:To evaluate the clinical effect and patient satisfaction of Digital Smile Design (DSD) combined with the FACE? concept and BOPT surgical guide technology in the aesthetic restoration of maxillary anterior teeth. Methods:Fifteen patients requiring all-ceramic crown or veneer restorations on maxillary anterior teeth between January 2022 and June 2023 were selected. Preoperative smile analysis and aesthetic design were performed using DSD software. The virtual design was transferred to the clinical setting via 3D-printed diagnostic mock-ups and BOPT surgical guides. Minimally invasive tooth preparation was precisely guided by the stent, followed by the final delivery of the restorations. Patient satisfaction was assessed using a Visual Analogue Scale (VAS), and the restorations were evaluated according to the modified United States Public Health Service (USPHS) criteria. Results: A total of 32 restorations were successfully delivered in all 15 patients. At the 6-month follow-up, all restorations showed excellent performance in terms of morphology, color, and marginal adaptation, with all USPHS ratings being Alpha. The VAS scores for aesthetic outcome, comfort, and function were all above 9 (out of 10). Conclusion:The combination of DSD and FACE?/BOPT guide technology is a precise, predictable, and minimally invasive method for anterior aesthetic restoration. It effectively translates virtual design into clinical reality, facilitates consensus among the dentist, technician, and patient, and achieves outstanding aesthetic outcomes with high patient satisfaction.