aesthetic dentistry; It is an important branch of dentistry that deals with the reorganization of the mouth and teeth area in terms of health and aesthetics. Its main theme is a healthy smile design. Smile design is to renew the ideal smile with health and naturalness. The important thing is to create an aesthetic smile expression that suits you within the scope of medical rules. In addition to their main functions (chewing, speaking, etc.), our teeth also greatly affect our self-confidence in society in terms of aesthetics. Our smile is a very important factor in our communication with people. Color and deformities in the teeth can cause problems up to psychological disorders in the individual. Studies have shown that an individual who trusts his smile is much happier and more successful in his social, business and daily life than other individuals. Our teeth reflect our smile and our smile reflects our energy. A beautiful smile means personal self-confidence.
The branch of science that deals with this in dentistry is called ‘aesthetic dentistry’.
The aesthetic dentist should first know the patient and perceive their expectations. It should not be forgotten that the treatment that should be applied to each individual is different. Here, our patients’ special tastes, socio-economic level, occupational factors, etc. Many issues such as Then physical factors come into play. The aesthetic dentist should design a smile that the patient will perceive as pleasant and attractive and correct the defective image. Its purpose is to create an aesthetically acceptable and biologically compatible tooth array for the patient. For this, if necessary, the preliminary examination should be very long, the patient’s diagnosis models and photographs should be taken, the expected result should be expressed fully and clearly. Aesthetic dentistry is a very sensitive scientific study. Health should not be compromised in order to provide an ideal image. Aesthetic surgeons and aesthetic dentists continue to work within certain medical rules. Below we will tell you which factors are effective in aesthetic arrangement.
There are certain angles and proportions available in the mouth, face and head region. When the treatment is performed according to these rules, it will be almost guaranteed to achieve an aesthetic appearance. However, we would like to point out that aesthetics is a relative concept and not everyone’s aesthetics may fit. For example, while I find the person “A” very beautiful, someone else may not find her beautiful at all. Therefore, understanding the patient’s expectations is the most important criterion in aesthetic dentistry.
As a result, the dentist will decide on the technique applied and the material used. Before starting the treatment, the quality of the material and its suitability for the patient should be determined. The ability to make a sound decision, the desire to improve their technical skills and the effort to be constantly informed about the new products available should be combined with the natural aesthetic perception and vision, which is the most important feature that your physician should have.
FACTORS AFFECTING SMILE
Color, shape and arrangement of teeth
As we age, some changes occur in our face.
For example, the distance between the hairline and the eyebrows, between the eyebrows and the tip of the nose, between the tip of the nose and the tip of the chin is equal at young ages, while the tip of the nose and the tip of the chin approach each other as the age progresses. In other words, the lower 1/3 of the face is shortened. This is caused by the sagging of some areas by gravity and the wear of the teeth over time, and the decrease in vertical dimension as a result of bone resorption. For example, when we laugh at a young age, more upper teeth appear, while as we age, more lower teeth appear. In such a case, the most effective treatment method is porcelain onlays that cover the chewing surface of the teeth and porcelain laminate veneers in the anterior region. Thus, both ideal aesthetics are provided and the loss of distance caused by shortening of the teeth is corrected.
Another reason that occurs with age is physiological discoloration. Tea, coffee, cigarettes, alcohol, etc. consumed for years. Sometimes, some color changes occur in the teeth as a result of the wear of the enamel layer, which is the tooth layer. In such a case, this problem can be solved by first polishing (tooth polishing) and bleaching (teeth whitening). The important point is that these processes look as natural as possible.
There are significant differences between smiles and teeth in men and women. In women, the teeth are more rounded and the corners turn softer. In males, the teeth are more straight and angular. In women, the anterior middle 2 teeth are larger and longer, and the lateral teeth next to them are smaller. In males, there is no significant size difference between the anterior 4 teeth. In women, the smile line follows the lower lip slopingly. In men, the laugh line is straighter.
There is a harmony between natural teeth and face shape. For example, if you have an oval face, the shape of the teeth is oval or close to oval. Square turns on square faces, rounded turns on round faces
it will look nice. Sometimes we find it difficult to achieve this harmony and resort to some illusions. For example, a person who is fat and does not have a long face can be made to look thinner and longer by making long teeth.
COLOR, SHAPE AND ORIGIN OF TEETH
If there is a color problem in the tongues, polishing should be done first and then teeth whitening should be done. If the applied treatment does not give results (it is difficult to achieve the desired result with tooth whitening in some discolorations), coating the tooth surfaces with porcelain laminate veneers or composite filling material will be the appropriate treatment. In some cases, both can be applied.
If there are deformities in the teeth, an effective solution can be provided with porcelain laminate veneers. In this case, for example, your very small lateral tooth will be aesthetically pleasing with porcelain laminate veneers, which are adhered to only with very little abrasion from the front surface of the tooth. If there is a gap (diastema) in the teeth, the closest treatment method is porcelain laminate veneer applications or composite applications. With these techniques, the gaps between the teeth can be easily closed. If there are abrasions on the front teeth and fractures at the ends, you can easily achieve an aesthetic smile with the same methods. If there are old fillings in the front teeth, these fillings should be renewed and evaluated aesthetically. But this is related to the planning of the physician, as we said at the beginning. For example, in an individual who consumes large amounts of tea, coffee, and cigarettes, the filling edges will recolor in a short time. In this case, the most suitable solution would be porcelain laminate veneers. The reason is that the laminates absorb color.
Another issue to be considered in color problems in teeth is the skin color of the person. Skin color is very effective in determining the color of the application to be made. In individuals with dark skin tones, very light-colored teeth will detract from the naturalness of the image. In individuals with light skin color, these teeth will look much more natural and aesthetic.
If there is crowding in the teeth, orthodontic treatment (braces) should be recommended first. Thus, with the most protective method, the teeth will be both healthy and ideal aesthetics will be provided. Proper alignment of the teeth is as important as effective chewing and smooth speech in aesthetic consultation.
Having healthy gums is the most important criterion in oral and dental health. But sometimes even if the gums are healthy, they can spoil your appearance, even the most beautiful teeth may not look impressive. Healthy gingiva has the appearance of pink and orange peel. Swollen, red and shiny gums due to periodontal disease should be treated.
Laminas are indistinguishable from natural teeth as they require minimum preparation, are not stained with agents such as cigarettes, tea or coffee, and have light transmission properties. Therefore, it has become the most ideal aesthetic treatment method applied today.
WHO CAN APPLY LAMINATE VENEER?
Those with broken front teeth
In eliminating the level, color and differences between teeth. Beans-anterior opening (If the patient does not want orthodontic treatment)
Those who have worn upper surface of their teeth
Those with large fillings and dark teeth in their front teeth
Those who are not satisfied with the color of their teeth (Tetracycline discoloration, etc.)
For crooked teeth, if the patient does not want orthodontic treatment
Those with gaping teeth
Those who are not satisfied with the shape of their teeth (long, short, small, etc.)
In gaining a wide -U-shaped smile line and thus providing an energetic and natural beauty
Laminate veneer can be applied to anyone who wants to have a beautiful smile without damaging their teeth.
METAL-SUPPORTED FULL PORCELAIN AESTHETIC CROWS
Porcelain teeth have been a preferred material in dentistry for a long time due to its closeness to the natural structure and durability.
Metal-free ceramics began to be used as a result of this search.
IPS – EMPRESS II CORONS
It is obtained by compressing the reinforced porcelain in special machines and firing at high temperatures. It is preferred especially in anterior teeth because of its very good light transmittance. It is not sufficiently resistant to chewing forces, especially for the posterior region.
ZIRCONIUM BASED BRIDGES
In this system, zirconium, a white alloy, is used instead of metal as a substructure.
WHAT IS ZIRCONIUM?
For many years, a metal substructure has been used under the porcelain tooth for durability in porcelain applications. A new era has opened with the application of zirconium, which has been used successfully in other fields of medicine before, instead of porcelain metal in dentistry.
The success of the material has been proven in medicine and industry. As a result of the researches started in 1988, clinical applications have been started all over the world since the beginning of 2002. With this new application, the aesthetic concerns of the patient in metal-ceramic and all-ceramic restorations are definitely eliminated.
WHERE CAN IT BE USED?
Single tooth crown restorations
Implant crown-bridge studies.
Zirconium is primarily
It has been used for various purposes in various parts of the body, including hip joint prostheses, and it has been found that it has no side effects or harms, and does not cause allergies.
Zirconium is an element that is resistant to high temperatures, impacts, light, does not conduct heat and electricity, and can transmit light.
In addition, it is a healthy material that does not cause taste disorders, gingival problems and bad breath in the mouth.
A wax model of your teeth is prepared on the model prepared with the impression taken on your teeth. A computer aided device (CAD CAM) prepares the infrastructure of your teeth by abrading the zirconium oxide block in line with the information it receives from this model. The milled block is colored with a special size and technique that penetrates into the structure in accordance with the color selection. The painted substructures are given a tooth form by placing the appropriate color ceramic on them and the work is completed with the polishing process.
COMPATIBLE WITH BODY AND TEETH IN ALL DIRECTIONS
Cercon ceramic placed on the zirconium oxide infrastructure reduces the adhesion rate of food wastes and microorganisms to the tooth surface. Thus, good oral hygiene is provided. Zirconium oxide does not conduct heat, your teeth do not become sensitive when you take hot and cold foods.
One of the most important features of zirconium is its antibacterial properties. Bacteria cannot settle and reproduce in the zirconia structure.