DENTAL TREATMENT

Hollywood Smile

Who does not desire a beautiful, impressive smile and bright teeth? Beautiful teeth and a confident smile make a great first impression. Your mouth, teeth, and smile are the first things people notice about you. A pleasant smile takes the person one step ahead in daily and business life. Lately, it has become possible to have a beautiful smile, making a person stand out in a communicative sense as well as their appearance, with a smile design. Hollywood stars have always attracted attention with their gorgeous and impressive smiles. It is from there that the term “Hollywood Smile” emerged.

Some dental problems, such as deformities, bruises, abrasions, color changes, position, and symmetry disorders in the jaw, affect the facial appearance and may cause aesthetic problems. Dentists can eliminate these aesthetic problems by performing various applications. In recent years, people have started to apply to dentists not only for oral and dental health but also for aesthetic reasons. A significant number of applicants want to have a smile design called “Hollywood Smile.”

The aesthetic smile designs are obtained by combining medicine and art with years of medical experience. Now everyone can have the smile of their dreams. Those unsatisfied with their smile or the appearance of their teeth can now have the image they want with the latest technology and aesthetic dentistry applications. Doctor Med Group continues to serve in all its branches with its state-of-the-art equipment and experienced staff, including smile design and aesthetic dentistry practices.

What is Hollywood Smile?

Hollywood stars have always attracted attention with their perfect, confident smile. The Hollywood Smile is a type of aesthetic smile design trending worldwide in recent years. Now everyone can have the ideal smile design that they have.

Perfect and attractive-looking teeth with a highly natural whiteness are indispensable for Hollywood Smile. In addition, skin color, gingival position, color and size of the anterior teeth, and the compatible position of the upper teeth with the lower lip are essential. There are four main rules for a Hollywood smile:

The upper anterior teeth should be straight and free of any visible fillings. The upper teeth, including the first molar, should be visible during the smile. The two incisors in the upper middle should be more prominent. The lower incisors are also required to appear.

-The appearance of the upper gingiva up to 2 mm

-Symmetrical opening of the lips during a smile

-Lip width is at least half of the face width

What kind of procedures can be done for an aesthetic smile?

1. Porcelain laminate application

For this procedure, the suitability of your teeth is checked first. Crowding in the teeth, front of the lower jaw, closure of the lower and upper jaws, and the problem of clenching teeth mean that you are not suitable for laminate porcelain. For patients with such issues, it is recommended to perform orthodontic treatment with methods such as braces or clear plaque for the problem of crowding in the teeth. For closure problems in the chin, orthodontic chin surgery may be necessary first. After the teeth clenching problem is treated, porcelain laminate can be applied. For this process, leaf porcelains are prepared with a slight abrasion on the front surface of the teeth or without any abrasion. If the shape and arrangement of the teeth are suitable, only the whitening process called bleaching is performed. Thus, the aesthetic intervention applied to the teeth is completed.

• Zirconium porcelain application

In people with missing, broken, or large fillings in their front teeth, it may be necessary to do veneers with zirconium porcelain instead of porcelain laminate application. With zirconium porcelain, you can have very natural and white aesthetic teeth.

• Gum aesthetics

Healthy and pink gums are indispensable factors for an aesthetic and beautiful smile. For this, gum diseases are treated first. If there is a gingival recession, it is treated with surgery. If the gums appear more than they should during smiling, it can be corrected by cutting a little. With the Erbium laser technique, the gums can be retracted as much as desired without surgery in people whose gums look excessive when they smile.

• Teeth whitening

If you only have color problems on your teeth, you may not need any veneer. In this case, only the teeth whitening process called bleaching is performed. This process can be done in a short time, like 60 minutes in a single session or sometimes more.

• Dental implants

Dental Implants are screw-shaped artificial tooth roots made of titanium placed in the jawbone. Gaps in the teeth are filled by placing crowns, bridges, or removable dentures on these implants.

Extending the two upper front incisors a little longer during the veneer application on the front teeth will give the person a young and dynamic appearance. Apart from the procedures applied to the teeth, if necessary, some minor interventions can be made on the lips or around the mouth by a plastic surgeon who is an expert in the field. For example, if your lips are skinny or your smile lines are deep, filler injections can quickly solve these problems.

As a result of all these procedures, an ideal and aesthetic appearance is obtained in your teeth. The appearance of your lips, smile, and whole face will change, and you will have a brand-new image. However, it should be kept in mind that all these procedures require a professional and multidisciplinary approach, and they should be worked with health professionals who are experts in their field.

How long does the Hollywood Smile process take?

Hollywood Smile, gum diseases are primarily treated. Missing teeth are completed with implants. The laminate porcelain process takes 5-10 days, depending on the number of teeth to be coated, and 7-14 days if the veneer will be made with zirconium porcelain. In other words, it is impossible to give an exact time to have a Hollywood Smile.

How should dental care be after the Hollywood Smile procedure?

As with routine dental care, the teeth should be brushed at least twice daily.

Dental floss should be addressed for dental interface care.

Dentist check-ups should be done at 6-month intervals.

Laminate porcelain veneers are more fragile than tooth tissue, and hard foods and habits such as nail biting and pencil biting should be avoided to prevent them from breaking.

How long does the Hollywood Smile design last?

If the teeth are brushed regularly and the porcelain veneers are given due care, the life of the laminate or zirconium porcelain used in the veneers is approximately ten years. At the end of this period, they must be replaced with new ones.

Teeth whitening

What is teeth whitening?

Under the control of dentists, the process of bringing the tooth color to its original tone or even a few tones whiter with chemically applied methods is called bleaching.

How can teeth whitening be done?

Whitening treatments can be applied to anyone who has completed tooth development and is not allergic to the products used.

How is the teeth whitening process done?

A detailed intraoral examination is performed before teeth whitening. The degree and type of coloration are determined. If hygienic problems such as dental calculus are encountered during this examination that will impair the effectiveness of the application, these problems should be resolved first.

How long does the whitening process take?

The whitening process can be done in a few sessions or a single session, as is the Dentist who determines this period.

Why are teeth discolored?

Long years of consumption of coloring foods and products such as tea, coffee, and cigarettes can cause intense discoloration in the teeth.

Teeth may be darker than usual due to genetics or exposure to factors in the womb.

Using some drugs and chemicals can give a darker color to the teeth.

Oral hygiene can cause discoloration, loss of teeth, and gingival problems.

Some teeth that have undergone root canal treatment may lose their natural color over time and take on a darker color.

Will teeth that have been bleached darken again?

The recoloring of the teeth and the reoccurrence of the need for whitening vary according to the person’s habits and the products they consume. In cases where good oral hygiene is available and attention is paid to the products consumed, the teeth can maintain whiteness for a long time. However, in cases where products such as tea, coffee, cigarettes, etc., that can cause intense discoloration are used continuously, and the necessary care is not given to oral hygiene, the teeth can be colored again quickly.

Laminate Dental Veneers

What are laminate veneers? What are the advantages?

Laminate veneers, also known as leaf porcelain, are aesthetic veneers applied especially to front teeth. For these veneers, a tiny abrasion is made on the teeth or sometimes without any abrasion. For this reason, healthy tooth tissues are preserved. Laminate veneers, designed in a very thin structure, cover only the front surfaces of the teeth and, in some cases, the incisors.

Who can have laminate veneers?

Laminate veneers can be applied to anyone who has completed the development of their teeth and jaws and is not satisfied with the appearance of their teeth and smile. We can list the situations where laminate coatings are needed as follows;

-In cases where there are fractures and abrasions in the anterior teeth

-In people who have tooth discoloration to the extent that whitening treatments cannot solve

-Orthodontic treatment

-Patients who cannot achieve adequate smile aesthetics after orthodontic treatment

-Cases where there are spaces called diastema between the front teeth

-Superficial caries on anterior teeth

-In cases where tooth length is disproportionate or short

-In cases where tooth enamel is genetically rough or there are structural abnormalities

-In the presence of anatomical disorders in tooth shapes

-In the presence of discolored and worn old fillings

-As part of a smile design

How long do Laminate veneers last, and how are they made?

First, the patient undergoes a comprehensive dental examination. General oral hygiene and health are determined. If considered necessary, gingival treatments, cleaning, and tooth whitening treatments are applied for teeth where laminate veneers are not planned.

If there are cavities on the teeth, they should be cleaned and treated first. If there is a disproportion in the size of the gums or other aesthetic problems, these are corrected with minor surgical procedures before laminate veneers applications.

Photographs are taken to determine the condition before the procedure. Composite material and the image that will form at the end of the treatment is presented to the patient. If the patient has other aesthetic expectations in the planned teeth, they are included in the planning at this stage.

The temporary application is removed from the tooth. If necessary, a minimal abrasion is made on the teeth with the help of special burs. Sample models are obtained by measuring the teeth with unique impression materials.

The color of the teeth for which the procedure is not planned is determined, and the colors of the laminate veneers are decided.

Sometimes, digital dentistry applications like “Cerec 3D” are used. In this case, a special powder spray containing titanium is applied to the teeth, and digital tooth models are created in the computer environment by taking measurements with the help of a micro camera. In these cases, laminate veneers are designed and produced in the device with computer aid. This is one of the most precise laminate veneer creation methods known. This method allows the treatment to be completed in a single session.

In another method, laminate veneers are obtained by processing porcelain on the models created by the measurements manually taken. Since there will be an additional technician stage in this method, the treatment may take several sessions.

Designed laminate veneers are rehearsed in the patient’s mouth; If there is no problem, they adhere to the tooth surfaces with unique processes called adhesive methods.

Lamina veneers can be made in 1 full day with the development of Digital Dentistry. However, the dentist can give the exact treatment time after the examination.

What is Laminate coating?

In cases with excessive crowding in the anterior teeth, laminate veneers may be insufficient, and orthodontic treatment may be needed first. In such cases, other coatings with more abrasion may be preferred. In patients with excessive clenching problems, it is recommended to solve the clenching or grinding problems before starting the laminate veneer procedures.

Zirconium Coating

What is zirconium?

Zirconium is a metal element found in nature. This element, which has high aesthetic properties, is used in dentistry as a white metal alloy. In cases where aesthetics is essential, zirconium-supported porcelains are used as an alternative to other metal-supported porcelain coatings.

What is zirconium veneer used for?

Zirconium veneers can be made on anterior teeth, whereas traditional metal-supported porcelain veneers cannot provide pleasing aesthetics.

Zirconium veneers can be applied on teeth with a high chewing force, whereas aesthetic veneers made entirely of porcelain are avoided.

Excessive material losses in teeth can be eliminated with zirconium crowns. These material losses can occur due to extensive caries or sometimes in the form of tooth fractures due to trauma.

Dental prostheses called “bridges,” applied in the presence of tooth deficiencies can also be made with a zirconium structure. In orthodontic treatment, zirconium crowns can be used to eliminate crowding. Zirconium veneers can be used in the manufacture of implant-supported prostheses.

Zirconium veneers can also be made in cases where tooth bite sizes are reduced due to wear caused by tooth clenching and grinding.

Zirconium veneers can also be used in teeth with insufficient aesthetic properties and structural disorders due to genetic reasons.

Who can have zirconium veneers?

Zirconium veneers can be applied to anyone who has completed the age of jaw and tooth development.

How is zirconium veneer done?

First, a detailed intraoral examination is performed on the patient. Tooth deficiencies, teeth with excessive substance loss, caries, and aesthetic needs are determined. These treatments are performed if needed, such as tooth extraction, gum treatment, and tooth cleaning before zirconium crowns.

The teeth to be treated and the surrounding tissues are anesthetized with local anesthesia. Impressions are taken from the patient, temporary veneers are prepared, a final check of the mouth’s condition is done before the treatment starts, and plaster models are made. The teeth are reduced to a shape and size on which the zirconium crown can sit comfortably.

Measurements are taken to obtain the necessary model for the production of the zirconium coating. While taking these measurements, mainly silicone-based impression materials are used.

Then, the patient’s chewing movements and the teeth’ closure are determined with the help of special candles for dentistry. In some cases, when there is no tooth contact to close in the mouth, the bite-size is determined by using other face sizes and angles.

Temporary veneers are obtained from acrylic material per the patient’s cut and reduced teeth. Then, these temporary prostheses are attached to the patient’s mouth with an easily removable adhesive material, and the first session of the treatment is completed. Temporary veneers are obtained in two ways: the direct method made with the help of the previously taken impression in the patient’s mouth and the indirect method prepared on the model obtained.

In some cases, zirconium infrastructure can also be created with digital dentistry applications. However, this method can only be used in zirconium prostheses containing a few members.

According to digital measurements taken with micro cameras, zirconium coatings with up to 3 levels can be produced in Cerec 3D cad cam devices. The advantage of this method is that the production of the zirconium structure and the porcelain parts are completed in a much shorter time.

In the second session, which is held a few days after the first session in standard zirconium veneers, the rehearsals of the zirconium parts that form the structure of the veneers are done, and their harmony is checked. Adjustments can be made where necessary. If there is a problem, such as the settlement or height of the structure, it may be required to re-measure the zirconium. In this session, the color of the teeth is determined, and the color of the porcelain placed on the zirconium is selected.

After ensuring that the zirconium structures are compatible, the veneers are rehearsed with the porcelain process. In this rehearsal, existing heights and closing problems are determined and corrected.

After the porcelain rehearsal stage, the coatings are sent to the laboratory for the polishing and polishing stage, the “glaze,” and are made ready for the patient’s mouth. If there is a problem, it may be necessary to reprocess the porcelain and repeat this step. Final fit and aesthetic controls of porcelain veneers are made.

In the last session, zirconium crowns are permanently attached to the teeth, and the treatment is thus completed.

How long does the zirconium coating treatment take?

Specialist physicians determine the duration of the zirconium coating treatment according to the intraoral condition and the number of teeth to be treated. The time of treatment varies between 1 and 5 days.

What should be considered in zirconium veneers?

In some cases, food residues may accumulate under the part of zirconium crowns designed as bridges, which are called the body and cover the tooth deficiencies, and discomfort such as bad breath may occur. For this reason, the bottom of the body parts should be cleaned with special brushes and threads. Again, in other zirconium veneers, there must be no accumulation at the junction of the veneer and the tooth, and these areas should be cleaned correctly. If food accumulation cannot be washed, physician control is recommended.

People with zirconium crowns should pay special attention to their gum health. Gum diseases will reduce the life of zirconium crowns by causing the gums to recede over time. For this reason, it is necessary to give great importance to oral and dental hygiene.

Clenching and grinding problems also cause gingival recession. People with these habits are recommended to take precautions such as using nightguards.

Suppose the existing teeth are discolored, and whitening treatments are planned. In that case, these treatments should be performed before zirconium crowns are applied because the whitening materials that affect the teeth do not affect the coatings.

There is slight discoloration on porcelain surfaces on zirconium. However, coloring foods such as tea and coffee can cause the coloration, albeit slightly. For this reason, it is recommended not to consume too much.

Physician controls to be made twice a year are also important regarding healthy and long-lasting zirconium crowns.

Are zirconium crowns safe and durable?

Combining durability and aesthetics is the most prominent feature of zirconium crowns. Zirconium veneers are incredibly durable if done with the proper application. They can be used for many years with good oral hygiene and careful use.

Porcelain Veneer

What are porcelain veneers?

Porcelain veneers, which are sometimes too large to be treated with filling methods, and sometimes to eliminate tooth deficiencies, are an application that wraps the tooth like a mold and aims to eliminate existing abrasions and weaknesses.

What are the advantages of porcelain veneers?

Porcelain coatings stand out with their durability thanks to the advantage of their metal infrastructure.

Metal-backed porcelain veneers are more economical than other veneer methods. Due to the porcelain material, they can also be aesthetically pleasing. The materials used are safe and do not show any side effects.

What is porcelain veneer used for?

Material losses in the teeth, called excessive crown destruction, can be eliminated with porcelain veneers. While these material losses sometimes occur due to extensive caries, sometimes they can happen in the form of tooth fractures due to trauma.

In case of missing teeth, treatments called “bridge” applied by covering the teeth on the sides of the missing teeth can be used. Implant prostheses can be made with porcelain veneers.

In orthodontic treatment, porcelain veneers can be applied to eliminate crowding.

Porcelain veneers can also be used in cases where the closing dimensions are reduced due to wear due to clenching and grinding.

Over-colored and aesthetically bad teeth can be restored with porcelain veneers.

Who can have porcelain veneers?

Metal-supported porcelain veneers can be applied to every patient who has completed the development of teeth and jaws when needed.

How long does porcelain veneer treatment take?

With digital dentistry, treatment times have also shortened. Treatment times vary according to the intraoral condition and the number of teeth. Durations vary between 1 day and one week.

Porcelain veneers are also made very quickly after the condition of the gums and other dental treatments.

How are porcelain veneers made?

First of all, a detailed intraoral examination of the patient is performed. Tooth deficiencies and teeth with excessive substance loss are determined. Oral hygiene, such as tooth extraction, gum treatment, or tooth cleaning, these treatments are performed.

To guide the temporary coatings and show the initial state of the mouth, measurements are taken from the patient’s mouth, and plaster models are obtained. The teeth are to be cut, and the surrounding tissues are anesthetized with local anesthesia. By reducing the teeth, the size and shape of the porcelain veneers can fit easily.

Measurements are taken to obtain the required model for getting the porcelain veneer. Silicone-based materials are generally used when taking these measurements. Then, with the help of unique candles, the patient’s tooth-closing shape is determined. In some cases, when no tooth contact determines the bite and can guide the mouth, the bite size is determined by using other face sizes.

Temporary veneers are obtained per the patient’s cut and reduced teeth. Acrylic materials are generally used in these temporary coatings. Temporary prostheses are obtained in two ways: the direct method, made with the help of the measurement taken in the patient’s mouth, and the indirect method prepared on the model obtained. Then, these temporary prostheses are applied to the patient’s mouth with an easily removable adhesive material, and the first session of the treatment is thus completed.

In the second session, which is held a few days after the first session, the metal parts that make up the structure of the porcelain coatings are rehearsed, and their harmony is checked. Adjustments can be made where necessary. If there is a problem, the metals are remade by measuring again. In this session, tooth colors are also determined, and porcelains are designed to be applied according to these colors.

After ensuring the compatibility of the metal, the prostheses are rehearsed with the porcelain processed. In this rehearsal, existing heights and closing problems are determined and corrected. Final fit and aesthetic controls of porcelain veneers are made. If there is a problem, it may be necessary to reprocess the porcelain and repeat this step.

After the porcelain rehearsal stage, the prostheses are sent to the laboratory for the final step, “the glaze,” the polishing stage, and the patient is ready for his teeth.

Last session, porcelain veneers, which have also been glazed, are ready to be inserted in the patient’s mouth, permanently adhered to the teeth, and the treatment is thus completed.

What materials are used in porcelain veneers?

Chromium-Nickel or Chrome-Cobalt alloys, which are incredibly durable, are generally used in the metal substructures of porcelain coatings. The upper parts use specially produced dental ceramics with high aesthetic properties.

In previous periods, metal structure was obtained only by casting methods, but today, metals grinded by the technique called milling are also used in designs. In this method, metal structures that provide a much more precise fit are obtained through a device by using computer systems. Since the metals obtained by this method are thinner, less abrasion is sufficient on the teeth. Moreover, the errors that may occur on metal surfaces are reduced to a minimum.

Emax Coating

Emax Veneer Be Applied?

Emax veneers are frequently applied to anterior incisors by dentists for reasons such as the absence of metal content and high light permeability, providing a natural and aesthetic appearance to the person, and being long-lasting. It can also be applied to the teeth in the mouth that do not exert much force. Other preferred areas of Emax coating are as follows.

Yellowed Teeth: Teeth that have changed color due to consumed food, drinks, and age are also included in the application area of Emax veneer.

Curved Teeth: It is a type of veneer preferred for arranging and restoring the structure of misshapen teeth, which have defective alignment and position, and curved teeth. It is also used to treat damaged teeth due to deep dental caries or broken teeth due to trauma.

Root Canal Treated Teeth: Teeth with root canal treatment may tend to change color and break. Emax veneer is also preferred in repairing teeth that are prone to breakage and discoloration in this way.

Emax Coating Advantages

One of the most significant advantages of Emax coating is its aesthetic appearance. In addition, the fact that it will not cause any reaction in the patient due to the absence of metal material makes the Emax coating reliable. The fact that it is suitable for the human body and bone structure is among the reasons for preference. In addition to being aesthetic, the high light transmittance and appearance close to the natural tooth make this veneer necessary. The Emax coating is made of glass ceramic and thus has sufficient durability against chewing behavior. Its durability supports its longevity. The slippery surface of the Emax coating prevents the formation of tartar on the teeth and thus prevents the occurrence of gingival disorders.

Emax Coating Disadvantages

Dentists do not prefer to use it on posterior grinding teeth due to the absence of metal material in its content. It may be a little more costly than metal coatings, but this cost needs to stand out thanks to its aesthetic appearance.

For How Long Is Emax Coating Used?

Although it will vary according to the person’s use, it can be used for many years without problems if oral care is provided regularly and the dentist is checked.

How is Emax Coating Applied?

You can make an appointment, be examined, and get detailed information to have healthier and more aesthetic smiles. Emax veneer, which dentists can apply, the teeth are first discussed in detail during the examination, and it is decided which teeth to use Emax veneer according to the needs and wishes of the patient. Afterward, the teeth that are agreed to have Emax veneer are measured and sent to the laboratory for preparation. Preparation time varies according to how many teeth will be applied. If there is no oral or dental problem, the veneers are applied to the patient’s teeth after they are ready.

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• ORTHODONTIC Braces Treatment

• PERIODONTOLOGY Gum Treatment