Vol. 13 – Number 51 – 2020
Digital Dentistry in Science Notebook
Page 102-108
Smile guided digital orthodontic planning – a mockup printting protocol for clinical use
Jose Romero Souto de Sousa-Junior1
Victor de Miranda Ladewig2
Ivo Kleber Almeida Lima3
Pedro Paulo Costa Gondim4
Stenyo Tavares4
Anderson Capistrano5
Abstract
The aim of the present paper is to demonstrate the workflow of a digital orthodontic planning guided by smile. Furthermore, it intends to demonstrate a printing technique to build an orthodontic mockup, as well as its clinical use in order to visualize the smile design directly on the patient. The clinical records used were the digital models obtained by intraoral scan and photos of the face with the smile. Nemocast was the software used. The steps of digital planning include importation of records into the software environment, preparation and orientation of digital models, superposition of digital models in the smile photos, segmentation of the digital model, performing the digital
setup guided by the smile, digital mockup manufacturing, printing of it and installing the project directly on the patient. The possibility for both orthodontist and patient to visualize the best dental positioning for the smile allows planning with clear objectives, increasing treatment individualization, predictability, and chances of acceptance by the patient. In addition, installing the mockup on the patient allows real visualization of the expected clinical results.
Descriptors: Workflow, proof of concept prototype, smiling.
1 Specialist in Orthodontics, PhD in Pediatric Dentistry
2 Master and Specialist in Orthodontics, PhD in Oral Biology, Post-doctoral student – UNOPAR.
3 Specialist in Orthodontics.
4 Doctor, Master and Specialist in Orthodontics.
5 Master and Specialist in Orthodontics, Specialist in Temporomandibular Dysfunction and Orofacial Pain.
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