Redefining Dental Medicine: Orthos’ Digital Shift with Additive Manufacturing

ISO

EN ISO 10993-1

Consistent, homogeneous, biocompatible product (EN ISO 10993-1)

71 %

Time Saved

Digital production saves on average 71 % technician time compared to conventional

Customization

Significantly Increased

Customization and fit significantly increase patient compliance and comfort

Orthos, a leading orthodontic laboratory in the DACH region, has long been at the forefront of dental technology since its founding in 1983. Collaborating with over 7,500 dental practices in Germany, Austria, and Switzerland, the lab has built a reputation for its technical prowess, including the use of custom-designed robotics and 3D printers for dental appliance production. While they embraced digital workflows early on, the company sought to push the boundaries further, addressing a major challenge in the dental sleep medicine market: the high rate of patient non-compliance with traditional sleep apnea treatments. By collaborating with EOS, Orthos has adopted a digital process chain that delivers highly customized, biocompatible, and patient-friendly solutions, transforming the treatment landscape and setting a new standard for precision manufacturing in dental applications.

Challenge

Traditional treatments for sleep apnea, such as Continuous Positive Airway Pressure (CPAP) therapy, have significant drawbacks. Many patients find the masks to be loud, uncomfortable, and restrictive. This has led to a staggering 50% of patients abandoning treatment altogether, even if they knew there was no alternative.

Furthermore, the conventional manufacturing of Mandibular Advancement Splints (MAS), a viable alternative to CPAP, was a labor-intensive process. It required multiple materials and was prone to inconsistencies, often resulting in splints that were difficult to wear and could cause allergic reactions due to uncured plastics.

Orthos recognized this as a critical gap in the market. The lab needed a manufacturing method that could not only produce a high-quality, comfortable device but could also be integrated seamlessly into a modern digital workflow, ensuring consistency and precision for every patient. Beyond patient comfort, Orthos targeted lab-side bottlenecks: variable fit and rework from multi-material interfaces, bulkier wall sections from manual processes, and chair-time tied to remakes — issues a single-material digital approach could systematically reduce.

Orthos’ specialized laboratory in Frankfurt

Solution

To overcome these challenges, Orthos adopted EOS’s additive manufacturing technology, leveraging the robust capabilities of the EOS FORMIGA P 110 system. This system offered unmatched material quality, process reliability, and geometric freedom, reflecting the most common challenges Orthos was already facing. The digital process chain begins with an intraoral patient scan, which then informs a digital model for the appliance. This allows for unparalleled customization, accommodating unique patient needs such as dentition variability, tooth engagement, or localized pressure sensitivities. Additive manufacturing also made it possible to design appliances that are as comfortable as "a skin around your teeth," a significant improvement over bulky acrylic devices. Orthos standardized on PA 2200 — biocompatible per EN ISO 10993-1 — to enable a single-material design that removes weak points and adhesive interfaces typical of legacy splints.

As an industry benchmark for efficiency, digital splint workflows have demonstrated ~71% less technician time (≈163 min → 48 min) versus conventional methods, supporting Orthos’ move to an end-to-end digital process.

"In orthodontic sleep therapy, multi-material appliances often fail at the interface. We standardized on a single-material, fully digital process with EOS PA12 on the FORMIGA P 110 Velocis so every device is repeatable, biocompatible, and thin-rimmed for comfort. The result is a workflow clinicians trust and a product patients actually wear," says Elias Dörr, Laboratory Lead at Orthos.

The EOS system, combined with a proven biocompatible nylon material like PA 2200, enabled Orthos to produce a superior product. The nylon material offered the ideal balance of strength, durability, and flexibility, allowing for appliances that are both uniquely strong and comfortable. The homogeneity of a single-material design also eliminated the risk of material defects at connection points, a common issue with traditional multi-material splints. This level of precision and material quality was a game-changer for Orthos and their dental practice clients. Snoring occurs when the lower jaw falls back during sleep. LunaSol stops the lower jaw from falling back, and when snoring stops, harmonious sleep begins.

Elias Dörr, Laboratory Lead at Orthos

Results

The move to EOS technology has had a transformative effect on Orthos' business and the patient experience. The digital process eliminates the mess and labor-intensity of traditional methods, creating a cleaner, more efficient operation. In day-to-day production, technician touch time per splint now tracks with published digital-workflow benchmarks — down roughly from ~163 minutes to ~48 minutes — freeing capacity without adding headcount. With the digital data stored, a lost or damaged appliance can be remanufactured with ease and consistency, unlike the manual process which required starting over from scratch.

This has also significantly reduced clinical time spent on breakage reviews and repairs, a major pain point with old appliances. A single-material PA12 design removes weak joints and adhesive interfaces, enabling thin, comfortable rims that patients actually tolerate. Patient comfort and compliance have soared, with dentists reporting high patient satisfaction and a dramatic reduction in breakage complaints. The effectiveness of the new devices has also been proven in the field; Orthos' Lunasol products, for example, have been tested by over 7,500 dentists in the DACH region.

"Only EOS technology can provide the combination of pure white, biocompatible, and completely safe materials and processes that can be easily adapted and reproduced. It uses a thermoforming process that is well accepted in the dental and medical fields. Unlike chemical bonding methods, it simply involves melting the powder material layer by layer to produce the oral appliances. This makes it easy for our customers to understand and trust," Dörr explains.

The partnership with EOS has allowed Orthos to produce a unique, single-material product that addresses the core issues of traditional sleep apnea treatments. The process offers a level of process security and consistent results that were previously unattainable, while also leveraging a fully recyclable powder. By combining a digital workflow with advanced additive manufacturing, Orthos is not only building better dental appliances but also building a better quality of life for its patients. The company has successfully transitioned from a traditional dental lab to a manufacturing leader, showcasing the power of - to solve complex medical challenges and redefine an entire industry. 

Orthos' Lunasol protrusion splint

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