Dr. Christian Coachman

TMJ Practitioner



Digital Smile Design

Dr. Christian Coachman received his DDS degree from the University of Sao Paulo Dental School in 2002. Before the DDS degree, he obtained his technician certificate in in Dental Prosthesis.

He participated in the ceramic specialization program at Ceramoart Training Center, mentored by Dr. Dario Adolfi. For his remarkable performance, he was invited to become instructor at this same school. In 2004, he was invited by Dr. David Garber, Ronald Goldstein, Maurice and Henry Salama (Team Atlanta/USA) to be the master ceramist in their laboratory, where he stayed for over 4 years.

TMJ Practitioner Dr Konstantin Ronkin

Recently he has been working with renowned dentists around the world as Drs Eric Van Dooren (Belgium), Galip Gurel (Turkey), Nizan Bichacho (Israel), Mauro Fradeani (Italy) and Marcelo Calamita (Brazil). Currently, he keeps a part time practice in Sao Paulo and make consults for companies developing products and implementing concepts. He developed the concept of the Digital Smile Design and has been invited to give hundreds of lectures around the world in the last few years on the topics of smile design, esthetic dentistry, and oral rehabilitation.

He published several articles on esthetic dentistry, smile design, pink restorations, and implant rehabilitations.

What is Digital Smile Design (DSD)?

The excellence in functional and aesthetic dentistry will never be achieved by accident. It is consistently achieved by a systematic approach for diagnosis, communication, treatment planning, execution, and case maintenance.

DIGITAL SMILE DESIGN (DSD) is a multipurpose conceptual protocol which provides remarkable advantages:
the diagnostic abilities are facilitated through an extra-and-intra oral aesthetic and structural evaluation
improved communication between the team members providing a better visual perception, education and motivation for patients
increased effectiveness of case presentation and accordingly case acceptance
Clinical efficiency and predictability trough digital technology

DSD ETHICALLY INVOLVES THE PATIENTS in the restorative or smile enhancement process, making them the co-designer of their own treatment by sharing objectives, expressing their desires and expectations with the restorative team. The interaction between patient and dental specialist is improved by photos and videos taken at several steps of the treatment.

The experiences all over the world have been tremendous. Once the restorative technical requirements are combined with the desires and emotional needs of the patient, great results will be achieved – creating a path to a natural, confident and beautiful smile. Nowadays having a mouth free of biological and functional issues is not satisfying for demanding patients.Their desire is to own naturally beautiful smiles that harmonise with their physical characteristics and most importantly with their personalities. DSD dentists are aware of all the contributing factors that are necessary to make patients more satisfied beyond conventional dentistry. Developing an artistic vision and a set of appropriate skills are needed in order to become a Digital Smile Designer. Each customised patient design can be clearly visualised and improved with the patients ideas.Therefore the DSD Concept allows dentists to implement these benefits for patients, creating a smile that reflects their own personality and greatly enhances the experience and the results for all.

THE WHOLE CONCEPT is based upon the analysis of the patients facial and dental proportions, utilising a predetermined series of high quality digital photographs and videos understanding the relationship between teeth, gums, lips, smile with the facial features in motion and with emotion.

Digital drawings are easily made on the pictures, following a didactical equence and a digital ruler is provided to precisely communicate with the dental technician and team when designing the smile. Resulting in a clear, attractive and understandable treatment presentation for patients.

The achievement of ideal aesthetic and functional results critically depends on teamwork, interdisciplinary communication and case re-evaluation.

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