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The aesthetic treatment for anterior teeth requires a series of clinical and technical evaluations to obtain a predictable result, following a well-defined operating sequence. Today, the clinical&ndash, technical team can use different digital tools in the different steps of the workflow. A preventive assessment, the knowledge of limits, and the possibilities of surgical and prosthetic procedures allow to use these devices. Sharing goals of the treatment with the patient according to their expectations and needs is the key point of the treatment plan. Setting a defined treatment plan avoids invasive procedures. In this clinical case report, a 27-year-old patient affected by Class II div 2 malocclusion with deep bite was treated with a full digital workflow. Previewing the aesthetics was through dedicated software, which shows operators and patients the objectives of the therapy and guides the dental technician in the first phase of the work. The use of digital flows in the prosthetic phases reduces the working time. In this case, it shows the impact of a digital workflow on peri-prosthetic therapy for the aesthetic rehabilitation of the upper central incisors in a young adult.

O objetivo desta dissertação foi realizar uma revisão sistemática integrativa sobre a descrição e a utilização do Digital Smile Design para a planificação de um plano de tratamento e sua realização, para obter uma reabilitação protética com níveis estéticos mais próximos da realidade. Foi realizada uma pesquisa bibliográfica na plataforma de busca (bases de dados) PUBMED, usando a combinação dos seguintes termos científicos: Digital Smile Design; Oral rehabilitation; Digital planning; Dentistry Software; Virtual Smile Design. A pesquisa identificou 214 artigos, dos quais 25 foram considerados relevantes para este estudo. Esses artigos forneceram dados importantes sobre a eficácia do uso do Digital Smile Design em reabilitação oral, como ferramenta para diagnosticar, planificar, pré-visualizar e comunicar com o técnico de prótese e o paciente de forma a permitir um maior sucesso do tratamento proposto. Nos dias de hoje, numa sociedade mais focada e preocupada com a estética e maiores exigências, a comunidade em medicina dentária teve que evoluir em relação aos seus materiais, técnicas e formação profissional para proporcionar uma melhoria na reprodutibilidade dos dentes naturais, além do planeamento e preparação de tratamentos estéticos que atendam às expectativas dos pacientes. O Digital Smile Design, através da visualização do sorriso, permite oferecer aos médicos dentistas uma ferramenta poderosa para o planeamento e a comunicação entre as diferentes especialidades da medicina dentária, mas também com o paciente, permitindo-lhe visualizar e interagir com os profissionais, a fim de expressar as suas expectativas e opiniões sobre os resultados esperados.

Breakthroughs in technology have not been possible without influencing the medical sciences. Dentistry and dental materials have been fully involved in the technological and information technology evolution, so much so that they have revolutionized dental techniques. In this study, we want to create the first collection of articles on the use of digital techniques and software, such as Digital Smile Design. The aim is to collect all of the results regarding the use of this software, and to highlight the fields of use. Twenty-four articles have been included in the review, and the latter describes the use of Digital Smile Design and, in particular, the field of use. The study intends to be present which dental fields use “digitization”. Progress in this field is constant, and will be of increasing interest to dentistry by proposing a speed of treatment planning and a reliability of results. The digital workflow allows for rehabilitations that are reliable both from an aesthetic and functional point of view, as demonstrated in the review. From this study, the current field of use of Digital Smile Design techniques in the various branches of medicine and dentistry have emerged, as well as information about its reliability.