Dental Treatments

The Hollywood Smile is a revolutionary dental procedure that allows you to have perfectly shaped white teeth through dental veneers. It corrects smile imperfections including tooth alignment, lack of whiteness and replacement of missing teeth.

How many visits does the treatment take?

The dentists use Hollywood Smile to give you the appearance of a straighter and whiter smile. It can be used as a cosmetic solution for chipped and empty teeth. Unlike the placement of porcelain veneers, which may require more than two visits, Hollywood Smile can be completed in one appointment. The Hollywood Smile process has advantages including a low price and a short waiting time. If you are not satisfied with the appearance of your teeth or if you have a problem that needs to be corrected, Hollywood Smile might be the right procedure for you.

What are the recommendations after having a Hollywood Smile?

The first advice is to pay close attention to your oral hygiene. The teeth must be washed at least two times a day after each meal, but without brushing them too hard to not spoil the tooth enamel and irritate the gums.

Does it hurt to wear veneers?

Absolutely not.

Putting veneers is not a painful practice but you need more appointments to complete the work. Your dentists will prepare the teeth for the application, then they will take the imprint and finally they will cement the veneers. It is possible to insert the dental veneers without filling the tooth, so the contraindications related to pain are minimized.

How long do they last?

If a good job is done, the Hollywood smile veneers can last more than 10 years, provided that the teeth are properly treated.

The cost depends heavily on the number of teeth to be covered, the work that must be done on those teeth and the most suitable materials for the individual case.

It is better to rely on serious professionals to guide you in choosing the solutions that work for you. It depends on the skill of the dentist, the quality of the materials and the care that the patient will take for maintenance.

Laminate Veneers

It is an effective solution for those who have defects of one or more visible teeth. It could be a too pronounced hue, a misalignment (spacing or overlap),or an abnormal shape. This treatment is possible at any age.

How should it be done?

This is a simple and quick operation. During the first consultation, the dentist carefully examines the patient and gives him/her advice on the feasibility of laminate veneers. The first step consists of trimming a tooth. The dentist prepares the tooth with a minimal reduction of 0.5 mm to 1 mm to free up some space for the porcelain laminate. Then, he/she prints the tooth to make the veneer in the laboratory. A temporary veneer is put in place.

During the second session, the temporary veneer is removed and replaced by a permanent veneer.

How long do they last?

They last much longer than other types of veneers. The laminate veneers are created from long-lasting pressed ceramic porcelain, they are ultra-durable. They can stay in good condition for more than 20 years. Added to that, as your natural teeth do not need extensive reshaping, the process can be reversed with minimal damage to your teeth.

How to take care of your dental veneers?

Care requires only good oral hygiene and regular brushing 2 to 3 times a day with a quality toothbrush. It is recommended to do regular checks at the dentist's office. The laminate veneer is very resistant and unalterable. In case of bruxism, it is imperative to wear a night protection gutter.

E-max/Empress veneers

There may be a need for restoration in the mouth for many different reasons. All functional and aesthetic expectations specific to the individual are evaluated and the most compatible material and treatment option should be determined. Prosthetic restorations can be applied for reasons such as maintaining the aesthetic expectations due to the color differences in the teeth, and the recovery of the functional structure by eliminating the tissue losses in the teeth. With the developing technologies, materials that are both aesthetically and functionally durable and very close to the natural tooth form can be produced. E-max dental veneers are materials produced in this way, very close to the natural tooth form and durable.

What are E-max/Empress Crowns?

E-max crowns; are dental restoration materials which produced from a special ceramic called lithium disilicate. Since high pressure and special strengthening methods are applied in their production, they are durable but also very good tissue compatibility, aesthetic and high light transmittance natural dental prostheses.

When Can E-max/Empress Crowns Be Applied?

E-max restorations can be preferred in conditions where aesthetic expectations are high but tissue loss is also high due to caries or traumas. They are often preferred in order to camouflage tooth color changes caused by the consumption of colored foods or different systemic problems with a natural appearance. When there are tolerable gaps between the teeth, they can be used as an alternative to orthodontic treatment in closing these gaps by changing the tooth sizes and in minor tooth crowding. They can be preferred in order to increase the amount of tissue resistance when weakness and tendency to breakage are detected in tooth tissues for reasons such as root canal treatment.

What are the Advantages of E-max/Empress Crowns?

E-max materials are frequently preferred because they provide an appearance which is very close to the natural tooth structure thanks to its high light transmittance, reduces bacterial uptake with its smooth structure, and easily polished surface. Tissue compatibility is very high and thus allows the treatment process to be done easily and in a short time. Thanks to digital face and smile design, e-max materials can be designed in computer environment, color and form diversity can be predicted in digital environment and technical sensitivity can be increased before the procedure. Thanks to its metal-free structure, it can be used safely in individuals with metal allergies. For each veneer, each tooth and patient can be studied individually, these sensitive follow-ups can be controlled and stored in digital environment. Since it is a hard and durable material, it is also a preferred material for ceramic fillings used in dental caries such as onlay-inlay. It has a more vivid and transparent structure compared to other restorations and does not cause gray reflection problems. Since it can be worked with sensitive and fine workmanship, it can easily show the thin gingival exit profile that is compatible with the gingiva. Due to the durability of the special bonding materials that provide the connection with the teeth and the difference in the bonding structure, it can show proper integrity with the teeth for many years without dissolving.

In Which Situations the E-max/Empress Crowns Are Not Preferred?

Although E-max materials are resistant, they may not be preferred in bridge prostheses containing long tooth spaces due to their risky resistance to force imbalance. In cases where there are factors such as incompatibility or infection of the gums, it is preferred to eliminate these problems first in order to ensure a correct tissue compatibility. In the presence of habits such as clenching or biting nails, where incorrect forces are loaded on the teeth as a result of incompatibility in the jaws, it is recommended to use different materials.

Porcelain veneers

Deformities in the teeth, color mismatch or tissue loss due to trauma and clenching may cause inadequate aesthetic appearance. This situation, which causes the restriction of smiling and increasing social concerns in daily life, provides both an increase in tissue support and the desired aesthetic appearance with various restorative procedures. Thanks to digital 3D imaging and planning, porcelain laminates, which are applied by making changes only in the front part of the teeth, are often preferred safely.

Porcelain laminates are restorations with a thickness of 0.3-.07 mm, and they are applied only to the anterior surface of the incisors of the person. Porcelain laminate restorations can be applied to the to the outher surface of the teeth which has shape, structure and color mismatches with minimum loss of substance in healthy tissues, by taking into account the age, gender, health status, face shape, texture and face color of the person. Due to their very thin structure and transparent appearance and their high compatibility with natural textures, they increase their preference day by day.

Who Can Apply Porcelain Lamina Applications?

Porcelain laminates; with its custimised designs, can be safely applied to people of almost all ages. It is a good restoration option for people with tooth wear due to clenching or grinding in their anterior teeth, or for trauma-induced dental injuries such as falls or impacts. They can also be used in the treatment of caries in the anterior teeth. Porcelain laminates can be used safely in masking congenital or acquired tooth staining caused by wrong food intake or different external factors. They can be preferred by people who are not satisfied with their natural tooth color and wishes permanent solutions. In cases where the teeth are spaced, they can be applied depending on the amount of these gaps, as well as extending the length of the teeth. Porcelain laminates may be preferred because they will provide minimal tissue loss in the decision to resolve minimal tooth crowding with restorations.

What are the Advantages of Porcelain Laminate Applications?

Taking measurements during the process and making digital planning in coordination with the technician ensures the comfort of the patient and the precision of the planning. Thanks to the smile designs, the patients can have information about the final aesthetic appearance before the procedure. The procedure is very easy and results can be obtained in a few sessions. The fact that the laminates are very thin but durable, offers the possibility of processing the teeth with very minimal abrasions or completely without abrasion, so that the desired results can be obtained with very little loss of substance in the person's own tissues. Porcelain laminates are produced from durable and colorless materials, so they can be used for life as long as they are checked and maintained. They are materials that are resistant to abrasion and to pigments in materials such as tea and coffee. They are easy to use due to their very smooth and thin structure. Thanks to the high light transmittance of porcelain laminates, it is possible to obtain aesthetic results very similar to the natural tooth structure.

When Porcelain Laminates cannot be applied?

These restorations cannot be applied in cases where porcelain laminates are likely to be deformed by incorrect loads, such as jaw and closing disorders, habits of squeezing, grinding or chewing hard objects such as pencils, and nail biting habits. Beforehand, these habits or jaw closures that will cause unnecessary burden on porcelain laminates should be arranged. Especially porcelain laminates with high light transmittance; may not be able to adequately mask the teeth with excessive discoloration. In this case, alternative restorations may be preferred. The presence of material losses such as infection or gingival recession in the tissues around the teeth also necessitates preparation for porcelain laminates after removing these losses first.

How Can Porcelain Laminates be Applied?

First of all, video recordings are taken during the person's speaking and smiling, then measurements are taken with photo shoots and intraoral digital scanners. As a result of these measurements, a process called mock up examines how the teeth and face will look at the finishing stage. Then, if necessary, minimal abrasions such as 0.3-0.7 mm are made from the teeth, and an area where porcelain laminates will be placed is created. Sometimes porcelain laminates can be planned without these abrasions. Measurements and plans are sent to the technicians in a digital environment, and porcelain laminates are produced in accordance with the tissues and transferred to the clinical environment with sensitive arrangements. Laminas are adhered to the teeth with adhesives with special tissue compatibility and high adhesion values, in accordance with technical sensitivities. In the following period, control appointments are made for porcelain laminates at certain periods and their maintenance is done regularly if needed.

What should be known after the application of porcelain laminates?

Porcelain laminates are applied to the teeth with special and durable adhesives and can be used continuously for many years as long as oral hygiene and possible traumas are paid attention to. They are produced from materials that are highly resistant to staining and abrasion. Early detection of problems that may occur as a result of regular dental check-ups and maintenance of porcelain laminates are important in terms of longevity of restorations.

Prepless Veneers

In cases where aesthetic improvement can be made without changing the natural tissues of the teeth, non-abrasive laminate applications may be preferred. In this way, aesthetic results can be achieved by changing the smile profile thanks to the porcelain veneers that do not require any substance loss in the teeth.

Porcelain veneers are known as prepless lamina or non-abrasive lamina. They can be applied to healthy tooth tissues without making any changes over the tooth surfaces. These applications cover only the front surface of the teeth and are preferred due to their very natural and aesthetic appearance. They are aesthetic applications that provide very good results for closing the gaps of the teeth, regulating the color and deformities of the teeth and completing the smile design. Porcelain veneers customly prepared for the each person and they can be applied to the tooth surfaces by using compatible materials without causing any damage to the teeth.

Are Prepless Veneers and Laminate Veneers Different?

While both applications allow the application of aesthetic laminates to the front of the teeth, in prepless veneers there is no need for any abrasion on the teeth before the application. Porcelain veneers are applied directly to the tooth surface and can be removed and regained the old appearance if desired. Laminate veneers, on the other hand, are applied after a small amount of abrasion from the surface of the teeth, as they require preparation before the application, and if removed, a new restoration is required. Since the procedure time and session will be less in prepless veneers, smile design can be done in a shorter time.

How Are Prepless Veneer Applications Made?

During the clinical examination, teeth that require application are detected. The compatibility of oral health and surrounding tissues is examined, and digital measurements are made with three-dimensional scanners. Photographs and x-rays are also taken, and all personal parameters such as the person's age, gender, face shape, skin color are checked, and the most ideal smile design is determined in the computer environment. The simulation of the final appearance is examined with the dentists before the application and the measurements are transferred to the laboratory in digital environment. In the next session, the veneers are first rehearsed and then applied to the front surface of the teeth with biocompatible adhesives that do not harm the teeth.

What Should Be Known After Prepless Veneers Are Applied?

Due to its ease of application and compatible structures; the patient can return to social life immediately after the procedure. No sensitivity or pain is observed. In oral care, there is no need to make a change in the application of brush and dental floss as usual. Since the tissue transitions of prepless veneers are quite natural and they are highly compatible with the surrounding tissues, oral and dental cleaning can be done easily. Regular attendance to control appointments and regular maintenance of restorations increase the lifetime of these prostheses.

Zirconium Crowns

Over the years, thanks to scientific research, new material has been introduced to the market: zirconia, which is becoming increasingly popular as a material for the construction of dental crowns.

By zirconia, we mean zirconium oxide, that is, a metallic element that, by interacting with oxygen, becomes a material with properties perfectly suited to the needs of implantology, that is, to say extreme hardness and great translucency.

Zirconia veneers are dental crowns used to replace missing teeth and in some cases to maintain a dental prosthesis. Veneers were long composed of metal alloys, gold crowns, and titaniumà, recently replaced by zirconium.

This material is 100% biocompatible since it is comparable to the adult tooth in its characteristics. The inner part of the crown is zirconia-made, while the outer part is ceramic-made. This combination offers better resistance.

Zirconia crowns' advantages

In comparison with other conventional implants, zirconium crowns treatment offers many more advantages:

Biocompatibility: Zirconium is biocompatible, it has no impact on the immune system and causes no allergic reaction.
Better Strength: Zirconium is more adaptable than titanium. It is reinforced by sintering to improve its physical properties and become more resistant to fracture and cracking.
Low density: Zirconia crowns are very resistant, but also lighter. They do not cause discomfort or irritation because their material is not heavy.
Integration with the bone: Thanks to its rough surface, the zirconium integrates solidly with the bone. They stay inert and do move after placing them.
Aesthetic Smile: Thanks to the ultra-white color, zirconium does not reflect the unpleasant grayish appearance. Added to that, zirconia crowns are identical to natural teeth.
Resistance to bacterial adhesion: The risk of bacterial infection is almost zero. It would limit bone loss and ensures faster healing.
Low thermal conduction: Low thermal conduction allows the patient to eat cold and hot foods comfortably.
Long Lifespan: The lifespan of these dental veneers is long, with an average of 20 years. However, it can be extended to 25 years with a strict dental care routine.

How to take care of your Zirconia crowns?

To ensure the longevity of the zirconium crowns, it is recommended to:

Brush your teeth after each meal;
Clean the spaces between the teeth with dental floss;
Use regular mouthwashes.

Implant Treatment

Implantology is a rehabilitation procedure for those who have lost their natural teeth.

The full mouth dental implant is a screw-shaped prosthetic root taking the place of a natural root. It is a branch of dentistry that aims to restore missing teeth by inserting artificial roots made of biocompatible materials (titanium, ceramic or zirconia).

A dental implant can be applied to all patients. However, the dentist will assess it on a case-by-case basis and suggest other alternatives that he/she considers more valid.

There is no incidental factor, except when it comes to teenagers because in this case it is necessary to wait until the bone development is complete.

What are the different types of tooth replacement devices?

There are three common types of dental implants treatment:

Endosteal implants: They are the most common kind of false root. They are suitable for the majority of patients. However, they necessitate a healthy jawbone to be inserted in. Shaped like screws, endosteal teeth prostheses are put into the jaw and the crowns are fitted onto them.
Subperiosteal: They are the main alternative to Endosteal false roots. Instead of being implanted into the jawbone, a subperiosteal prosthesis remains on the bone, under the gingival tissue. This option is only suitable for patients who don’t have enough jawbone for an implant to be put in.
Zygomatic: They are the least common type of prosthesis. It is a complicated process and should only be performed if you don’t have enough jawbone for the Endosteal implant. The prosthesis is implanted in the patient’s cheekbone instead of the jawbone.

Which materials are used?

In recent times, important innovations have been introduced, especially regarding the materials used to make the dental implants. A few years ago, abutments could be found exclusively in titanium. However, today there are also other materials that have undeniable advantages. Therefore, It is wrong to think that dental implants are all the same: the latest generations are made of ceramic and zirconia. In fact, they are innovative materials that allow you to overcome most of the limits of titanium.

How long do they last?

The duration of a dental implant is difficult to determine because it depends on many factors. Following a set of basic hygiene rules and consulting regularly enable the dentist to control the results of the intervention. Therefore, dental implants will last for a long time.

The general rule is to always try to preserve and keep the teeth in place whenever possible. In all other cases, you must proceed with the extraction to try to safeguard the mouth and its health.

What kind of anaesthesia is used?

Local anesthesia is applied in dental implant surgery, usually injected into a nerve near the tooth area.

What is the Dental Implant (Fast and Fixed) Technique in 1 Day?

Implant in 1 day or fast and fixed implant technique is a treatment technique that allows tooth extraction, implants and temporary fixed prostheses to be performed on the same day in patients who need all their teeth extracted or who have lost all their teeth. It is possible to perform all procedures on the same day, as the implants are placed at an angle in the area where the posterior teeth are located, and in this way, there is no need for additional surgeries. A new smile design can be easily achieved even in situations that require tooth extraction in one day with the placement of implants in a single session.

Treatment planning becomes easier for the people with limited time, as most of the treatment is completed in a single day. Since both aesthetic and functional expectations can be met in a single day, the treatment process progresses psychologically more positively and returning to social life becomes very easy. There is no need for additional surgical processes to eliminate bone deficiencies in some areas where there are tooth loss, therefore the tooth deficiencies are eliminated in a healthy way in a short time.

When Can Implant (Fast and Fixed) Technique be Performed in 1 Day?

Oral care must be provided before implant planning with fast and fixed technique. Before the procedures, oral hygiene is brought to an ideal level and if tooth extractions are planned to be performed, the fast and fixed technique is continued after the extraction sockets are disinfected. All procedure progress and the needed equipment to be used is evaluated before planning. Fixed prostheses should be prepared by consulting the laboratories and technical team where the prostheses will be made. Implant technique in 1 day can be safely applied to people who have lost all their teeth or who are determined to have all their teeth to be extracted.

How is The Treatment Done with the Implant (Fast and Fixed) Technique in 1 Day?

The suitability of the person for treatment with the fast and fixed technique is evaluated with first clinical examination and the x-rays taken during the time. It is aimed to eliminate the present infections or inadequate oral hygiene first. Then, a personalized prosthesis design is made and the support areas where these prostheses will be applied are planned. In order to determine these regions, the locations and sizes of the implants are decided in detail with 3D imaging and digital measurements. After all the planning and preparation of the prostheses, the procedures begin. Before the procedure, the areas where tooth extractions and implants will be applied are anesthetized with local anesthetics. Under appropriate conditions, all procedures can be performed with sedation or general anesthesia, depending on the preference of the person. If tooth extractions are planned, these procedures are completed first and then the extraction spaces are cleaned and made ready for implant application. In order to apply the implants to the predetermined places in the jawbone, cavities are created and the implants are placed in these cavities. Then, temporary fixed prostheses made on these implants are adjusted and the first stage of the treatment is completed on the same day. It is necessary to use the implants for a while with these temporary fixed prostheses. In this process, thanks to the avoidance of high forces and regular oral care, the tissue connection of the implants is preserved and suitable conditions for permanent fixed prostheses are provided. In this process, where the desired bone fusion will be achieved, the presence of custom pre-designed fixed prostheses in the mouth allows an easy return to social life within the same day and at the same time tissue healing is supported. After the fusion of the bone is achieved, the second stage is passed and the temporary dental prostheses are removed, fixed and permanent prostheses are rehearsed, then fixed on the implants and the process is completed.

What should be considered after the treatments are completed with the Implant (Fast and Fixed) Technique in 1 Day?

In order for the implants to be long-lasting, it is very important to maintain oral hygiene as recommended after the procedures. In addition, avoiding harmful forces in the following process after fast and fixed application makes it possible to continue the operations in a healthy way as planned. For this reason, attention should be paid to the recommended food intake, and the intake of hard and sticky foods should be avoided for a while. After the permanent fixed prostheses are applied, the maintenance of the implants and prostheses is provided together with the control appointments and various applications are made to ensure their longevity. Thus, a possible damage or undesired situation is detected early and necessary interventions are made before permanent problems occur.

Teeth Whitening

Several factors may be the causes of tooth staining such as tobacco, consumption of drinks and colored foods like tea, coffee as well as wine, and some drugs. Therefore, over time we lose the brilliance of our smile. Teeth whitening is simple aesthetic procedures which consists of restoring the original tint of the teeth or a shade lighter than the current one, and thus give radiance to your smile.

For effective teeth whitening treatment, several techniques are used by toot doctors such as:

Dental treatment scaling

Dental treatment scaling it is an essential technique that consists in eliminating the scale formation present above and below the gum. Scaling is the first step of teeth bleaching and its goal is to avoid cavities and minimize any risk of periodontal disease.

Laser teeth whitening

This is a very recent technique which consists in carrying out very small and fast whitening using the latest technology. The products used by the tooth doctor for this technique are very concentrated. That’s why, a gum preparation is essential to avoid the risks of burns.

Dental Bleaching Lamps

Also known as "power bleaching" used by dentists and also smile bars. It consists of applying a whitening gel on the teeth and activating it using the blue and cold light.

Hollywood Smile

Hollywood Smile is a dental veneers that is a thin layer of dental-colored material placed on the front teeth. This is used to improve appearance by restoring the size, shape, and length of teeth. If a patient wants to improve the smile, Hollywood smile is a simple option.

Beyond teeth whitening

Teeth whitening with Beyond technology is the most advanced teeth whitening procedure. It makes your teeth brighter and brighter in a short time.

The principle of this technique is based on the use of a gel that is applied to the teeth and a cold light to which they are exposed. American Beyond is a safe and reliable procedure, because thanks to the ultraviolet rays of halogen light, no damage can occur.

Hybrid Prosthesis

Hybrid means the combination of two varieties of prostheses. On the one hand, it is a fixed prosthesis, since the patient cannot remove the prosthesis from the mouth; it is fixed, and constructed of two or more different materials. The goal was to give patients an option that was not removable, but that was removable by the clinician to clean and tighten or replace screws periodically.

We can compare 4 different hybrid prostheses as below:

1. Traditional Acrylic with Titanium Substructure.

This restoration is fabricated using a titanium frame that is designed to merge with the implant interface and has a retentive design that accommodates the adherence of acrylic and denture teeth.
Has resiliency that reduces impact forces so that it is not transferred to the implant.
Acrylic material is more prone to wear.
Easily repaired should you sustain trauma, which is a great advantage.
It does stain over a period of time, but this can be readily cleaned and polished.
Acrylic is generally cheaper and lighter, but won’t last as long as zirconia.

2. Composite Hybrid Prosthesis

A unique approach within the fixed hybrid category of restorations, Composite is a combination of Titanium frame and Tooth and tissue colored Composite.
Highly polishable, it can be repaired in the mouth.
Less likely to chip compared to acrylic or zirconia options.
Lightweight compared to Zirconia.
Very durable, may not be quite as durable as full zirconia.
Kind to opposing teeth; wears at about the same rate as natural teeth.

3. Metal Framework with Individual Porcelain Crowns

This treatment option utilizes a metal framework as a base, which includes individual crown preparations as part of the framework. The final restoration is delivered to the patient as a single unit.
Porcelain has markedly better aesthetics (e.g. less staining, better translucency) and better load-bearing characteristics than acrylic.
They have a higher risk of chipping edges and surfaces.
Metal Framework with Individual Porcelain Crowns is more expensive.
The crowns are fabricated and cemented individually to the framework the risk and cost of repair is dramatically reduced as the affected crown can be removed and a new crown fabricated.

4. A milled zirconia framework with full contour teeth, layered ceramics.

In this full arch fixed restorative option, a zirconia framework is made with porcelain laid on top.
When compared to metal as a framework, zirconia’s main advantages for use are its biocompatibility, excellent aesthetics and strength.
The white-coloured base eliminates any grey metal show-through under the porcelain and enhances the natural cosmetic characteristic of porcelain.
The use of porcelain over top of this framework provides translucency and aesthetics.
Due to the manner in which porcelain is processed onto the framework as one unit, If there is any chipping or fracturing of the restoration, the entire prosthesis must be removed, sent to the laboratory and the porcelain on the entire restoration must be redone.

How long does a Hybrid Prosthesis take?

Hybrid Prosthesis is a revolutionary procedure that required extensive training. The Hybrid Prosthesis team will include a dentist, surgeon, and technician. The oral surgeons at our dental centre will first check to see the strength of the jaw bone and locate the ideal areas to support the implant. Then the surgeons will place implants to the jaw bone. The surgery takes about 2 hours per arch. 3-6 months later, Implants fuse to the bone and this process is called osseointegration. Our prosthodontist will work along with our dental lab to have your prosthesis made. They will take moulds of your mouth. The fabrication of hybrid prosthesis will take 10 days with 4 visits.

What are the risks of Fixed Hybrid prosthesis?

Possible complications with food entrapment and challenges matching aesthetics of adjacent teeth.
The possible risk of an imp
lant failing, requiring removal or replacement.
Worn acrylic teeth, chipped porcelain or loose screws may require repair and or replacement.

What is the difference between a Hybrid Prosthesis and Dentures?

Dentures are removable and usually stick to your gums using an adhesive. This can cause problems when eating and drinking your favourite foods and beverages, and while speaking. Hybrid prosthesis offers better support. Because it is directly screwed in to dental implants. While dentures can become loose or dislodged during normal activities such as talking or eating, hybrid prosthesis will not. Unlike a Denture, the hybrid prosthesis can reach up to 90% of the natural masticatory efficiency. In addition to being strong, hybrid prosthesis look and feels like a natural teeth. Gum irritation is eliminated, as is denture slipping, and the bite strength is increased, allowing for an increased option of foods. Since they are supported by implants, these replace the tooth roots, helping to maintain the bone tissue, avoiding the deterioration and resorption that occurs after the loss of a tooth.

How Do You Clean Hybrid Prosthesis?

One of the best parts about opting for hybrid dentures is that you care for them just like you would your natural teeth. Brush twice a day, but just make sure you are using non-abrasive toothpaste. Make sure you are brushing the acrylic gum portion of your hybrid dentures, too.

Gum Aesthetics

An important part of the smile and the aesthetic and healthy teeth are caused by the effects of the gums on the smile profile. Correct smile design depends on the condition of both teeth and gums. Pink aesthetic applications, both when applied together with other treatments and when applied alone, significantly change the smile profile and support healthy results in aesthetic applications. White and aesthetic teeth alone are not enough for a beautiful smile. The healthy, aesthetic and visible gingival part completes the smile. Sometimes the gums appear excessively, sometimes the gums are pulled and root surfaces are exposed, causing health and aesthetic problems. In pink aesthetics; The appearance of teeth and gums, called Hollywood Smile, is evaluated in 3 dimensions.

What is Pink Aesthetics/Gum Aesthetics?

Changes made to complete the aesthetic applications planned as part of the smile design in the gums are called pink aesthetics. Thanks to these applications, the visibility of the teeth is increased, the asymmetrical appearance of the gums is eliminated, the gingival exit profile is arranged and the smile line can be reconstructed. It is a healthy procedure that can be safely applied to people of all ages with the elimination of systemic or regional diseases or existing infections. Pink aesthetic applications include applications such as gingivectomy and gingivoplasty, which generally involve shaping the gums. These are applications that include asymmetries in the gums, gingival enlargement, gingival recession, lip positioning, other gingival arrangements such as gummy smile, laser and botox, and provide a holistic approach to aesthetic procedures.

What Does Pink Aesthetics / Gum Aesthetics Applications Include?

In pink aesthetic applications, operations such as aligning the beginning of the gums, eliminating the asymmetries, restoring the extracted gum losses, positioning the lip or shortening the nose-lip distance are performed according to the needs of the person. These procedures are completed with laser, electrocautery and minimal surgical interventions. Thus, a more aesthetic and healthy pink aesthetic area is created for the person. In this concept, a holistic smile is provided by considering the aesthetic ratios of the teeth, gums, lips, smile and chin of the person.

How is Pink Aesthetics/Gum Aesthetics Applied?

A treatment plan is created by evaluating the clinical examination and personal requests together. Many procedures in gingival aesthetics can be performed seamlessly and painlessly. Although there are minimal procedures, it allows for very different and effective applications in smile design in terms of creating great changes in aesthetic sense. In most cases, only local anesthesia is sufficient. Generally, application sessions are determined considering the needs of the person, but many applications are made in a single session and results are obtained. With post-procedure laser applications, tissue healing is accelerated and these applications are supported with follow-up appointments. Pink aesthetic applications are completed by making the necessary information.

Gingival Recessions and Treatments

Recessions in the gums can be observed due to the progression of diseases in the gums or trauma, incompatible dental prostheses. With the correct diagnosis and early intervention, precautions should be taken to prevent further loss of teeth and surrounding tissues.

What is Gum Recession?

Gum recessions; It is the fact that the gums lose their normal level or thickness depending on many different factors and remain below the area they should be. It shows that there is tissue loss around the teeth and causes the teeth to appear longer than normal. It should be diagnosed and treated as early as possible, as it makes it difficult to maintain oral health and may cause tooth loss in the futur.

Why Do Gingival Recessions Occur?

Although there are many reasons, there is usually tissue loss as a result of inadequate oral hygiene on the basis of gingival recession. Basically, as a result of the change in the bacterial flora in the mouth and the increase in the bacterial density, gingival recessions begin to occur with gingival diseases. The presence of calculus or tooth crowding, which causes inadequate personal home oral care, dentures incompatible with gums, trauma, vitamin deficiencies with malnutrition, the person's salivary structure, genetic factors, continuous use of certain drugs or systemic diseases may cause gingival recession.

How Are Gingival Recession Treatments Performed?

First of all, the factors that cause recession in the gums are determined. In order to eliminate bacterial infections in the mouth, tartar cleaning or root surface straightening processes are provided with the help of air flow, ultrasonic devices and hand tools. After the infection is brought under control, incompatible prostheses and fillings that can increase gingival recession are replaced, tooth crowding and tooth contact due to incorrect jaw closure are eliminated. After these procedures, free gingival grafts, connective tissue grafts or tunnel (pouch) operations can be planned, which are suitable treatments for the recovery of previously lost tissues.

Free Gum Graft Operation
These are the operations in which this tissue is fixed with the help of special and thin sutures to the required area by using the person's own superficial epithelial tissue from the palate in order to stop this recession with the extraction of keratinized gums attached to the teeth, which should be harder and tighter around the teeth. In this way, gingival recession is prevented by increasing the width of the attached gingiva in the targeted area. It can be applied to more than one tooth at the same time and acts as a biological paste in cases where tooth roots are exposed.
Connective Tissue Graft
Connective tissue graft application; It is applied in areas where there is recession in the gums both to stop the recession and to support the formation of gums in these areas again. As in the free gingival graft, tissue is taken from the palate area, but unlike this procedure, the superficial tissue is not removed and a piece of connective tissue is removed by opening the palate like an envelope and the palatal area is closed again with the help of thin sutures. It is a preferred procedure due to its advantages such as better aesthetic harmony in the gingiva and reclosure of the palate tissue.
Tunnel (Pouch) Technique
It is the process of closing the papillae between the teeth in the area where the gingival recession occurs, by placing materials such as grafts or membranes in a way to form a tunnel, and closing them with sutures. It is one of the minimally invasive procedures that allows the gingival recessions of many teeth to be closed at the same time and to perform operations without damaging the gums between the teeth.

Gummy Smile Treatments

Lip Repositioning Applications

Excessive appearance of gums when smiling bothers many people. While it is considered normal for the gums to appear up to 3 mm when smiling, when this limit exceeds 3 mm, a gum smile occurs and this is not seen as attractive by many people. This is because the muscles that go up the lip are longer and more active than normal.
Lip repositioning or lip repositioning surgery can be performed to eliminate excessive gingival appearance and develop a beautiful smile.

How are Lip Repositioning Applications Performed?

Lip repositioning is a procedure performed with local anesthesia. Repositioning the lip limits the movement of the muscles that pull the lip up, reducing the appearance of excessive gingiva during smiling. The procedure is a lip surgery with extremely safe and predictable results. Although there are non-surgical treatment methods such as botulinum toxin to correct the gingival smile, the results provide a temporary effect between 2-4 months and need to be repeated. After the procedure, there is no visible scar on the face or outside the mouth. After this smile aesthetic, there is no difficulty in smiling and the natural smile is not deteriorated.

Are Lip Repositioning Applications Permanent?

In a study in which hundreds of scientific articles on the subject were compiled, it was reported that the permanence of those who had this procedure was at least 75% and there were fewer complications compared to other surgical procedures, which resulted in high satisfaction.

How are Lip Repositioning Applications Performed?

First of all, clinical examination is performed by taking photographs and video recordings in digital media. With technological applications, the gums that appear during rest, speaking, smiling and excessive laughing are designed on a personal computer, how many millimeters the lip should be shortened. This design is evaluated as the ratio of 1/3 of the lower part of the face to the total face height, from the base of the nose to the lowest soft tissue of the chin, according to the person's face, and the procedure is completed by making a shortening by the distance that needs to be shortened at the surgical stage according to this ratio.

Invisalign-Clear Aliners & Brackets

Clear Aligner Treatments in Orthodontics

Positional disorders of the teeth in daily life are one of the main reasons why people apply to dental clinics; It comes to the fore due to reasons such as aesthetic concerns, effects on social life, function problems, and triggering different factors that may adversely affect oral health in the future. However, in recent years, the increasing aesthetic expectations in the treatment of dental crowding and the need for more comfortable use of the appliances placed on the teeth have enabled orthodontic treatments with Invisalign Clear Aligners to be offered as an option. Today with development of these transparent aligners, orthodontic treatments can be performed safely in daily life as an alternative without a visible layer on the teeth.

What is Treatment with Invisalign Clear Aligners?

Treatments with clear aligners are an orthodontic treatment method developed for the correction of crooked teeth, cavities and more complex malocclusions by making detailed treatment planning in computer environment together with the measurements taken with digital three-dimensional imaging devices specific to each person. Although these plates are prepared completely for the person, they apply forces to the teeth and ensure the removal of crowding under the control of the orthodontist.

What are the Advantages of Treatments with Invisalign Clear Aligners?

The main advantage of Transparent Plaques can be considered as providing tooth movements with colorless thin plaques that surround all of the teeth without causing a significant change in the appearance of the teeth. In this way, orthodontic treatment is provided at the desired level without the need for the use of metal wires and brackets. There is no need to use apparatus made of materials such as metal or ceramics on the surface of the teeth. Easy to attach and remove prevents loss of comfort during eating and social events. With the scan records taken with three-dimensional scanners in the mouth, people can see the development of the treatment process and their completion plans in the digital environment. With the personalized design and controlled delivery of transparent plaques, the frequency of clinical interviews can be reduced, so that the treatment process can be continued without interruption in patients who are at long distances or who often cannot come to dental controls due to density.

When is Treatment with Invisalign Clear Aligners Possible?

Although there is no upper age limitation of treatments with transparent plaques, the presence of advanced tooth crowding, or skeletal problems may lead us to different treatment options. For this reason, the clinical examination of the specialist physician with digital measurements is important in order to make a personalized healthy treatment planning.

What Should You Know About Invisalign Clear Aligners?

In order to apply the treatment with transparent plaques correctly and as planned, it is of great importance that the oral and dental tissues are healthy before the treatment. As before every orthodontic treatment, we recommend a general oral-dental examination before treatments with transparent aligners. In this way, it is aimed to provide a progression in accordance with the treatment plan during the use of plaques and to protect the existing oral health.

How Does the Treatment Process Proceed with Invisalign Clear Aligners?

Clear Aligners create limited pressure areas on the teeth by advancing them to their correct planned position. Unlike traditional brackets, this method of treatment not only controls the amount of movement but also controls the time of movement, resulting in an effective application system. These regularly formed tooth movements are activated with each plaque change. According to the planning at the beginning of the treatment and the level of the person's tooth crowding, the number of plaques and the duration of treatment vary. There is no need for changes in the foods taken during the treatment process with clear aligners, but it is recommended that the plaques should be removed during meals for reasons such as being affected by hot and acidic foods and not being damaged during food intake. As long as regular use is provided in this way, the treatment proceeds positively at the desired level by switching to a new plaque approximately every 2 weeks.

How Often Should I Use My Invisalign Clear Aligners?

Along with its advantages such as ease of use in daily life and not adversely affecting social life, it is recommended that plaques be worn at all times except for meal breaks and oral care times. It is recommended to use an average of 22 hours in a day to get maximum efficiency from the treatment.

Do Invisalign Clear Aligners Cause Pain?

Some people may experience a feeling of pressure during periods of plaque replacement during the first few days, but this is a temporary condition and usually a sign that the teeth are moving towards their planned positions.

How Should I Clean My Clear Aligners?

The best way to clean transparent aligners is to rinse with warm water and to brush without using toothpaste, it may also be advisable to use plaque removal tablets which arespecially produced for clear aligners. Brushing teeth before reusing plaque after meals is also important for maintaining both oral hygiene and plaque hygiene.

Do Invisalign Clear Aligners Affect Our Social Life?

Although there is no problem with speech impairment in people who continue treatment, it can be said that the process of getting used to this new material in the network is quite short due to the reasons such as the plaques are very thin and fully adapted to the teeth because they are specially designed. The fact that the visibility is almost imperceptible and it does not cause any negativity in social life as an aesthetic advantage.

How Does the Process Proceed After the Treatment with Invisalign Clear Aligners is Completed?

At the end of the treatment, some movements are important to the process of adaptation to the new positions of the teeth and surrounding tissues. As in other treatments, at the end of the treatment with clear aligners, reinforcement is important in terms of being a measure to protect the new position of the teeth in the first year and controls in the ongoing process. With the help of incisors called retainers and thin wires and Essix night plates, it is ensured that the corrected teeth do not return to their former positions.

Treatment with Brackets in Orthodontics

Today, orthodontic treatments can be performed safely with metal or ceramic brackets due to reasons such as protection of oral dental health, loss of function and aesthetic concerns. Crowding in the teeth and position disorders in the jaws might make it difficult for the person to perform many functions, and since the existing crowding makes it difficult to maintain oral hygiene, it may bring about different health problems in the future. With orthodontic treatments, both aesthetic and functional needs can be provided at the same time by preserving healthy tissues and changing tooth positions with controlled techniques. Today, although existing problems such as crowding can be treated with alternative means, orthodontic treatments come to the fore because it is a procedure that protects the person's own tissues. Many different techniques are applied in treatments; among them, classical treatments with brackets can solve many problems at the same time and are therefore they are widely preferred.

What is Orthodontic Treatment with Brackets?

Treatments made by taking force from various special metal apparatuses on the front or back surfaces of the teeth are called orthodontic treatments with brackets. With these braces, the teeth and jaws are brought to their desired ideal position by taking support from the teeth and the tissues around the teeth. Although the types of brackets determine the duration and methods of treatment, there are different types according to the materials produced.

What are the Types and Effects of Brackets in Orthodontic Treatment?

The brackets used in orthodontic treatments are special materials made of materials suitable for oral and dental health and produced with the ability to attach to the teeth on the back. They consist of small metal parts that allow to transfer the forces that can solve the crowding in the teeth to the teeth. In this way, with the metal wirespassing through these brackets and forming strongly, therefore the rapid and effective movement of the teeth is one of the most effective reasons for preferring this treatment option as advantageous. Due to the high visibility of metal brackets, porcelain brackets can be preferred as a different alternative. The fact that the force transmission of these brackets is slightly lower than the metal brackets may cause the treatment time to be slightly longer.

How Does the Treatment Process with Orthodontic Brackets Progress?

First of all, the functional and aesthetic problems of the person are detected in the first examination session with 3D digital scanners and detailed x-ray scans. Digital orthodontic systems are used to calculate the treatment plan and duration together with the evaluation of the aesthetic expectations and treatment options of the person. Orthodontic brackets are attached to the teeth separately and with the help of fluid adhesive materials the treatment process is started by passing the wires through the metal gaps on them. Thanks to the mechanical connection of brackets and arc wires, tooth movements are ensured, from time to time in addition to these, materials such as elastics can also help. It is normal for the teeth that remain dependent on the force for the first few days after the first application session to have a feeling of light pressure and compression, and these feelings will decrease in the future. In the same session, general information is given by supporting with videos about brackets and wires to speed up the adaptation process. In orthodontic treatment, information is provided about oral dental care and the changes that need to be made about food consumption during the treatment process. The next session is planned at an average interval of 3-4 weeks, except for the development of special conditions such as the separation of the brackets from the teeth.

How long is the treatment period with orthodontic brackets?

In classical orthodontic treatments with brackets the process can be determined by the detailed examination of the first session. This period varies depending on the amount of the person's tooth and tooth surrounding tissues or jaws. In addition to these, additional factors such as compliance with treatment, careful use of materials, regular follow-up of the types of materials used and sessions are also effective in advancing the treatment period as planned. Each session is usually scheduled at intervals of 3 to 4 weeks and lasts about 30 minutes. In these sessions, small mechanical changes are made in the braces or brackets to activate the tooth movements and thus the ideal treatment plan planned is completed.

Who Can Be Treated with Orthodontic Brackets?

There is no upper age limit in orthodontic treatments, adult people of all ages can achieve an ideal end aesthetically and functionally by determining the method that is suitable for them. In children, it is important to detect dental and skeletal jaw disorders in order to prevent more difficult and long-lasting treatments in the future, and the first dental visit should be from the age of 6 to 7 years. In this way, the need for jaw surgery in the future can be prevented with personalized digital designed apparatus that supports and directs jaw developments.

Face & Smile Design

Face and Smile Design

Aesthetic concerns of smiling not only affect social life negatively, but also cause loss of self-confidence. For this reason, one of the biggest aesthetic concerns are the healthy and harmonious appearance of the teeth and surrounding tissues. As every smile is personal, the design of the smile can be made easier and better with today's technologies from this point of view.

What is Face and Smile Design?

Face and smile design is the planning of factors such as face proportions and face shapes, the position and volume of the jawbones, the arrangement of the teeth and tooth shapes, the position and volume of the gums, the position of the lips, and the ideal proportions by determining the ideal proportions. With the development of the last technology, the three-dimensional examination of x-rays, the development of digital intraoral scanners and the ability to observe the design results before the procedure, thanks to special programming, made it possible to make face and smile design in a healthier and more predictable way. With the digital recordings taken during actions such as speaking and laughing, a smile design plan is created considering the aesthetic expectations of the person. Thanks to detailed planning, restorations with high tissue compatibility can be made.

What are the Contributions of Face and Smile Design?

By making the recordings with digital scanners, the treatment results can be observed before the procedures begin. During these recordings, deformations caused by materials such as impression materials are prevented, and thanks to three-dimensional imaging, restorations with higher tissue compatibility and precision can be planned. The treatments can be followed in the computer environment and transferred to the technicians, and it is not only shortens the process, and also leads to recording and re-evaluating when desired. Along with face and smile designs; each person can get an ideal result by protecting their own natural textures from their unique aesthetic concerns and thus can safely participate in social life.

What are the Expectations and Practices in Face and Smile Design?

First of all, the aesthetic concerns of the person are evaluated together with the current situation. In cases where the jaw relations are broken, the upper or lower jaw is positioned skeletally more anteriorly, or the length of the jaws is excessive or less, or there are aesthetic concerns in the appearance of the teeth with the presence of facial asymmetry; ideal facial proportions are determined and a treatment plan is created including with hard and soft tissues. In addition, in cases where the size or color harmony of the teeth does not meet the aesthetic expectation, restorative procedures such as dental laminates and whitening procedures can be planned, taking into account the age and gender of the person along with the face shape. Gingival arrangements called pink aesthetics, such as asymmetry in the appearance of the gums, or excessive appearance complaints, can also be designed individually.

What are Smile Designs Applied on Gums?

Depending on the different position or thickness of the gums, aesthetic and functional expectations may not be met. Due to the excessive appearance of the gums during smiling, the planning and cutting and arrangement of the gums in accordance with the teeth and face of the person is an important part of the face and smile design. Likewise, sometimes the teeth may appear in different positions due to the asymmetrical position of the gums, these problems can be eliminated with pink aesthetics and laser or cautery devices. Thick gums can be thinned with similar applications and their compatibility with the teeth and surrounding tissues can be designed. In this way, since the visibility rates of the teeth are idealized, symmetrical and aesthetic results compatible with the face are obtained.

Can Irregularities of the Teeth Be Edited with a Smile Design?

Some of the aesthetic concerns in smiling are related to tooth crowding. After the amount and areas of these crowdings are determined by digital measurements, orthodontic wire treatments or clear plaque treatments can be planned by preserving the existing tissues, and the treatment results can be observed in advance. Apart from these regulations, treatment options may be offered with e-max laminates or porcelain and zirconium veneers, depending on availability. These processes can be designed in computer environment. Apart from these, with bonding applications, existing minimal crowding can be masked with composite fillings.

Can Tooth Forms Be Edited With Smile Design?

E-max laminates, zirconium and porcelain veneers and prosthetic tooth veneers applied without tooth cutting can be planned by determining the ideal tooth size and position with designs on digital measurements with face and smile design. These plans can be evaluated together with the patients before the procedure, examined in the computer environment and transferred directly to the laboratory environment. Thanks to its advantages such as reducing treatment sessions and facilitating technician-physician cooperation, healthy results can be obtained. The ideal tooth color can be selected with restorations suitable for gingival and facial color.

What Should Be Done Before Planning a Face and Smile Design?

In order to make the right planning, it is necessary that the mouth and surrounding tissues are healthy. Therefore, existing infections should be eliminated during dental examinations. For this reason, it is primarily aimed to regain oral health. Treatment of calculus or gingivitis, infected caries and root canal treatments; It is important for an ideal and permanent smile design to be made. Due to the fact that different areas of expertise can plan together and produce a more multidisciplinary and successful study, careful attention should be paid to inspection processes and information. Considering that each person's tissues and health status are different, it should be known that the plans are evaluated and idealized accordingly. In the presence of disease or infection in intraoral or extraoral tissues, the priority is to protect oral health, and in the following process, plans can be made for face and smile design. While these plans are being made, the healthiest and tissue compatible alternatives are preferred by the physicians permanently and very effective positive results can be obtained depending on the aesthetic expectations.

Oral & Maxillofacial surgery

Wisdom Teeth Extraction

Teeth called wisdom teeth, also known as third molars, are teeth that erupt into the mouth usually between the ages of 16-25. They are the teeth that are the last to join the oral environment, so the current late eruption and genetically present disorders can lead to decision of extractions of wisdom teeth.

Why Should Wisdom Teeth Should Be Extracted?

In order to make the decision for extraction of wisdom teeth, dental x-rays, and the detailed x-rays where the jaw bones and jaw nerves are seen in detail, may be needed. In some situations the emergency extraction may be recommended. The following reasons might effect the decision of the wisdom teeth:
Their susceptibility to decay due to their location in an area that is difficult to clean in the mouth,
In people with genetically has narrow jaw structure, the wisdom teeth cause infection of the gums and bones due to half eruption ,
Impairing the oral health as a result of being completely impacted or positioned outside the chewing line,
The decision of specialist orthodontist depending on the treatment plan during the orthodontic treatments,
Causing of tooth crowding by applying pressure to other fully erupted teeth,
Causing tissue loss in healthy teeth by applying pressure to the adjacent molars,
Pressure on the nerves which is responsible for sensation and function of the jaws,
It may be decided to extract wisdom teeth also for reasons such as the detection of food squeezing, gingival infections.

When Should Wisdom Teeth Extraction Performed?

Many factors play a role of the decision of extraction of wisdom teeth. These teeth, which are expected to erupt between the ages of 16-25 under normal conditions, might be missing naturally in some people. The age of eruption may vary according to the development of the person, oral-dental jaw structural features and genetic status. The wisdom tooth extraction can be done safely by evaluating these conditions and the systemic health of the patient. From the age of 15 with the regular check-ups, the extraction of wisdom teeth can be taken by the oral surgeons.

How Can Wisdom Teeth Extraction Can be Performed?

After the informations about the procedure, regional anesthesia is provided. Some gingival tissue or bone tissue can be removed from the area depending on the position of the wisdom teeth in the jawbone. With the help of special hand tools, the bones and gums are cleaned and arranged, then a few stitches are placed in the area to accelerate the healing process and the tissues are closed again.

Can Wisdom Tooth Extraction Also Be Performed With Conscious Sedation?

As with other tooth extractions and dental procedures, wisdom tooth extractions can be performed comfortably with conscious sedation. This method which frequently applied in oral and dental health treatments can also be applied safely in adults who develop fear, anxiety and nausea, so it allows patients to have a comfortable treatment process that they will not feel or remember.

What Should Be Noted After Wisdom Tooth Extraction?

It is important to prevent the formation of edema in the tissues with the help of ice compresses given in the clinic immediately after the wisdom tooth extraction and it is recommended to continue this process for following 24 hours.
The healing process will be supported by the tampons which applied to the area right after the procedure, and the bleeding can be controlled by this process.
With the regular use of prescribed drugs, pain and edema are prevented.
After the treatment, the food to be consumed should be cold and care should be taken to reduce the food consumption for the following hours. It is also recommended to stay away from spicy and acidic foods that may cause pain in the area.
Factors that may negatively affect regional blood supply and healing, such as smoking and alcohol should be restricted during the post-extraction period. Particular attention should be paid to the first few days.
Conditions that cause pressure changes, such as mouth rinsing, spitting, and air travel are should to be avoided for the next few days.
The cleaning of the extraction area is explained in detail to the patient by the surgeons right after the extraction with the recommendations. The prescribed agents will be explained and if necessary, the sutures can be removed after approximately 1 week, during the this first control the tissue healing is also checked by the surgeon. Thus, this process is passed in a controlled and healthy manner together with the doctor and the patient.

Tooth extraction

To correctly align the teeth to the jawbone and to provide the treatment of tooth crowding and jaw disorders.
In case of any systemic diseases, tooth extraction can be decided for the aim of protecting general health and to prevent risks of infections.
In some cases such as the wrong position of the wisdom teeth, if the wisdom teeth damages to the surrounding tissues by being embedded in the jawbone which causes pain and infection, the surgeon may decide on tooth extraction.

What can be done in case of anxiety before or during tooth extraction?

We recommend the conscious sedation procedure applied with the cooperation of specialist surgeons and anesthesis in any cases that the following reasons might prevent the patient from treatment: anxiety or worrying about the surgical procedures such as tooth extraction, and fear of remembering the steps taken during the procedure.

What is the Sedation Procedure During Tooth Extraction?

We recommend dental sedation in dentistry as an alternative to those who do not want to remember the procedure during extraction with specialist doctors, after the decision to apply the tooth extraction to the area that needs treatment, and to those who visits our clinic due to dental phobia. According to this procedure which called conscious sedation, a controlled sleep state is achieved by preventing the anxiety which might be felt during the surgical procedure by means of sedative drugs that can relax and calm the person but also keeps the consciousness awake. Conscious sedation, in which the person does not feel any physical pain and pain by adjusting the type and amount of the drug applied without any age restriction, is a state in which people feel comfortable, calm and pleasant without psychological fear and anxiety. In conscious sedation, all body functions and breathing of the person are normal and most of the procedure is not even remembered after the procedure is completed. This method, which is frequently applied in oral and dental health treatments; is also safely applied to the adults who develop fear, anxiety and nausea. It also allows people to have a comfortable treatment that they will not feel any pain nor remember the process. Conscious sedation can be safely applied by an anesthesiologist in cooperation with the surgeon in dental clinics with the necessary equipment.

What Should be Known After the Tooth Extraction?

After each tooth extraction, if necessary, the drugs to be used can prescribed by specialist doctors by evaluating the general health status of the person. The process of how and when to use the drugs are explained in detail by the doctors and nurses. In addition, the day of the tooth extraction, the detailed information is given about oral and dental care such as how to clean the teeth and which foods can be taken until the first control visit. In the first control visit after extraction, the healing process is evaluated, sutures are removed and the process is supported with any additional solutions applied in the clinic to ensure local cleaning. The planning and appointments of new restorations can decided together with the doctors. Thanks to this process, which proceeds in a controlled manner, the possible unhealthy conditions can be prevented.

Cyst Operations

The cyst operations are the surgical removal processes of diseases that cause material loss in the jaw bones. The process aims to support the soft and hard tissues around the teeth. Since the presence of cysts in the bone can also cause tooth loss, this situation can be prevented by planning cyst operations.

What is a Jaw Cyst?

Jaw cysts are structures that develop inside the jaw bones and they might contain liquid or semi-liquid substances. In some cases, they may continue to develop without any symptoms, or they may show symptoms such as pain or fistula, depending on the condition of the infection.

What are the Causes of Jaw Cysts?

Jaw cysts can occur due to reasons such as not paying enough attention to oral hygiene, dental trauma, as a result of the continuous presence of infected teeth or dental tissues, or due to an embryological origin. Cysts are jaw diseases and early intervention is important because they sometimes develop rapidly and cause advanced tissue destruction.

How Are Jaw Cysts Diagnosed?

Jaw cysts may give symptoms such as swelling and pain in or out of the mouth, presence of discharged formations with protrusions in the gingiva called fistula or redness in the gums. The jaw cysts can be diagnosed presence of infected or rotten teeth in the mouth or around the impacted teeth, sometimes they can be noticed on control of x-rays even though they do not give any symptoms.

What are the Effects of Jaw Cysts?

The jaw cysts can spread in the jaw bones and cause loss of resistance or bone fractures in advanced stages; They can reach the jaw nerves and cause loss of sensation in these areas. They can cause tooth loss or displacement of the teeth by destroying the roots of the teeth. Jaw cysts can reduce the quality of life along with pain over time. Depending on the region where the cysts are located, restriction in mouth opening or their spread in areas such as the sinus or nasal cavity may also be seen. Although most of them are benign, early diagnosis and planning of operations in a short time are very important considering the risks of transformation into malignant tumors.

How Are Jaw Cysts Operations Performed?

First of all, the presence of a cyst is detected by examining the radiographic images and by intraoral examinations. Before the surgical approach, different additional treatments such as cyst reduction are planned, taking into account the region and size of the cyst. In some cases, tooth extraction or the inclusion of surrounding tissues in surgery may be considered, depending on the extent of the surrounding tissues. Local anesthesia is applied to the area where the cyst is located, as in other surgical approaches. In case of demand or necessity, the operation can be planned under sedation or general anesthesia. The cyst is removed from the area where the gum and bone are affected and sent to a pathology laboratory to determine the type of cyst. The area is cleaned and resealed and, if necessary, arranged with sterile bone grafts. The procedure is terminated with the removal of the stitches and the procedure is completed with the routine necessary information and prescription of drugs.

Apical Resection Procedures

When infections caused by bacteria in the tissues around the teeth or in around the roots of the teeth, they might get concentrate here and infect the round tissues. In this case, the bacteria in the canals should be cleaned with the root canal treatment, but sometimes this does not provide an adequate tissue cleaning, and in addition a full and continuous tissue health can be obtained around the root with the additional treatment which is called called apical resection.

What is Apical Resection?

Apical resection treatments aim to keep the teeth healthy in cases where there are cysts or permanent infections at the tip points of the roots. In this procedure, the final part of the roots and the inflamed tissues around this area are surgically removed, and the teeth are kept healthy in the mouth with root canal treatment. In cases where root canal treatment alone is not sufficient, the infected tissues are cleaned with apical resection as a result of the cooperation of the surgical and endodontic specialties. The treatment of the teeth and surrounding tissues is completed by preserving the remaining healthy tissues.

In Which Situations Apical Resection Treatments Should be Applied?

In cases where root canal treatment alone is not sufficient and inflamed tissues around the root are determined to be dense and specific,
In the detection of cases where root canal treatment has been applied before, but tissue healing is not sufficient at the root tip and around,
As a result of traumas that cause injuries to the roots of the teeth,
In addition, apical resection is a good treatment system in conditions where the anatomical situation does not allow the regular root canal treatment.

On Which Teeth Can Apical Resection Treatments Be Applied?

Apical resection treatments can be applied to all teeth including molars, when anatomical conditions allow and intraoral scans can be performed.

How Is Apical Resection Treatment Performed?

A detailed treatment planning is made before the procedure together with intraoral scans and x-rays. Before starting the procedure, local anesthesia is applied to the area and the infected tissues are surgically removed with the tip of the tooth root starting from the gingiva. Filling is applied with materials compatible and impermeable to the tissue and tissue fluids, and the surgical procedure is completed with sutures.
When Can Apical Resection Treatments Be Applied?
In cases where the infection of the teeth spreads excessively, or in some conditions where the anatomical structure of the teeth and jaws is not suitable, so alternative treatments may be considered instead of apical resection treatment.

What Should Be Considered After Apical Resection Treatments?

Since apical resection is a surgical procedure, it is necessary to use the drugs recommended by the doctors regularly after the procedure, and the cold compresses should be applied at the specified times. It is considered normal to have some swelling or pain after treatment, control appointments and following the recommendations of doctors will minimize these possibilities. Soft-bristled toothbrushes and mouth rinse solutions are also prescribed for cleaning the area, and how they should be used as explained in detail by the doctors. After the procedure, spicy foods should be avoided, it is also recommended to protect the area from trauma and not to pull the cheeks. As long as these recommendations are followed, the treatment will not be affecting normal social life.

Periodontal Treatments

Periodontitis

With the increase in gingivitis, tissue loss in the jaw bones, loosening of the teeth and even tooth loss are diagnosed as periodontitis. It is the advanced and worsened picture of gingivitis. The reason for this picture is that the bacteria in the tissues around the teeth destroy these tissues. Periodontitis; It is caused by the change of the existing bacterial flora in the mouth and the most basic reason is again insufficient oral hygiene.

How is Periodontitis Diagnosed?

Periodontitis begins with the progression of gingivitis, an inflammation of the gums. Symptoms such as long-lasting gingival bleeding, accompanying bad breath, observing gingival recession and prolonged tooth appearance, and occasional pain are the determinants in the diagnosis of periodontitis. Control X-rays show loss of substance in the bones around the teeth, and the gums show a red and soft profile. Depending on the amount of tissue loss, the teeth may be wobbly or displaced.

Why Does Periodontitis Occur?

Basically, gingivitis and recession starts with the formation of a sticky consistency plaque consisting of bacteria called dental plaque due to poor oral hygiene. Dental plaque, which continues to accumulate under the gingiva, becomes tartar, that is, tartar, and begins to destroy the tissues there. Tartars are more difficult to remove by brushing or flossing, and these layers are full of bacteria. This calculus layer, whose bacterial density increases over time, forms pockets in the jaw bones and professional help is required for their removal. The risk of developing periodontitis; Malnutrition habits such as vitamin C deficiency, hormonal changes, stress, immune-reducing conditions such as leukemia or cancer treatments, systemic diseases such as diabetes, obesity or smoking may also increase.

How is the Treatment of Periodontitis?

In the treatment of periodontitis, which is a gingivitis, different treatments can be applied according to the level of the disease. First of all, it is planned to stop tissue destruction by restoring oral hygiene. Dental plaque and tartar are removed from tooth surfaces and surrounding tissues with special devices such as laser, ultrasonic devices and air flow without damaging these tissues. Smoothing the root surfaces with special techniques is preferred as a preventive treatment as it will limit the bacterial growth. In the progressive periodontitis, it is aimed to regain the lost gums or hard tissues around the teeth. The soft tissue formed by surgical procedures is arranged and regained. During this procedure, which is applied under anesthesia, root surfaces and bone tissue are also arranged and removed from bacterial structures. If necessary, the hard tissues around the teeth can be regained with the help of bone powders during the surgical procedure. The tissue is closed with very thin special sutures and information is given for the post-surgical procedure. In case of request or necessity, all these procedures can be performed under dental sedation or general anesthesia.

Is There a Relationship Between Smoking and Gingival Inflammation?

Since the nicotine in cigarettes negatively affects the blood supply in the tissues and thus the nutrition of the tissues, smoking may cause gingivitis to be noticed later and tissue destruction to progress faster. Apart from this, considering the negative effects of tissue healing or resumption of the disease in the post-treatment period, it can be said that smoking makes it very difficult to maintain gingival health.
What Should Be Done After Periodontitis Surgery?
After the treatment of advanced gingivitis and gingival recession, it is necessary to clean the area as recommended, avoid air travel and sports activities that affect intraoral pressure for the first few days, and use prescribed medications regularly. Agents such as cigarettes and alcohol should be avoided and care should be taken not to move the tissue in the areas where the stitches are. 7-10 days after the procedure, appointments should be followed for the removal of the sutures and the controls. In order to prevent recurrence of gingivitis, it is recommended to continue the 6-month controls by providing materials such as recommended toothbrushes and special interface brushes.

Laser Assisted Gum Treatments

Today, thanks to the development of technology and new studies developed, many laser-assisted applications can be made in order to restore aesthetic applications in the tissues around the teeth, to regain gingival health and to support healing. Maintaining the health of the tissues around the teeth significantly affects the face and smile profile. Healthy and successful results can be obtained by using various lasers in gingival applications in terms of preventing health problems in the teeth, supporting aesthetic applications and ease of application.

What are Laser Assisted Gum Treatments?

In cleaning the infections caused by bacteria in the gums, in the treatment of abscesses and other painful tissue diseases in soft tissues, in applications for shaping soft tissues called pink aesthetics, in activating the healing of treatments in any soft or hard tooth tissues, and in all applications for rapid healing, herpes and aphthae Laser technologies are safely used in gingival treatments for many different purposes, such as in the treatment of formations such as gingival discoloration, in the treatment of tissue scars and burn scars, in increasing the recovery rate after the procedure during gingival surgeries. In addition, laser-assisted gingival treatments are preferred for regulating the appearance and symmetry of the gums in smile design such as implant surgeries and frenectomy.

Why is Laser Assisted Gum Treatment Preferred?

Laser assisted gingival treatments; They do not cause pain during the procedure, rarely require anesthesia, provide ease of operation and healing since there is no bleeding during the procedure, generally do not require the use of stitches for tissue healing, post-application swelling, bruising and tenderness are low due to the effects of tissue stimulation, providing rapid healing and tissue healing. They are preferred because of their many positive effects such as activating one's own healthy cells towards the treatment area thanks to its harmony.

How is Laser Assisted Gum Treatments Applied?

First of all, the procedure to be done is selected after clinical evaluations and the appropriate laser type and titles are prepared. Necessary isolations are made in the room where the laser will be made and special glasses are put on before the procedure. Treatment procedures and further process may vary according to the needs of the person. In this way, appropriate laser treatment with different wavelengths is applied. Laser replaces cutting tools in gingival aesthetic procedures, and laser waves in other tissue activation and healing processes; With the change of the heads, it provides application by penetrating the tissue without the need for surgical application. After the procedures, social life can be continued with health. Application times are usually very short and tissue healing is followed by following the sessions.

Gum Diseases Treatments

With new devices known as airflow, it is possible to clean the calculus and tooth stains caused by incorrect tooth brushing, frequent consumption of colored foods such as tea and coffee, inadequate oral care, painlessly and without damaging the dental tissues, without direct contact with the teeth. Thanks to this new method, it is possible to remove plaque residues and stains on the teeth of people of all ages in a healthy way.

How is Airflow Applied?

Airflow applications provide cleaning from a certain distance without touching the teeth, and with the help of water and air pressurized with the help of special agents such as round-edged microparticles, without damaging the teeth and surrounding tissues, in areas that hand tools cannot reach. It is preferred especially because of its advantages such as easy access to all areas in the presence of dental crowding, orthodontic brackets or dental prostheses, as well as ease of use and reducing the risk of pain. It does not require dental anesthesia before the procedure and the application time is very short. It allows healthy removal of dental plaque, tartar and stains on teeth. There is no sensitivity after the procedure and social life can be continued in the same flow.

What is Curettage Treatments?

Processes known as root surface straightening or curettage; It is the cleaning of plaque and dental calculus under the gums with the help of special periodontal hand tools. In cases where advanced gingivitis such as periodontitis progresses and the supporting tissues begin to be lost, it is not sufficient to clean the calculus alone. Curettage treatments are necessary for the recovery of healthy tissues, as a result of the formation of pockets in the gums and the adhesion of bacteria to both tooth roots and gums in these regions. In these procedures, the number and length of sessions vary according to the width of the area where the procedure will be performed. The treatment is completed in a healthy and controlled manner under local anesthesia.

Flap Operations

When it is determined that dental plaque cannot be reached in root surface straightening or scaling operations performed without surgical procedure, the gums are removed and the area is reached. This gingival lifting operation is called flap. Before the procedure, soft tissues are removed under local anesthesia, the root surfaces are made visible, the required amount of inflamed tissues is removed, and tissue compatible support materials such as membranes and bone powder can be placed in place of the lost tissues. Tissues are resealed and controlled healing is achieved with stitches.

Gum Bleeding

In cases where oral and dental hygiene is not provided well enough, one of the most known symptoms of the disorders observed in the teeth and surrounding tissues is bleeding in the gums. These bleedings can be seen while brushing teeth, eating or talking. Gingival bleeding begins with the deterioration of the healthy structure of the gums, and if not intervened, it can cause increased health problems in the surrounding tissues. In this case, which also affects social life due to bad breath and negative aesthetic changes, examination by specialist physicians is important for early detection and intervention.

What are the Causes of Gum Bleeding?

As a result of the change in the bacterial flora, which is in a certain balance in the mouth, nutrition in soft and hard tissues is disrupted and redness, looseness and bleeding are observed in the gums. The most common known cause of this change is dental plaque. In addition, reasons such as pregnancy, menopause or hormonal changes in adolescence, and the use of certain medications also trigger this situation. Various vitamin deficiencies, some chronic systemic diseases and diseases that suppress the body's defense system can also cause gingival bleeding. By detecting these causes in dental clinical examination, information and early diagnosis can be made about systemic diseases. For this reason, clinical follow-ups and controls should be followed carefully, as they provide information about general body health. As a result of the continuation and progression of bleeding in the soft tissues of the mouth, infections in the gums and teeth such as gingivitis or periodontitis may occur. Bleeding in the gums can also be observed as a result of the pressure of the dentures that are not compatible with the gums, the wrong and hard brushing or trauma.

How Is Gum Bleeding Treated?

First of all, the cause of bleeding should be determined by clinical examination. Situations where dental plaque is involved, such as incompatible restorations or crowding in the mouth, are eliminated and the causative cause is eliminated. It is planned to restore oral hygiene by removing dental plaques or calculus with pressurized and contactless microparticle transfer with new and advanced techniques such as air flow. In the following period, gums and health are monitored with 6-month controls.

Gingivitis (Gum Inflammation)

The gingivitis condition in which the gums are manifested by redness, swelling or bleeding is known as gingivitis. It is aimed to prevent the transition to periodontitis, which is a more advanced outcome, as a result of early diagnosis and necessary interventions in this picture, which often occurs as a result of insufficient oral hygiene and bacteria in the mouth. Gingivitis often negatively affects social life by causing problems in eating, brushing teeth and speaking.

How Is Gingivitis Diagnosed?

Healthy gums are usually coral pink in color, firm, and have an orange peel appearance. When the gums become inflamed, this appearance changes and a darker colored and loose consistency, prone to bleeding appears. Gingivitis is usually diagnosed with bleeding when eating or brushing, bad breath, and rounding of the edges of the gums.

What are the Causes of Gingivitis?

The main reason for gingivitis is insufficient oral hygiene. Apart from poor oral hygiene, the causes of gingivitis include dental traumas: hard and incorrect use of toothbrush, compression of dental floss by pressing on the gums, local irritants: existing dental caries, presence of fillings or prostheses incompatible with gums, various hormonal problems, some drug use or some systemic diseases. existence is also available.

How Is Gingivitis Treated?

Both mechanical and chemical agents are used in the treatment of gingivitis. The tartar or plaque is cleaned and removed, and then the treatment is supported with mouthwashes and special gum brushes and the controls are continued.

What Should Be Considered After Gingivitis Treatment?

There may be sensitivity in the gums for a few days after the treatment, so it is recommended to stay away from spicy foods and pay attention to hot and cold sensitivity. A situation that negatively affects daily life is generally not observed.

All on four - All on six

All On Four and All On Six Applications

The presence of tooth deficiencies affects the quality of life both aesthetically and functionally. These deficiencies can be eliminated with the help of various fixed or removable prosthesis applications. Planned prothesis can be made with the support of the existing teeth in the mouth, but in cases where the teeth are completely lost, removable prothesis which made with only soft tissue support may not provide the desired comfort. In this way, it has become possible to make fixed and highly effective, healthy dental prostheses thanks to newly developed technologies and materials in people with complete edentulism. With the help of implants positioned with these methods called All on 4 and All on 6, people can easily reach the comfort they wish in social life, aesthetically and functionally.

What are All On Four and All On Six Applications?

All on 4 and All on 6 applications are special methods in which fixed prostheses to be made are planned together with the location and special dimensions of the implants to be supported. In these methods, dental implants in special sizes for people who have lost all their teeth are placed in the jaws in positions that are planned specifically for the person and the treatment. Thus, thanks to these special methods, people who have lost all their teeth can access fixed and comfortable prostheses by using fewer implants. Even in cases where the jawbone is not at the desired height, prostheses can be made without the need for additional surgery. Temporary dental prostheses made immediately after the treatment allow very satisfactory results in aesthetic and functional terms even in the early period with the taking of measurements by 3D digital scanners and the smile design transferred to the laboratory environment.

What is the Treatment Process in All on 4 / All on 6 Implant Applications?

In order to plan with All on 4 and All on 6 applications, detailed clinical and x-ray examinations must be completed first. In this way, suitability for implant treatment and prosthesis alternatives to be made are determined by taking personal clinical records. With 3D imaging and digital scanners, both the bone volume and the regions are determined where the implants will be placed. With all these evaluations, the condition of the soft tissues is examined and the possibility of needing additional surgical applications is examined. After examination and planning, measurements are taken to create the design of temporary prostheses and the necessary implant application points are determined with 3D planning. Before the implant applications, numbness is provided with local anesthesia for the comfort of the treatment process. If there are teeth planned to be extracted in the mouth, these teeth are first removed from the oral environment. In some cases, some recovery may be expected in the tissues in the extraction area.
Then, the implants are placed in accordance with the plans, mostly in the same session. After the implants are placed in the opened mini-slots, the treated tissues are closed with sutures. In the following process, the waiting period is started in order to ensure the connection of the implant and the bone. This process is aesthetically positive thanks to temporary dental prostheses. After the waiting period is completed, the rehearsals of the permanent fixed dental prostheses are made and the prostheses are fixed on the implants and the treatments are completed.

Aesthetic inley-onley filling

Inlay-Onlay Restorations

In cases where tissue loss occurs in the teeth, inlay or onlay restorations which increase support tissues can be preferred in order to prevent deformation of the remaining tissues. They differ from filling materials in that they are harder and more durable, and from full crown prostheses because they protect the remaining tooth tissue. For this reason, they are advanced restorations applied as an alternative to traditional fillings and crown prostheses.

What are Inlay-Onlay Restorations?

They are durable and esthetic restorations that are produced customly to the every teeth, in which impression models are transferred to the laboratory environment with three-dimensional scanners in order to be used in the teeth that are planned to be filled. They are usually made of materials such as porcelain. While onlay restorations cover one or two cusps of the teeth, inlay restorations are located in the pit of the teeth, more like fillings.

What are the Advantages of Inlay-Onlay Restorations?

It allows the loss of material caused by reasons such as caries in the teeth to be compensated by supporting it with durable materials. Thanks to the three-dimensional digital measurements taken for each tooth, precise and fully compatible restorations can be made. By preventing further cutting of the teeth in order to make crown prosthesis, the remaining natural tooth tissues are protected. The restorations made are highly resistant to biting and chewing forces, so long-lasting prostheses can be made. Thanks to the harmony of the margins of the inlay-onlay restorations and the smoothness of the surface properties, the teeth can be easily brushed and cleaned. The applied restoration adapts very well to the tooth tissue in terms of color and light transmittance, so aesthetically satisfactory results can be obtained. During the production phase, the surface anatomy of the teeth is correctly processed by working in detail in the laboratory environment, in this way, an aesthetic appearance compatible with the cavity of the teeth is obtained. Produced inlay-onlay restorations are adhered to the dental cavity with special adhesives that make a chemical connection with the natural tissue of the teeth, thus ensuring the longevity of the restorations and minimizing the risk of new caries formation by preventing edge leakage. They have high contact and compatibility with neighboring teeth, and with good compatibility with the remaining tooth tissues, they are custom-made restorations that protect healthy tissues without the need for material loss.

Can Inlay-Onley Restorations Applied?

Inlay-onlay restorations are preferred when traditional fillings cannot provide adequate support to the teeth. They can be applied to protect the remaining tooth tissue in conditions where teeth become more fragile, such as root canal treatment. In cases where crown prostheses are required, if healthy dental tissues are available, these special and tissue-compatible restorations can be selected in order not to lose these tissues.

How Are Inlay-Onley Restorations Applied?

First of all, clinical examination evaluates whether the teeth are suitable for inlay or onlay restorations. After the caries in the dental tissues are cleaned, the detailed measurement of the tooth is transferred to the digital environment and shared with the laboratory. Along with the planning made on the computer, the dimensions and color harmony of the restoration to be made can be arranged. A temporary filling is made and the transfer of the inlay or onlay restoration is expected. In the next session, the compatibility of the restoration on the tooth is checked and then the restoration adhered to the tooth surface with special tissue compatible adhesives. Necessary polish and height controls are also made and the process is completed.

What Should Be Known After Inlay-Onley Restorations Are Applied?

Routine oral care does not need to be changed after inlay-onlay restorations are applied. Brushing, flossing and mouthwash should be continued as recommended by the doctors. In general, restorations and further dental needs should be followed in every 6 months.

Endodontics

Abscess and Apical Lesion Treatments

With the spread of infections in and around the teeth for various reasons might develop the lesions which can also affect the general health. Early detection and treatment of these lesions should prevent more widespread infections.

What are Abscesses and Apical Lesions?

Dental abscesses are diseases that occur in the teeth due to reasons such as caries and cause inflammation in the surrounding tissues. Apical lesions are the accumulation of inflamed tissues surrounding the roots of the teeth. These inflamed tissues can spread over time and cause major health problems to the surrounding tissues.

How Do Abscesses and Apical Lesions Occur?

Abscess formation in teeth can develop for many different reasons; While the most common known cause is caries, traumas or incorrect tooth contact can also trigger abscesses and apical lesions. Abscesses caused by bacteria can occur in the oral tissues in different ways: when the microorganisms that appear in the veins and nerves of the teeth might also spread to the surrounding tissues, the lesions that develop in the soft or hard tissues around the teeth might also lead to the oral abscesses and as another way is the bacteria might reach to the oral tissues through the blood circulation. These abscesses can adversely affect dental and systemic health.

How can the treatment of abscess and apical lesions done?

First of all, For the diagnosis and treatment of abscesses and apical lesions the clinical and radiological findings and patient statements are evaluated. The size of the lesions and the related tissues are checked and the treatment plan is decided. In the condition that the lesions are in contact with the teeth and only close tissues, the treatment is completed by only root canal treatment and lesion follow-up. However, in infections with wider involvement around the root, apical resection is applied in addition to root canal treatment. In this procedure, infected tissues at the root tip of the teeth are cleaned with a minimal surgical procedure, and these tissues are closed with special fillings and root canal treatment is completed. If the size of the lesion has extensively destroyed the surrounding teeth and bone tissue, then the teeth may be extracted. Then restorations can be planned to compensate for these tooth losses. For these reasons, early diagnosis and early treatment of apical lesions are very important.

Apical Resection Procedures

When infections caused by bacteria in the tissues around the teeth or in around the roots of the teeth, they might get concentrate here and infect the round tissues. In this case, the bacteria in the canals should be cleaned with the root canal treatment, but sometimes this does not provide an adequate tissue cleaning, and in addition a full and continuous tissue health can be obtained around the root with the additional treatment which is called called apical resection.

What is Apical Resection?

Apical resection treatments aim to keep the teeth healthy in cases where there are cysts or permanent infections at the tip points of the roots. In this procedure, the final part of the roots and the inflamed tissues around this area are surgically removed, and the teeth are kept healthy in the mouth with root canal treatment. In cases where root canal treatment alone is not sufficient, the infected tissues are cleaned with apical resection as a result of the cooperation of the surgical and endodontic specialties. The treatment of the teeth and surrounding tissues is completed by preserving the remaining healthy tissues.

In Which Situations Apical Resection Treatments Should be Applied?

In cases where root canal treatment alone is not sufficient and inflamed tissues around the root are determined to be dense and specific,
In the detection of cases where root canal treatment has been applied before, but tissue healing is not sufficient at the root tip and around,
As a result of traumas that cause injuries to the roots of the teeth,
In addition, apical resection is a good treatment system in conditions where the anatomical situation does not allow the regular root canal treatment.

On Which Teeth Can Apical Resection Treatments Be Applied?

Apical resection treatments can be applied to all teeth including molars, when anatomical conditions allow and intraoral scans can be performed.

How Is Apical Resection Treatment Performed?

A detailed treatment planning is made before the procedure together with intraoral scans and x-rays. Before starting the procedure, local anesthesia is applied to the area and the infected tissues are surgically removed with the tip of the tooth root starting from the gingiva. Filling is applied with materials compatible and impermeable to the tissue and tissue fluids, and the surgical procedure is completed with sutures.

When Can Apical Resection Treatments Be Applied?

In cases where the infection of the teeth spreads excessively, or in some conditions where the anatomical structure of the teeth and jaws is not suitable, so alternative treatments may be considered instead of apical resection treatment.

What Should Be Considered After Apical Resection Treatments?

Since apical resection is a surgical procedure, it is necessary to use the drugs recommended by the doctors regularly after the procedure, and the cold compresses should be applied at the specified times. It is considered normal to have some swelling or pain after treatment, control appointments and following the recommendations of doctors will minimize these possibilities. Soft-bristled toothbrushes and mouth rinse solutions are also prescribed for cleaning the area, and how they should be used as explained in detail by the doctors. After the procedure, spicy foods should be avoided, it is also recommended to protect the area from trauma and not to pull the cheeks. As long as these recommendations are followed, the treatment will not be affecting normal social life.

Endocrown

When the teeth which undergo root canal treatments lose support due to caries, the applications called endocron are preferred in order to prevent the teeth from breaking and to restore the remaining tissues.

What is Endocrown?

Endocrown applications are the restorations of the remaining cavities with support from the tooth roots after root canals are cleaned with root canal treatment. In this way, both the remaining tooth tissues are protected and the necessary mechanical support is provided with the root, preventing the teeth from breaking in the future. In addition, it provides complete integrity with dental tissues, thanks to its production as a single piece with the help of special scanner measures. Not only the surface area to be covered by the fillings, but also the deeper parts of the teeth are supported to increase the resistance of the teeth to the incoming forces. Thus, aesthetic restorations can be made by protecting the natural tissues while taking support from the outer and inner parts of the tooth.

What are the Advantages of Endocrown Treatments?

Aesthetic restorations can be made by preventing the loss of extra tissue in the teeth. Root canal treatment is prevented from breaking and damaging the teeth in the future. It is very advantageous in terms of treatment time and ease of application. Endocrown treatments are a healthy option for teeth that cannot be fully crowned for different reasons. It facilitates the cleaning of the restorated teeth.

How Does the Preparation Phase of Endocrown Restorations Proceed?

Measurements are taken with 3D scanners and transferred to the computer of the teeth whose root canal treatment has been successfully completed. Then, the right material, such as porcelain that fits the treatment plan is selected and the color match is checked. The restoration information and digital measurements are transferred to the laboratory. Here the digital design is made and the endocrown is produced and transferred to the clinical environment.

How Can Endocrown Applications Applied?

In the first clinical application, the root canal treated tooth is checked with the clinical and radiological examinations. If old restorations are present, they are removed in the clinical setting to create space for a new cavity and endocrown. Measurements are taken with 3D scanners and they transferred to the computers. Then the right material such as porcelain which fits the treatment plan is selected and the color match is checked. The informations and digital measurements are transferred to the laboratory by the computer design. In order for this process to continue in a healthy way, the teeth are protected with temporary fillings. Endocrowns which customly designed from the laboratory are checked on the tooth and a compatibility test is performed. Then the edge fit and height of the endocrowns are also checked and then they permanently adhered to the teeth and the treatment is completed. It is recommended to follow the routine dentist controls to have healthy and long term results.

Multi-session Root Canal Treatments

Infections that develop in the roots and canals of the teeth are sometimes not only limited to the root canals, but also spread to the surrounding tissues and show various involvements there. In such cases, in order to stop the spread of these infections caused by bacteria and to protect the remaining tissues, the desired oral health cannot be achieved with single-session root canal treatments and multi-session root canal treatments are preferred.

What is Multiple Session Root Canal Treatment?

Multi-session root canal treatments are applied in order to keep the teeth in the mouth and to stop the spread of the existing infection, as the bacteria in the mouth reach the vein and nerve package of the teeth in various ways and infect this place and the surrounding tissues. With multi-session root canal treatments, various drugs and special technologies such as laser can be successfully applied to dental tissues and in some cases to surrounding tissues. As a result of the spread of the infection to the surrounding tissues and its long-term presence in the tooth canals, it is not sufficient to complete the treatments in one session.

When Can Multiple Session Root Canal Treatments be Applied?

In cases where the infection in the tooth canals spreads to the surrounding tissues, in the presence of anatomically different teeth that cannot be finished in a single session, in cases where mouth opening is difficult in the presence of joint disorders, in case of infection in teeth that have lost their vitality, in case of infection in teeth that have lost their vitality, when re-infection develops in teeth that have not been sufficiently healed, multi-session root canal treatments can be performed.

What are the Advantages of Multi-Session Root Canal Treatments?

It allows the sessions to be done for a short time during the treatment. More controlled and planned treatments can be performed by better clearing the infection in the root canals.

How Are Multi-Session Root Canal Treatments Performed?

The story of the patients are evaluated, and then the suitability of the treatment is checked by clinical examination and x-ray controls. After the necessary information is given, local anesthesia is applied to the area where the relevant tooth is located. With the rubber-dam isolation methods, the contact of the related tooth with bacteria in the oral environment and other teeth is cut off. In this way, the field of view is regulated, the tooth canals are examined with the help of special glasses and magnifying glasses by working better and in detail. The decayed and unsupported tissues on the teeth are cleaned using laser technology or hand tools, and the infected vessels and nerve packages in the root canals are removed. The remaining infected tissues and root canals are disinfected with special solutions, special hand tools and technology-supported applications such as laser. Then the canals are examined with special tools, dried and disinfectant drugs are placed in the root canals and the tooth surfaces are closed with temporary fillings or prosthesis. In the following session, the condition of the infection in the teeth is checked, permanent canal and dental fillings are applied instead of temporary solutions and fillings, and the treatment is completed. The restoration that will be the best to protect the teeth in the future is selected and it is recommended to follow the routine dentist controls by the following information of the clinicians.

Retreatment

Re-developing infections in teeth that have previously had root canal treatment may require re-canal treatments. Thus, it is expected that the person's own teeth and surrounding tissues will respond to the treatment by re-isolating them and it is planned to protect these tissues.

What is Retreatment?

Retreatment applications are simply called the whole of the process of re-canal treatment. These are applications made with advanced methods to keep the infected canal treated teeth healthy in the mouth.

When Can Retreatment Applications Be Performed?

Retreatment treatments should be considered when symptoms such as pain in case of pressure, swelling and redness in the surrounding tissues or facial area exists in teeth that have had root canal treatment before. Root canal treatment can be planned again when there is a risk of infection in teeth with root canal treatment. In the decision of all these applications, examinations are made both clinically with scanners and on x-rays to determine the best treatment plan.

Under Which Conditions Retreatment Applications Cannot Be Applied?

Different treatment alternatives can be considered in cases where retreatment has been performed before but the infection recurs widely. In any emergency, when there is a time limit for the healing of the infection, it may be decided to extract the teeth. Due to the low probability of healing of infections in the bones and surrounding soft tissues for a long time, it is decided to extract the teeth instead of retreatment.

How is Retreatment Performed?

In the first session, clinical and radiographic findings are evaluated and retreatment planning is made. After the necessary information is given, local anesthesia is applied to the area where the relevant tooth is located. With the rubber-dam isolation methods, the contact of the related tooth with bacteria in the oral environment and other teeth is cut off. In this way, the field of view is regulated, the tooth canals are examined with the help of special magnifying glasses and loops to working better in detail. The decayed and unsupported tissues, existing fillings or restorations on the teeth are cleaned using laser technology or rotary hand tools and the infected tissues in the root canals are removed. The remaining infected tooth tissues and root canals are disinfected with special solutions, special hand tools and technology-supported applications such as laser. Then the canals are examined with special tools and disinfectant drugs are placed in the root canals and the the tooth surfaces are closed with temporary fillings or prosthesis. In the following session, the condition of the infection in the teeth is checked, permanent canal and dental fillings are performed instead of temporary solutions and fillings, and the treatment is completed. In further, the treatment can be supported by performing apical resection at the root tip depending on the infection. The restoration which will protect the teeth structure the best is selected and it is recommended to follow the routine dentist control by following informations.

Single Session Root Canal Treatments

As a result of bacteria in the mouth reaching and infecting the vein and nerve package of the teeth in various ways, various root canal treatments are applied to stop the infection and keep the teeth in the mouth. Single-session root canal treatments are also one of the preferred successful applications thanks to their various advantages.

What is Single Session Root Canal Treatments?

The whole process of removing the infected nerves and vessels of the teeth, disinfecting the tooth canals and replacing them with filling materials in the same session is called single-session root canal treatments.

When is Single Session Root Canal Treatment Applied?

Single-session root canal treatments are sufficient and effective treatments to remove the infection of teeth when applied properly. These applications can be done in the early period and before the infection in the root canal reaches the tissues around the root. The teeth have not yet lost their vitality in this period, but the infection in the root canals continues. In this period, it is recommended to apply these treatments in the same session with correct diagnosis and planning. In addition, single-session root canal treatments can be applied in order to make correct and planned prosthesis during prosthetic applications.

In Which Situations the Single Session Root Canal Treatments Cannot Be Applied?

In cases where the infection in the root canal spreads to the surrounding tissues, single-session root canal treatments are not performed. Findings such as swelling, redness and pain in the teeth in case of pressure shows that the infection has become widespread in the surrounding tissues. In this case, the clinical and radiological findings are evaluated by the specialist endodontist and it is aimed to stop the spread of the infection in several sessions instead of a single session. In addition, it is recommended to control the infection with multiple sessions instead of single-session root canal treatments in teeth that have had root canal treatment in the past and have signs of pain or swelling again. Root canal treatments may not be performed in a single session in cases where mouth opening is limited, existing joint disorders or anatomical differences in root canals.

What are the Advantages of Single Session Root Canal Treatments?

Single-session root canal treatments are advantageous applications as they are completed in a short time and returning to the social life is faster and easier. They also ensure that the transition to other ongoing treatments is faster.

How Are Single Session Root Canal Treatments Performed?

First of all, the history of the person is evaluated, then the suitability of treatment is checked by clinical examination and x-ray controls. After the necessary information is given, local anesthesia is applied to the area where the relevant tooth is located. By the rubber-dam isolation methods, the contact of the related tooth with bacteria in the oral environment and other teeth is cut off. In this way, the field of view is regulated, the tooth canals are examined with the help of special magnifying glasses by working better in detail. The decayed and unsupported tissues on the teeth are cleaned using laser technology or hand tools, and the infected vessels and nerve packages in the root canals are removed. The remaining infected tissues and root canals are disinfected with special dental fluids, special hand tools and technology-supported applications such as laser. Then the canals are examined with special instruments, dried and filled in the same session with the selected filling materials so that re-infection does not develop. The superstructure is completed by choosing the restoration that will best protect the teeth in the following time. It is recommended to follow the routine dentist controls to the further information.

Single Teeth Whitening

Discoloration may occur as a result of incorrect tooth contact due to trauma, closing disorders or crowding in the teeth. These teeth, which become darker and different from other teeth over time, cause problems in aesthetic appearance. In addition, this problem, which can be seen in teeth that have undergone root canal treatment and lost their vitality, can be solved in a healthy way with a single tooth whitening application.

What is Single Teeth Whitening?

Single tooth whitening is a process to the non vital teeth with root canal treatments, and it can correct the aesthetic appearance with special inner bleaching agents. Thus, the natural and aesthetic structure is regained by changing the inner parts of the teeth and reflecting the correct tooth color.

How Can Single Teeth Whitening Applications Made?

First of all, the teeth and root canal treatments are controlled by clinical and radiological examinations. Since it is a very easy and painless procedure, it does not require anesthesia. The fillings on the teeth with dark color are removed, the inner part of the teeth is disinfected and the teeth are closed with temporary fillings by placing the whitening agent. In tahe new session, the amount of whitening in the teeth is compared with other teeth and the amount of whitening is increased with additional sessions if needed. In the next stage, the bleaching agent and temporary fillings are removed, permanent restorations are made and the treatment is terminated.

When Can Single Teeth Whitening Applications Not Be Performed?

The teeth which have not healed properly with root canal treatments should primarily aimed to renew the root canal treatments to protect the oral health. In such a case, bleaching applications may be delayed. In addition, single tooth whitening applications are not preferred as it is determined that the dark discoloration of the teeth comes from external factors in vital teeth.

What Should Be Known After Single Teeth Whitening Applications?

The patients can easily return to the social life after a single tooth whitening procedure. What is important here is the follow-up of routine dental check-ups. In this way, in case of external or tooth-induced recoloration, the procedures may need to be repeated or the treatments performed by external whitening might be supported. In addition, it is recommended to carry out routine clinical care and not disrupt oral care in order to keep the restorations in the mouth healthy.

Dental treatments under sedation

Sedation dentistry keeps you comfortable during dental procedures. It’s beneficial for people with dental anxiety or for those who are undergoing lengthy treatment. Options include nitrous oxide, oral conscious sedation and intravenous (IV) sedation. Dentists must have special certification to provide some forms of sedation dentistry.

What is sedation dentistry?

Sedation dentistry helps you feel calm, relaxed and at ease during dental procedures. It’s a moderate level of sedation, so you’re still technically awake but feeling very carefree. It’s sometimes called conscious sedation dentistry or “twilight sleep” because it creates a state of short-term amnesia (forgetfulness) where you experience insensitivity to pain without the loss of consciousness.

Who needs sedation dentistry?

People of all ages can benefit from sedation dentistry, including children. Dentists often recommend this option for those with:

Dental anxiety.
A fear of visiting the dentist.
An overly sensitive gag reflex.
A fear of needles (aichmophobia).
Extreme teeth sensitivity.
Feelings of claustrophobia while in the dental chair.
Decreased sensitivity to local anesthesia.
Difficulty controlling movements.
Special needs (including physical, cognitive or behavioral).

What types of sedation are used in dentistry?

There are varying levels of sedation dentistry based on your unique needs. Factors include your level of anxiety, the length of your procedure, your health history and personal preferences. The most common types of sedation dentistry include nitrous oxide, oral conscious sedation and intravenous (IV) sedation.

Nitrous oxide

Nitrous oxide is commonly known as “laughing gas.” You inhale nitrous oxide through a mask or nosepiece, and calming effects begin within three to five minutes. Your dentist controls the amount of sedation you receive and adjusts dosages accordingly throughout your procedure. Once your treatment is over, your dentist gives you pure oxygen to flush the nitrous oxide out of your system. Because the laughing gas leaves your system so quickly, you’ll be able to drive yourself home after the procedure.

Oral conscious sedation

With oral conscious sedation, your dentist gives you sedative medication (usually in pill form) about an hour before your procedure begins. Most dentists use triazolam (Halcion®), which is in the diazepam (Valium®) family. But your dentist might use other medications, too, including zaleplon and lorazepam. Dentists often used liquid sedation in pediatric dentistry, such as midazolam oral syrup.
Oral sedation makes you quite groggy, and you may even fall asleep. But you’ll still be able to communicate with your dentist if necessary, and you’ll awaken with a gentle nudge. Because oral sedation temporarily affects your memory and motor skills, you’ll need a friend or family member to drive you home after your procedure.

Intravenous (IV) sedation

IV sedation dentistry is the deepest form of conscious sedation available in a dental office setting. Your healthcare provider delivers sedative medications directly to your bloodstream through an IV line. During your procedure, your dentist monitors your heart rate, blood pressure and oxygen levels. They can adjust your dosage at any point and can use reversal medications if necessary. Most people who receive IV sedation dentistry fall asleep and have little to no memory of their treatment when they wake up. This option is best for people with severe dental anxiety or those who are undergoing lengthy procedures.

What happens before sedation dentistry?

You’ll talk with your dentist about sedation options during your initial consultation. They’ll discuss your health history and ask about any medications or supplements you’re taking. Once they’ve gathered all the necessary information, they’ll make sedation recommendations based on your specific needs.
In most cases, you shouldn’t eat or drink anything for at least six hours before your dental appointment. Unless otherwise noted by your dentist, you should take all routine medications without interruption.
Be sure to tell your dentist if you’re taking any blood thinners, though, such as warfarin. They may ask you to skip these medications for a few days leading up to your procedure.

What happens during sedation dentistry?

Your dentist gives you sedative medications before beginning your procedure. You’ll still receive local anesthetic to numb your teeth and gums, but your dentist usually does this once you’re already feeling comfortable from the sedatives.

What happens after sedation dentistry?

Unless you choose nitrous oxide as your sedation option, you’ll need a trusted friend or family member to drive you home after your appointment. You should go straight home and rest while the sedative medication wears off.

Note: Never take a taxi or rideshare home after sedation dentistry. You’ll need a trusted and familiar person to help you. Before leaving you alone, your driver should make sure you’re resting comfortably in bed or on your couch.

What are the advantages of sedation dentistry?

Sedation dentistry eases anxieties and phobias, helping you remain calm and comfortable during dental procedures. Because your dentist can often work faster when you’re under sedation, it can result in fewer appointments. Finally, many people have so much dental anxiety that they avoid going to the dentist altogether. Sedation dentistry helps you feel more comfortable so you can receive the care you need and deserve.

Sedation dentistry is typically safe when administered by a licensed healthcare provider. However, there’s a small risk of complications. Possible short-term risks include:

Lingering drowsiness.
Can be difficult to predict the effect of oral sedation medications.
Dry mouth (xerostomia).
Nausea and vomiting.
Headaches.
Bruising from the IV.

It can also be difficult to predict the effect of oral sedation medications. Rarely, people may have an allergic reaction. There are drugs available that can counteract these issues.

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