Evidence map›Paper›PMID 40895222›Full record

ReviewClinical, cosmetic and investigational dentistry2025

Eco-Friendly Approaches to Enhance Dental Aesthetics and Patient Satisfactions Using Digital Smile Design: A Systematic Review.

Faris Hernando Reviansyah, Azzahra Delvyra Ristin, Wirya Haviz Almughni, Yolanda Yolanda, Veni Takarini, Sri Susilawati, Maria Komariah

Abstract readReview
In one paragraph

Review in Clinical, cosmetic and investigational dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Faris Hernando Reviansyah *Undergraduate Program, Faculty of Dentistry, Universitas Padjadjaran, Sumedang, Indonesia.ORCID 0009-0007-5432-6849
Azzahra Delvyra Ristin *Undergraduate Program, Faculty of Dentistry, Universitas Padjadjaran, Sumedang, Indonesia.
Wirya Haviz Almughni *Undergraduate Program, Faculty of Dentistry, Universitas Padjadjaran, Sumedang, Indonesia.
Yolanda YolandaDepartment of Conservative Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0002-8515-4169
Veni TakariniDepartment of Dental Materials and Technology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, 40132, Indonesia.
Sri SusilawatiDepartment of Community Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.
Maria KomariahDepartment of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0003-1648-4882

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Aesthetic outcomes are increasingly vital in dental care, especially in achieving harmony between facial and dental features. Traditional smile design methods rely heavily on clinician judgment, which introduces subjectivity and variability. Digital Smile Design (DSD) offers an eco-friendly and standardized alternative, promoting improved aesthetic outcomes with reduced environmental impact. This systematic review aims to synthesize current evidence regarding the effectiveness and sustainability of DSD in enhancing dental aesthetics and patient satisfaction compared to conventional approaches. Methods: A systematic review was conducted following PRISMA guidelines. Articles were retrieved from PubMed, Scopus, EBSCO, and ScienceDirect using pre-defined keywords and MeSH terms. Eligible studies included randomized controlled trials and experimental studies published between 2019 and 2024. This review synthesizes evidence regarding the clinical effectiveness and eco-friendly implications of Digital Smile Design (DSD) compared to conventional smile planning, focusing on aesthetic outcomes, patient satisfaction, and environmental sustainability. Quality assessment was performed using the Joanna Briggs Institute (JBI) critical appraisal tools. Results: Twelve studies met the inclusion criteria. Overall, DSD consistently improved smile aesthetics through enhanced alignment, tooth shape harmony, and lip symmetry. Patient satisfaction was also generally higher with DSD due to its precision, reduced chair time, and less invasive procedures. Many studies also emphasized the eco-friendly benefits of DSD, such as minimized material waste and reduced need for multiple visits. Conclusion: DSD is an effective and sustainable approach for enhancing dental aesthetics and patient experience. Its adoption in clinical practice may support a shift toward more precise, patient-centered, and environmentally conscious dentistry. However, variations in study design and reporting highlight the need for further standardized research.

Indexed as

dental aestheticsdigital smile designeco-friendly dentistrypatient satisfaction

Identifiers

PMID40895222
PMCPMC12396229

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.