How to Choose an Implant Which Brand , Which Doctor ?

Implant selection should be made with the consensus of the surgeon doctor, who will place the implant, and the doctor, who will place the prosthesis and handle the periodical gum treatment in the future. The fact that the doctor who will place the prosthesis informs the surgeon about the prosthesis beforehand, highly impacts the patient’s […]

Implant selection should be made with the consensus of the surgeon doctor, who will place the implant, and the doctor, who will place the prosthesis and handle the periodical gum treatment in the future. The fact that the doctor who will place the prosthesis informs the surgeon about the prosthesis beforehand, highly impacts the patient’s functionality and aesthetic gains at the end of the treatment.

The selection of size, diameter, and shape of the implant should be made by an experienced team, in cases where the jaw bone density is sufficient, using a two dimension visual called panoramic jaw radiography (OPGR).
In cases where the jaw bone density is insufficient or when the plan is to place several implants that will be connected with a prosthesis, a 3D visualization (Computer aided tomography – Volumetric tomography) will increase the success rate.

Today it is possible for the doctor, who will place the prosthesis to obtain some visuals from the patient, move these images to a computer to combine these with the patient’s tomography, design the patient’s implant and prosthesis in a virtual environment, and apply this design to the patient using various apparatus. The implant chosen using this method, called surgical guide, will have the right size, diameter and position to fulfill the patients aesthetic and functional needs.

The fact that the doctors choosing the implant have information and experience about the implant brand is a factor that increases the success of the implant. There are plenty of brands in the implant sector that have proven their trustworthiness and quality. The most important criteria in the implant brand selection process is the brand’s leadership in the scientific fields, and the budget they allocate for research and development. The doctors choosing the implant should pay attention to that brand’s scientific studies, ease of application of the implant, and availability of enhanced connecting units for the prosthesis.

Deniz Ayman , Med.Dt.

For further information about dental implant in turkey, please contact us.

Gum Disease

A gingival disease is revealed by a gum infection or an infection of the teeth supporting tissues. The disease starts with a gingival infection that called gingivitis, and then it proceeds to other tissue, and can lead to alveolar bone loss and periodontitis if there is no treatment. People do not know they are sick […]

A gingival disease is revealed by a gum infection or an infection of the teeth supporting tissues. The disease starts with a gingival infection that called gingivitis, and then it proceeds to other tissue, and can lead to alveolar bone loss and periodontitis if there is no treatment.

People do not know they are sick because they dont feel pain.
So people can not realize this disease .

Bleeding, when brushing the teeth is the most common symptom. Other symptoms include: bad breath, bad taste, swelling gum, replacing teeth,gums becoming red and abscess. If there is no treatment it can lead to a systemic disease and a possible increased risk to develop other problems (cardiac diseases, arteriosclerosis, diabetes, paralysis, premature birth).
The primary reason for gum disease is the absence of brushing teeth or failure to correct possible consequences of harmful germs on the teeth.

Treatment of the disease varies according to the patients. Gingival health is recovered with cleaning of the distain, various surgical operations, and laser applications. Even with the loss of bone graft materials and textures can be created again.

Life with bite! Dental implants for the edentulous jaw

Do you have no teeth at all in your upper or lower jaw? You will still be able to laugh with dental implants. As few as two to four new roots will be enough to provide a firm base for a full denture. A bridge can be fixed to six implants. This will give you […]

Do you have no teeth at all in your upper or lower jaw?

You will still be able to laugh with dental implants. As few as two to four new roots will be enough to provide a firm base for a full denture. A bridge can be fixed to six implants. This will give you a high degree of security in every situation because nothing can come loose unexpectedly.
No more embarrassing surprises. Your full denture is attached to the implants with special retainer systems, which consist of two components. One component is permanently attached to the implant, its counterpart is part of the denture. The components click together just like pressing a button. Your denture is firmly attached. For cleaning the denture can be easily removed and just as easily replaced after cleaning. If you wish, your denture can also be permanently attached to the implants. A bridge can be permanently anchored to at least six implants in your jaw. The denture is then so firmly attached that the supporting pink denture plastic is not required.

After precise planning the new tooth roots are generally placed in the jaw in one single treatment session. During the healing process they become fully integrated into the bone and become an integral component of the jaw. This means that after a relatively short time the retaining elements for the full denture or the new bridge can be fixed in place. It is often possible to fix the denture to the new roots at the same time implants are placed in the jaw. You come to the appointment in the practice or hospital and leave a few hours later with firmly fixed, beautiful teeth.

It is never too late for implants

You will be able to eat, talk and laugh with your implant borne third set of teeth as if they were your second. You will have a perfectly natural security that is very difficult or impossible to achieve with conventional prosthetics. Your own teeth that could be used for attachment no longer exist. And even if you still did have some of your original teeth, they are often not suitable for a permanent stable anchorage of the denture. The prosthesis is based on the jaw only and in the ideal case forms a suction attachment to the oral mucous membrane and the gum. However, because the jawbone without a load atrophies over time like an unused muscle, the suction effect become weaker as time passes.

When third teeth become second nature

You don’t have this annoyance with implants. The artificial tooth roots allow your denture to be securely fixed to the jaw — and this can be done at any age and with virtually any initial situation. Your dentist can retain the last of your original teeth and integrate them harmoniously into the denture as abutments. If you have already been wearing a full denture for an extended period, your jaw bone may be too thin and too narrow to accept implants. In this case your dentist or a surgeon specializing in implants can carefully build up the jaw. This is done with bone from your body or with natural replacement materials. The day surgery procedure can now be done atraumatically and is quickly forgotten. The improved quality of life is permanent. Dental implants have all the properties for your new tooth roots to last for the rest of your life with appropriate care. Don’t hide your smile any more but enjoy the finer side of life actively without embarrassment with your new implants.

For further information about dental implant in turkey, please contact us.

10 Tips to Get a Gorgeous Smile on Your Wedding Day

Visit your dentist at least 2 months before the date. You want to make sure your mouth is healthy and has zero risk of any dental nightmares that can happen right before the big day. Have a teeth cleaning for removing stubborn stains and get your teeth the brightest they can be. Stop drinking teeth […]

  1. Visit your dentist at least 2 months before the date. You want to make sure your mouth is healthy and has zero risk of any dental nightmares that can happen right before the big day.
  2. Have a teeth cleaning for removing stubborn stains and get your teeth the brightest they can be.
  3. Stop drinking teeth coloring beverages like fruit juices, black coffee… etc. after cleaning.
  4. By brushing twice a day and flossing once a day and doing these regularly can create miracles about clean and bright teeth. It’s as easy as that!
  5. Don’t use abrasive materials like carbonate, tooth powder etc. These kind of products can damage the enamel and leads more staining.
  6. If you’re on a budget, opt for an at-home whitening treatment. Ideally, start at least two weeks before the big day to get the best results.
  7. Strike a pose! Try to find your best view in front of a mirror. Take photos of your smile snaps to help you work out which angle works best for you.
  8. Red lipsticks has teeth-enhancing properties. Think about combining your wedding make-up with a red shade lipstick.
  9. Raw fruit and vegetables can clean your teeth. Consider this fact and try to reduce sticky foods in your diet.
  10. Don’t forget that you are the star of that big day. The most beautiful smile is the happiest one. Enjoy every moment!

Non-nutritive sucking

Non-nutritive sucking is an oral action of infant and toddler which consists of sucking thumb, digit and pacifiers or other objects. Non-nutritive sucking in infants is nearly universal and is considered as a normal part of the development stage. The point at when non-nutritive sucking becomes a harmful habit. The percentage of thumbs and digit […]

Non-nutritive sucking is an oral action of infant and toddler which consists of sucking thumb, digit and pacifiers or other objects. Non-nutritive sucking in infants is nearly universal and is considered as a normal part of the development stage. The point at when non-nutritive sucking becomes a harmful habit. The percentage of thumbs and digit sucking drops steadily with increasing age. Children spontaneously discontinue non-nutritive sucking sometime between 2 and 4 years of age.

The effects of non-nutritive sucking on the dentition are minor under 3 years of age and are usually limited changes in incisor position. The upper incisors may become tip to the lips and the lower incisors may tip to the tongue. The effects of Non-nutritive sucking on the primary dentition can change to normal by time when this action over at 3 years of age or may need treatment after ages. Additionally, parents should never place honey, sugar, or any sweet syrup on the pacifier to encourage sucking. These sweeteners will increase the risk of caries.

When the children spontaneously abandon the habit between the ages of 2 and 4, usually there will be no need to treatment. In the under 3 age group, active intervention to discourage non-nutritive sucking is not recommended. Non-nutritive sucking habits after 4 years age may be depend on the child’s cultural background and threatening environments. The continuous of these habits may lead the dental and the orofacial problems after 4 years of age.

Serkan Gulec , DDS, PhD. – Pediatric Dentist

5 Tips for a Younger-Looking Smile

1. Go sugarless.  Dry mouth is a common complaint as we get older. There are hundreds of medications that list dry mouth as a side effect These drugs cause our mouths to produce less saliva, causing discomfort and making swallowing more difficult. But less saliva is also bad news for your oral health as saliva […]

1. Go sugarless. 

Dry mouth is a common complaint as we get older. There are hundreds of medications that list dry mouth as a side effect These drugs cause our mouths to produce less saliva, causing discomfort and making swallowing more difficult. But less saliva is also bad news for your oral health as saliva is what helps prevent decay and infections in the mouth. 
Changing your diet,
Keeping away from sticky foods,
Eating more raw food,
Asking about solutions to a specialist,
Will be helpful to solve dry-mouth problem.

2.Avoid stains.

Discolored teeth are instantly aging. As we get older, our teeth do get darker. Also red wine, some carbonated drinks, coffee and teas can all cause surface stains. Try green or herbal teas instead of black tea to which are less likely to stain. And don’t brush your teeth immediately afterwards, it’s best to rinse with water and then wait at least 30 minutes before you brush, so you don’t damage your enamel.

3.Cut back on snacking.

We know snacking can be bad for our waistline, but it’s also not great for our oral health. Snacking, potato or a can of cola, can keep the acid levels high in your mouth throughout the day. Also things like bread and cereal produce acids which, in turn, contribute to a breakdown of your tooth enamel.

4.Whiten and brighten.

As we age we’re bound to lose some of the pearliness of our teeth. There are a variety of whitening techniques which can help you get your teeth several shades whiter. It’s best to talk to your dentist about these options, and discuss what’s best for you.

5. Fight inflammation. 
Bacteria around the tooth that enter your bloodstream can lead to inflammation. And that inflammation can contribute to diseases in the body, such as high blood pressure and diabetes.

Reference: Shah, Y.(2015). 5 Effective Tips for a Younger-Looking Smile. http://www.huffingtonpost.com/entry/5-tips-for-a-younger-looking-smile_us_561d512fe4b028dd7ea55c1d

Discoloration of teeth

Discoloration of teeth depending on nutritional habits Some food and drinks like black tea, coffee, wine and certain fruit and vegetables can stain teeth. Tobacco use, smoking or chewing tobacco can stain teeth, too. Poor dental hygiene Poor dental hygiene and inadequate brushing and flossing lead to plaque accumulation and stain. Dental materials Some of […]

Discoloration of teeth depending on nutritional habits

Some food and drinks like black tea, coffee, wine and certain fruit and vegetables can stain teeth.

Tobacco use, smoking or chewing tobacco can stain teeth, too.

Poor dental hygiene

Poor dental hygiene and inadequate brushing and flossing lead to plaque accumulation and stain.

Dental materials

Some of the materials used in dentistry cause a grayish or light red discoloration of teeth such as amalgam, cavit, IRM,  fluorid, chlorhexidine,  phenolics and iodoform based medicaments and some especially silver including root canal sealer like AH 26.

The most common cause of coronal discoloration is remnant sealer in pulp chamber after root canal treatment which infiltrates into dentin tubules leading to discoloration.

Medications

The antibiotics tetracycline and doxycycline discolor teeth when given to children younger than 8 years old with still developing teeth.

Trauma

Tooth discoloration after dental trauma because of internal bleeding or other reasons may occur.

Advancing age

The outer layer of teeth which is called enamel gets thinner within time because of wear during chewing, attrition and mistakes during tooth care which reveals the yellowish color of dentin.

Genetic disease

Genetic diseases like amylogenesis imperfecta or dentinogenesis imperfecta may be the reason of yellowish or brownish discolored teeth.

Dr. Şenay Yüksel, Endodontist

Temporomandibular Joint

Temporomandibular Joint, that links the lower jaw to the upper jaw, is located in front of the ear. It is achieved by seating of the process of the lower jaw into the cavity of the temporal bone. For the separation of 2 bony structures, there is a cartilage disc in between. Temporomandibular Joint disorders, occur as a result of the displacement or damage […]

Temporomandibular Joint, that links the lower jaw to the upper jaw, is located in front of the ear. It is achieved by seating of the process of the lower jaw into the cavity of the temporal bone. For the separation of 2 bony structures, there is a cartilage disc in between.

Temporomandibular Joint disorders, occur as a result of the displacement or damage of this disc. It is highly observed in the society, especially among women.

GENERAL SYMPTOMS:

  1. Pain due to opening and/or closing the mouth
  2. Joint sounds (click) during mouth opening and/or closing
  3. Fatigue in the jaw area (especiallywhen the patient wakesup and/or during chewing something)
  4. Frequent headaches
  5. Limited or locked mouth opening and deflection/deviationof the lower jaw while full mouth opening
  6. Ear ringing (tinnitus), ear buzzing, ear fullness and clogged ear complainson account of thejoint problem
  7. Changesin occlusion and feeling of asymmetry in tooth closure (occlusion)
  8. Head and neck muscle pain and asymmetrical outlook because of the reflected effects of the problem

The REASON of this disorder is multifactorial: 

  1. The mostfrequently observedparameter is tooth clenching and/or grinding (bruxism). This habit causes destructive
    overloads not only on the teeth and the surrounding tissue, but also on the temporomandibular joint. These
    harmful forces engender displacements and degenerations of the disc.
  2. Injurious traumas on the jaw bones and the joint (traffic accidents,direct strikes to thejaw, ..etc.)
  3. The conditionscausing imbalance in occlusion (tooth loss, incompatible teeth/restorations, orthodontic
    disorders, chewing on one side)
  4. Occlusalparafunctions(nail biting, pen biting, incorrect posture, ..etc.)
  5. Joint disorders causing temporomandibular joint degeneration
  6. Anatomical and genetic predisposition

DIAGNOSIS can usually be done by a specialist physician with detailed examination. During the examination; physician checks the chewing muscles, the temporomandibular joint, the surfaces of the teeth and the closure, the marks observed on the tongue and cheeks, the joint movements during opening-closing the mouth, and whether there is deviation (deviation) during full opening. In some cases additional imaging methods (MRI, tomography, etc.) may be required.

TREATMENTof this disorder is usually performed as multidisciplinary. Treatment options include information, education and training programs of the patients about their problem, usage of intra oral appliances (occlusal splints), physical therapy (exercise and manipulation), medication, psychological support in the presence of stress and surgical treatment if necessary.

Dr. Ebru İspirgil, Prosthodontist

Digital Dentistry Age

With the development of dental technology traditional dental treatment methods are gradually being replaced by digital dentistry. The use of computer aided design and manufacturing (CAD / CAM) systems in dentistry provides great convenience to both dentists and patients. CAD / CAM systems have many advantages over routinely used conventional methods. These devices make it […]

With the development of dental technology traditional dental treatment methods are gradually being replaced by digital dentistry. The use of computer aided design and manufacturing (CAD / CAM) systems in dentistry provides great convenience to both dentists and patients. CAD / CAM systems have many advantages over routinely used conventional methods. These devices make it possible to make crowns with esthetic materials in a short period of time as 1-2 hours. 

Another advantage of these systems is use of digital impression with the help of special oral scanners instead of impression materials which can cause nausea. Digital impressions are transferred to the computer in three dimensions. After the design of the restoration completed on the computer (Figure 1) it is transferred to the milling machine (Figure 2). The restoration milled from the special porcelain blocks is made ready to be fixed to the mouth after the milling process is completed.

CAD / CAM systems provide a great advantage especially for patients with gag reflex. Patients with hyperactive gag reflexes feel more comfortable with the help of one-visit dental systems. Shortening the time of dental treatment and preparing the porcelain crowns in a single visit provides a great benefit to patients in overcoming fear in patients with dentist phobia. In addition, the restorations produced with computer aided systems has shown a better fit comparing to other systems. This increases the long-term successful rate of restoration.

With the help of computer-assisted systems, not only crowns but also laminates also known as leaf porcelains, can be produced. The ideal contact areas on the teeth are created on the computer and the complaints about the food impaction can be concluded in patients who have complaints like food impaction between the teeth due to the old fillings.

Dr. EDA OZDERE – Prostodontist

Let’s Brighten Your Smile by Teeth Whitening!

Have your pearly whites become dull yellow? If your answer is “yes”, then the best treatment option for you is the “Dental Bleaching”. Your teeth may get darkened by “Extrinsic Staining” that includes –        Drinking liquids such as coffee, tea, Coke or red wine –        Smoking, using tobacco products –        Eating certain foods such as […]

Have your pearly whites become dull yellow? If your answer is “yes”, then the best treatment option for you is the “Dental Bleaching”.

Your teeth may get darkened by “Extrinsic Staining” that includes

–        Drinking liquids such as coffee, tea, Coke or red wine

–        Smoking, using tobacco products

–        Eating certain foods such as pomegranate, beet or cherry.

–        Metallic compounds such as iron, iodine or copper

–        Formation of dental plaque or calculus

–        Topical medications such as Chlorhexidine

or may get discolored by “Intrinsic Staining” that includes

–       Tooth wear by age or bruxism

–       Traumatic dental injuries

–        Flourosis, being exposed to an excessive fluoride as a child

–        Dental caries

–        Enamel Hypoplasia

–        Amelogenesis Imperfecta, Dentinogenesis Imperfecta

–        Ingesting of Tetracycline antibiotics as a kid

–        Hemolytic Disease of the Newborn and Porphyria

So, how do we whiten your teeth in only one visit?

–       Removal of surface stains, dental plaque and calculus by dental cleaning

–       Taking photo of the tooth shade with the Shade Guide.

–       Isolation of teeth by covering gingiva with the gingival barrier.

–       Application of the bleaching gel, “Hydrogen Peroxide” onto the surfaces of the teeth for twice, 20 minutes each time

–       Activation of the bleaching gel by the light or laser (Office Bleaching)

–       If we don’t get satisfied with the result, we may repeat the same procedure one week later.

–       Taking impression of the teeth to get custom trays for “Home Bleaching”

–       Custom trays and carbamide peroxide gels will be given for you to boost the whitening by applying them at home by yourself for two weeks.

–       Taking photo with the Shade Guide to compare the final tooth shade with the previous one.        

Finally, “Teeth Whitening” is one of the most popular cosmetic procedures and the treatment steps are as easy as mentioned above. So, what do you wait for to have a brighter smile?

MSc. Dt. Yaprak Ustabaşı

Sedation

If you have a fear of dentist, low pain tolerance, strong gag reflexes or require of major dental treatment sedation is an option for you. Sedation is a form of anxiety control to make treatment more comfortable for you. Nowadays it provides pain control besides anxiety. It offers an effective, predictable and very safe alternative […]

If you have a fear of dentist, low pain tolerance, strong gag reflexes or require of major dental treatment sedation is an option for you.

Sedation is a form of anxiety control to make treatment more comfortable for you. Nowadays it provides pain control besides anxiety. It offers an effective, predictable and very safe alternative to general anesthesia for dental procedures at dental clinic.

Sedations is a procedure that supply relaxed, calm through the use of sedative drugs. One of the way of sedation drug delivery is intravenous route. Intravenous sedation is both safe and effective when administered by anesthetist. While sedated you will be not aware of sounds, smell and injections and perceive like your dental treatment last a short time even though it takes too long. Your dentist accomplishes treatment in a single visit that might normally require multiple visits or combination of different treatments like filling, periodontal operation and implant placement.

Another advantages of sedation is to provide relax in patients with Parkinson’s disease and cerebral palsy that are unable to control their movements.  After relaxation involuntary movements of patient don’t interfere with dental work. Also some systemic conditions such as hypertension and diabetes are uncontrollable under emotional stress. If you have panic attack, sedation is very useful at like conditions.

Under control of anesthetist and with proper equipment you can overcoming dental anxiety and phobia. Your all dental treatment is performed easily and you achieve healthy and esthetic smile.

Prof. Dr. Ülkü Noyan- Periodontist

What is Digital Smile Design?

Teeth are the most important part of a beautiful smile. But the angulation and position of teeth should be compatible with face. Harmony of the teeth and face directly affects the beauty of face. With the developing technology proper dimensions of teeth can be designed on computer and patients have a chance to see the […]

Teeth are the most important part of a beautiful smile. But the angulation and position of teeth should be compatible with face. Harmony of the teeth and face directly affects the beauty of face. With the developing technology proper dimensions of teeth can be designed on computer and patients have a chance to see the results before treatment. Digital smile design;

  • Provides opportunity to design restorations compatible with whole face (figure 1),
  • Allows the doctor to plan all stages of treatment in details,
  • Informs the patient by presenting visuals about the results before the procedure,
  • Increases the motivation and confidence of patients,
  • Shortens the treatment period,
  • Allows patient to understand the treatment procedures more easily.

Digital smile design mainly based on the use of high-quality digital photos and videos for the analysis of the patient’s facial and oral proportions. Analysis of facial movements through digital data helps to determine the relations among smile line, teeth, gums and lips. The smile can be designed by making some calculations over the photographs (figure 2). The smile creation is suggested to be carried out by a dental specialist team carefully to get more esthetic results.

Dr. EDA OZDERE

Speciality in prosthodontics

Planned restorations according to dental and facial proportions

Figure 1: Planned restorations according to dental and facial proportions

 

Figure 2: The calculations with calibrated ruler

Figure 2: The calculations with calibrated ruler

 

Toothache does not just mean tooth cavity

Generally toothaches are caused by cavities, sometimes the underlying reason for toothaches are not cavities, there might be some serious issues. The reasons of toothaches: Bruxism Bruxism is an excessive teeth grinding or jaw clenching that is an oral para-functional activity. It creates enamel worn down, short teeth, fracture of the teeth and restoration, gum […]

Generally toothaches are caused by cavities, sometimes the underlying reason for toothaches are not cavities, there might be some serious issues. The reasons of toothaches:

Bruxism

Bruxism is an excessive teeth grinding or jaw clenching that is an oral para-functional activity. It creates enamel worn down, short teeth, fracture of the teeth and restoration, gum recession and excess tooth mobility and it results in temporomandibular joint problems. The fracture of tooth cause sharp pain while biting and chewing. A dull pain in more than one tooth is possibly a pressure pain due to bruxism.

A dull morning headache and unexplained facial and jaw pain are other complications of bruxism.

Impacted wisdom teeth

Often impacted wisdom teeth grow in crooked or sideways due to lack of enough space. As they grow, they can push on neighboring molar and this can cause tooth movement, gum disease or decay. Also it becomes infected and swollen and lead to feel pain in next tooth and in the ear or face.

Tooth sensitivity

Use hard toothbrush, hard brushing or bruxism may damage the enamel. Gum disease may result gum recession at the same time root surfaces be opened. Sometimes nerves are being exposed because of the open root surfaces and weakening enamel and this can trigger pain while eating cold or hot foods.

Gum disease

Beside tooth cavities most common problems of the mouth are gingivitis and periodontitis that are bacterial infections. Although the gum pain is an unusual symptom of these diseases, but a discomfort is felt during chewing.

The gum comprises delicate tissue, so aggressive brushing and flossing or some sharp bit of food can damage gum easily. Injured gum leads to pain.

Necrotizing Ulserative Gingivitis and Periodontitis are uncommon acute infections of the gum and generally associated with emotional stress and systemic health condition such as AIDS. They are characterized by painful ulcers at margin of gum and bleeding.

Another acute and painful infection of gum is herpetic gingivostomatitis. It is caused by herpes simplex virus. Nomerous pin-head vesicles occur when rupture to form painful irregular ulseration. Gum abscess, canker sore (aphthous ulcer) and Behçet’s syndrome another reasons of gum pain.

If you have a pain which is not related to cavities it is the best to visit your dentist to stop the condition from worsening.

Prof. Ülkü Noyan- PERIODONTIST

Porcelain Laminate Veneers

Laminate veneers are thin porcelain or ceramic layers which covers the front surfaces of teeth. They are generally 0.5 to 0.6 mm thick and the primary purpose for placing veneers is to improve the appearance of teeth. Laminate veneers are routinely use as a way of making changes for those that: Broken teeth Discoloration Crooked […]

Laminate veneers are thin porcelain or ceramic layers which covers the front surfaces of teeth. They are generally 0.5 to 0.6 mm thick and the primary purpose for placing veneers is to improve the appearance of teeth.

Laminate veneers are routinely use as a way of making changes for those that:

  • Broken teeth
  • Discoloration
  • Crooked misaligned teeth,
  • Uneven tooth edges
  • Teeth which appear small
  • Chipped or malformed teeth

How the Veneers Applied

Since the laminate veneer covers the front surface of a tooth, a small layer of enamel shaved off (about the same thickness as the veneer that will be placed) to make room for the veneer which is about twice the thickness of eggshell.

Once the trimming has been completed, an impression of the tooth and its surrounding teeth and gum is made and transported to a dental lab. It’s the copy of the mouth that will be used to fabricate the veneer.

A temporary veneer will be worn while the permanent veneer is being prepared which usually takes 5 to 7 days for being made. The temporary veneer protects the tooth.

During the 2nd veneer appointment the permanent veneer will be bonded to the tooth using a dental adhesive. The veneer is then buffed and smoothed to provide a comfortable and natural looking result.

Benefits of the Dental Veneers:

  • They can create a very natural looking appearance,
  • No need for surgery, easy to apply
  • Recovery time is minimal,
  • Since veneers made from a stain-resistant material, it remains white and bright
  • Porcelain veneers will last on the order at least 10 years and more likely beyond.

As a conclusion; porcelain veneer procedure can provide an excellent solution because veneers can be used to change the look of the smile which will look beautiful, natural and healthy.

Dr. Lale Denizoğlu, Prosthodontist.

Effects of Radiotherapy on Oral Cavity

Radiotherapy uses high-energy x-rays or particles to destroy cancer cells that may affect a patient’s mouth, teeth, and masticatory muscles. Radiation therapy may cause changes in the salivary glands, which make saliva. These changes may lead to dry mouth, infections, and tooth decay. Trismus, a commonly observed sequela found in patients who have undergone radiation […]

Radiotherapy uses high-energy x-rays or particles to destroy cancer cells that may affect a patient’s mouth, teeth, and masticatory muscles. Radiation therapy may cause changes in the salivary glands, which make saliva. These changes may lead to dry mouth, infections, and tooth decay.

Trismus, a commonly observed sequela found in patients who have undergone radiation therapy to treat malignancies of the head and neck, causes a loss of function that reduces patientsoverall quality of life (picture 1). Depending on the severity of the trismus, the limited oral opening and subsequent loss of masticatory function may interrupt daily activities, such as eating, chewing, swallowing, and speaking. These effects can cause further problems such as severe pain, an inability to receive proper dental care, weight loss, poor oral hygiene, and psychosocial issues. A variety of treatment methods are used to treat radiation induced trismus however, there is no definitive treatment (picture 2). Stretching exercises are also recommended to increase the mouth opening (picture 3). Trismus can also be a life-threatening condition, since patients with trismus cannot be easily intubated in the event that a surgical procedure is needed.

A quick and easy way to identify a possible case of trismus is to place three of your fingers, stacked, between your upper and lower teeth (picture 4).  If the mouth can open wide enough to accommodate them comfortably, then trismus is unlikely to be a problem. If not, this may indicate trismus or its development that should be further investigated by a clinician. Therefore, routine dental check-ups become even more important in patients who had radiotherapy. Preventive dental care before radiotherapy is highly recommended and may make oral complications less severe.

limited oral opening

Picture1: limited oral opening

 

mouth opening device

picture 2: mouth opening device

 

finger stretching exercises

finger stretching exercises

 

the three finger test

the three finger test

Dr. EDA OZDERE

Speciality in prosthodontics

Acibadem Ankara Hospital Dental Clinical Director

Shine Your Smile with Teeth Whitening

Teeth Whitening is the most requested cosmetic dental treatment asked for by patients who want more pleasing smiles. Moreover, it is one of the simplest and quickest way of renovating smiles. It has been using to make your tooth color lighter and brighter. By this way, shining smiles enhance self-esteem and attract positive attention. Teeth […]

Teeth Whitening is the most requested cosmetic dental treatment asked for by patients who want more pleasing smiles. Moreover, it is one of the simplest and quickest way of renovating smiles. It has been using to make your tooth color lighter and brighter. By this way, shining smiles enhance self-esteem and attract positive attention. Teeth Whitening may be accomplished by either of the two techniques which are In-Office (dental clinic) and At-Home.

Office Bleaching

In Office bleaching; the dentist generally uses high concentration of bleaching gel placed directly on teeth while the patient is in dental office. Curing light, plasma arc, led, hydrogen light or laser will accelerate the action of the bleaching gel.

Treatment Process

  • The oral structure is isolated during the process,
  • The bleaching gel is applied to the facial and proximal areas of the teeth,
  • The curing light is positioned over the teeth, this activates the bleaching process.

In-Office bleaching generally takes one to three appointments to reach maximum lightness and brightness. There is one week break between sessions.

Home Bleaching

At-Home Bleaching requires a custom fitted silicone tray of teeth and portable low concentration bleaching gel for patient uses. This process requires longer contact time compared to the in office bleaching technique.

Treatment Process

  • Taking an impression to patient mouth to make a custom tray,
  • The patient puts the bleaching gel inside the tray and wears it for 4 or more hours per night,
  • The treatment can take 5 to 10 days.

In-Office technique is the easiest way for the patients who may have difficulty to use bleaching treatment at home. Office bleaching is ideal for the patients who have a little time to spare and demand quick results or are not confident to do treatment at home. For long lasting results; In-Office technique followed by At-Home technique can be used. Bleaching is safe and effective and adds cluster, strengthen enamel and brighten teeth to several shades whiter.

Teeth discoloration is an unfortunate fact of life. The foods, beverages, aging and enamel loss; they work together to put your teeth at risk and as a result, its natural whiteness becomes darker. But don’t worry! Aesthetic Dentistry has a perfect way to whiten your teeth in a short time while it still protects your tooth structure by bleaching.

MSc. Dt. Özge Ceren Şeker

First Aid of Teeth Injuries

Teeth injuries are increasing in parallel with rise of children physical activities. Parents and teachers should be informed for being able to make the first response when a child has a teeth injury. First Aid and Treatment of Primary Teeth Trauma Wash the injured area with plenty of water. If bleeding continues, press with gauze […]

Teeth injuries are increasing in parallel with rise of children physical activities. Parents and teachers should be informed for being able to make the first response when a child has a teeth injury.

First Aid and Treatment of Primary Teeth Trauma

Wash the injured area with plenty of water.

If bleeding continues, press with gauze bandage or clean cloth for 5 minutes.

Contact the nearest dentist as soon as possible.

Do not try to put milk teeth into place

Put the broken piece or loose teeth into water and contact to dentist

First Aid and Treatment of Permanent Teeth Trauma

  • In the case of teeth breaking;

Find and put the broken piece into milk or water

Get in contact with closest dentist.

  • In the case of completely get out with tooth root;

Find the teeth and keep the teeth head without touching root.

Wash the teeth under running water for 10 seconds and place it back without drop and force

Press the teeth with gauze bandage or hanky, block the falling and contact with dentist.

If you do not put the teeth into place, put the teeth into milk and contact

with dentist.

Do not keep the teeth dry and do not wrap around hanky or napkin.

In order to apply a successful first aid, it’s important that the applier must have basic knowledge about dental issue.

Dr. Serkan Gulec, Pedodontist

Dental Care Especially for Men

We cannot deny the fact that men and women have quite different expectations and treatment understanding in clinical practices. Being more risk averse, men divert to most secure options, and prefer fastest, clear and technologically advanced treatment options. Anatomic hormonal and structural differences are also determinants for men. Men have stronger jaw muscles with cornered […]

We cannot deny the fact that men and women have quite different expectations and treatment understanding in clinical practices. Being more risk averse, men divert to most secure options, and prefer fastest, clear and technologically advanced treatment options.

Anatomic hormonal and structural differences are also determinants for men. Men have stronger jaw muscles with cornered and bigger teeth. In the light of our clinical experiences, we offer our male patients the fastest and the most secure treatment alternatives, and prefer to keep their sessions to a minimum.

Consequently we behave in line with men’s impatient nature.

At this point, CEREC system, which combine speed and technology, and where 3D printers are integrated with CAD/CAM, accelerate our processes. With CEREC, lots of treatments such as crowns, laminate, porcelain fillings can be applied in just one session, without even the need for classic fitting.

Through expert consultations; several doctors can work at the same time, and multiple treatments can be executed simultaneously, enabling us to reach the most efficient and practical results. This way, the most solid treatments can be executed through minimum number of appointments.

Another common problem we observe with male patients is teeth clenching and grinding. A lot of factors that distort our life quality like unavoidable head-neck pain, jaw lock ups, waking up exhausted are all caused by teeth clenching and grinding. We strongly suggest that these complaints are shared immediately with joint experts.

In summary, all our efforts are to create healthy, robust and great smiles for both men and women…

Beril Karagenc , DDS. PhD. / Endodontist

Dental health bears utmost importance for athletes

Toothache, a common dental condition, is an important factor that negatively influences the mood of athletes. Due to toothache, athletes are sometimes unable to complete a sports competition and withdraw or have to interrupt their training schedules. Dentist Hatice Ağan said in a press statement that dental diseases directly affect the performance of sportsmen and […]

Toothache, a common dental condition, is an important factor that negatively influences the mood of athletes. Due to toothache, athletes are sometimes unable to complete a sports competition and withdraw or have to interrupt their training schedules. Dentist Hatice Ağan said in a press statement that dental diseases directly affect the performance of sportsmen and women. Ağan said that according to a study assessing sportsmen in 25 different sports fields, it was found that 55 percent of them were diagnosed with tooth decay. Moreover, one-third of them suffered from gingivitis and 15 percent were found to have irreversible gingival and soft tissue damage. Among the subjects, 18 percent said toothache negatively affected their success. More than half the athletes did not have a dental check-up in the past year.

Many studies also demonstrated that athletes suffer from poor oral hygiene, which is related to food habits, Ağan said. “Athletes need twice the amount of energy than a healthy adult. A significant portion of energy comes from carbohydrates. To minimize the effects of the acidity caused by high-calorie carbohydrates and the high sugar content in energy drinks, it is recommended to use high-fluoride toothpaste,” she said. Ağan also said tooth decay can easily be caused by dental plaque, which increases when saliva, which protects teeth from decay and erosion, reduces during long and exhausting exercises. She stressed that athletes are recommended to consume water during training breaks to avoid dry mouth. In general, tooth decay and bacteria that cause intraoral infections can damage internal organs, especially the heart, kidneys and liver. Ağan emphasized that routine dental check-ups can help them avoid possible problems and increase their success.

Resource: Dr. Hatice Ağan, Prosthodontist, Daily Sabah News

Orthodontics for Adults ( Adult Orthodontics )

It has been widely known for 30 years that crooked or spaced (irregular) teeth in children can be corrected by braces (orthodontic treatment) in our community, however for the last 15 years the treatment is very common for adults also. In fact, all the teeth in the mouth can be moved at any age – […]

It has been widely known for 30 years that crooked or spaced (irregular) teeth in children can be corrected by braces (orthodontic treatment) in our community, however for the last 15 years the treatment is very common for adults also.

In fact, all the teeth in the mouth can be moved at any age – by applying pressure (forces) with various  kinds of orthodontics appliances – and the positions of the teeth can be corrected. In other words, no body has to go through life with irregular teeth anymore. Fantastic  results can be achieved in adults when the dimensions, directions and duration of the orthodontic pressure (force) are implemented without harming to the surrounding tissues of the tooth root.

Upper teeth are lined up on the upper jawbone base and the lower teeth on the lower jawbone base. The precondition for the best fit of the upper and lower teeth together is the harmonius relation of the upper and lower jawbone bases. In case of inharmonius relation between upper and lower jawbone bases,  the growth direction and the rate of the upper and lower jawbone can be altered to achieve best fit by applying pressure in growing subjects while correcting the upper and the lower teeth during orthodontic treatment, where surgical methods can be implemented in adult subjects if the growth of the jaws were completed. However it’s not necessary to apply surgical methods in conjunction with orthodontic treatment in every adult. Only if there is a severe inharmonius relation between the upper and lower jawbones resulting in inharmonius relation (closure) of the upper and the lower teeth, surgical methods will be required. The best fit of the upper and the lower teeth at the end of the orthodontic treatment is also important for a stabile and permanent treatment result.

While fixed orthodontic tools such as metal brackets (braces), ceramic brackets, lingual brackets which are attached to the tooth surfaces facing to the oral cavity  may be used in adults to correct the teeth, transparent plates (aligners) –that can be applied and removed by the subjects- have become very popular in recent years.

A widely held belief in our society regarding orthodontic treatment with transparent plates (aligners) is the teeth can be corrected (moved) by wearing them only during the night time. In fact, correction (movement) of the teeth is only possible when pressure (force) is applied continuously, in other words more than half of the day (more than 16 hours per day) and this principle is same for each orthodontic tool.

The type of orthodontic tool and the duration it’s used can only be determined by the severeness of the person’s orthodontic irregularity, and the available time for treatment, and his or her economic status. Also the experience, ability, and vision of the orthodontic specialist who will carry out the treatment.

Everybody deserves to have a beautiful smile, and healty teeth.

Prof. Dr. Hakan Necip İŞCAN

What is Ceramic Veneer?

The term “Laminate” means in essence “thin layer, slice or leaf” in Latin. That’s why in dentistry, laminates are also called as “ceramic veneers”. Veneers were invented by California dentist Charles Pincus in 1928 to be used for a film shoot for temporarily changing the appearance of actors’ teeth. What are the stages of the […]

The term “Laminate” means in essence “thin layer, slice or leaf” in Latin. That’s why in dentistry, laminates are also called as “ceramic veneers”. Veneers were invented by California dentist Charles Pincus in 1928 to be used for a film shoot for temporarily changing the appearance of actors’ teeth.

What are the stages of the Treatment?

The optimal smile and esthetics can be achieved by changing the form, position and shade of your teeth with these wafer-thin shells (0,3-0,7 mm) bonded only onto the buccal surfaces of your teeth. At the same time, your teeth will be protected against abrasion, fracture and staining with the ceramic veneers offered as a conservative cosmetic treatment.

The crowded or spaced out teeth or the teeth with fractures, severe staining and large fillings can be treated with ceramic veneers.

The result provided with ceramic veneer treatment is generally very close to perfection but at the same time stages are not as difficult as you think. Treatment steps are as follows:

  • The dentist takes your intraoral and extraoral photos.
  • The dentist takes an impression of your teeth and obtains a model. The dentist and the dental technician work on the model and the photos together to decide on the optimal teeth form and shade. After your smile is designed on the model, the dental technician prepares temporary wax veneers called as “Wax-up Try On” for you to see how your teeth will look after the treatment. If you wish to make any corrections, the technician will immediately do the adjustments and try the veneers on at the same session.
  • The dentist removes approximately 0,3-0,7 mm from the buccal and incisal surfaces of your teeth and takes another impression.
  • After the ceramic veneers are designed and machined according to the wax-ups, they are bonded on the teeth surfaces with the resin cements.

Thus, the ceramic veneer treatment and smile design are completed in short span of three sessions. In dentistry, ceramic veneer treatment is the most conservative cosmetic treatment for the perfect smile.

MSc. Dt. Yaprak Ustabaşı

Oral Complications Related to Chemotherapy and Radiation Therapy

Chemotherapy and radiotherapy  not only slow or stop the growth of cancer cells, but also slow or stop the growth of normal cells such as cells of the protective lining of oral cavity. Cancer treatment often impairs the function of bone marrow, suppresses the formation of white and red blood cells and platelets. All of […]

Chemotherapy and radiotherapy  not only slow or stop the growth of cancer cells, but also slow or stop the growth of normal cells such as cells of the protective lining of oral cavity. Cancer treatment often impairs the function of bone marrow, suppresses the formation of white and red blood cells and platelets. All of them slow down the ability of oral tissue repairing and ruin the protective mechanism of oral mucosa against harmful bacteria. These changes may lead to oral complications caused by chemotherapy and radiotherapy. These complications can jeopardize patients’ health and quality of life and prevent completion of planned cancer treatment. Also it can cause to postpone or to discontinue scheduled therapy.

Oral Complications:

Oral mucositis:  One of the first symptoms of cancer therapy complication is ulceration and inflammations of the oral mucous membrane. It can lead to pain, oral and systemic infection and nutritional difficulty.

Infections: Chemotherapy and radiotherapy can upset the healthy balance of microorganism in the mouth. Bacterial, viral and fungal microorganisms cause mouth sores, infections, tooth decay and gum diseases.

Dry mouth: Cancer therapy especially radiation cause salivary glands dysfunction, affects the production and quality of saliva. Changes of saliva flow increases risk of infection and effects speaking, chewing and swallowing. Another risk is dental caries.

Taste changes: The reason of taste changes is not clear, it can be due to the damage of oral cavity cells. Some drugs cause metallic taste.

Nutrition deficiency:  Poor appetite, mucositis, dry mouth, dysphagia and  taste change lead to eating difficulties and then occurs poor nutrition.

Bleeding: Chemotherapy or radition therapy suppress bone marrow and decrease production of platelets and clotting factors, consequently gum bleeding developes.

Prevention is key to minimizing  of oral complication of cancer treatment. A complete dental examination and dental treatment before cancer therapy,  home care and regular visit dentist during the therapy can prevent or reduce the indicence and severity of oral complications.

Prof. Dr.Ülkü Noyan

Bruxism

The masticatory system is composed of bones, temporomandibular joint,  ligaments, muscles, teeth and the supportive tissues.  This system has the functions as; chewing, swallowing and talking. Besides; there are some other activities which have destructive effects on the masticatory system, they are called parafunctions (lip biting, thumbsucking, pencil biting, nail biting, abnormal jaw positioning and […]

The masticatory system is composed of bones, temporomandibular joint,  ligaments, muscles, teeth and the supportive tissues.  This system has the functions as; chewing, swallowing and talking. Besides; there are some other activities which have destructive effects on the masticatory system, they are called parafunctions (lip biting, thumbsucking, pencil biting, nail biting, abnormal jaw positioning and BRUXISM (non functional clenching and grinding of teeth during sleep and/or awake time). Though they are all destructive, has the most detrimantal effect among all. According to the current knowledge; psychosocial factors (stress), biological factors, genetic factors and exogen factors (smoking) are the main factors in the etiology of bruxism.

Bruxism may cause;

  • tooth wear
  • fractures of the teeth, dental restorations and dental implants
  • teeth and/or implant loss
  • toothache and/or masticatory muscle pain
  • limitation of mouth opening
  • pain in (temporomandibular) joint area
  • loss in jaw bones and teeth supportive (periodontal) tissues
  • masticatory muscle hypertrophy
  • displacement of the disc of the temporomandibular joint

These problems above arise because of the overload effect of bruxism on the physiological tissues. In healty individuals, the teeth only come into contact during swallowing, chewing and pronunciation of some letters. During bruxism, individuals clench and/or grind their teeth in intercuspation position and/or during the excentric (right-left, backward-forward) movements of the jaw.

The prevalence of bruxism in the population is %8-31,4.

During the intraoral clinical examination about this problem; the specialists check the hyperkeratosis areas in the cheeks, the overpressure signs of the teeth on the tongue and lips, tooth wear, teeth/implant and/or restoration fractures. The clinicans also check the masticatory muscles extraorally. In some cases, specialists may need some complementary evaluation methods.

Worldwide the most prevalent treatment of bruxism is OCCLUSAL SPLINTS (intraoral appliances). This is a non-invasive and a reversible method which temporarily changes the functional relations of the masticatory system.

The are used to;

  • Reduce the occlusal parafunctions and bruxism, distribution of the occlusal loads.
  • Prevent the tooth wear
  • Treat/Reduce the myofascial pain
  • Changing the occlusal forces
  • Treat/reduce the TMJ originated pain
  • Provide the neuromuscular coordination
  • Increase the vertical height
  • Improve the TMJ functions

If you think or have a suspicion that you clench your teeth, you should consult a specialist to protect yourself from the possible problems above…

Dr. Ebru İspirgil

 

Solutions For Most Common Problems At Dentists

Whether you are 80 or 8, your oral health is important. However, many individuals do not go to the dentist as frequently as they should because of the long list of problems that accompany being in a dental office. Wouldn’t it be nice to hear some suggestions on how to handle some of the biggest […]

Whether you are 80 or 8, your oral health is important. However, many individuals do not go to the dentist as frequently as they should because of the long list of problems that accompany being in a dental office. Wouldn’t it be nice to hear some suggestions on how to handle some of the biggest problems about going to the dentist?

If you are afraid of the dentist, you are not alone.. Dental treatment is one of the most frustrating parts of our overall heath. Many of us postpone what needs to be done and just continue to live with pain. In fact, just by taking the first step you can reach a solution much  easier than you ever imagined.

 

Fear

A few useful recommendations:

* You want your dentist to allocate a comfortable and long-enough timeframe

* Try to choose the most peaceful hours at the clinic.

* Be at the clinic 10-15 minutes prior to your appointment and give yourself time to get used to the environment.

* Please ask for a detailed explanation from your doctor about the procedures and the steps of your treatment .

*Hold this conversation in a comfortable environment, separate from the examination room.

* Under medical supervision of your doctor, you can have light drugs that can calm you and reduce your stress.

* Getting the simplest step of the treatment done in the first session can help you relax about the whole treatment plan.

* See your doctor often and complete your treatment quickly without losing your concentration.

* You can also have ‘sedation’ a way to achieve ‘deep and give yourself time to get used to the environment. relaxation and a feeling of not being bothered by • what’s going on around you’ under supervision of an anesthesiologist.

Too much time

Single visit dentistry’ provides treatment in just one dental appointment using CAD/CAM technologies (CEREC). With CEREC, multiple appointments for the same treatment are no longer necessary. Instead, necessary restorations are identified, created and cemented in the same day. Finishing the restorations during a single visit also means fewer injections which might become a nightmare for many patients. CEREC restorations are usually designed based on digital impressions taken from special scanners. The traditional distasteful impression materials and bulky trays are no longer used. Same day CEREC dentistry also eliminates the use of temporaries so dealing with them falling out at inconvenient times is not necessary and tooth sensitivity is reduced.

Aesthetics or keep it original?

If you are concerned about the removal of healthy tooth structure, modern dentistry has conservative techniques available to improve the look of your smile with whitening and composite bonding, as well as minimal and no-prep veneer laminates. Also you can have implants -artificial roots- for replacing your missing teeth. Then you can gain back your teeth just like the original set.

Cost

People believe they will have better social lives and more successful careers if they have an attractive smile. It is for this reason that we work with people, who not only want to be as healthy as possible, but also want to look their best in the long term. The main concern about a better and healthier smile is the ‘cost’.

With the improvements in technology, it is much easier to get high-quality dental treatments than you think. Also more and more insurance companies have launched health plans that include dental coverage especially in corporate companies.

Ask for the dental clinics that work as partners under an agreement with your insurance company.

Comfortable, stable, natural-looking?

When you lose your teeth, a dentist will replace it. But the important question is: How comfortable will you be? Because no matter what a genius your dentist is, you will have something artificial.

Implants are the miracle solution for comfort in your mouth. You can replace missing teeth without touching the proximate ones and they function and look like your own teeth. Also implants are the life line for removable dentures. Removable dentures tend to move while talking, eating or even while laughing. Patients can’t bite whatever they want and cannot chew adequately.

Dentist Erhan AYDINLAR

Dental Implant Treatment and Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disease that has effects on whole body mechanisms. Today approximately % 9 of  the world population is suffering from this metabolic disorder. It’s frequently asked that dental implant therapy is recommended for diabetic patients. Dental implant treatment can be applied safely in diabetic patients with controlled blood sugar levels. […]

Diabetes mellitus is a chronic metabolic disease that has effects on whole body mechanisms. Today approximately % 9 of  the world population is suffering from this metabolic disorder. It’s frequently asked that dental implant therapy is recommended for diabetic patients. Dental implant treatment can be applied safely in diabetic patients with controlled blood sugar levels. However the treatment has some risks for uncontrolled patients.

After placing the implant into the bone, an intimate relationship between the bone and the implant becomes established during the healing process; known as osseointegration. Hyperglycaemic situations for diabetic patients have some negative effects on immune system and  microvasculature. Wound  healing is slower in diabetic patients compared to healthy individuals. This can affect the implant osseointegration negatively.

 

Before the therapy, oral surgeon should take endocrinologists consultation for evaluation of the current health status and approval of the treatment plan. Before the dental implant surgery, all the diabetes related tests must be completed. Today glycosylated hemoglobin (HbA1c) test  is an important criterion to assess the blood glucose levels of diabetic patients. However the risk is very low for the patients with good glycemic control. Most studies support that patients with good control have similar success rates compared to healthy individuals.

Because of diabetes mellitus is considered as a risky condition for the oral diseases, postoperative care is important for this patient group. Co-morbidities should be taken into account and regular dental controls after the operation should also be required. Before and after the dental implant surgery diabetic patients need some advices for the maintenance of the treatment:

  • Optimizing oral hygiene
  • Cessation of smoking
  • Keeping the blood sugar levels at appropriate levels
  • Regular dental controls to prevent periodontal and periimplant infections

Dr. Gamze OLUS

ORAL SURGEON

Oral Cancer

One of the major health problems of 21st Century is cancer and approximately % 5 of them appears in oral cavity. Oral cancer is particularly high in men and older people. The difference ratio of cancer between men and women may be related to use of alcohol and tobacco. Generally it may arise as a […]

One of the major health problems of 21st Century is cancer and approximately % 5 of them appears in oral cavity. Oral cancer is particularly high in men and older people. The difference ratio of cancer between men and women may be related to use of alcohol and tobacco. Generally it may arise as a primary lesion originating oral tissues, but sometimes may metastasize from other organs or tissues. It can form in the lining of the cheeks, gums, roof of the mouth, tongue, and lips.

Risk factors of oral cancers

Smoking: The majority of mouth cancer cases develop to be as result of smoking and tobacco use. Inhaled, burnt tobacco can damage cells of oral cavity. Pipe smoking is a particularly significant risk for cancers in the area of the lips that touch the pipe stem.

Excessive consumption of alcohol: Alcohol also can damage cells of lining mouth and cause oral and throat cancers.

Heavy smoking combined with heavy drinking: Tobacco and alcohol have synergistic effect. Alcohol facilitates penetration of carcinogenic factors of tobacco to oral tissues.

Sun exposure: Prolonged exposure to sunlight may increase the risk of lip cancer.

Human Papilloma Virus: In recent years the Human Papilloma Virus (warts) caused by oral cancer are seen frequently.

Oral Hygiene: Poor oral hygiene may have a risk of oral cancers. Poor with oral hygiene people have chronic infections such as gum diseases that can play a direct or indirect role carcinogenic. Direct and indirect toxic actions of microorganism can affect increasing of lining cells of oral cavity also facilitate tumor development.

Other Factors: Poor-fitting dentures irritate the tissue of oral cavity and increase the risk of developing cancer. Leukoplakia, erythroplakia and liken planus consider precancerous lesions.

Symptoms

Persistent mouth ulcer: A broken area in the mouth that does not heal within three weeks. This isn’t all the time painful

Pain: Persistent discomfort or pain is another common sign of oral cancer (especially late stage sign)

Difficulty chewing or swallowing: Mouth cancer may cause pain or burning sensation during chewing or swallowing food

Difficulty moving the jaw or tongue

A lump in the neck: Swelling of one or more lymph nodes in the neck is a common symptom of oral cancers

A white or red patch in the mouth or throat

A sore throat or feeling that something is caught in the throat

Numbness of the tongue or elsewhere in the mouth

Thickening or swelling the oral soft tissues that affects the fit and comfort dentures

Loosening of the teeth

Voice changes

Weight loss

Persistent bad breath

The early diagnosis of oral cancer as with all types of cancer is critical, it is easily cured if it treated in its early stage and survival chance is increased. Unfortunately at the early stage the developing lesions have not a noticeable changes that this can prevent early detection. Therefore it is important to visit dentist regularly. The dentist will take simple measures and treatment reduces the risk of cancer, or even eliminated.

Prof. Ülkü Noyan (PERIODONTIST)

Advanced Surgical Techniques for Dental Implant Surgery

Is it possible to place dental implants for all patients? Before dental implant surgery, eligibility of jaw bones for dental implant placement is decided by detailed systemic history, intraoral and radiologic examinations by your specialist. Nowadays, Computed Tomography  (CT)  is the most reliable and moderate imaging technique. In first step, oral cavity examination and  detailed 3D […]

Is it possible to place dental implants for all patients?

Before dental implant surgery, eligibility of jaw bones for dental implant placement is decided by detailed systemic history, intraoral and radiologic examinations by your specialist. Nowadays, Computed Tomography  (CT)  is the most reliable and moderate imaging technique. In first step, oral cavity examination and  detailed 3D tomography  have been completed. Patients current jaw bone capacity and height could not be available for dental implant operation all the time. At that cases, suitable advanced surgical operations could be completed by your oral surgeon. Choosing to right procedure, patients general health situation and analysis of  local area on jaw are going to be defined by the specialist.

Today many techniques can be performed to strengthen the amount of bone. That procedures could be different for upper and lower jaw. The most preferred method is still autogenous bone graft method that is accepted  as golden standart worldwide. The capacity of upper and lower jaw bone could be strengthened by that method with the transfer of the bone taken from the patient himself. Preferred regions may differ from patient to patient and depending the required bone quantity for implant placement (jaw bone, iliac crest) Except that method,  new bone could be get with other sources like human cadaver bone, animal bone, synthetic blog or particulate grafts. One of the advanced surgery techniques is sinus lifting operation which is asked frequently. That technic is applied in case of  ineligible bone height on upper  jaw bone in grinder area. We need to apply for this procedure  frequently cause of  gum disease and early loss of posterior teeth in upper jaw. The aim of sinus lifting operation is to increase the jaw bone height  by  lifting  the sinus membrane and adding bone graft  into that gap. We need to wait until ingenerating new bone in that process. Dental implants are applied into the bone at  the end of that waiting period. Waiting period for the new bone genesis after these operations could be change depends on advanced surgery  implementations. It should be taken into consideration that all of these operation techniques must be managed by experienced specialists.

Dr. Gamze Olus

ORAL SURGEON

For further information about dental implant in turkey, please contact us.

Dental Implants: 5 Questions to Ask

What is Dental Implant? A dental implant is a new artificial root for a new tooth. Implants are made of pure titanium which is totally bio-compatible. Usage duration of dental implant is patient’s lifetime, under proper conditions like oral care habbits hygiene, care of dentures. What are the Advantages of Dental  Implant? Dental implants are […]

What is Dental Implant?

A dental implant is a new artificial root for a new tooth. Implants are made of pure titanium
which is totally bio-compatible.

Usage duration of dental implant is patient’s lifetime, under proper conditions like oral care habbits hygiene, care of dentures.

What are the Advantages of Dental  Implant?

Dental implants are the best solution for missing teeth without damaging other close teeth.

Healthy teeth do not need to be ground down with dental burrs.

You can laugh and eat as you please knowing that your teeth are securely in place. After surgery operation the patient surely can eat,laugh and feel themself in confident.

Sufficient chewing is the first rule of digestive health and chewing functions can be restored by implants.

Tooth loss may cause bone loss and facial asymmetry. The facial sillhouette is preserved with implants, and existing profile is protected and also you can keep on your face a  confident smile.

How Painful are Dental Implants?

One of the biggest fear for people about dental implants is  ‘pain’. Fortunately, patients who have the implant operations report very little discomfort in the procedure and also after.

During the procedure itself, usually only local anesthesia is used and most patients report less pain than considered pain from a tooth extraction. Following the procedure, mild soreness is treated with basic painkillers.

What is the Process for Dental Implants?

We use specialized, high-tech 3D imaging to visualize the bone structure and ensure proper conditions. After an examination, experienced surgeons use a simple operation to place the implant in the jawbone.

 To integrate the implant in the bone, we allow an interval of 2 months (for the lower jaw) or 3 months (for the upper jaw).

When healing is complete, the abutment is inserted. An abutment is a ceramic or titanium component that ensures a secure fit between the dental implant and the crown.

Once the dental implant and the abutment are in place, it is time to fit the crown, the bridge, or the prosthesis for an entire upper or lower jaw.

How to Select a  Dental Implant Brand?

There are many implant brands in the world.

Selecting a top-quality brand ensure the survival of your implant and the success of your treatment.

Make sure to consult an expert before selecting an implant.

Dr. Gamze Olus

ORAL SURGEON

For further information about dental implant in turkey, please contact us.

7 Factors to Know When You Get Dental Implants

For many years, the only treatment options available for people with missing teeth were bridges and dentures. But today dental implants are available. In fact, implant supported removable dentures  are very  good alternatives, if you make a good plan. There are many advantages  to tooth implant supported removable dentures.   Dental implants may be an […]

For many years, the only treatment options available for people with missing teeth were bridges and dentures. But today dental implants are available. In fact, implant supported removable dentures  are very  good alternatives, if you make a good plan. There are many advantages  to tooth implant supported removable dentures.

 

Dental implants may be an an option for people with missing teeth. What do you need to pay attention to when you get dental implants?

  • Convenience; First of all, Is your general health status fit for dental implants?  You may be medically evaluated by a physician before any implant surgery is scheduled. In case of, chronic illnesses,  such as  uncontrolled diabetes or osteoporosis, you need the approval of a qualified physician before anything is done.
  • If you use  regularly medicine, this medicine prevent you from getting dental implants. (such as bisphosphonates,  chemotherapy medicines)
  • Do you have enough  height and thickness  in your jawbone for dental implants? There are a lot of types of  dental implants . CT scans are the most accurate form of  x-ray imaging. CT scans can be done for all kinds of dental implants and done before taking  a  decision.

If three conditions are provided, you can get the dental implants. The next steps  to be taken into consideration are the following,

  • Experienced team; The team should be experienced. Also clinic must have enough hardware.  Dental implant’s team  education, training, experience and competence in implant denstry  it is important when you choose your clinic.
  • It is important to use the brand of  dental implants.  Check the international reputation, availability, quality and guarantee of the brands you consider.

If you have any problem in the coming years  with your dental implants, you should make sure to have access to small  parts  in every country.  Unfortunately,  some implant brands after a while get out production.  So  people  ( especially dentists and patients) find themselves  helpless.

  • Dental implants are designed  to provide you with a comfortable prosthesis.

Your implants will be positioned according to the prosthesis to be held,  Fixed? Removable? What materials will be used metal or zircon or ceramic?

  • Finally, you should absolutely ask about the  dental implants  prices?  Dental implants are made up  of  2 parts. The first part is the body part, the second part is the abutment.  Ask about  the price for each part.

While some  clinics are required to differentiate prices for the body and the abutment, some of them  give a global  price. The prosthesis will be charged on top of the body and abutment.

Your implants will be inserted in your body and will become a part of you for the years to come.

Take a time to look into the various options. Do not focus only on the price.

Dentist Erhan AYDINLAR

Endodontic Treatment with Modern Techniques

Our teeth are meant to last a lifetime. However, a deep cavity, trauma, periodontal problem or an injury to the tooth may cause cracks and by the way tooth becomes infected. This infection damages both the network of blood vessels and nerves inside. The damaged pulp can cause infection , swelling and pain ıf it […]

Our teeth are meant to last a lifetime. However, a deep cavity, trauma, periodontal problem or an injury to the tooth may cause cracks and by the way tooth becomes infected. This infection damages both the network of blood vessels and nerves inside. The damaged pulp can cause infection , swelling and pain ıf it is not treated. If the pulp becomes infected, the infection may spread through the root canal system of the tooth. This may eventually lead to an abscess. An abscess is an inflamed area in which pus collects and can cause swelling of the tissues around the tooth. The symptoms of an abscess can range from a dull ache to severe pain, and the tooth may be tender when you bite. If root canal treatment is done, the spread of infection can be blocked. Depending   upon how much infection there is in the injured tooth, dentist or endodontist may put some disinfection material into the root one or more times. Thus, the tooth will be kept in the mouth safely.

Endodontic treatment, is a kind of horror movie for the most of the patients in consequence of a common anxiety and the fear of pain. However, it should be remembered that, the tooth kept in the mouth endodontically, continue to stimulate the bone functionally and prevent the bone loss. Thus if possible, the teeth should be preserved in the mouth for the best health of the oral tissues. Today root canal treatment can be performed mostly on single visit under local anesthesia by using professional endodontic devices and instruments. It has been showed that success rate of endodontic treatment performed by endodontists have greater outcomes up to %98. Knowledge and ability of the dentist, choosing proper instruments, sterilization of the equipments, keeping up with the literatures and developments determine these success rates.

Following the endodontic treatment, in the past, a root-filled tooth would often darken after treatment. However, with modern techniques this does not usually happen. If there is any discoloration, there are several treatments that will restore the natural appearance. Several internal bleahing material can solve this discoloration problem in one or two visit.

Dentistry has eight specialty branches and endodontics is one of these branches, and a dental specialist called an Endodontist, is required for the occasions listed above to perform endodontic treatment which combines great skills, precision, accuracy, patience and vision.

Dr.Burçin Öztürk – Dr.Emre İriboz

ENDODONTIST

Dental Plaque is Your Enemy

The dental implants which are bringing you back the sense of smile, aesthetic, chewing and speaking functions, are at risk of dental plaque bacteria which are the enemies of your teeth. Insufficient oral hygiene favours the development of bacteria that can cause an infection in the gums around implants. The infection that affect the gum […]

The dental implants which are bringing you back the sense of smile, aesthetic, chewing and speaking functions, are at risk of dental plaque bacteria which are the enemies of your teeth.

Insufficient oral hygiene favours the development of bacteria that can cause an infection in the gums around implants. The infection that affect the gum will attack the bone surrounding the dental implant and starts resorption in the bone.

Therefore this can even be the beginning of complete loss of your implants.

It is very easy to fight against this enemy. Tooth brush, dental floss and/or interdental brushes are our weapons.

Special Cleaning Tools

  • You can use a manual or electric tooth brush. Manuel tooth brushes should be soft and reach each region in the mouth. Angularity handle may facilitate to access to the bent regions of the mouth.
  • Sonic and electric brushes, soft head should be used. If you have a disease like rheumatic arthritis, you may use such a tooth brush.
  • You can also use dental floss and interdental brushes to clean the prosthesis contact points.
  • Single-tuft tooth brushes; If you use a removable prosthesis you can clean around the abutment with a single-tuft tooth brush.
  • Dental floss-interdental brushes; Prosthesis contact points are always vulnerable to bacteria. With this tool you can clean easily between contact points of your prosthesis.
  • Irrigation systems: Irrigations systems are a very effective tool to clean soft food on the top of the dental implant prosthesis. If you want you can also use an alcohol free mouthwash.
  • Tooth paste, you should use a non-corrosive tooth paste to protect your dental implant and prosthesis.

Brushing Methods

You brush carefully all teeth surfaces.  Move to brush over the surface of 2 to 3 teeth at a time using and applying firm but gentle pressure and jiggling, So, the brush bristles will arrive under the gum. Repeat the same movement ten times before moving to the next teeth. Clean all your teeth this way. Avoid moving your brush back and forth, as this damages your gums.

Tips

  • Brush your teeth minimum twice a day in the morning and evening.
  • Clean your teeth interdental spaces with dental floss and/or interdental brush every night.
  •  Brush in front of a mirror and sufficient light.
  • Clean the surface of your tongue to have a fresh breath.
  • After brushing, rinse your mouth with water, debris will go away from the oral cavity and your mouth will not be dry.
  • Change your tooth brush or tooth brush head every 3 to 4 months.
  • Go to the dentist every six months for a control and professional cleaning.

Don’t forget this simple process as it will help you to have a healthy smile forever.

Prof. Ülkü Noyan- PERIODONTIST