Ivan Coffin

Ivan Coffin and Dr. Medina

Wow, does Ivan have a great smile? We have taken lots and lots of photos of Ivan’s smile. We have before photos, we have after photos. We have photos from all different angles. All the photos we have are very clinical in nature.

No matter what photo we look at, I think we can all agree, Ivan’s smile is wonderful.

Unfortunately, six years ago Ivan’s front tooth took a hit with a baseball. Ivan’s smile needed a bit of help. The rehabilitation journey has taken a while, endodontics, orthodontics and now it’s our turn to do the crown on a front tooth.

Digital Dentistry

I am old enough to remember life before computers. Are you old enough to remember those years? I also remember dentistry before computers as well. Computers are making a huge difference in how we do dentistry.

We are a fully digital dental office.

There are many procedures that still require us to do procedures in an analog way, but if digital does it better, we are taking full advantage.

I think Ivan’s case illustrates nicely how digital dentistry can help us with cosmetic dentistry.

When Ivan came to our office after the orthodontics, it was our turn to finalize his smile with one crown. Smiles with one crown can be a bit of a challenge, but it’s so much easier now in 2020 utilizing digital dentistry.

Here is a short outline of our workflow for digital smile design on one tooth to ensure the best outcome.

  • We made digital three-dimensional models of Ivan’s before smile using our iTero Scanner.
  • We sent the models via the internet to Paramount Dental Studio in Huntington Beach, CA
  • I explained to the lab that I wanted them to use the computer to “cut and paste” number 8, mirror the copy, and make tooth #9. As much as humanly possible I want 8 and 9 to be perfectly symmetrical. In the old times, these crowns were man-made, now we can make crowns that are digitally copied from mother nature. They are very natural.
  • Paramount Dental Studio designed the tooth that I was asking for and they sent us the Exocad file for our approval.  We then asked for some minor changes. (See Video)

If you would like to see the Exocad file first hand, check out this link.

  • We then asked for the STL file of the tooth. We then printed Ivan’s proposed smile on our FormLabs printer.  Before we commit to the final crown, we want to see what it will look like on the patient. The lab sent the STL file which we printed on our FormLabs printer.


  • We then placed a mockup of Ivan’s new proposed smile.

  • We were pleased with the results.  We then prepared the tooth and sent the master scan of the tooth to the lab for final fabrication.

Does your smile need a touchup? Are you curious to see what Digital Smile Design can do for your smile before you commit?  Give us a call (207) 236-4740.

Norman Medina DDS
Norman Medina DDS

Norman Medina DDS, graduated from Loma Linda University Dental School in 1994. He has been practicing dentistry in Midcoast Maine since 1994. He and his wife Lanita have four children.

%d bloggers like this: