Method, system, and computer program product to perform digital orthodontics at one or more sites

1. A computer implemented method of creating an orthodontic appliance, comprising:

acquiring a set of anthropomorphic measurements of a patient into a computational device, wherein at least one anthropomorphic measurement in the set of anthropomorphic measurements is a commissure width of the patient;

maintaining, in a computational device, a set of rules to design an orthodontic appliance for generating an aesthetic smile, wherein the set of rules is associated with an application that executes in the computational device;

selecting a rule in the set of rules;

generating, via the application, a parameter to design the orthodontic appliance based on at least one anthropomorphic measurement in the set of anthropomorphic measurements and at least the selected rule in the set of rules for generating the aesthetic smile, wherein the parameter is a dimension of the orthodontic appliance, and is configured to allow the patient employing the orthodontic appliance on the patient's teeth to achieve the aesthetic smile in conformance with a selected rule, and the selected rule relates the measured commissure width to the parameter; and

manufacturing an orthodontic appliance based upon an appliance design created from the generated parameter.

2. The method of claim 1 , the method further comprising:

generating a three-dimensional view of the aesthetic smile of the patient based on simulating a treatment of the patient with the designed orthodontic appliance; and

transmitting the three-dimensional view of the aesthetic smile of the patient.

3. The method of claim 2 , the method further comprising:

displaying the three-dimensional view of the aesthetic smile of the patient, to the patient.

4. The method of claim 1 , further comprising:

generating a tentative treatment plan based on a sequence of images;

sending the tentative treatment plan and the sequence of images;

receiving an approved treatment plan, in response to the sending of the tentative treatment plan and the sequence of images; and

maintaining a log file with timestamps corresponding the approved treatment plan.

5. The method of claim 4 , further comprising:

designing the orthodontic appliance, in response to receiving the approved treatment plan; and

sending the designed orthodontic appliance to a custom orthodontic appliance production device.

6. The method of claim 5 , further comprising:

manufacturing, by the custom orthodontic appliance production device, the designed orthodontic appliance; and

shipping the manufactured custom orthodontic appliance.

7. The method of claim 1 , wherein:

the computational device is maintained at a site controlled by a manufacturer of the orthodontic appliance; and

a clinic site device is maintained at a site controlled by a dental practitioner.

8. The method of claim 1 , wherein the set of anthropomorphic measurements is acquired from photographic imagery, digital video imagery, intra-oral scan imagery, cone beam computed tomography imagery, X-ray imagery, magnetic resonance imagery, ultrasound imagery, electron beam imagery, images of soft tissue, images of hard tissue, images of teeth of the patient, or a combination thereof.

9. The method of claim 1 , wherein the selected rule provides an optimal smile to the patient in conformance with an optimization criterion associated with the selected rule.

10. The method of claim 1 , wherein the computational device receives general case preferences from a dental practitioner during registration of the dental practitioner, and wherein the general case preferences include at least one of appliance preferences, torque values, and end of treatment preferences.

11. The method of claim 1 , wherein the set of anthropomorphic measurements is acquired from a photograph taken at an eye level of the patient.

12. The method of claim 1 , wherein the anthropomorphic measurements include commissure width, curvature of lower lip, incisor display dimension, philtrum length, crown height, gingiva display, lip incompetence, facial symmetry, or a combination thereof.

13. The method of claim 1 , further comprising:

providing weightings to one or more factors, wherein the factors include a smile index, an incisor display, a commissure width, a philtrum length, a crown height, an incisor at rest characteristic, a gingiva display on smile characteristic, a lip incompetence, a facial symmetry, or a combination thereof; and

generating a composite score for the aesthetic smile using weighting of the one or more factors.

14. The method of claim 1 , wherein the set of rules quantifies the aesthetic smile by using:

macro-aesthetics rules;

mini-aesthetics rules;

micro-aesthetics rules, or a combination thereof.

15. The method of claim 14 , wherein the macro-aesthetics rules relate to one or more factors selected from a group consisting of:

profile;

lip fullness;

chin projection;

nasal base width;

nasofrontal angle;

vertical proportions;

intercanthal distance;

nasal projection;

pupil-midfacial distance; and

nasolabial angle.

16. The method of claim 14 , wherein the mini-aesthetics rules relate to one or more factors selected from a group consisting of:

incisor display;

crowding;

smile symmetry;

transverse smile;

gingival display;

vermilion display;

smile arc;

occlusal space cant; and

buccal corridor.

17. The method of claim 14 , wherein the micro-aesthetics rules relate to one or more factors selected from a group consisting of:

tooth shape;

incisor angulations;

tooth height and width relationship;

relative proportions central incisor, lateral incisor, canine, and first premolar;

tooth shade;

gingival height;

emergence profile; and

spacing.

18. The method of claim 1 , wherein to generate an aesthetic smile, the orthodontic appliance is designed to perform:

changing of tooth positioning via appliance parameters to change transverse smile characteristics.

19. The method of claim 18 , wherein to generate an aesthetic smile, the orthodontic appliance is further designed to perform:

correcting of flat smile via changing appliance parameters to at least extrude maxillary incisors.

20. The method of claim 19 , wherein to generate an aesthetic smile, the orthodontic appliance is further designed to perform:

generation of broader smile via broader arch wires.

21. The method of claim 20 , wherein to generate an aesthetic smile, the orthodontic appliance is further designed to perform:

correcting of dental crowding via expansion of arch.

22. The method of claim 21 , wherein to generate an aesthetic smile, the orthodontic appliance is further designed to perform:

correcting of excessive mandibular incisor protrusion.