Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Jul-Aug;21(4):455-458.
doi: 10.4103/JCD.JCD_172_18.

Digital smile design and mock-up technique for esthetic treatment planning with porcelain laminate veneers

Paula Pontes Garcia  1 , Rogério Goulart da Costa  2 , Murilo Calgaro  3 , André Vicente Ritter  4 , Gisele Maria Correr  1 , Leonardo Fernandes da Cunha  1 , Carla Castiglia Gonzaga  1
Affiliations
Case Reports

Digital smile design and mock-up technique for esthetic treatment planning with porcelain laminate veneers

Paula Pontes Garcia et al. J Conserv Dent. 2018 Jul-Aug.

Abstract

The use of digital tools offers a new perspective to daily clinical activities. The digital information serves as a starting point for a wax-up and intraoral mock-up, which is widely reported in literature as an objective and efficient communication tool among dentist, patient, and technician. This case report of a maxillary anterior rehabilitation demonstrates esthetic planning with the digital smile design (DSD) system and a direct mock-up technique. After preoperative photographs were obtained, digital planning was created using DSD. However, due to differences in virtual simulation, a direct mock-up with composite resin was performed. Porcelain laminate veneers using feldspathic ceramics were used to restore the anterior teeth. Many times, the DSD simulation is not enough for the patient to understand and observe the changes that will be performed on the anterior teeth. This combination of techniques can offer predictability to results as well increasing the patient expectation satisfaction.

Keywords: Ceramic; digital smile design; esthetics; mock-up; veneer.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Facial photograph was placed behind crossing lines, for initial digital smile design planning (a) Intraoral photograph showing the positioning of the smile, based on the crossing lines (b) Virtual simulation with digital smile design (c) Alteration of the planning proposed initially by the digital smile design (d) direct mock-up (e)
Figure 2
Figure 2
Diagnostic wax-up of teeth #7–10 (a) Front view of the mock-up with bis-acryl resin (b) Front view of the mock-up with bis-acryl resin, patient with forced smile (c) Side view of the feldspathic porcelain veneers in their position (d) Finished case (e) Follow-up after 12 months (f)
See this image and copyright information in PMC

References

    1. Meereis CT, de Souza GB, Albino LG, Ogliari FA, Piva E, Lima GS, et al. Digital smile design for computer-assisted esthetic rehabilitation: Two-year follow-up. Oper Dent. 2016;41:E13–22. - PubMed
    1. Miranda ME, Olivieri KA, Rigolin FJ, de Vasconcellos AA. Esthetic challenges in rehabilitating the anterior maxilla: A Case report. Oper Dent. 2016;41:2–7. - PubMed
    1. Reshad M, Cascione D, Magne P. Diagnostic mock-ups as an objective tool for predictable outcomes with porcelain laminate veneers in esthetically demanding patients: A clinical report. J Prosthet Dent. 2008;99:333–9. - PubMed
    1. Lin WS, Zandinejad A, Metz MJ, Harris BT, Morton D. Predictable restorative work flow for computer-aided design/computer-aided manufacture-fabricated ceramic veneers utilizing a virtual smile design principle. Oper Dent. 2015;40:357–63. - PubMed
    1. Cooper LF, Culp L, Luedin N. A digital approach to improved overdentures for the adolescent oligodontia patient. J Esthet Restor Dent. 2016;28:144–56. - PubMed

Publication types