Most of the materials used in dentistry contain metal and metal alloys. For people who are allergic to metal, the use of highly biocompatible, non-allergenic materials has increased. These biocompatible materials include zirconium implants, zirconium ceramics, glass ceramics, biohpp and visiolign composite materials (for implant solutions).
AMALGAM ALLERGY AND CORROSION
Amalgam fillings are filling materials containing mercury, which were frequently used by dentists in the past. Due to the mercury in its content, it is no longer preferred due to allergic reactions and mercury toxicity. However, it is also undesirable for other metal ions in amalgam to corrode with oral fluids and mix with oral tissues. For these reasons, composite fillings or preferably ceramic-composite (inlay/onlay) fillings are used instead of amalgam.
ALLERGY TO DENTURE IMPRESSION MATERIAL
In very rare cases, an allergic reaction to the polyether impression material used to take impressions for dentures may develop. Nowadays, the impressions to be taken from these people can be easily taken digitally thanks to intraoral scanners.
Although acrylic material is used in palatal prostheses, it may cause allergy in some bodies. In such cases, special materials that can be prepared with thermopress technology are used as an alternative to acrylic in palatal prosthesis.
LOCAL ANESTHESIA REACTIONS
Very rarely, a reaction to local anesthesia may develop.
A suitable anesthetic material can be identified by means of an allergy test.
In people who react to all kinds of local anesthesia, it becomes impossible to treat deep caries under normal conditions, especially when the pain threshold of the patient is taken into consideration. With Er:YAG lasers, caries treatment procedures can be performed by reducing pain by 90-95%, thus enabling people to be treated without fear.
The use of metal in the mouth is gradually decreasing with developing technologies and aesthetic expectations. The production of biologically compatible materials is also becoming widespread day by day. In this way, it is possible to provide patients with natural smiles while protecting their health by making biocompatible restorations.
It is a white substructure material that is used instead of metal substructures and is both aesthetic and durable. Thanks to its gingival compatibility, aesthetic properties and durability, it can be used for a wide range of superstructures from single and multiple tooth deficiencies to implant restorations. When durability is desired to be at the forefront, they can be prepared with zirconium on all surfaces, called monolithic zirconium, or they can be applied as a substructure for aesthetic ceramics.
Their light transmittance is much better than metal restorations and the purple appearance in the gums, which is frequently encountered in metal-supported restorations, does not occur in zirconium restorations.
It can also be used easily in patients with metal allergy.
Glass Ceramic Restorations
They are the most aesthetic restorations used in dentistry. They are produced directly from ceramic without using any substructure (white or gray) and thus their light transmittance is very close to natural teeth, but since there is no substructure, they can only be used in single tooth restorations, lamina restorations, inlay/onlay restorations called porcelain fillings.
They are technically sensitive procedures. For this reason, it is important that the physician who will work with this material has a good command of the ceramic material.
It is a material that can be used to apply metal-free restorations especially in implant fixed, screw or removable prostheses. It is white in color, but since it is an opaque material, it is used with different superstructures for aesthetic purposes.
It can be used safely and with high patient comfort, especially in over-implant / overdenture removable prostheses where metal skeletons are frequently used.
AMALGAM FILLING SOCKET
All amalgam restorations (gray fillings) contain 50% mercury and mercury vapor is released during chewing, brushing, clenching and cleaning. However, the most mercury vapor is released when amalgam fillings are made and removed.
There are many cases where the severity of some diseases (Tachycardia, Alzheimer’s, MS, Parkinson’s, Thyroid Diseases, Intestinal Problems, etc.) increased with amalgam fillings and when removed under appropriate conditions, the effectiveness of these diseases decreased. For this reason, a special protocol is applied when removing amalgam fillings for both the patient, physician and health personnel and the environment. As long as these special protocols are followed, amalgam fillings can be removed from the mouth by an experienced physician.
So, when should amalgam fillings be changed?
When the integrity of the fillings is impaired, if there are openings on the edges, if there are too many amalgam fillings in the mouth (since the amount of mercury vapour to be released may increase and cause toxic effects), in the presence of diseases whose cause cannot be found exactly (to eliminate possible factors), replacement of these fillings is recommended.
What should be considered during amalgam filling removal?
It is not recommended for pregnant women and nursing mothers.
More than two amalgam fillings should not be removed at the same time.
Physicians and health personnel should wear special gas masks that can filter mercury.
During dismantling, the dismantling process should be performed with a mercury filter device that makes a strong vacuum.
A rubber cover must be used.
It should be dismantled in as large pieces as possible under plenty of water.
If possible, the room should be ventilated during the process.
Mouth should be rinsed with mercury binding agents before and after the procedure.
In order to prevent the damage of the removed amalgam to the environment, a system that filters mercury should be integrated into the waste water system.
Zirconium implants are used instead of titanium to prevent metal discolouration in people with extremely thin gingival structure. It is a 100% biocompatible material. Reduces the need for bone augmentation.
In many developed countries, its use is increasing day by day due to its biological properties in the concept of biological dentistry.
It is a more costly application compared to titanium implants.”
”It provides high aesthetic solutions especially in the anterior regions thanks to its white colors similar to the tooth structure.”
Zirconium implants and zirconia prostheses to be made on zirconium implants provide maximum biological and biomechanical harmony due to their similar ceramic structures.
Bio HPP Material
Due to tooth loss at an early age, bone loss also occurs and the prostheses made have a large volume to replace both lost teeth and bone and gum.
They have a large volume to replace both lost teeth and bone and gum. Thanks to BioHPP material, light prostheses can be produced as if they are not in the mouth despite this large volume.
It is a high-performance aesthetic material with the same flexibility as your bone, which you will feel closest to your own teeth while chewing.
BioHPP is an aesthetic and robust substructure material that we can safely apply in all patients from single tooth deficiencies to total tooth deficiencies with its elasticity similar to the jawbone and antiallergic structure.
Thanks to its flexibility, it absorbs chewing forces and protects the implant in the bone from excessive loads that may occur, thus allowing temporary teeth to be made immediately after surgery. It completely integrates with your gums and adapts to your tissues as if it were your own tooth.
No allergic reaction has been reported against this material, which has been used in the health sector for about 30 years. For this reason, it can be safely used in allergic patients and patients who need toxin elimination in the body.
Thus, biologically, it is the process of increasing new tissue formation without the use of a foreign material from outside. It provides more bone and gum formation at the extraction site after tooth extraction. It increases the success of the implant treatment to be applied to this area later. PRF application is frequently used in implant surgeries, sinus-lifting operations, gum recession and bone resorption treatments.
Since every surgical intervention in the mouth will heal as a scar tissue, the use of PRF obtained from the patient’s own blood in surgical procedures will accelerate wound healing and will provide the patient with a comfortable and rapid healing process.
Low Dose Laser Applications LLLT
As in every field of dentistry, lasers have an indispensable place in this field. In addition to the acceleration of regeneration and the superior success of lasers in this field, their wide range of use in this field enables them to be used in many treatments.
Main areas of use:
Low level laser applications to the joint in jaw joint (Bruxism / Teeth grinding) treatments with laser
In biomodulation procedures for complication reduction and rapid healing after all kinds of bone surgery
In procedures that provide rapid and high quality bone formation after implant surgery
Reduction of pain by applying low level laser to acupuncture points
For activating bone formation after gum treatment
In the orthodontic treatment process, low level laser (biomodulation) is applied to prevent pain after the force applied to mobilize the tooth.
With Low Dose Laser applications, laser beams stimulate cells and increase cellular activations, this effect is called biomodulation.
Among laser treatments, biomodulation is the subject where the most scientific research has been conducted and positive results have emerged. It is actively used in the treatment of pain and diseases of the jaw joints, acceleration of wound healing, activation of growth factors in cells, increasing the biological healing capacity of the body, regional pain treatments, treatment of nerve numbness in the jaw and many other issues.
Autogenous graft and biological tissue repair
Autogenous graft is a piece of tissue taken from the patient himself in tissue deficiencies. In this way, it can easily adapt to the implanted area. In case of bone deficiency, bone grafts taken from certain parts of the jaw to repair this area can be repaired before or during implant surgery.
In case of gingival recession, the patient can be treated with his/her own tissue by using gingival grafts (connective tissue graft) taken from the upper palate of the patient.
In cases where the patient’s own tissue is insufficient in quantity, biomaterials can be used.
It should not be forgotten that no matter which material is used, the most compatible material is the material obtained from the patient himself/herself and used in himself/herself.