ORAL and DENTAL HEALTH

What is CAD-CAM?

 

CAD is computer aided design and CAM is computer aided manufacturing. This system is adapted to the dentistry, the teeth are planned in three dimensions in the computer and the teeth are made by the computer again.

  

After the necessary preparations are made in the damaged, rotten or broken parts of the teeth, either the teeth are obtained directly or from the measurements are scanned in a three-dimensional scanner and these data are transferred to the computer. Once the necessary arrangements and plans are made on the computer, these data are sent to the milling machine. You can have full porcelain crowns and bridges filled with porcelain that are untouched in the milling machine.

  

Zircon, ceramic or composite blocks, metal alloys such as titanium, gold, chromium cobalt can also be milled on these machines.

 

Unlike conventional restorations, you can have new teeth in less time, sometimes even on the same day, instead of weeks of laboratory processes.

Zirconium Teeth 

Porcelain is a prosthesis in which white zirconium alloy is used instead of metal infrastructure in crown and bridges. Zirconium has been used for various purposes since the 1960's and has been found to have no side effects or harm and no allergies up to this date. Zirconium is a high-heat-resistant, lightweight, light-transmitting element that does not transmit heat and electricity. In addition, when the mouth hygiene is important, it is a healthy material that does not lead to taste disorders, gingiva diseases and malodor. It is a material with high qualities reached in modern dentistry. Zirconium can be made with computer aided devices with CAD-CAM technology. The measured data from the patient's mouth is scanned by optical readers in the computer environment and the obtained data is loaded onto the computer. Later, designs (CAD) are made and production (CAM) starts. Zirconium plates are cut and shaped untouched by the computer, thanks to milling systems without hand.

Advantages 

  • Since there is no metal on the base, there is no dark line in the crown gingiva line.

  • It protects the aesthetic image even when there is disease of the gingiva.

  • Light permeability is good.

  • In terms of aesthetics, the closest result to the natural teeth is  obtained.

  • The front and back regions are both durable and aesthetic.

  • Occasionally, an allergic reaction may develop in metal substructure porcelains.

  • Zirconium does not show an allergic reaction.

  • Metal-enameled porcelains give the appearance of a dark, hollow space in the mouth in some lights. Zirconium has all kinds of light like natural teeth.

Zirkon
Yaprak Diş

Laminate Veneer

If some disorders in the front teeth are aesthetically uncomfortable when you smile, you can easily choose this treatment method. Laminates are durable and has imperishable colors. Leaf-shaped porcelains are glued to the tooth surface, with only a slight abrasion from the front surface of the teeth. The thickness of these leaves is 0.3-0.5mm. It can be prepared in the most suitable color and size for the patient's face. It is one of the most protective treatments for the teeth. It is not necessary to make the teeth completely smaller and then make the crown. Because it is only porcelain and does not contain metal, the light transmission is very good. Therefore, their aesthetic appearance is also very good. Treatment process is short. The measurement is taken before any operation is performed on the patient's teeth. A plaster model is prepared and teeth are studied on this model, so the patient becomes informed about how it will look. Then the teeth are etched very little and temporary plastic veneer teeth are glued. Porcelain veneering teeth are durable when they are glued, even though they are very thin. It is not possible to separate from the teeth without abrasion. Painting and coloring do not occur due to tea, coffee, smoking effects etc.

Laminate Veneer Practices

  • Tinted, stained teeth.

  • Abraded teeth.

  • Teeth with irregularities and distortion.

  • Shortened, abraded, cracked teeth due to age

  • Stuffy and disfigured old fillings

  • Teeth that not respond to whitening

 

Can’t be applied to whom with chin closing disorders, teeth grinding, advanced gingival problems, disease of the gingival. It is a bit more expensive because it requires a precise technique.

Implant

We may lose our teeth for various reasons such as bruises, gingival disease or by accident. Titanium implant bodies manufactured with the latest technology are placed in the cavity. The function and aesthetics lost by the person are thus ensured. Some implants have been subjected to intensive research for many years and have been tried and tested many times. They do not cause allergic reaction. They hold firmly to the bone and form a solid foundation for prostheses to be made on them. The natural teeth next to the cavity are not damaged. In the regions that are left without teeth, melting occurs both the neck and the ending threads form on the jawbone. An advantage of the implant is that it avoids melting at the areas in which it is placed.

 

Who can have dental implants?

 

1. Patients with a single tooth loss

As an alternative to a single tooth missing, a bridge can also be made. However, healthy teeth on the right and left side of the gap should be cut down and a 3-member bridge should be made. With the support of these side teeth the gap is closed. Both healthy teeth are treated in vain and bone begins to melt in the gap. Therefore, the level of gingival on the front will be reduced so that a gap occurs under the bridge body over time, which results a bad appearance. When the implant is made, the side teeth are not damaged and the width of the bone is preserved.

 

2. Patients with several tooth loss

Like a single tooth missing, a bridge can also be made. However, healthy teeth on the right and left side of the gap is cut as well. If the toothless cavity is at the end and there is a long toothless end, an alternative partial prosthesis can be made. Again, these teeth will be reduced and crowned because of the metal crochet or precision brace and a removable prosthesis will be made for the remaining spaces.

3. Patients who lost their whole teeth or have prosthesis

As few as two to four new tooth roots will form a tight support for a complete denture. A bridge can be connected to six implants. So your prosthesis can not come out of your mouth loosening unexpectedly. Your complete prosthesis will be attached to the implants with special two-piece retaining systems. One of these pieces is positioned on the implant and the other is permanently fixed on your prosthesis. These parts engage like a button. Your prosthesis is firmly attached. Your prosthesis can be easily removed, cleaned and replaced with the same ease. If you wish, your prosthesis can be permanently fixed to the implants. A bridge over at least six implants on the chin can be permanently fixed. Your prosthesis is so tightly held that you do not need a supporting pink prosthesis plastic.

 

 4. Patients with Incomplete Bone Development

To be able to have dental implants, the person's chin bone structure must have a certain width and length. This compliance increases the overall success of the implant as well as the general health condition. When the bone structure is not suitable, implant is made possible by applying bone graft and soft tissue treatment.

 

Who cannot have dental implants?

  • If the teeth in the mouth are unhealthy, they should be treated first.

  • Patients with osteoporosis

  • Patients with very bad oral hygiene

  • Not recommended for people with drug, cigarette or alcohol addiction.

  • Patients with high blood pressure and diabetes cannot be implanted.

  • For patients who have blood diseases, some cardiovascular diseases, cancer, kidney failure or immune system failure, dentists and doctors should discuss together.

 

General Information about Implants

  • Kids cannot have implants.

  • If your general health condition is good, you can have implants even at old ages.

  • Titanium implants cause no allergic reaction and no harm to the body.

  • There is no need for anesthesia.

  • Implants do not affect your pacemaker. There is no electromagnetic effect.

  • Implant supported teeth give a fairly natural feel when talking, chewing and laughing. You can talk like your own teeth, you can smile and chew.

  • A properly placed quality implant will be more resistant to many effects than the natural tooth root. Resistant to rot.

  • Continuous oral care and controls will ensure that the gingival and the implanted area remain healthy. With proper care your implants can last for life.

  • Implant supported teeth should be brushed with toothpaste and toothbrush like natural teeth. In addition to the gaps between the teeth and the gingival sections, tooth brushes, teeth threads, daily mouthwashes should also be maintained.

 

How is the implant done?

First, the area to be implanted is numbed by local anesthesia. Then an incision is made in the gingival and the socket for the implant is opened with suitable instruments in the sieve. The implant is placed in the opened slot with special tools. The opening in the tooth is stitched.

Implant
Implant
Implant