Aesthetic dentistry is a wide area covering all treatments, including smile design practices. Surgical applications such as implants, flaps, periodontal treatments such as curettage, orthodontics and prosthetic applications can be planned within the scope of aesthetic dentistry applications.
Whitening is applied to treat discoloration in the tooth. There are 2 different application methods of bleaching, office type and home type. In the home bleaching option, a special and personal bleaching tray is prepared for the patient, taking the patient’s mouth size. The whitening gel is put on the bleaching tray by the way, shown by dentist. The plate is placed in the mouth and kept for about 6-8 hours. This process, where the gel has a bleaching effect, is applied for 10-15 days. Depending on the staining of the tooth, the desired result can be obtained from the first week. During this time, colorful drinks and foods are avoided. The tray is often used at night.
Office type bleaching is a process that takes approximately 30-60 minutes with a special bleaching gel. Depending on the condition of the enamels, a second session may be required to complete the whitening process and give effective results. Results are obtained in a shorter time than home type whitening. It is easy and simple to apply. However, unlike home bleaching, cold hot sensitivity may be seen for a short time after the procedure.
In today’s dentistry trends, smile design and smile aesthetics are attracting the greatest attention of the patients. The trend which started with the Hollywood smile, now turned into the design of a personalized smile.
There are many factors that determine dental aesthetics. Also, there were many factors threatening the aesthetics of the smile aesthetics, such as tooth color and staining status, tooth loss, diestama (tooth gaps), symmetry and alignment problems which require orthodontic treatment methods, lip asymmetry, symmetry or structural disorder problems of the upper anterior teeth, lip line or gum problems, weakening of the lip muscles, depending on the lack of muscle tone.
A smile aesthetic treatment planning is made by firstly determining the smile distorting elements and then by taking the wishes of the patient into consideration. All treatments such as teeth extracting, whitening, filling, canal treatment, zircon, implants, orthodontics, periodontology and surgery are included in the smile design and aesthetics treatment, in accordance with the treatment plan.
PORCELAIN LAMINA VENEERS
Porcelain lamina (leaf lamina) are among the most interesting applications in dental aesthetics. Porcelain laminate veneers are aesthetic restorations, which are applied in the presence of mine defects, tooth coloration, diastema varieties and malpose (light direction or curved teeth), are applied as an alternative to full crowns, and by minimal cutting of the teeth especially in the anterior region. With the personalized smile design, in order to assure compatibility with the other teeth, each tooth is designed one by one, and the procedure is started after the final decision is made with the patient by showing the finished model to the patient. Today, laminated veneers are the most preferred aesthetic treatments as they are applied with minimal or no cuts (such as 0.3-0.7 mm), and also with adhesive systems that can keep their natural look and color stability for many years.
ZIRCONIUM PORCELAIN COATINGS
In dentistry, metal-supported porcelains have been used for many years. However, it is an important disadvantage that metal porcelains cause discoloration of the gingiva tissue and also the reflection of the metallic color from the gingiva. Therefore, zircon porcelains that ensure a more aesthetic, more natural look are preferred in recent years. With regards to gingival health, the compatibility of zirconia with gums, its natural and aesthetic appearance are also extremely important. For this reason, Zirconia porcelain veneers are the treatments that can be used safely in the back regions, as well as in the front regions.
FULL PORCELAIN VENEERS
Full porcelain, also known as full ceramic and Empress veneers, are systems obtained with the implementation of porcelain on ceramic core instead of zirconia substructure used in zirconia porceleins. Full porcelains produced in laboratories with the help of special techniques and computers, are mostly used in the front regions due to their high light transmittance, biological compatibility and aesthetic appearance. Also, it is easily used in the back regions. These systems, which were introduced to the market both as an alternative to metal porcelain and zirconium veneers and to eliminate the disadvantages of metal porcelain and zirconia porcelain, have been used as an aesthetic treatment option in dentistry for many years.
FIXED AND REMOVABLE DENTURES
Fixed and removable prostheses are prosthetic restorations applied in partial or total edentulous mouth conditions. Fixed dentures are restorations applied in case of partial missing teeth, and are designed by getting support from the remaining teeth to fill the cavity of the lost tooth. The removable dentures is the prosthesis that the patient can attach and remove by himself/herself, that holds on the jaw by getting support from the existing teeth, and applied in cases where it is not possible to regain all the teeth in the mouth with fixed prostheses.
BONDING (ADHESIVE SYSTEM)
Bonding applications especially used in aesthetic dentistry, are applied with aesthetic composite resin materials, after abrasion or minimal roughening of the teeth, and for the restoration of small impurities in the teeth, diastema and broken teeth in the front region, in a just one single session. Thus, the patient obtains a holistic aesthetic smile.
INLAY, ONLAY AND OVERLAY FILLINGS
Inlay and onlay fillings are applied, in cases where a canal treatment has been made and there is a large amount of tooth loss, and it cannot be restored directly with composite resin materials and the tooth is not damaged enough to crown. These indirectly prepared (laboratory-supported) restorations are made of composite or porcelain material, depending on the patient’s tooth condition, its destruction, and the restoration material on the opposite tooth. Since such restorations are prepared indirectly, polymerization shrinkage, marginal integrity, contact with adjacent teeth, tubercle formation, ease of repair can be achieved more successfully. These restorations, which are adhered with adhesive systems, can successfully last in the mouth for many years.
TOOTH GAPS (DIESTAMA) FILLING
Diastema is the name of the gaps between the teeth. The continous and close alignment of the teeth is not only important for the chewing functions and their effects on the other teeth, but also for the incorruption of the general jaw structure and for healthy jaw aesthetics. As preventive dentistry is applied by treatments preserving the tooth, the tooth gaps (diestama) are mostly closed in a single session with bonding application. However for a natural smile, it is absolutely necessary to apply the appropriate treatment with dentofacial orthodontics analyses and/or treatments ausch as porcalein veneers after full inspection of the patient.