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Smile aesthetics

Smile aesthetics imply interdisciplinary approach of almost all the branches of dental medicine.
Your smile is influenced by both white (teeth) and red (gingiva/gums) aesthetics.
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We can influence the white aesthetics by removing plaque, sandblasting, teeth whitening, lumeneers, veneers, free hand bonding, filling replacement, inlays, crowns, bridges, dentures, implants and the combination of these treatments.

We can influence the red aesthetics as well, by laser treatment to correct the gingiva shape or height, by replacing the unaesthetic prosthetic work which causes the change of gingiva colour, or by removing smaller gingiva tattoos.

- Tartar removal is a preventive and curative dental treatment which removes hard sediments from tooth surface. It is recommended once a year.

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- Sandblasting is a treatment which removes pigmentation (caused by consuming) or soft sediments from tooth surface. It is usually done in combination to tartar removal, but can be carried out separately as well.

 

- ZOOM 2 tooth whitening system gives predictable and excellent results. It is a painless and a one-time treatment.
( http://www.zoomwhitening.com/en_us/products ; http://www.youtube.com)

 

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Before and after the whitening

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During the whitening the patient is in a comfortable position. For a single whitening treatment we use ShoFu materials because they have proved to be an ideal choice.

- For existing white pigmentation (white spots) which cause an aesthetic imperfection, especially on front teeth, we use a revolutionary material to penetrate the enamel without impairing its integrity. The material we use is Icon (http://www.dmg-dental.com/products/caries-infiltration/icon/ ).

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White pigmentation on central incisors.

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- Veneers and lumineers are thin ceramic shells which are adhesively attached to the surface of a non-sanded or a minimally sanded tooth. They are most commonly applied on frontal teeth to change the shape or colour of one or more teeth.

- Free hand bonding is an adhesive tooth coloured attachment made of composite material and applied on the surface in order to change the tooth shape. It is most commonly carried out when closing the gap between central incisors (median diastema). It is important to mention that we do not sand the tooth surface when bonding.

 

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Before and after free bonding

- Fillings close spaces in teeth caused by cavity. The size of the carious lesion determines the size of the filling. Over certain time, composite fillings change colour, partially because of uneven usage. Thus they become unaesthetic. Such a filling infringes the beauty of your smile. This is why it is necessary to replace the impaired fillings every few years.

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The materials we use are certified high-quality glass ionomers and composite resins (3M, GC, IvoclarVivadent, Dentsply).

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-Inlay, onlay, overlay are the size of a filling, but are made indirectly (in the lab) out of different materials (composite, ceramic, different metal alloys). It is harder than a filling, it wears out less easily, the gap between it and the tooth is smaller, and it is different by the production procedure and materials used.

-A crown is a substitute which covers the sanded crown of one tooth. It is produced in a lab out of ceramic or metal alloys or out of the combination of the two.

- A bridge is a prosthetic construction which substitutes one or more teeth. It is produced in a lab out of ceramic or the combination of metal alloys and ceramic. The bridge construction is compounded out of at least three parts (pontic and two crowns which bind the pontic to adjacent teeth).

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- A denture is a mobile prosthetic substitute which is used in cases of partial or complete edentulism. It is made in a lab out of acrylic resins or in combination to metal alloys (strenghtening the denture itself or its retention-stabilizing elements).

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- Implants are placed because of tooth loss, as their replacement. They carry prosthetic superstructures (crown, bridge, denture).

One of the most important conditions for a good implant and its long-term stability is a sufficient amount (volume) of bone. Ideal oral hygiene is the next local precondition for the long-term stability of the implant.

The smile aesthetics involves gingiva (gums) aesthetics as well – the so-called red aesthetics. The corresponding gingiva shape and level is achieved by gingivectomy or gingivoplastic.

Gingivectomy is a surgical excision of gingiva tissue.estetika12-poliklinika-orthonova

Gingivoplastic is a surgical shaping of healthy gingiva tissue which surrounds the tooth. None of the mentioned procedures involves removal of bone.

Gingivoplastic (which is one of the most common periodontal treatments) gives the gingiva a natural appearance (shape). This surgical treatment re-shapes malformations and asymmetries caused by the genetic factor, but can as well be entirely cosmetically motivated (gummy smile, uneven teeth length and irregular dental arch appearance). Gingivoplastic is most commonly carried out regardless of gingivectomy, but can be done before or after gingivectomy.

In the beginning of the laser gingivoplastic; the desired level of gingiva is marked black.Immediately after the procedure; there is no bleeding or pain after surgery

Gingivectomy or gingivoplastic are most commonly done with a scalpel, but electrosurgical devices, lasers and/or diamond drills can also be used. The dentist can use specially designed instruments for the mentioned surgical treatments.

In our clinic gingivoplastic is done by laser (Biolase: http://www.biolase.com/).

A laser is used for ulcer therapy as well. The laser beam stimulates faster tissue regeneration. It is important to mention that laser stimulation needs to start at the first sensations of herpes or ulcer appearance.

The desired change of smile can be reached when combining more than one method to treat the teeth and gingiva.If you are a supporter of dental jewelry (blink-blink smile), we will make your wishes come true as well