What Is Digital Smile Design?

October 15, 2026

What Is Digital Smile Design? How to Preview Your New Smile Before Treatment Begins

Before you undergo a major smile transformation with cosmetic dental treatments like veneers, crowns, or dental implants, you’ll probably try to imagine what you will look like after your treatment is complete. With Digital Smile Design, you don’t have to guess based on treatment descriptions and other patients’ before and after photos. You can get a clear look at what you can expect from your smile makeover, so you can feel confident going into your treatment. 

At CHS Dental, our priority is providing honest, diagnostic clarity so you can make the best decision for your health and aesthetic goals. That’s why we incorporate Digital Smile Design software at our Mount Pleasant dental practice. Schedule a cosmetic consultation with Dr. Alex Kusek to start planning your treatment with this personalized approach. 

What Is Digital Smile Design?

Digital Smile Design (DSD) is a planning process that uses photos, video, and 3D scans of your teeth and face to design changes to your smile before treatment begins. You and your dentist review the design together, adjust it, and use it as the blueprint for veneers, crowns, implants, or a full smile makeover. DSD is not a photo filter or beauty app. It is a clinical planning tool tied to function and long-term stability. The design is built around your face, lips, gum line, tooth proportions, and bite, not a one-size template.

How Does Digital Smile Design Work?

With Digital Smile Design, you can preview your dental work before it begins and take a collaborative role in your treatment planning. Here’s what you can expect:  

1. Consultation: We’ll discuss your goals, what you like, what bothers you, how you want to feel when you smile.

2. Records: Photos, a short smile video, and a digital scan of your teeth, and 3D imaging when needed, all with no impression trays. 

3. Design: Dr. Kusek plans tooth shape, length, and proportions to fit your face and bite. 

4. Preview: You see the proposed smile before treatment begins. 

5. Adjust: You ask questions and request changes until the plan feels right.

6. Treatment: The approved design guides the final restorations, many of which CHS Dental designs and fabricates on site with milling and 3D printing.

What Can You See Before Treatment Begins?

Before treatment begins, you’ll be able to see the tooth shape, length, width, and shade; how the gum line frames your teeth; and how your smile is framed by your face. Remember, your treatment preview with DSD is a planning guide, not a guarantee of outcomes. Results depend on your overall oral health, bite, restoration materials, and the healing process. However, most patients find that DSD gives them a much more accurate idea of their likely outcomes than descriptions and other patients’ before and after photos. 

Why Preview Your Smile First?

Previewing your results before a smile makeover gives you more clarity before investing in major dental treatments and allows you to refine your results before treatment even starts. It’s much easier to show the dentist how you want to look rather than simply describing your treatment goals. Plus, the diagnostic tools used to plan your treatment ensure that you’ll not only achieve your desired appearance, but also that your smile is functional and has long-term stability. 

Which Treatments Can Digital Smile Design Help Plan?

Digital Smile Design can help you plan single treatments or complete smile makeovers. It is particularly helpful when combining multiple treatments, as it can be hard to envision the combined results of different procedures, which might include: 

What to Look for in a Digital Smile Design Dentist

Before choosing a dentist for your smile makeover and DSD planning, ask the following questions to ensure you get the right care for your needs. 

  • Will the dentist who designs my smile also do my treatment?
  • Are restorations made in-house or sent to an outside lab?
  • What training does the dentist have?
  • Does the plan consider my bite and gums, not just color?
  • Can I see a preview and change it before we start?
  • What if I'm anxious about dental visits?

At CHS Dental, you’ll work with the same dentist throughout the course of your care, Dr. Alex Kusek who is an FAGD Fellow, Associate Fellow of the AAID, IV certification certified, and has 300+ hours of implant and bone grafting education. We design and mill many of our restorations in-house, on the same day as your treatment. DSD is part of our standard treatment process, and we can provide sedation dentistry services for patients who experience dental anxiety. 

See Your Smile Before You Commit

Envision your new smile with CHS Dental. Schedule your cosmetic consultation at 843-884-2021 or book online. We serve patients in Mount Pleasant, Daniel Island, Isle of Palms, Sullivan’s Island, and Charleston. 

Digital Smile Design FAQs 

1. What is digital smile design?

Digital smile design is a way to plan and preview changes to your smile before treatment begins. Your dentist uses photos, video, and a digital scan of your teeth to design a smile that fits your face and bite. You review it together, adjust it, and use it as the blueprint for your treatment.

2. Is digital smile design painful?

No. Planning uses photos, a short video, and a digital scan of your teeth, so there are no needles, no drilling, and no impression trays. 

3. Will my final smile look exactly like the preview?

The preview is a close guide, not a guarantee. It shows the shape, proportions, and shade we plan to create, and Dr. Kusek uses it to guide each step. Your results also depend on your oral health, bite, materials, and healing, and we'll talk through any areas of concern before treatment begins.

4. Can I change the design before treatment starts?

Yes. Smile design is a collaborative process. You can ask questions and request changes to tooth shape, length, or shade before anything is final, and Dr. Kusek will explain how each change affects function and long-term stability.

5. What treatments can digital smile design help plan?

It can help plan porcelain veneers, smile makeovers, same-day crowns, dental implants, and whitening before restorations. It's most useful when several teeth or treatments are involved, because you can see how the pieces fit together before treatment begins. 

6. How much does digital smile design cost, and does insurance cover it?

Cosmetic treatment is often not covered by dental insurance, though some restorative care may be. CHS Dental files most major dental insurance plans, and our team will review your benefits with you before treatment begins.

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