The Use of the Digital Smile Design Concept as an Auxiliary Tool in Aesthetic Rehabilitation: A Case Report

The digital smile design is a practical diagnosis method that can assist the clinician to visualize and measure dentogingival discrepancies. This clinical report aims to present the associated steps, from the diagnosis of the alterations diagnosis through to the final aesthetic result. A 37-years-old female patient presented as her main complaint the tooth form and colour discrepancies. Applying the digital smile design principle, the necessary measures for a harmonic smile correction could be accurately determined. The initial diagnosis led to a wax up of the master cast that was duplicated in acrylic resin directly in the mouth. This temporary restoration guided the periodontal surgery and the final pressed ceramic crown restoration. We conclude that the digital smile design concept seems to be a useful tool to achieve a satisfactory aesthetic result.

[1]  M. Goyal,et al.  Recreating an esthetically and functionally acceptable dentition: a multidisciplinary approach. , 2013, The International journal of periodontics & restorative dentistry.

[2]  S. Chu.  A biometric approach to predictable treatment of clinical crown discrepancies. , 2007, Practical procedures & aesthetic dentistry : PPAD.

[3]  D. H. Ward.  Proportional smile design using the recurring esthetic dental (red) proportion. , 2001, Dental clinics of North America.

[4]  R. Yukna,et al.  Clinical comparison of desired versus actual amount of surgical crown lengthening. , 1995, Journal of periodontology.

[5]  R. Simonsen.  Commerce versus care: troubling trends in the ethics of esthetic dentistry. , 2007, Dental clinics of North America.

[6]  R. Goodlin.  Photographic-assisted diagnosis and treatment planning. , 2011, Dental clinics of North America.

[7]  P. Martins-Filho,et al.  Do metal post-retained restorations result in more root fractures than fiber post-retained restorations? A systematic review and meta-analysis. , 2015, Journal of endodontics.

[8]  D. Edelhoff,et al.  Tooth wear: a systematic review of treatment options. , 2014, The Journal of prosthetic dentistry.

[9]  M. Koike,et al.  The effect of multiple firings on the marginal integrity of pressable ceramic single crowns. , 2012, The Journal of prosthetic dentistry.

[10]  Christian Coachman,et al.  Digital Smile Design: A Tool for Treatment Planning and Communication in Esthetic Dentistry , 2012 .

[11]  H. Yatani,et al.  The effects of repeated heat-pressing on the mechanical properties and microstructure of IPS e.max Press. , 2014, Journal of the mechanical behavior of biomedical materials.

[12]  Frank Spear,et al.  Which all-ceramic system is optimal for anterior esthetics? , 2008, Journal of the American Dental Association.

[13]  C. Walter,et al.  Biologic width dimensions--a systematic review. , 2013, Journal of clinical periodontology.

[14]  J. Calamia,et al.  Smile design and treatment planning with the help of a comprehensive esthetic evaluation form. , 2011, Dental clinics of North America.

[15]  C. Leevailoj,et al.  Anterior space management: interdisciplinary concepts. , 2013, Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.].

[16]  A. Beall.  Can a new smile make you look more intelligent and successful? , 2007, Dental clinics of North America.

[17]  K. Ganji,et al.  A Comparative Evaluation for Biologic Width following Surgical Crown Lengthening Using Gingivectomy and Ostectomy Procedure , 2012, International journal of dentistry.

[18]  D. Etienne,et al.  Restorative and periodontal considerations of short clinical crowns. , 1998, The International journal of periodontics & restorative dentistry.

[19]  Nicholas C Davis.  Smile design. , 2007, Dental clinics of North America.

[20]  Mehmet Cudi Balkaya,et al.  Influence of firing cycles on the margin distortion of 3 all-ceramic crown systems. , 2005, The Journal of prosthetic dentistry.