The Digital Smile Design Concept

Team Communication, Treatment Planning and Patient Management

A. Intro

! -What is DSD?
! -How DSD can improve your Esthetic analysis, Team Communication,
Interdisciplinary Treatment Planning, and Case Presentation & Acceptance.
! -The Smile Design Process
! -Esthetic Visualization and Visual Communication
! -The Emotional Dentistry
! -The dental treatment process: Design, Plan and Perform.
! -The Architect x Engineer. The Smile Designer and the Technical Dentist

B. 1st Appointment - Collecting the data for the Smile Design Process

! -Simple and effective Questionary/Medical History

! -Initial conversation with Patient. The key for a successful and stress free long-term
relationship.
! -Clinical Exam. Intra and extra oral. How to perform a relevant clinical examination.
! -Documentation
! ! -Initial impressions: Quality alginate impression, the key for ideal mock-ups.
! ! -Study models and Bite registration (MIC or CR)
! ! -Images: X-rays, Panoramic, CTScan, MRI
! ! -Photo Protocol. Intra oral and Face
! ! ! -the 5 main photos for Smile Design
! ! -Video protocol
! ! -Others
! -Creating a slide presentation for increasing the awareness and motivation of the
patient.

C.Interconsultation - Team Communication and the Interdisciplinary Treatment

Planning Process.

! -What to prepare for the second appointment

! -What to send to the technician
! -DSD Slide presentation for Team Communication and Tx Planning.
! -Online communication, the solution for daily interdisciplinary dentistry (dropbox and
others).
! -The Esthetic Buccal Wax-up. The link between digital design and the wax-up
! ! -Planning the wax-up with the DSD information. The digital ruler.
! -Analyzing the Buccal wax-up on the articulator. The Dental Brainstorm.
! -Integrating Esthetics to Function: EFX - “The Negotiation”.
! -Preparing the strategy for Tx Plan Presentation.
!

D.2nd Appointment - Presenting the Plan to the patient.

! -Mock-up - The Smile Design Test Drive
! ! -The importance of the mock-up
! ! -Planning the mock-up. Type of cases: Additive, Slightly subtractive,
Subtractive
! ! -Techniques
! -Smile Design communication with the patient. Slide presentation, Facial photos
and videos. Important factors for good looking portrait photos, the Key for patient
motivation.
! -Tx Plan Presentation. Educating, Motivating and Calibrating the expectations.
! -Financial presentation.

E. DSD and the specialties. Clinical Cases

! -DSD and Perio.
! -DSD and Implants. DSD and Guided Surgery.
! -DSD and Ortho. DSD and Ortho Softwares.
! -DSD and Orthognatic. DSD and Orthognatic Softwares.
! -DSD and Restorative. DSD and Minimally invasive dentistry.
! -DSD and Lab. DSD and CAD/CAM
!