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Dental Aesthetics - teeth whitening, dental jewellery, flakes-veneers
TREATMENTS IN DENTAL AESTHETICS:
TEETH WHITENING
Teeth whitening can be performed in 3 manners:
TEETH WHITENING AT THE PRACTICE – At our practice we use ZOOM technology-lamp of a corresponding wavelength in combination with H2O2-based gel. The time of duration of the treatment is 60 minutes at the dental clinic Veselinovic.
LASER TEETH WHITENING - Laser teeth whitening, it belongs to medical bleaching techniques and has been popular in recent years. The active ingredient for teeth whitening uses gels based on hydrogen peroxide or carbamide peroxide, and the laser acts as a catalyst for the reaction of the gel with the tooth structure. So the laser is used to activate bleaching gel and improve its effect. The advantage of laser tooth whitening in the dental office is that the treatment in most cases ends in one visit.
Laser teeth whitening is a safe method, reliable and probably the fastest and most effective way to achieve a natural white tooth color!
HOME TEETH WHITENING - implies making of individual splints of the upper and lower jaw, where the patient inserts the gel him/herself and wears them by night or by day. The required therapy duration is 7 to 15 days. Also, there is an individual whitening of the teeth that got darker upon the endodontic treatment, i.e. the treatment of tooth pulp and tooth nerve extraction.
FREQUENTLY ASKED QUESTIONS
1. What is teeth whitening?
A procedure by which the colour of your teeth is lightened. The final result is not the same for each patient, and it depends from an individual reaction of the teeth to the change of colour during the treatment.
It is a NON-INVASIVE and safe process for the patient. The tooth structure remains unchanged, only the colour of the teeth changes.
2. What causes teeth colouring?
Most frequently ageing and use of coloured substances in nutrition (coffee, tea, coloured carbonated drinks, tobacco, use of some antibiotics in the early childhood).
3. Is teeth whitening harmful?
NO!!! The research and clinical studies show that teeth whitening controlled by a dentist is a completely safe procedure. It implies that a professionally educated personnel must previously examine the patient’s teeth and determine whether the existing condition of the teeth meets the requirements for whitening treatment. The teeth with caries are not suitable for whitening, previously done artificial teeth cannot be whitened and all inflammatory processes on soft tissues are a counter-indication for whitening.
4. Are there any counter-effects?
There aren’t almost any counter-effects, but it depends from the patient (from respecting the procedures after whitening, avoiding of use of coloured drinks 48h upon treatment). Some patients reported an increased sensitivity to hot and cold.
5. How long do the results last?
It depends mostly from you and your habits. If you maintain your hygiene well and avoid smoking and consumption of coloured substances, the achieved effect will last for long. Some patients do professional cleaning and whitening once a year or twice a year, which is allowed as well.
AIR-FLOW TEETH WHITENING METHOD
This method is not a real teeth whitening, but is very effective, above all painless, and eliminates dental plaque, soft plaque, smoking and food pigmentation. The process lasts from 25 to 30 minutes and is very efficient for removal of smoking pigmentation, the patients call it teeth sending or deep cleaning, because it uses a ground powder of sodium bicarbonatewith water and very simply and effectively cleans the teeth under pressure.
DENTAL JEWELLERY
It is applied for aesthetic reasons in order to complete your smile and add a personal touch to it. Dental jewellery can be made of zircons, precious stones or gold. The dental jewellery application is a fast, painless, efficient procedure.
DENTAL JEWELLERY - QUESTIONS
1. What is dental jewellery?
Dental jewellery can be made of zircons, rarely gold or precious stones.
2.How long does the procedure last?
5 to 10 minutes are sufficient for application of dental jewellery.
3.What type of glue is used?
Dental jewellery is applied by means of a usual glue used for fillings. Precious and semi-precious stones are applied by means of a special glue.
4.Is it possible to remove dental jewellery without damaging the tooth?
Both jewellery and glue are removed from the tooth by mild sanding without damaging the enamel.
5.Can I personally choose the tooth on which I wish the jewellery to be applied?
Yes, of course, however, we advise that you choose an incisor, as the jewellery will be visible only on incisors. Also, we recommend that you apply the jewellery to the teeth that are healthy, without caries, in order to achieve a proper effect and have a beautiful smile.
FLAKES - VEENERS
Ceramic flakes or veneers are aesthetic filling in the area of incisors. They are used for correction of colour, form and position of the teeth. Their advantage is minimum contouring of the tooth tissue by 0,6- 0,8 mm. Due to their fragile structure, they are somewhat less resistant comparing to crowns, but durable if the patient abides by the doctor’s instructions. They have an extremely well aesthetic effect, as they are fully made of ceramic in a corresponding colour.
AESTHETIC FILLINGS
An aesthetic filling represents filling in of the hole on a tooth made by removal of caries. The filling enables restoration of the damaged tooth in the original state. The parts of the tooth affected by caries are removed, the tooth cavity is cleaned and the filling is placed.
What are fillings made of?
White fillings (composite fillings) are made of a mixture. Inlay fillings are made of gold and porcelain. Amalgam fillings were used before (black), made of mercury, copper, silver and zinc, but such fillings are not used anymore (rarely at the patients’ request).
Are aesthetic fillings reliable and safe?
Do they truly reproduce a colour of a natural tooth?
What are the composite fillings like?
Composite fillings (white fillings) are mostly made of glass particles, synthetic resin and binding material. The main difference between composite fillings and amalgam fillings is in aesthetics. Amalgam fillings are grey, while a composite filling has the colour similar to the colour of the tooth. Of course, there are some important differences in the chemical composition of both materials, primarily connected to the allergies to the ingredients in amalgam fillings, as well as that the surrounding enamel gets dark in time, as dark colour of the amalgam filling penetrates into the enamel under the influence of saliva and remains there, so it is sometimes thought to be a new caries.
Is there any other solution besides the filling?
Crowns or INLAY can also be an adequate solution, although they cost more. An alternative solution depends on many factors such as, for example: size of caries, allergy to metal, position of caries, and price.
Golden inlays are made in the laboratory and cemented in the tooth. They are anti-allergic and last longer, up to 20 years. According to the experts, gold is the best material for aesthetic filling regardless of the fact that it is the most expensive solution and that it requires several visits to the dentist.
Ceramic inlays and onlays are done in the laboratory and then cemented. The colour of the tooth can be chosen, this material is stable and retains its colour. Ceramic inlays satisfy the aesthetic requirements, close well the tooth defect, and the price is more acceptable.
Are there any possible complications?
Sensitivity to hot/cold and to biting can occur maximum one to two weeks upon the intervention. The area of injection can be sensitive one to two days upon the intervention. In time, filling can get darker due to consumption of coffee, tea, carbonated drinks and coloured food.
CERAMIC CROWNS
Crowns are used when the loss of dental tissue is big or when the risk of tooth fractures is very high. Also, it is not a rule that all the teeth that have had a root canal treatment should be covered with crowns with a view to prevention of teeth breaking. There are several materials used for making of crowns: gold alloys, metal-supported ceramic, or non-metallic crowns known as zirconium and top aesthetics called alumina or zirconium glass.
Metallic ceramic crowns are made by casting a metallic basis, and the aesthetic part of a ceramic crown is shaped onto it afterwards. Metal can be gold or steel alloy. They are very sturdy, but in gum recession in time appears a metallic edge of the metallic structure which, of course, bothers the patient from the aesthetic point of view. There are also improved metallic ceramic crowns in aesthetic terms, where the metallic edge is covered by a reinforced ceramic and they require a more precise laboratory making and cost more than the standard metallic ceramic crowns. They are called metallic ceramic crowns WITH MARGINE.
Zirconium ceramic crowns are done in patients who strive for top quality and aesthetics, and they are also resistant to chewing forces. They are made by a technology of computer scanning and making of zirconium basis, which gives high accuracy and precision of the crown edge. They have a full mechanical resistance achieved with the thickness of just 0,4 mm for which less tooth contouring is needed. White base colour ensures better imitation of natural teeth and corrects aesthetic defects. The advantage over classical metallic ceramic crowns is that in some cases of gum recession a dark metallic crown edge is not visible in the frontal aesthetic region. Although today are mostly used in a frontal region, ceramic bridges on zirconium dioxide are also adequate for tooth replacement in the lateral region.
ALUMINA CROWNS - ZIRCONIUM GLASS
Alumina crowns are top aesthetics in dentistry and are done exclusively at special requests for aesthetics. They are done exclusively in a frontal region and only highly specialised dental laboratories, compatible with a corresponding dental practice, can make them.
The dental clinic Veselinovic can be classified under dental practices that can meet the most frequent aesthetic requests.