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  2. Natural Restorations Clinical Protocols
  3. Natural teeth-supported prosthesis protocol

Case Preparation - Step 1 - Ideal Design Analysis


  • Evaluate the DSD Ideal Design and perform the DSD Mock up with the patient (Motivational Design).
  • Remember that the Motivational design often does not represent the ideal final outcome. The Ideal design is what will be used for the Prep Guides and the Natural Restorations.
  • After testing the mock up you can suggest changes to the project if you feel it is necessary. If you are not happy with the selected tooth library, this is the moment to change. In cases that entail major modifications to the design, we suggest trying in a new mock up to receive final approval from the patient. 
  • Evaluate details like morphology and surface texture of the chosen 3D tooth library. All these small details will be copied in the final restorations. The ideal moment to review all these details and approve the final Ideal design is right before the restorative phase, not necessarily at the initial pre-treatment acceptance, especially in cases that will need different pre-restorative treatments such as ortho, crown lengthening, implants, etc. 
  • Remember that the DSD Natural Restorations will exactly follow the natural shapes from the library used at this moment.
  • If any intermediate treatment is necessary (ortho, crown lengthening, surgeries), we suggest making a new Ideal & Motivational design before the restorative phase. Please remember to send updated intraoral scans before the final restorative design if changes have been made.


  • We strongly recommend that you perform the treatments that our design is suggesting, such as ortho, gingival recontouring, implants, etc. If you decide not to follow the full treatment plan suggestion, please note that the initial Ideal Design will certainly need changes. 
  • For natural teeth restorations, we strongly recommend that you also order the DSD Prep Guides, to guarantee enough clearance.
  • The use of Prep Guides is highly recommended to ensure consistent and predictable ​​Natural Restorations results. The Complete Prep Guides consist of three or more individual guides. These guides are:
    • Reduction Guide - only when the case requires a clear subtraction of either the buccal or incisal edge. 
    • Incisal Quality Control Guide - used to determine if the incisal edges have been sufficiently prepared. 
    • Buccal Quality Control Guide - used to determine if the buccal surfaces have been sufficiently prepared. 
    • Interproximal Quality Control Guide - used to determine if the interproximal areas have been sufficiently prepared.


  • Please avoid undercuts and be aware that the Prep Guides are not designed to prevent any retentive areas.
  • After prepping, share the intraoral STL files of the preps, antagonist, and bite relation. In addition, please provide intraoral photos of stump shade and final desired shade. All these files should be uploaded to the patient case on the DSD website.