Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2015-03-06, 09:14:48 | version 1.33.01
16 I I special _ digital smile design The combination of terms such as “aesthetic den- tistry”, “interdisciplinary vision”, “digital dentistry” and “predictability” led me to consider that today a new professional figure might be created: the smile designer,whosefundamentalrolewouldbecommu- nicating with the patient and the aesthetics medical team,whosemembersarecrucialinvirtualplanning. My ideal would be to have at my disposal a single instrument that would serve the purpose of the smile designer. Using various software platforms, I have pursued the development of a protocol for Aesthetic Digital Smile Design (ADSD) to be used alongside other important diagnostic elements useful for diagnosis and prognosis, ultimately to improve the health and well-beingofthepatient.Furthermore,itisadvisable toobtainpriorconsentregardingtheaesthetictreat- ment to be undertaken using real clinical models, such a mock-up, since this is also a predictable method of simulating the aesthetic treatment plan. It is useful to recall here the forensic dentistry pro- vides that the dentist is obliged to comply with three fundamentalprinciplesincarryingouthisorherpro- fession: prudence, diligence and technical expertise. _ADSD method and protocol Furthertowhathasbeensaidabove,ADSDshould first be an instrument to improve communication with the patient by showing the patient detailed images. On the monitor, the before and after photo- graphs allow an index of predictability and point of comparison with the patient himself or herself. A milestone is the innovation of aesthetic clinical planning in aesthetic dentistry and prosthetic den- tistry relating to dental technical analysis and plan- ning, which, among other things, can be integrated into diagnosis and planning for plastic and maxillo- facial surgery (Fig. 2). The protocol first requires the acquisition of full-frame digital images and videos of the patient. Video especially is capable of capturing the dynamic phases of the smile linked to its physiology (mimicry, phonetics, relationship between the teeth and lips). Importing this vital data into the digital clinical file of the patient is complementary to the anamnesis because it is an integral part of the intra- and extra- oral objective examination, and will subsequently be the subject of aesthetic analysis according to the main guiding principles. Therefore, we could define this as the third part of the methodology, which we will call analytical processing, during which the aesthetic composition of the smile, the determining morphological features of the face and smile, in- cluding the fundamental points of reference to be cosmeticdentistry 1_2015 Fig. 7 Fig. 6 Fig. 5c CDE0115_14-22_Bini 26.02.15 10:28 Seite 3 CDE0115_14-22_Bini 26.02.1510:28 Seite 3