The invention relates to a 3D printing forming method for a metal dental restoration. The method includes the steps of three-dimensional scanning, wherein three-dimensional data of an oral cavity of a patient is obtained; three-dimensional designing, wherein the appearance of the restoration is designed and derived according to the three-dimensional data; data processing, wherein a derived restoration model is at least subjected to data checking and repairing, position arranging, support adding, slicing and scanning strategy planning to obtain data suitable for 3D printing; 3D printing forming, wherein through a metal 3D printing device for selective laser welding, with micron-scale spherical metal powder as the material, the metal powder of each layer of section region of a forming substrate is melted through the laser scanning of the 3D printing device, and then a metal part is obtained through layer-by-layer overlapping; part processing, wherein the metal restoration is obtained through later-period processing. Lots of labor is saved, personal errors are reduced, the restoration is high in forming precision and good in fitting degree, and the manufacturing cycle of the restoration is greatly shortened.