By: Dr. Sergio Miralles
The 3D smile analysis process is essential for diagnosing, planning, treating, and proposing any dental treatment with aesthetic goals to the patient. Moreover, it facilitates communication between dentists and dental technicians, reducing the number of patient visits and increasing the quality of the workflow of every dental practice. This work aims to present how SmileFy Smile Design Software can assist doctors in delivering more predictable oral-facial outcomes to create more balance, especially in the esthetic zone.
A young woman in good general health was referred to Dr. Sergio Miralles at the D&S Clinic – Australia, for esthetic rehabilitation. (Fig.1). She was dissatisfied with her smile, specifically with the gaps on the sides and two chipped frontal teeth from when she was eight years old. She was looking to fix the gaps between teeth, restore chipped teeth, and have straighter and whiter teeth.
A complete examination was performed, including initial teeth measurements, x-rays, clinical videos, photographic documentation, and mouth impressions to be digitized by the dental technician.
To improve the communication between the dentist and patient, the SmileFy Smile Simulator was used CHAIRSIDE using the natural teeth templates available in the software over the patient’s facial photo to reference the patient’s new smile proposal to a discussion about treatment possibilities, goals to achieve, number of appointments and timings. SmileFy uses artificial intelligence to build the smile simulation, facilitating the process and delivering it very fast. Although the Smile Simulation cannot be used solely as a treatment plan tool, it helps the doctor and patient deliver the first draft of the future smile. (Fig.2A,2B).
The smile simulation was really useful for her and a great help for the final case acceptance. Being able to show her that 10 units (rather than 6) would have a much better outcome on her smile regarding her smile’s width and buccal corridors was crucial for her to understand the differences better and start saving for that goal (starting now with 6 veneers but upgrading to 10 as soon as financially feasible). (Fig 3)
After a thorough examination, observation of facial references to guide the patient’s new smile design, and taking the patient’s good periodontal status into consideration, the 3D wax-up design began:
to create a 3D Smile Design a frontal facial smile picture and the intraoral scan of the patient were imported and calibrated into the SmileFy App
The files were exported as 3D print-ready material ( .stl ) and sent to printing. (Fig.10)
A silicone barrier was fabricated to make a mock-up out of bis-acryl resin for this model. The mock-up was placed onto the patient’s teeth, and when shown to her, she expressed how satisfied she was with the aesthetics as it fulfilled her desires.
Stage 0: As the treatment remained conservative, teeth whitening was performed before the minimally invasive procedure was initiated.
Stage 1: The diagnostic wax-up was used to guide a laser gingivoplasty on Q1 for better gingival harmonization based on the facially-guided digital design, and the teeth were prepped to receive the final porcelain veneers
The diagnostic wax-up was then used as a guide to place the provisionals until the next appointment. Fig. 11
Stage 2: After the healing period, the gum & temps were re-checked. A final teeth impression was made for the final adjustment of the final veneers.
To better collaborate with the dental technician, the following were exported from SmileFy and sent to the dental laboratory:
Written instructions in the lab sheet. Final prepped teeth position impression + details to consider to hand-craft the six-layered LiDiSi veneers ( Fig. 11)
Stage 3: The six anterior porcelain veneers were delivered to the dental practice based on the 3D teeth templates and mockup files exported from the 3D smile design created on SmileFy App. The units and the teeth were prepared in accordance with the manufacturer’s instructions, and cementation was performed. The occlusion was evaluated, and polishing was performed. Fig 12A,12B
Stage 4: Dr. Heather scheduled a follow-up appointment to perform four composite veneers on the upper premolars. Final pictures were taken.
The case was completed, and the patient was satisfied with the results. The patient received necessary postoperative instructions, and follow-up assessments were made. Fig. 13
“ The patient was really happy with the results and the overall experience. She emphasized how predictable the final result was after seeing the temporaries and the 3d wax-up. She went to New Zealand to celebrate her new smile” – Dr. Sergi Miralles Fig. 14A,14B,14C
SmileFy is a world-renowned software available to every dentist wanting to elevate their dental workflows and patients’ experiences.
With one purpose in mind, the SmileFy App helps doctors worldwide to achieve better outcomes through facially generated smile designs and printable mockups as an essential tool to guide doctors, and dental technicians and, most importantly, to deliver patient maximum smile satisfaction.
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