Dr. Alexandra Caravan Unirii Clinic
DSD, a trend or an indispensable tool in the cabinet of aesthetic dentistry?
Digital Smile Design (DSD) is a new concept in modern dentistry.
Practitioners who hear about it for the first time think it’s just software.
Promoters present it as a concept.
Those who use it consider it a revolutionary tool in treatment planning.
What is it used for?
Imagine you go to a party and you want the most beautiful and amazing outfit.
You think about it: you look for a style, choose a colour, you choose the material, then find a shop and check out their collections and try on some that match the image that you have created in your mind.
You talk to your stylist about which model suits you best, agree on what adjustments need to be made and you select accessories.
And then you leave the store with your dream outfit.
Now imagine you want to change the appearance of your teeth. What do you normally do?
You ask your friends and acquaintances to recommend a good dentist and you schedule and appointment without really knowing who he is.
The dentist proposes a comprehensive treatment plan, including the frontal teeth to improve your appearance.
You begin the preliminary prosthetic rehabilitation treatments (extractions, root canal treatments) without putting emphasis on the final look.
Based on verbal indications regarding size and colour, the technician is given a free hand to shape the teeth.
In fact, the first serious discussion is carried in the penultimate session.
So someone who wants a special outfit first researches what model they want, try on a couple of options, then decide what to buy. But if they are rebuilding a smile, goes on trusting the recommendation, the technician imagination based on the doctor's advice, and finds out the final result only the end of treatment which can take months and requires complicated and expensive manoeuvres.
DSD concept fill this gap and focuses on "designing" each stage and the final result.
DSD rehabilitation start with the idea of the end result in mind.
Also, doctors who document their cases can present their portfolio to the patient, showing him similar resolved cases. An informed patient can decide to follow a treatment plan, knowing what he is investing in.
The patient can even choose the doctor, based on their portfolios.
What does DSD mean for the patient? Painful and complicated procedures?
For the patient, DSD means many photos and many discussions about his teeth.
For a patient with a complex rehabilitation, there will be the initial consultation with the dentist, then he will take a panoramic x-ray and a set of photos, and then he will be asked to explain everything that is bothering him about his teeth. The team of doctors and technicians that will work on this case meets and devises a treatment plan.
The prosthetist makes one or more computer simulations that anticipates the patient’s future smile.
If the patient accepts the treatment plan, the dentist chooses new instruments to foreshadow the smile: wax-up and mock-up.
It is a wax simulation of the desired smile, followed by a real simulation in the mouth.
A sample of the final smile without milling any teeth.
The rehabilitation begins only when the patient has agreed to the plan and smile.
What does DSD mean to the dentist?
For the practitioner, DSD means control.
Final work is not left to the technician’s imagination, and the simulation accepted by the patient is implemented.
DSD also means certainty.
The doctor knows with certainty that the rehabilitation will be exactly as the patient wants without making numerous changes and touch-ups.
Last but not least, DSD means saving materials and time for the physician and patient. Time invested in discussions and simulations is easily recovered by reducing the number of samples and small touches.
For our society, our overall look and smile aesthetics are paramount. Many patients seek medical attention to improve their dental appearance and this type of work can not be done with a “we’ll see” approach.
In conclusion, next time you go to the dentist, would you like to try on your smile?
Article written by Dr. Alexandra Caravan, Unirii Clinic
Neoclinique DSD specialists:
Caravan Dr. Alexandra, Unirii Clinic
Dr. Munteanu Eliza, Unirii Clinic
Dr. Cogalniceanu Georgeana, Unirii Clinic
Dr. Anca Irimia, Unirii Clinic
Aesthetic dentistry at Neoclinique
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