- May 30, 2013
Cosmetic dentistry aims to design natural looking and aesthetically pleasing teeth that are consistent with an individual’s face and restore the health and vitality of their smile.
Artificial teeth with exaggerated form and color can be recognized easily even by an amateur eye. Therefore, a comprehensive preparation and planning phase is necessary in cosmetic dentistry.
Clinic and radiographic examination:
Before moving to cosmetic solutions, a general examination of mouth and dental health is performed. A complete radiographic examination of the patient’s mouth is performed to decide on the following procedures.
Impressions of lower and upper jaws are taken to produce casts of the teeth and surrounding tissues.
By taking photographs of the patient’s face, smile, profile and intraoral tissues, every feature is recorded for a better evaluation.
With the aid of casts and photographs of the patient, problematic areas of teeth and gums in are evaluated in cosmetic aspects considering the whole facial appearance. During these evaluations, problematic areas are shown to the patient on casts and photographs; solutions on how to fix these problems are explained and the cosmetic treatment of the patient is planned.
When an extensive treatment is necessary to overcome aesthetic problems, specialists on orthodontics and periodontics are consulted. Considering the patient’s expectations, a new smile that is consistent with the lips and facial features of the patient is designed. The smile makeover can be shown to the patient before the beginning of the treatment through impressions and casts that are prepared at the laboratory. Photographs of previous smile makeovers can be shared so that the patient can see clearly the difference between the previous appearance and the achieved results.
Gingivectomy (Reshaping of gum lines)
It is common that when a person smiles, the gums can be extremely apparent due to insufficient height of teeth or the gums can look asymmetrical. A specialist in periodontics can solve this problem with a minor procedure called gingivectomy, in which the gums can be reshaped symmetrically and the height of teeth can be increased. After achieving harmonious gums, with the contributions of prosthodontists in necessary conditions, various aesthetic designs can be accomplished.
Natural dark teeth or discolored teeth due to various reasons can be improved by bleaching. Two main methods at present are:
An impression is taken from the patient and a mouth tray is prepared. Then the patient applies tooth whitening gel provided by the dentist via the mouth tray on a periodic basis.
In office bleaching
The gums are isolated and the bleaching agent is applied to teeth. A special curing light is used to activate the agent.
Porcelain Dental Veneers
Unlike a conventional dental prosthetics, preparation of only the front surface of a tooth is sufficient for a porcelain dental veneer. 0.3 to 0.7 mm of tooth tissue is removed and the impression is taken. A thin porcelain layer is fabricated and then cemented on the tooth. Dental veneers are the most conservative prosthetic procedures due to minimum tissue removal during preparation.
All Ceramic Crowns and Bridges
Although fabricated as esthetically as they can be, metal supported ceramic crowns and bridges reflect natural light at the surface of the restoration and therefore prevent the transmission of light from the teeth to gums. This can cause an unnatural look compared to natural teeth. All-ceramic restorations with a ceramic substructure can be used in patients allergic to metals or in restoring anterior teeth that are essential for an aesthetic look.
Porcelain is the most compatible material with gums and teeth. As porcelain inlays do not discolor in time like composite fillings and they maintain an aesthetic look along with protective features for many years.