. Moreover, CEREC Go requires only minimal investment, since it is compatible with the practice’s existing intra-oral scanner and DS Core subscription, as well as with CEREC Primemill for expanded material options such as zirconia or glass-ceramic (Figs. 2a–f).

Fig. 2a: A CEREC Go workflow for a large Class II cavity involving cusp replacement. Pre-op situation before lingual cusp reduction and reinforcement with SDR Flow+.

Fig. 2a: A CEREC Go workflow for a large Class II cavity involving cusp replacement. Pre-op situation before lingual cusp reduction and reinforcement with SDR Flow+.

Fig. 2b: Digitally designed and milled onlay fabricated from a composite block.

Fig. 2b: Digitally designed and milled onlay fabricated from a composite block.

Fig. 2c: Try-in.

Fig. 2c: Try-in.

Fig. 2d: Cementation with Calibra Universal+ resin cement.

Fig. 2d: Cementation with Calibra Universal+ resin cement.

Fig. 2e: Finishing and polishing with Enhance Flex.

Fig. 2e: Finishing and polishing with Enhance Flex.

Fig. 2f: Final outcome.

Fig. 2f: Final outcome.

The material advantage: Hybrid composite blocks versus 3D-printing resins

The success of an inlay or onlay depends on the material as much as on the process.4 CEREC Go is optimised for hybrid composite blocks engineered specifically for posterior restorations. Hybrid composite blocks have several advantages over printed composites (Table 1). Composite blocks unite the advantages of direct composites with industrial-grade polymerisation and a homogeneous microstructure, eliminating internal flaws and reducing technique sensitivity.5

Table 1: Comparison between hybrid composite blocks and 3D-printing resin composites.
Feature Hybrid composite blocks 3D-printing resin composites
Filler content ~80% filled, ultra-dense Lower filler density
Flexural strength  ≤ 270 MPa6 Variable, typically ≤ 150 MPa7,8
Bonding interface Strong adhesion with composite adhesives Often requires surface treatment
Outcome Clean, precise; minimal chipping Limited edge definition9,10
Longevity Data on five- to 13-year outcomes 11,12 Limited long-term data13

Restorations that scale—clinically and operationally

For clinicians, CEREC Go makes complex Class II restorations more predictable and profitable. For group practices and dental support organisations, it introduces standardisation to a procedure traditionally defined by individual technique, reducing remakes and variability while ensuring consistent function, aesthetics and efficiency. It enables faster chair turnover, easier delegation to expanded function dental auxiliaries (for clinicians in the US) and a seamless workflow—from scanning to placement—enhancing the patient experience.

By reframing CAD/CAM as a tool also for partial-coverage restorations—not solely for full-coverage restorations—CEREC Go redefines what digital dentistry can do.

Every CEREC Primemill already includes these capabilities, offering the same workflow using ceramic materials such as lithium disilicate and zirconia, which are ideal for long-lasting crowns.

Figs. 3a & b: Automatic preparation margin (c) and CEREC crown proposal (b) on DS Core.

Figs. 3a & b: Automatic preparation margin (c) and CEREC crown proposal (b) on DS Core.

Back to the future: CEREC’s original purpose—reimagined

When the first CEREC system was introduced in the 1980s, it was designed for the chairside fabrication of tooth-coloured inlays and onlays—a visionary idea ahead of its time.14 Early adopters embraced it, but the materials and workflows then available limited its practicality.

Today, that original vision has returned. Through AI-driven design, hybrid composite blocks and superfast milling, CEREC Go is not merely reviving the inlay; it is redefining it. CEREC Go takes dentistry back to the future: connected dentistry technologies are finally realising the original CEREC vision.

Freedom of choice for the dentist

Advanced resin composites remain reliable for Class II direct restorations, but with increasing complexity, depth or size they demand significant manual skill. By combining digital precision, AI-supported design and rapid manufacturing, CEREC Go allows practitioners to transition seamlessly between manual and digital methods as needed—without extending treatment time.

In today’s connected dental practice, integration and efficiency drive every decision. CEREC Go represents more than a milling unit; it is a digitally guided, economically accessible entry into connected dentistry. Leveraging connected dentistry technologies and advanced materials, CEREC Go truly enables CEREC for everyone—starting with hybrid composite inlays and onlays—and, of course, it is capable of producing crowns as well. Expanding into other materials such as zirconia or glass-ceramic is only a small step from there.

Editorial note:

The complete list of references can be found here.

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