Digital Smile Design in Aesthetic Dentistry: Patient Satisfaction and Clinical Outcomes

Authors

  • Sheema Shakir Department of Prosthodontics, Khyber College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.
  • Ghazala Wisal Demonstrator, Department of Prosthodontics, Khyber College of Dentistry (KCD), Khyber Pakhtunkhwa, Pakistan.

DOI:

https://doi.org/10.65293/jbkcd.v3i01.42

Keywords:

Digital Smile Design, Aesthetic Dentistry, Patient Satisfaction, Clinical Outcomes, Oral Health, Cosmetic Dentistry

Abstract

Background: Digital Smile Design (DSD) enables clinicians to plan and preview aesthetic dental treatments using digital tools such as CAD/CAM and 3D imaging. Evidence on patient satisfaction and short-term clinical outcomes after DSD is limited.

Objective: To evaluate patient demographics, clinical characteristics, satisfaction, and six-month clinical outcomes following DSD in a tertiary dental centre.

Study Design: Cross-sectional study.

Place and Duration of the Study: Department of Prosthodontics, Khyber College of Dentistry, Peshawar from January 2024 to June 2024.

Materials and Methods: Cross-sectional study of 210 patients undergoing DSD (January–2024 June 2024. Demographic and clinical data were collected using a structured proforma. Patient satisfaction was measured with a 5-point Likert questionnaire across aesthetic, functional, and comfort domains; internal consistency (Cronbach’s α) was calculated. Clinical outcomes (gingival health, tooth alignment, restoration longevity, and complications) were assessed at 1 week, 1 month, and 6 months. Descriptive statistics and multiple linear regression identified predictors of satisfaction (p<0.05).

Results: Most participants were female (60%), urban residents (74.3%), and aged 26–35 years (39%). Over 80% reported being “satisfied” or “very satisfied” across domains. At six months, excellent gingival health was observed in 62.9% and excellent restoration longevity in 67.6%; minor sensitivity occurred in 7.6%. Education, oral hygiene, previous cosmetic treatment, and income were significant predictors of satisfaction (p<0.05).

Conclusion: DSD was associated with high short-term patient satisfaction and favourable six-month clinical outcomes. However, the limitations of causal inference arise from the cross-sectional design, single-centre setting, convenience sampling, and limited follow-up. Longitudinal and comparative studies are recommended.

Author Biography

Ghazala Wisal, Demonstrator, Department of Prosthodontics, Khyber College of Dentistry (KCD), Khyber Pakhtunkhwa, Pakistan.

Corresponding Author: dr.ghazalwisal@yahoo.com

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Published

2025-06-30

How to Cite

1.
Shakir S, Wisal G. Digital Smile Design in Aesthetic Dentistry: Patient Satisfaction and Clinical Outcomes. JBKCD [Internet]. 2025 Jun. 30 [cited 2025 Dec. 12];3(1):1-8. Available from: https://jbkcd.bkcd.edu.pk/index.php/website/article/view/42

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Original Articles