What is “Smile Design”?
Smile design is a smile aesthetic concept. It consists of the operations applied on the anterior teeth and gums that appear when we smile. It is an application in which anterior teeth are treated in line with aesthetic concepts and proportions, and as a result, an aesthetic smile is provided.
So, what are the aesthetic problems in our front teeth?
In general, crowding, staining, discoloration, form disorders, symmetry disorders, aesthetic disorders related to gingival enlargement and disorders related to excessive gingival visibility are the problems that disturb our patients aesthetically. Apart from these, one of the problems that the patient is not aware of is that the size of the anterior teeth is short and lacking in volume. One or more of these complaints may be present at the same time.
Is there a standard for a beautiful and aesthetic smile?
Every smile is different, but aesthetic concepts lead us to a smile that we call the Hollywood smile. With the smile design, we make a personalized smile design in accordance with the Hollywood smile standards, which we mentioned as a result of detailed facial analysis and personality analysis of the patients.
Can we open up the Hollywood smile a little more?
Of course. To explain with an example, the question of why women wear make-up should come to mind. Make-up is actually an aesthetic touch to increase the contrast on our face. So, what are the structures that naturally create the contrast on our face without make-up? Teeth and eyes. The whites of our eyes and the whites of our teeth are bright areas on our face that create contrast. If you examine the smile of someone whose smile is called beautiful, you will notice that their teeth are white and voluminous. Hollywood celebrities also have white and voluminous teeth because they are constantly in front of the cameras.
What processes are used in smile design?
Smile design is done with “lamina veneer applications”, which is popularly called “leaf porcelain”. An aesthetic smile is provided as a result of an abrasion of approximately 0.2-0.5 mm on the front surface of the teeth and fixing the leaf porcelains prepared on the teeth. Before these procedures, growths and asymmetries in our gums are regulated by gingival aesthetics (gingivectomy / gingivoplasty). If there is excessive crowding in the teeth, these crowdings are corrected with orthodontic treatment (wire treatment), and then the deformities in the teeth are eliminated with leaf porcelains.
So how do we know that the results of these procedures will be aesthetic?
This is an important issue for us as well as patients. Since the procedures we will do will be an aesthetic procedure, the results should be predictable. With digital smile design, we were able to show the results to patients on photographs, but this is not enough for us. Because questions such as how your teeth look while smiling, are they compatible with our facial expressions, are our upper lip fullness sufficient are much more important to us. That’s why we have an application that we call “Mock-up” rehearsal. We can show you how your teeth will look when they are finished, by simply taking your measurements, without doing anything to our teeth. With this application, we decide on the final state of your teeth together with you.
What is this “Mock-up” rehearsal?
The measurements we take from your teeth are transferred to the models exactly, and they are modeled with analog or digital modeling technique. In this way, teeth outside the mouth are voluminous, symmetrical and reshaped in accordance with your facial features. As a result, a mold is obtained. Under the guidance of this mold, temporary leaf porcelains are applied to your teeth. No process is applied on real teeth at any stage, including this stage.
So, can we make any corrections at this stage?
You will see the smile that we will create when it is finished, in your mouth in front of the mirror. We can make minor adjustments and additions in this session. In this session, both you as the patient and we, the dentists, will answer questions such as whether your lip fullness is sufficient, is your lip mobility beautiful when you laugh and talking, and whether the tooth volume that appears when you smile is sufficient. After the mock-up stage, the necessary abrasions are made and your measurements are taken. When porcelain sheets are prepared, they are permanently adhered to your teeth with very strong adhesives (cements).
So we can predict the consequences?
Of course. Predicting the consequences is something we want more than you do. In addition, thanks to this rehearsal, we can direct patients who we think will not achieve sufficient aesthetics as a result of smile design with laminate veneers, to other treatment options without applying any treatment to their teeth.
Finally, can everyone have a smile design?
Anyone over the age of 18 can have a smile design. More aesthetic smiles are everyone’s right. It is a very satisfactory treatment option with aesthetic results as the results are predictable and decided together with the patient.