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KMID : 0362420170550020164
Journal of Korean Academy of Prosthodontics
2017 Volume.55 No. 2 p.164 ~ p.170
Use of Digital Smile Design in esthetic restoration in anterior teeth: A case report
Shin Se-Jun

Noh Kwan-Tae
Kwon Kung-Rock
Kim Hyeong-Seob
Abstract
When restoring their anterior dentition, patients become more demanding on esthetics compared to posterior region during treatment planning phase. Digital Smile Design (DSD) procedure is performed in presentation software and digital photographs. This can widen diagnostic visualization and aid in transferring information between clinician, patient, and technician. This case presented is that of patient with dissatisfaction of his anterior old restoration. Retreatment procedures were carried out in two different manners: (1) using DSD protocol for diagnosis, smile simulation, communication and fabricating interim and definitive prosthesis by totally digitized workflow. (2) Using diagnostic waxup for smile design and fabricating restorations by conventional workflow. Comparing two methods, DSD was easier to communicate between the dental team than the diagnostic wax-up method. But the final result obtained failed to meet total esthetic factors. Therefore, to obtain predictable esthetic results, more advanced design tool would be needed, including consideration of various esthetic factors besides successful communications.
KEYWORD
Esthetic restoration, Digital Smile Design, Treatment planning
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