Introduction: Striving for a beautiful outlook and esthetic perfection is not just vanity but a need, characteristic of the modern human. It has a definite and permanently increasing social significance due to which, more and more often, people seek medical and dental help purely for esthetic reasons. Usually, patients find it difficult to express their motives and preferences due to shyness, fear, and chiefly to inexperience and lack of knowledge about esthetic criteria and their characteristics.
Aim: The aim of this article is to present an overview of the clinical and laboratory stages of planning and producing an esthetic denture construction, and to establish a protocol for the process.
Materials and Methods: The image material is contributed by Mr. Fialkovski, owner and manager of PMTL Fiadenta, Varna, and is from his personal archive. The clinical case is from his joint practice with Dr. Nikola Onosimoski.
Results and Discussion: In frontal esthetic restorations, the predictability of the result is of great importance. The smile design software provides invaluable help in this regard. Digital Smile Design (DSD) is one of the most popular concepts, optimizing the treatment time and providing patients with the opportunity to actively participate in the creation of their smile. This is a multifunctional conceptual instrument, which strengthens the diagnostic idea and improves both the communication during treatment and the possibility to achieve the targets set. The future definitely belongs to digital technologies, because they are a means to a reliable, predictable and highly esthetic treatment. However, without a creative approach to each clinical case, achieving an optimal result is not possible. Practice shows that often a mixed approach, combining traditional methods with digital ones, is needed. The end result is frequently a product of the joint effort of dental prosthetists, dental technicians, and periodontists.
Conclusion: The good interaction and cooperation between the different specialists in the multidisciplinary team has been and remains an important condition both for the efficiency and for the personal satisfaction of its members.
Bartlet D, Pol A. Brantan. Estetichna stomatologia. Sharov; 2005. (in Bulgarian).
Kisov Hr. Stomatologichna keramika. Chast I, Osnovni principi, materiali i instrumenarium.Index, S; 1997. 291-313. (in Bulgarian).
Massironi D. Paschetta R, Djuzeppe R.Tochnost i estetika. Klinicheskie i zubotehnicheskie etapi protezirovanie zubov. Moskva; 2008. (in Russian).
Ralev R. Estetika na sazabieto: Anfas. Quintessence BG; 1993. (in Bulgarian).
Tuati B, Miara P, Netenson D. Esteticheskaia stomatologia i keramicheskie restavracii. Moskva; 2008. (in Russian).
Abadjiev M, Angelova S. Vidove sistemi za rabotni modeli v zabotehnikata. Medicinski universitet – Varna; 2016. (in Bulgarian).
Burnbaum NS, Aaronson NB, Stevens C, Cohen B. 3D digital scanners:a high-tech approach to more accurate dental impressions. Inside Dent. 2009;5(4):70-4.
Coachman C, Calamita M. Digital smile design. A Tool for Treatment Planning and Communication in Esthetic Dentistry. Quintessence Int Bulgaria. 2014; 3(3):6-17. (in Bulgarian).
Durbin DM, Durbin DA, Dymek MJ, Warden L, inventors: 3D dental shade matching and apparatus. US Patent 2009/0133260 A1; 2009, May 28.
Logozzo S, Zanetti EM, Franceschini G, Kilpelä A, Caponi M, Governi L, Blois L. A comparative analysis of intraoral 3D digital scanners for restorative dentistry Internet J Med Technol. 2011; 5(1):1-18. doi: 10.5580/1b90
Manfred Kern. Intraoralno snemane na otpechataci. Dental Tribune. Bulgarian Edition; 2012. p. 7-8. (in Bulgarian).
Schmits V, inventor. 3D dental camera for recording surface structures of a measuring object by means of triangulation, international publication. WO Patent 2010/ 012838 A1.
Angelova S. Konvencionalni i cifrovi otpechatachni metodi v nesnemaemoto protezirane. Medicinski universitet – Varna; 2016. (in Bulgarian).