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J Prosthodont Res. 2018 Oct;62(4):514-517. doi: 10.1016/j.jpor.2018.03.004. Epub 2018 Apr 11.

The smiling scan technique: Facially driven guided surgery and prosthetics.

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Dental College of Georgia, Augusta University, Augusta, GA, USA; Private Practice, Rome, Italy. Electronic address:
University of Rome Tor Vergata, Rome, Italy.
Department of Oral & Maxillofacial Surgery, UCLA School of Dentistry, Los Angeles, CA, USA.



To introduce a proof of concept technique and new integrated workflow to optimize the functional and esthetic outcome of the implant-supported restorations by means of a 3-dimensional (3D) facially-driven, digital assisted treatment plan.


The Smiling Scan technique permits the creation of a virtual dental patient (VDP) showing a broad smile under static conditions. The patient is exposed to a cone beam computed tomography scan (CBCT), displaying a broad smile for the duration of the examination. Intraoral optical surface scanning (IOS) of the dental and soft tissue anatomy or extraoral optical surface scanning (EOS) of the study casts are achieved. The superimposition of the digital imaging and communications in medicine (DICOM) files with standard tessellation language (STL) files is performed using the virtual planning software program permitting the creation of a VDP.


The smiling scan is an effective, easy to use, and low-cost technique to develop a more comprehensive and simplified facially driven computer-assisted treatment plan, allowing a prosthetically driven implant placement and the delivery of an immediate computer aided design (CAD) computer aided manufacturing (CAM) temporary fixed dental prostheses (CAD/CAM technology).


CAD/CAM; Computer assisted surgery; Computer guided surgery; Dental implant; Digital workflow; Smile design

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