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There is always the constant attempt to look better and more appealing. To this effect, smile designing is one particular specialty of cosmetic dentistry with the sole aim of improving a person's smile.
Photographs of various angles, jaw tracing analysis, and simulation of images on the computer are all used to arrive at an optimal size, shape, contour of the jaw and the teeth that can produce the best smile for a given patient. These changes are then replicated on paper and tooth models if required and detailed discussion happen with the patient. Thorough patient counseling is done before initiating work at smile designing.
Some parameters that are manipulated to produce a good smile designing are as follows - first the tooth per se followed by the soft tissues:
- Tooth color: In most cases, the tooth color is changed using tooth whitening material or laser. Trust the dentist to achieve a balance between whiteness of the tooth and natural look. In some cases, silver amalgam fillings may be replaced with composite restorations to improve the appearance. Bridges with metal backup may be replaced with complete ceramic crowns too.
- Tooth alignment: Crooked or misshaped teeth can be corrected using veneers in minor cases and by orthodontic braces in severe cases. Again, if the patient is very conscious, aesthetic ceramic braces (read more about braces) can be used.
- Tooth length: If too much or too less of a tooth is showing during a smile, that needs to be corrected too. Longer teeth are considered to produce a younger appearance than short teeth, which usually is associated with old age and wear and tear. The gums can be reshaped as a part of crown lengthening.
- Missing teeth: Teeth that are missing produce a very bad smile and need to be replaced at the earliest for a better smile. Depending on various factors including age and bone health, the choice could be a crown or a bridge or an implant.
- Tooth ratio: When a person smiles, the front tooth are the most obvious and should have a ratio of length to width as 4 to 5. This produces a balanced smile.
- Tooth texture: Mottling or rough edges on the tooth surface can be corrected by veneers or small composite restorations. As regards the soft tissues.
- Gum line: The smile is reproduced on tracing and corrections are made to produce a better smile, even if it requires gum corrections.
- Fuller lips and cheeks: Surgical procedures or chemicals may be used to produce fuller lips and cheeks that improve a person's smile.
The next time you are not happy with your smile, visit a dentist. With so many parameters that affect your smile, a little correction could produce a better smile! If you wish to discuss about any specific dental problem, you can consult a specilized dentist and ask a free question.
Please suggest my daughter who is about 6 year old and I force her daily morning for teeth brush but she used to brush it only 2 to 3 rotation and complete how I should convenience her to clean the teeth for quit long time.
I have pain in teeth on backward side of my mouth. And its fully swelling day by day. What should I do? Pls suggest me.
To lessen the degree of pain or soreness in the mouth during the orthodontic treatment, you can gargle with 8 ounces of lukewarm water with one teaspoonful of salt dissolved in it. Swish it around your mouth and then spit it out. It will dull the pain and provide relief.
I am having some white material left in my teeth, how should I remove that, and what are the preventive measures, to avoid that in future?
Sir, I am 21 years old male. I have a problem that one of the upperparts of teeth is hole & fracture. Sir, please tell me what should I do?
I brush daily then too I feel sensitivity in teeth after eating sweet and cold things. What should I do?
Often paraesthesia is caused due to the needle injury. When the dentist inserts the needle for a block, the patient might experience a sharp sensation on the tongue equivalent to that of an electric shock. This is known as paraesthesia and is defined as a change in the sensation or anesthesia that is persistent and the duration generally extends. This condition cannot be prevented and is a complication in some patients who undergo a dental treatment. Though it is commonly seen in the implant therapy, paraesthesia is more of a dental malpractice.
The feeling of the electric shock is felt when the needle comes in close contact with a nearby nerve. This is enough to develop paraesthesia. Severing of the nerves with a local anesthesia and small gauge needle is uncommon. The exact cause of paresthesia has not been ruled out, but it is believed that the block happens because of using 4% solutions of local anesthesias. In case a paresthesia occurs, then it usually gets resolved within some days, weeks or months, but if it lasts for more than 6-9 months, then it is considered to be permanent.
When the paraesthesia is due to a surgical trauma, then getting help from an oral and maxillofacial surgeon is recommended. They assess that if a surgical intervention can be used to fix the problem. In case the paraesthesia is due to the anesthesia given locally by the dentist, then he/she does the following:
- Patient Management: Reassurance of the patient is must as they get jittery about the situation. The dentist often speaks about the condition with the patient personally. The patient is made to understand how a paraesthesia might have occurred and how much time it would take to resolve. This is also recorded in the patient book so as to avoid any such incidents in the future.
- Examination of the patient: The dentist should discuss the whole phenomenon and procedure of how paraesthesia can take place. It is important to let the patient know that the condition subsides, but it might take some time. The extent and the degree of paraesthesia should be assessed and the findings should be noted in the examination records.
- Follow up with patient: It is the dentist's duty to keep a tab on the follow up with the patient. The patient should go for a re-checkup within 1 month of developing a paraesthesia and then again in 1-2 month intervals. The visits could be more and can last until the paraesthesia completely resolves. Improving signs and symptoms usually promise that the paraesthesia is getting better. If paraesthesia is still persistent, then help from an oral and maxillofacial surgeon should be taken for a surgical approach.