A device for production of medical fittings, in particular dental restorations, of simple construction, where it is also to be ensured that the restorations are not destroyed by the machining forces. It is of particular importance that the fittings can be made especially quickly and with precision. To achieve this, a device is proposed with a workpiece 1 which can be moved in the axial direction along a feed axis 3, with a first machining tool 5 on one side of the feed axis 3, and with a second machining tool 15 operating simultaneously on the other side of the workpiece 1, in which device the machining tools 5, 15 are designed as rods which can be set in rotation and have radial and terminal working faces 16, 17, 17', and in which device the machining tools 5, 15, during machining of the workpiece 1, are arranged at approximately the same height relative to the feed axis 3 of the workpiece, so that they work along closely adjacent machining areas 32, 33; 44, 45. The invention also concerns a method for operating this device.