Curiosities About Smile Design - Dr. Birkan Duras

Curiosities About Smile Design

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Smile design; It is an aesthetic dental procedure that can be applied to the teeth with various methods after the parameters such as age, gender, facial structure, skin colour, tooth-lip position are evaluated by the physician.

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How to Make Aesthetic Smile Design?

Firstly, the physician conducts a preliminary interview to learn the patient’s expectations. Then he/she performs an oral and dental examination.

The physician designs a smile that suits both the patient’s expectations and his/her appearance and personality. In order to show this to the patient, he takes tooth measurements and prepares a temporary smile design in the laboratory.

The temporary smile design is applied to the patient’s mouth, if approved, it is removed from the mouth and necessary procedures are performed on the teeth for permanent smile design.

Then, impressions are taken from the teeth and permanent restorations are prepared in the laboratory and bonded on the teeth with special adhesives.

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It adapts very well to the human body, that is, it is biocompatible. In addition, thanks to their long life, they can provide up to 20 years of use.

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What Are The Methods Applied in
Smile Design?

Since smile design can be done with more than one method and material, it may include different techniques. The first of the techniques that can be examined under 2 different headings is the Crown Restoration process, which has been applied for many years and is popularly known as ‘Veneer’. As can be understood from the name of crowns, they cover all the surfaces of the tooth all around. In order to apply this process, the tooth must be reduced by abrasion at certain rates.

For crown restorations, which can be produced from both porcelain, zirconium and glass ceramics, the teeth are measured and produced in the laboratory after the teeth are reduced to certain sizes. They are then bonded to the teeth with special adhesives.

Diğer teknik ise lamina uygulamasıdır. Halk arasında yaprak porselen olarak da bilinen laminalar kaplamaların aksine dişlerin sadece ön yüzeyine uygulanırlar. Dişler sadece ön yüzeyinden bir miktar aşındırılır. 

Leaf porcelains, which can be applied without any abrasion in suitable patients, are produced in the laboratory after taking impressions on the teeth. They are then bonded to the front surfaces of the teeth with special adhesives.

In Which Diseases is Smile Design Used?

Although smile design is usually done for aesthetic reasons, it can sometimes be applied therapeutically in the presence of some oral and dental diseases. One of these is a congenital tooth enamel disease called amelogenesis imperfecta. In those with this disease, tooth enamel is stained and fragile.

Sometimes, in the presence of missing teeth, the aesthetics of the existing teeth can be increased while completing the missing teeth by performing smile design. In some patients, there is incompatibility between the jaws and it may be necessary to correct the bite. In such cases, a proper dental closure can be obtained by applying smile design to all teeth.

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Is Smile Design Permanent?

Sometimes, smile design can be made from materials that can be used temporarily, that is, for a few weeks, so that patients can try permanent smile design. This temporary smile design is called Mock-Up.

Permanently applied smile designs have a permanence of 10 to 20 years depending on the material used and the technique applied. Of course, it should not be forgotten that this period may vary depending on the patient’s use.

What Are the Processes in Smile Design?

For a healthy and aesthetic smile design, gum treatments and arrangements should be made first. After gum treatments with various laser and special tools, a smile design is created in accordance with the patient.

After the smile design is applied to the patient’s mouth with temporary materials, which is called mock up, if the patient’s approval is obtained, various arrangements are made on the teeth for the permanent smile design. Then, tooth impressions are taken and restorations are produced in the laboratory. In the last stage, if the patient and the physician approve, the restorations are permanently bonded on the teeth with special adhesives.

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Why Should Smile Design be Personalised?

Because the appearance and characteristic structure of each person is different. For this reason, dental aesthetics cannot be applied to every person in the same shape, size and colour. The most important feature of smile design is that it is personalised. It would not be correct to call aesthetic procedures that are not personalised smile design.

Why Should You Have
Smile Design?

Changes to be made in the mouth-tooth area, which constitutes 1 third of the human face, will contribute greatly to facial aesthetics. It is not possible to complete facial aesthetics with mouth and teeth that do not have an aesthetic appearance. It is possible to complete facial aesthetics with smile design and make positive contributions to both your social life and business life.

What to Consider When Making Smile Design?

The physician should first understand the patient’s expectations and then proceed to the smile design process. It would be wrong to characterise the smile design as a correct smile design if the person does not like it. In other words, in order for a smile design to be considered good, it must both be designed correctly and fit the patient’s tastes.

It is wrong to focus only on teeth in smile design. Smile design should be done in a way to completely affect the mouth area. Providing gum aesthetics is an important factor here. Some people complain that the gum appearance is too much when they smile. The main reason for this situation, which is not pleasing to the eye, is that a golden ratio is not formed in the mouth during the smile. In order to achieve the golden ratio for the mouth, teeth and gums must appear in certain proportions. After providing gum aesthetics, dental aesthetics should be started. In addition, it should not be forgotten that the teeth support the lips and a smile should be designed to support the lips. In short, smile design should be done not only on the teeth, but also on the teeth, gums, lips and mouth environment.

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What Are the Treatments Applied in
Smile Design?

In smile design, it is necessary to apply treatments on teeth and gums. We can examine the treatments to be applied on the teeth in 2 different categories. The first of these is Crown Restorations, which has been applied for many years and is a traditional technique.

For this application, also known as ‘Veneers’ among the people, it is necessary to reduce the tooth all around. Crown restorations can be made of porcelain, zirconium, glass ceramic or even gold, although it is not preferred anymore.

The other treatment type is Lamina Restorations. Laminates, also known as Leaf Porcelain among the people, are adhered only to the front surface of the tooth with special adhesives.

The difference from veneer treatment is that the tooth is less abraded and applied only on the front surfaces. In some patients, if the teeth are suitable, laminate treatment can be performed without any abrasion on the tooth. Lamina restorations can be produced from porcelain and glass ceramics.

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What Are the Advantages of Smile Design?

In addition to correcting the aesthetic appearance of the teeth with smile design, it is possible to complete missing teeth, correct tooth closure, increase gingival aesthetics and strengthen weak teeth.

By increasing oral and dental aesthetics, it is possible to have a self-confident appearance by contributing to facial beauty. In this way, it would be correct to say that it is a procedure that can contribute to both your social and business life.

Frequently Asked Questions

You can take a look at the frequently asked questions of our patients and contact us for any other questions you may have.

Before bonding the teeth, the dentist presents the patient’s teeth in terms of form, colour and size and checks the harmony of the veneers or laminates on the teeth. If the dentist and the patient approve the restorations, the teeth are bonded. Otherwise, the restorations are sent to the laboratory for modifications.

The patient should pay attention to oral care and brush his/her teeth twice a day and use dental floss for interface cleaning. They should also visit the dentist once a year for control purposes.

The smile design process is completed in 4 to 6 days.

While smile design is a procedure performed by taking into account factors such as age, gender, tooth-lip position, skin colour, etc., smile aesthetics is a more ordinary procedure in which such factors are not taken into account. While the dentist can design the patient’s smile in digital or traditional ways and present it to the patient live with temporary materials (mock-up method), in smile aesthetics, it is at the mercy of dental technicians who produce it in the laboratory.

All people can have a smile design. There is no restriction for this.

Smile design has a process that will result in only 4 to 6 days.

Smile design is healthy if done with the right techniques and materials.

The mock-up process is a temporary smile design application applied using temporary materials before performing permanent procedures on the teeth for smile design. An impression is taken from the patient’s teeth and a smile design suitable for the patient’s teeth is made from temporary materials. Then this design is applied to the patient’s teeth. The patient can use it for a few weeks if he/she wants and if he/she likes it, the permanent smile design phase is started. If there are points that the patient does not like, they are corrected and applied in the permanent smile design phase.

Face shape is of course important in smile design. The shape and size of the teeth should be designed in accordance with the face shape. Otherwise, the desired aesthetic image may not be achieved.

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