implanted tooth surgery; From diagnosis to specialized treatment
Dr. Bahare Sepahrian
Tehran
What is dental laminate? **Dental veneers** (dental veneers or dental porcelain laminate) are thin and customized layers of resistant materials such as porcelain or composite resin that are glued to the front surface of the tooth to improve its appearance. Dental veneers are especially useful for covering cracks, stains, small breaks or tooth irregularities, and can make a smile more natural and attractive without the need for excessive tooth grinding, which makes it a minimally invasive option. In this way, the laminate is used to correct the distance between the teeth, their shape, color and shape or generally create a Hollywood smile.
aria-controls="elementor-tab-content-9761" aria-expanded="false" aria-selected="true" role="tab" tabindex="0">The price of dental laminate 1404
As we have seen the price of dental laminate increase in previous years, in 1404 the price of each laminate unit Teeth have increased! But at Dr. Sepahrian's dental clinic, we have tried to add only the additional costs of the materials to the cost of treatment so that more patients can benefit from this service. To receive the fee, just call and announce that you got acquainted with Dr. Bahare Sepahrian's dentistry through the website: 02122095852
Types of dental laminates
There are two types of laminate: ceramic laminate (ceramic veneer) and dental composite laminate (composite veneer):
### Dental ceramic laminate
The first type is an indirect method that is made of ceramic or, more commonly, porcelain. This model has a more beautiful appearance, has more color stability and is more resistant than the other type. These veneers are made in the laboratory after molding and then placed on the tooth. The cost in this method is more compared to the other method. When do we use this type of laminate? for:
- Closing dental gaps
- Moderate to mild dental disturbances
- Dark and discolored teeth
- Teeth with spots (hypocalcification) on them. - Teeth that are chipped or broken for any reason. - Teeth that tend to the lingual side. When should we not use this type of laminate? when:
- People who have different oral habits, such as grinding their teeth or clenching their teeth, or people who have tooth wear. - On teeth that have lost their height due to wear. - If the thickness of tooth enamel is not enough. - People with poor oral hygiene. ### Dental composite laminate
The second type is a direct method in which the tooth is less sharpened than ceramic (and even in cases where the dental conditions are suitable, it is done without sharpening). In this type of laminate, the level of monitorability (shinier surface) and light transmission of tooth composite is higher, and it also has more color variety (so it can be completely the same color as other teeth). Also, the cost of this method is cheaper than the other method. When do we use this type of laminate? for:
- To correct slight discoloration of teeth or stains resistant to bleaches
- To fill small gaps between teeth and create a uniform appearance
- To correct chapped lips, cracks or slightly irregular teeth
- For slight changes in the shape and size of the teeth without excessive tooth grinding
- For quick and cost-effective repair compared to the ceramic type
When should we not use this type of laminate? when:
- For teeth with severe structural problems or extensive decay
- For people who have a habit of teeth grinding or grinding their teeth (Bruxism)
- To correct severe discoloration or deep and resistant stains
- For big changes in the shape of the smile or very crooked teeth that require orthodontics. - When long-term durability and very high resistance to color acceptability is a priority. How is dental lamination done? Almost all patients ask this question at least once, how is dental lamination done? In the following, you can read the steps of dental lamination, in which a thin layer of porcelain or composite is placed on the surface of the teeth, (note that to complete these steps, we usually need 3 to 4 dental sessions.)
### steps of ceramic tooth lamination:
1. Choosing the type of smile correction treatment: before starting the treatment, the dentist evaluates the condition of the teeth by doing a full mouth examination, including photography and digital scanning (if needed), to make sure that the laminate will be suitable for you. 2. Examination and health check of teeth: The first step of dental laminate is the examination of the patient, which is done to ensure the health of the teeth; Sometimes, at this stage, scaling will be needed to prevent the accumulation of plaque and pathogens on the surface of the tooth, or to repair the tooth to remove caries. (In order to minimize the possibility of caries after dental lamination, the oral and dental hygiene of this stage should be taken very seriously.)
3. Choosing the color and shape of the laminate: The main purpose of choosing the color of the laminate is to match it with the color of your natural teeth so that it matches the color and shape of the surrounding teeth. In this way, you should choose the color of the laminate after consulting the doctor. Factors that influence the choice of dental laminate color include skin color, eye color, age and gender, face shape, natural color of teeth, patient's taste and dentist's recommendation. 4. Grinding the front surface of the teeth: the dentist removes a small amount of the front tooth enamel (usually 0.3 to 0.5 mm) with polished diamond burs to create space for adhesion. This procedure, performed under local anesthesia, is minimally invasive and often painless. The amount of tooth shaving for laminate will change according to the condition of the tooth and other conditions. 5. Molding of the teeth: then a digital or traditional mold of the teeth is taken so that the laminates are custom made in the laboratory and a temporary laminate (resin or temporary ceramic) is placed for protection until the next session. 6. Sending the mold to the laboratory: The mold is sent to the laboratory as a sample to make ceramic laminates. 7. Testing and temporary installation: Before the final installation, the dentist may place a sample of the laminate on your teeth and check with a special light whether the color of the laminate matches the color of your teeth or not. 8. Permanent bonding with special materials: After the matching of the veneers with the teeth is clear, the laminates are attached to the teeth. This step involves etching the tooth with phosphoric acid, then applying primer and bonding to create a strong bond. Finally, the laminates are cured with UV light and final adjustments are made for bite and beauty. 9. Post-treatment care and follow-up: As a final step, after bonding the laminate, avoid eating hard and hot foods and maintain oral hygiene with a soft toothbrush and dental floss. Follow-ups at 1, 3, and 6 months are necessary to check adherence. To maintain the color of the laminate, try to reduce the consumption of tea and coffee. ### Steps of composite tooth lamination:
As in the previous section, the steps are the same, but composite laminate is often done without cutting or with minimal preparation:
1. Examination and determination of suitable color
2. Preparation of the tooth surface (without grinding or with partial grinding)
3. Composite layering on the tooth
4. Shaping and shaping of materials
5. Special light irradiation for hardening
6. Polishing and polishing the final surface
Is tooth laminate the solution to all smile design problems? In answer to this question, it should be said that a beautiful smile requires the harmony of the gums, the appearance of the teeth, the size, color and position of the teeth in relation to the lips and face. In many cases, static gum surgeries are a part of designing a beautiful smile, and in some cases, we need orthodontic treatment or drastic changes in the jaw bone structure, or a combination of orthodontic and laminate treatment. We may need to advise our patients to do lip botox or lip filler injection.
What is the difference between dental laminate and veneer? Another challenge that most of the time involves the minds of patients is choosing between dental laminates and veneers and knowing the difference between them! What are the side effects of each treatment method and when each one is used, is the topic of discussion in this section, which we will discuss briefly so that you can get what you need in a short form:
Note that each of these treatments are very useful and practical in their place. Veneers are mostly used in cases where there is extensive tooth decay. For example, when there are extensive caries that cannot be repaired with dental laminates, or when the teeth are denervated and need support against breaking and destruction, in these cases we will try to repair the teeth with veneers. Perhaps the biggest difference between dental laminates and veneers is the amount of grinding and the surface under their coating, which is done separately in each of these treatments. In the ceramic type of laminate, only the outer surface of the tooth is cut between 0.3 and 1 mm. (The important point here is that the toothpick must be on the surface of the tooth enamel. That is, if more than 50% of our chipboard is in the dentin for any reason, the laminate will not stick well to the tooth and the possibility of the laminate debonding (falling off the tooth) will increase. takes Who are the candidates for dental laminate? The following list includes people who are suitable candidates for dental lamination:
- People who need to correct problems such as dental cracks, loose teeth, asymmetrical or slightly crooked teeth. (Especially people who are looking for small changes in the appearance of their teeth.)
- Those who have dental disorders, i.e. the distance between their teeth is large or the position of their teeth is bad and they have dents or protrusions in their teeth. - Those who have discolored teeth. This discoloration may be caused by smoking, eating pigmented foods, drinking too much coffee, and trauma or denervation. - If a person is facing various problems such as stains, cracks, long distance between teeth or crooked teeth, laminate can solve these problems at the same time. - People who want to modify the smile design for any reason. For whom is dental laminate not suitable? - Those who have extensive caries on their teeth. In this case, doing dental lamination for this
- Individuals are postponed after removing the decay. - People who have active gum diseases such as severe inflammation or untreated periodontitis. - Those who have severe tooth enamel wear and their tooth enamel texture is not enough. For such people, we usually have to use different types of coatings instead of laminating. - People who grind their teeth, this habit causes the tooth veneer to break and damage it over time. (Of course, in Dr. Sepahrian's office, to solve wear problems caused by teeth grinding and reduce the effects of other destructive oral habits, Night Guard (tooth protector) is provided. In this way, these people can also benefit from the benefits of laminate.)
- People with very irregular teeth or severely misaligned positions that require structural treatments. - People who expect laminate to be permanent and without the need for long-term maintenance, because this treatment requires care and maintenance. What is the amount of sharpening in dental laminate? To perform ceramic tooth lamination, about half a millimeter (between 0.3 and 1 mm) is cut from the tooth, but to perform tooth composite, if the individual's dental conditions allow it, it can be done without cutting. However, sometimes in composite veneers, we need to sharpen the teeth to even out the color of the teeth and prevent the teeth from protruding. Of course, the volume of this lathe is much smaller than the lathe needed for the coating.
aria-selected="false" role="tab" tabindex="-1">(A2) light bone color
(B1)
(B2) completely natural and light color
(bw)
(A1) the whitest tooth laminate color
A1 color is known as one of the whitest and most transparent tooth laminate colors. This color is very popular as a very white and natural option for dental veneers and many people use it to make their teeth more beautiful. **Advantages of A1 dental laminate color include**
- This color is known as the whitest and most beautiful color of dental laminate, and some call it "Hollywood color". - It is used to correct the smile design of famous people and create white and bright teeth. - It has great durability and strength and is resistant to discoloration and darkening of teeth. - This color has a very high shine and your teeth will look white and shiny.
(A2) light bone color
A2 color is similar to the light bone color of natural teeth and looks completely natural. This color has shades with less brightness than A1 color, so the appearance of the teeth is less bright and white. **Advantages of A2 dental laminate color include**
1. If you do not use teeth whitening and are looking for a natural color for your teeth laminate, A2 color can be a good option. 2. This color is also suitable for people whose natural teeth are close to A3 color and who want to make their teeth one level brighter. 3. People who have sharp teeth and use dental veneers usually use higher numbered shades like A2 and up to make their teeth look more natural.
(B1)
B1 tooth laminate color is one of the whitest and most beautiful colors for tooth laminate and is completely A professional helps to whiten and beautify the teeth. This color is known as a whiter option than natural tooth colors and is used to correct the smile design and create white and shiny teeth. **The benefits of B1 dental laminate color include**
1. Color B1 because it is close to the white color of natural teeth. It is especially suitable for people who have white teeth before lamination. 2. B1 color has high brightness and can make your teeth more beautiful and attractive.
(B2) completely natural and bright color
B2 color, which is known as "completely natural and bright color", is one of the suitable options To have natural and shiny teeth. This color was introduced by the Japanese brand Shefu and is considered as one of the white colors of dental laminate. **The benefits of B2 tooth laminate color include**
1. 1. Color B2 is highly compatible with many people's oral and dental tissues and is easily coordinated with natural teeth. 2. Laminate teeth that are B2 color remain bright and beautiful for a long time due to their high wear resistance.
(bw)
BW tooth laminate color produced by a Japanese brand and known as a pure white color and usually It is used to create a Hollywood smile with a white and bright appearance. This color has certain characteristics that may be suitable for some people. **The advantages of BW dental laminate color include**
1. Laminate teeth that use this color usually have high wear resistance. 2. BW color is compatible with teeth and oral tissues in appearance and looks natural. 3. Different brands may offer different prices for BW colored teeth laminates, but most of these types of laminates are more affordable than other laminates. 4. People who have dark skin and are looking for a white and bright tooth laminate, it is better to use this type of laminate. Because excessive whiteness makes the teeth look artificial.
Care after dental laminate
After the laminate treatment, it's time to take care of it! The first principle in care after this dental cosmetic treatment is that a person should take oral hygiene and taking care of his teeth more seriously. (In many cases, it has been seen that gingivitis or bleeding gums occur in people after dental lamination, due to their fear of bringing the toothbrush close to the gums while brushing. We strongly recommend that what is important after dental lamination is proper brushing and flossing.)
Also, improper and excessive use of some mouthwashes can affect the tooth laminate. We suggest that you consult your dentist before using mouthwash so that they can guide you. In general, after dental lamination, you should take the following recommendations seriously:
- Oral hygiene: Brush your teeth twice a day for at least two minutes each time. It is also recommended to use salt water to improve oral hygiene. - Adherence to diet: avoid consuming food and drinks such as coffee, tea, chocolate and cigarettes that can change the color of laminates. Also, avoid eating hard foods such as nuts, dried fruits, etc. with laminated teeth to prevent them from breaking. - Avoiding pressure: Do not use not only laminated teeth but also any teeth to open hard objects such as plastic packages or bite fruit. - Regular visits to the dentist: To evaluate and check the condition of laminates and if necessary to replace them, it is better to visit the dentist periodically and at least once a year. Advantages of dental laminates
You must have noticed by now that the main advantage of laminates is to change the color of yellow or stained teeth to natural white, which is useful for people with tooth gaps or short teeth. In this way, for every person who applies for laminate treatment for his teeth, it is necessary to find out about the advantages that laminate has for him:
1. Covering teeth defects; Such as closing the distance between the teeth, correcting the smile line, extensive disfigurement or large tooth wear that has deprived you of the joy of smiling for years. 2. Covering wide cracks and high sensitivities of teeth caused by aging cracks; Sometimes dental sensitivity is caused by small cracks in the teeth, which are covered with laminate treatments and reduce the sensitivity of the teeth. 3. No need for extensive cuttings to correct the appearance of the teeth; Contrary to the fact that your tooth needs to be trimmed all around to the thickness of a veneer, about 2mm, laminates require very little trimming, about 0.5mm only on the outer surface of the tooth, and are placed on your teeth as a thin shell. 4. Very little color change in the laminate over time; If you pay close attention to the post-lamination recommendations given by your dentist, the laminates will work for you for at least 10 years or even more. 5. Rapid restoration of self-confidence in laughing and individual satisfaction; It is clear that a smile makeover will make you a more confident person. It is interesting to know that a large part of the psychological stress and worries of the patients has decreased after this cosmetic dentistry procedure and we have seen progress in social relations. Disadvantages of dental laminate
Like all the activities that are done to improve the condition of the teeth, we must be fully aware of its disadvantages in the case of laminate:
1. Tooth sensitivity: An increase in tooth sensitivity is a phenomenon that laminate can cause in line with the reaction of teeth to temperature changes, extreme cold and high heat. This sensitivity may cause discomfort when consuming cold or hot foods and drinks and requires extra care. 2. Damage and breakage: One of the disadvantages of dental laminate is the risk of damage and breakage. This thin layer that covers the teeth may be vulnerable to high pressure such as chewing hard food. 3. Relatively high cost: cost is one of the most important challenges of this beauty method. The laminate process requires a specialist dentist, a professional laboratory and high-quality materials, all of which affect the final cost. For this reason, dental laminate is considered an expensive option, but if performed correctly, it will be beautiful and durable. 4. Possibility of color change: Color change of dental laminate is one of the possible problems of this method. Consuming colored foods and drinks such as coffee, tea, and soft drinks may reduce its transparency and change its color over time. (Maintaining oral and dental hygiene and avoiding dyes can help maintain the original appearance of the laminate.)
5. The need for high care: the maintenance of dental laminate requires careful care to maintain its durability and beauty. 6. Long process: Dental laminate requires more preparation than other methods due to its proprietary manufacturing process.
How long does dental laminate last? How long laminates last or after what period of time the ceramic type should be replaced varies between 10 and 15 years according to dental scientific references and depends on the care and maintenance of the patient and the quality of the treatment. But if we want to check what factors affect the lifespan of dental laminate, we will come to the following factors:
1. Eating habits
2. Oral hygiene
3. Tooth decay around and under laminates
4. Collision of objects in the face
5. Grinding teeth
6. Increasing age
7. Chewing nails and other hard objects
Pain after dental lamination (laminated tooth sensitivity after treatment)
After dental lamination, like other restorations, at first sensitivity is observed when eating very hot or very cold food. In fact, because the partial grinding of tooth enamel makes it possible to get closer to the sensitive layer of dentin, thermal or tactile stimulation occurs as a result. In many cases, recommending the use of anti-allergic toothpaste or sometimes low-power laser therapy can be effective. The answer to the question of how long this sensitivity lasts is that for most patients, mild to moderate sensitivity subsides within a few days to two weeks. In some cases (especially if the dentine is more exposed) sensitivity may continue for several weeks; If it lasts more than a month, it should be checked. Broken tooth laminate
The role of the individual in increasing the life of the dental laminate is very important. If the dental composite laminate is chipped or broken, it is possible to repair and reform it with composite. However, chipping and failure in the ceramic type, although very limited, forces us to completely replace the laminate. What are the side effects of dental laminate? Sometimes having misshapen teeth takes away the chance to have a beautiful smile. This is where a cosmetic dentist can help you with treatments like laminate. But if you have healthy and problem-free teeth, we never suggest you to use this treatment approach; Because it may damage your teeth. For example, if you have not chosen a skilled and qualified doctor for your dental services, you may face the following conditions:
- Disruption in the bonding process: complete non-adhesion of the glue or contamination of the tooth surface during bonding causes the laminate to separate or loosen and cause sensitivity. - Disruption in the correction of the edge of the laminate: Improper shaping or trimming of the edges can lead to sharp edges and irritation of the gums or food entrapment. - Improper polishing: Insufficient or incorrect polishing of the laminate surface causes roughness, plaque absorption and faster color change. - Incompatibility of the edges of the laminate with the teeth: the presence of an overhang or a gap in the margins causes plaque retention, gingivitis and the risk of marginal caries. - Over-grinding or under-grinding: excessive grinding destroys the protective enamel and increases the risk of sensitivity and structural weakness, and insufficient grinding causes lack of adhesion and proper matching. - Excessive protrusion of the laminate (overcontour): excessive protrusion can lead to tooth decay and gingivitis.
What is Rabbit Tooth Laminate?
Rabbit tooth laminate is one of the treatment methods that is used for protruding rabbit teeth. This method is done by placing laminates (thin sheets of porcelain) on the surface of the teeth so that the teeth fit together in a more natural way and solve the problems of rabbit teeth.
What are dental luminaries? Comparison of veneers with dental luminaries
Lumineers are an ultra-thin ceramic veneer that is used to correct the smile design with minimal or even no sharpening. Its main difference with traditional veneers is its lower thickness, less invasive installation method, and greater preservation of tooth enamel. However, traditional veneers are more suitable for covering severe stains or significant changes in tooth shape due to their greater thickness and are usually more durable. On the other hand, Lumineers is a great option for people who are looking for a gentle and natural look without damaging the tooth structure. The choice between these two methods depends on the condition of the tooth, the patient's expectation and the opinion of the dentist.
Is ceramic laminate or composite better?
Both types of laminate have their own features and benefits. To make a decision, it is better to consider some points. Ceramic laminate (Porcelain Veneers) is more expensive, has a more natural appearance, and has a high durability. In addition, it is more resistant to food stains, but to install it, the tooth must be shaved a lot. On the other hand, composite veneers cost less, change color over time and may require re-polishing, while it is less strong than ceramic laminate, but shaving teeth is minimized to install it.
The change in the color of the edge of the laminate over time depends on the colored food consumed by the person. For example, tea, coffee, smoking, and hookah over time will change the color of the teeth. Tooth discoloration can be prevented by reducing the consumption of these colored substances. This color change or discoloration in dental ceramic laminate treatment is less than that of dental composite.
Possibility of separating or decaying the laminated tooth
If the laminate is designed correctly by an experienced dentist and placed on the tooth with sufficient care, it will never come off the tooth; But there is a possibility that it will break or chip, which of course, accurate design and installation will reduce the possibility of breakage or chipping. A laminated tooth can suffer from decay just as much as a natural tooth. So giving importance to oral and dental hygiene is one of the other factors to increase the lifespan of dental laminate.
Can dental lamination be used instead of orthodontics to fix crooked teeth?
In some mild cases, dental laminates can be used to correct the appearance of slightly crooked, spaced, or misaligned teeth, but laminates are not a true substitute for orthodontics. Credible sources such as the American Academy of Cosmetic Dentistry (AACD) emphasize that laminates only cover the appearance of misalignment and do not correct the actual position of the teeth or bite problems (occlusion). If the irregularity of the teeth is severe or the jaw is in an incorrect position, the use of laminate can cause wear, chipping or breakage in the future. In such cases, orthodontics or combined methods (orthodontics followed by laminate for final beauty) is a more scientific and stable option. Therefore, the use of laminate for crooked teeth is recommended only in minor areas and with the accurate diagnosis of a cosmetic dentist.
Does dental laminate cause bad breath?
In general, dental laminate does not cause bad breath by itself, but it can cause it if it is not installed or maintained properly. According to the findings of the American Dental Association and clinical studies, the accumulation of plaque and bacteria in the uneven or uneven edges between the laminate and the teeth, or the lack of strict oral hygiene, can lead to gingivitis and unpleasant odor. Also, small breaks or partial separation in the bonding glue creates a suitable place for the growth of microbes. Therefore, choosing an experienced dentist for precise installation of laminate, using standard glue, and maintaining oral hygiene, including brushing, flossing, and periodic scaling, are among the most important ways to prevent bad breath after laminate.
How many front teeth should be laminated to correct the smile design?
The number of front teeth that need to be laminated to correct the smile design depends on the condition of each person and their specific needs. Factors such as the shape and size of the teeth, the space between the teeth, the color of the teeth and the results you want to achieve will influence the choice of the number of laminated teeth. In some cases, a part of the front teeth (for example, 6 to 8 teeth) may be laminated to create a proportionate and harmonious smile design. But in other cases, depending on the initial condition of the teeth and their natural coordination, the number of laminated teeth may be less or more than this number.
What is meant by removable dental laminate?
Movable laminate (known as snap-on veneer or removable veneer) is a thin resin or plastic shell that can be removed on natural teeth to hide or correct the appearance of a smile in the short term; This solution is non-invasive, fast and relatively inexpensive, but it is only temporary cosmetic and does not treat structural problems of the tooth (such as decay, severe misalignment or gum disease). Clinical studies and reports warn that long-term wear of removable laminates can lead to plaque retention, gingivitis irritation or inflammation, and an increased risk of marginal caries. Also, dental associations warn against the use of unsupervised tools or installation by unlicensed people (which are advertised on social networks) and emphasize that the decision to use should be made in consultation with a doctor and clinical examination; Therefore, removable laminate is acceptable for occasional short-term use, but is not recommended as a long-term replacement or permanent treatment.
What is the difference between dental lamination and dental veneer?
The main difference between dental laminate and dental veneer is in the amount of coverage and the purpose of their treatment. Laminates are very thin ceramic or composite shells that cover only the front surface of the tooth and are mostly used for cosmetic purposes, to correct the color, form or spacing of teeth. On the other hand, crowns cover the entire surface of the tooth and in addition to beauty, they also have a protective and restorative role; They are usually used when the tooth structure is weakened due to decay, fracture or denervation. According to reputable sources such as the American Dental Association, laminate requires less filing and preserves the natural tooth structure, while veneers require more filing but are more durable and strong. As a result, the choice between these two methods should be determined by the dentist based on the state of dental health and the purpose of the treatment.
