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Made Smile
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The aesthetically perfect smile
The "Hollywood Smile"
The "Hollywood Smile" is an ideal media goes back to early 1900. The teeth were in such bad shape that people did not smile for photos. The only smiles seen were created in the media as cartoons published. Artists represented the teeth and in areas completely white with the following upper and lower teeth apart by a curved line of the lower lip. The curved line created an image of the front teeth being the longest and every tooth gets shorter all the way to the corners of the mouth.
Today, the "Hollywood smile" is an improved media ideal. The lips are full of white teeth that block the dark on the back of the mouth. The cut edges of your upper teeth follow the lower lip line not exceeding one inch of contact. The two front teeth are more prominent with adjacent teeth that appear in sequence of decreasing size of the front teeth at the corners of the mouth making perspective. Ideally, each tooth is smaller sixteenth that of the adjacent tooth in front of it. There is no symmetry of tooth color, shape and position right side to left side of the midline.
A masculine smile has square teeth. The incision edges of the top teeth following a straight line. A female has rounded teeth smile. The incision edges of the teeth above is in line with lower lip creating more curvature.
The natural smile
Natural smiles are every day. Teeth fill the space between the lips and the dark block in the back of the mouth. They are shades that blend with skin tones. The incision edges of the teeth follow the line above the lower lip, however, the two lateral incisors adjacent to the front teeth are shorter. The teeth appear longer. The two teeth are more prominent front with adjacent teeth that appear in sequence of decreasing size of the front teeth to the corners of the mouth making perspective. Ideally each tooth is smaller than one sixteenth of the adjacent tooth in front of it. There is no symmetry of tooth color, shape and position of the right side left side of the midline, but the variation creates a natural look. Development and aging of the teeth alters these relationships.
Natural smile have often rotated, tilted, crowded, or spaced teeth. Wear of the outer surfaces and biting, gum recession and root exposure, cracks or cavities. The four front incisors are the same color, darker teeth and the premolars and molars slightly lighter. Each tooth has a large variation color on its surface. The teeth are relatively transparent glaze cover with yellow dentin underneath. As thin enamel and dentin shows through yellow, the tooth is more yellow, as in the third and closest to the teeth in the gums. Areas in which the dentin enamel is not behind, as occurs between the teeth and bite along the edge, appear dark gray, because the darkness of translucent enamel allows the back of the mouth to show through.
The back of the mouth is a dark space as no light enters. Incorrect position of teeth, missing teeth, malformed teeth, and loss of structure dental trauma or caries create spaces that show the darkness of the back of the mouth.
Aesthetic perception
Perception recognizes that the design aesthetics of smile and several teeth defects are used to produce natural-looking smiles, a dentist and a perception of patient outcomes a final smile design that fits the individual. Definition of aesthetic values and levels of patient satisfaction is essential for proper assessment satisfaction.Without patient, final smile design becomes the artistic interpretation of the dentist, who may or may not be acceptable to the patient. A dentist he does not understand the aesthetic perception produces the same smile for each patient, within the limits of physical or financial limitations. The perfect smile, based on the "Golden Rule" of cosmetic dentistry may be ideal for a 20-year-old, but not ideal for an older patient. Table 1 shows types of imperfections that must be evaluated to ensure patient satisfaction.
restoration objectives must be balanced with the limitations of ideals and limitations of treatment. Limitations of the ideals include general traits (cultural, physical, and personality limitations), detailed inspection, and visual perception. Limitations of treatment are patient and dentist limitations. limitations of patient physical, psychological, and financial constraints. Dentist limitations include artistic, perceptive, and technical capacity (ie, limitations and laboratory materials). "
Tooth Defects and Smile
defects affecting the aesthetics of the tooth smile include color, shape and position. unacceptable defects Correctionsof improve smiles. The inclusion of acceptable defects creates a natural smile. Aesthetics is an art and, therefore, beauty is a personal preference and the definition of patient preferences is essential.
Treatment
Treatment goals must be realistic, based on the limitations of ideals and limitations of treatment. Perception Aesthetics is a concept that I published in the Journal of Esthetic Dentistry in the 1990s. Aesthetic Perception review all the factors that define realistic expectations for treatment goals.
Cosmetic remodeling
Aesthetics is the remodeling process remodeling teeth selectively to affect its shape, position, length, and contours. Youth and women's smiles are usually characterized by rounded edges. In more masculine smile or a property of an elderly person, flat worn surfaces are more prominent. Significant changes are possible in the overall treatment of the anterior teeth visible in the patient's smile. Ideally, remodeling is limited to the enamel on the teeth and the results of the proper ratio. occur significant changes in the treatment of anterior teeth visible in the patient's smile.
Teeth Whitening
Whitening lightens teeth by removing stains trapped in microscopic holes in the enamel. The active ingredient in most iscarbamide peroxide bleaching agents also known as urea peroxide, when water contacts this White Crystal, the release of hydrogen peroxide lightens teeth. Bleaching is successful in at least 90 percent of patients, although it can not be an option for everyone. Consider tooth bleaching if your teeth are darkened from age, coffee, tea or smoking. Teeth darkened by the color of yellow, brown or orange respond better to lightening. Other types of gray stains caused by fluorosis, smoking or tetracycline are clarified, but the results are so dramatic. Each case is different. Normally, there is a multiple of shade improvement as seen on color guide to a dentist. If you have very sensitive teeth, or teeth with worn enamel, your dentist may discourage bleaching. Existing restorations such as crowns and fillings do not change color.
The dentist or hygienist will make impressions of your teeth to make a money machine for you. The device is custom made for your mouth. Along with the device, you receive the bleaching materials and give instructions on how to use the device. Some bleaching systems recommend bleaching your teeth from one to four hours a day. Generally this type of system requires three to six weeks to complete. Other systems recommend bleaching at night while you sleep. This type of system usually only requires 10-14 days to complete.
Lightness should last from one to five years, depending on their personal habits like smoking and drinking coffee and tea. At this point you can choose to get a touch up. This procedure may not be as costly because you can probably still use the same device.
The repetition time treatment is also much shorter than the original treatment time. Several studies over the last ten years have proven bleaching to be safe and effective. The American Dental Association has granted its seal of approval to some tooth whitening products. Some patients may experience slight gum irritation or tooth sensitivity, which was resolved when the treatment ends.
Composite fillings – front teeth
A composite is a tooth-colored plastic mixture filled with glass. Composites are not only used to restore decayed areas, but also used for cosmetic enhancement the smile by changing the color of the teeth or reshaping disfigured teeth.
In order to bond a filling material to your tooth, you must first remove decay, prepare the tooth and then the condition of the enamel and dentin. Once conditioned, a thin resin is applied which adheres to the etched surface. Resistance the union of these fillings is incredible.
After preparation, the dentist places the composition in layers, using a light specialized to harden each layer. When the process is finished, the dentist will shape the composite to fit the tooth. The dentist then polishes the composite to prevent staining and early wear. Bonds increases the strength of these restorations far beyond the very short time ago.
Composites bond to the tooth to support the remaining tooth structure, which helps to prevent breakage and insulate the tooth from excessive temperature changes. After receiving a composite, a patient may experience post-operative sensitivity.Also, the shadow of composite can change slightly if the patient drinks tea, coffee or other staining foods. The dentist can put a clear plastic layer on the compost avoid color change if a patient is particularly concerned about tooth color.
Composites tend to wear out in large cavities, but doing very well in small cavities. After installation, you can chew immediately. The light instantly hardens these fillings. Your teeth may experience some degree of sensitivity to temperature for a few days to a week. Do not go away within that time period, contact your dentist.
These are extremely cosmetic light-cured resin and most often bonded into place on a date. They are often referred to as "union." Studies have shown that the compounds last 7-10 years.
In the past, more often teeth restored with silicate or acrylic restorations. Thanks to advances in modern dental materials and techniques, teeth can be restored with a more aesthetic appearance and natural. There are different types of cosmetic fillings currently available. The rate to be depend upon the location of the tooth and the amount of tooth structure that needs to be repaired.
White Composites – posterior teeth
A composite resin is a colored plastic mixture filled with glass tooth. In the past, dental composites are limited to the front teeth because they were not strong enough to withstand the pressure and wear generated by the back teeth.
After preparation, the dentist places the composition in layers, using a light specialized to harden each layer. When the process is finished, the dentist will shape the composite to fit the tooth. The dentist then polishes the composite to prevent stains and premature wear. You need the dentist about 10-20 minutes to place a silver compound a filler. Placement time depends on the size and location of the cavity and the larger the size, take longer.
The average cost of subsequent compounds is about an hour and a half to two times the price of a silver filling. Most dental insurance plans cover the cost of membership to the price of a silver filling, with the patient paying the difference. As compounds continue to improve, insurance companies are more likely to increase their coverage of the composites.
Aesthetics are one of the major advantages, since dentists can blend colors to create a color nearly identical to the real tooth. Composites bond to the tooth to support the remaining tooth structure, that helps prevent breakage, minimize leakage and insulate the tooth from excessive temperature changes.
After receiving a composite, a patient may experience postoperative sensitivity. In addition, the shade of the composite can change slightly if the patient drinks tea, coffee or other staining foods. Composites tend to wear faster than silver fillings in larger cavities, although capable, and in small cavities. Studies have shown that compounds past 7-10 years, which is comparable to silver fillings except in very large restorations, where silver fillings last longer than composites.
In the past, more frequently teeth restored with amalgam (silver) or gold restorations. Thanks to advances in modern dental materials and techniques, teeth can be restored with a more aesthetic and natural appearance. There are different types of cosmetic fillings currently available. The type used will depend on the location of the tooth and the amount of tooth structure that needs to be repaired.
The other "white fillings" are called composite or porcelain inlays and Onlays. These fillings are usually placed in back teeth when esthetics is of utmost concern. In order to increase their strength and longevity, which are manufactured in the laboratory and then bonded into position in the office. This is a two-visit procedure rather than the obligatory visit to a place a direct composite filling. However, when it comes strength and cosmetics, the extra time and expense is well worth it! I hope you now understand a little more about white fillings.
Porcelain veneers
Porcelain veneers are thin sheets of ceramic material, attached to the front of the teeth. They may be the ideal choice for improving the appearance front teeth. Porcelain veneers are placed to mask discolorations, to close spaces, to brighten teeth, straightening teeth, and to repair the structure broken tooth. Highly resistant to permanent staining from coffee, tea, or smoking, the wafer-thin porcelain veneers can achieve a tenacious bond to the tooth, resulting in an aesthetically pleasing naturalness that is unsurpassed by other restorative options.
Porcelain veneers are an excellent alternative to crowns or fillings in many situations. Provide a conservative approach to change the color of a tooth, the size, shape or position. Porcelain veneers can mask undesirable defects, as teeth stained by tetracycline, by an injury or as a result of a root canal procedure, and are ideal for masking discolored fillings in teeth front. Patients with gaps between their teeth or teeth that are chipped or worn may consider porcelain veneers. Generally, veneers will last for many years, and the technique has shown remarkable longevity when they are done.
Patients may need several appointments during the entire procedure, including diagnosis and treatment planning, preparation and bonding. It is critical that you take an active role in the design of a smile. Spend time in making decisions and planning of the smile. Understanding the limitations of the correction procedure to correct the defects of teeth, color or position.
The appointment preparation take from one to several hours. To prepare the teeth for porcelain veneers, teeth are slightly reduced to allow the small thickness of the sheet said. In general, about half a millimeter of the tooth is extracted, which may require local anesthesia. At this appointment, a mold is taken of the teeth, which is sent to a laboratory for manufacturing of the sheets. This may take one to three weeks. If the teeth are too unsightly a temporary appearance can be placed, at an additional cost.
Linking the sheets are about one or two hours. First, the dentist places the veneers with water or glycerine on the teeth to check their form and get an idea of the shade or plates color.While are resting on your teeth, view the esthetic results, and pay particular attention to the color.At this point, the color of the veneers can still be adjusted with the shade of the cement to use. The color can not be altered after veneers are cemented. To apply the veneer, the tooth is cleansed with specific chemicals to achieve a bond. Once a special cement is between the veneer and tooth, a visible light beam initiates the release of a catalyst to harden the cement.
All Porcelain restorations are called sheets covering only the front teeth. Are crowns when they cover all surfaces of the teeth. The restorations are three quarter crowns when they cover the surface of the teeth facing the tongue. It is often difficult to distinguish one type of restoration of another and therefore, it is easier to call Bonded porcelain restorations.
Crowns – front and back teeth
The crowns are used to support a tooth when there is insufficient of the remaining teeth, protect weak teeth from fracturing, restore fractured teeth or cover badly shaped or discolored teeth. A crown is a restoration that covers a tooth as a thimble to restore it to its normal shape and size, while improving strength and appearance of a tooth. Crowns are necessary when a tooth is generally broken down and fillings will not solve the problem. If a tooth is cracked, a crown holds the tooth to seal the cracks so the damage was not worse.
To prepare the tooth by the crown, is reduced so the crown can fit over it. An impression of the teeth and gums is made and sent to a laboratory for manufacturing the crown. A temporary crown is placed over the tooth until the permanent crown is made. In the next visit, the dentist removes the temporary crown and cements the permanent crown on the tooth.
Crowns require more tooth structure removal, therefore, cover more tooth veneers. Crowns are usually indicated for teeth that have undergone significant loss of structure. Crowns are made of various materials including plastics, ceramics and metals or combinations thereof.
The main objective the dentist is to create crowns that look like natural teeth. Achieving a certain look a number of factors are considered, such as color, bite, shape and length their natural teeth. When the procedure is complete, the teeth will not only be stronger, but they may be more attractive.
Crowns should last approximately 12. However, with good oral hygiene and supervision most crowns will last for a much longer period of time. Some damaging habits such as teeth grinding, chewing ice or biting nails may cause this period of time to decrease significantly.
To prevent damage or fracture of the crowns, avoid chewing hard foods, ice or other hard objects. They also want to avoid teeth grinding. Besides visiting the dentist and brushing twice daily, cleaning between the teeth with crowns is vital. Floss is important to remove plaque from the crown area where the gum meets the tooth. Plaque in that area can cause tooth decay and gum disease.
Replace missing teeth
Fixed bridges and implants
A fixed bridge replaces missing teeth. Teeth on each side of the gap are prepared for crowns. The crowns were united for crowns on each side can support the missing teeth the center.
The implants, titanium metal generally similar to that used in the pin to join broken bones, are permanent replacements for teeth missing. Part of the implant acts as the root of a tooth and supports a section that extends above the gum line. Replacement teeth may be permanently fixed to the sections on the gums, such as fixed or removable bridges can be similar to overdentures.
Partial Dentures
Partial dentures replace missing teeth with the support of the gums and remaining teeth. Removable partial dentures usually consist of replacement teeth attached to pink or gum resin bases, which are connected by a metal frame. Removable partial dentures attach to your natural teeth with silences, plans guide and metal clasps. The metal closures often shown smiling. A denture helps you to chew food properly, improve speech and prevent a face pushed into support to his lips and his teeth cheeks.A held in the suction function is compromised.
An overdenture is a denture that uses precision dental fixtures to hold the prosthesis down. The overdenture attachment can be placed on the roots of teeth that have been saved or placed on dental implants have been placed to receive them. When appropriate managers smile design applied to the prostheses, which can look very natural. In fact, most patients For more prosthetic teeth imperfections in their teeth so they look more natural.
Total prosthesis
There is a difference substance between full dentures and their own teeth and suction only has a full denture in place.
Dentures may move or loosen when the tongue, lips, cheeks and muscles push against it. Good impressions provide a precise fit and seal the edges. Retention and stabilization may be aided by the shape of the bone and the firmness of the gums that make it difficult to break the suction.
It is difficult to predict how a patient dentures.A stable fits, prosthesis retention increases success, but people have to adapt psychologically and learn techniques operating with a prosthesis. Speech patterns must be re-learning and chewing efficiency can be dramatically reduced. For these reasons, complete dentures are the last resort of dentistry.
There are two alternatives to full dentures: dentures and implants. Occasionally teeth may be used to stabilize dentures. Small teeth in height are much stronger because the forces are closer to the gums by reducing the force generated at its roots.
Overdentures are dentures bad teeth fit over the reduced height after the root canals. In addition, precision attachments can be placed on these teeth and dentures for retention. retention roots also help to keep the height of bone can recede if the roots were not there.
Implants Dental
Often, implants are preferable to fixed bridges, because the adjacent natural teeth are not damaged to its forecast long better term. A dental implant is an artificial tooth root that osseointegrated (bone joins him) in his jaw. The permanent replacement teeth are attached to implants and performance that are like your own teeth. Often, implants are preferable to fixed bridges, because adjacent natural teeth are not damaged by his better long-term prognosis.
The implant today has been for over forty years with great success. The jaw must have sufficient bone to implants and a patient must be in good health. Diabetes, smoking and other systemic diseases may limit the success of the implant. Proper brushing, flossing and maintenance procedures are essential to keep the gums and bone health to support implants.
If teeth are extracted, the bone must fill the space where the tooth was before placing an implant. The cure might be six months or more before the bone is thick enough to accept an implant. The placement of the implant is a surgical procedure done with local anesthesia only.
The healing of bone at the implant requires three to six months after the implant and is exposed through the gum, the restore may take a further period of three to eight weeks.
Since implants involve surgery and participate more, cost more than traditional bridges. However, some dental procedures and portions of the restoration can be covered by insurance policies medical and dental. Your dentist can help with this process.
About the Author
Serving Wellesley and Boston, MA, General and Cosmetic Dentist Paul Chalifoux, D.D.S. performs cosmetic dentistry procedures such as Teeth Whitening, Dental Implants, Veneers, and other dental procedures. Dr. Chalifoux looks forward to meeting you and helping you to maintain a beautiful smile the rest of your life.
What made you smile today, but that makes you cry yesterday ?
@ Urmm the you just make me laugh
@ Urmm the you just make me laugh
my mistakes
