A dental restoration apparatus that eliminates time-consuming, labor-intensive steps conventionally needed to fabricate molds, and thereby facilitates dental restorations in a shorter time, while reducing the discomfort and embarrassment sometimes associated with provisional restorations, which includes an additive manufacturing apparatus (e.g., a 3-D printer) having a tool head (e.g., a print head) and a fixture for controlling the position of the tool head relative to the teeth of a patient, allowing fabrication of a planned dental structure directly on an existing dental structure.