Gummy smile - how to correct gingival smile Author: Andrew Dmitrenko, Stanislav Bazik

Gummy smile - how to correct gingival smile Author: Andrew Dmitrenko, Stanislav Bazik

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We often encounter situations where the patient’s teeth are even, have a good color and form, but on one tooth or two the gums seemingly “jumped up” or “dropped”. Then a major differential forms that seriously ruins the smile. In such cases, we advise you have plastics put on your gums to return the to their natural level.

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Gummy smile - how to correct gingival smile Author: Andrew Dmitrenko, Stanislav Bazik 1

Abnormal bite is a problem not only of an aesthetic smile and face, but it is also a functional problem resulting in serious consequences for the whole body.

 

An interesting fact: 80 % of people need orthodontic treatment.



In adult patients and children aged 12 years and over, braces are used to correct the following problems:

 

  • - dentofacial anomalies
  • - teeth overcrowding
  • - abnormal jaw relation
  • - tooth displacement after extraction or wisdom teeth cutting
  • - temporomandibual disorder
  • - consequences of improper dental prosthetics

 


Orthodontic treatment often prepares the “foundation” for the further work of the implant surgeon and orthopaedic surgeon.

 

Types of braces

 The duration of bite correction is 1 to 3 years. Therefore, you should be scrupulous about the choice of devices.

 

The braces can be as follows:

External and internal (vestibular and lingual)

They differ in the place of attachment. Classic braces are attached to the outer, facial surface of the teeth.
Lingual braces are attached to the lingual surface of the teeth. Such a novelty has immediately found enthusiasts who would like to hide the teeth alignment from the surroundings. However, invisible braces have limited indications for installation, a high price and a number of inconveniences associated with wearing them. For example, speech abnormalities and excessive salivation during the period of addiction.

Ligature and self-ligating
The difference between these devices is in the method of attaching the arc to the lock. For this purpose, special elastic ligatures are used.
In self-ligating braces (not to be confused with self-adjustable braces), the lock structure already contains an attachment. Thus, self-ligating devices have immediately become the best option to combine aesthetics and efficacy treatment.

 

Gummy smile - how to correct gingival smile Author: Andrew Dmitrenko, Stanislav Bazik 2

 

Material

 

Modern orthodontics offers a wide selection of materials of which locks are made. This allows to choose braces for any taste and budget. The braces can be as follows:

  • 1. Metal braces are a time proved classic. Reliable and durable locks are inferior to aesthetics, but most patients can afford them.
  • 2. Ceramic braces are made of special ceramics, the colour of which is as close as possible to the colour of the teeth. Due to this, ceramic braces are almost invisible on the teeth.
  • 3. Sapphire braces are considered the most aesthetic ones. Clear artificial sapphire has only one drawback — fragility. In addition, sapphire braces are often more expensive than the ceramic ones.
  • 4. Plastic braces are a budget option for aesthetes. Their drawbacks are fragility and staining with food. Manufacturers are still working to improve their properties.
  • 5. Combined braces combine two materials: ceramics and metal. Ceramic locks are installed in the smile area, and metal locks — on the posterior teeth. Thus, a compromise between beauty and reliability is achieved.

 

Pros and cons of braces

 

Braces

Strength

Aesthetics

Price

Reliability

Duration of Treatment

Metal braces

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Ceramic braces

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+-

+-

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Lingual braces

+-

++

--

+-

--

Self-ligating braces

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++

+-

++

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Plastic braces

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+-

++

--

--

Combined braces

+-

++

++

+-

+-

Sapphire braces

--

++

--

--

++

 

How brackets are fixed

Bracket fixation raises a number of questions for future “braces wearers”, like whether it hurts, how long the procedure is, what you can eat, how to brush your teeth, etc.

The fixation procedure on one jaw takes 1 to 1.5 hours, and is a painstaking process. The orthodontist should place the bracket on the tooth in a special position, only then the whole system will work correctly.

“Each bracket in the device is designed for a certain tooth. This is due to the anatomy of the teeth and their position in the jaw”

Before installing, it is important to treat caries and its complications, and a hygienist should remove plaque.

 

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With age, our teeth wear down, change colour, chip and crack. But we still want to see a beautiful smile in our reflection in the mirror. Moreover, today, a person’s success is determined by their appearance, and the state of their teeth is one of the important criteria.

 

This problem can be solved with the help of veneers, a type of fixed restoration. These are custom-made dental overlays (micro-prostheses) in the form of plates that correct defects in the tooth crown.

 

Dental overlays have been used since the 1930s. Perfectly white dental plates were attached just as other dentures. Hollywood celebrities were the first to try them. Modern fixation technology was developed in 1982. Nowadays, it is one of the most popular and reliable methods in aesthetic dentistry and anti-age prosthetics.

 

Indications for Veneers

Veneers are a sparing alternative to crowns. They are installed on the front of a depulped or living tooth, provided that a sufficient surface area is maintained. Only a small amount of tooth enamel is shaved for better contact with the plate. Usually veneers are 0.3 mm to 1.5 mm thick.

 

With modern dental microscopes we can work within the enamel, so the depth of preparation can be reduced to 0.2–0.7 mm. This makes it possible to preserve the enamel, to which the veneer is fixed with its tooth surface, and achieve the desired optical effect. The service life is extended to 10 years; it can be extended if one follows recommendations of the dentist, maintains good oral hygiene and has regular dental visits.

 

It is possible to change the colour of teeth by 1–2 or more tones.

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We start dental treatment from design – we create your virtual prototype and “measure” several forms of smiles. Together we choose the best option. You can see how you will look even before treatment begins.

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The purpose of diagnostics is to put together a correct treatment plan. In order to do this our doctor must determine how the bones are situated, how the facial muscles function and what can be improved in the patient’s smile.

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