The Integration of Artificial Intelligence into Restorative Treatment planning

Discover how artificial intelligence is revolutionizing digital dentistry with a compelling case report by Dr. Abdelrahman Afia, AI & Digital Dentistry Instructor and MSc Periodontology specialist from Egypt. By leveraging virtual treatment planning, the process delivered patient-specific, minimally invasive solutions that resulted in optimal clinical outcomes and heightened patient satisfaction.

Case Presentation

Patient Profile: A young adult male presented with the following aesthetic concerns:

• Noticeable spacing between teeth
• Discoloration
• Chipped enamel
• Unsatisfactory tooth shape and form

First Appointment: Initial Assessment and Simulation

Clinical Examination and Diagnosis: The patient underwent a comprehensive clinical examination, followed by a full-face photograph to capture his smile.

AI-Powered Smile Simulation: Using SmileFy’s AI technology, a 2D smile simulation was created chairside. This interactive tool facilitated an engaging conversation about potential aesthetic improvements and motivated the patient to proceed with treatment.?

Preparatory Steps:

• Scaling and calculus removal to establish healthy gingival conditions.
• Intraoral scanning using an advanced scanning system.

Interim Planning: 3D Digital Smile Design

Facially Driven Approach: The patient’s upper intraoral scan (.stl format) was overlaped onto his facial photograph to create a personalized, facially driven smile design.

AI-Enhanced Workflow:

1. Tooth Shape Selection: Various tooth shapes were virtually applied to align with the patient’s preferences, creating a cohesive design.
2. Interproximal Adjustments: AI tools like Liquify were employed to refine tooth spacing for an ideal arrangement.

Wax-Up Creation: A digital wax-up was prepared for 3D printing, paving the way for the next phase of treatment.

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Second Appointment: Smile Test Drive and Patient Motivation

Smile Test Drive: A silicone index filled with bisacrylic resin was applied to the patient’s teeth to visualize the proposed smile. This step proved to be highly motivational for the patient, who expressed immense satisfaction, stating he no longer wished to see his previous dental condition.

Functional Mockup Preparation: Using SmileFy tools, a guided tooth reduction plan was developed. Cross-sectional evaluations ensured minimal invasive reduction, adhering to the facially driven design principles.

The Inter-Appointment Preparation

Smilefy tools were used to generate a functional mockup after checking the cross-section of each tooth to reach a facially driven designed veneers with minimally invasive reduction. Then the new position of the wax-up was exported & 3D printed to get the model.?

Third Appointment: Guided Reduction and Final Scanning

Selective Tooth Reduction: A guided reduction test drive was performed using a silicone index and bisacrylic resin. Precise tooth modifications were made to achieve optimal results.

Final Scanning: Post-reduction, the patient’s intraoral structures were rescanned using the Medit i700 scanner to ensure accuracy and alignment for the final veneer fabrication.?

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Conclusion

The treatment culminated in the delivery of veneers, resulting in exceptional patient satisfaction and a significant boost in confidence. The patient expressed overwhelming happiness with the outcome, marking the success of SmileFy’s AI-powered smile design tools.

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Key Takeaways:

• SmileFy’s AI-driven approach enhances diagnostics, treatment predictability, and patient education.
• The software enables minimally invasive procedures, improving both clinical efficiency and patient outcomes.
• Advanced communication and visualization tools help bridge the gap between patient expectations and clinical possibilities.

This case highlights the transformative role of AI in digital dentistry, offering a roadmap for integrating innovative tools into everyday practice.

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