Moscow, Moscow, Russian Federation
employee
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
UDC 616.31
The relevance of the study is due to the active introduction of digital technologies into clinical dentistry and the need to improve the accuracy, aesthetic predictability and personalization of orthopedic treatment. Tooth loss, especially in an aesthetically significant area, requires an integrated approach combining morphometric analysis of the face, assessment of occlusal relationships and modern digital modeling methods. As patients' demands on the quality and appearance of orthopedic structures increase, the role of digital tools is increasing, allowing clinicians to visualize the result of treatment in advance and increase communication between the doctor, dental technician and patient. The purpose of the work is to determine the functionality of computer programs designed for modeling teeth in an aesthetically significant area based on the analysis of information sources, as well as to evaluate their role in improving the effectiveness of orthopedic rehabilitation. The study used photometric, cephalometric and 3D scanning methods to obtain anthropometric data of the face and dentition. The analysis was carried out using modern software solutions (Digital Smile Design, 3Shape Smile Design, Avantis 3D, SmileCloud), providing modeling of orthopedic structures taking into account the individual characteristics of the patient. The results and discussion showed that the use of existing programs makes it possible to increase the accuracy of digital planning, reduce the number of clinical treatment stages, minimize subjective errors of the doctor and improve the aesthetic reproducibility of orthopedic structures. The use of artificial intelligence algorithms contributes to a personalized choice of the shape, size and position of teeth, as well as an optimal match between the morphology of the face and dentition. The conclusion emphasizes that the introduction of computer technologies for virtual modeling contributes to the transition to a new paradigm of dental rehabilitation, personalized digital orthopedics based on the integration of clinical experience, digital data and intelligent analysis systems.
digital dentistry, virtual modeling, dentures, artificial intelligence, anthropometry, smile aesthetics
1. Bondarec A.Yu., Gunenkova I.V., Samoylova N.V. Voprosy terminologii, klassifikacii i rasprostranennosti adentii. Stomatologiya. 2014;93(2):47-51. [Bondarets A.Iu., Gunenkova I.V., Samoĭlova N.V. Some aspects of terminology, classification and incidence of hypodontia. Stomatology. 2014;93(2):47-51. (In Russ.)]. https://www.mediasphera.ru/issues/stomatologiya/2014/2/030039-17352014213
2. Nikitina L.I., Gromova A.S. Dental implant issues: Forms and methods of education for international students. SHS Web of Conferences. 2023;164:00116. https://doi.org/10.1051/shsconf/202316400116
3. Schonberger S., Kadry R., Shapira Y., Finkelstein T. Permanent Tooth Agenesis and Associated Dental Anomalies among Orthodontically Treated Children. Children (Basel). 2023;10(3):596. https://doi.org/10.3390/children10030596
4. Garcia P.P., da Costa R.G., Calgaro M., Ritter A.V., Correr G.M., da Cunha L.F. et al. Digital smile design and mock-up technique for esthetic treatment planning with porcelain laminate veneers. Journal of conservative dentistry. 2018;21(4):455-458. https://doi.org/10.4103/JCD.JCD_172_18
5. Cervino G., Fiorillo L., Arzukanyan A.V., Spagnuolo G., Cicciù M. Dental restorative digital workflow: digital smile design from aesthetic to function. Dentistry journal 2019;7(2):30. https://doi.org/10.3390/dj7020030
6. Apresyan S.V., Stepanov A.G. Cifrovaya konsul'taciya stomatologicheskih pacientov. Moskva: Mozartika; 2021. 109 s. [Apresyan S.V., Stepanov A.G. Digital Consultation of Dental Patients. Moscow: Mozartika; 2021. 109 p. (In Russ.)].
7. Alharkan H.M. Integrating digital smile design into restorative Dentistry: A narrative review of the applications and benefits. The Saudi dental journal. 2024;36(4):561-567. https://doi.org/10.1016/j.sdentj.2023.12.014
8. Nalbandyan M.S., Ter-Pogosyan G.Yu., Esayan L.K., Kazaryan E.R. Rol' estetiki v sovremennoy ortodonticheskoy diagnostike i lechenii. Problemy stomatologii. 2018;14(3):86-90. [Nalbandayn M.S., Ter-Pogosyan G.Y., Esayan L.K., Kazaryan E.R. The role of aesthetics in contemporary orthodontic diagnosis and treatment. Actual problems in dentistry. 2018;14(3):86-90. (In Russ.)]. https://doi.org/10.18481/2077-7566-2018-14-3-86-90
9. Tihonov V.E., Grigoryan A.A., Polkovnikova L.B., Grishin M.I. Nekotorye aspekty estetiki v praktike zuboprotezirovaniya. Aktual'nye problemy gumanitarnyh i estestvennyh nauk. 2016;(4-4):84-86. [Tikhonov V.E., Grigoryan A.A., Polkovnikova L.B., Grishin M.I. Some Aspects of Aesthetics in the Practice of Dental Prosthetics. Aktualnye problemy gumanitarnyh i estestvennyh nauk. 2016;(4-4):84-86. (In Russ.)]. https://www.elibrary.ru/item.asp?id=25948062
10. Ayupova I.O., Mahota A.Yu., Kolsanov A.V., Popov N.V., Davidyuk M.A., Nekrasov I.A. i dr. Vozmozhnosti metodov cefalometricheskogo analiza rentgenologicheskih izobrazheniy v trehmernom prostranstve (obzor). Sovremennye tehnologii v medicine. 2024;16(3):62. [Ayupova I.O., Makhota A.Yu., Kolsanov A.V., Popov N.V., Davidyuk M.A., Nekrasov I.A. et al. Capabilities of Cephalometric Methods to Study X-rays in Three-Dimensional Space (Review). Sovremennye tehnologii v medicine. 2024;16(3):62. (In Russ.)]. https://doi.org/10.17691/stm2024.16.3.07
11. Persin L.S. Ortodontiya. Sovremennye metody diagnostiki anomaliy zubov, zubnyh ryadov i okklyuzii: uchebnoe posobie. Moskva: GEOTAR-Media; 2021. 160 s. [Persin L.S. Orthodontics. Modern Methods of Diagnosing Abnormalities of Teeth, Dentition, and Occlusion: A Textbook. Moscow: GEOTAR-Media; 2021. 160 p. (In Russ.)].
12. Vorob'ev A.A., Makedonova Yu.A., Aleksandrina E.S., Pisareva E.E. Anatomicheskie komponenty ulybki. Operativnaya hirurgiya i klinicheskaya anatomiya (Pirogovskiy nauchnyy zhurnal). 2020;4(3):6-15. [Vorobev A.A., Makedonova Yu.A., Alexandrina E.S., Pisareva E.E. Anatomical components of a smile. Russian Journal of Operative Surgery and Clinical Anatomy. 2020;4(3):6‑15. (In Russ.)]. https://doi.org/10.17116/operhirurg202040316
13. Cattoni F., Mastrangelo F., Gherlone E.F., Gastaldi G. A New Total Digital Smile Planning Technique (3D-DSP) to Fabricate CAD-CAM Mockups for Esthetic Crowns and Veneers. International journal of dentistry. 2016;2016:6282587. https://doi.org/10.1155/2016/6282587
14. Park C. A comprehensive narrative review exploring the current landscape of digital complete denture technology and advancements. Heliyon. 2025;11(2):e41870. https://doi.org/10.1016/j.heliyon.2025.e41870
15. Apresyan S.V., Stepanov A.G., Antonik M.M., Degtyarev N.E., Kravec P.L., Lihnenko M.N. i dr. Kompleksnoe cifrovoe planirovanie stomatologicheskogo lecheniya (prakticheskoe rukovodstvo). Moskva: Mozartika; 2020. 400 s. [Apresyan S.V., Stepanov A.G., Antonik M.M., Degtyarev N.E., Kravets P.L., Likhnenko M.N. et al. Comprehensive Digital Planning of Dental Treatment: A Practical Guide. Moscow: Mozartika; 2020. 400 p. (In Russ.)].
16. Zhang M., Ning N., Hong Y., Zhou M., Gong X., Zeng L. et al. Digital working process in diagnosis, treatment planning and fabrication of personalized orthodontic appliances. Digital Medicine. 2023;9(2):e00004. https://doi.org/10.1097/DM-2023-00004
17. Zimmermann M., Mehl A. Virtual smile design systems: a current review. International journal of computerized dentistry. 2015;18(4):303-317. https://www.quintessence-publishing.com/deu/en/article/833586
18. Apresyan S.V., Suonio V.K., Stepanov A.G., Koval'skaya T.V. Ocenka funkcional'nogo potenciala CAD-programm v kompleksnom cifrovom planirovanii stomatologicheskogo lecheniya. Rossiyskiy stomatologicheskiy zhurnal. 2020;24(3):131-134. [Apresyan S.V., Suonio V.K., Stepanov A.G., Kovalskaya T.V. Evaluation of functional potential of CAD-programs in integrated digital planning of dental treatment. Russian Journal of Dentistry. 2020;24(3):131-134. (In Russ.)]. https://doi.org/10.17816/1728-2802-2020-24-3-131-134
19. Riley J.L. 3rd, Gordan V.V., Hudak-Boss S.E., Fellows J.L., Rindal D.B., Gilbert G.H. et al. Concordance between patient satisfaction and the dentist’s view: Findings from The National Dental Practice-Based Research Network. Journal of the American Dental Association. 2014;145(4):355-362. https://doi.org/10.14219/jada.2013.32
20. Revilla-León M., Gómez-Polo M., Vyas S., Barmak B.A., Galluci G.O., Att W. et al. Artificial intelligence applications in restorative dentistry: A systematic review. The Journal of prosthetic dentistry. 2023;129(2):293-300. https://doi.org/10.1016/j.prosdent.2021.05.008
21. Rokhshad R., Karteva T., Chaurasia A., Richert R., Mörch C.M., Tamimi F. et al. Artificial intelligence and smile design: An e-Delphi consensus statement of ethical challenges. Journal of prosthodontics. 2024;33(8):730-735. https://doi.org/10.1111/jopr.13858
22. Jafri Z., Ahmad N., Sawai M., Sultan N., Bhardwaj A. Digital Smile Design-An innovative tool in aesthetic dentistry. Journal of oral biology and craniofacial research. 2020;10(2):194-198. https://doi.org/10.1016/j.jobcr.2020.04.010
23. Babaei M., Kazemian M., Barekatain M. A comparative analysis of patient satisfaction with various methods of digital smile design and simulation. Dental research journal. 2025;22:10. https://doi.org/10.4103/drj.drj_254_24
24. Kaushik K., Sales A., Rodrigues S.J. Comparative analysis of facial aesthetics in AI generated versus conventionally crafted digital smile designs-a cross-sectional study. BDJ Open. 2025;11:79. https://doi.org/10.1038/s41405-025-00367-z
25. Huang H., Xu Z., Shao X., Wismeijer D., Sun P., Wang J. et al. Multivariate linear regression analysis to identify general factors for quantitative predictions of implant stability quotient values. PLoS One. 2017;12(10):e0187010. https://doi.org/10.1371/journal.pone.0187010
26. Nazari Y., Lngeroodi P.F., Maddahi M., Kobravi S., Amin M.R., Bargrizaneh A.A. et al. Artificial intelligence models and predicting implant success. Biomedical Research and Therapy. 2025;12(1):7029-7038. https://doi.org/10.15419/bmrat.v12i1.949
27. Pitchika V., Büttner M., Schwendicke F. Artificial intelligence and personalized diagnostics in periodontology: A narrative review. Periodontology 2000. 2024;95(1):220-231. https://doi.org/10.1111/prd.12586
28. Butnaru O.M., Tatarciuc M., Luchian I., Tudorici T., Balcos C., Budala D.G., et al. AI Efficiency in Dentistry: Comparing Artificial Intelligence Systems with Human Practitioners in Assessing Several Periodontal Parameters. Medicina (Kaunas). 2025;61(4):572. https://doi.org/10.3390/medicina61040572
29. Najeeb M., Islam S. Artificial intelligence (AI) in restorative dentistry: current trends and future prospects. BMC Oral Health. 2025;25(1):592. https://doi.org/10.1186/s12903-025-05989-1
30. Yamaguchi S., Lee C., Karaer O., Ban S., Mine A., Imazato S. Predicting the Debonding of CAD/CAM Composite Resin Crowns with AI. Journal of dental research. 2019;98(11):1234-1238. https://doi.org/10.1177/0022034519867641
31. Buduru S., Cofar F., Mesaroș A., Tăut M., Negucioiu M., Almășan O. Perceptions in Digital Smile Design: Assessing Laypeople and Dental Professionals' Preferences Using an Artificial-Intelligence-Based Application. Dentistry journal. 2024;12(4):104. https://doi.org/10.3390/dj12040104
32. Jeong M., Radomski K., Lopez D., Liu J.T., Lee J.D., Lee S.J. Materials and Applications of 3D Printing Technology in Dentistry: An Overview. Dentistry journal. 2023;12(1):1. https://doi.org/10.3390/dj12010001
33. Rozov R.A. Razrabotka i obosnovanie putey sovershenstvovaniya implantacionnogo protezirovaniya pozhilyh pacientov s polnoy poterey zubov: dissertaciya na soiskanie uchenoy stepeni doktora medicinskih nauk. Sankt-Peterburg; 2023. 379 s. [Rozov R.A. Development and substantiation of ways to improve implantation prosthetics in elderly patients with complete tooth loss: dissertation for the degree of Doctor of Medical Sciences. Saint Petersburg; 2023. 379 p. (In Russ.)]. https://rusneb.ru/catalog/000199_000009_011832907/
34. Zaborowicz K., Firlej M., Firlej E., Zaborowicz M., Bystrzycki K., Biedziak B. Use of Computer Digital Techniques and Modern Materials in Dental Technology in Restoration: A Caries-Damaged Smile in a Teenage Patient. Journal of Clinical Medicine. 2024;13(18):5353. https://doi.org/10.3390/jcm13185353
35. Szabó R.M., Buzás N., Braunitzer G., Shedlin M.G., Antal M.Á. Factors Influencing Patient Satisfaction and Loyalty as Perceived by Dentists and Their Patients. Dentistry journal. 2023;11(9):203. https://doi.org/10.3390/dj11090203
