Technology is described for generating a design for a dental restorative product from one or more dental images of a patient. The method can include obtaining a three-dimensional (3D) image of dentition of the patient prior to a change in dentition of the patient; and then determining the change in dentition of the patient. A design of a dental restorative product can be automatically generated for at least one tooth of the patient based on the 3D image of dentition prior to the change in dentition. Various other computer-implemented methods, systems, and computer-readable media are also disclosed.