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Digital smile Design (DSD)

Digital smile design: how perfect veneers and a dream smile are created

Just a couple of decades ago, the Hollywood smile was an unattainable dream. But today everyone can transform their own teeth using veneers or lumineers. These are thin onlays that change the color and shape of the teeth, as well as protect them from external influences. To perform veneer treatment in our clinic, digital design is used in special 3D programs, and one of them is the Digital Smile Design solution.

FIND OUT HOW YOUR SMILE WILL LOOK LIKE BEFORE YOU START THE TREATMENT!

  • a smile that really suits you
  • beautiful and natural teeth
  • explore the options with your doctor and find the one you like
  • you will look younger and improve the aesthetics
  • forget about the aesthetic imperfections of your teeth
  • 100% predictable and fast results

Thanks to digital technology, patients can see their future smile on the screen of a tablet or monitor and make adjustments right away. We use this design not only for veneers but also for single crowns or implant-supported prostheses. In fact, the patient has time to try on and test a new smile in action before his permanent veneers or prostheses go into production.

Alex Mechkov

Dental Surgeon
Work experience 35 years




Digital design allows for perfect precision when developing a new smile

How is digital technology helping to transform your appearance?

Our clinic actively uses Digital Smile Design or DSD technology. Relying on the possibilities of digital computer modeling, we restore the ratio of the proportions of the face and teeth according to the principle of the "golden section" with the use of orthopedic and orthodontic structures (for restoration of teeth with prostheses, as well as correcting the occlusion, respectively).

We recreate the correct anatomy of the teeth, normalize the chewing load, restore youth to the contour of the face and get precisely the smile that suits the patient best.

Every person is unique. Therefore, there are no standard solutions. The Digital Smile Design program is loaded with the patient's personal information - their photographs, computed tomography, and intraoral scanning data. On their basis, the doctor creates a model of a future smile, taking into account all individual anatomical features. And then the models are transferred to the articulator in order to verify the bite relationship and make adjustments if necessary.

Digitally designed veneers transform your smile and look more natural

All necessary proportions and measurements are included in the program. It advises how to work out aesthetics and draws up a step-by-step treatment plan.

Making veneers is a multi-stage and expensive procedure; the cost of an error is quite high. Therefore, it is necessary for all participants in the process - the patient, the surgeon, and the dental laboratory specialists - to have the same information that cannot be interpreted in their own way. It is the consistency that careful planning of the treatment process can achieve.

The DSD program transmits clear data to the laboratory, backed up by a 3D image. Everything has been taken into account: shape, shade, height, and width of future restorations, their precise positioning, and relation to the gingiva. The distances are verified to a fraction of a millimeter, and the color of future veneers is selected on a scale taking into account the color of the patient's eyes and skin.

This means that the risks of the human factor are excluded. There will be no errors in the perception of color or distortions in the form. The laboratory, the dentist and, of course, the patient will not disperse in expectations of the result.

Signs of a Perfect Smile

White teeth and healthy gums are not all that define beauty. Sometimes when we look at a smiling person, we feel dissonance, but we cannot articulate what exactly confuses us. In fact, our brain automatically evaluates the proportions and hue of the teeth in combination with the shape of the lips, the height of the face and the color of the skin and finds inconsistencies.

People intuitively follow the natural law of harmony – the so-called "golden ratio" formula. Everything that obeys this principle looks seemingly beautiful in our eyes.

The task of the doctor is to restore the smile so that all the parameters correspond to the canons of natural harmony. Then not only the teeth will be transformed for the better, but also the appearance of a person.

The "golden proportion" is found everywhere - from the structure of flowers to the biorhythms of the human body. And, of course, this law is used in art, exact sciences and aesthetic medicine.

Based on the principle of the "golden ratio", the specialists of aesthetic restoration derived the parameters of a harmonious smile:

  • the type of face and the shape of the teeth should be combined. With the oval, conical or square types of the face, teeth of different shapes and heights are in harmony,
  • imaginary horizontal facial lines passing under the eyes, under the upper and lower lip, should be parallel,
  • the level of the visible gingival margin should not be too large, ideally, the upper lip should completely cover the gum,
  • for a sign of youth, we take the slight protrusion of the upper incisors from under the lip, when the mouth is open,
  • shades of teeth and skin should be combined. Not everyone will fit snow-white teeth without an admixture of other natural shades,
  • the line of the lower lip and the arc of the cutting edge of the upper teeth when smiling should go in parallel,
  • the conditional center of the smile should coincide with the vertical line that divides the face in half.

Face types and teeth shape

Benefits of digital design in the development of veneers

  • Visibility. Even before any interventions and teeth filing, the patient can evaluate how his smile will look after veneers.
  • Direct participation. The patient sees all changes in the smile on a tablet or laptop screen. They can immediately make corrections and be sure that the doctor understands their wishes for appearance and aesthetics.
  • Predicted result. Computer technologies and robotization make it possible to make veneers exactly as the patient saw them at the stage of agreement in the program and when trying on the model. Disappointments are excluded.
  • Well-established communication. Digital Smile Design facilitates communication between the surgeon and the dental technician as both rely on the same clear data.
  • Speed. Thanks to digital technologies, robotic installations, such as CAD / CAM and 3D printing, it is possible to try on and evaluate a future smile in 2-3 days.
  • Process automation. Depending on the software, the finished smile model is uploaded to the robotic dental systems. Veneers can be created using high-precision milling equipment.
  • Comfort and simplicity. For modeling, you only need photographs and an impression, you do not need to undergo additional and complex diagnostic procedures.
  • Aesthetics. The DSD programs are based on the principles of the "golden ratio", so that any initial situation can be brought to the ideal. At the same time, the functional features of the dentition are taken into account so that beauty does not diverge from health.

We create smiles by working with the soul!

Your new teeth will be not only beautiful but also as comfortable as possible. Free consultation and 3D diagnostics!

Where else is digital smile design used?

Planning a smile using digital technology is suitable for everyone who wants to have a harmonious face, as close as possible to the canons of beauty. There are no contraindications or age restrictions. Therefore, the technology can be used wherever an accurate plan and predictable aesthetic effect of treatment is needed: implantation and prosthetics, the creation of various orthopedic structures, surgical plastic surgery of the gums, and even orthodontic treatment.

When will computer planning procedures help?

  • slight disproportion and asymmetry of the face,
  • abrasion of the enamel and a decrease in the height of the bite,
  • violations of aesthetics - chips, dark spots, uneven teeth,
  • the absence of one, part, or all of the teeth,
  • age-related changes, wrinkles in the lip area, deepening of nasolabial folds,
  • loss of facial muscle tone, prolapse of soft tissues in the lower third of the face,
  • the sinking of the cheeks and corners of the lips,
  • desire to change the shape and color of teeth.

Digital modeling greatly improves communication between the surgeon, dental technician, and patient. As a result, the patient gets exactly the smile they dreamed of.

How we model a new smile, create veneers and transform the appearance

Aesthetic correction of a smile using veneers begins in a standard way - with a consultation, examination of the oral cavity, and collection of all the necessary information about the patient's health. It is important to determine what results the patient expects from the treatment.

Stage 1: scanning and taking impressions

Purpose: the creation of a clear diagnostic model of the patient's jaws.

Data on the structural features of the patient's dentition, its occlusion, and the location of each tooth can be obtained in two ways.

First, these are classic prints. A viscous mass is introduced into a special impression spoon, after which the spoon is briefly placed in the patient's mouth and tightly applied to the teeth. "Teeth prints" are obtained, from which the doctor casts a plaster diagnostic model of the jaws. This model is scanned without the participation of the patient, and the data is entered into the computer.

The second way to obtain data on the anatomical features of the jaws is direct intraoral 3D scanning using special equipment, the data from which is directly loaded into the program.

Also, the program can additionally connect computed tomography data for complete 3D visualization of the patient's dentition.

Do you like the result?

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Stage 2: photometry and taking bite parameters

Purpose: to get an accurate understanding of the features of the face, lips, teeth, smile, and bite relationships.

The doctor takes a series of photographs. For a thorough analysis, you will need micro-, mini-, and macro-format pictures - detailed intraoral pictures of teeth, pictures of a smile in different states, from relaxed to "grinning", full facial portraits.

The output is several dozen photographs from different angles and distances. All this is needed to evaluate the structure of the face, facial expressions, the exact shade of the skin, gums and tooth enamel, the texture and anatomical features of the teeth, etc.

If necessary, we also record a short video of the patient making some sounds in order to understand which facial muscles he is using more and why.

In addition, parameters are taken with the help of special face bows, articulators, and planar apparatuses to assess the bite interaction of the teeth of both jaws.

Stage 3: modeling in DSD according to the principles of the "golden section"

Purpose: to create an accurate visual model of a future smile.

The received data is entered into the program. In our clinic, in the process of working with the patient, the original Digital Smile Design software is used for visualization. The dentist and dental technician also use other programs with different parameters and purposes at all stages of creating prostheses, their purpose is more technical.

It is at this stage that the doctor creates the design of your future smile, and shows you, as a patient, all future transformations step by step. The program creates a detailed virtual model based on the diagnostic results and the "golden section" standards.

In the analysis of the face and the creation of the model, everything is taken into account: the peculiarities of the bite, the height, and proportions of the teeth, the position of the lips and gums when smiling, the ratio of angles and imaginary facial lines, etc. The result is one or more reference options for a future smile. At the same stage, the patient can make his own adjustments and suggestions.

Naturally, in addition, palettes are also used, which allow you to actually, and not virtually, select the color, material and shape of future teeth in exact accordance with the shade of other teeth.

Stage 4: creating a model of the jaw and trying on veneers

Purpose: get a mockup for fitting.

At this stage, a model of the jaw system is created based on 3D planning data, after which a wax-up is carried out. In fact, the output is analog of the final models of veneers. They are developed on a plaster cast and then placed on the patient's teeth. This is not the final version, but both the doctor and the patient can see what the smile will look like and understand what adjustments need to be made.

As for the production of permanent veneers: if the material is processed using CAD / CAM technologies, then the data from the software is immediately transferred to a robotic machine, where the veneer is grinded. Further, the final processing is carried out by the dental technician.

Stage 5: production and installation of permanent veneers

Purpose: to achieve the smile of your dreams.

Next, the created overlays are tried on. A smile is assessed at once by both participants: both the patient and the dentist, who assesses the quality of the veneer, and the tightness of the adhesion to the tooth surface. If you are satisfied with the fitting result, then the patch is securely glued with a special adhesive material that has protective properties for enamel.

Is digital modeling used for composite veneers?

Composite veneers are created in the dentist's chair by a direct method. Digital modeling is not used, but the doctor can conduct a test recovery - apply a liquid composite and coordinate with the patient the future transformation of the smile before the final curing of the material. An example of such a visualization is in the photo below.

Temporary fitting of composite veneers until the material is finally cured

Do digital simulations for removable veneers?

No. Removable veneers are just a publicity ploy. They are cheap copies of flexible silicone removable dentures, are created according to a single template and are sold by companies that often have nothing to do with dentistry.

Real veneers are created only in the laboratory, individually for each patient. Only such variants can be developed using digital programs.