How to do smile beautification in one day?

Smile Beautification is a cosmetic dental treatment procedure to enhance or correct patients smile. It involves reshaping the patient’s teeth and gums for an aesthetic and natural smile. It includes consideration of teeth shape, size, colour, contours of gums and overall bite of the patient. Smile beautification enhances the patient’s confidence. There are various methods for Smile beautification. It depends on individual to individual on the basis of study history which procedure would be suitable.

Principles of smile designing: A mixture of facial and dental composition is required for creating a beautiful smile. Facial composition- it involves proper alignment and symmetry of the face.

Facial features which play an important role in designing a smile are:

A. Interpupillary Line

The interpupillary line should be perpendicular to the midline of the face and parallel to the occlusal plane. Lips create borders for smile designing. Lip line is the amount of vertical tooth exposure in smiling. Generally, an optimal lip line is when the upper lip reaches the gingival margins displacing the cervico incisal length of the maxillary central incisors along with interproximal gingiva.


B. Lips

A high lip line exposes all of the clinical crowns along with a band of gingival tissue. A low lip line shows less than 75% of axillary anterior teeth. 1-2 mm of the gingival display is normal for females. Average maxillary incisor display is 1.9mm in males and 3.4 mm in females. Various shapes of the face are square, tapering, square tapering, ovoid. The lateral profile can be straight, convex, concave. All these factors play a major role in determining the teeth size and shape.

Dental midline: it should be perpendicular to the incisal plane and parallel to the midline of the face. The maximum allowed discrepancy can be 2mm. The centre of the philtrum of the lips should match the papilla between the central incisors.

Incisal length: average maxillary incisal display in men is 1.9mm and 3.4 mm in women.

Tooth dimension: there should be harmony between dental proportion and tooth morphology to create esthetically pleasing smile. The central incisors are the dominant teeth in the smile and are the key to the smile. The width to length ratio of the central incisor should be 4:5.

Zenith points: it is the most apical position of the cervical tooth margin where scalloping of gingiva is seen.it is located slightly distal to the vertical line drawn down the centre of the tooth. zenith point helps in assessing closure of diastema cases, for correction of tooth angulation.

Interproxial contact areas: area between the two adjacent teeth where they touch is the interproxial contact area.it follows the 50:40:30 ratio. The increase in interproxial contact area helps to create an illusion of longer teeth by wider and also extend apically to eliminate black triangles.

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Incisal embrasures: it displays a natural progressive increase in size or depth fro central to the canine. The contact point moves apically when we proceed from central to canine. The distal edge of the tooth is more rounded than a mesial edge. Young patients show unworn incisal edge, defined incisal embrasure, low chroma and high value. Aged teeth are shorter, minimal incisal embrasure, high chroma, low value and less smile display. Females have rounded smooth delicate teeth. Males have vigorous hard cuboidal teeth.

Gingival health: Healthy gingiva is pale pink, stippled .located facially 3 mm above alveolar crestal bone located interdentally 5 mm above the intercrestal bone papilla. This gingival tissue should fill the gingival embrasure up to the contact area.

Gingival Embrasure: To avoid black triangles long contact areas should be designed.this will give rise to healthy papilla instead of the blunt papilla.

Following smile beautification procedures require smile designing:

  1. Scaling and polishing: Naturally aligned teeth when stained with beverages show brown spots which can be easily removed by oral prophylaxis method or scaling and polishing.
  2. Teeth whitening: It is a procedure to bleach the teeth in order to remove discolouration or staining and to whiten the teeth. It can be carried out in the dental office or at home. Teeth whitening provides one or two shades lighter.
  3. Light cure fillings: These fillings adhere to the tooth according to the shade of the natural tooth. This procedure can be used for cosmetic restorations, minor cavities or repair of mild fracture or chipped off a tooth. There are many shades available so it becomes very easy to merge the filling with a natural tooth.

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4. Veneers: Veneers are things customized shells of tooth-coloured material which fit over the front surface of the teeth. They are designed in different sizes, shape, length and colour. They are used to treat mala lunged, crooked, chipped, discoloured teeth and to close gaps or spaces especially in anterior.

5. Crowns and bridges: These are fabricated with acrylic or porcelain fused to metal. Newer advances include metal-free ceramics, HIPC. Crowns and bridges can be used in poorly shaped teeth, broken, deeply carious teeth after root canal treatments. They are also used to close large interproximal spaces to correct crowding of teeth and in teeth which do not support large fillings.

6. Dental implants: It is a cosmetic dental procedure which involves replacing the missing teeth. Implants are made of titanium metal rod and are placed in the jaw bone replacing the Missing tooth and its counter portion is designed for placement of crowns, bridges or dentures. They are biocompatible.

7. Gingivoplasty or Gingivectomy: Both surgeries involve the removal of gum tissue. The main difference between the two procedures is that a gingivectomy removes diseased gum tissue surrounding a gum pocket while a gingivoplasty is performed to reshape gum tissue usually for cosmetic reasons.

8. Correction of a gummy smile: Excess of gingival tissue (gums) display during smiling, called as a gummy smile. A gummy smile is a smile that shows too much of your gum line, and it can be a cause of embarrassment or an insecurity for many people who have them.

9. Cosmetic contouring: It is a painfree procedure which involves shaping of enamel for aesthetic purpose. A minimal amount of enamel is grinded according to the designed smile. It is a single sitting procedure involving less amount of time.

10. Orthodontic corrections: This includes the alignment of teeth with the help of wires and brackets. This treatment takes a long time as there is a slow movement of the teeth in order to get the designed teeth arrangement. It is suitable for kids above 12 years and adults.Not everyone requires the above cosmetic procedures for smile enhancement. Hence one should consult the dentist for an appropriate cosmetic procedure.

Conclusion to smile beautification

“There may never be a smile like yours ever again”, that’s the belief that Royal Dental Clinics restores. That’s why Royal Dental Clinics treat every case as special and unique. Every detail about your smile is an opportunity to highlight something gorgeous about your personality. Hence, at Royal Dental Clinics, every patient is taken care with personalised services. And the end result of all this is – The best smile you’ve ever shown the world before!

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