Digital, Laser & AI Dentistry
Overview
SmileWorx combines digital scanning, restorative technology, and personalized clinical planning to help patients understand their oral health and treatment options. In Vienna, VA, Dr. Olga Spivak uses iTero™ and Dentsply Sirona Primescan® digital scanning alongside CEREC® restorative technology, with treatment recommendations guided by your individual needs and long-term smile preservation.

Digital Technology With a Patient-Focused Purpose
Technology is most useful when it helps answer your questions and supports a thoughtful treatment plan. Digital models make it easier to discuss tooth shape, alignment, bite, and restorative options. Dr. Olga Spivak considers this information alongside your examination, dental history, symptoms, and goals before recommending care.
iTero™ Digital Scanner
SmileWorx uses an iTero™ digital scanner to capture detailed three-dimensional images of teeth and bite relationships. For suitable procedures, scanning offers an alternative to conventional impression material. The on-screen model gives you and your dental team a shared view of your smile, supporting clearer explanations and personalized planning.
Digital Impressions and Invisalign® Planning
A handheld intraoral scanner records the surfaces of your teeth to build a digital model. These records can support Invisalign® treatment planning and help explain tooth alignment and bite relationships. Your scan is considered with the other records and clinical findings needed to assess whether treatment is appropriate.
iTero™ NIRI Technology
SmileWorx also uses iTero™ NIRI Technology for early caries detection.
Digital Wellness Scans and Visual Communication
A digital wellness scan provides a visual record for discussing your teeth and oral health. Viewing a three-dimensional model can help make a conversation about tooth position, wear, or treatment options more understandable than a verbal explanation alone. These scans complement the examinations and preventive guidance described on our Wellness Dentistry page.
Comparing Scans Over Time
Comparing digital scans from different visits can help patients visualize changes in their teeth over time. When comparable records are available, reviewing them together can support conversations about changes in tooth position or wear. Scan comparisons require clinical interpretation and do not establish a diagnosis by themselves.
iTero™ Outcome Simulator
SmileWorx uses the iTero™ Outcome Simulator. Digital smile simulations illustrate potential treatment changes and can support a conversation about your goals. A preview is a planning and communication aid, not a prediction or guarantee of your final result. Your dental health, treatment choices, and individual response all matter when developing a personalized plan.
Dentsply Sirona Primescan® and CEREC®
Primescan® captures a digital impression that can be used to plan custom restorations. Detailed digital records help the dental team review the prepared tooth and its relationship to neighboring teeth and the bite. They also provide a clear visual reference when explaining restorative options to patients.
From Scan to Custom Restoration
CEREC® design software uses scan data to help plan the shape and contours of a restoration. The design is then used by the in-office CEREC® milling system to create the restoration from a selected dental material. Finishing steps vary with the material and clinical plan. Before placement, Dr. Spivak checks the restoration's fit, bite, shape, and appearance.
Same-Day Crowns When Appropriate
Scanning, digital design, and in-office fabrication can allow a custom crown to be completed in one appointment when clinically appropriate. This may reduce the need for a temporary crown and a separate placement visit. Not every tooth or restoration is suitable for this approach. Visit our Same-Day Crowns page to learn about the process and how suitability is evaluated.
DS Core
DS Core is also part of the digital technology used at SmileWorx.
Clinical Judgment Comes First
Digital planning tools support Dr. Spivak's clinical judgment rather than replacing it. A scan, simulation, or software-generated suggestion cannot independently determine which treatment is right for you. Clinical findings, existing restorations, bite relationships, gum health, and your preferences remain central to a comprehensive plan.
Planning involves both addressing current concerns and considering long-term oral health and preservation of healthy tooth structure. We discuss the benefits and limitations of treatment options, including cosmetic dentistry and minimally invasive approaches, so you can make informed decisions.
Solea Laser Dentistry
SmileWorx uses a Solea Laser. Your individual dental needs determine whether a laser procedure is appropriate. Ask our team about the techniques proposed for your care. We will explain the recommended procedure, alternatives, and comfort measures before treatment begins.
Frequently Asked Questions
Do digital scans replace every traditional impression?
Digital scanning is an option for many workflows, but the records needed depend on the procedure and your clinical needs. Your dental team will explain which approach is appropriate.
Does a digital scan replace an examination or X-rays?
No. A surface scan provides different information from a clinical examination or X-rays. Your dentist determines which records are needed to assess your teeth, gums, and supporting structures.
Is a smile simulation a guarantee of the result?
No. A simulation illustrates a possible outcome for discussion. Your treatment plan and expected results require an individual clinical assessment.
Can every crown be completed in one visit?
No. Tooth condition, restoration requirements, material selection, and other clinical considerations affect whether a same-day crown is appropriate.
Does software make treatment decisions?
No. Dr. Spivak evaluates the available information and makes clinical recommendations. Digital models and planning aids help communicate options and support that assessment.
Explore Your Treatment Options
Contact SmileWorx to discuss your dental concerns, ask about the technology relevant to your care, and learn what to expect during your visit.
Related Services
Same-Day Crowns
Custom ceramic crowns that may be completed in one visit when appropriate.
Invisalign®
Clear aligner treatment planned with precise digital modeling.
Cosmetic Dentistry
Smile design that improves color, shape, and symmetry.
Wellness Dentistry
A prevention-focused approach supported by early detection.

