®

THE ULTIMATE
GUIDE FOR CREATING AN
IRRESISTIBLE SMILE DESIGN
5 TIPS ON USING NATURE TO YOUR ADVANTAGE
 TABLE OF CONTENTS

Smile Frame 03

The Curve 04

Teeth Shapes 05

Imperfections/ Asymmetry 06

Facial Flow 07

Conclusion 08

How to Get Started 10

About Us 11
 Harmonic Smile Design

DESIGNING THE
SMILE FRAME 1

KEY:
Dental Midline
Facial Midline

Figure 1: The Facial Midline (FM) is represented with the black line; whereas,
the Dental Midline (DM) is represented with the red line. Patient’s DM is Figure 2: Screenshot of the smile frame within the DSDApp.
slightly shifted to the left.

DETERMINING
THE SMILE FRAME
The first step in creating a beautiful smile is to determine the There are some parameters that allow us to restore with a
smile frame. It is the blueprint of your smile. It consists of a deviated dental midline if it’s up to 4 millimeters from the facial
series of lines that help you visualize where the teeth should midline of the patient. That determination has to be made in
appear following certain esthetic parameters such as midline, conjunction with patient’s desires and realistic expectations.
incised edge position and teeth proportion (red proportion).
Creating your Smile Design with the DSDApp makes designing
We begin by evaluating the patient’s midline. It is important to
smiles simple and seamless, as once the smile frame is
determine whether you want to restore at the facial midline
determined, the teeth will fall into place.
or you want to keep the current dental midline.

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Harmonic Smile Design

THE CURVE

SETTING UP THE SMILE CURVE

Although the teeth are the main focus
of the smile, the lips provide the frame
and should always be accounted for
when designing as the two belong
together like puzzle pieces. The Smile
Curve determines the beauty of a
smile and refers to an imaginary line
along the incisal edges of the maxillary
anterior teeth which should mimic the
curvature of the superior border of the
lower lip while smiling. To achieve a
harmonic smile the smile curve of your
new proposed uncial edges should
follow the curvature of the lower lip.
With the DSDApp you can define your
smile curve by adjusting the lower line
of the smile frame. You can view the
video of the patient, to analyze the lip
dynamic and lip’s movement to verify
and set up the smile curve.

A beautiful smile consists of various parts that all work in harmony. An aesthetically pleasing smile mirrors the curvature of
the superior border of the lower lip when smiling. A reverse smile (inverted/inverse smile) occurs when the centrals appear
shorter than the canines along the incisal plane.

Figure 3A: Illustration of Aesthetically Pleasing Smile Figure 3B: Illustration of Reverse Smile (Inverted)

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Harmonic Smile Design

TEETH SHAPES

SHAPE
SELECTION

Don’t lose the connection with natural beauty.

During our workshops we’re always asked “What is the right

shape for my patient?” Well there is no strict rule in shape
selection. The major goal is the shape has to be in harmony
with the face and patient’s personality. Very often it is just our
personal preference and opinion as to what type of shape is
the best fit for the patients. It is important and beneficial to
involve your patient and make her/him a co-designer of the
future smile. Involving the patient will help create a personal
attachment resulting in a satisfied patient showcasing their
new smile to the world.

SMILE
LIBRARIES

DSDApp offers a huge library of natural shapes from the

Sample teeth shapes taken from within the DSDApp.
Jan Haijto collection in addition to the DSD smile donator
collection. The DSD Smile Donator collection consists of
natural teeth shapes scanned from our amazing donators.
All of the teeth from both libraries are natural shapes that
help recreate natural smile designs. Natural beauty has
imperfections. These templates have beautiful imperfections
that will be transferred to your patient bringing back natural
beauty to smile design. After you set up a smile frame it is a
matter of one click to exchange the templates and to review
with your patient her/his preferences regarding the shapes.

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Harmonic Smile Design

IMPERFECTION
AND ASYMMETRY

“ SYMMETRY HAS BEEN USED IN DENTISTRY AS A GUIDELINE

BECAUSE IT IS MATHEMATICAL, PREDICTABLE, OBJECTIVE,
AND REPRODUCIBLE. STUDIES HAVE REPORTED THAT “
PARTICIPANTS PREFER A NATURAL, ASYMMETRICAL FACE
TO A MIRRORED, SYMMETRICAL FACE.

ZAIDEL, COHEN, DEBLIECK

Our goal in creating beautiful spatial

looking smile designs is to ultimately
replicate nature and give our patients
a smile they can wear with confidence;
Natural smiles have imperfections
and usually are not symmetrical from
one side to another. We can mimic
the facial asymmetry by creating the
asymmetrical smile frame. Nature
knows best and with the innovation
of technology we can recreate natural
beauty using natural shapes.

The goal is to obtain harmony and not symmetry. Faces are asymmetrical
Entities and because of that cannot be analyzed using purely straight lines.

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Harmonic Smile Design

FACIAL
FLOW

FACIAL FLOW AS A FINAL

CHECK FOR A HARMONY

Facial driven smile design must consider a holistic

picture of the face; where the eyes, nose, lips, teeth,
philtrum, chin, and other facial structures interact.
The human face, by nature, is an asymmetrical
structure and cannot be analyzed using purely
straight lines.

Facial flow introduces a new concept that redefines

facial analysis and enables dental practitioners to
make facially driven decisions based on horizontal
and vertical components. In the vertical component,
the face is analyzed and a facial flow line is
determined based on the directional movement
the facial structures travel. Remember, smiles are
naturally imperfect but have the ability to look
harmonious and attractive by blending in with the
arrangement of other facial features.

This concept introduces a more organic and natural

approach to orofacial analysis, respecting the
imperfect and asymmetrical nature of the human
face.

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5 FACIAL FLOW CONTINUED

The pictures below demonstrate how the dental midline orientation is not
completely straight, which is often recommended. The smile fits harmoniously
with the rest of the face, conferring a natural appearance to the facial expression.
 Harmonic Smile Design

CONCLUSION
Let’s give the power back to nature.

A smile is the typically the first thing people notice on the face. Fol-
lowing these simple 5 tips will help you create a beautiful, harmonic
smiles for your patients. With the DSDApp, we made it easy for you
to design harmonic smiles that are imperfectly perfect accounting
for facial structure and personality of your patients. We invite you
to try our app for yourself and see how you can transform your
practice and your patients.

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Harmonic Smile Design

HOW TO GET STARTED

Three simple steps.

Click on the link aside

1
STEP
(sign up) to create an
SIGN UP account and begin your
digitalization.

Download the app from

the iPad iTunes App
DOWNLOAD
2
STEP
Store. System minimum
requirements: 2015 or
younger iPad. For more
assistance, click here.

Use the try me section of

3
STEP the app to create beautiful
EXPLORE smiles. See how easy it is
to improve your office and
patient experience.

START NOW
!
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 ABOUT DSDAPP
DSDApp focuses on improving patient and
team experiences through the integration
of digital workflows. In conjunction with
DSD, the app helps the dental practitioner
create aesthetically beautiful and healthy
smiles through the incorporation of design
principles and by involving the patient in the
restorative or smile enhancement process,
“ WE HAVE TO COMBINE ALL THESE
SKILLS AND ALL THESE TOPICS AND PUT
THESE THINGS IN A SPACE OF .2MM.
SO YOU HAVE TO SEE THE BIG PICTURE,
AND AT THE SAME TIME GO ALL THE
WAY TO THE MOST AMAZING DETAIL.
making them the co-designer of their own
treatment. The interactions between the
patient and the dental specialist as well
as between the clinic and the labs are
drastically improved through the use of the
document management system, the efficient
collaboration processes, the visualization of
the treatment plan.
IMPROVE YOUR PATIENT AND TEAM
EXPERIENCES TODAY BY DELIVERING
100% PREDICTABLE RESULTS
“
DR. CHRISTIAN COACHMAN
Founder & CEO
Digital Smile Design
 WORKS CITED

Bhuvaneswaran M. (2010). Principles of smile design. Journal of conser-

vative dentistry : JCD, 13(4), 225–232. doi:10.4103/0972-0707.73387

Silva, B. P., Mahn, E., Stanley, K., & Coachman, C. (2019). The facial flow
concept: An organic orofacial analysis—the vertical component. The
Journal of Prosthetic Dentistry, 121(2), 189-194. doi:10.1016/j.pros-
dent.2018.03.023
Harmonic Smile Design

E. info@digitalsmiledesignapp.com | p. +1 302 897 2405

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