Although the solution of problems such as toothache, bad breath and tooth loss comes to mind when it comes to oral care, smile aesthetics due to teeth and gums have a very important place today. Aesthetic problems that occur as a result of decayed teeth, gum diseases, irregularities in tooth alignment, abnormal discoloration and tooth loss can negatively affect the social life of people. In addition, it can even cause people to start laughing in public, causing self-confidence deficiencies.
Although the person sometimes has healthy teeth, he may want to improve the disproportion of teeth and gums, shape or deformities aesthetically. A beautiful smile will give the person psychological strength and at the same time give a better impression to the people in front of him.
With the advancement of technology and scientific studies, more beautiful smiles can be provided with many methods and the concept of “aesthetic dentistry” is more common in our lives.
What is smile design?
One of the first concepts that come to mind when talking about aesthetic dentistry is “smile design”. Smile design; It is the process of making the teeth and gums, whose aesthetic appearance is deteriorated due to various reasons, have a natural and beautiful appearance as much as possible, taking into account the facial shapes and requirements of the patients. Smile design, which is a multidisciplinary approach, is carried out by applying many processes together.
What processes does smile design involve?
Since the aesthetic needs of each patient will be different, the procedures to be performed are determined individually. While determining these procedures, the patient’s; Factors such as facial features, gender, age and expectations are taken into account.
First of all, existing decayed teeth and gum diseases are treated, dental cleaning procedures are applied. Afterwards, procedures are determined according to the needs of the patients. These operations are generally; Gum aesthetic interventions called gingivectomy, tooth whitening (bleaching) methods, compensating for tooth deficiencies with implant and prosthesis applications, porcelain laminates and veneers, zirconium veneers and orthodontic treatments (wire treatment).
How is Smile Design done?
In smile design, it is very important to first understand the aesthetic expectations of the patient and determine the needs correctly. Problems are determined and plans are made on the models prepared with the measurements taken from the patient’s mouth. Then, measurements are made using special programs in computer environment with the intraoral and facial photographs of the patients and the conformity to the face shape is calculated. The most approximate images that will occur after the treatment are presented to the patient with programs and temporary restorations prepared in accordance with the original in the patient’s mouth and their ideas are taken.
After the planning is completed, if there is no need for orthodontic treatment, the level disorders in the gums are regulated first. In cases of missing teeth, planned implant procedures and other necessary surgical applications are performed. After the healing periods of surgical applications are completed, teeth whitening procedures are applied if needed. After this stage, the visual and deformities in the teeth are sometimes eliminated by aesthetic composite fillings. In cases where this method is not sufficient, porcelain laminate and veneers and zirconium veneers come into play. For porcelain laminated applications, there is usually no or minimal abrasion on the teeth. If porcelain or zirconium applications are deemed appropriate, some changes can be made by taking the patient’s ideas again in the rehearsals made during the stages. During all these gingival and dental applications and rehearsals, lip shape and contour are also taken into consideration and the targeted design is finalized.