The teeth given to us by nature may turn yellow and break over time, or they may have been misaligned, misshapen or discolored by antibiotics and the like from the beginning. With the developing technology, it is possible to close the gaps between the teeth or to add a new design to the teeth by correcting their alignment.
Now, with the developing technology; we can also create an idea about this treatment by evaluating the photos taken by our patients on their phones from the front. Our patients can even do this by themselves using different programs. So; they can create an idea about their new smile.
WHAT IS PORCELAIN LAMINATE?
Porcelain lamina is the process of placing porcelain sheets prepared by the technician on the tooth surface with or without making a preparation on the tooth surface for the purpose of protecting the healthy tooth tissues. Here, the intact tooth tissue is protected. If the tooth is to be thinned, a cut is made between 0.3-0.7 ml. During this cutting, special magnifying glasses are used and microscopes can be used for larger magnifications.
WHAT ARE THE TYPES OF PORCELAIN LAMINA?
Porcelain lamina application is applied by cutting on the tooth or without any cutting. For this reason, porcelain lamina application is divided into two as cut and uncut.
HOW IS PORCELAIN LAMINATE TREATMENT PERFORMED?
Lamina tooth application, also known as leaf veneer, is performed for aesthetic purposes. For this reason, every stage should be managed delicately and meticulously so that our patient does not experience any disappointment after treatment.
PATIENT-PHYSICIAN RELATIONSHIP BEFORE PORCELAIN LAMINA APPLICATION
As in every treatment, it is necessary to listen to the patient’s story in aesthetic dentistry. What is our patient dissatisfied with his/her teeth? Is it their color, shape or length? In order to understand all these in advance, it is absolutely necessary to talk beforehand. We should also know the structural characteristics of our patient. Some patients are traditional and cannot easily adapt to the changes in their body. Some patients cannot fully explain their expectations. For this reason, it is useful to clarify everything and get approval from the patient.
IS EVERY PORCELAIN LAMINATE TREATMENT SUITABLE FOR ME?
The best method to understand this is a mock-up appointment where we determine how our teeth will be.
When it is decided to have Porcelain Lamina, first of all, photos of the teeth and face are taken. Because the teeth are there for the smile, so the teeth should be evaluated with the integrity of the face. Sometimes small touches on the teeth make a big difference, and sometimes, when the need for a bigger smile is felt, it is necessary to touch a lot of work. This is completely decided by seeing the face with the mock-up we will make to our patients.
WHO CAN RECEIVE PORCELAIN LAMINA?
Porcelain lamina application is now the demand of many people as it is becoming popular day by day. For this reason, it should be explained from the beginning that porcelain lamina cannot be applied to every individual. Porcelain lamina is applied to people who have completed their growth and development and whose skeletal structure is established.
- In mild tooth crowding
- When teeth are aging and worn down
- Congenitally colored teeth
- In teeth that have lost their broken and cracked appearance for aesthetic reasons
- It is applied to those who want a new smile design.
WHO CANNOT HAVE PORCELAIN LAMINA?
- Those who have the habit of clenching their teeth while sleeping at night
- In those with jaw structure disorders
- Those with nail biting habits
- Severe tooth discoloration (in patients with fluorosis and tetresitlin discoloration)
- Excessive consumption of alcohol, cigarettes and cola
In order to plan a smile design, the person’s wishes are first determined. These wishes are understood through a series of related questionnaires. In this questionnaire, the elements that the person does not like in their teeth are identified one by one and at the same time, what kind of smile they want to have is revealed with the questions asked. We also try to understand the wishes of our patients with cases we have already done in our clinic.
Since each treatment is personalized, it is very important for us to look at the before and after of the treatments we have done in the past together and to understand our patient’s wishes in the meantime. For this reason, our first examination lasts about an hour and a half, because the position and health of the teeth are evaluated one by one, both with X-rays and special 3D scanners. Once the wishes are understood as a result of this evaluation, we would also like to show a three-dimensional image of these wishes to our patients.
It is a three-dimensional image of what is in the dentist’s head and what is in the patient’s head. In the meantime, our patient has the chance to see the new image on his/her face, take photos and even spend a day with those teeth. We know that our patients have different temperaments at the decision-making stage. For this reason, we also allow a decision-making process specific to each temperament. Some people feel the need to show their teeth in the body to their surroundings and get ideas, and for this reason, Mock- Up is a method that allows them to spend a day with their teeth to meet these needs. After all this process, we can move on to the impression stage.
Sometimes a preparation is made on the tooth without the need for anesthesia. Nowadays, with the developing technologies, porcelain lamina measurements can be taken even without cutting the teeth. Digital measurement methods and manual measurement methods are used.
MAKING TEMPORARY LAMINAE
After the impression is taken, we prepare composite temporizers for our patient. These composite temporizers give our patient an idea about the new tooth. This is a very important stage, because the process spent with this tooth for about a week, that is, until the new teeth are made, both shapes the lip support and adapts our patient to the new tooth appearance.
THE TECHNICIAN PRODUCES THE PORCELAIN LAMINATE
The technique to be used in the production of porcelain laminates and the manual skill of the technician vary. There are many porcelain laminate brands and techniques. According to the result to be obtained here, the photographs and mock-ups taken beforehand guide the technician in this sense. When we only work on the upper teeth, the photographs to be taken from the lower works give us information about the patient’s new tooth appearance.
Transparency, form, shape are transferred to the technician one by one according to the new smile design. For this purpose, videos are frozen from time to time, the images obtained with photographs and scanners, the structure, appearance, desires and expectations of the new tooth to be made are explained to the technician one by one and the technician produces porcelain laminates by choosing the color and material accordingly. Usually the production time is five days.
The upper surfaces of porcelain laminates are rehearsed before polishing. After the temporary laminates are removed, porcelain laminates are placed in the mouth with adhesives that can hold the teeth in the mouth. After this placement, small micro adaptations of the teeth are carried out by the dentist because porcelain laminates are personalized designs and during the rehearsal, our patient gets the chance to see the adaptation, color and shape of the teeth to the face from all sides for the last time. The duration of this appointment is usually 1-1.5 hours. Our patients can come to this appointment with a companion whose aesthetic point of view they trust.
BONDING PORCELAIN LAMINATES
Porcelain laminates, which have a translucent appearance, are very fragile and delicate. Therefore, the bonding session takes approximately 1 to 1.5 hours.
During bonding, the inside of the porcelain laminates is subjected to a series of preparations. The tooth surfaces are also disinfected with special disinfectants. The aim here is to ensure that the porcelain laminate is bonded to the tooth in an extremely clear and solid manner. Once the porcelain lamina is adhered in an ideal way, it cannot be easily removed. Therefore, the bonding session requires great care and attention.
After the individual bonding is performed, the adhesive residues are carefully cleaned, the teeth are prepared for interfacial cleaning, and when the bonding session is over, the porcelain laminates are completely adapted to the teeth. A night plate impression is taken immediately after this procedure in order to give our patient a longer period of use.
WHAT SHOULD OUR PATIENTS PAY ATTENTION TO AFTER PORCELAIN LAMINATES ARE BONDED?
Tea, coffee, cola and cigarettes should not be consumed for 24 hours from the day of bonding because these substances stain the adhesive during the full adaptation of the adhesive.
Even if a bite check is performed, care should be taken not to bite until the next check.
The adhesive residues between the teeth may fall into the mouth in the form of small splinters. In this case, our patients should not panic. From the first moment, brushing from the gums to the teeth should start carefully. The use of the Night Plate should be started immediately.
HOW CAN I USE MY PORCELAIN LAMINATES FOR A LONG TIME?
It is very important not to neglect control appointments for all restorations. Of course, as with all treatments, regular oral care increases the life of the restoration. Using the night plaque regularly, being careful when biting, especially not biting very hard things by tugging, is essential for the long-lasting use of porcelain laminates. We should never break hard shelled things by using our front teeth. Apart from that, we can consume things like soft toast bread by biting them.
WHAT ARE THE ADVANTAGES OF LAMINA TOOTH APPLICATION?
The fact that lamina tooth application is very frequently preferred in the field of aesthetic dentistry is closely related to the advantages it offers. We can give the following examples that this procedure provides a good advantage:
- No color change occurs in the leaf porcelain material used
- Resistant to breakage and cracking
- An appearance very close to the real tooth is achieved
- It has a stronger and more durable structure than expected
- Exhibits an aesthetically beautiful appearance
- It does not cause any change in the structure of the original tooth and supports the tooth enamel structure
IS PORCELAIN LAMINA HARMFUL TO TEETH?
Porcelain lamina application, which is carefully and carefully applied by an experienced dentist, does not cause any harm to tooth and gum tissues. However, in cases where oral and dental cleaning is neglected after the procedure and regular night plaque is not used, lamina applications will lose their beauty, brightness and integrity over time.
WHAT IS THE LIFESPAN OF PORCELAIN LAMINA TREATMENT?
Teeth can be used for a long time if oral and dental hygiene and care are given importance after the applied leaf tooth procedure.