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Aesthetic Dentistry

Smile Design – Hollywood Smile

Teeth, lips, facial structure and even gaze are personalized. The real smile design is the design that complements this whole, is compatible with the face and lips and complements the smile and, above all, makes the person happy.

NOT ONLY YOUR TEETH, BUT ALSO YOUR SMILE CAN BE DESIGNED.

With Digital Smile Design, it is possible to provide this integrity and design a personal smile by scanning the person’s face and inside the mouth, adding the radiological image taken with three-dimensional imaging when necessary, and analyzing every aspect. 

Important factors in smile aesthetics; The harmony of factors such as the level of the lips, the length of the teeth, the gum level, tooth color, tooth alignment, the harmony of the lips and teeth when we smile, and the harmony of the smile line individually and with each other are of great importance in making aesthetic smile analysis.

“BE THE ARCHITECT OF YOUR OWN SMILE WITH PRE-PLANNED MOCK-UPS

Smile design is carried out in the following order:

1) Firstly, the photographs taken in the studio environment and all images taken with a digital camera inside the mouth are transferred to the computer programme.

2) Two-dimensional visuals are prepared with smile design programmes on photographs

3) Afterwards, three-dimensional prediction models are prepared and your smile can be rehearsed without applying an interventional procedure to your teeth with the Mock-Up technique using the plaques obtained from these models.

4) Based on the Mock-Up (prediction modeling) applied in the mouth, gingival symmetry and leveling are provided and “Pink Aesthetics” is provided primarily.

5) The teeth are then minimally abraded as necessary.

6) Aesthetic applications are completed as previously designed and bonded on the teeth.

It is possible to completely change your smile with very thin leaf restorations, which we call lamina, which are bonded only on the front surface of the teeth.

Before any intervention on the teeth, you can see your smile close to its finished state in the mouth with mock-up techniques. Thus, you will not worry about how my teeth will be at the end of the procedure.

Thin-structured porcelain laminates provide a bright appearance on the teeth with its transparency similar to natural tooth enamel. It is a frequently preferred treatment option in smile design due to its superior aesthetic features.

No Prep Veneers

No-Prep Veneer is a laminate veneer (leaf porcelain) application made directly by taking impressions without any abrasion process without disturbing the originality of the teeth. 

The difference from classical laminate veneer is that it is applied without any preparation such as roughening or abrasion on the tooth surface. Non-procedural veneer is a very successful method in terms of getting quick and aesthetic results in dental problems such as discolouration, loss of material and spacing problems in teeth. They are bonded on the teeth one by one with a special bonding technique and their durability is not less than the original tooth because they are supported by the natural tooth. Even if the tooth decays from the inside, the veneers are not damaged. Due to its material properties, it is not easily discolored, but since it is worked very finely, it can reflect the advanced discolouration of the tooth. No-prep veneers can be used for long periods of time. As with any kind of dental restoration, good care and regular control prolongs their usage period.

What are the Advantages of No-Prep Veneer Treatment?

No anxiety during the procedure: Since your teeth are not abraded, the originality of your teeth is not impaired.

No Pain: Since there is no shaving, it is completed in a short time and without the need for anesthesia.

No-Prep Veneer Treatment Process:

Firstly, your dentist examines your teeth in detail by photographing your teeth, learns your wishes and expectations, and evaluates whether this procedure is suitable for you. Because like all other applications, this procedure may not be suitable for everyone. If it is suitable, the following steps are continued, if not, an alternative correct procedure is recommended.

Detailed photography is performed and both jaws are recorded with an intraoral scanning camera and their relationship with each other is determined.

First, a “two-dimensional” smile design is made on the photographs. In this design, many issues such as the relationship of the teeth with the lips, face shape, gender, the form of the existing teeth, the visibility and symmetry of the gums in the smile are evaluated and a personalised smile is designed.

If the two-dimensional design is liked, the process can be started or, if desired, it can be transferred to a different programme and the desired sizing and shaping are made and a personal Mock-Up plate is obtained by making “Three Dimensional” digital modeling in accordance with the finished shape. With this plaque, the smile shape is shown practically on their own teeth. If desired, modifications can be made on it and the ideal result is obtained before any procedure is performed. Thus, it is possible to start the process “Carefree”.

In the Mock-Up application, if a shape change is required on the gums, the gums are provided with laser sizing and symmetry by taking the plaque borders as a guide. This process is called pink aesthetics. For aesthetic results, pink aesthetics is as important as lamina construction, which we call white aesthetics.

If changes are made, the final state of the teeth is scanned with a camera over the Mock-Up material and sent to the laboratory.

The desired color is determined by joint decision.

Laminates are prepared in the laboratory in the light of all this information.

The laminates that come to the clinic are rehearsed, corrections are made if necessary, and they are bonded on the teeth with special bonding materials.

When Can Laminate Veneer and When Can No-Prep Veneer Be Applied?

Laminate veneer should be applied if the tooth color is very dark and more than a few shades of whitening is desired, if the teeth are cramped or in a position that requires abrasion.

If the teeth are small in size, if there is a gap between the teeth and if too much bleaching is not desired, no-prep veneers should be applied.

In laminate veneer applications, laminates are applied to the tooth surface after some abrasion from the enamel layer, while no-prep veneers are not abraded.

If laminate veneers are removed, new laminates need to be made, if no-prep veneers are removed, the teeth can continue to be used in their original state.

As an aesthetic result, the most appropriate treatment is performed with the right indication.

Bonding

Bonding is the repair of decayed, broken, chipped or discolored teeth with tooth-coloured composite resin material.

Bonding applications are aesthetic arrangements that can be applied without touching the tooth surface or with very little roughening, especially in gaps and level differences between teeth. It may be possible to achieve the desired result by using special filling materials.

Bonding; It is the process of applying bonding material and tooth-coloured composite resin to the desired areas only without removing the tissue from the tooth surface.

With composite lamina applications, it is possible to cover some crowding, fractures or gaps called diastema by removing very little tissue from the front surface of the teeth.

Thus, smile aesthetics can be achieved.

”Porcelain Laminates can be preferred when longer term and permanent aesthetic solutions are desired.”

Empress – Emax

The IPS Empress System gives the closest visual appearance to the original healthy tooth in the restoration of defects on the teeth and in aesthetic applications (Smile Design).

IPS Empress glass ceramic is a highly aesthetic, leucite-based material that naturally diffuses incoming light and creates a balanced chameleon effect. It provides a comfortable use with its translucency and lifelike appearance. 

All-ceramic single tooth restorations in veneers, inlays, onlays and crowns therefore blend in with their natural surroundings. The careful tooth preparation technique is effective in the good adaptation and longevity of the restorations. The tooth structure can be preserved with minimal tooth abrasion.

Advantages:

Working with the pressing technique and CAD/CAM (digitally designed and manufactured) technique, aesthetic results can be obtained according to the needs,

Ability to give a natural chameleon effect for optimum color matching of the studied teeth with the surrounding teeth,

Made of 40 million times proven leucite glass ceramic with a bending strength of 160 MPa.

Applied Processes

Single tooth restorations inlays, onlays, veneers, anterior and posterior crowns.

Excellent durability,

IPS E.max CAD Veneer solutions are CAD/CAM (digitally designed and manufactured) veneer structures for zirconium oxide substructures. It is an unrivaled combination of lithium disilicate and zirconium oxide. It enables the construction of highly durable, aesthetic tooth and implant-supported bridge restorations.

With digital production, it is possible to save time and apply restorations with low margin of error.

Advantages:

Very aesthetic and resistant thanks to the combined use of lithium disilicate (LS2) and zirconium oxide (ZrO2).

Good adhesion with ceramic.

Can be characterized by customisable tooth colors.

It enables digital production in a short time.

Applied Procedures

Crowns

Bridges (multi-membered over tooth and over implant)

Monolith Zirconium

The biggest difference of monolithic zirconium from normal zirconium core materials is that it is not damaged by direct contact with saliva in the oral environment and is more aesthetic than normal zirconium material. They can be used as a single piece or on the chewing surfaces where the chewing force is the highest without the need to process porcelain material with lower resistance.

In zirconium core materials obtained from normal zirconium blocks, porcelain should be completely processed on it and it should not be open to the oral environment. But monolithic zirconium can be used quite safely in the mouth and is a highly preferred material thanks to its aesthetic properties that transmit light.

Tooth Whitening

If you are satisfied with your teeth in terms of shape, form and arrangement but not in terms of color, it is possible to achieve a whiter, well-groomed and healthy appearance with today’s whitening / bleaching techniques and materials.

There are two types of bleaching procedures: office-type, which is applied in the clinic, and home-type bleaching.

In office whitening, special whitening gels are applied on the teeth and then the gel is activated using special light sources. The activated gel allows the teeth to whiten several tones in a single session.

In the home whitening process, you can apply the whitening gel you will receive from your dentist at home with the help of transparent plaques specially prepared for you. Home whitening should also be performed under the control of a dentist. But the most successful results are possible with office whitening.

Porcelain Inlay-Onlay fillings

Porcelain fillings are fillings with superior aesthetics and durability prepared in the laboratory environment. Compared to composite fillings, they are much more compatible with the tooth and neighboring teeth. After the broken, decayed or old filled part of the tooth is removed, the remaining healthy part is measured and sent to the laboratory. In the laboratory environment, fillings with excellent aesthetics and function are obtained by taking the model prepared with a sensitive technology. The most advanced technology is used in the preparation of this porcelain filling, healthy tooth tissue in the mouth is not touched, and maximum retention is achieved with minimum material loss. Since they are made of a special compressed porcelain and are not hardened in the mouth, edge leakage is minimal. In addition, these porcelains are the materials closest to the hardness of the tooth and most compatible with the gingiva. Since its hardness is very close to the enamel tissue of the tooth, it does not abrade the teeth like other porcelains and does not wear like composite fillings. It should be preferred instead of composite filling or crown (veneer), especially in large material losses.

How is it done?

The decay is cleaned and a cavity is created in the tooth and the impression taken from this cavity is sent to the laboratory. In the laboratory environment, the model prepared with a sensitive technology is taken to the special IPS machine and fillings with perfect aesthetics and function are obtained. When the patient comes to the next session, the polished porcelain filling is adhered to the cavity with special adhesives. Porcelain fillings have been developed to protect healthy tooth tissue in cases where there is a lot of material loss and the tooth is completely reduced and crown application is required. They provide excellent aesthetics, edge harmony and adaptation. These porcelains are the materials closest to the hardness of the tooth and most compatible with the gingiva. Since its hardness is very close to the enamel tissue of the tooth, it does not wear like composite fillings. It should be preferred instead of composite filling or crown (veneer), especially in large material losses.

gingival aesthetics – gummy smile treatment

What is Gummy Smile?

If the question of what is a gummy smile is answered, it can be briefly called a gummy smile. This condition, called gummy smile, is the way the gums are seen more than normal while talking or laughing. In fact, teeth of normal size are perceived as much larger than their size during the gum smile. Although this is considered normal by most people, people with gums of this structure feel this more psychologically. This situation, which is a problem during smile aesthetics, affects individuals socially. Nevertheless, although it is not very common in every person, there are treatment methods developed for this formation.

What are the Causes of Gummy Smile?

After finding the answer to the question of what is gummy smile, the reasons for its occurrence in people are listed as follows;

Thin size of the upper lip

Hypermobility of the upper lip muscle (the most common cause)

Small tooth height

Overgrowth of the upper jaw in the vertical direction

Bone growth on the outer side of the upper jaw

Excessive growth of gums due to hypertension medication

Inflammation as a result of gum disease

There are botox and crown lengthening operations that are applied for gummy smile caused by these reasons.

What is Crown Lengthening Operation?

Gingivectomy, that is, tooth lengthening, apical shifted flap procedures with or without bone resection are the preferred operations for crown lengthening. The main purpose of this method is to remove excess gum tissue and thus regulate the amount of gum in the front teeth. However, the existing trapezoid between the lengths of the crown is treated. By increasing the length of the front teeth, the symmetry of the gums is intervened. These treatments are carried out painlessly and thus, positive returns are obtained from the results of the gummy smile method.

What is Gummy Smile Treatment with Botox Application?

Botox, which is known to be a toxin substance, is frequently used today in the fields of aesthetics and oral and dental treatment. Botox, which is often a simplified, simplified form of a poison, is another method used in gummy smile treatment.

Botox method is used in case of excessive shortening of the muscles that provide the laughing movement. This type of treatment is performed only with the help of injectors and no other procedure is required. Botox substance is applied by dentists through an injector to two or five different points depending on the weight of the gummy smile in the person. The procedure points are the centers where the lip and nose wings meet, the intersection of the nose and the upper lip and the sides of the nasal root.

When it is wondered whether Botox treatment is a painful procedure, it is answered that the injection area is numbed with local anesthetic creams.

Things to Consider After Botox?

Since a needle is inserted into the skin, make-up should not be applied on the same day.

Since blood vessels dilate in this treatment, excessive alcohol should not be taken.

It should not be contacted with excessively hot water and steamy environments should be avoided. Showering with warm water does not pose a problem.

It should not be forgotten that chin and lip movements can be continued normally.

Who Should Botox Application Not Be Performed?

Pregnant and breastfeeding people

Especially for people with infection in the area where the application will be performed in the lip area

For patients undergoing cancer treatment

Those with bleeding disorders

People with muscle disease

People with severe psychiatric disorders

Those who have to use blood thinners