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Digital Smile Design and Digital Occlusion
Abstract
Occlusal adjustment is one of the most necessary elements for the completion of treatment in every branch of dentistry. Dentists in their clinical work may face painful, loose and worn teeth, broken or cracked veneer or implant crowns, or treat patients with TMD problems and facial pain. Dentists must correctly explain such problems to their patients and make the necessary treatment corrections. Therefore, dentists must always carefully evaluate and analyze the occlusion during their treatment procedures. Trying to simplify the correction of the occlusion by only removing the premature contacts with articulating paper often results in unnecessary effort and wasted time. For this reason during Smile Design, dentists should carefully evaluate the occlusion (as in almost every dental discipline) to prevent patient occlusal dissatisfaction that may occur after treatment. Smile Design evaluations are “boutique analyses” that are presently in high demand, but that come with both higher costs and higher patient expectations compared to other dental evaluations. Therefore, undesirable situations may occur after the aesthetic treatment has been rendered, which may leave the dentist to face difficult patient situations. This chapter's Specific Aims are to address with clinical examples why the occlusion is so necessary to manage well in Smile Design cases, why both the aesthetics and the dental occlusion form an inseparable whole, and why examining the corrected Smile Design occlusal result with the T-Scan 10 technology is critically important to case longevity.
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