Lassmann Łukasz, Calamita Marcelo A, Blatz Markus B
Independent researcher, One & Only Institute, Gdańsk, Poland.
Department of Restorative Dental Sciences, University of Florida, Gainesville, Florida, USA.
J Esthet Restor Dent. 2025 Jan;37(1):56-67. doi: 10.1111/jerd.13317. Epub 2024 Sep 18.
This article introduces the smile design and space (SDS) concept for managing the vertical dimension of occlusion (VDO) in full-mouth reconstructions and its influence on the selection of esthetic restorative materials. Limitations of traditional VDO adjustment methods are being addressed through a facially driven treatment approach that enhances esthetics improves function and minimizes invasiveness.
The SDS concept involves detailed evaluations of the incisal edges of the maxillary central incisors in relation to the upper lip at rest and at full smile. This includes analyzing variations in incisal exposure due to differing lip mobility, which can significantly impact gingival esthetics, particularly in cases with gingival exposure during smiling. The concept employs a strategic formula to determine the necessary alterations in VDO based on specific dental relationships and wear patterns.
The SDS concept provides guidelines for full-mouth reconstructions, emphasizing minimal invasiveness and the integration of esthetics with functional dynamics to enhance the predictability of clinical outcomes and reduce complications associated with traditional restoration techniques.
The SDS concept enhances the precision of full-mouth reconstructions through individualized adjustment of the VDO, tailored to the esthetic and functional requirements of each patient.
本文介绍了用于全口重建中管理咬合垂直距离（VDO）的微笑设计与空间（SDS）概念及其对美学修复材料选择的影响。传统VDO调整方法的局限性正通过一种以面部为导向的治疗方法来解决，该方法可提升美学效果、改善功能并将侵入性降至最低。
SDS概念涉及对上颌中切牙切缘在静止和最大微笑时与上唇关系的详细评估。这包括分析由于唇部活动度不同导致的切缘暴露变化，这会显著影响牙龈美学，尤其是在微笑时牙龈暴露的情况下。该概念采用一种策略性公式，根据特定的牙齿关系和磨损模式来确定VDO所需的改变。
SDS概念为全口重建提供了指导方针，强调最小化侵入性以及美学与功能动态的整合，以提高临床结果的可预测性并减少与传统修复技术相关的并发症。
SDS概念通过根据每位患者的美学和功能需求对VDO进行个性化调整，提高了全口重建的精确性。
