Digital Smile Design for Computer-assisted Esthetic Rehabilitation: Two-year Follow-up

Abstract

Objective: The esthetics of the smile are related to the color, shape, texture, dental alignment, gingival contour, and the relationship of these with the face.

Purpose: To present a two-year follow-up for an esthetic rehabilitation clinical case in which the method of digital smile design (DSD) was used to assist and improve diagnosis, communication, and predictability of treatment through an esthetic analysis of the assembly: face, smile, periodontal tissue, and teeth.

Clinical procedure: The smile's esthetics were improved through gingival recontouring, dental home bleaching, and a restorative procedure with thin porcelain laminate veneers using lithium disilicate glass-ceramic (e.max Ceram, Ivoclar-Vivadent) laminates on teeth 4 through 13.

Discussion: The proposed technique had an acceptable clinical performance at the end of a two-year follow-up.

Significance: DSD can be used to increase professional/patient communication and to provide greater predictability for the smile's esthetic rehabilitation.