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.
Porcelain Laminate Veneer Treatment Process:
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.
Advantages of Porcelain Laminates:
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.
Dental bonding is one of the most common dental procedures. It helps to restore a persons smile to perfection. The procedure is very easy to perform and entirely painless, which prevents the patient from facing any anxiety regarding the condition as well. There are little to no complications of this procedure and if some arise, it can always be reversed. For a dentist, one of the most important things to preserve is the patients smile. But very often, the patient must deal with issues that directly impact their smile. This could include chipped teeth, gaps in the teeth or alterations to the shape of the teeth and this is where bonding comes in. Bonding is used to restore or repair a persons smile by eliminating these factors and making their teeth appear perfect.
EMPRESS | EMAX
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 of Empress Restorations:
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.
In which restorations the IPS Empress system can be used ?
Single Tooth Restorations,
In which restorations the IPS Empress system can be used ?
Bridge over Implant
Single tooth restorations inlays, onlays, veneers, anterior and posterior crowns.
IPS E.max CAD Layering Solutions
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.
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.
Bridges (Over-tooth and over-implant multi-member)
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.
Composite fillings have entered the world of dentistry with a boom. The new dental technology has helped patients with numerous procedures and made cosmetic dentistry more renowned. Here are the things you should know about composite fillings.
What Are Composite Fillings?
COMPOSITE fillings are made from a composite resin and have a natural tooth-colored appearance. This natural appearance is thanks to the fine glass and plastic particles, along with some other minute elements mixed in the resin and shaped according to the tooth structure.
Advantages of Composite Fillings
Here are some advantages of using composite fillings instead of traditional amalgam fillings:
They Mimic the Tooth Cosmetically
Composite fillings have a unique composition that mimics the tooth cosmetically. However, color is not the only factor contributing to the composite filling’s tooth-like appearance. The opacity of the tooth and its different shades can also be achieved using composite fillings.
They Protect Your Tooth Structure
Since composite fillings are widely used for decaying teeth, these fillings can also protect the remaining tooth structure due to their sturdy composition and support around the tooth. Moreover, composite fillings are also used for treating chipped teeth to help gain their aesthetics by adding the filling. Hence, composite fillings can work well for both purposes, whether your teeth have undergone more considerable damage or require some minor flaw coverage.
They Are Durable
Although less durable than their counterparts, composite fillings can last 7 to 10 years, depending on your teeth care routine. Your oral hygiene habits can significantly increase composite fillings’ longevity.
They Require Less Time
Depending upon the number of teeth that need to be replaced, most composite filling appointments can end in a day time. The doctor dries out your mouth because composite fillings require a dry surface. Once your decayed tooth is removed, the filling is layered on the area while it’s treated with special UV light. The UV light helps dry up the layers fast so that another layer can soon be placed atop. Once the tooth structure is achieved, the process ends.
The straightforward and time-convenient procedure has made composite filling a sought-after dental procedure.
Common FAQs Regarding Composite Fillings
Here are some of the general FAQs regarding composite fillings answered:
How long does the composite filling injection site hurt?
The site where the composite filling has been placed might be sensitive for one to two days. However, common painkillers can easily help reduce the pain so that it doesn’t become a hindrance in your daily life activities.
What things might affect the composite filling’s appearance?
If you’re into staining beverages such as tea or coffee, you might want to stay away from them. These beverages can alter the shade of the filling and make it more noticeable, indicating that it is not a natural tooth.
Can I brush or floss after getting a composite filling?
As discussed previously, good oral habits will increase the filling’s longevity. However, ensure you’re gentle with your brush so that you don’t hurt any of your teeth, especially your composite filling.
INLAY | ONLAY
Ceramic Inlay/Onlay Restoration
Inlays and Onlay are indirect restorations to heal endodontically treated teeth. They are either made of ceramic or composite material. Ceramic fillings can repair minor decays or moderate tooth structural loss. However, ceramic fillings are not stable for deeper cavities, and if the structure of the back teeth is severely depleted, it is challenging to simulate natural teeth.
Inlays and onlays indirectly produced and composed of composite or ceramic are the ideal options if the tooth is damaged severely. It is also a suitable option if the tooth can not recover with simple filling yet is not severe enough to require a complete crown.
Dentists directly apply dental fillings to patients’ teeth, whereas dental technicians or digital manufacturers make inlays and onlays externally, and then the dentist bonds them to the patient’s tooth.
A dentist may make a traditional dental impression or use a camera for computerized work to fabricate onlays and inlays. Since they are made of durable, sturdy materials, inlays and onlays must regularly be cleaned and flossed like other teeth.
Inlays and Onlays: An Overview
Partial crowns are a common term for inlays and onlays. They fit over or within the tooth, with the natural tooth as a base. It strengthens the tooth, improves its form and protects against potential damage. When the tooth’s cusps are undamaged, the inlay may be fitted directly into the tooth. When the damage is extensive, an onlay is applied.
When the treatment site is situated in the “smile zone,” porcelain often produces the finest aesthetic results, while gold gives the most dependability and longevity. Although porcelain is remarkably durable against wear, grinding or clenching the teeth can wear down adjacent teeth.
Ceramic inlays and onlays are porcelain-made. Porcelain is commonly used in dentistry to develop restoration that blends in well with the natural shade of the tooth and offers the same functionality.
Ceramic restorations are a durable alternative to fillings and are typically stain-resistant. However, although made of sturdy material, ceramic is prone to fracture and is not as resistant to wear as gold.
Step 1: Removal of cavity fillings
Before placing a restoration, your dentist will extract any existing fillings from the teeth.
Then, your dentist will sculpt and prep the tooth to make it simpler to install the inlay or onlay.
Step 2 – Inlay/onlay Impression
An impression of the cracked or broken tooth is made during the initial session. The impression determines which inlay/onlay material is suitable.
Step 3: Temporary Filling
This step is necessary to preserve the preparation for installing the restorative inlay/onlay. It also protects the sensitive tooth from exposure to hot or cold foods or beverages.
Step 4: Installation of Inlay/Onlay
This step calls for another appointment when the dentist will finally insert the Inlay/Onlay restoration once it is ready.
Inlays and Onlays: Ceramic vs. Composite
Most ceramic inlays and onlays are made of glass, accompanied by a few crystals incorporated for sturdiness. Different materials are used with a resin matrix to create composite inlays and onlays.
Ceramics, like glass, are so fragile and more vulnerable to breaking than composites. On the other hand, ceramics are stronger than composites; as a result, they are far more wear-resistant but they can also cause the adjacent tooth’s enamel to wear out more quickly than expected.
Ceramics are incredibly biocompatible. This property is in contrast to composites with a resinous matrix, where incomplete polymerization might lead to monomers being dispersed into the mouth and posing hazards.
On the other hand, ceramics’ lengthy manufacturing process makes them less advantageous than composite materials, which are affordable and much simpler to polish.
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.
Implant Supported Prostheses
Implant-supported prostheses are such an addition to the dentistry world and have gained popularity over the years due to their safe nature for oral health. The implant-supported prostheses can last for 10 to 20 years. However, your oral hygiene habits significantly affect this lifespan. Since the appearance and comfort matches the natural teeth, implant-supported prostheses impart more confidence. They also help in chewing food properly. The biological material used in implant-supported prosthetics allows it to be more compatible with the bone structure and fix well without causing discomfort
Removable Dental Prostheses
Most patients prefer to recover their lost teeth with dentures, unquestionably the most popular removable dental prostheses available. In contrast to previous developments in dental technology, the reason for patients’ preference is that removable dental prostheses are not invasive and will not necessitate unpleasant recuperation or surgical procedures.
Removable dental prostheses may be quickly taken out when not used and changed as needed as they are held in place by the structures in the oral cavity around them.