美学区种植修复风险较高，在临床中存在诸多挑战。近年来，随着数字化技术的发展，临床医师致力于将治疗的重心前移到初始设计阶段，指导后续手术以降低操作难度、提高治疗效果的可预测性，最终实现美观与功能的精准化恢复。在此过程中，各种数字化手段的有机结合使得上述目标逐步成为现实。数字化设计能够整合口内和面部扫描图像，合并电子面弓及锥形束CT（CBCT）数据进行三维重建，构建虚拟患者，实现修复效果的三维预测。"以终为始"的治疗理念由此得以贯彻，种植及修复各环节实现更高精度。本文报道1例应用数字化手段辅助上下前牙区重度骨缺损伴多牙缺失的患者重建微笑美学与功能的病例。在该病例诊疗过程中，通过整合多项数字化技术指导治疗计划的制定、美学效果分析预测及指导种植和冠设计，最终完成种植及冠修复。术后6个月复查修复效果良好，患者前牙美观和咬合功能显著改善，获得了良好的临床疗效。

Implant restoration in the aesthetic zone involves substantial clinical risks and challenges. With the application and development of digital technology, shifting the focus of treatment to the initial design phase to guide subsequent surgery, to reduce operational difficulty, to enhance the predictability of treatment outcomes, and ultimately to achieve precise restoration of aesthetics and function remains an ongoing exploration for clinicians. The organic integration of various digital tools has gradually made these objectives a reality. Digital design enables the integration of intraoral and facial scan images with electronic facebow and cone-beam computed tomography (CBCT) data, facilitating three-dimensional reconstruction and virtual patient modeling for restorative outcome prediction. The "start with the end" philosophy ensures precision throughout implant and prosthetic procedures. This case report demonstrates the application of digital workflows to restore smile aesthetics and function in a patient presenting with severe anterior bone defects and multiple missing teeth. A combination of digital technologies guided treatment planning, aesthetic simulation, and surgical-prosthetic execution, culminating in successful implant and crown rehabilitation. Six-month follow-up revealed optimal restorative outcomes, with significant improvements in anterior esthetics and occlusal function.