# A Multi-Disciplinary Approach to Managing Anterior Aesthetics: Crown Lengthening/Digital Smile Design (DSD)/Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM)

**Authors:** Siham Kouji, Amal El Yamani

PMC · DOI: 10.7759/cureus.85961 · 2025-06-13

## TL;DR

This paper presents a multidisciplinary dental treatment approach combining surgery, digital design, and 3D manufacturing to improve smile aesthetics.

## Contribution

The study introduces a coordinated workflow integrating crown lengthening, Digital Smile Design, and CAD/CAM for anterior tooth restoration.

## Key findings

- Crown lengthening surgery combined with osteotomy improves tooth visibility for aesthetics.
- Digital Smile Design allows pre-visualization of the final aesthetic result.
- CAD/CAM ceramic crowns enable precise and optimal correction of smile aesthetics.

## Abstract

The restoration of anterior teeth has always been a significant challenge for both the dentist and the laboratory technician. Achieving the final result of an aesthetic prosthetic project requires a careful reflection phase upstream, involving close collaboration between the medical team, following several specific steps, and adhering to a precise chronology. This case report highlights the importance of a multidisciplinary treatment approach, including crown lengthening surgery with osteotomy, pre-visualization of the final result using Digital Smile Design software, and computer-aided design and computer-aided manufacturing (CAD/CAM) ceramic crowns for optimal correction of smile aesthetics.

## Full-text entities

- **Diseases:** recession (MESH:C565432), bone remodelling (MESH:D001847), caries (MESH:D003731), bleeding (MESH:D006470), gingivitis (MESH:D005891), gingival recession (MESH:D005889), chronic inflammation (MESH:D007249)
- **Chemicals:** zirconia (MESH:C028541), silicone (MESH:D012828), alcohol (MESH:D000438)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

15 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12256351/full.md

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Source: https://tomesphere.com/paper/PMC12256351