Artificial intelligence is revolutionising cosmetic dentistry by providing smile simulations that enhance treatment planning and patient-centred care. (Image: Vasyl/Abode Stock; clinical images: Dr John Hagiliassis)
It is important to recognise that artificial intelligence (AI) is not something to be feared: it is a tool designed to enhance, not replace, the role of the dentist. By automating time-consuming tasks such as data analysis, diagnostics and administrative work, AI frees up valuable time for dentists to focus on what truly matters: providing exceptional care and building meaningful relationships with their patients. This shift allows dental professionals to strike a better balance between technical precision and the human touch that remains at the heart of cosmetic and emotionally driven dentistry.
This article delves into how AI is revolutionising cosmetic dentistry today and imagines the exciting advancements that may lie ahead, guided by patient-centred principles to support predictable and autonomous visual informed consent.
Cosmetic dentistry is experiencing a technological breakthrough with the introduction of AI, which is already transforming how treatment plans are designed and executed. Dental professionals are harnessing AI-powered tools to analyse patient records and digital data, generate hyper-realistic smile simulations and streamline workflows, creating a more precise, efficient and personalised patient experience. This shift is not a distant possibility; it is currently reshaping the way cosmetic dentistry is practised across the globe.
Current AI innovations allow practitioners to design treatment plans that seamlessly integrate facial structure, dental proportions and individual patient goals. Advanced algorithms can predict outcomes with remarkable accuracy, empowering patients to visualise their future smiles and make informed decisions with greater confidence. Dentists can now optimise workflows by analysing vast amounts of data in real time, reducing chair time, minimising human error and enhancing overall patient satisfaction.
Fig. 1: Initial photograph.
The next evolution in cosmetic dental care is to ensure that objective options are provided. These options must be autonomous and tailored to the wants and needs of the patient. The challenge to the clinician is to avoid being influenced by slick third-party AI-driven software with self-interest or financial bias regarding the treatment to be provided. The clinician needs to uphold the best interests of the patient in demonstrating the pros and cons of all treatment modalities by employing software that is unbiased. The limitations in doing so may be that current software has been created by major corporations with the end objective of promoting the use of their products. There are many current examples of this in implant, restorative and aligner dentistry, for which visualisation of outcomes is based on tools provided through the product being recommended. It is the clinician’s responsibility to offer visual informed consent that transcends treatment modality bias.
AI-powered tools in cosmetic dentistry play a pivotal role in enabling visual informed consent by offering patients a clear and realistic preview of their treatment outcomes. By using advanced smile simulations and 3D modelling, dentists can provide patients with an accurate visual representation of their potential results before any procedure begins. This not only helps patients feel more confident and empowered in their decisions but also minimises misunderstandings or unmet expectations. For the cosmetic dentist, this process fosters trust, improves communication and reduces the likelihood of post-treatment dissatisfaction, ultimately enhancing both patient relationships and professional reputation.
Currently, we are seeing AI-generated software that is product-driven. These programs are revolutionising the digital workflow and patient presentations, but demonstrate developer self-interest and bias in their treatment recommendations. Until now, there has been no software that can assist and promote the end in mind that allows objective and transparent treatment options or multidisciplinary solutions without commercial bias. In demonstration of this new option, let us consider a typical patient who presents with a social media-based perception of her dream smile.
Case study
A female patient in her twenties presented wanting the perfect Instagram smile (Fig. 1). Motivated by social media trends fuelling the strong demand for cosmetic dentistry, she believed that her only solution was whitening and veneers. Upon examination, we identified that the patient presented with an uneven gummy smile of 2–4 mm from the maxillary anterior eight teeth; upper midline deviation to the left; bilaterally highly placed maxillary canines; a narrow maxillary arch with moderately prominent and unequal buccal corridors; and a Class II skeletal pattern and dental relationship.
Current technological innovations can produce treatment visualisation within seconds for aligners or for veneers that require invasive gingivectomy and irreversible preparation. The currently available software products create single-option results based on a product bias rather than starting with the end in mind and then devising how to achieve the best-practice outcome. This is what objective visual informed consent can achieve, and the clinician should aspire to seek technology that better enables this goal and better supports the patient–clinician conversation.
Figs. 2a–c: Aligner simulation software from Invisalign: before (a) and after simulation (b) compared with Smile Geni after treatment simulation (c).
Figs. 3a–c: ligner simulation software from Angel Aligner: before (a), and after simulation (b) compared with Smile Geni after treatment simulation (c).
Fig. 4: Whitening tool.
Introducing Smile Geni
In this current case, we used aligner simulation software from Invisalign and Angel Aligner, as well as an AI-based smile transformation tool called Smile Geni. Our goals in doing so were to better assess the final expected results, to support our treatment planning options and to initiate a conversation with the patient regarding how we would achieve the results through alignment, tooth shape changes or colour improvement.
The advantage of Smile Geni is that it provides me with a superior result to product-driven software and enables me to change tooth colour and interact better with the patient. It produces results in less than 30 seconds, which is comparable to, and sometimes faster than, other products I have tried. Within seconds, the Smile Geni AI-driven smile enables me to identify what the patient likes and dislikes and to then create the plan using the virtual smile simulator provided by Smile Geni 3D. Based on the Smile Geni simulation in this case (Figs. 2 & 3), I identified that the patient wanted to reduce her excessive gingival display, broaden her smile and whiten her teeth (Fig. 4).
The conversation initially was about veneers and gingivectomy, prompting a discussion on how we could enhance her smile from the Smile Geni simulation. To show the patient what we needed to do to address her needs and wishes, we then uploaded the patient data, such as intra-oral scans, radiographs and photographs, to the Smile Geni 3D to collate all objective multidisciplinary solutions guided by the patient–clinician interaction and not based on a product. This enables the clinician to take control of the direction of patient care and to present the treatment plan via the Smile Geni 3D for achieving the Smile Geni-driven results.
Smile Geni assists in creating unbiased and automated pathways of cosmetic options and care. As a provider, I can then engage the aligner provider of choice, develop the orthodontic solution or upload the digital plan to the Smile Geni 3D to compare and critique the restorative solution or both orthodontic and restorative options. This then allows AI-driven evaluation of preparation to guide the clinician on whether to prepare tooth structure before orthodontic care or to plan the orthodontic care to minimise invasive preparation. This ensures that the risks of irreversible and invasive dental procedures are presented in a clear and visual way, making it easier for patients to fully understand and give informed consent for the cosmetic dentistry treatment that they are agreeing to—like never before.
In this case, after the patient had viewed her Smile Geni 3D, which highlighted the benefits of veneers compared with orthodontic options, she chose the least invasive and reversible solution. The patient and I decided to proceed with Invisalign and completed the treatment with aligners after 20 months, and I then performed in-chair whitening (Figs. 5 & 6).
Figs. 5a–c: Extra-oral photographs: Before (a) and after (b & c).
Figs. 6a & b: Before (a) and after (b), case version 2.
What is Smile Geni?
Using advanced AI algorithms, Smile Geni can quickly enhance a patient’s smile to achieve the optimal facial aesthetics in just seconds. It enables clinicians to build an emotional connection with their patients by allowing them to visualise their ideal smile transformation before any procedures are carried out.
Fig. 7: Before and after, case version 2.
How do you use Smile Geni?
Smile Geni is incredibly easy to use. Simply upload a selfie photograph of the patient’s smiling face, and the AI technology takes care of the rest. Within seconds, Smile Geni generates a digitally enhanced version of the patient’s smile, showcasing optimal facial aesthetics. This gives both the clinician and patient a preview of the potential transformation, helping to establish an emotional connection. Once that connection is made, the next step is planning of the ideal smile transformation.
For this, you will engage with Smile Geni 3D. Simply upload the patient’s full set of photographs, intra-oral scans and, if available, a third-party aligner software plan to Smile Geni 3D. The software will then generate an interactive visual plan, demonstrating how the smile transformation can be achieved. If needed, you can also request virtual mentorship or a second opinion to guide your next steps, ensuring that you deliver the patient’s Smile Geni wow!
Why use Smile Geni?
Smile Geni ignites the smile transformation journey between the patient and clinician by instantly enhancing the patient’s smile to the optimal facial aesthetics in seconds. By providing the patient with a glimpse of the potential smile transformation, the clinician can effectively communicate treatment options and develop the patient’s emotional connection to his or her smile transformation journey.
How does Smile Geni compare with other software?
Smile Geni stands out owing to its advanced AI-powered technology, which enables instant smile transformation. While others may offer similar services, Smile Geni’s innovative approach provides unparalleled speed and accuracy in enhancing patients’ smiles. Once you create the wow! with your patient and establish an emotional connection with the result in mind, the next step is to focus on creating the plan for how to achieve that ideal smile transformation. With virtual mentorship and smile simulation tools, you can create the plan by uploading STL files, CBCT data and photographs. These resources allow you to plan and visualise the exact steps needed to achieve the desired smile transformation, ensuring a seamless process from simulation to treatment.
This digital diagnostic and treatment planning service has evolved since 2018, starting as the AORTA digital laboratory, to create a digital restorative simulation that works seamlessly with any aligner system. It is designed for both direct and indirect restorative treatments, as well as soft-tissue augmentation. This evolution led to the creation of Smile Geni 3D.
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