Smile Design

What is Smile Design?

In daily life, a harmonious, soft smile always ensures a positive start in social relations and impresses those around you before you even speak. A positive change in your smile takes your self-confidence to higher levels. Nowadays, with visuality coming to the fore within the framework of the opportunities offered by social media, which has gained a large place in our lives, the awareness of beautiful smile has been established along with concepts such as beauty and aesthetics.

For a long time, dentistry was associated with the treatment of decayed teeth in the mouth and relieving pain. Aesthetic procedures were not considered much due to reasons such as lower expectations, insufficient material quality and expensiveness. However, over time, with the development of dental materials along with technology and concepts such as beauty and aesthetics coming to the fore, personalized smile design has become one of the main areas of interest in dentistry.

Nowadays, it is not enough for dental patients to have a mouth free of biological and functional problems. They want to have beautiful smiles that are integrated with their physical characteristics but more compatible with their emotional aspects, and therefore dentistry has developed further to meet the demands and aesthetic expectations of today’s patients, thanks to the use of DSD.
Digital smile design is a multi-use conceptual tool that can enhance diagnostic vision, improve communication, and increase predictability throughout treatment.

To keep up with the needs of the modern age, dentists must go beyond the boundaries of traditional dentistry and acquire a set of artistic skills and vision to become “Smile Designers”.

In short, smile design is a treatment in which a personalized smile is planned and presented to the patient in a short time by blending medical knowledge with aesthetics and art. In today’s world where opportunities have improved so much, everyone has the right to laugh sincerely and beautifully.

How long has the digital smile design concept been used?

The DSD (Digital Smile Design) concept was introduced in 2007 by Mr. Christian Coachman, a Brazilian Dentist/Dental Technician (Ceramicist), and has since undergone significant evolution. Since its inception, it has become integral to the future of Aesthetic Dentistry. Thousands of dentists/dental technicians worldwide have honed their skills in this area.

One of the key advantages of this technique is its accessibility—it doesn’t necessitate special equipment, software, or substantial financial investment. The digital tools already present in modern dental practices can be utilized for the Digital Smile Design process. The importance of aesthetically focused treatment planning has expanded to various other dental specialties, including Implant dentistry, Periodontology, Orthodontics, and Orthognathic surgery.

How is digital smile design done?

The whole concept is based on analyzing the proportions of the patient’s face and teeth, using a series of digital videos and a series of high-quality digital photographs to obtain information on the relationship between teeth, gums, lips, smile, facial features in motion and emotional state. Photos and videos are taken in the first session. Their complaints and expectations are noted. After all this data is collected, the images are transferred to a computer, followed by image calibration using a digital ruler, and then the images are edited. The health status of the teeth, gums and bone is examined on radiographs. Then, the gingival levels, which teeth should be covered by the design and treatment procedures, the relationship of the smile line with the lips are evaluated on the photographs and the treatment plan is clarified. The smile is redesigned using presentation software.

Once a final digital smile design is customized using smile design principles and fulfilling the patient’s wishes, digital images can be shared with dental technicians, internet-using specialists in the form of PDF, keynote or power point files, and the treatment plan can also be presented. The redesigned smile is presented to the patient. Once digitally approved by the patient, the design created using the same calculated analyzes can be transferred to the patient’s mouth through a mock-up (temporary teeth) created by the dental technician and tested aesthetically. The patient’s opinion is taken about the smile, which is a copy of the newly formed smile that is checked with the patient in the mouth, and the design takes its final shape with minor touch-ups if necessary. This will enable the patient to experience his/her new aesthetic, functional and emotional smile, will have insight into the new smile he/she will gain at the end of the treatment and will accelerate the decision-making process. Information about the new design, tested and approved by the patient and the physician, is transferred back to the laboratory. Final restorations are produced in the laboratory within a few days and bonded to the patient’s mouth in the last session.

What are the factors affecting Digital Smile Design?

A beautiful smile cannot be achieved with just white teeth. It is a visual feast where factors such as teeth, lips, gums, smile line and facial form are in harmony with each other as much as possible. Therefore, these factors are taken into consideration when making a smile design, and it may even be necessary to make small touches to the lips or gums. It is essential to obtain a final image that meets the aesthetic criteria but does not distort the natural appearance, does not look artificial and is compatible with each other.

When designing a smile in our clinic, the white aesthetics created by the teeth and the pink aesthetics created by the gums are evaluated according to certain criteria and the patient’s expectations.

Who decides on Digital Smile Design?

All teeth to be restored are anesthetized with anesthesia before the procedure, so the patient does not feel pain during the preparation of the teeth. A small number of people experience a slight tingling. However, temporary restorations are prepared for our patients and their standard of living is maintained with temporary coatings until the treatment process is completed.

How to achieve white aesthetics?

In order to achieve white aesthetics in smile design, procedures such as laminate veneer (leaf porcelain), full ceramic coating, bonding applications, and whitening applications can be performed.

In fact, if appropriate, the procedure can be continued with only braces treatment without touching the teeth. Among these options, maximum aesthetics should be aimed with minimal touching of the tooth. However, in line with this goal, it is beneficial not to move away from the natural appearance as much as possible. Instead of just pure white teeth, a more dynamic, natural whiteness satisfies us as well as the patient.

What does pink aesthetic mean?

When determining the plan, it is necessary to examine the gums specifically. Every person has their own special smile. In some people, the gums are more visible or not symmetrical. The aim of aesthetic applications is to find the one that best suits the person within certain criteria. In cases where the gums are visible when smiling, are asymmetrical, or the length of the teeth is shorter than normal, it is necessary to intervene in the gums. In our clinic, a painless and bleeding-free gingival leveling procedure can be performed in a single session.

How many sessions does it take to complete smile design?

Although it may vary depending on the situation of the case, it may take 2-4 sessions. In cases where gum procedures are required, it may take longer for the smile to take its final shape.

Are teeth cut in every smile design?

There is no such thing as having teeth cut or covered when designing a smile. Sometimes the smile can be rearranged with porcelain laminate, bonding or whitening or even braces treatment.