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أسئلة وأجوبة

سؤال
What is the most remarkable advantage of zirconium crowns? AR
الأجوبة

Zirconium is an infrastructure (supportive) material; since it is white in color, its harmony with porcelain superstructure will have better aesthetic outcomes than metallic infrastructures. Accordingly, most remarkable advantage of zirconium used as a base for porcelain restorations originates from aesthetic features. They ensure total harmony with natural teeth, thanks to their light transmittance. Thereby, a perfect aesthetic outcome can be achieved.

Since quality of aesthetic appearance is high and light transmittance is strong, appearance is very close to that of natural teeth. Since porcelain blocks are prepared utilizing digital techniques completely, error rate is minimized. Moreover, some studies had proven that harmony of zirconium with gums is better than that of metallic infrastructures.

سؤال
Do zirconium teeth resemble natural teeth? AR
الأجوبة

Since there is no metal reflection beneath them, no artificial look is noted, which is normally seen in metal abutments.

سؤال
Can zirconium be used for implant-supported prosthesis? AR
الأجوبة

They can be used in crown bridges, as well as in implant supported prostheses. Zirconia material is covered with porcelain and ceramic and thus aesthetically successful results are obtained. Its most substantial feature is that it is tissue friendly material. It is quite durable against chewing pressure, in addition they never reflect grey color from gums because they have the same shade with teeth.

سؤال
Do zirconium crowns cause discoloration or yellowing of teeth in the future? AR
الأجوبة

They do not cause plaque deposition thanks to its polished and smooth surfaces. Therefore, it is not affected by discoloring agents such as coffee, tea, and tobacco. Its shade stays stable.

سؤال
How are zirconium crowns maintained? AR
الأجوبة

You can do oral cleaning and care just as you do while brushing your teeth. Dental floss is used for interdental areas. When regular dentist visits, once in six months periods, are paid, problems are determined beforehand and precautions are taken.

سؤال
Is there any pain during zirconium crown procedure? AR
الأجوبة

Cutting procedures (getting ready of teeth for crowning) is done under local anesthesia and then a temporary crown in teeth shade is placed therefore aching in hot or cold is prevented. A minimal aching is seen in a small number of the patients, generally the process is completed without any major problem.

سؤال
What are the advantages of the porcelain laminates? AR
الأجوبة

Porcelain laminates require minimal cutting procedures, in addition they are not stained by tobacco, tea, red wine, coffee and etc. Porcelain laminates do not cause discoloration in gums in time, since they are very thin and they do not include metal. Porcelain laminates allow light rays pass through them since they are very thin, and also they have a unique ability to make the teeth, on which they are applied, look natural. With this feature, they look natural even under flashlights and disco lights. Under these types of lights, crowns including metal are seen as black spots, making them appear as they do not exist. They provide a natural enamel look, as they provide protection against caries and discolorations. The teeth, which require all around crowning after reducing, may have a perfect look with only a small cutting on their front surfaces, depending on their places, thanks to porcelain laminates.

سؤال
What is Aesthetic Dentistry? AR
الأجوبة

Aesthetic dentistry is a set of various procedures on teeth and gums and a set of treatments which helps patients gain healthy and aesthetic look and gain lost functions back. Aesthetic dentistry makes treatment of cavities, eroded teeth, discolored teeth (whitening), sensitive teeth, gap teeth (diastema), traumatized teeth, broken teeth, shape, tissue and form disorders, and mildly crooked teeth.

For these treatments, composite white fillings (dental bonding), porcelain fillings (inlay-onlay), dental fiber applications, methods of whitening, laser technology and laminate veneers are utilized.

سؤال
What is aesthetic filling (dental bonding)? AR
الأجوبة

They are aesthetic procedures, those are performed to change and correct shade, size and form of teeth, using composite (white) filling in restoration of caries, eroded and broken teeth. It can be dubbed as dental tissue friendly procedure, as minimal substance loss of dental tissue is present in dental bonding. Satisfying results for our patients at affordable prices are achieved, since cost of material used, composite filling, is low but shade options are numerous.

سؤال
Is aesthetic filling (bonding) procedure painful? AR
الأجوبة

No, not exactly, despite dental procedures are generally performed under local anesthesia, in some cases (in which minimal cutting and correction on teeth are performed) even local anesthesia is not required.

سؤال
How is aesthetic filling (dental bonding) performed? AR
الأجوبة

There is rule of golden ratio in teeth and in all nature as well. According to this ratio, for teeth to look aesthetically perfect on front look during smile, they must be seen in a definite ratio. In aesthetic fillings, this ratio is taken into consideration and first roughened areas are created on teeth with minimal procedures. Then, restorations are performed on these areas with composite materials, which is easy to give shape.

سؤال
What are the points to consider in care of aesthetic composite fillings? AR
الأجوبة

In care of aesthetic fillings, a good oral hygiene is the priority first factor. In cases, which an ideal oral hygiene cannot be achieved, gingival problems arose and at the same time dental caries can be seen. Moreover, hard foods must be avoided, since these foods may cause erosion on composite material. Hard tooth brushing must be avoided also, since this type of brushing may cause erosion. Another point is that, consumption of discoloring agents, foods and drinks, such as tobacco, tea, coffee must be done carefully, as they can cause discoloration of aesthetic fillings.

سؤال
What are the advantages of aesthetic fillings? AR
الأجوبة

The biggest advantage of aesthetic composite fillings is patient satisfaction, thanks to broad range of shade options and transparency. Additionally, they are low cost materials. Patient can have aesthetic filling on the same teeth again, if he/she desires. It is preferred by patients, since only minimal procedure is carried out on dental tissue.

سؤال
What is porcelain inlay-onlay filling? AR
الأجوبة

They are person-specific full porcelain fillings, those protect dental integrity and remain intact against chewing forces and look aesthetically at the same time, in cases of excessive dental tissue losses. They are generally used in back (molar) teeth. As porcelain inlay filling is a specific filling done for the inner segments of peaks of molar regions of teeth, porcelain onlay filling is on the other hand the larger porcelain fillings including those peaks of molar teeth.

سؤال
In which cases should the porcelain inlay-onlay fillings be preferred? AR
الأجوبة

Porcelain inlay-onlay filling is used as an alternative to porcelain crowns to protect the dental integrity, especially for teeth, those underwent canal root treatment, lost their fluid and their fragility is increased. Another area of use is being an alternative to composite fillings in teeth with excessive material loss, both to provide an aesthetic look and to provide dental contact concordance.  Moreover, they are also used in increasing of vertical size of excessively eroded teeth.

سؤال
What are the advantages of porcelain inlay-onlay fillings? AR
الأجوبة

Porcelain inlay-onlay fillings are more aesthetic than composite fillings, since they are not discolored. Additionally, their border matching is better, since they are produced in specific laboratories. They are more successful in large restorations. Also, risk of dental caries is lower than composite fillings in the remaining hard dental tissue, due to their better border matching and tightness is ensured in areas of dental mergence.

سؤال
What are the empress porcelain crowns? AR
الأجوبة

In empress porcelain crowns, glass supported reinforced porcelain is used instead of metal bridges. Glass supported porcelain transmits light more. Additionally, empress crowns have feature of almost perfect reflection of light. Due to these features, they are much closer to natural teeth, and they are very aesthetic. Their adaptation to gingival tissues is very good. No case of allergy is in question, since they do not include any metal part. Additionally, as empress porcelain crowns are perfectly fitted to teeth thanks to their special adhesives, no dental caries develop under porcelain crown.

سؤال
How are the empress porcelain crowns maintained? AR
الأجوبة

Oral hygiene, which should be ensured before and after empress porcelain crowns, is the same. Tooth brushing, use of interdental brush and dental floss and daily use of mouth wash must be done.

سؤال
Empress porcelain crowns or zirconium crowns? AR
الأجوبة

Full porcelain is used instead of metal bridges in both types of dental restoration. Empress full porcelain crowns are more aesthetic and they are preferred for front areas, since they have features like natural teeth. However, zirconium crowns’ structural durability is better than empress porcelain crowns. As the chewing force in back regions is more, zirconium crowns are preferred for those areas. Additionally, zirconium is used for the restorations of excessive number of teeth losses.

سؤال
What is laminate porcelain veneer? AR
الأجوبة

They are very fine layers of porcelain laminate ceramics; those are cemented on the front surfaces of teeth, the surfaces, those are in contact with the lips and cheeks. As they are generally applied without cutting the teeth, they can also be applied after roughening on the teeth, as much as 0.3 mm. Laminate porcelain veneers allow the light pass through since they are very fine and they do not include metal. By this means, they look just like natural teeth and their aesthetic look is very successful. No artificial look is seen, rather a natural look is achieved should the patient-specific correct shade and model work is done.

سؤال
What are the advantages of laminate porcelain veneers? AR
الأجوبة
  • They never undergo discoloration due to external factors such as tea, coffee, or tobacco.
  • They are applied without reducing the teeth.
  •  They look so natural that it is not understandable if a porcelain veneer is placed or not.
  • Patients do not feel alienation, since no procedure is carried out on tongue side of teeth. Therefore adaptation is very easy.
  • They are extremely resistant against erosions. They protect the tooth and prevent development of decays.
  •  

 

سؤال
What is tooth whitening (Bleaching)? AR
الأجوبة

It is a process of whitening, performed especially on front teeth, in order to provide a more aesthetic and more beautiful smile in cases professional cleaning methods and tooth brushing shortfall, the teeth do not look sufficiently white or sufficiently brilliant, and internal discoloration is being complained. They are performed on the patient, in home or in-office type implementations.  

سؤال
Why does the dental discoloration occur? AR
الأجوبة

Discolorations may occur due to congenital factors, dental abnormalities, oral hygiene, age, environmental factors, use of drugs, amount of fluoride in teeth, traumas and/or necroses, results of endodontic treatments, old fillings and prosthetic therapies, frequent consumption of staining agents such as, use of cigarette or pipe, chewing tobacco, tea, coffee and wine, and etc. 

سؤال
Is bleaching possible for any and all discolorations? AR
الأجوبة

Type and reason of discoloration are important for success of whitening. If the cause of discoloration is medications, bleaching will be more difficult or expected outcome may not be achieved. In this case, time of application can be prolonged at your dentist’s discretion. For example, this period of time can be prolonged up to 2 weeks, if discoloration is secondary to use of tetracycline.  

سؤال
I do not want to have whitening done for all of my anterior teeth. I have problem in one tooth only. Can it be done for that? AR
الأجوبة

Yes, indeed. Your tooth can be viable or has undergone a canal root treatment. Your dentist will help you in both conditions.

سؤال
I am considering to have in-office bleaching. How frequently should I visit the dental office and how long does it take? AR
الأجوبة

First, your current situation and requests are assessed. Although variations are pretty likely, you may need two sessions, each lasting for twenty minutes, or three sessions, each lasting fifteen minutes, depending on type of bleaching gel and the laser beam device used. In conclusion, you will need to visit the office once or twice and the procedure will last for 45 minutes, including preparation and application.  The outcome may not be always same for every tooth. 

سؤال
Is not there a way I can just do it at home? AR
الأجوبة

Home bleaching is more successful when they are given support for in-office bleaching.  However, in all cases, it is important to remember that before the methods are applied, it is first necessary by your dentist to remove the decayed teeth, tooth stones and some stains from the mouth. Afterwards, you can apply for whitening at home with the whitening spoon prepared according to the mouth structure. In general, brushing your teeth before bed at night is done by placing a specially formulated bleaching agent on you and fitting it into your mouth. Depending on the type and degree of coloring, the treatment will continue for the period to be determined by your dentist at your future controls. Using a few hours a day on an average, times that are extended up to several weeks may be preferred.

سؤال
What are the basic differences between in-office and home bleaching? AR
الأجوبة

In-office bleaching takes relatively short time and better outcomes are more rapidly obtained depending on the gels and devices used, since the procedure is performed by dentist. If your time is limited, this is an appropriate bleaching method for you. 

سؤال
Does it pose any side-effect? Is it safe? AR
الأجوبة

It has no known significant side effect. It is safe as long as it is performed under supervision of your dentist. Your teeth or gum do not get harmed. Only mild sensitivity like flashing aches, which is specified as pinprick by patient, may occur in some teeth after the procedure. These tend to spontaneously disappear in a short time within the day. Your dentist can already manage the sensitivity by using sodium fluoride gels after the procedure. 

سؤال
Is one cycle of bleaching sufficient? How long do teeth appear white? AR
الأجوبة

Since teeth are formed by regenerating tissues, whitening is not permanent. It will vary from person to person, depending on oral care, personal dental structure and environmental conditions. It is not especially recommended for heavy smokers. The reason is to inform about quick return of discolored teeth, rather than inability to whiten teeth. Whitening can be performed at any time depending on your request and indications/contraindications. Under ideal circumstances, it is expected that whitening lasts for 1 to 2 years. The effect will be reinforced, if it is repeated at particular intervals in dental visits. Even if time passes, they will always look better compared to the prior situation.

سؤال
Can whitening be performed during pregnancy or lactation? AR
الأجوبة

Although no adverse effect is reported to date, it is better to postpone whitening until pregnancy or breastfeeding is ceased.

سؤال
I already have sensitive teeth, shouldn’t I have my teeth whitened? AR
الأجوبة

– If you have sensitivity secondary to gingival recession or enamel defects, your physician will first rule out these problems and then get your teeth ready for whitening.

سؤال
What should be consumed during and after bleaching? ar
الأجوبة

Consumption of colored foods, especially cigarettes, should not be consumed during the period of treatment. (Exampltea, coffee, wine, concentrated fruit juices, ketchup, etc.) The importance you demonstrate in this case is necessary for the success of the treatment. Afterwards, the more you pay attention to the factors mentioned above, the longer whitening will last. The importance of oral care is already a matter of permanence.

سؤال
What is removable denture? AR
الأجوبة

: It implies apparatus, which are used to treat loss of one or more than one tooth and can be easily removed and placed by the patient, whenever requested.

سؤال
How often should dentures be renewed? AR
الأجوبة

It will vary depending on the oral hygiene. Patients with good hygiene may use dentures for a long time. This period, changeable from patient to patient, can be determined by dentist in periodical dental visits. 

سؤال
How should the dentures be cleaned? AR
الأجوبة

Fixed dentures are cleaned while tooth brushing. Sometimes, it may be necessary to use special tooth brushes, dental flosses and mouth showers for regions under bridges. Removable dentures should be removed and brushed. Also, prosthesis cleaning tablets should be used for cleaning them. 

سؤال
Which parts of the body are eligible for Botox treatment? AR
الأجوبة

Contrary to popular belief that it is used for softening facial mimic lines for cosmetic purposes, Botox is nowadays used for therapeutic purpose in medicine and dentistry.

سؤال
What are the effects of Botox? AR
الأجوبة

Botox blocks the nerves in muscle tissue, where it is injected, and prevents muscular contractions. It prevents release of neurotransmitters from nerve ends. Thus, skin tissue becomes smooth and wrinkle-free, where Botox is used. This effect lasts for 4 to 6 months. Then, it should be repeated.