Digital Smile Design is a preliminary step to any major esthetic rehabilitation.  This should be the first step, even before a diagnostic wax-up is performed.  A series of specific photos are taken to allow for key measurements to be analyzed so that an appropriate smile design can be created with proper incisal length, width, contour, midline shift, correct of pre-existing horizontal cant, and facial and buccal positioning for lip support. We use the photos taken by the Dentist and modify them to have a visual picture for the patient to view of what we think the ideal smile would look like.  This can be a significant time and money saving step by being able to communicate clearly with the patient early on in treatment creating a quicker way to get to a successful esthetic goal for you and your patient.