Digitally Driven Interdisciplinary Smile Redesign in a Patient with Midline Deviation: A Case Report

Area of Science:

• Dentistry
• Digital Dentistry
• Esthetic Dentistry

Background:

• A 29-year-old female presented with significant maxillary dental midline deviation (4.3 mm) and unsatisfactory anterior veneers.
• Clinical issues included malocclusion, asymmetric gingival contours, and overcontoured veneers, necessitating corrective treatment.

Purpose of the Study:

• To outline a digitally driven, interdisciplinary treatment strategy for correcting complex esthetic problems and midline deviation caused by prior dental work.
• To evaluate the effectiveness of integrating 3D facial scanning with orthodontic, periodontal, endodontic, and restorative interventions.

Main Methods:

• A multidisciplinary team (orthodontists, periodontists, endodontists, restorative dentists) developed a treatment plan.
• Treatment involved orthodontic realignment, periodontal intervention for gingival contouring, and placement of zirconia veneers.
• Digital workflow integrated 3D facial and intraoral scans for facially guided planning and precise treatment execution.

Main Results:

• Successful correction of dental midline deviation and malocclusion.
• Significant improvement in smile symmetry and esthetics with zirconia veneers.
• High patient satisfaction reported due to enhanced dental-facial harmony and functional restoration.

Conclusions:

• A digitally driven, interdisciplinary approach is highly effective for managing complex esthetic dental cases.
• Integrating 3D facial scanning enhances treatment predictability, precision, and patient-centered outcomes.
• This method supports minimally invasive procedures, accurate veneer placement, and improved esthetics.