Aesthetics

ZIRCONIUM SUPPORTED PROSTHESIS
In this system, zirconium, a white alloy, is used instead of metal as a substructure. This state-of-the-art infrastructure is the only material that can offer aesthetics and durability together. The biggest advantage of the system is that it provides a full aesthetic appearance in the bridges in the posterior region with its very high durability.

For many years, a metal substructure has been used under the porcelain tooth for durability in porcelain applications. Since the disadvantages of this metal infrastructure in terms of gums, dental tissue, general body health and most importantly aesthetics are known, the search for an alternative material to metal in the porcelain infrastructure has been going on for years. A new era has opened with the application of zirconium, which has been used successfully in other fields of medicine before, instead of porcelain metal in dentistry.

Because these new zirconium-based porcelain veneers do not cause gingival problems and allergies, as well as provide aesthetics and functions close to natural teeth with their light transmission feature.

Crowns and bridges made by placing porcelain on zirconium are called CERCON, which is a combination of the words Ceramic and Zirconium. The system with a resistance of 900 Mpa has started a brand new era in dentistry by covering the highest physical values, as well as its light transmission feature, tissue compatibility and many different indications.

The success of the material has been proven in medicine and industry. As a result of the researches started in 1998, clinical applications have been started all over the world since the beginning of 2002. With this new application, the aesthetic concerns of the patient in metal-ceramic and all-ceramic restorations are definitely eliminated.

Cercon : is the highest quality product ever achieved in terms of aesthetics, durability, tissue compatibility and naturalness, which are the basic requirements of modern dentistry.

LAMINATE VENEER (PORCELAIN LAMINAS)
Laminate Veneer (Porcelain Lamina) is porcelain leaves that are adhered to the teeth by removing only the minimum material from the front surface of the teeth.

A thin layer of 1 mm from the outer surface of the tooth should be removed and the measurement should be taken, the porcelain laminates prepared on the model should be rehearsed and adhered to the tooth in the most appropriate form.

Maximum aesthetics is achieved with minimum damage to the tooth. Interdental spaces, perplexities and caries can be easily removed with this method.

The desired color can be given to the tooth and this color will never change. The look is very natural. The procedures take several sessions. Its cost is high.

Who is Laminate Veneer Applied to?

• Those Who Are Not Satisfied With The Form Of The Teeth
• Tetracycline Discoloration in the Anterior Region (Tetracycline Coloration etc.)
• Those with Intermittent Teeth
• In cases where there are large fillings in the anterior teeth and lack of aesthetic appearance as a result of filling the caries with filling
• People with broken or worn front teeth

BLEACHING

The procedures performed to remove darker than normal teeth due to the enamel and dentin structure and the discoloration occurring on them for various reasons are called TOOTH WHITENING - BLEACHING.

With the teeth whitening process, whitening up to 9-10 tons (on the 3m scale) can be achieved harmlessly. The materials used during teeth whitening are for professional use and are made with drugs specially prepared after the dentist's examination. The agents sold in cosmetics that are not made under the control of the dentist are very ineffective and can damage tooth structures. Food residues accumulating on the teeth, tea - coffee - smoking and staining due to brushing habits are cleaned with tartar and plaque cleaning to be done in the practice and polishing to be done afterwards. After these procedures, the teeth are ready for teeth whitening.

- Bleaching is done in 2 ways:

Home Bleaching(Applied at Home) :
It is the method that you will apply at home with the guidance and instructions of your dentist. A personalized whitening plate is prepared with the measurement taken from the patient's mouth. When you go to bed at night, a water-based whitening drug is placed in this plaque and teeth whitening is obtained with the plaque and the drug that remains in the mouth all night. This process should be applied for 7 - 10 days according to the amount of whitening of the teeth and to achieve the desired result.

Office Bleaching(Applied in Clinic) :
It is the whitening process applied by the dentist in cases where whitening is desired to be fast. The gums are isolated, the drug is applied on the teeth, and the blue light used in beam fillings is applied to them to increase the effectiveness of the drug. The procedure is terminated when the desired whiteness is achieved after repeated sessions. However, recent studies recommend that after office bleaching, it should be continued as a supplement in home teeth whitening.

- What should be considered in Bleaching Treatment?
Bleaching is a procedure that must be done under the control of the Dentist, strictly following the instructions.

The cavities, cracks, broken areas in the teeth can cause the chemical substance used to act on these and cause damage. Such dental problems must be eliminated before the whitening process.

Coloring foods such as tea, coffee, and cigarettes should be avoided during the bleaching process, and regular brushing and maintenance procedures should be applied carefully.

INLAY ONLAY FILLERS
Porcelain inlay-onlay are fillings prepared in the laboratory with superior aesthetics and durability.

Porcelain inlay-onlay is applied instead of composite or amalgam filling in teeth that require large fillings because it is both aesthetic and durable.

Inlay-onlay fillings are preferred because they require less material loss in the tooth compared to porcelain crowns during construction. Only the caries should be cleaned and the size of the tooth should be taken.

Porcelain inlay fillings prepared in the laboratory should then be adhered to the teeth with special adhesives (adhesive systems). Especially for teeth with large material loss, first of all, root canal treatment should be applied, and if necessary, simple surgical corrections (gingivoplasty - gingival manicure) should be made and onlay (porcelain prepared in the laboratory) should be applied on it. In this way, the risk of tooth or filling fracture is very low.

Inlays; similar to known fillings. It should be applied in cases where the loss of tissue on the chewing surface of the tooth is not very extensive and the protruding parts of the tooth, which we call “cusp”, are not damaged by caries or fractures.

In Onlays; The tissue loss in the visible part of the tooth in the mouth is wider. At least one or more protruding parts are damaged.

COMPOSITE (LAZER)(WHITE) FILLERS
Because composite fillings are tooth-colored, they are also called white fillings. Although they could only be used in the anterior teeth when they were first developed, they can now be used in the posterior molars as their resistance to chewing forces is increased and the amount of wear is reduced over time.

Advantages of Composite Fillings
• The biggest advantages of composite fillings are their aesthetics.
• They can be polished immediately after the filling.
• It can be used not only for restoring caries in the teeth, but also for cosmetic procedures by changing the color and shape of the teeth.

Disadvantages of Composite Fillings
• Composite fillings are applied layer by layer and hardened with a special light. Therefore, it takes longer and more difficult to make than amalgam.
• Its price is more expensive than amalgam.
• Although composite fillings have been made quite durable recently, they are not as durable as amalgam.
• Color change can be seen in a long time.

Things to Consider
• Being careful while biting on large fillings will extend the life of the filling. Although composite fillings are well polished, discoloration may occur over time due to food and drink.
• As with amalgam, there is no restriction such as not eating for 2 hours after filling.
• In teeth restored due to wear, a very hard toothbrush should not be used and the brushing method should be considered.

AESTHETIC GINGING REGULATIONS
The first step in providing a pleasing, harmonious and clean smile is to ensure the harmony of teeth and gums. The amount of gums that appear when we smile also affects the size of our teeth. Asymmetrical gingival edges give the impression that our teeth are uneven and our smile is crooked. If our gums are receding, our teeth appear longer than they are. Swollen and red gums due to inflammation (a kind of gingival edema) cause attention to the gums. The edematous and thickened gingival margin causes shadow formation in the bottom 1/3 of the teeth. Due to these shades, tooth colors appear 1-2 tones darker than they are. In addition, bacterial plaque accumulation is easier on the thickened gingival margin due to the edema that has occurred. Bacterial buildup will cause the triangular gingival section (hereinafter referred to as the papilla) to recede between the two teeth, resulting in dark, sometimes black, sections between the two teeth.

A second point concerning gingival aesthetics is; It is an asymmetrical gingival appearance that occurs as a result of collapse of the jawbone due to tooth extraction. This is usually uncomfortable in the front teeth area. No matter how extraordinarily beautiful porcelain teeth are made, the area where the prepared porcelain will be placed is the gingival tissue all around. If there is not as much and healthy gingival tissue as it should be, it is not possible to talk about aesthetics in prepared porcelains. If there is papillary loss due to gingival recession or missing teeth, it should be replaced first. It is possible to regain lost tissues with some surgical and prosthetic methods. Procedures for arranging the gingival tissue surrounding our teeth and creating an image in harmony with our teeth are called cosmetic gingival modifications. Usually before prosthesis construction; Although infrastructure interventions related to gingival, bone and connective tissue are considered by patients as long and tiring sessions, these types of interventions are extremely necessary, pleasing and satisfying for patients and their physicians due to the results obtained.

It is possible to correct the gingiva that we are not satisfied with with the following types of operations.

Gingival manicure-gingivoplasty : It is possible to bring the gums to the level of the smile line with a small operation of 1 hour in cases where the gums, called gummy smile, appear too much.

Gingival graft : It is possible to level the lengths of teeth that seem to be elongated by adding tissue to the areas where gingival recession is high.

Artificial Gum : It is possible to create special materials to camouflage black holes caused by gingival recession between teeth.

COSMETIC REGULATIONS
Cosmetic editing or reshaping natural teeth is sometimes the easiest way to fix a bad smile. It is possible to correct very long 'dracula' canines, serrated cutting edges, bumpy smile line with a few small touches. There is no need for anesthesia during this procedure. Since it is done with the help of special burs, the processes should be finished at the enamel level.