Dental treatment always starts with the end in mind: good oral health. The first step in every treatment planning process is to examine the patient and perform a proper diagnosis. During the patient’s anamnesis, the dentist discusses with the patient what problem brought them to the clinic and recollects past and present signs and symptoms. This is done with extraoral and intraoral examination, potentially extraoral and intraoral photographs, and complementary tests if needed. In digital dentistry, diagnostic tools such as intraoral scanners and face scans are an integral part of the consultation. As soon as the dentist has a final diagnosis, they can start considering what options for treatment are available.
Often, treatment planning in dentistry is done on the computer system of the clinic. A dental diagram (or dental chart), intraoral and extraoral photographs, x-rays, clinical findings and notes are all stored in the patient management system. Not all of these are necessarily presented to the patient. Depending on the communicative skills of the doctor, the patient might or might not have a clear idea of the visual outcome and complexity of treatment - also the number of visits or treatment time to expect might not always be conveyed well.
This can lead to patients feeling insecure: “Has the doctor collected enough information? Did they notice all the nuances? Are there other options for treatment? Do I need additional examinations? Do I need aesthetic treatments? Is my goal clear enough? How will I look at the end?”
The arrival of digital solutions for dental treatment planning has helped break down the invisible wall between dentist and patient. Tools such as Augmented Reality, Artificial Intelligence, planning software and big HD screens can make the treatment planning process quicker and more understandable. Let’s break down how exactly these tools can help.
Treatment planning in dentistry is a step-by-step personalized protocol designed to achieve the patients’ desired oral health. In digital dentistry, a personal dental treatment plan represents the 3D model of the actual condition of the teeth and gums, as well as predictions, designs or visualizations of the desired outcome.
In order to get to this stage, the doctor will use digital imaging equipment combined with treatment planning software to help with visualization and design of the dental treatment. Solutions like these, also called CAD/CAM (Computer Aided Design and Manufacturing) dentistry can be helpful in almost any field in dentistry.
For instance, a virtual simulation of orthodontic treatments will give patients a realistic picture of how their teeth will look at the end of the treatment cycle. In just a few seconds, this type of simulation software relieves the patient of potential fears and doubts associated with the outcome of the treatment. Digital design solutions, for digital denture design for example, make it easy for the patient to relate to all the concrete steps their treatment consists of. Their dentist can show exactly what is done in each stage of the process by pulling up 3D visualizations of the treatment on screen. When combining digital dental design with a digital impression, it makes the planning phase of dental treatment a comfortable and pleasant experience, without uncomfortable and invasive impression trays and materials or insecurity around treatment outcome.
A comprehensive dental treatment plan which meets the expectations of today’s patients and gives them a feeling of satisfaction after each visit should:
Some solutions allow dentists to superimpose a future smile on patients' photographs and send a live visualization directly to their mobile phones. Such smile simulators significantly increase patients’ engagement in the treatment planning process.
The success of dental treatment depends on many factors. The correct diagnosis and collection of accurate, precise and reliable patient data (e.g. impression scan) lays the foundation, but ‘soft factors’ such as the relationship between doctor and patient also play a vital role in the dental hygiene diagnosis and treatment planning process. The most common reason for treatment abandonment is poor planning. This can lead to a lot of stress on the patient’s (and doctor’s!) end. Digital technology in dentistry can help achieve optimal fit and eases communication in the planning phase, but they only make up one part of the picture.
Below, we list the five most important stages of dental treatment planning:
A key aspect to keep in mind with treatment planning in dentistry is that there is always the possibility of the plan not being a 100% match with reality. Dentists can never be fully sure whether the patient will feel comfortable with the new prosthesis, if they will follow post operation instructions, or whether the implant will be accepted by the body. A lot of factors are at stake that influence the final treatment outcome. However, when it comes to predictability, digital tools can greatly help treatment planning and outcomes.
Digital dental solutions that embrace the full spectrum of 3D visualization and digital design are not yet widely spread among dental clinics. Dental laboratories, however, were the ones that introduced and implemented digital workflows and treatment planning decades ago. They were scanning dental cast models and impressions with lab scanners, and later started receiving intraoral scans from different IOS solutions.
More and more dental specialists on the clinic side confirm that solutions like intraoral scans and treatment planning software significantly improve and simplify dental treatment planning cases of any complexity. It seems that broad adoption of these technologies is just a matter of time.
When it comes to embracing a fully digital workflow, it seems that dentists these days have a lot of providers, brands and solution types to choose from, which can lead to many questions. Which hardware and software to choose? Will these products work together with my existing solutions? Will intraoral scanning be suitable to my existing treatment offering? Can I reproduce the same results if I implement a digital approach? Will digital offer me the same level of predictability as the analogue approach I am so used to? Is it going to be difficult to learn?
The reality is that not every brand is the same. Not every workflow is the same. And also not every dentist is the same. Some solutions focus on only solving one problem, for certain cases or treatment types. But then there are also solutions, brands and platforms that work like an open ecosystem and that can help the dentist combine different dental technologies into a single workflow, making dental treatment planning as easy as it can be.
Try and feel a new level of dental treatment with digital technologies!