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Digital Smile Design: Aiding in the esthetic treatment of a Patient with Celiac Disease and Structural loss of Enamel
Corresponding Author(s) : Rajbir Kaur
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 13 No. 2 (2025): 2025 Volume -13 - Issue 2
Abstract
Background: Dental case reports play a vital role in documenting rare presentations, innovative treatment approaches, and complications encountered in clinical dentistry. Patients with systemic conditions like celiac disease often exhibit unique oral manifestations such as enamel defects, which necessitate personalized management strategies.
Case Presentation: This report discusses a 50-year-old female patient with a medical history of celiac disease, presenting with extensive enamel wear and an unpleasant smile. Digital Smile Design (DSD) was employed to plan her aesthetic rehabilitation, ensuring a patient-centered approach and precise treatment planning.
Management and Outcome: The patient was managed through conservative enamel reduction complemented by fixed coronal restorations, guided by DSD to achieve optimal aesthetics and function. The treatment resulted in a significant improvement in smile aesthetics and patient satisfaction, with relief from psychological discomfort caused by aesthetic concerns.
Conclusion: This case underscores the importance of treatment strategies in managing unesthetic smiles. Utilizing digital tools such as DSD can enhance treatment precision and patient involvement, ultimately improving clinical outcomes.
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- Aine, L., Mäki, M., Collin, P., Keyriläinen, O. (1990). Dental enamel defects in celiac disease. Journal of Oral Pathology & Medicine, 19(6), 241–45.
- Pastor-Clerigues, A., et al. (2007). Oral mucosal lesions in coeliac disease. European Journal of Clinical Investigation, 37(6), 512–17.
- Rashid, M., Zarkadas, M. (2013). Oral manifestations of celiac disease: A clinical guide. Canadian Journal of Gastroenterology, 27(6), 353–356.
- Jericho, H., Guandalini, S. (2016). Extraintestinal manifestations of celiac disease in children. Current Opinion in Pediatrics, 28(5), 626–32.
- Tjäderhane, L. (1998). The cause and treatment of dental erosion. Acta Odontologica Scandinavica, 56(6), 325–329.
- Coachman, C., et al. (2012). Digital Smile Design: A tool for treatment planning and communication in esthetic dentistry. Quintessence Dental Technology, 35, 103–111.
- Gürel, G. (2003). The science and art of porcelain laminate veneers. Quintessence Publishing.
- Mangano, F., et al. (2018). Digital dentistry: New materials and techniques. International Journal of Dentistry, 2018, Article ID 9649267.
- Zimmermann, M., Mehl, A. (2015). Virtual smile design systems: A current review. International Journal of Computerized Dentistry, 18(4), 303-17.
- Cortellini, D., et al. (2021). Full digital workflow for esthetic rehabilitations using monolithic lithium disilicate restorations: A case report. Journal of Prosthetic Dentistry, 126(3), 433–437.
References
Aine, L., Mäki, M., Collin, P., Keyriläinen, O. (1990). Dental enamel defects in celiac disease. Journal of Oral Pathology & Medicine, 19(6), 241–45.
Pastor-Clerigues, A., et al. (2007). Oral mucosal lesions in coeliac disease. European Journal of Clinical Investigation, 37(6), 512–17.
Rashid, M., Zarkadas, M. (2013). Oral manifestations of celiac disease: A clinical guide. Canadian Journal of Gastroenterology, 27(6), 353–356.
Jericho, H., Guandalini, S. (2016). Extraintestinal manifestations of celiac disease in children. Current Opinion in Pediatrics, 28(5), 626–32.
Tjäderhane, L. (1998). The cause and treatment of dental erosion. Acta Odontologica Scandinavica, 56(6), 325–329.
Coachman, C., et al. (2012). Digital Smile Design: A tool for treatment planning and communication in esthetic dentistry. Quintessence Dental Technology, 35, 103–111.
Gürel, G. (2003). The science and art of porcelain laminate veneers. Quintessence Publishing.
Mangano, F., et al. (2018). Digital dentistry: New materials and techniques. International Journal of Dentistry, 2018, Article ID 9649267.
Zimmermann, M., Mehl, A. (2015). Virtual smile design systems: A current review. International Journal of Computerized Dentistry, 18(4), 303-17.
Cortellini, D., et al. (2021). Full digital workflow for esthetic rehabilitations using monolithic lithium disilicate restorations: A case report. Journal of Prosthetic Dentistry, 126(3), 433–437.