

1. Take a full-face high-resolution digital photo of the patient with a natural unforced smile as seen above. Upload that image to your Smile-Vision imaging site. Either natural teeth or prosthetic anterior teeth must be showing in that photo. Patients should be looking directly into the camera. Ask patients to bite on cotton rolls in the molar regions when taking the photo whenever vertical dimension is to be opened in the subsequent case.
2. Get patient approval of the simulation or have it redrawn until all involved in the case are satisfied.
3. Whenever a patient has maxillary anterior teeth showing in the “before” image, take a border-molded impression of the arch. Send to Smile-Vision with a counter model and bite for construction of a milled trial prosthesis.
4. Whenever a patient is wearing a removable appliance, duplicate it in resin and then reline the duplicate with impression material. Send to Smile-Vision with a counter model and bite for construction of a milled trial prosthesis.
5. Gain acceptance for the aesthetics of the trial prosthesis from the patient and proceed to the final prosthesis with a shock-absorbing frame and custom teeth for implant-supported cases.
To send digital scans find Smile-Vision at:
Itero– Smile-Vision Inc. #4592
Cerec Connect– Smile-Vision Inc. Zip code=02458
Trios or 3M– Enter “connect” email: David@digital-milling.com