WHAT YOU NEED TO KNOW ABOUT AESTHETIC DENTISTRY

Everyone wants to have a perfect smile, but not everyone is lucky. Although you are one of the lucky people who did not need to wear orthodontic braces, stains, fractures and a general dirty appearance may occur on your teeth due to habits such as smoking and coffee.

In the past, there was not much that could be done to improve the appearance of the tooth, except to have it cleaned 1-2 times a year. But in the last 25 years, developments in dental materials, technology and restorative techniques have enabled us to have teeth that are as strong as the original and resistant to discoloration. If you want to brighten your smile or correct the disorders, we are probably living in the best era ever and aesthetic dentistry procedures are very popular right now.

But there are a few things to consider before making your decision…

Most aesthetic dentistry procedures are not covered by insurance.

The materials used are not indestructible. Porcelain crowns, inlays (fillings) and laminates are now much stronger and more durable than they are, but they cannot last forever. They may break and crack or the filler used may weaken. If you are 70 years old, there is a chance that your restorations will outlast you. But young people may need to repeat this process every 10-15 years.

It’s important to be realistic. Dentists, who are experts in aesthetic dentistry procedures, can adapt the materials used very well, shape and shine the materials used to be truly impressive, but they cannot change the shape of your mouth, the color of your skin or your general appearance. For dental restorations to look natural, they must fit you. Aesthetic dentistry improves your appearance, contributes positively, but does not completely change you. Do not expect a brand new you and your whole life to change when you have your teeth done, with exceptions. Smiling better and more comfortably, even impressively, will have very positive contributions to your social and business life, but it is necessary to have realistic expectations, and your dentist will guide you about what can be achieved and the limits.

Digital Smile Design

Thanks to the developments in computer technology, it is possible to see the before and after state of your teeth before the treatment starts. This method, called Digital Smile Design, allows the dentist to give you detailed information about the treatment you want.

Imaging may not be necessary either. If you are going to fill a fracture or narrow your teeth, you can predict the results without a computer screen. If you are considering a more complex procedure, imaging may be helpful.

An additional issue is that since the images created in digital smile design are 2-dimensional, they may not fully give the feeling of 3-dimensional depth that will occur in reality. At this point, you should know that the image to be obtained is only useful for “gathering an idea”. You can meet it by making a mockup (this is called mockup) and, if possible, applying an acrylic material on your teeth in your mouth.

Today, many dentists use these technologies or get this service from the laboratories they work in.

Smile Design: Aesthetic Dentistry Today

Nowadays, there is a growing interest in gaining a youthful appearance all over the world. This, of course, is reflected in our mouth when we smile, and even better, a young and beautiful smile makes our face and us look younger. In recent years, more and more people have become interested in teeth that are smooth, unblemished and free of fractures.

This, of course, is also of interest, thanks to television programs broadcasting renewal programs. Whitening product advertisements are very common in newspapers, magazines, the Internet and on television. Various articles have been written about smile restoration and whitening products. That’s why people want their teeth to be smooth and shiny. Dental clinics offer various services such as porcelain laminate, teeth whitening, replacement of amalgam filling with white filling (composite or porcelain onlay) in accordance with consumer supply.

No one is sure how many cosmetic dental treatments are performed annually in America. From 1996 to 2010, the number of members of the American Academy of Cosmetic Dentistry doubled to 4700. More than 95% of dentists currently practice whitening, and nearly all dentists provide aesthetic services.

Thanks to advances in cosmetic techniques, dentists can repair damaged teeth without using amalgam or gold.

Beautiful Like New

Although dentists have been making aesthetic restorations for years, the materials used, like old composite fillings, can crack and fade over time.

New composite materials and porcelain veneers are much stronger than before and can withstand discoloration much more. 10-20 years ago, people whose teeth were broken either lived like this or used porcelain crown treatment, which was time-consuming and expensive. Although porcelain crown applications are still used in anterior teeth disorders; It is possible to repair minor defects, fractures and damaged teeth with composite filling and match their color to neighboring teeth. In more serious aesthetic problems and in cases where expectations are high, porcelain laminate application gives the highest level results if all conditions are suitable.

There are also imaging techniques that enable dentists to design digital smiles on the computer screen. The patient who wants to be treated can see the results before making his decision. Since this imaging technique is relatively new, it may be less common.

Different Options

Intermittent or fractured teeth can be corrected with composite fillings (also known as bonding). For example, your dentist can repair the damaged area with a composite filling (bonding process). Said composite is available in various colors. The composite material shaped by the dentist immediately hardens when a special blue halogen or LED light is applied. It can be sanded, smoothed and polished until your teeth get their original color. The point that should not be forgotten in composite fillings (bonding) is that the material is a plastic-based filling material, no matter how much its optical and physical properties are increased, it is not a material with high optical properties and resistance as porcelain, the biggest advantage is that less tooth tissue can be touched and applied to small areas. .

The most popular aesthetic dental treatments are composite filling (bonding) for anterior teeth, teeth whitening and porcelain laminate veneers.

With advances in adhesive dentistry (medical adhesives), most treatments are now done with less cutting of the enamel area of ​​the tooth. Because old dental materials fit into place as well as the shape of the tooth, dentists cut more of the enamel to fit the restoration. However, since the adhesives used today are much stronger, they can be used without further processing on the surface of the tooth. On the contrary, the more quality and abundant tooth enamel adhesion is achieved, the higher the resistance and aesthetics is achieved. At this point, if the mouth and tooth structure are suitable, it can be applied “prepless” without any preparation. aesthetic dentistry treatments are available.

There are many aesthetic treatments that can be done according to your needs. For example:

Stained or discolored teeth: The enamel layer covering the tooth can stain and the underlying dentin becomes yellow over time. Whitening is a good option for healthy teeth, as long as it’s not overdone.

Fractures: These areas can be filled with a tooth-colored material (bonding) called composite. The color of the composite can be matched to your tooth and when smoothed and polished it will have the same color as the surrounding surfaces.

Caries or Cracks: While amalgam fillings are a good solution for back teeth, most people don’t want metal in their mouth when they smile. In addition, apart from aesthetic concerns, inhalation of mercury in amalgam and its constant presence in the mouth also bring many risks and question marks. The use of amalgam is prohibited in many countries and some states in the USA. Composite fillings, porcelain onlays or crowns made with the right technique and application are better alternatives. These fillings are used to fill cracks and cracks. Some tooth-colored fillings are made by applying directly to the cavity after the caries is cleaned, these are composite etc. filling materials, while others are made in the laboratory by measuring the patient’s mouth in larger cavities and tooth deficiencies and sticking in place.

Uneven teeth: It’s not uncommon for a tooth to be longer than those next to it. With the process called cosmetic reconturing, the dentist can correct the shape of the tooth and with a beautiful polish, you can use your tooth in this shape for a long time.

Interdental space: Small gaps between teeth can be closed using composite filling material (bonding). For larger openings, dentists recommend a porcelain crown or laminate. Porcelain laminates (leaf porcelains) are among the most expensive cosmetic treatments. Laminate made of ultra-thin porcelain adheres to the front of the tooth, giving it a brand new look. The dentist may refer you to the orthodontist to correct the cavities. The method used to fill in the blanks depends on the image you want. Some people don’t care about spaces. Others are very aware of these and want them to be corrected. You and your dentist can choose the best treatment. In some cases, it is best not to treat, sometimes it is composite filling (bonding), porcelain laminate and consulting an orthodontist.

Broken or crooked tooth: If a tooth is broken or structurally weak, it may need to be restored with a porcelain crown. The crowns used on the anterior teeth today are made of all-ceramic materials and are very similar to the real ones with a good workmanship. The crown can be either all-ceramic or metal-ceramic. Both crowns give very good results. Which one to use is up to you and your dentist. Although those with metal infrastructure give good results in terms of functionality and harmony in the posterior regions, they should be less preferred as the first choice due to both aesthetics and the coloration of the gums with metal color in the region of the anterior teeth.

The techniques used to correct dental disorders are varied. Before starting the treatment, it should be decided carefully, as there is no return.

What Can Be Done for Whiter Teeth?

You don’t have to be born with perfect teeth to have a bright smile. If your teeth are smooth but their color is yellow or over time with coloring foods such as cigarettes, tea, coffee, teeth whitening is an ideal method to lighten teeth. With the method called teeth whitening, it is possible to remove discoloration and stains that occur over time.

How effective is whitening and is it safe? Should I go to the dentist or use whiteners bought at the pharmacy or online? Let’s try to answer these questions:

Question: Can all stains be removed with teeth whitening?

Often yes, but not always. External stains can be removed first with a mechanical scaling by the dentist, and then at home or with the help of a dentist, with office bleaching. Such stains can usually be caused by staining foods such as coffee, tea, cigarettes, red wine or sometimes sauce on the outer surface of the tooth.

If the inner structure of the tooth turns yellow or dark (internal stains), the stain is more difficult, or in some cases impossible, to remove. For example, tetracycline (antibiotic) can cause internal stains when used in children under 8 years of age and in the last half of their pregnancy. These stains may not be removed by bleaching.

In the case of fluorosis caused by overexposure to fluoride during tooth development, stains cannot always be successfully removed. In mild to moderate fluorosis, which usually causes white lines and spots, stains can be made less visible with bleaching methods. But in severe fluorosis specimens that cause gray or black spots, bleaching will not work.

If the stains are caused by damage to the nerves of the tooth, root canal treatment may be required to prevent permanent stains. Even with treatment, the tooth may turn gray and dark. If external whitening does not work, bleaching can be applied to the inner side of the tooth (internal bleaching) or a porcelain crown can be made to the outer surface of the tooth.

Another source of stains is age-related. As we age, the inner layer of the tooth, the dentin, begins to turn yellow. As the outer surface becomes thinner, this yellowness begins to appear.

Normally, the easiest spots to remove with whitening are yellow spots. Jaundices that occur with old age are more difficult and stubborn than those that occur at younger ages. Gray and black spots are more difficult to remove. In general, newly formed stains are easier to clean than those that have been on your teeth for a while.

Question: How long will my teeth get whiter?

If you whiten your teeth professionally at home or in the clinic, you can whiten up to 4-5 shades. If you are using products bought from the pharmacy or the internet, make sure that they are safe and effective. These products cannot give as good results as professional treatment. Overuse can damage your teeth. At a very important point, teeth need some treatment and protection before teeth whitening, and if you apply tooth whitener before these are applied by a dentist, you may cause permanent damage such that the nerves of your teeth will be affected.

In recent years, brighter and whiter teeth have become popular. Even the color tones that were popular until a few years ago are pale compared to the popular ones now.

When you decide to whiten your teeth, the important thing is how much your teeth will whiten, at this point, if your dentist decides that your teeth have whitened enough, it is healthy to leave the procedure there and not repeat it too often. Remember that your habits will affect the whiteness of your teeth. People who do not drink cigarettes, coffee and tea will stay white for a much longer period of time compared to those who smoke teeth whitening. Minor interventions may be required from time to time to maintain the desired color tone and this should be done by a professional.

Question: Do I have to whiten all my teeth?

No. It is possible to whiten one or more teeth in order to adapt to the surrounding teeth. But this should be done by a professional.

Question: My tooth, which I had root canal treatment, is now dark in color… Does teeth whitening work?

When a root canal treated tooth darkens, it can be whitened from the inside. In this case, the middle of the tooth is cleaned and a cotton ball dipped in whitener is placed in the cavity. After one week, it is replaced with a new one and continues until the tooth whitens.

Question: Why should I pay a dentist when I can do it myself at home?

Clinical treatment is best for good results. Before starting the treatment, your dentist cleans the surfaces of your mouth and teeth by checking their health. Your dentist will determine the appropriate treatment for your needs and advise on things that may change in your daily dental care so that the results of the treatment are permanent.

The bleaches used in clinical treatment are very practical because they are stronger than those sold in the pharmacy. Your teeth will noticeably whiten in 60-90 minutes. In some cases, 2-3 sessions may be required. Some of the whiteners used in clinics whiten your teeth better with the help of the light used. Since mold is not used in the treatments performed in the clinic, there is no problem of swallowing the whitening substance.

Question: Are teeth whitening products sold in pharmacies effective?

Various products that can be effective in whitening your teeth can be found in pharmacies. Since the whitening density is low in the sets used at home, a few weeks of use is required to get good results. Although the bleaches available at the pharmacy are cheaper than the clinical treatment, they are not the most ideal method. Some sets come with molds that do not fit your teeth properly. Thus, while the whitener may contact some parts of your teeth, some parts may not. Therefore, they can whiten unevenly. At the same time, the whitener may overflow from the mold that does not fit well in the mouth, causing soft tissue and gingival sensitivity, and even more risky, they can be swallowed. It is not healthy to swallow teeth whitening products.

If you are going to use products from the pharmacy, you should consult your dentist first. Along with giving you advice, the dentist can also make a mold that will fit your mouth perfectly to get the most effective results.

Question: What about teeth whitening toothpastes?

Whitening toothpastes keep the teeth clean and therefore look whiter, but toothpastes with strong whitening effect achieve this effect by abrasion. When you apply abrasion to the outer surface of the tooth, the new layer appears whiter, but over time, the teeth lose their shine. In the long term, this causes your teeth to lose their shine and change them more quickly.

These toothpastes actually have a low amount of direct whitening and prevent stains from forming on your teeth. It takes a long time to get results and may not have a very visual effect. Whitening toothpastes are used to maintain the effect of whitening in the clinic or at home.

Before choosing a whitening toothpaste, it is necessary to look at the content of the product. Some toothpastes are less abrasive and you can contact your dentist for advice.

Question: How long does teeth whitening last?

If you pay attention to your oral hygiene, it will last from one year to two years. You can prolong the effect by reducing the consumption of cigarettes, tea and coffee. It is especially important for the color to stay for a long time in the first two weeks after the procedure, paying attention to the coloring foods and habits as much as possible during this period will strengthen the long-term permanence.

Question: I’ve had treatment for my front teeth before. Will this cause a problem?

Not even if it complicates the treatment. Bleaching agents used in teeth whitening do not affect tooth color fillings much. After teeth whitening, these areas may appear darker than the surrounding teeth. But sometimes the filling used may be whiter than the natural tooth. In these cases, the whitened teeth will match the filled tooth in color. If your filled or treated tooth is darker than the neighboring teeth, your dentist can make your tooth the same color as the adjacent teeth with a composite bonding.

If you have a porcelain crown made before, the same is true for this, if your teeth have the same color as the restoration, it can stay, but if the porcelain tooth remains dark, then it needs to be replaced.

Question: Are there any side effects of teeth whitening?

When teeth whitening is performed “under the control of a dentist” and “correctly”, it is difficult to have a permanent side effect. However, some patients experience tooth sensitivity and gum irritation after whitening. Although this sensitivity can be reduced with a calcium-containing or fluoride gel, most people do not need it. Sensitivity goes away in 1-2 days after bleaching.

Irritation of the gums is usually seen in kits bought from pharmacies, because the whitener overflows the mold.

Pregnant women are advised not to have bleaching, as its effect during pregnancy is unknown. It is not suitable for children, except for very special conditions.

What are Laminate Veneers?

Porcelain laminate, laminate veneer, lamina veneer, emax laminate, empress laminate and “leaf porcelains” in Turkish describe the same process. Although we want to use the Turkish version as “leaf porcelain”, we still prefer to use it in this way, since it is still referred to as “laminate veneer” even in Turkish literature.

Porcelain laminates are ultra-thin ceramic shells that are adhered to the front surface of the tooth, just like artificial nails worn on nails, so they are also called “leaf porcelains”. The most important thing to be done is that the tooth is strong in structure.

What Is It Used For?

Porcelain laminate veneers are used to correct aesthetic defects or improve appearance. Aesthetic defects that can be corrected with porcelain laminate veneers include broken, stained teeth, interdental spaces and unequal teeth. In the past, crowns were the only way to correct these and other disorders.

The advantage of porcelain laminate veneers over crown veneers is that less shaping and shrinking is required before treatment. Sometimes this means that little or no anesthesia is used, but for some teeth, intensive shaping may be required in the process, you may be asked to evaluate your preference if you need to have an idea with a planning or even a diagnostic model before the procedure.

porcelain veneers; They are resistant to cigarette, tea and coffee discolorations, especially the closest alternative, composite filling (bonding application), is much superior and more resistant than composite veneers. Porcelain laminate veneers are usually finished in 2-3 sessions; one session is the application of examination, diagnosis and two sessions of the procedure. This process may vary according to the person and the tooth structure, and may also require an additional session for the cleaning process.

First Inspection

In the first examination, your dentist decides which procedure is more appropriate aesthetically and functionally. Explains what to do next. However, aesthetics is a relative concept and sometimes required procedures can be planned with the patient’s involvement in the process. If these are not clear, the dental technician will be asked to prepare a wax model for you, or a digital smile design can be planned based on your photographs. These require an additional session, but for an aesthetic procedure that you will use for at least 10 years, it is sometimes better to act with detailed planning without being too hasty.

How is it done?

In the second session, at least 0.5 – 0.7mm abrasion should be done from the tooth enamel with old techniques for porcelain laminates, while the amount of abrasion could be reduced to 0.2 – 0.3mm with the help of the resistances of the materials whose new content is lithium disilicate, especially the market name “emax” or “suprinity”. This procedure may require local anesthesia.

Then the dentist takes a mold of your tooth and sends it to the dental laboratory. Laminates suitable for your teeth are prepared in the laboratory. This process usually takes 5-7 days. Temporary can be used during this time. At first, your dentist will temporarily check the color and fit of the porcelain laminates. If its color or position is not suitable, it can be adjusted again. When you are satisfied, the dentist cleans your teeth and bonds the leaf porcelains with a special and sensitive bonding process.

Post

It may take some time to get used to the new look and feel of your tooth, but you do not need to do any extra care. You should be careful not to bite your nails, not to force them to bite dried (very hard) bagels, hard rusk, not to chew ice and similar hard objects, and not to apply excessive pressure to your teeth. Otherwise, porcelain laminates may come off.

You won’t need to change the way you brush or floss. Your dentist recommends that you come for a check-up in 1-2 weeks.

Risks

If at certain points the abrasion is deep, your tooth may become sensitive, possibly temporarily.

Porcelain laminates may fall. The temporary covering is more likely to fall off because it is glued so that it can be easily removed later. In permanent leaf porcelain, this risk is very low when done with the right techniques, but you should know that you may encounter it.

When Do You Need Professional Help?

Call your dentist if there is severe tenderness after the porcelain laminate veneer is placed and lasted for more than 1 month, or if it falls off or cracks.

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