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Dental crowns are used to cover a tooth or a dental implant. Dentists commonly utilize crowns to support broken, weak, or misshapen teeth. Additionally, dental crowns can be used to cover teeth that are severely worn or discolored. They may also be employed with bridges to strengthen multiple teeth.

When it comes to the materials used for crowns, there are several options, including ceramic and metal. Another option is zirconium coating. Although zirconium crowns are classified as a type of ceramic crown, they are crafted from zirconium dioxide, an extremely durable metal related to titanium.

Many people feel the need to hide their smiles or mouths while laughing or speaking because they are not satisfied with their smiles, the color or shape of their teeth, leading to a sense of discomfort and the need to conceal their mouths while smiling or speaking. It can be said with certainty that those who are not satisfied with their smiles or the color and shape of their teeth and feel the need to hide their mouths while smiling or speaking require smile design. Through smile design, it is possible to address and resolve issues that cause discomfort in individuals, while also achieving an aesthetically pleasing and healthy smile.

One of the most important features of smile design, which is a personalized treatment, is that it allows the patient to see how their smile can change as a result of treatment before it begins. Although beauty perception varies among individuals and cultures, there are clear rules underlying it. The most important aspect of a beautiful smile is the teeth, which must be in harmony with the person's facial shape and lip structure to achieve an aesthetic smile.

Digital smile design, which can be applied to anyone who wants a more beautiful and pleasant smile, can reveal the most suitable and natural-looking smile for the person's face and character. When performing smile design, important considerations include the length of the person's teeth, lip structure, gum characteristics, and harmony between lips and teeth. For a beautiful smile, there should be no misalignment in the teeth, the gum and tooth surfaces should appear clean, and the teeth should be complete, white, and free of stains.

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What is Aesthetic Smile Design in Turkey?

Digital Smile Design refers to the aesthetic smile design created by dentists using digital technologies. It involves the analysis of the patient's teeth and facial proportions through the use of digital design software.

Dentists aim to achieve a natural and beautiful smile by ensuring harmony between the patient's gums, lips, teeth, and face using advanced digital programs. Since each person's smile is unique, a patient-centered approach is adopted, and the design is tailored to the individual. Once the design is shared with the patient and approval is obtained, the digital smile design treatment begins.

Make a Difference with Your Smile through Digital Smile Design

Since advanced computer software is used, patients can see the changes in their smile before starting aesthetic dental treatment. This eliminates the possibility of unexpected results and ensures patient satisfaction. While the patient's desires and expectations are essential in digital smile design, the dentist evaluates how these expectations align with the patient's facial features.

Initially, the patient's photos and videos are taken, and this data is transferred to a digital environment, where it is analyzed using sophisticated computer software. With the help of the software, a smile design is prepared by the dentist, taking into account the patient's dental, jaw, facial, and character features. The prepared design is then converted into a model and tested in the patient's mouth, obtaining their approval. Once the patient approves the design, the necessary treatments begin.

Digital smile design involves a series of restorative and aesthetic dental procedures tailored to the patient's needs, fundamentally emerging as a comprehensive and multidisciplinary treatment approach. In addition to the planned procedures aimed at preserving and restoring oral health, aesthetic dental treatments are also applied.

Within the scope of digital smile design, prosthetic dental treatment, dental implants, orthodontics, and gum treatments can be performed individually or together. Procedures such as dental implant treatment, porcelain veneers, zirconium crowns, aesthetic dental fillings, and bleaching are applied as needed, allowing the individual to achieve an ideal smile.

What is Digital Smile Design? How is it Applied?

Digital smile design has become one of the comprehensive treatment options that has garnered more attention in recent years. The primary aim of these dental treatments is to enhance patients' smiles aesthetically. Of course, the needs are determined based on the patient's oral and dental structure, and the procedures to be performed are determined accordingly. Sometimes, prior treatments are necessary for smile design to occur, while other times, implant procedures may also be included.

Various procedures, such as intervening in gum tissues or applying veneers to teeth, can also be performed. These procedures are also known colloquially as 'smile aesthetics'. Numerous factors are considered in the treatment, taking into account various elements ranging from the individual's facial features to skin tone and lip structure to ensure the planning of an aesthetic and beautiful smile. We will clarify all aspects of interest regarding this matter, including how it is applied and how many sessions it takes to complete. But first, let's address the issue of the longevity of digital smile design.

Is Digital Smile Design Permanent?

Patients also wonder whether digital smile design remains permanent after the procedures are performed. Firstly, it's essential to remember that multiple factors are considered in this treatment, and a treatment plan is formulated based on the patient's needs. It's necessary to address existing issues within the scope of treatment. This may involve procedures such as treating decayed teeth, periodontal disease treatment, or implant placement to replace missing teeth. Subsequently, personalized digital smile aesthetic applications are initiated for the patient, and in some cases, gingivectomy, or gum aesthetic procedures, may be performed if necessary.

Teeth whitening procedures or dental veneers can also be used to provide patients with whiter, more attractive teeth. Sometimes orthodontic treatments are also included in digital smile design. Of course, the results are permanent. This means that patients don't need to visit the dentist regularly for routine oral and dental check-ups beyond regular maintenance. Since the results are permanent, benefiting from this treatment only once may be sufficient.

How is Digital Smile Design Implemented?

Due to being a treatment tailored to the individual, both the patient and the dentist need to agree on the procedures to be performed before digital smile design. A thorough examination is conducted to check for any issues with the teeth and gums. If there are any problems such as tooth decay, they need to be addressed first. After resolving all issues, the planned smile design procedures are carried out.

Photographs or videos are taken as part of this process. These visuals are transferred to a digital environment, and the most suitable smile design for the patient in terms of aesthetics is prepared digitally. Essentially, a smile design is created. Additionally, measurements are taken from the patient's upper and lower jaws. An application called Mock-up is used, which allows the smile design to be shown to the patient inside their mouth. This enables the patient to have an idea of how their smile will look before any treatment is done. Subsequently, the procedures are performed sequentially, completing the treatment.

How Many Sessions Does Digital Smile Design Require?

As you might expect, the number of sessions required for digital smile design varies for each patient. Generally, we can say that the process is completed in three sessions. However, sometimes procedures such as tooth decay treatment, gum treatment, or completing missing teeth with implants may be necessary, which can increase the number of sessions. However, it's worth noting that it's not necessary to wait for months, as commonly believed. If only an implant procedure is to be performed on the patient and the jawbone tissue is not sufficient, bone augmentation may be required. It may take a minimum of 4 months to achieve the ideal bone tissue. Apart from that, there is no need to wait for an extended period for other procedures. You can obtain more information from your dentist regarding how many sessions it will take to complete the procedures and how long you need to wait.

Is the Smile Shown in Digital Smile Design Exactly Replicated?

As mentioned earlier, a smile is designed within the scope of digital smile design and shown to the patient. Of course, the exact same smile shown is replicated. It's important to note that consent is obtained from the patient before proceeding to the implementation stage. In other words, it's possible to achieve the exact same smile shown digitally. Patients can benefit from digital smile design without any concerns in this regard.

Digital Smile Design Prices 2024

Unfortunately, we cannot provide precise information about the prices of digital smile design as the procedures performed to achieve an aesthetic and beautiful smile vary for each patient. This variation reflects on the prices, leading to different pricing structures. For example, if decayed teeth need to be treated before starting smile design, patients may encounter a higher price. However, if there are no decayed teeth, the price may be lower. Therefore, the budgets that patients need to allocate can vary depending on which procedures are included in the treatment.

When researching the prices of this treatment for the year 2024, you will encounter different figures, which is perfectly normal. By scheduling an appointment and undergoing a simple examination, and conveying your requests, you can obtain more precise information about the price.

Is Face Shape Important in Smile Design?

Face shape is crucial in digital smile design applications because the designed smile needs to be suitable for the individual's face shape. An aesthetic smile can only be achieved in this way. The reason why the smile design prepared in the digital environment is entirely personalized for the patient is to achieve a smile appearance that integrates with the face shape.

Golden Rules for a Perfect Smile

With digital smile design, which many people can easily benefit from, it is possible to achieve a harmonious and beautiful smile that complements facial features. The golden rules for a perfect smile can be summarized as follows:

• Teeth should be properly aligned.
• There should be no overlap between upper and lower teeth.
• Upper front teeth should be slightly more prominent.
• Upper front teeth should be more prominent compared to other teeth.
• Lips and gums should exhibit a harmonious appearance.
• There should be no missing teeth in the mouth.
• There should be harmony between the arrangement of teeth and facial appearance.
• Teeth should be free of stains and exhibit natural whiteness.
• Teeth should have a shiny appearance.
• If all of the above golden rules apply, a perfect smile is achieved.

Advantages of Digital Smile Design

Undoubtedly, one of the most significant advantages of digital smile design is that the patient can see what their smile will look like before the implementation stage. Having a smile that the patient completely desires and approves of is also a significant advantage. Additionally, sometimes comprehensive examinations during the process reveal dental or gum problems that even the patient may not have been aware of, which can then be treated.

What is a Dental Crown?

Dental crowns are restorations used to restore the shape, size, and appearance of a tooth. When fillings fail to solve the problem, crowns placed on damaged teeth provide protection. Crowns can be made from materials such as metal, porcelain, resin, and ceramic, requiring no special care beyond regular and adequate oral hygiene.

Crowns are typically produced in a tooth-colored shade to match natural teeth. When determining the material for the dental crown, individual factors such as the tooth's location and function, the position of the gum tissue, the amount of teeth visible when smiling, and the color of the surrounding teeth are evaluated.

Over time, teeth can become misshapen or damaged due to decay, injury, or usage. A dental crown is placed over the tooth to cover its visible part. Crowns, which protect teeth from fractures, are an effective method for restoring lost aesthetic appearance and function.

What are the Types of Dental Crowns?

There are different types of dental crowns, including gold, porcelain, porcelain-fused-to-metal (PFM), zirconium, and E-Max (Lithium Disilicate).

Gold Crowns: Gold dental crowns, which are combinations of other metals such as copper, nickel, or chromium, are highly durable and strong. However, they are rarely preferred today due to aesthetic reasons.

Porcelain Crowns: This is the most commonly used type of crown today. Made entirely of porcelain, these crowns provide the best and most natural appearance. They match surrounding teeth in shape, size, and color. Porcelain crowns are biocompatible and are considered the best option for anterior tooth restorations. They are non-toxic as they do not contain metal. However, for porcelain crowns to last a long time, proper maintenance is essential.

Porcelain-Fused-to-Metal (PFM) Crowns: Another commonly used type of dental crown is porcelain-fused-to-metal crowns. These crowns are sturdy due to the metal content and aesthetically pleasing due to the porcelain coating. However, the metal in porcelain-fused-to-metal crowns may cause a gray line to form at the gumline.

E-Max (Lithium Disilicate) Crowns: This is the newest type of crown used today. Made of lithium disilicate, they are strong and durable while providing an extremely aesthetic appearance. They are considered an excellent choice for both anterior and posterior teeth.

Zirconium Crowns: Zirconium is a relatively new material that combines the strength of metal with the aesthetics of porcelain crowns. High-translucent zirconium and layered zirconium crowns are increasingly being used. Zirconium crowns provide excellent aesthetics, strength, and durability. They are less prone to wear and do not contain metal, reducing the risk of allergic reactions.

Zirconium, traditional gray metal that was conventionally used in classic metal-supported crowns and bridge prostheses, has recently been increasingly replaced by a white alloy called zirconium. Zirconium is highly durable and corrosion-resistant, unlike metals, making it widely used in dentistry, particularly in crowns and bridges.

What is Zirconium Tooth?

Zirconium is a natural material that is highly resistant, non-allergenic, preserves color integrity, and eliminates hot-cold sensitivity, making it frequently used in aesthetic and prosthetic treatments in recent years. Being both durable and aesthetic, zirconium is used to cover tooth surfaces, a process known as zirconium tooth coating.

Also known as crowns or caps, zirconium tooth coating is quite popular because it enables aesthetic prosthetic treatments. Being permeable and durable, zirconium provides advantages with its white color, ensuring access to white teeth and aesthetic smiles after the restoration of decayed teeth.

How is Zirconium Tooth Made?

Zirconium dental crowns are made from zirconium dioxide, a white ceramic material. Due to its ceramic properties and being milled from a single block, it possesses the characteristic of being a strong dental prosthesis. Zirconium crowns can be produced thinner than those made from strong metals.

Creating a strong but thin crown is considered ideal as it requires minimal removal of healthy dental tissue for placement. The aim is always to preserve natural teeth and healthy smiles for as long as possible.

The process of dental restoration using zirconium is completed in two stages. During the first appointment, the dentist removes unhealthy tissue, shapes the tooth to accommodate the crown, and minimally removes healthy tissue depending on the tooth's health.

Then, impressions are taken from the patient, and a temporary crown is placed to protect the shaped tooth. Using these impressions, the exact size and shape of the new dental crown are determined.

After the zirconium coating is prepared, the temporary crown is removed, and the area is cleaned to prepare for the dental procedure. The zirconium crown is then cemented onto the tooth, and minor adjustments are made if necessary.

How is it Used with Digital Workflow?

The dental industry is undergoing a unique transformation with the active use of scanning, CAD/CAM, and stereolithography processes. These processes play a significant role in increasing the efficiency of dentists and providing access to a wide range of solutions and materials.

In digital workflows, information obtained analogically needs to be converted into digital format. A laboratory scanner is used to perform this conversion.

With the use of digital workflows, the treatment outcome can be shared with the patient at the beginning of the treatment, allowing them to visualize the results. Photographs of the patient are taken, and their needs are determined.

Designs are made according to the patient's expectations, ensuring a natural and aesthetic appearance. After the design is created, it is printed out using a 3D printer and applied to the patient's mouth as a demo. This allows the patient to see the expected result in three dimensions.

Plastic prints of the patient's own dental model are obtained from 3D printers in the same dimensions as the future veneers and zirconium coatings to be applied.

After being applied to the patient's mouth, photographs are taken again and compared with the design. After necessary adjustments, the design is sent to 3D printers or CAD/CAM devices for production. Since production will be done on CAD/CAM devices, porcelain or zirconium blocks are required.

What is CAD/CAM?

CAD/CAM, which stands for computer-aided design and computer-aided manufacturing, is specialized software used in dental design and production. It enables the entire process from scanning the patient's mouth to producing the prosthesis.

Is There a Difference Between Zirconium Crowns and Zirconium Tooth Coating?

Crown and tooth coating are terms used interchangeably by the public; there is no difference between them.

What are the Advantages of Zirconium?

Zirconium is becoming increasingly popular in the medical field due to its properties. The human body does not reject zirconium. Therefore, the likelihood of infection, complications, pain, and allergic reactions is reduced. It is more effective than porcelain in covering dental damage caused by staining or fractures. It is strong enough to withstand the most vigorous biting and chewing activities.

It is resistant to extreme temperatures and resistant to crumbling and cracking, making it durable. It can be easily shaped, colored, and sized to match the patient's natural teeth. It can be applied by removing a thin layer from the tooth. Its semi-transparent, clear appearance ensures the most suitable match to the patient's natural tooth color.

What are the Disadvantages or Risks of Zirconium?

The disadvantages of zirconium coating are minimal. It is not suitable for use when there are adjacent and numerous missing teeth. Moreover, it is more expensive than metal-supported coatings when considered in terms of cost.

Zirconium, it can be preferred in a variety of situations in dental aesthetics and restoration:

• Discoloration and Yellowing of Teeth: Zirconium coatings can be preferred to correct color changes in teeth. The natural white color of zirconium provides a whiter and more aesthetic appearance to the teeth.
• Treatment of Gaps Between Teeth: Zirconium coatings can be used to close gaps between teeth and achieve an aesthetic smile.
• Irregular Tooth Structure: Zirconium coatings can be preferred to correct the shape of teeth and improve tooth alignment.
• Loss of Aesthetic Properties of Fillings: In cases where metal fillings are visible or old fillings change color, zirconium coatings can provide an aesthetic solution.
• Coating Treatment for Back Teeth: Zirconium coatings can be a durable and aesthetic option for restorations made on back teeth.
• Smile Aesthetic Treatment: Overall, zirconium coatings can be preferred to enhance the overall aesthetics of the smile.

Zirconium coatings can be obtained by anyone who has reached the age of 18 and has formed dental and jaw structures. However, individuals with habits such as teeth grinding or chewing hard objects may need to address these issues before undergoing zirconium coating.

The color of the teeth to be coated with zirconium should match the patient's current tooth color. Therefore, zirconium coatings that are compatible with the natural tooth color are selected. When determining the tooth color, the teeth are cleaned and polished to reveal their natural color.

Dental coating can be performed with different materials. These materials include metal-backed porcelain, zirconium-backed porcelain, composite laminate veneer, full ceramic empress, and porcelain laminate veneer. The choice of which type to use is determined based on the patient's needs, tooth structure, and aesthetic preferences.

Zirconium Models

There are different types of zirconium teeth used in veneer applications, all-on-four implant applications, implant-supported applications, and smile design applications. Additionally, zirconium coating may be preferred in the treatment of single tooth coatings.

Are All Zirconium Teeth of the Same Quality?

Zirconium is commonly used in dentistry, but it is important to use zirconium blocks approved by the World Health Organization during application. The use of low-quality zirconium blocks can lead to adverse effects on the patient's health.

Is There a Difference in Quality Among Zirconium Blocks?

Zirconium blocks can be produced in different qualities by different brands. A meticulous approach should be taken to ensure the use of zirconium blocks approved by the WHO to achieve the healthiest and most effective results.

Quality and Price Relationship in Zirconium Teeth

Zirconium is one of the highest quality materials used in dentistry. The prices of zirconium may vary depending on factors such as the quality of the material. An increase in quality results in an increase in price.