Aesthetic Dentistry

PORCELAIN LAMINATES

It is possible to completely change your smile with very thin leaf-shaped restorations that we call lamina, which is bonded only on the front surface of the teeth.

With mock-up techniques, you can see your digital smile on the teeth, and then, if desired, in the mouth, before any intervention. Thus, you do not have to worry about how your teeth will look like at the end of the procedure.

Fine-structured porcelain laminates provide a bright appearance on the teeth with their transparency resembling natural tooth enamel. Due to its superior aesthetic properties, it is a frequently preferred treatment option in smile design.

First of all, your dentist evaluates whether this procedure is suitable for you by photographing your teeth, examining them in detail, investigating your wishes and expectations. Like all other applications, this process may not be suitable for everyone. If appropriate, we continue with the following steps, if not, alternative proper actions are recommended.

Detailed photography are taken and both jaws are recorded with an intraoral scanning camera and their relationship with each other is determined.

First, a smile design is made on the photographs as “two-dimensional”. In this design, a personal smile is designed by evaluating many issues such as the relationship between teeth and lips, face shape, gender, the form of the existing teeth, the visibility and symmetry of the gums in the smile.

If the patient likes the two-dimensional design, the process can be started, or if desired, the dimensioning and shaping can be made by transferring them to a different program, and a personalized Mock-Up plate is obtained by making “three-dimensional” digital modeling in accordance with the finished shape. With this plaque, the way of smiling is shown practically on his own teeth. If desired, modifications can be made on it and the ideal result is obtained without any concrete action. Thus, it is possible to start the process as “carefree”.

In Mock-Up application, if shape changes on the gums are required, laser sizing and symmetry are provided to the gums by taking the plaque borders as a guide. This process is called pink aesthetics. For aesthetic results, pink aesthetics is as important as lamina making, which we call white aesthetics.

If a change has been made, the final state of the teeth is scanned with a camera over the Mock-Up material and sent to the laboratory.

The desired color is determined after shared decision.

Laminas are prepared in the laboratory in the light of all this information.

The laminae coming to the clinic are rehearsed, corrected if necessary and adhered to the teeth with special bonding materials.

They can be applied with minimal material loss with little or no roughening of the tooth surface.

They are both natural and aesthetic because they are thin and transparent.

Since the back surface of the tooth is never touched, they do not affect speech.

Since they are applied one by one, they do not adversely affect gum health.

The desired color, surface feature and form can be provided to the teeth with laminates.

They preserve their colors and textures for many years as they are made of state-of-the-art ceramic materials. They are not affected by coloring foods and tobacco products.

NO-PREP (PREPLESS) VENEER

No-Prep Veneer is a laminate veneer (leaf porcelain) application that is made directly by measuring, without any abrasion, without damaging the originality of the teeth. The difference from conventional laminate veneers is that it is applied without any preparations such as roughening or abrasion on the tooth surface. In this way, it can be removed at any time and allows you to use your own teeth in their original form.

It is a very successful method in terms of getting quick and aesthetic results in dental problems such as unprocessed veneers, color problem, material loss and tooth gap problem. They are adhered to the teeth one by one with a special bonding technique and since they are supported by natural teeth, their durability is not less than the original tooth. Even if there is decay from the inside of the tooth, the veneers are not damaged. It is not easily discolored due to its material feature, but it can reflect the color change that may present the tooth because it is very fine. No-prep veneers can be used comfortably for long periods of time. As with any dental restoration, good care and regular control prolongs the usage period.

What are the Advantages of No-Prep Veneer Treatment?

– No Anxiety: The originality of your teeth will not deteriorate, and when desired you can return your teeth to their former state as if it had never been removed.

– No Pain: Since there is no shaving, it is completed in a short time without anesthesia.

No-Prep Veneer Treatment Process:

First of all, your dentist evaluates whether this procedure is suitable for you by examining your teeth in detail, asking about your wishes and expectations. Because, like all other applications, this process may not be suitable for everyone. If appropriate, we continue with the following steps, if not, alternative options are recommended.

Detailed photography is taken and both jaws are recorded with an intraoral scanning camera and their relationship with each other is determined.

First, a smile design is made on the photographs as “two-dimensional”. In this design, a customized smile is designed by evaluating many issues such as the relationship of teeth and lips, face shape, gender, the form of the existing teeth, the visibility and symmetry of the gums in the smile.

If the two-dimensional design is accepted, the process can start, or if desired, the dimensioning and shaping can be made by transferring it to a different program, and a personalized Mock-Up plate is obtained by making “Three Dimensional” digital modeling in accordance with the finished shape. With this plaque, the potential smile is shown practically on his own teeth. If desired, modifications can be made on it and the ideal result is obtained without any concrete action. Thus, it is possible to start the process “carefree”.

In the Mock-Up application, if shape changes on the gums are required, laser sizing and symmetry are provided to the gums by taking the plaque borders as a guide. This process is called pink aesthetics. For aesthetic result, pink aesthetics are as important as lamina making, which we call white aesthetics.

If a change is made, the final state of the teeth is scanned with a camera over the Mock-Up material and sent to the laboratory.

The desired color is agreed by the patient and the dentist.

Laminas are prepared in the laboratory according to the given information.

The laminate coming to the clinic are rehearsed, corrected if necessary, and adhered to the teeth with special adhesive materials.

When Can Laminate Veneers & No-Prep Veneers Be Applied?

Laminate veneers should be made if the tooth color is very dark and more than a few tones of bleaching is desired, if the teeth are cramped or in a position requiring abrasion.

If the teeth are small in size, if there is a gap between the teeth and if excessive bleaching is not desired, a no-prep veneer should be applied.

In laminate veneer applications, after some abrasion of the enamel layer, the laminas are applied to the tooth surface, while no-prep veneers are not abraded.

If the laminate veneers are removed, new laminas must be made, if the no-prep veneers are removed, the teeth can be used in their original state.

According to the budget and aesthetic indications, the most appropriate treatment is given to the patient.

EMPRESS | EMAX

Empress Restorations

The IPS Empress System gives the closest look to the original healthy tooth in restoration of defects on the teeth and in aesthetic applications (Smile Design).

The “Leucite Glass Ceramic” material was produced by Ivoclar company nearly twenty years ago. Although similar ones are produced by different companies, it has become a generic brand. More than 40 million IPS Empress restorations have been applied in the world so far, and the lamina porcelains applied on different patients in our clinic for 16 years have given clinical confidence with long-term satisfactory results. IPS Empress has been pressed and applied from its first release and can now be applied by milling using CAD / CAM technology.

IPS Empress glass ceramic is a very aesthetic leucite-based material spreading the incident light naturally and creating a balanced chameleon effect. It provides a comfortable use with its translucency and real-like appearance. Since the IPS Empress Esthetic, press ceramic and IPS Empress CAD machinable ceramic blocks are equivalent in terms of material content, both materials show resistance to 160 MPa in addition to their light optical properties.

All-ceramic single tooth restorations in veneers, inlays, onlays and crowns therefore adapt to their natural environment. A careful preparation of the teeth positively influence the adaptation and the duration of the restorations. Tooth structure can be preserved with minimum tooth erosion.

Advantages

Working with the pressing technique and CAD / CAM (digitally design and production) technique to get aesthetic results according to the need,

Ability to give a natural chameleon effect for optimal color matching of the studied teeth with their surrounding ones,

Obtained from leucite glass ceramic with 160 MPa bending strength, proven to be used 40 million times.

Indications

Single tooth restorations inlays, onlays, veneers, anterior and posterior crowns.

IPS E.max CAD Layering Solutions
E.MAX RESTORATIONS

Excellent durability,

IPS E.max CAD Veneer solutions are veneer structures produced with CAD / CAM (Digitally design and production) for zirconium oxide infrastructures. It is an unrivaled combination of lithium disilicate and zirconium oxide. It provides the construction of highly durable, aesthetic dental and implant-supported bridge restorations.

With digital production, it is possible to save time and apply restorations with low error rate.

Advantages

Very aesthetic and durable thanks to the combined use of lithium disilicate (LS2) and zirconium oxide (ZrO2).

It can adhere well with ceramic.

It can be characterized by customizable tooth colors.

Provides digital production opportunity in a short time.

Indications

Crowns

Bridges (Over-tooth and over-implant multi-member)

MONOLITHIC ZIRCONIUM

The biggest difference of monolithic zirconium from normal zirconium core materials is that it is not damaged by contact with saliva directly in the mouth environment and is more aesthetic than normal zirconium material. They can be used in one piece or on chewing surfaces where the chewing force is the highest, without the need to process the less resistant porcelain material on it.

In zirconium core materials obtained from normal zirconium blocks, porcelain should be completely processed on it and not open to the mouth environment.

– The other reason why monolithic zirconiums do not require porcelain overgrowth is that they can be aesthetically given the tooth color and form as desired and they can be easily polished so that results that are very close to tooth brightness can be obtained.

-Especially, for people who have undergone posterior area and bridge procedures, the restoration process can be done with monolithic zirconium, as well as porcelain processing on the front (visible) surfaces of the teeth in front teeth and other visible areas, and more aesthetic results can be obtained.

– Since it does not require porcelain share, it can be worked fine especially in the junction area of ​​the tooth and gum to provide a full aesthetic appearance.

– Since the light permeability is higher than normal zirconium core material, a natural dental effect can be given.

– The process is mostly based on technological production with the technique of CAD / CAM (designing on a computer and manufacturing with a computer-aided milling system). Porcelain stacking process is either absent or very little when necessary. This enables faster production as well as high quality.

In prosthetic treatment of people with tooth clenching problems, individuals with fractures in their teeth

Dental restoration procedures for people who have limited time for treatment with the advantage of fully digital work

In dental treatments that require durable coating such as implant prostheses

People with fractures and abrasion problems in the anterior teeth, especially as a result of trauma

Dental restoration of people who have difficulty in biting as a result of abrasion and who have advanced tooth sensitivity

Monolithium zirconium coating is used to treat damaged teeth as well discoloration of the gums

Information about the monolithic zirconium coating application process are listed as follows:

Primarily, the finished form of the restorative procedure to be made on the teeth is planned. With this planning, in the desired cases, the three-dimensional finished model can be digitally processed before any operation is performed on the teeth, then the digital model can be removed and processed as if it was finished in the mouth, and the patient can be shown the finished form without any action. In this way, the erosion process on the teeth can be kept at a minimal level.

Damages in the teeth are detected and the teeth are shaped in a suitable structure at the level of need in digital modeling.

The measurements of the teeth are preferably taken with intraoral scanning systems (3Shape Triodent Scanner) and the measurements are sent to the laboratory. Here, by transferring to special programs in computer environment, personal closing and aesthetic planning and design are made.

After the design, the production is made with a 3D printer for trial purposes, and the necessary corrections are made by trial inside the mouth.

This design is matched with zirconium blocks after corrections, if necessary, and shaped by the scraping method in the milling system.

Monolithic zirconium is very soft and brittle when it comes out from the scraping process. It is transferred to the furnace for cooking (sintering), which takes an average of 8 hours for hardening. After this firing process, a hard and aesthetic result that can be durable up to 1200 mPa is obtained. If necessary, porcelain can be added to the aesthetic areas.

The completed job is at very ideal levels in terms of tissue adaptation and adaptation to teeth and is easily adapted to the teeth.

It is a biological material and almost no tissue allergy is seen.

A good adaptation and the monoblock of the material increases the resistance and reduces the risk of porcelain teeth breaking and chipping (small size fractures in porcelain).

The grey color appearance in the gingiva joint, which is especially seen in metal-supported porcelains and increases over time, does not exist in these materials.

COMPOSITE FILLINGS

The process of restoring the function and appearance of a tooth that has lost its structural integrity and function due to caries or abrasion by removing the deformed tissues from the tooth is called “filling”.

Caries spread like rust decay on the tooth surface and causes loss of material and if it reaches the nerve, it infects the nerve and causes inflammation at the root ends. This can cause serious health problems in organs such as joints and heart, by causing tooth loss and the spread of harmful bacteria to the body. Therefore, treating dental caries at the initial stage is very important in terms of dental and general body health.

There are two types of treatment options applied in decay removal procedures:

In the traditional treatment method, after anesthesia, the rotten layer is cleaned with the help of rotating instruments at high speed. These devices can cause anxiety in patients due to the sounds and vibrations they make.

INLAY | ONLAY

Inlay / Onlay / Overlay applications are the modern solution of bringing decaying teeth or teeth with a lot of substance loss after root canal treatment to their original shape and resistance.

It is possible to produce this process digitally, in a computer environment, in the closest way to the natural tooth and in just one day, by taking precise measurements with intraoral scanning devices.

Teeth that have undergone root canal treatment lose their basic support tissues. In teeth with advanced material loss, it is possible for the fillings in the mouth to decay and break repeatedly due to the gap between the filling and the tooth. In these teeth, the exact digital measurements are taken by scanning in a very short time with intraoral camera system. Materials with the closest flexibility to the dental tissue are digitally fabricated , these are close to the original and cannot be distinguished from the natural tooth. Afterwards, it is glued with special bonding materials so that no gap is left between the tooth and filling material. Thus, the risk of re-decay is minimized since there is no leakage area under the filling.

Digital dentistry allows us to provide fast and high quality solutions every day, as it enables taking high-quality impressions from the mouth in a short time and the use of three-dimensional printer and engraving systems technology.

In the Laser Bio Dentistry Concept, it is possible to extend the life of the teeth by preventing the risk of caries under the filling materials when the tooth surfaces are disinfected with laser before the inlays, onlays and overlays are attached.

“It should not be forgotten that every tooth decay and infection in the mouth environment is an important risk for our body health!”

TEETH WHITENING

If you are satisfied with the shape, form and alignment of your teeth but are not satisfied with the color, it is possible to achieve a whiter, well-groomed and healthy appearance with today’s bleaching techniques and materials. Two types of bleaching procedures are performed in the clinic, which we call in office- type and home-type whitening.

In the office-type whitening process, special whitening gels are applied on the teeth and then the gel is activated using special light sources. The activated gel provides several tones of whitening of the teeth in a single session.

The dentist can provide you with the whitening gel that you can apply at home with the help of transparent trays specially prepared for you in the home-type whitening process. Home bleaching should also be done under the control of the dentist.

After it is determined by your dentist that there is no open caries or gum disease in the mouth, the whitening process applied with the correct technique and appropriate material does not cause any harm to the teeth.

After the bleaching process, the teeth return to their original form within 1-2 years. However, this period may vary depending on the person’s daily habits and tooth structure. During this period, acidic and colored drinks should be avoided and excessively hard tooth brushing should not be done.

IMPLANT SUPPORTED PROSTHESES

Inlay / Onlay / Overlay applications are the modern solution of bringing decaying teeth or teeth with a lot of substance loss after root canal treatment to their original shape and resistance.

It is possible to produce this process digitally, in a computer environment, in the closest way to the natural tooth and in just one day, by taking precise measurements with intraoral scanning devices.

Teeth that have undergone root canal treatment lose their basic support tissues. In teeth with advanced material loss, it is possible for the fillings in the mouth to decay and break repeatedly due to the gap between the filling and the tooth. In these teeth, the exact digital measurements are taken by scanning in a very short time with intraoral camera system. Materials with the closest flexibility to the dental tissue are digitally fabricated , these are close to the original and cannot be distinguished from the natural tooth. Afterwards, it is glued with special bonding materials so that no gap is left between the tooth and filling material. Thus, the risk of re-decay is minimized since there is no leakage area under the filling.

Digital dentistry allows us to provide fast and high quality solutions every day, as it enables taking high-quality impressions from the mouth in a short time and the use of three-dimensional printer and engraving systems technology.

In the Laser Bio Dentistry Concept, it is possible to extend the life of the teeth by preventing the risk of caries under the filling materials when the tooth surfaces are disinfected with laser before the inlays, onlays and overlays are attached.

“It should not be forgotten that every tooth decay and infection in the mouth environment is an important risk for our body health!”