
Smile Aesthetics
Smile Aesthetics
Everyone wants to have a healthy and beautiful smile. Our teeth play an important role in the first impression we make with the people we meet. On the other hand, in our changing and digitalizing world, many of us are now on screens. We share videos and selfies in which we take a closer look at our faces . The most important accessory of our face is our smile. The perfect teeth that appear when we smile make us look healthier and more impressive.
Our patients often visit our clinic and say that they want to change their smile and have more vibrant, bright and impressive teeth. We have discussed and implemented smile aesthetics with our patients of almost all age groups, whether young, middle-aged or older.
So how can we achieve smile aesthetics?
There are many methods that we can choose individually to achieve smile aesthetics. Orthodontics, teeth whitening, composite We can provide an impressive smile with methods such as bonding methods, implant treatment and smile design.
In what situations do we generally need smile aesthetics?
Broken, cracked and worn teeth
Large, discolored old fillings in the front area
discolored teeth
Gaps between teeth, which we call diastema
Short teeth that are not visible when talking or even smiling
Teeth that are disproportionately large or long compared to the lips and face
Deficiencies due to tooth loss in the anterior region
crooked teeth
negatively affects our smile and we need aesthetic arrangements.
Our smile becomes more beautiful with teeth, and our life becomes more beautiful with our smile!
In order to have beautiful teeth, making a personalized smile design makes our job easier.
What is smile design, what are the stages?
Smile design is the measurement and analysis performed to obtain a healthy and beautiful smile. It means designing the smile we want to have in the final from scratch.
Smile design is a work we do to ensure the aesthetic harmony of the patient's teeth, mouth and face. Let's divide it into 3 stages for easy understanding.
Evaluation phase
It is important that the patient and the physician are in harmony during this process. Unfortunately, a good result cannot be expected with a dentist who does not understand the patient or a patient who cannot express himself. An experienced physician in this regard should guide the patient by asking questions and showing examples, and at this stage, he should be able to understand what kind of smile he dreams of.
After mutual interviews, intraoral photographs and facial photographs are taken. Intraoral measurements are taken. A panoramic x-ray is taken and what treatments will be needed are discussed.
the color, length and shape of the teeth, the position of the lips, the determination of the smile line, the amount of appearance of pink gums, the shape of the face and even the character characteristics of the person.
Approval phase of the design
When the design is ready on the model, we apply it to the mouth with the help of a silicone template.
We try the design in the mouth and decide on the tooth length and forms that best suit the face. Necessary lengthenings, shortenings and changes to have the ideal smile are decided at this stage.
Performing treatments
Even though our subject is aesthetics, our priority is oral health. For this reason, we first check the health of teeth and gums and perform the necessary treatments. Infrastructure work is the most important part of the work so that the prosthesis we make can be used healthily for many years.
At this stage, if necessary, treatments such as filling, root canal treatment, extraction, etc. are applied to the teeth to make the infrastructure strong and healthy. If necessary, gum leveling and gum health treatment procedures are applied to achieve pink aesthetics. In our clinic, we use electrocautery devices for these procedures . When the treatment stages are completed, we move on to the application of the aesthetic materials we have chosen to the teeth.
porcelain laminate veneers , emax crowns or zirconium crowns are the restorative materials we frequently prefer today. With these thin and high light-permeable materials, we obtain teeth that are bright and shiny but at the same time very close to nature. When done correctly and with good care , they can survive in the mouth in good health for years.
The average construction time for these processes is 1-2 weeks.
Nowadays, a perfect smile creates a positive impact on people. The shape, color and quality of our teeth reflect the health and self-confidence of the people around us. If you are not satisfied with your smile when you look in the mirror, you can get the smile you dream of by consulting your dentist.
What to Consider When Designing a Smile?
Patient's age
Patient's gender
Tooth form size
Face shape
lip shape
Whether there is deviation in the nose
midline of teeth
gum health
Gum levels (pink aesthetics)
Vertical dimension (jaw closure)
Bruxism (Teeth Clenching)
lower lip line
smoking
Concept of visageism
All these factors are evaluated and the tooth design appropriate to the golden ratio is determined.
The golden ratio is a reference value that exists in nature and that we use in aesthetic procedures. It is a measurement method that allows creating teeth that are pleasing to the eye and ideal in terms of aspect ratio.
What are the types of smile designs?
Although smile design is personal, there are generally popular tooth forms and smile types. While evaluating our patient's wishes and expectations, we can also take a look at these ready-made smile types together in order to understand each other easily before the design and to make the design that best suits their wishes.
Intellectual Smile( sophisticated smile )
It is a smile design that makes the person look mature and knowledgeable. It is generally preferred by middle-aged and older individuals.
Sporty Smile smile )
It is achieved by the central incisors being longer than the lateral incisors. It is a frequently preferred design style.
Attractive Smile ( Sexy smile )
frequently preferred by women . As a general concept, it is achieved by the front teeth being longer than the others.
Smile design according to character!
Another popular concept that has emerged in recent years is "VISAGISM" .
What does this mean: It is to design a special smile according to the person's character and temperament.
the person's profession, social situation and character makes people more satisfied. In addition to the tooth colour, shape , length, form and compatibility with the face, it becomes easier for the person to adopt the teeth made with the concept of visageism and to feel like they belong to them.
Let's give an example: If round-shaped, mobile teeth are made for a person in a managerial position who is authoritarian, disciplined and has a tough stance, he will be given a more sympathetic appearance. This tooth, which does not match its character, can make the person unhappy, no matter how aesthetic it is. Making straighter and angular teeth for this person will give him a smile that better reflects his character.
Let's give another example in the same way. A sympathetic, warm and energetic female patient will be given a more impressive and unique-looking smile by making teeth that are rounder, with triangular lines, or even in long and short form by playing a little with the front teeth.
What is Digital Smile Design and How is it Done?
The stages of smile designs are done digitally.
At the first examination of the patient;
Digital measurements of your teeth are taken with a 3D intraoral scanner.
Photos are taken at appropriate angles.
The patient is shown examples from the dental library and previous cases to decide on suitable dental models.
A digital smile design is made with an intraoral scanner and the patient is presented with what the targeted smile design will look like after the treatment is completed. The model of this digitally prepared template is obtained from a 3D printer using acrylic resins. This model is mock It is applied to the mouth using the up method and an agreement is reached with the patient.
In the next session;
Necessary treatment procedures are performed.
Digital measurements of your teeth are taken with a 3D intraoral scanner.
Temporary teeth are applied to the patient.
On his last appointment;
Custom-made veneers are rehearsed.
The produced teeth are bonded with the patient's approval.
After the end of treatment; Dental health is monitored with regular dentist check-ups.
How are Zirconium Teeth Made?
First, a panoramic x-ray is taken to determine general oral health and the teeth to be replaced.
The procedures to be performed in the infrastructure such as filling and root canal treatment are determined.
If a decision is made after mutual discussions and information with the patient, the construction phases begin.
Oral health and gum health are made perfect by performing infrastructure treatments.
Using impression methods, measurements of the teeth for which the patient wants zirconium dental veneers are taken and sent to the laboratory. In our clinic, we take digital measurements with our 3D intraoral scanner device and obtain the most durable and high quality zirconium blocks with the CAD-CAM system and zirconium coatings with computer technology.
Zirconium veneers are placed on the prepared tooth with a special adhesive . Permanent adhesion occurs within a few hours .
Situations Where Zirconium Coating is Used
It can be preferred for aesthetic purposes,
It can be used in bridge construction to replace missing teeth.
It is used on teeth that have undergone color change and the desired result has not been achieved with the whitening process.
It can be used to correct crooked teeth,
It can be preferred in veneering the teeth in the back of the mouth.
It can be preferred in the construction of crowns and bridges over implants .
It can be preferred for use in patients who want to have a smile design.
Porcelain Laminate What is Veneer (Leaf Porcelain)?
Porcelain laminates are thin porcelain sheets that are prepared by removing minimum material from only the front surface of the teeth and adhered to the teeth. These very thin (0.3-0.5 mm) thick sheets are specially prepared in the desired color, size and form and are glued to the front surface of the tooth.
laminate Veneers are a procedure that allows us to change the characteristics of the teeth such as shape, structure, color, etc. , and is performed with a more minimal touch on the tooth compared to crown construction.
Although they are very thin substances, they are strong enough to remain in the mouth for many years. Although they are not a suitable treatment for every patient, they can provide excellent aesthetic and functional results in appropriate cases.
It takes an average of 2 sessions for the design to be made and shown to you inside the mouth. In the first session, your records are taken, and in the second session, " Mock This design is rehearsed in the mouth with the application we call " Up ". As a result of the design, a decision is made and the process begins. Subsequent sessions vary depending on the condition of your teeth and the procedure to be performed.
What Points Should Be Considered When Designing a Digital Smile?
designing a smile , the individual's facial features, eyes, ears, nose, chin tip, etc. are taken into account. parameters are taken into account. While determining the dental forms, a dynamic smile design is made with the person's style in accordance with the visagism concept .
Based on the measurements taken, the digital design is converted into a model and a second appointment is made to test the model and present it to the patient.
mock) obtained from the prepared digital design model up ) is placed on your teeth.
mock Are there any situations where we cannot do up ?
Yes. In cases where some of the teeth are too far forward/outside of their required position, it would not be healthy to do a rehearsal without changing the position of that tooth. Therefore, such teeth may prevent the ideal design from being rehearsed with 100% accuracy. If the final decision to start treatment is made, the tooth should be shaved. mock The design can be viewed by placing the up mold.
the accepted treatment procedure , the physician starts the treatment by giving the patient a new appointment. All treatments and the current situation are recorded and everything is planned according to the digital design.
What to do if I don't like the digital smile design ?
The main purpose of the rehearsal session is; It means that the person approves and accepts the smile design, the parts that he does not like are discussed and these points are corrected by changing them as desired. While small changes can be made within the same session, it is also possible to repeat the design depending on the situation.
What materials can we choose to create a smile design?
Zirconium crown,emax crown,porcelain laminate Veneers are the most frequently preferred methods to achieve a natural and aesthetic smile.
What is Zirconium?
Many people complain about losing the natural beauty of their teeth over time and age . In addition, not only aesthetic appearance but also loss of function due to missing or short teeth and not being able to chew comfortably can be a problem. In general, it is not possible to compensate for dental treatments that are not performed on time in the future. With zirconium dental coatings, we can now completely prevent such problems.
When your teeth lose their healthy and white appearance, it is now possible to return it. The development of technology has made it possible for teeth to be even more beautiful than before. Thanks to many dental coating technologies widely used today, teeth can look healthier and more aesthetic than ever before. One of these technologies is zirconium dental coating application.
When there is loss of material in the teeth due to decay or fracture, we may prefer crown and bridge construction to replace the missing teeth. In such cases, we want to choose a material that is durable and can last for many years. In the past years, metal supported crown bridges were preferred. Nowadays, thanks to the increased durability properties of zirconium, we use it in both back and front teeth.
Zirconium is actually an element found in nature.
Zirconium, a hard white material, is a material used today instead of gray metal in the infrastructure of bridges and prostheses . Zirconium coating allows us to achieve the desired result even on teeth whose color has darkened.
It is a preferred material due to its compatibility with tissues, durability, non-allergenicity and aesthetic appearance.
Since zirconium is a metal that can transmit light, it is the material we prefer when designing an aesthetic smile on the front teeth.
At the same time, since it is a durable material, it is also suitable for use on the back teeth. Resistant to chewing forces
a metallic taste or bad odor in the mouth.
It does not cause metal allergies.
It does not cause dark color or bruising on the gums.
It does not cause tooth sensitivity. The patient can consume hot and cold foods as he wishes.
It is not affected by coloring factors such as cigarettes, tea and coffee. It preserves its color and shine for many years.
For zirconium coating care, daily oral care will be sufficient. In addition to brushing teeth, flossing and using mouthwash, the use of an oral irrigator is a device we recommend to our patients.
It is produced computer-aided with new technology CAD-CAM systems. Thus, we can produce crowns or bridges that are more perfectly adapted to the teeth in a short time.