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Smile Design

~ Dr. Dt. Yasemin Türkdönmez ~

Smile Design

Smiling has an important issue in communication between people. When we look at the studies on this subject, it has been shown that people who prioritize smiling in their lives are more successful, reliable and self-confident. However, there is a group that is reluctant to smile, who generally do not like their smiles.

 

Dentists have a great role in improving this issue. Bringing a new smile, regardless of age, gives a person a happiness and self-confidence that they cannot have. Although certain rules are followed in the acquisition of smile aesthetics, personalized treatment plans are always at the forefront.

Smile aesthetics does not only cover teeth, it also covers teeth, gums, lips, lower and upper jaw positions and all facial proportions. Creating an ideal smile is possible by examining many details including the patient’s character, facial functions and facial proportions. There is no standard concept of a smile that suits everyone.

gulus-tasariimi

If we list the smile design in a general way, the relations between teeth, gums, lips, jaws and face should be evaluated separately. The position of the teeth on the midline, the inclination of the teeth, their alignment and how visible they are in the smile are important for the design. How much gingiva is visible during the smile as well as the teeth, symmetry at the right and left gingival levels, and of course gingival health are also evaluated for an aesthetic smile.

 

When it comes to the lips, it is important how much the lips move during the smile, in other words, how much teeth and gums show. In addition, the presence of dark areas on the sides of the lips during smile also gives us information about the width of the upper jaw arch.

 

The ratio of the teeth to the jaws and the face should also be evaluated in smile aesthetics. Symmetry and proportional harmony are very important in facial aesthetics. The golden ratio is also observed among the facial proportions.

Digital Smile Design

How Many Sessions Does the Patient Have to Go for an Examination in Smile Design?

When the patient comes to the examination for the first time,impressions, x-rays and photographs are taken and the smile design is prepared digitally. In the next session, the smile design is shown to the patient in the mouth with the application called ‘mock up’. When the patient and the physician decide on the design, the teeth that the patient will use permanently in the next session are prepared and placed in the patient’s mouth.

 

 

What are the Points to Consider in Smile Design?
First of all, the smile design to be made should be specific to the patient. A design that can be applied to every standard patient is not suitable. Patient photographs are examined very well and the patient’s tooth shape, color, structure, gingival level, gingival tightness and health, movements and functions of the lips while smiling and talking are evaluated. Patient requests and what kind of smile they want are added to the planning and the personalized design is completed.

How Many Sessions Does the Patient Have to Go for an Examination in Smile Design?

When the patient comes to the examination for the first time,impressions, x-rays and photographs are taken and the smile design is prepared digitally. In the next session, the smile design is shown to the patient in the mouth with the application called ‘mock up’. When the patient and the physician decide on the design, the teeth that the patient will use permanently in the next session are prepared and placed in the patient’s mouth.

What are the Points to Consider in Smile Design?

First of all, the smile design to be made should be specific to the patient. A design that can be applied to every standard patient is not suitable. Patient photographs are examined very well and the patient’s tooth shape, color, structure, gingival level, gingival tightness and health, movements and functions of the lips while smiling and talking are evaluated. Patient requests and what kind of smile they want are added to the planning and the personalized design is completed.

Dental Implants

Implants are generally titanium screw systems placed in the jawbone instead of missing teeth or teeth in the mouth.

 

What is done in the first examination for implants?

 

First of all, the maxillofacial surgeon evaluates the patient’s intraoral examination and x-rays and decides whether the patient’s jaw structure is suitable for the implant. The general health status of the patient should not be an obstacle. For patients with a systemic disease, approval from their doctor is required.

 

Is implant placement a difficult procedure?

 

Implant surgery is applied in a short time if the bone structure is suitable. It takes almost as little time as a tooth extraction.

 

 

Can the implant be applied to everyone?

 

Bone growth and development must be completed in order to perform the implant procedure. It is not applied in cases where the jawbone is not at the appropriate thickness and height for the implant. In addition, it is not appropriate to apply the implant in those who have an uncontrolled systemic disease and who have recently received chemotherapy.

 

When Can Teeth Be Made Following Implant Placement?

 

After the implants are placed in the mouth, it is necessary to wait for a while for the bone and the implant to be fully combined. This period should be 2 months in the lower jaw and at least 3 months in the upper jaw. If additional procedures were performed due to the insufficiency of the bone, it may be necessary to wait up to 6 months. After the connection between the implant and the bone is established, the porcelain restorative phase can be started.

 

Is There Pain During and After the Implant Procedure?

Implant surgery is a treatment applied with local anesthesia in the mouth and the patient does not feel any pain during the procedure. After the operation, this process is completed comfortably with the use of drugs that the doctors deems appropriate.

 

What is the All-on-Four Technique? To Whom Is It Applied?

 

As the name suggests, it is the process of fixing the fixed prosthesis on the same day by placing 4 implants at appropriate angles in suitable edentulous patients. All on four technique is used in edentulous patients with adequate bone structure and good general health. It is an ideal treatment for patients who cannot use removable prostheses.

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