The Use of the Digital Smile Design Concept as an Auxiliary Tool in Aesthetic Rehabilitation: A Case Report

Piero Rocha Zanardi1, *, Raquel Laia Rocha Zanardi2, Roberto Chaib Stegun1, Newton Sesma1, Bru-no Costa1, Dalva Cruz Laganá1
1 Department of Prosthodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil
2 Graduated in Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil

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© Zanardi et al. ; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Prosthodontics, School of Dentistry, University of São Paulo, Av. Prof Lineu Prestes 2227, Cidade Universitária, Postcode 05508-000, São Paulo, SP, Brazil; Tel: +55 11 3091-7885; E-mail:


The digital smile design is a practical diagnosis method that can assist the clinician to visualize and measure dentogingival discrepancies. This clinical report aims to present the associated steps, from the diagnosis of the alterations diagnosis through to the final aesthetic result. A 37-years-old female patient presented as her main complaint the tooth form and colour discrepancies. Applying the digital smile design principle, the necessary measures for a harmonic smile correction could be accurately determined. The initial diagnosis led to a wax up of the master cast that was duplicated in acrylic resin directly in the mouth. This temporary restoration guided the periodontal surgery and the final pressed ceramic crown restoration. We conclude that the digital smile design concept seems to be a useful tool to achieve a satisfactory aesthetic result.

Keywords: All ceramic crown, Dental aesthetics, Dental porcelain, Digital smile design, Post-Core technique, Pressed ceramic.