SMILE DESIGN

Aesthetic is a concept which can vary between people but the perception of aesthetic and beauty is considered together with symmetry. The basic ratio that we apply for providing aesthetics is called golden ratio even if we did not notice at the beautiful things that we saw and use in many fields in life.

For an aesthetic smile, gingiva (in other words pink aesthetics) is also important as teeth (in other words white aesthetics). The harmony of pink and white gives the desirable result for an aesthetic smile.

Procedures performed in this concept include:

White aesthetic appearance:

We have various options for correcting the shapes and colors of teeth. When talking about smile design, laminated veneer procedures are the first considered procedures. With this procedure by making minimal preparation on the teeth surfaces we can obtain big changes about position, width, height and colors of the teeth. When more position change is required or there is a tooth loss at the anterior part, crown /bridges are the treatment options which help us providing smile aesthetic. The material which is used in these treatment is important. For anterior area rather than using metal-porcelain crown/bridges, using  zirconium or e-max/ empress systems will give better results due to providing optic features close to dental structures.

Besides the prothetic options, desirable results also can be obtained by using filling materials (composites). For anterior area by using aesthetic filling materials it is possible to provide shape and color alterations for the tooth.

Pink aesthetic appearance:

As we mentioned above, aesthetic appearance is related with symmetry. To provide this, symmetry of teeth and gingiva junction is crucial. Gingiva leveling procedure which is called gingivectomy can be performed for providing this. In another case it is possible to have an unaesthetic appearance due to excessive gingival display (gummy smile). If gummy smile is at minimal level, gingivectomy can be applied but if gingiva display is excessive, lip repositioning in another words positioning lip- gingiva junction at a lower location may provide less gingiva display.

Order of procedure;

Primarily we should learn the expectations of the patient completely. A planning is made correspondingly with this. We may evaluate the things we can do in digital media with the photos which are taken from the patient before the treatment. Before the treatment with an impression and a laboratory study, we can transfer the final result into the patients’ mouth and thus we can show a result similar to the final treatment result with a temporary prothesis. Subsequently teeth are prepared and impression is taken for the final stage. Planned treatment is completed following preparation of the prothesis.