A smile preview can give you a picture to discuss, but a picture is not a treatment result. Before relying on a simulation, ask what it represents, which assumptions it uses and what clinical decisions still need to be made. The goal is a clearer conversation about possibilities and limits.

When discussing cosmetic care with Rudy Aldaragi DDS, confirm what preview or mock-up options are currently available. Do not assume that a particular software package, AI feature or physical trial is included in every consultation.

Find out what kind of preview you are seeing

Ask whether the image is an illustration edited onto a photograph, a view derived from a digital model, or part of a more detailed clinical plan. These are not interchangeable. A visually realistic image may still leave important clinical questions unanswered.

Ask which records were used and when they were taken. Which elements were changed for the illustration? Does it depict a possible shade, tooth shape or position without yet establishing how that change could be achieved? Keep a clear distinction between a preference shown on screen and an agreed treatment plan.

Use the image to express preferences

Discuss what you like and dislike in concrete terms: a particular shape, the amount of tooth visible or the contrast between adjacent teeth. Bring a few reference images if useful, while recognizing that another person’s result does not establish what is suitable for you.

Ask the dentist which preferences are compatible with the examination findings and which might require compromise. A simulation should help reveal questions, not pressure you to accept a plan because the image looks appealing.

Ask what the preview cannot establish

Does it show appearance only, or has function been assessed separately?
Which aspects of tooth and gum health still need clinical evaluation?
What assumptions have been made about the materials and proposed procedures?
What changes might occur as the plan is assessed or treatment progresses?
Which differences between the preview and the final result should be expected or discussed?

Do not treat a screen image as proof of an exact shade, fit, comfort, durability or healing response. There is no universal percentage of accuracy that applies to every preview method and patient.

Separate a simulation from consent for treatment

Approving an image does not by itself explain the procedures, risks, costs, alternatives or maintenance involved. Ask what would actually need to happen to move toward the illustrated appearance and which steps could be irreversible.

For example, the American Dental Association’s veneer guidance explains that veneer treatment can involve enamel removal and is not reversible. It also describes the need to address existing dental problems and the possibility of future repair or replacement. A preview alone does not resolve those decisions.

Ask about a physical mock-up if one is proposed

A physical trial, temporary restoration and final restoration may have different purposes and limitations. Ask what the proposed trial can help assess, how it differs from the final material and what it cannot predict. Do not assume a mock-up is possible or appropriate for every treatment.

If the appearance or feel is unsatisfactory, ask what the observation means for the plan. A favorable trial is useful information, but it is not a guarantee of the final result or long-term function.

Record assumptions and unanswered questions

Before agreeing to treatment, ask for a clear explanation of the proposed procedures, alternatives, estimate, likely sequence and follow-up arrangements. Confirm which elements remain provisional. Ask what could change the plan, cost or appointment schedule.

Keep your feedback specific and let the dentist assess feasibility. If you are uncertain, ask for more explanation or whether a second opinion would be useful. A consultation should leave room to choose a smaller change or to decline treatment.

Questions to take away

Will my final smile exactly match the preview?

A simulation cannot guarantee that. Ask which aspects are illustrative and which are supported by the current clinical plan.

Does every preview use AI or a 3D scan?

No universal workflow should be assumed. Confirm the method and records actually used.

Does approving the picture mean the treatment is fully planned?

No. Diagnosis, feasibility, alternatives, consent and follow-up still require a clinical discussion.

Digital Smile Previews: Understanding Simulations and Final-Result Limits