Showing Posts In: digital smile design

How using a fully digital workflow helps to deliver predictable results, superior aesthetics and delighted patients [Part 1]

14 December 2017 Categories: Digital workflow Tagged with: , , , ,

Our client Sinead McEnhill BDS MSc (Imp Dent) MFGDP ADV DIP IMP DENT RCS (ENG) and director of Belmore Dental Implant Clinic had a 64-year-old patient who was having difficulty wearing his dentures and finding eating and speech a particular problem as his dentures were constantly moving. Also as he was due to retire, he wanted to do something to secure his future quality of life and felt strongly that his smile was something he should be more confident with.

This patient had 12 teeth remaining, all in various states of active decay. All teeth were asymptomatic, but he was embarrassed that his smile was ugly, his dentures were moving on chewing, and his ability to function and speak were greatly diminished.

His main hope at consultation was that it wasn’t too late to have implants placed and that his years of neglect wouldn’t have undermined his chances of being a suitable candidate. Using the digital workflow helped speed up the ability to get the go ahead with the treatment as the dentist and patient worked virtually with the dental lab.

The use of mainstream, everyday digital technology in treatment planning

Smartphones can be used as part of treatment planning as long as digital smile design protocol is followed. Photos of a retracted smile, full facial smile and in this case videos, are useful to a digital laboratory technician to capture important information such as dynamic smile and accurately chart the lips, smile, tooth position, buccal corridors in association with the eyes and the midline of the face. (DSD or presentation software can be used or 3Shape if you aren’t doing the full DSD protocol) DSLR images were also taken.

How Digital Smile Design helps dentists show their patients how they will look after treatment

DSLR images, CBCT and intraoral scans at this point can be sent to your digital laboratory, in this case Ambridge Ceramics. To help the dentist show both graphically and aesthetically how their patient could look post-treatment, we designed a new, highly aesthetic and achievable smile using the digital smile design principles and proportions. This is then sent back to our client via WeTransfer securely in a presentation format of choice. Our clients can then show their patients the presentation of how they could look post-treatment which really helps in treatment uptake.

In this case, and with the help of the key visuals from the digital smile design, it was decided to go with the ‘teeth in a day’ protocol – the first in the UK to be completed with Camlogs’ Conelog Implants.

How the different digital technologies are layered to provide precision and aesthetics

To allow for implant planning both CBCT and intraoral STL. scans were taken and transferred to the lab to show the upper and lower hard and soft tissues. These different files allow us as a digital laboratory to build a multi-layered picture of the patient as they present before surgery enabling us to plan the best treatment outcome possible.
This is done through:

  1. Photos and videos of the patient as they present before surgery.
  2. Obtaining information of the underlying bone and of the existing teeth in the maxilla and mandible through CBCT (3D X-ray)
  3. An STL scan of the mouth or an existing model is taken to show current hard and soft tissues.
  4. Images of how the patient will look post surgery created using Digital Smile Design protocol (DSD)
  5. This helps the implant dentist and laboratory determine the ideal placement of the implants

With this information we then planned the optimum implant fixture placement from a purely aesthetic point of view, while at the same time collaborated with the dentist to choose the ideal osteomy/implant placement sites. With all this agreed, we then have all the information required for the planning, virtual extractions, designing and printing of the implant surgical guides.

What Is Digital Smile Design (DSD)?

25 August 2017 Categories: Uncategorized Tagged with: ,

Digital Smile Design is the latest in technological advances for the dental industry and it’s already helping dentists around the world to provide their patients with an extra level of care, confidence and professionalism when disucssing complex treatment plans such as Smile Make Overs with their patients.

Digital Smile Design – also known simply as DSD – involves a series of digital photographs taken of a patient’s teeth, face and smile then uses them to highlight the potential results a treatment can have. By using a patient’s very own teeth, smile, gums and lips, DSD helps dentists to achieve lifelike results. DSD takes into account a patient’s specific features to determine the aesthetic changes possible. These high quality images allow dentists and dental professionals to make changes visually to show to others when designing a smile or treatment. Not only does this highlight to a patient the potential changes that could be made, but it’s a great assistance tool for dentists who are keen to ensure they provide the most natural looking improvement they can.

 

The Benefits of DSD for Dentists and Dental Practices

One of DSD’s top benefits is the way that it connects with patients, allowing them to easily see what the end result of a treatment or procedure will look like. This is one of the best ways to boost confidence and it puts their minds at ease; It’s nerve wracking to have a big change cosmetically, but DSD images give a clear representation of what type of smile they can expect. However, some of the biggest benefits of using DSD are actually experienced by dentists themselves. For example:

  • DSD Helps Dentists and Dental Technicians to Create a Visual Reference for Patients

When it comes to giving patients their new teeth and smile, it’s easy for dentists to imagine the end result. After all, with years of experience and an expert eye, dentists are able to asses a set of teeth and imagine how they will look after undergoing a specific treatment. However, this isn’t always the case for patients. After having the same set of teeth for many years, it can be a struggle for patients to picture what their mouth and smile will look like once they have undergone treatment. This is where DSD comes in. Dentists can use DSD as a point of reference.

  • DSD Helps Dentists to Explain Treatments and Procedures

DSD helps dentists to explain how a certain treatment will look once it has been completed to patients. It provides a digital image that clearly shows the type of results they can expect. Not only does this help an individual to know what changes will be made, but it’s a great way to create excitement in those who have been looking forward to improved teeth for many years.

  • DSD Allows Dentists and the laboratory to Work Together with Patients

Another way that DSD can benefit an individual dentist or an entire dental practice is through its ability to help dental professionals and patients to work together to create the perfect smile. It can be difficult for a patient to clearly convey what they’re looking to achieve, in the same way it can be difficult for a dentist to express the different treatment options. DSD solves this by allowing a patient to be the co-designer of their treatment. Dental professionals and patients can work together to create a desired look; this could be through sharing expectations and realistic goals.

Digital Smile Design: Find Out More

Digital Smile Design is already proving to be an effective tool for dentists and it’s a prime example of how technology can go a long way towards improving the quality of dentist care available. To find out more about DSD, how it works and the benefits it has for dentists around the world get in touch. Contact Ambridge Ceramics today on 01765 607347 or online.