Smile Design and Aesthetic Dentistry
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How Does Smile Design Work?
Smile design operations are mostly cosmetic, changing discolored, chipped, broken, or damaged teeth into dazzling, white rows. Most folks say better teeth have boosted their confidence. They also have psychological advantages, such as reducing sadness and body dissatisfaction and boosting confidence.
What if I need many procedures?
We may propose multiple procedures after a consultation, depending on your oral health. Our doctors are experts in arranging and implementing combination operations. Costs vary per technique. Total cost of a smile design depends on the patient’s dental health, number of treatments, and extra materials. Our objective is to never prevent a patient from getting their ideal smile due to cost.
Is smile design right for me?
Smile design candidates usually have decent dental health. If you’re pursuing cosmetic smile design, you may not have great teeth. Patients with substantial damage or many missing teeth may also need restorative operations.
What Are Restorative Dental Procedures?
Restorative dentistry uses crowns, prostheses, implants, dentures, etc. to replace damaged or missing teeth. Restorative operations restore or repair the complete tooth, whereas cosmetic procedures are merely cosmetic.Consider porcelain veneers vs. dental implants. Porcelain veneers are attached to the front of the tooth. Implants replace a tooth’s root, abutment, and crown. Porcelain veneers hide discolouration, fractures, and subtle crookedness, whereas dental implants mimic a real tooth.
Case Studies
An organized and systematic approach is required to predictably evaluate, diagnose and resolve aesthetic problems. As clinicians, our ultimate goal is to combine various aesthetic elements to achieve a pleasing composition in the smile. The smile, in which a person can express many emotions with the structure and movement of the teeth/lips, also often affects how and how much function one will have in the community.
The importance given to a beautiful smile is not unique to our day. The pursuit of beauty can be seen even in ancient civilizations. Both the Phoenicians (800 BC) and the Etruscans (900 BC) carefully carved ivory to mimic the shape and tone of natural teeth. Until the 18th century, dentistry was not considered a separate discipline and it was not known that it was divided into various branches. The French pioneer of the movement, Pierre Fauchard (1678-1761), along with many of his colleagues, modernized dentistry, advanced it, and advocated aesthetic practices.
The purpose of a Smile Design
The aim of an aesthetic renewal is to develop a seamless chewing system in which teeth, tissues, muscles, skeletal structures and joints all work in harmony. When planning the treatment for aesthetic cases, smile design is too important to be separated from a comprehensive patient treatment approach. Achieving a successful, healthy and functional outcome requires understanding the relationship between the muscles, bones, joints, gingival tissues and all of the supporting oral structure, including occlusion.
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What are the components of an Aesthetic Smile?
An aesthetic smile requires the perfect integration of both face and tooth composition. The facial composition includes the hard and soft tissues of the face. Tooth composition more specifically includes the teeth and their relationship to the gingival tissues. A smile design should always include the evaluation and analysis of both the face and tooth composition.
- When viewed from the front, the basic shape of the face can be one of the following:
- Square – Narrowing – Narrowing square – Oval
- When viewed from the side, a person’s profile can be any of the following:
- Straight – Convex – Concave
These factors play a role in determining the size, shape, and side profile of the tooth. In short, tooth morphology depends on the facial morphology.
VITAL ELEMENTS IN SMILE DESIGN (TEETH COMPOSITION)
Vital elements of smile design include:
Those related to the teeth:
Mid-line line
The lengths of the incisors
Thread sizes
Zenith points
Axial slopes
Interdental contact area (ICA) and point (ICP)
Incisal embrasure
Gender, personality and age
Symmetry and balance
Those related to soft tissue:
Gingival health
Gingival levels and harmony
Interdental embrasure
Smile line
TEETH-RELATED POINTS
Teeth visibility
When the mouth is opened comfortably and slightly, the incisal third 3.5 mm of the maxillary middle anterior tooth should be visible in a young individual. With age, the decrease in muscle tone causes fewer teeth to appear. Phonetics is a key determinant of the tooth length. To determine the appropriate lip, tongue, incisor support and tooth position, the patient should sit or stand upright in the phonetic exercises.
Thread Sizes
Correct tooth proportion is associated with facial morphology and is important in designing an aesthetically pleasing smile. The proportions of the maxillary central incisors must be aesthetically and mathematically correct. The ratio of their widths to their lengths should be approximately 4/5 (0.8-1.0). The shape and location of the centrals also affect the appearance and placement of the lateral and canine teeth. It is necessary to reach the correct proportions in an aesthetically pleasing smile.
The buccal (cheek) corridor is the dark space (negative space) that appears during smiling between the corners of the mouth and the cheek-facing surfaces of the upper teeth.
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Its appearance is shaped by the following variables:
Smile width and maxillary arch
Tone of facial muscles
Positions of the cheek-facing surfaces of the upper premolars
The prominence of the canine teeth, especially the distal facial line angle
Any inconsistency between premolars and six anterior teeth values
Consequently, there is no formula for preliminary aesthetics; instead, the final aesthetic consists of a combination of the following elements:
Reference lines
Patient’s perception
Cultural and social influences
The artistic effects of the dentist
Effective communication with the laboratory
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SOFT TISSUE-RELATED POINTS
Gingival Health (gum health)
Since the gingiva functions as the framework of the teeth, the final aesthetic success of the case is significantly affected by gingival health. It is very important to fully improve the health of the gums before starting any treatment.
Healthy gingiva usually has the following features.
Pale pink, orange peel appearance, solid and matte
Its facial surface is 3 mm above the level of the alveolar bone.
It should end in the contact area 5 mm above the bone in the interdental area and fill the gingival embrasure.
Gingival level and harmony
Creating the right gum levels for each tooth is the key to a harmonic smile. The gingival height (position and level) of the centrals should be symmetrical. Also, this level should match that of the canines. It is acceptable that the lateral incisors have the same gingival level, but the gingival image closer to the plane of the cutting edge makes the smile more pleasant and preferable. The least preferred form is that the lateral incisors are at the root level compared to the central and canine teeth.
Essentials of Smile Design
In the light of all these, the smile we create should be aesthetically appealing and functionally pleasing. It is our duty to evaluate, diagnose and get the best results by considering all the factors of our patients. We should be as conservative (protective) as possible while designing a smile. Our aim should be to achieve the most aesthetic and most durable result with the least reduction (removal) from the tooth structure. Cosmetic dentistry requires a multidisciplinary work; Orthodontic, periodontal and surgical procedures can be applied when necessary.
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I would like to share my views after about 3 months of treatment. First, I researched many countries and spoke to many clinics.
The clinic we went to for my fiancée's wisdom tooth extraction was so hygienic and sterilized, similar to the Covid days. The staff welcomed us with smiling faces, and the attention of the employees & the workmanship of the doctors were all perfect. I really recommend this dental clinic for anyone who wants dental care.
We started our dental treatment with Mr. Çağkan last week and it was completed today. This man is simply professional and friendly ! I would recommend a very successful dentist like him, along with his friendliness and sincerity to everyone.
I went there for a Wisdom tooth extraction and a root canal treatment. I would like to thank all Optimum Oral and Dental Health Center employees, especially Dr. Çağkan and Ms. Seren, for their high interest in my case and concern about my dental health. It is a super hygienic dental care center. Wishing them the best of luck !
