Integration of function, aesthetics and patients' personal preferences in the prosthetic treatment planning

Abstract

Introduction Optimal aesthetic results require suitable smile design that fulfils patient's expectations. Psychological importance of teeth appearance is clear and often discussed in relation to the success of prosthetic treatment. The objective of this article was to present methodology for creating customized smile design using the Visagismile concept and evaluate aesthetic satisfaction with prosthetic treatment. Case report A 52-year-old female patient required complete esthetical dental mouth reconstruction. Digital planning software (Visagismile) provided dentists and technicians a 2D preview of the final design that relates facial perception and personality of the patient. The latest innovation of used software in addition to documents that dentists send for the Visagismile application is that they need to send an intraoral 3D scan of the patients mouth (with any scanner) and define the length and position of incisal edges of the central incisors. This information as a STL file is sent to new Visagismile/REBEL center that is actually a digital lab, that converts 2D designs created by the Visagismile concept into 3D and create a digital wax up immediately. Conclusions Visagismile concept supports both dentist and patient in deciding the aesthetics of the prosthetic restoration. The total coefficient of the assessment of patients for the final aesthetic result was highly satisfactory. Using the proposed methodology, a smile design corresponding to individual facial features, temperament and personal preferences of the patient can be reproduced