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February 25, 2026Journal of Prosthodontics2 citations

Artificial intelligence facilitated smile design for the rehabilitation of a fully maxillary edentulous patient with a complete arch implant‐supported prosthesis: A dental technique

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GLGhida LawandVVVicente VeraRNRichard Nessif

Key Points

  • The research aims to explore the use of AI in improving smile design for patients with a fully edentulous maxilla requiring implants.
  • Merged 2D frontal facial photograph with a 3D digitized wax-rim record.
  • Utilized AI-supported smile design software to create a virtual tooth setup.
  • Employed a dual-scan CBCT protocol for zygomatic and conventional implant planning.
  • Implemented horizontal grammetry for digital capture of implant positions.
  • Fabricated titanium frameworks and monolithic zirconia restorations using CAD-CAM.
  • Esthetic parameters were improved using AI-generated facially driven designs.
  • Streamlined workflow reduced treatment visits.
  • Accurate digital capture led to better outcomes in complex edentulous rehabilitation.

Abstract

This dental technique describes the use of an artificial intelligence (AI)-facilitated digital workflow in the rehabilitation of an edentulous maxilla with a complete-arch implant-supported prosthesis. The patient's 2D frontal facial photograph was merged with a 3D digitized wax-rim record base in AI-supported smile design software to create an AI facially- guided virtual tooth setup without the use of a facebow transfer. The AI-generated facially driven smile design established esthetic parameters and guided the fabrication of a printed prototype, which was then used for the dual-scan CBCT protocol for the prosthetically driven planning of zygomatic and conventional implants. After osseointegration, a fully modeless workflow utilizing horizontal grammetry (Straumann EXACT, Switzerland) enabled accurate digital capture of implant positions for CAD-CAM fabrication of a titanium framework and monolithic zirconia restoration. This AI-enhanced approach streamlined the treatment visits and improved the esthetic predictability in complex edentulous rehabilitation.

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Cite This Study

Lawand et al. (2026) studied this question.

synapsesocial.com/papers/699e9152f5123be5ed04ecf9https://doi.org/10.1111/jopr.70112
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Al-enhanced Dynamic Virtual Patient Workflow for Full-arch Implant Rehabilitation.2026
  2. 2AI-Driven Aesthetic Rehabilitation in Edentulous Arches: Advancing Symmetry and Smile Design Through Medit SmartX and Scan Ladder2025
  3. 3Artificial Intelligence‐Assisted Treatment Planning in an Interdisciplinary Rehabilitation in the Esthetic Zone2025
  4. 4Digital Technology-assisted Complete Mouth Rehabilitation Based on Traditional Diagnostic Principles2025
  5. 5Artificial Intelligence in Maxillofacial Prosthetic Rehabilitation: Current Evidence and Future Directions2026