Study shows DTS PRO results are very good to excellent

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Study shows DTS PRO results are very good to excellent


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DTS Pro software gives excellent results as per the new study. (Photo: Dr. Neeraj Rohida)
Dr. Neeraj S Rohida

By Dr. Neeraj S Rohida

Sat. 4 June 2022


In today’s era of digital dentistry – simulations and digital treatment planning can significantly improve the level of communication between the dentist, patient, and the dental lab leading to consistent, precise treatment outcomes. The article summarizes a recent study conducted in Saudi Arabia using DTS PRO – a digital smile design and simulation software.

“Doc, how will I look after the procedure?”

In this age of selfies, each individual potentially looks at and analyzes their smile from every possible angle.  When such patients walk into the dental office for cosmetic dental corrections, they would like to understand and pre-visualize the effect of different treatment options on their smile and their appearance before committing to any procedure.

Let us take the example of a patient with midline diastema. There could be multiple ways to close the diastema including Orthodontics, Bonding or Veneers. With the plethora of corrective options available, decision-making becomes a challenge for the patient.

Dentists typically use conventional means of patient communication such as educational models, and before and after images of previously treated cases, but nothing comes closer to showing patients the proposed changes on their own smiles.

“A Picture speaks more than a thousand words”

Showing a pre-visualization of the proposed plan on the patient’s own image helps him/her understand the objectives of the treatment. It gives the patients a plan that can be approved before the start of the treatment itself.

Direct chairside mockups are the most ideal pretreatment communication means, but they are time-consuming and not possible to be carried out for each prospective patient. Definitely not in subtractive cases.

Digital Simulations are by far the simplest, quickest, and most efficient tools for patient motivation and decision making, eventually leading to greater case acceptance.

Fig. 1 Simulation for midline diastema closure


Fig 2. Digital smile designing with veneers

Digital Simulation and Smile Design Software

Digital smile design programs have evolved over the years and have now become a prerequisite for every dental practice.

There are a few smile design softwares available in the market. A comparative analysis shows DTS PRO as one of the simplest to use and quickest simulation programs. It empowers dentists to create unique treatment plans for their patients following facially-driven workflows to yield more accurate and predictable treatment results.

The DTS software, which incorporates Artificial Intelligence, is a simple-to-learn software that can be easily mastered by dental professionals without the need for complex training programs. Using Digital Smile design softwares, dentists can simulate multiple treatment options for both additive as well as subtractive cases. The software can also be used for digital treatment planning, collaborating with a team of experts, and lab communication.

The DTS PRO Digital Smile Design software is a multi-use tool that can assist the restoration crew, demonstrate that the dental staff is aware of the esthetic issues and increase patient acceptance of treatment. The use of reference lines over extra- and intraoral digital photographs widens the dental team's diagnostic vision and helps to evaluate the limitations, risk factors, and esthetic principles of a given case. The proportion guides, calibration, and measurement tools serve as a visual reference guide between the dentist and the lab. These critical data lead to improved results in all phases of treatment.

DTS PRO can help generate realistic simulations for different treatment options, right in the first consult or even over virtual consultation platforms. It can be used in the simplest of cases such as bleaching and fractured incisal edge to the most comprehensive Full mouth rehabilitation procedures.


Fig 3. Orthodontic Simulations


Fig. 4 Digital treatment planning with Calibration and Measurement tools

Prerequisites and workflow:

A good source of dental photography, either a DSLR camera or a smartphone camera is enough for simulations and digital smile designing. Precise photographic documentation is important since full facial and dental analysis relies on preliminary photographs that formulate adjustments and designing, for the purpose of dynamic analysis of the smile, teeth display, gingiva, and lips, to incorporate facially driven concepts into the smile design.

The 2D smile frame can then be exported for use in 3D CAD programs. DTS 3D is one such CAD program, which can be used by dentists for in-house 3D printing. Alternatively, the 2D smile designs can be exported to the dental lab for further 3D workflow.


Fig, 5 Lab Communication Protocol


Fig, 6 Lab Communication Protocol

Summary of a recent study:

A recent study conducted at the King Abdul-Aziz University, Jeddah, Saudi Arabia evaluated the techniques and effects of digital simulation of cosmetic restorations indicated for the anterior upper teeth of twenty patients using DTS PRO version 15.9 software. The intended restorations included veneers, tooth whitening, Digital Smile Designs, diverse types of braces, orthodontic tooth movements, bonding, gingivectomy (CLP), replacement of missing tooth/teeth, and extraoral changes after orthodontics/ orthognathic surgeries.

The findings of the study indicated that the simulations and treatment planning using DTS PRO significantly improves the communication between the dentist, the patient, and the laboratory.

After complete collection of the data by independent evaluators from the three groups - dentists, patients, and the laboratory - assessed the level of satisfaction and the contribution of the simulation software for helping treatment decisions and the expectation of final outcome. Most of the studied participants from different tested groups reported very good to excellent levels of satisfaction and recommended this software to be a part of dental clinics and laboratories. A smaller number of evaluators reported accepted and good levels of satisfaction.


Digital simulation and smile design programs can significantly benefit dental practices today. Simulations and digital smile design are an essential part of patient documentation.


About the author:

Dr. Neeraj S Rohida
Developer/Owner DTS PRO Smile Design Software

Dr. Neeraj S. Rohida is an Associate Professor in Orthodontics and a clinical researcher. He has to his credit research articles published in the American Journal of Orthodontics and the World Journal of Orthodontics and is a mentor to Ph.D. students at IIT Bombay. Dr. Neeraj is the developer and owner of the Digital Dental softwares under the umbrella of DTS including DTS PRO, DTS 3D, and other upcoming softwares in the dental domain.

After completing his Masters in Orthodontics from the esteemed Government Dental College, Mumbai, in 2009, Dr. Neeraj has been in an exclusive orthodontic practice in Mumbai, India.

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