DSDapp use for multidisciplinary esthetic planning

Abstract

Objectives: Digital smile design (DSD) is useful in planning multidisciplinary esthetic treatments. However, DSD requires clinician training and skill to ensure its effective use. The Digital smile design application (DSDapp) was recently developed, to facilitate such planning. The objective of this study was to illustrate the use of the DSDapp for esthetic planning in a clinical case that included periodontal plastic surgery and ceramic laminate veneers. Clinical considerations: An intraoral digital scan was performed, and a photograph was obtained using an iPad (frontal facial full smile). The images were analyzed using the DSDapp. All reference lines were inserted, and dental shapes predetermined by the app were superimposed on the photographs. A digital diagnostic wax-up was performed considering the plan created in the DSDapp. After 3D printing the wax-up, a mock-up transferred the planning to the oral cavity. Following this, the patient was referred to a periodontist for the periodontal plastic surgery. After the healing period, the teeth were prepared for computer-aided design/computer-aided modeling lithium disilicate ceramic laminate veneers. Conclusions: DSDapp use accelerated the initial planning steps. Smile planning can be performed during the clinical session with the patient's active participation. In addition, the DSDapp facilitated better communication within the multidisciplinary team. Clinical significance: The DSDapp relies more on intuition than on skill and training to execute the treatment plan. The DSDapp provides immediate feedback to the patient, offering greater predictability and helps monitor the planning through all the clinical stages.

Ceramic veneers failure: a repair and reintervention clinical report

“…The treatment planning is an essential step towards clinical success [19]. Direct resin composite veneers would have been a more conservative alternative treatment for this case [4].…”

Informatic tools for diagnosis in dentistry. A compilation review

“…A large number of computer tools found in this research focused on the diagnosis and management of specific diseases. DoctOral (38) it focuses on the diagnosis of oral lesions. LinguAPP (18) it helps in the diagnosis of soft tissue injuries in the oral cavity.…”

The influence of different tooth proportions obtained using digital smile design on the perception of smile esthetics

“…Thus, it is quite important in terms of patient–clinician communication and predictability of the treatment that the smile design prepared on a software program with CAD/CAM compatibility can be digitally waxed‐up so the produced version can be applied to the patient's mouth. Studies using digital smile design software are quite limited 37,38 . In the current study, 3Shape TRIOS Smile Design software was used instead of photo‐editing software to adapt to digitalised dentistry practices.…”

“…Studies using digital smile design software are quite limited. 37,38 In the current study, 3Shape TRIOS Smile Design software was used instead of photo-editing software to adapt to digitalised dentistry practices. Since the patients requested confidentiality, the eyes of the patients were covered in the smile design.…”