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You can make an appointment with DENİZ İKBAL İLHAN Private Dental Clinic for Nişantaşı Aesthetic Dentistry, Nişantaşı Aesthetic Dentist, Nişantaşı Aesthetic Dentist, Nişantaşı Aesthetic Dis, Nişantaşı aesthetic dentistry clinic.

Aesthetics, phonetics and function; forms the basic building blocks of dentistry. Aesthetic Dentistry is a delicate combination of scientific principles and artistic talent.

Today, with the increase in aesthetic expectations, the principles of smile design have gained importance. The concept of smile design refers to creating a beautiful smile by combining many scientific and artistic principles. The purpose of the revision for an aesthetic smile; To develop a harmonious and stable chewing system that includes teeth, gums, lips, muscles, skeletal structure and joints.

Smile design is planned by combining some personal aesthetic expectations of the individual with health and naturalness. Aesthetic judgments are not entirely objective criteria; When designing a natural smile, the dentist should also consider the subjective judgments of the patient’s characters and lifestyle. When creating a smile, the dentist and his team should consider these criteria and combine them with their own artistic abilities and subjective ideas.

Hollywood Smile

Digital Smile Design

Dental Veneers

* Laminate Coatings

* Prepiless Laminate

* E-max Coating

* Zirconium Crowns and Bridges

Bonding Method

Aesthetic Tooth Filling

Inlay and Onlay Filling

Teeth whitening

Pink Aesthetics/Gum Aesthetics

Hollywood Smile

The Hollywood Smile application is an aesthetic dentistry application that is inspired by the smiles of Hollywood stars, has some standards and is a trend all over the world. It is very important that the patient’s expectations are correctly understood by the physician at the first examination.

After the examination, the design starts with taking the necessary x-rays, taking the photographs from different angles and the measurements of the existing tooth array. Every design is unique to that person and the goal is to create the perfect smile. While it is sometimes possible to achieve a perfect result with a single treatment method, it may be necessary to apply several treatment methods in order in some of our patients.

The standards that a Hollywood smile should have can be listed as follows;

It is desirable for the person to have a deep smile line, to show all the upper teeth up to the upper molars when he smiles, and to show some of the lower teeth.

The teeth should be aligned properly in the jaw arch.

The upper incisors should be more prominent than the other teeth, and the smile line following the cutting edge of the teeth should curve upward towards the posterior teeth and should be compatible with the lips.

Although the color of the teeth is white, the skin color of the person should also be compatible with the color of the gums.

During smiling, the gums should appear about 2mm on the upper jaw.

The midline of the teeth should be in line with the midline of the face.

The gingival zenith points should be at the ideal level.

The lip should be symmetrical.

The work that emerges as a result of the experience, knowledge and artistic skills of the team that makes all these arrangements should integrate with the physical and emotional characteristics of the person carrying the design.

Digital Smile Design

What is digital smile design? How is it applied?

The basis of creating a more impressive smile is possible with the correct understanding of each other by the physician and the patient. Digital Smile Design makes our job easier at this point.

At the patient’s first appointment;

A digital measurement of the teeth is taken with a 3D intraoral scanner.

Photographs of the teeth and face are taken from different angles.

In the digital environment, the smile design is designed individually and the result is presented to the patient at the end of the treatment.

The second appointment;

The design called mockup prepared with digital technology is applied in the patient’s mouth, giving the opportunity to see the smile design live in the patient’s mouth. Evaluations on the design are made mutually.

The necessary preparations are made on the teeth and the digital impression is taken again.

Prepared mockups are temporarily glued on the teeth.

Last appointment;

Personalized restorations are rehearsed and if the result is desired, porcelains are adhered to the teeth.

How long does it take to prepare a digital smile design?

Digital smile design is prepared in 3-5 days. The data recorded at the first appointment is evaluated by the physician and the technical team, and the predicted opinion is designed. While designing the smile, parameters such as the facial features, skin color, physical characteristics and personal characteristics of the individual are taken into consideration.

Is it possible to make changes in digital smile design?

We see the targeted smile in digital smile design digitally and then we rehearse the design in the patient’s mouth with mockups prepared in accordance with the design. This rehearsal makes it easy for us to make the necessary arrangements in the most correct way. Changes can be made during the rehearsal phase and the final state of the smile is decided.

Will I have the same smile as shown in digital smile design and rehearsals at the end of the treatment?

The materials used for rehearsal are obtained from different materials in a short time, but your real teeth produced for treatment will be much more aesthetic than what you see in the rehearsal.

Dental Veneers

Dental veneers are divided into two as metal-supported and non-metal-supported. For a more aesthetic smile, metal-free coatings are applied. Veneers without metal support are divided into two as zirconium-based porcelains and full ceramic crowns (e-max). E-max veneers are aesthetically superior to zirconium. Zirconium is more durable in long bridges. When the physician examines the patient, he will determine the needs and plan what kind of restoration will be appropriate for which area. Let us briefly explain the types of coatings and the materials used:

Porcelain Laminate Veneer

What is porcelain laminate veneer?

It is the permanent treatment of structures such as color and deformity in the teeth that negatively affect aesthetics with 03-07 mm thick leaf-shaped porcelain coatings specially prepared for the person. Laminate veeners are adhered to the front surface of the teeth. One of its biggest advantages is that it can be prepared by thinning only the anterior surfaces of the teeth in mm without cutting all of the teeth. Its appearance is flawless and natural due to its light-transmitting structures, its harmony with the gums and its application to the teeth one by one. Porcelain laminates do not stain, do not turn yellow and do not fall off thanks to the developing adhesive systems. Their resistance to breakage is quite high.

In which cases are porcelain laminate veneers applied?

Correction of form and deformities in teeth

Closing the spaces between sparse teeth

Restoration of broken or worn teeth

Restoration of highly discolored teeth that did not achieve the desired result with tooth whitening

Simple crowding of teeth (orthodontic treatment should be considered in advanced crowding.)

Frequent consumption of coloring products such as cigarettes, tea and coffee

Cases with small tooth sizes

In which cases porcelain laminate veneers cannot be applied?

Jaw disorders requiring orthodontic treatment

Conditions in which advanced gingival recession is present

Cases of edentulous space due to missing teeth in the anterior region

Patients with bad habits such as severe bruxism (clenching teeth), nail biting, pencil biting

Childhood patients with ongoing growth and development

What are the production stages of porcelain laminate veneers? How long does the treatment take?

Porcelain laminates take an average of one week to make, and their preparation requires precision work, technical skills and experience. E-max materials are mostly used in the construction of laminates.

In a patient suitable for lamina veneer, it starts with taking photographs and taking measurements before the procedure. A smile design is made on the data transferred to the digital environment, and models that we call mockups are prepared according to the design. Mockups are applied to the mouth of our patient who comes to the second session, so that the final image will be seen live and the necessary arrangements are discussed in this session. Again, in this session, minimal abrasions are made on the teeth from the necessary places and the measurement is taken again with scanner or traditional methods. The measurements taken are transferred to the laboratory from the digital environment. After the photographs taken beforehand, the photographs taken during the mockup rehearsal and the desired tooth color are transferred to the laboratory, the main design begins. Lamina veneers are ready in an average of five days. In our patient who comes to the third session, porcelain laminates are rehearsed. If necessary, the necessary arrangements can be made in this session, and after the polishing process, the laminates are adhered to the teeth one by one with a sensitive technique.

Do porcelain laminate teeth fall out?

Thanks to the developing technology, bonding values of bonding materials to teeth and porcelain laminates are quite high. You can use porcelain laminates, which are adhered meticulously by following the necessary technical steps, as your own teeth.

How long is the life of porcelain laminate veneers?

Laminas, which are successfully made and adhered to the teeth with appropriate adhesives, have a very long life. With a good and correct oral care, you can use your porcelain laminate veneers for many years without any problems by protecting your gum health. They are resistant to staining and abrasion. In this way, it preserves its first day appearance even after years.

Prepless Laminate Coating

Prepless Laminates stand out as a protective application that provides excellent aesthetics in the appropriate patient group. It is a type of lamina coating that can be applied without mechanical abrasion from the tooth surface. It can be applied in cases where there is no crowding in the teeth. (If there is crookedness in the teeth, some abrasion may be required.)

It is a suitable aesthetic treatment method for individuals who want to have a whiter appearance in their teeth, who have problems such as wear or fractures in their teeth, or who have sparse small teeth. Lamina treatment can be applied to people who have completed their teeth and jaw development. In patients with negative behaviors such as clenching and biting nails, these diseases should be treated first.

E-max Coating

E-max coating is a type of lithium disilica ceramic. It is prepared under special laboratory conditions by compressing glass ceramics. It is one of the best materials used as a dental coating material. Laminate veeners, full crowns, inlay and onlay fillings can be designed very aesthetically with e-max. It has a translucent appearance and can be worked very thinly. It is difficult to distinguish from natural teeth thanks to its light transmittance. It is long lasting.

What are the advantages of E-max coatings?

There is no need for metal or zirconium infrastructure while making E-max. For this reason, it can be prepared very thinly and it is sufficient to cut very little from the solid tooth tissue. One of the biggest advantages of E-max is the need for a small cut from natural teeth. The construction of E-max coatings requires precise work and technical experience. It is mostly used in the restoration of aesthetic teeth in the anterior region. Its aesthetic properties are also superior to zirconium.

How are E-max coatings applied?

Depending on the type of restoration to be made, the natural teeth are minimally abraded and the measurement is taken with the scanner, digital impressions or classical methods. A model is obtained from the measurement taken and temporary teeth are prepared on this model. The prepared temporary teeth are attached to the patient’s mouth in this session. After the design of the dimensions transferred to the laboratory is made on the computer, production begins. Photos taken from the patient and short video footage are also shared with the laboratory. E-max coatings prepared individually are rehearsed in the patient’s mouth. Aesthetics, function, phonation and color evaluations are made with the patient during the rehearsal. After the necessary arrangements, E-max veneers are polished and adhered to the teeth.

How long does it take to make E-max coatings?

The preparation of E-max coatings takes an average of 5-7 days.

How long do E-max coatings last?

E-max coatings are durable and long-lasting aesthetic materials. When you pay attention to oral hygiene and protect your gum health, you can use your E-max veneers for many years.

Zirconium Crowns and Bridges

What is zirconium?

Zirconium is a white hard metal element. It is also used in dentistry in the form of zirconia (zirconium dioxide). Thanks to its light transmittance, it is aesthetically superior to metal-supported coatings. It is a biocompatible material suitable for patients who are allergic to metal elements such as Chromium Nickel. Metal supported porcelains are also gray in color with the metal used in the substructure of the porcelain and may cause gray discoloration on the gums. Zirconium substructures are in natural tooth color and do not cause gray reflections.

In which treatments are zirconia veneers used?

It can be used in the construction of all restorations (crown-bridge-inlay-onlay) in the anteroposterior region due to its light transmittance, resistance to breakage, and the ability to process aesthetic porcelain materials on it. The application area of zirconia, which is a material with superior aesthetic properties, durable and compatible with tissues, is quite wide.

How are zirconia veneers applied?

While zirconia veneers are being made, treatment is started by abrading existing teeth according to the type of restoration to be made and the condition of the tooth in the mouth. The patient’s teeth are measured using a 3D digital scanner or conventional methods. A digital model of the tooth to be made is created on the computer and veneers are produced in zirconia scraping devices. It takes an average of 5 days to build. In this process, temporary teeth are placed in the patient’s mouth in the same session with the impression taking to ensure patient comfort.

Is there any pain when making zirconia veneers?

In dental procedures performed under local anesthesia, the patient does not feel any pain. After the preparation of the teeth is completed, the temporary teeth prepared in accordance with the measurements taken are placed in the patient’s mouth on the same day, ensuring patient comfort in the process until the permanent teeth are made.

How long do zirconia veneers last?

A well-made zirconia coating compatible with oral tissues can be used for many years without any problems, provided that the patient pays attention to oral hygiene.

Do zirconia coatings break?

Zirconia crowns and bridges, which are well-adjusted, do not prevent chewing movements, do not cause height, are compatible with occlusion (chewing knee), and are made in accordance with mechanical rules, do not break. While zirconia blocks with high strength are preferred in the posterior regions where the chewing force is intense, zirconia blocks with better aesthetics are preferred in the anterior teeth.

Do zirconia coatings change color over time?

Zirconia coatings are resistant to abrasion and discoloration. It is easy to clean and maintains its first day appearance.

Bonding Method

What is the bonding method?

It is the process of correcting the elements in the teeth that disturb the person aesthetically with the help of composite resins in a short time and in a single session by the physician.

The experience and aesthetic perception of the practicing physician is a very important factor in the success of the Bonding method.

In which cases is the bonding method applied?

If there are spaces between teeth,

If the teeth are short in size,

If there is a trauma-related fracture in the front teeth,

If there is discoloration of the teeth

If there are old composite fillings in the anterior teeth that do not have good aesthetics, all the factors that negatively affect the smile can be easily treated in a single session with the Bonding method.

How is the bonding method applied?

The application takes an average of half an hour for a single tooth. The bonding method can be applied without any abrasion on the teeth. The bonding method highlights this feature and thus it can be used safely in eliminating the aesthetic complaints of very young patients. Very minor imperfections in the teeth can negatively affect the aesthetics, and easy correction of only that tiny defect makes a serious difference in smiling.

The bonding method has the advantages of being easy to apply, not requiring anesthesia during the procedure, not requiring any abrasion on the teeth, finishing the treatment in a single session, and lower costs compared to porcelain laminates. Treatment with porcelain laminates is a more suitable option for patients who have too much crowding in the teeth, who have advanced tooth discoloration and who need a full smile design. Composite laminates are less resistant to breakage and discoloration than porcelain laminates. But repair is possible and easy.

If you have minor defects in your teeth, the bonding method is a suitable treatment option.

Aesthetic Tooth Filling

It is the restoration of tooth decay with light-cured composite filling materials suitable for tooth color after cleaning. It should be ensured that the fillings made are suitable for the natural tooth form in terms of shape and color, that the boundaries of the filling are not clear and that the filled tooth cannot be distinguished from other teeth. Polishing and polishing after the filling process will extend the life of the filling and increase the comfort of the patient. The prejudice that aesthetic fillings are not robust has begun to be broken with the increase of successful practitioners and the development of aesthetic filling materials. Aesthetic fillings made with the right technique and the right material are quite durable and long-lasting. Aesthetic fillings are chemically bonded to the teeth, when technical procedures are applied correctly, there is no separation of the filling from the tooth or formation of caries under the filling. Composite fillings can be successfully applied even in teeth with very large tissue loss. Composite fillings can be applied in a single session with the direct method, or in the teeth with very large tissue losses, measuring can be taken by the indirect method and the filling is prepared on the model and attached to the patient’s mouth in a short time. The advantage of the indirect method is that the filling can be shaped better on the model and the working time in the patient’s mouth is shorter.

Inlay and Onlay Filling

Inlay and Onlay fillings are the type of filling applied by the indirect method. After the decayed part of the tooth is cleaned, the measurement of the remaining healthy tooth tissue is taken. The filling formed on the model is adhered to the tooth in the patient’s mouth, and the procedure is completed. We prefer Inlay and Onlay fillings in cases where the loss of material in the tooth is high. Before this technology was developed, teeth with large fillings needed to be covered in order to provide better aesthetics, chewing function and contact relationship with neighboring teeth. In order to make room for the veneer, it was necessary to do some abrasion from the healthy tooth tissue. In inlay and onlay restorations, on the other hand, the intact tissue is preserved, ensuring maximum aesthetic function and durability. The difference between inlay and onlay is related to the size and footprint of the restoration. We can say that inlays are smaller fillings that cover less surface, while onlays are larger fillings that cover a larger area.

Materials with different properties can be preferred when making inlay and onlay fillings. If we want to give some examples of these; we can use composite resins, e-maxler and zirconia in inlay and onlay production. We can count this application, which has high aesthetic value and durability, among aesthetic dentistry applications.

Teeth whitening

White teeth have an important place as a part of aesthetic appearance. Teeth may become discolored over time due to physiological reasons or internal and external reasons such as the use of antibiotics, tea and coffee consumption. Tooth whitening is the process of removing the discoloration of the porous enamel and dentin structure on the surface of the teeth with tooth whitening gels. Teeth whitening methods are divided into two groups as home type teeth whitening and office type teeth whitening according to the technique applied;

Home Type Teeth Whitening

In the home-type teeth whitening method, personalized whitening plaques are prepared by measuring inside the mouth. A certain amount of tooth whitening gel is applied to this prepared plaque and the patient is asked to use the plaque. Plates should be used for 4-8 hours a day without removing them. The whitening period lasts up to 10-15 days, depending on the need. With this method, where the tooth color is gradually lightened, the permanence is higher than the office type whitening.

Office Type Whitening

This method is also known as the “laser teeth whitening” method. It is applied by the physician in the clinic. Before the application, the gums are covered with a suitable barrier. It is activated by the help of UV light or laser of the whitening gel applied on the teeth by the dentist. The whitening process takes an average of one hour and the gel application process can be repeated until the desired result is obtained.

The method to be applied is decided according to the extent of the discoloration on the teeth and the degree of the targeted whiteness. In order to ensure the maximum whiteness and the longer permanence of the image formed after bleaching, the process can be supported with home bleaching after the application of office bleaching. In the next process, we ensure long-term permanence by applying our home-type whitening gel to our existing whitening plate for periods of 6 months.

Single Tooth Whitening (Internal Whitening-Endobleaching)

Internal whitening treatment is applied to teeth that change color after root canal treatment. Tooth whitening gel is applied to the gap formed by removing the filling made to the tooth and the tooth is closed with a temporary filling. The sessions can be repeated at intervals of two days until the desired whiteness is achieved. When the desired result is obtained, first a tooth-strengthening material is applied, and then the permanent filling of the tooth is made. Your dentist will decide which teeth whitening method will be suitable for you after the examination.

Whitening methods can cause sensitivity in the teeth, albeit slightly. This is a normal and possible side effect. The sensitivity in the teeth is expected to pass within a few days. Coloring liquids such as tea, coffee, wine, cola and tobacco products should be avoided during the bleaching process and for two days afterwards. Teeth whitening can be applied to all adults over the age of 18. It is not recommended for use in pregnant women.

Pink Aesthetics (Gum Aesthetics)

White and straight teeth alone are not enough to have a beautiful smile. The presence of healthy gums compatible with the teeth is also necessary. The aesthetic arrangements made on the gums are called pink aesthetics (Gum aesthetics). In order to perform gingival aesthetics, the gingiva must be healthy. Gum diseases, if any, should be treated before gingival aesthetics. Healthy gums are light pink in color and appear rough like an orange peel.

The ideal gingival level is achieved by gently touching the lip of the imaginary line, which is thought to pass through the gums and is located at the apex of the two incisors located in the anterior middle part of the jaw, during smiling. The shape of the smile, in which the gums appear too much, negatively affects the aesthetics. While performing gingival aesthetics, operation techniques are used according to the presence of the problem. In some cases, it is necessary to regulate the gingival appearance of all the teeth in the laughing line, while sometimes it is enough to interfere with the gingiva around only a few teeth.