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Aestetic Dentistry

What is debonding?

This method, which is an alternative to porcelain laminates, is the process of reshaping the teeth with composite resins with the help of agents called bonding.

To whom does it apply?

for aesthetic purpose

Repairing broken teeth

To remove interdental spaces

Closing cracked tooth surfaces

Changing tooth color

In the elimination of aesthetic problems caused by large fillings

Elimination of minor intricacies

To change the form and size of teeth

Is it harmful to teeth?

If there is no caries in the tooth, its biggest advantage is that it is applied without causing any tissue loss from the tooth tissue.

Does it change color over time?

As with natural teeth, frequent consumption of foods such as tea, coffee and cigarettes causes discoloration, but it is quite easy to remove the discoloration. In a well-polished restoration, discoloration will be minimal.

What should be considered after the application?

Very hard foods should not be bitten with the front teeth. Breaking movements can cause breakage.

Colored drinks should be avoided for the first 24 hours.

The life of restorations is proportional to oral care.

To whom is it not applicable?

People with poor oral hygiene

Patients with very high aesthetic expectations

If biting and chewing movements involve the restoration area

People with parafunctional habits such as pen biting and nail biting.

Since the refractive index of composite resins is different from natural teeth, it should not be applied to people who work in professions where light in different shades is reflected on the face area. Under these lights, the boundaries of the restoration will reveal themselves.

How long does it take to build?

It is a process of 1 – 1.5 hours.

What are the usage issues?

After the application, the patients complain that their teeth are big, their speech changes, their lips become strange, the brightness deteriorates and they cannot get used to it, but these are only the symptoms of the adaptation period.

What is porcelain laminate veneer?

They are very thin leaf-shaped porcelains used especially in the teeth in the anterior region. Due to the structure of porcelain and its very thinness, it passes light as well as natural teeth. In this way, they provide a natural-looking successful aesthetic. They can be used successfully for many years with the help of special adhesives.

What are the advantages of porcelain laminates?

Although very thin, they are durable due to the feature of porcelain.

They can be prepared by making very small cuts on the tooth or without any correction. Thus, the tooth tissue is preserved in a healthy way.

Color options are many.

They do not change color over time.

They do not wear out.

Who can have porcelain laminates?

Patients with fractured or cracked teeth in the anterior region

Patients who have large restorations in their anterior teeth and are uncomfortable with their visibility

Patients with spaces (diastema) between their teeth

Patients who do not want orthodontic treatment but want their small crowding to be removed

Patients who cannot achieve the desired result as a result of teeth whitening or who do not want to have a whitening treatment

Patients who want to remove the sensitivity of worn teeth and change the dark rough appearance resulting from abrasion on the tooth surface

Patients with difference in level and size between their teeth

Patients who are not satisfied with the appearance of their teeth when they smile

Patients who find the size of their teeth small and want to have longer teeth

Who can not have porcelain laminates?

Patients with too much tooth damage

Patients with parafunctional habits such as nail biting and pen biting

Those who have the habit of grinding their teeth

Patients whose gum problems cannot be resolved

Patients with too much crowding in their teeth

Patients whose upper and lower teeth close together when bitten

How long is the service life? Does it require any special care?

It does not require any special care. With good oral care and routine dental checks, they can be used for many years without any problems.

Will it fall?

They are adhered to the tooth surface with the help of special adhesive agents. With a successful porcelain lamina compatible with the tooth and a successful bonding technique, such problems do not occur. However, patients are told not to bite very hard foods, considering that the tearing motion with the anterior teeth will disrupt the tooth-lamina harmony.

What is the cause of diastema?

Diastema means having spaces between teeth. Reasons :

Small anatomical form of the teeth

Large jaw arch

Large jaw arch and small teeth

Spaced placement of anterior teeth as a result of missing teeth in posterior group teeth

The lateral incisors located next to the front incisors are smaller than normal or not formed

The gingival connective tissue called the frenulum between the front teeth is wider and longer than normal

What problems occur in the presence of diastema?

Since the dark color of the oral environment is reflected from these gaps between the teeth, which are more than they should be, it affects the smile aesthetically. Some sounds cannot be pronounced properly due to the tongue getting in between these spaces. It is very difficult to clean because the toothbrush cannot easily enter these gaps. During chewing, food residues can get stuck in the diastemas in the posterior group teeth, causing gingival disorders and interface caries.

How are diastemas closed?

Gaps between teeth can be closed with the help of orthodontic treatment. In patients who do not want orthodontic treatment, diastemas can be filled with tooth-colored composite resin fillings with the help of bonding agents.

What are the factors affecting success in treatment?

The expectation of the patient is of great importance in this regard. Because the criteria for success differ from person to person. In this, the position of the teeth, their relationship with other teeth, the form of the gums and their habits are of great importance.

If the gap between the teeth is too large, much larger teeth than expected will be obtained. This can cause the teeth to appear shorter in length.

It is desired that the gingiva between the diastema teeth be in a triangular form. If the gingiva feels straight, success is limited. In between, the darkness coming from the oral cavity in the form of a triangle will be reflected.

If it is the frenulum that causes the diastema, successful results will not be obtained in the treatments performed without correcting this gingival connective tissue.

Who cannot be applied to diastema closure?

People with poor oral hygiene

Patients with very high aesthetic expectations

If biting and chewing movements involve the restoration area

People with parafunctional habits such as pen biting and nail biting.

Since the refractive index of composite resins is different from natural teeth, it should not be applied to people who work in professions where light in different shades is reflected on the face area. Under these lights, the boundaries of the restoration will reveal themselves.

What are the alternative methods in diastema closure?

orthodontic treatment

Lamina porcelains

porcelain crowns

Zirconium crowns

Porcelain is used in the construction of crown and bridge restorations and the superstructure of implants. Porcelains are obtained by firing ceramic powders at high temperatures. Porcelain imitates the enamel tissue on the outer surface of the tooth in terms of color and structure. In addition, the fact that its color is adjustable and that it can maintain color stability for many years is one of its biggest advantages.

What is a crown?

It is the process of restoring an existing tooth for aesthetic or functional reasons.

When are crown restorations done?

If it is not possible to treat broken teeth with filling

If there is hypersensitivity in cracked teeth

Discoloration (if there is discoloration of the tooth due to endodontic treatment, medications)

To change the tooth form or position

In non-restored decayed teeth

In teeth that have undergone endodontic treatment and have been severely damaged

To remove gaps between teeth

In order to close the gaps caused by gingival problems

The future of clasps in removable dentures is to protect teeth.

What is a bridge? When is it done?

If tooth deficiencies cannot be eliminated with implant treatment, it is the type of treatment in which the missing teeth are eliminated by getting support from neighboring teeth. The number of missing teeth, their location and the health status of adjacent teeth are effective in deciding the bridge construction. In cases where there is no missing tooth, a bridge can be made. In this case, the purpose is; correcting aesthetics, protecting the teeth due to abrasions on the teeth.

What is zirconium?

Porcelain is a durable white metal used in the infrastructure of crown and bridge restorations.

What are the advantages of zirconium supported teeth?

Due to their white color, they are more aesthetic than classical metal-supported porcelain teeth.

While providing aesthetic results, durability is also extremely successful.

It can be used easily in individuals with metal allergies.

Since the light transmittance is higher than metal, a natural tooth appearance is provided. (The enamel tissue in natural teeth also has light transmittance.)

It blends well with textures.

What are the disadvantages of zirconium supported teeth?

It is more expensive than metal-supported teeth.

Are zirconium teeth durable?

Restorations in which zirconium is used as a substructure are as durable as metal-based restorations. Since zirconium has less stretching compared to metal, the fragility is slightly higher. However, less stretching makes the harmony of the porcelain processed on the surface more robust and reduces the possibility of breakage in the porcelain.