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Comparative Usability Evaluation of Three Digital Smile Design Software Tools Using the System Usability Scale.

Andrei Macris1, Sergiu Drafta1, Ștefania Martiniuc2

  • 1Prosthetic Department, Faculty of Stomatology, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

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|September 26, 2025
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Summary

This study evaluated three Digital Smile Design (DSD) software tools for aesthetic dental planning. SmileCloud demonstrated the best usability among Preteeth AI Pro, SmileCloud, and Medit Link, though all met usability benchmarks.

Keywords:
Digital Smile DesignSystem Usability Scaleaesthetic dentistryuser experience

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Area of Science:

  • Digital dentistry
  • Dental aesthetics
  • Usability engineering

Background:

  • Digital Smile Design (DSD) software enhances aesthetic treatment planning and communication in dentistry.
  • These tools aid in facial and dental analysis for personalized smile creation.
  • Evaluating the usability of DSD software is crucial for optimizing clinical workflows.

Purpose of the Study:

  • To compare the usability of three DSD software tools: Preteeth AI Pro, SmileCloud, and Medit Link.
  • To assess user experience using the System Usability Scale (SUS).

Main Methods:

  • Twenty-three prosthodontists and residents evaluated each DSD software following a standardized protocol.
  • Participants completed Digital Smile Designs and then filled out a 10-item System Usability Scale questionnaire.
  • Descriptive statistics and one-way ANOVA were used for analysis (p < 0.05).

Main Results:

  • Mean SUS scores were 74.24 for Preteeth AI Pro, 80.33 for SmileCloud, and 73.15 for Medit Link.
  • SmileCloud achieved the highest score, indicating "good to very good" usability.
  • No statistically significant differences in usability were found between the three software tools (p = 0.36).

Conclusions:

  • All evaluated DSD software tools surpassed the usability benchmark score of 68.
  • SmileCloud offered the most favorable user experience among the tested platforms.
  • Findings can guide clinicians in selecting efficient DSD software for aesthetic treatment planning.