Utilizing Digital Dentistry to Predict Restorative Outcomes: Part 2

Dr. Chris Catalano Digital Dentistry Case Digital Invisalign

Digital dentistry represents an exciting new frontier for prediction of restorative outcomes.

Dr. Chris Catalano Digital Dentistry Case Before

Before Invisalign & Restoration

In Part 1 of this series, Dr. Catalano described how the general dentist can use Invisalign to predict what restorations a patient will need after orthodontic treatment.

He introduced a case with digital rendering of the outcome beforehand.

His patient John had accepted treatment and now Dr. Catalano wanted to use Invisalign to confirm the treatment plan…

by Dr. Chris Catalano

Digital Dentistry & Invisalign

If you are not familiar with Invisalign, the process involves either making PVS impressions or digitally scanning the patient’s upper and lower arch. You also take photos and guide Invisalign about the case goals.

Dr. Chris Catalano Digital Dentistry Case Digital Invisalign

Digital Invisalign Before

Once Invisalign processes this information, they are able to create an animated “before” image of the teeth. With the dentist or orthodontist’s guidance, they create an “after” image of the patient’s smile. There is a back and forth relationship with the Invisalign technician where you finalize the desired smile.

One tool that is crucial to the restorative dentist in restorative/orthodontic cases is Invisalign’s Bolton Analysis Tool. It is essentially a tooth width analysis. Invisalign’s version is done digitally.

Dr. Chris Catalano Case Digital Invisalign After

Digital Invisalign After

Wikipedia explains: “Bolton Analysis is a tooth analysis developed by Wayne A. Bolton to determine the discrepancy between size of maxillary and mandibular teeth. This analysis helps to determine the optimum interarch relationship. This analysis measures the Mesio-distal width of each tooth and is divided into two analyses.”

Invisalign creates this digitally and you can get the widths of teeth in an instant. No more rulers!

For John’s case, I had to see if I could correct the crossbite, open the left lateral space matching the width of the right lateral incisor, and achieve the esthetics and occlusion desired.

Dr. Chris Catalano Digital Dentistry After

After Invisalign & Restoration

With the Bolton Analysis tool, I knew the exact amount of space needed to match the opposite lateral. Because the 3D animation predicted a successful outcome, I proceeded with treatment.

Total treatment time in Invisalign was 2 years. A Straumman implant was placed in the left lateral space. Gold Dust Dental Lab fabricated the implant abutment and crown. A few composite restorations and an overall finishing polish were completed.

The patient was overjoyed with the end result. Digital smile design is our future because it adds the extra tool of simulating an outcome before we even start a case.

What advances do you hope to see in digital dentistry technology? Let us know your thoughts in the comments! 

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