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SMILE DESIGN

Smile Design

Smile design is a procedure that allows for providing a smile specific to the face, by a combined practice of dentistry and art. Firstly, a healthy smile is planned based on your personal demands and the recommendations of your physician. Smile design is planned depending on your age, gender, facial shape, occupation and character. The most important point of smile design is that it restructures your smile while protecting your health and naturalness. When starting smile design, first the geometric shape suitable for your facial contours is identified. This is because the features of a person give the passwords of the required form of the teeth. Man and woman anatomies are completely different from each other. In women, the transition areas of the facial contours are softer, and the nasal hum and eyebrow arches are less prominent. In men, facial contours look sharper and more prominent. Their forehead, nose and chin ratio differs from that of women. In women, the tooth corners are softer, and the two teeth in the middle are longer than the ones at the sides. There are also small gaps between the corners of the neighboring teeth. In addition, the smiling line exhibits an upward curve. In men, the teeth lines are more prominent, and the neighboring teeth look flatter. In addition, the smiling line in men draws a slighter curve than that in women. Thanks to the smile design procedure, you can also get more healthy teeth in every respect.

How many types of smiles are there?

Smile expressions are generally divided into three. The first is sexy smile, the second is sophisticated smile, and the third is sporty smile. For a sexy smile, the central incisors (anterior teeth) should be noticeably longer than the rest of the teeth on the sides. Design your anterior teeth in this way gives you a young, dynamic and attractive smile. For a sophisticated smile, teeth aligned on a straight line (i.e. all have the same length) are needed. This smile gives a mature and wise expression to your face. For a sporty smile, your central incisors are required to be slightly longer than the rest of the incisor teeth on the sides. This smile will give you a sincere, extraordinary, and warm expression.

What is the purpose of the smile design?

Smile design is intended to eliminate tooth discolorations, misalignment or inappropriate position of one or more teeth, gaps caused by missing teeth, disproportion of the amount of apparent teeth and gums, ensure the gums to be aligned as required, and prevent discordant tooth lengths in the gums, and aged appearance caused by collapses on the face and lips due to missing teeth. Because all these problems will cause degradation of the patient’s aesthetic appearance, they are aimed to be eliminated with a smile design.

Which treatments are involved by smile design?

The smile design is determined based on the position and condition of the teeth. The procedure involves treatments intended to lengthen or shorten the teeth, correct tooth shapes, make the teeth thinner or thicker depending on their position, eliminate gum gaps, flatten the surface layer of the teeth, i.e. corner design including the squaring, pointing, rounding and filing processes.

What are the factors that influence smile design?

The factors that influence a person-specific smile design when determining it include age, gender, lips, facial contours, skin color, tooth alignment and gums.

In how many sessions is a smile design completed?

First the treatment to be performed is determined by considering the current dental condition and the oral health, and then the number of sessions will be determined accordingly. The treatment procedure can be concluded in a few weeks but may also take several months.

PERIODONTOLOGY

Periodontology

Periodontology is known to be a treatment of gingival diseases. It is the procedure that involves the treatment of diseases in the supporting tissues, i.e. the jaw bone, gums, tissues connecting the teeth to the bone, and adjacent tooth surfaces. Periodontal diseases are some sort of inflammatory diseases affecting the gums and the other tissues that support the teeth. When diagnosed at an early stage, such diseases can be treated very easily. Periodontal diseases affect the majority of the population. However, they are diseases with results and effects that advance sneaky.  A healthy gum looks slightly rough, and its border with the tooth is even and pink colored. A healthy gum does not bleed during brushing or eating. Periodontal diseases show their effect with gingival inflammation. A periodontal disease keeps advancing unless it is treated. During this process, the bone supporting the gums and teeth may cause damage.

What is Periodontitis?

Periodontitis is a more advanced form of periodontal diseases. Damage occurs in the tissues that support the teeth, as well as in the alveolar bone. As the disease progresses, the teeth begin get loose to an extent that requires extraction.

What are the signs and symptoms of periodontal diseases?

Their most obvious signs and symptoms include bad breath, gingival recession, loose teeth, sensitivity, gingival bleeding, inability of the teeth to interlock as in the past, newly emerged gaps between the teeth, sores in the mouth, and swelling and redness in the gums.

How can I prevent periodontal diseases?

First of all, the bacteria plaque should be regularly removed from the teeth on a daily basis, by means of a tooth brush, dental floss, and chemical products. Besides these, you should also regularly visit your dentist because tartar develops in areas unreachable by toothbrush and dental floss. Your dentist will make an oral care plan special for you, and carry out the required procedure.

How are gingival diseases treated?

Treatment of a gingival disease begins with the removal of dental plaques and tartar from the teeth in the early period. Surgical treatment can also be applied in advanced cases. In such a surgical treatment, tartar on the deeper spaces surrounding the teeth, which are called periodontal pockets, are cleaned, the pocket is eliminated with shrinkage method, a proper tooth surface is achieved, and a gingival form that can be easily cleaned is created. After periodontal treatment, the patient should be examined by the dentist and the required controls should be made on a regular basis.

RESTORATIVE DENTAL TREATMENT

Restorative Dental Treatment

Nowadays, the number of studies intended for the prevention of dental diseases gradually increase. Restorative dental treatment involves the diagnosis, treatment and follow-up of all disorders or existing aesthetic problems associated with hard dental tissues, which develop due to bacterial or non-bacteria factors. Besides eliminating the patient’s complaints, restorative dental treatment also enables decayed, eroded, sensitive, discolored, gapped, and broken teeth as well as teeth with tissue anomalies to regain their missing functions and aesthetic appearance. The procedures that we perform in restorative dental treatment include early period caries diagnosis and treatment planning, conservative treatment approaches, composite and amalgam restorations, teeth whitening practices, computer aided aesthetic dentistry practices, porcelain restorations, and rehabilitation of anterior teeth with composite or ceramic laminates. Thanks to the laser and computer-aided technology we use; people with loss of hard dental tissue can be immediately treated, and aesthetic operations influencing your smile can also be performed on the same day.

What services are offered in restorative dental treatment?

Amalgam, composite and glass ionomer fillers.
Aesthetic approaches in dental traumas and tooth fractures.
Aesthetic restorations with direct and indirect composite and porcelain materials.
Treatment of dentin sensitivity.
Smile design.
Vital teeth whitening.
Vital pulp treatments.
Conservative dental treatments in geriatric and oncologic patients.
Individual anti-caries procedures in adults.
Pre-prosthetic restorations.

What Is Laminate Veneer?

Laminate Veneer is the fast and most reliable way for aesthetic restoration of the anterior teeth. There are 3 types of laminate veneers. These are ceramic laminate, aesthetic laminate and composite laminate. Porcelain laminate veneers are materials produced from ceramics, which are chemically bonded to the tooth structure. Composite laminate veneers can restore the deformed images of the teeth. They are added as composite materials to the outer surfaces of the anterior teeth, and then are shaped by the dentist as desired.

Who are suitable candidates for Laminate Veneer?

Laminate Veneer is applied to stained teeth, damaged teeth, crooked teeth, and gapped teeth. In restoration of stained teeth, teeth that have become stained due to a disease, or have lost their natural color due to food and drink consumption are treated with veneers. In restoration of damaged teeth, teeth that have become worn out due to improper use or teeth that have been broken during an accident are treated with porcelain Laminate Veneers. If you have gaps between your teeth, they can be easily covered with laminate veneers. In cases of crooked teeth, Laminate Veneers can be glued to the front sides of the teeth to obtain an aesthetically beautiful appearance.

How long does laminate veneer treatment take?

Laminate Veneer treatment is one of the treatment procedures that can be concluded within a day. However, if the Laminate Veneers are made from porcelain, the duration of the treatment will range from 5 to 6 days because it will also include a laboratory period.

ROOT CHANNEL TREATMENT

Root Canal Treatment

Endodontic treatment, i.e. root canal treatment is performed in cases of damaged pulp structure that is a soft layer in the inner part of the tooth, containing nerve, blood and lymph ducts; inflammations caused by various factors; and infections caused by the settlement of microorganisms. The pulp is a soft layer in the inner part of the tooth, containing nerve, blood and lymph ducts. This layer dies when getting damaged to an extent that it becomes unable to repair itself. This condition is usually caused by bacteria living in broken and decayed teeth. If the damaged or unhealthy pulp is not removed, the tooth and surrounding tissues get exposed to infection, resulting in loss of tooth. In root canal treatment, the dentist first examines the condition of the tooth to identify the problem, and then gives the patient detailed information about the treatment that will be performed. First, the application site is numbed to prevent the patient from feeling pain. If there are caries in the tooth, they are then eliminated, and the tooth is opened from the crown, for being able to access the area where the nerves are located. The root canals are cleaned from the bacteria, and then the channels begin to be filled with a material compatible with the surrounding tissues. If the damaged pulp structure is not removed, infections appear in the tooth and the surrounding tissues. Therefore, the patient is at a very high risk of losing his/her tooth.

What does happen if endodontic treatment (root canal treatment) is not performed?

In cases where the pulp cannot repair itself due to deep decays and cracks, our tooth loses its vitality; and as a result, the existing infection may spread to the entire tooth. If root canal treatment is not performed, the infection can advance up to the tissues in the root apex, and then the bone surrounding the tooth gets inflamed and consequently gets eroded. Abscess formation is observed in this resultant hole. These may be accompanied by pain and swelling, and then the tooth may be lost in a very short time.

Will I feel a severe pain during endodontic treatment (root canal treatment)?

Before starting the root canal treatment, local anesthesia is used in the site of the tooth to numb it. For this reason, the patient feels no pain during the procedure. If the pulp completely loses its vitality, a painless treatment is performed even without the need for using anesthesia.

Does endodontic treatment (root canal treatment) take long?

Before starting the root canal treatment, the dentist determines the actions to be taken, depending on the condition of the tooth. He/she then tells the patient about the processes to be carried out, and the number of sessions required for the completion of the procedure. Root canal treatment is usually completed in 1 to 3 sessions.

What will I experience after root canal treatment?

The part of the tooth called the crown becomes permanently restored after the root canal treatment. After the treatment, you may experience symptoms such as mild pain and sensitivity in your teeth, but these are temporary. No extra maintenance or procedure is needed. After the root canal treatment, you can continue your daily life without posing any danger to your oral health.

What is the lifespan of a tooth treated with root canal treatment?

If your tooth does not get infected after root canal treatment, and if precautions are taken to prevent tooth decay, the filler to be allied can be used for life. If you perform a good oral care that you can perform at home, you can prevent the relapse of tooth decay. In addition, if you regularly visit your dentist for controls, you can easily notice the beginning of infections. The sooner you can notice the infection, the more easily you can prevent tooth loss.

LASER DENTAL TREATMENT

Dental Laser Treatment

Dental laser treatment has added a new dimension to the familiar dentistry treatments. Laser procedures performed in medicine for a period almost 60 years are also successfully used in dentistry. Dental laser treatment involves dental implant treatments, dental filling, root canal treatments, cleaning of caries, elimination of inflammation on the root apex, shaping the gums, and performing all kinds of surgical procedures on the gums and jawbone. Besides all these, teeth whitening, elimination of tooth sensitivity, canker sore (aphtous ulcer) treatment and herpes treatment are also performed through dental laser treatment. Dental laser treatment is also commonly preferred in cases where the patient suffers from certain problems such as pain and ache, and where he/she is afraid of the instrument used in the procedure. This condition called dental phobia can be eliminated thanks to dental laser treatment because is this treatment involves no contact with the tooth surface. Dental laser treatment is also performed in jawbone operations and bone removal procedures required for the extraction of the third molar (wisdom tooth). After surgical intervention, the patient can comfortably continue his/her daily life. Dental laser treatment is a procedure that can be easily performed on pregnant women.

In which situations is dental laser treatment performed?

Dental laser treatment can be performed on all kinds of soft tissue lesions that occur in the mouth, with no need to use local anesthesia. It is also preferred after orthodontic treatment, with intent to provide aesthetically beautiful gums (gingivae). This treatment, also applied to ensure aesthetically beautiful gums in the use of dentures, is used in patient with excessively apparent gums, as well. Dental laser treatment involves an in-depth gum cleaning process. Thanks to laser treatment, gum pockets recover much faster than normal. This treatment involves many different treatments such as the elimination of gingival sensitivity, gum stains, teeth whitening, cleaning of caries, dental filling, and root canal treatment.

What is the advantage of dental laser treatment?

Surgical interventions in dental laser treatment can be performed without hemorrhage. A treatment performed in this way provides the advantage of recovery in a shorter time. In dental laser treatment saves time both during the operation and in the recovery period.

What is the difference of dental laser treatment from normal treatment?

Dental laser treatment causes no vibration and disturbing noise. Its most obvious differences include the facts that it does not involve injection because it often does not require anesthesia; it does not cause hemorrhage in gingival operations; it causes the formation of a sterilized zone through the radiation given to the application site; and it causes no postoperative pain or sensitivity. In addition, the use of laser is highly useful for people who are afraid of dentists and injections, as well as for pregnant women, children and people with heart diseases, for whom the use of anesthesia would be harmful.

Can dental laser treatment be performed on children?

It would be very important to enable children to feel no pain, ache and fear during their first experience in dental treatment. The facts that dental laser treatment does not involve anesthesia, noise and vibration, and causes no pain and ache, will prevent children from being afraid of dentists and dental treatment. For this reason, the best option for children would be dental laser treatment.

Where is dental laser treatment used?

Dental laser treatment is used for gum reshaping, bio-stimulation, gum pocket treatment, root canal sterilization, fibroma surgery, treatment of hyperplasia that occurs during an orthodontic procedure, treatment of tissue thickening caused by dentures, treatment of soft tissue incisions, frenectomia, and canker sore (aphtous ulcer), cleaning of caries, teeth whitening, and elimination of tooth sensitivity.

TEETH WHITENING

Teeth Whitening

Healthy, white teeth are very important for a beautiful and impressive smile. However, structural disorders that occur in some cases, antibiotics used during childhood or in the womb, foods and drinks consumed, the amount of fluorine in drinking water, old implants, crowns and fillers, as well as old age cause discoloration of the teeth. Teeth whitening is the procedure performed to recover tooth enamel that has been discolored and yellowed due to various factors, and to whiten it by several tones on a tailor-made basis. Everything we eat and drink, which contains coloring agents, darkens the surface of our teeth in the course of time. Teeth that have darkened or turned yellow can be treated by performing the permanent teeth whitening procedure (also known as teeth bleaching) instead of applying porcelain crowns. As a result of this procedure, whitening is achieved by up to 8-10 tones, depending on the condition of your teeth. Teeth-whitening is a procedure in which a specially produced gel is applied to the teeth, and the whitening process is accelerated with the help of a light source or laser. Usually two types of discoloration are seen on the teeth. The first is intrinsic discoloration, and the second is extrinsic discoloration. In cases of intrinsic discoloration, there are stains that have penetrated into the tooth. Such stains cannot be removed by brushing. In cases of extrinsic discoloration, stains caused by stainers such as cigarette, coke and coffee have adhered to the outer surface of the tooth.  In both types of discoloration, teeth whitening, i.e. teeth bleaching results in great success.

How is the teeth whitening procedure performed?

Teeth whitening is a procedure that should be performed under the control of a physician. Whitening gels applied to the outer surface of the tooth react with a special light applied to them. By this means, the teeth are whitened very quickly and effectively. With the procedure performed in this way, teeth whitening by 3-4 tones can be achieved in a session.

Can teeth whitening be performed on everyone?

Tooth whitening is an extremely safe procedure that can be performed on everyone. This procedure will not be harmful as long as it is performed in reliable clinics and under a physician’s control. The whitening procedure, not recommended for people who have yet to complete their physical development period, should be performed on pregnant and breastfeeding mothers with caution.

What are the points to take into consideration in the teeth whitening procedure?

A mild sensitivity may be experienced during or after teeth whitening. However, this sensitivity will go away within 1 to 3 days. What is important here is to completely carry out the steps required by the teeth whitening procedure. When performed by professional teams, this procedure causes no harm.

How long does it take to see the maximum whitening result on my teeth?

The results of teeth whitening vary from person to person. Whitening some teeth take a few days, while whitening some others take one or two months. However, an average person’s teeth can be whitened within 2 to 3 weeks. If the yellow stains on your teeth are much than gray stains, the results of the whitening procedure will be significantly better. On the other hand, it will be more difficult to whiten gray stains caused by the use of antibiotics. In such a case, it will take a little bit longer to achieve the result.

What will I experience during teeth whitening?

Because the whitening process continues for a period of 2 weeks after the completion of the teeth whitening procedure, it is required to avoid using stainers in this period. After that, you might consider reducing the consumption of such foods and drinks as much as possible. The hot-cold sensitivity experienced during the treatment will also go away after the treatment.

IMPLANT TREATMENT

Implant Treatment

Loss of teeth, which are a part of facial beauty, leads to psychological and social problems. Besides these, it also causes speech disorders, nutrition problems, digestive problems, and teeth shifting. Therefore, extracted teeth should be replaced as soon as possible, to prevent teeth shifting. This is possible with dental implant treatment. For the application of dental bridges, the teeth next to the area of the missing tooth need to be cut. With today’s technology, healthy teeth no longer need to be cut for the treatment that involves the placement of new artificial tooth roots. Implant treatment is a procedure performed by using artificial tooth roots made of titanium, and porcelain structures mimicking the functions and aesthetic appearances of the teeth on the roots. Implant treatment is a procedure highly preferred and performed at the present time. Various types of implants have been produced; however, the most commonly used ones are screw-retained implants. Thanks to implant treatment, people gain new artificial teeth in place of their natural teeth they have lost over time. Those artificial teeth are as comfortable as the natural ones and enable the people to experience the same comfort again.

What are the advantages of implant treatment?

It has certain advantages such as;

Preservation of teeth adjacent to missing teeth

Prevention of jawbone loss at the site of missing teeth

Easier performance of oral hygiene procedures

Ability to place the teeth one by one, in accordance with the natural alignment

Ability to chew better

Ability to eat anything

An aesthetically more beautiful appearance

A happier social life

Healthier eating, as a result of being able to eat anything.

Can implant treatment be performed on all patients?

Implant screws have a certain thickness and length. Therefore, the area that requires implant needs to have a height, width and quality ensuring the screw to be adopted by the jawbone. The gums should be healthy before the implant treatment and throughout the period when the implant remains in the mouth. If the patient’s general medical condition is good before the implant treatment and if there is no obstacle to the performance of the procedure, implant treatment can be successfully performed.

Will I feel pain during implant treatment?

You feel no pain and ache during implant treatment, as long as the appropriate anesthesia procedure is performed. General or local anesthesia is used during the procedure, depending on the patient’s preference. The pain that can be felt in the evening after implant placement can be prevented with simple painkillers. Once the treatment is completed, you do not even feel the presence of the implants, and feel no difference between them and your natural teeth.

Will I feel an intense pain after implant treatment?

Despite being rare, long-term pains may be suffered after implant treatment. However, no long-term pain is experienced after an implant treatment performed successfully in an appropriate environment. It is normal to feel mild pains.

I have had implant treatment. How long can I use my implants?

Implants are highly long-lasting. They are seen to remain in the mouth with no problems for a period of more than thirty years. The lifespan of implants varies depending on many factors. Some of these include the patient’s health and taking good care of the dental implants. Implants can be used for a lifetime, as long as these are considered.

DENTAL AESTHETICS

Aesthetic Dentistry

Our teeth are very important for us because even the slightest problem with the appearance of our teeth may unfavorably affect our social life. Good-looking teeth have a positive effect on people’s lives. If you have an eye-catching smile, it makes you high in self-confidence, and enhances your social communication. Problems affecting the smile of an individual are gaps between the teeth, distortions, darkened teeth, problems with the gums, discolored crowns and darkened dental fillers. Laminates (i.e. veneers made of porcelain), porcelain fillers and full ceramic crowns are among the most commonly applied materials in aesthetic dentistry. In addition, determining the smile that is best suited to your face is another particular issue. First, the physician examines the patient to determine the tooth size and tooth shape that suit the patient’s face, and see the relation between the teeth. Then, clinical photographs are taken of patient, joint decisions are made in consultation with him/her, and then the procedure is performed. In this process, the procedure is performed by considering the patient’s teeth, mouth condition, and expectations. Some of the procedures in aesthetic dentistry are teeth whitening, implant placement, orthodontic treatments, endodontics (i.e. root canal treatment), and laser treatment. All of these procedures are performed under physician’s control.

What are the objectives of aesthetic dentistry?

The general objective of aesthetic dentistry is to design healthy smiles suitable for the person. If you have shapeless teeth, the objectives of aesthetic dentistry include: to correct such teeth by achieving a natural appearance; to reveal a nice smile with healthy teeth and gums after all treatments; and to achieve a natural appearance for smiles with aesthetically beautiful teeth.

When should implant treatment be performed?

In aesthetic dentistry, implant treatment is performed in cases of partial and complete missing teeth. If you have lost one or more teeth, dental implants used in such cases can be applied with intent to substitute them. If dentures cannot be kept in place and if the patient has nauseous reflexes caused by dentures in case of complete missing teeth, implant treatment is performed.

Why do teeth lose their whiteness, and is there any age limit for teeth whitening?

There are many factors for the loss of teeth whiteness. The principal ones of these factors include old age, consumption of certain substances that colors the teeth such as coffee, cigarettes, coke, etc., discolored crowns and fillers, traumas, antibiotics used during pregnancy, and fluoride consumption. The teeth whitening procedure can be performed on many people; however, it is not recommended for people younger than 16 because their neural structure is not suitable for it. In addition, pregnant women and those who have excessive tooth sensitivity should also avoid teeth whitening treatment.

What are the conditions that require root canal treatment?

If you have dental caries expending in the course of time, you may feel pains that may initially be mild but then gradually get worse. There are pulp, blood, lymphatic tissue and nerve in the tooth structure. The pulp dies if it gets damaged and unable to renew itself, and also creates a considerable inflammation. With root canal treatment, the unhealthy pulp is removed from its place, and then the canal is treated. A root canal treatment should be concluded with the minimum number of sessions.

In which situations is orthodontic treatment performed?

If you have dental and facial deformities, orthodontic treatment is a diagnosis and treatment utilized in such a process. Orthodontic treatment usually involves the use of regulative apparatus such as brackets. When these apparatus are used regularly, the teeth are corrected, dental deformities and misaligned jaw disorders are eliminated, and the teeth and lips are aligned properly.