Frequently Asked Questions
Here are the answers to a lot of questions you're wondering
01.Is the All On Four operation a successful procedure?
According to the studies done, the long-term follow-ups of the All-On-Four operation show that the treatment is with a high success rate.
02.How will it affect my eating habits after All-On-Four operation?
After the procedure, you can start using your temporary dental prosthesis immediately, which is fixed on the Dental Implants. However, in the 3 months period of the bone fusion process with dental implants, you need to follow a diet that your doctor will recommend. After the completion of the 3-month period, you will be able to eat as you desire with your permanent prosthesis.
03.Would All On Four surgery be too painful?
All-On-Four procedure can be performed easily under local anesthesia. However, in patients with high anxiety and fear, it can also be done under sedation or general anesthesia.
04.Will I have pain after the All On Four operation?
As with any dental implant operation, there may be some pain and swelling after the procedure. However, these complaints can be easily controlled with medications that you will use in accordance with your doctor's advice.
05.What are the stages of all four treatments?
A detailed clinical and radiological examination should be performed before All-On-Four patients are scheduled for treatment. After performing the measurements on the Computed tomography (CT), a proper plan for the patient is prepared.
The All-On-Four procedure consists of two stages as surgery and dental prosthesis procedures. After placing 4 dental implants to the patient in accordance with the plan, temporary dental prosthesis is fixed on the dental implants on the same day. And 3 months later, permanent dental prosthesis is made.
06.What are the advantages of the All On Four implant technique?
It provides the opportunity to have fixed tooth prostheses with a single surgical procedure on the same day for patients with total edentulism.
Operation is easier since no surgical operations like sinus augmentation surgery or bone addition are required.
The duration of dental implant surgery is shorter.
Since the number of dental implants used is reduced and no additional surgery is required, the cost is lower than in the conventional dental implant treatment.
It provides a tailor cut appearance and smile for the patient.
It is easier to clean and maintain than regular dental implants.
It is suitable for patients with nausea reflex who cannot use removable dental prosthesis.
Its design is different than aparey's. Since the design of the implant does not extend on the palate, it is easier to get used to.
Because the required number of sessions for the treatment is small, it is suitable for patients residing outside the city.
07.What is the All On Four implant technique?
The All On four implant technique is a procedure that enables the dental implant to be fixed on the same day on four dental implants placed at certain angles in patients with total edentulism.
08.What is the CAD/CAM technique used to produce zirconium prostheses?
It means Computer-aided design and Computer Aided Manufacturing. The prostheses obtained from zirconium material are produced by the processing of the zirconium block with a computer-aided program of the prosthesis (crown or bridge prosthesis) designed in the computer.
09.How is root canal treatment performed? How many sessions does it take?
After performing local anesthesia for the tooth in question, the caries is cleaned and the nerves in the pulp and root canals are removed and reshaped with the help of files. The canal(s) are washed with various solutions. Then the root canals are dried and filled.
Lastly, canal top filling or prosthetic cap is made. As these steps could be performed in one sessions, they can take up to 2 or 3 sessions for tooth with apical lesion.
10.Do I have pain after root canal treatment?
It is normal to have sensitivity and pain during chewing for the treated tooth for a while after the root canal treatment. This pain is temporary and can be prevented with painkillers.
11.Are there any harmful effects of tooth filling?
There are no harmful effects of tooth filling. On the contrary, one might have to opportunity to prevent many health problems which might be a result of tooth decay.
12.Can I eat after tooth filling?
It is recommended not to eat 4 to 5 hours after the operation in order to prevent sensitivity and pain.
13.How long does it take to have a tooth filling?
Having a tooth filling takes approximately 25 to 50 minutes. This includes root canal treatment, preparation of filling materials and the hardening process for the filling.
14.Is tooth filling harmful or risky during pregnancy?
Tooth filling has no side effects to pregnancy. On the contrary, tooth decay might pose serious risks for the baby. In order to avoid the problem of tooth decay during pregnancy, mothers to be should have tooth filling done before they get pregnant.
15.What happens if the tooth filling fall out?
The lifespan of tooth filling is between 3 to 20 years. When the filling falls, it is necessary to make a new filling to the area without losing any time. This is called tooth filling replacement. Tooth filling replacements can also be done if the filling is worn out or fractured.
16.Is tooth filling licit in religion?
Tooth filling is a necessity in terms of health and therefore it is licit.
17.Does amalgam tooth filling cause mercury poisoning?
The mercury available in the amalgam filling is no risk or harm to health.
18.Does tooth filling prevent us from having full ablution?
Tooth filling does not prevent having full ablution.
19.Does tooth filling cause foul breath?
Since the filling is made of colorless and odorless materials, it does not cause any foul breath.
20.What is tooth filling pain - Does tooth filling cause pain?
If there is trapped air between the tooth and the filling, it causes tooth ache. However, recently used amalgam fillings does not leave any trapped air. Inflammation of tooth filling is the most common reason for tooth filling pain.
21.Does tooth filling invalidate ablution?
Since the procedure requires local anesthesia and possibly lead to bleeding, it will invalidate ablution. Thus, in parallel with what Turkish religious authorities say, we have answered the question whether the filling of teeth invalidates ablution.
22.Does it hurt to have fillings?
Tooth filling is a procedure performed under local anesthesia. If the caries penetrated the tooth nerves, root canal treatment should be done first. After the root canal treatment, filling does not cause any pain at all.
23.What is the lifespan of a filling?
There are several factors determining the lifespan of a filling. Main factors include the loss of volume in the tooth, the position of the caries, bad habits of the patient like grinding, the patient's oral hygiene, skills and knowledge of the dentist, and the quality and type of the used materials.
24.What is amalgam filling?
Amalgam filling is a type of restoration prepared by mixing various metal powders with a special system and placed on the tooth while it is still soft. There is no harm to health.
When deciding on the treatment of caries, the decision of using composite filling, amalgam filling or inlay, onlay restoration should be left to the dentist. All types of fillings have some up and down sides. The dentist should decide the restoration type according to the patient and the condition of the teeth.
25.How many sessions does the Smile Design take?
According to the expectations of the patient; some photographs, video recordings and the measurement of the teeth are taken during the first examination. After conducting the 3-dimensional shaping on the design, the patient is called back to test the temporary smile design. If the patient and the doctor are both satisfied with the design, an appointment is made depending on the method of treatment.
26.Can zirconium teeth be applied to people with gum disease?
Gum disease is treated first. After the treatment, zirconium teeth can be placed.
27.Is there any downside to zirconium crowns?
It is not recommended for toothless areas in mouth since this would increase the likelihood of fracture in the rear of crown.
28. Is it common for zirconium crowns to break or fall?
Excessive force might cause breaks or fractures however, this is as likely as a tooth to break. It can be repaired to a great extent in clinical environment. If the tooth under crown decayed over time and lost volume, the crown might fall. In such cases, the tooth is treated if possible and the crown is adhered again.
29.Compared to porcelain and metal, how durable is it?
With the methods applied in recent years, zirconium sub-structure crowns and bridges are as durable as metal sub-structure crowns and bridges. It is less fragile than porcelain. It has less flexibility and thus more fragile compared to metal. This allows porcelain zirconium to adapt better than metal. As a result, it minimizes porcelain fracturing.
30.Is there any age restriction to this aesthetic dentistry operation?
Zirconium crown treatment can be performed at any age as long as the teeth are erupted. However, for the 18-20 years old group, it might have to be replaced frequently since the patient will experience diastema due to jaw growth. For this reason, it is not recommended for this age group.
31.How long does it take to finalize this aesthetic treatment?
In patients whose gums are healthy, the procedure is completed within a week. A few rehearsals can be added until the patient and the dentist are both satisfied with the results.
32.Will I experience an aesthetic problem during treatment?
In particular, temporary veneers on the front teeth will be similar to permanent zirconium crowns. These acrylic crowns are not resistant to impact, but will satisfy your needs with their color and shape adaptations.
33.How much volume loss is to be expected during the procedure?
The loss of volume is more than the porcelain lamina. It is the same amount as metal assisted porcelain crowns. A shave is performed between 1-2mm from your normal tooth surface.
34.Zirkonyum kaplamalar nasıl uygulanır?
The tooth is slightly downsized as it would be in metal-assisted crowns, and when the gums are healthy, precision instruments are used to measure the size. The substructure and the top part of the zirconium crown is produced in the clinical environment to match the color of your teeth. Lastly, a permanent bond is achieved with the help of special adhesives. Now you can use it comfortably without noticing the difference.
35.Will they damage my teeth if they are to be replaced?
Since zirconium crowns are ablated, you would not feel any discomfort. It does not cause dental hard tissue loss.
36.For how long can I use zirconium crowns?
As long as the periodic checks are done, they can be used for many long years. It is not possible to give a specific amount of time for their lifespan. Teeth are formed of living tissue, and they are subjected to change in shape over years due to eruption and abrasion. On the other hand, zirconium crowns do not change in shape. And they might need to be replaced for them to fit better with your other teeth.
37.Do Zirconium teeth lose their initial color in years?
Because it has a smooth finish, it does not cause plaque accumulation. For this reason, it is not affected by color changing factors such as tea, coffee or cigarettes. The color stays the same.
38.Can it be applied to those who have metal allergy?
Since Zirconium crowns do not consist of any metals, it does not cause metal allergy.
39.How do zirconium teeth fit with my gums?
It is a material that is compatible with the gums. It does not lead to purple gums which might be seen in metal-assisted dentures. It doesn't cause gum recession. If you experience gum recession due to improper brushing, it would not lead to an aesthetically bad look.
40.What are the advantages of zirconium other than the aesthetic ones?
Thanks to the light permeability feature, the image of the natural teeth is precisely achieved. Dentin of healthy teeth allows full light permeability. Metals, which are the substructures of conventional porcelain crowns, create an opaque appearance on teeth. This causes the teeth to look dull and artificial. Zirconium can be used to prevent this.
41.Where is zirconium tooth used?
It can be used for various purposes majority of which are aesthetic; severely discolored teeth where whitening methods are no longer effective, treatment of hereditary discoloration, various diastema cases where orthodontics cannot be used, restoration of teeth which have large amount of volume loss or structural deformation, crowning of front group implants, and improving the smile aesthetics.
42.Does teeth whitening cause damage?
As long as the right whitening product is selected for the right patient, teeth whitening treatment has no harmful effects. There is no research that shows teeth whitening treatment causes any structural change or permanent damage. During and after the teeth whitening, sensitivity may occur, but this is temporary. The most conservative method of changing teeth color is teeth whitening. The alternatives include porcelain, composite laminates or porcelain veneers.
43.Why does sensitivity occur in teeth? How is it treated?
Today, tooth sensitivity (Dentine hypersensitivity) is an increasing problem which might be caused by a variety of reasons but above all it indicates an exposed dentine. This might disturb the patient while eating, drinking, brushing and sometimes even breathing.
Exposure of dentin is caused by a loss in the layer of enamel or exposure of dental root. The loss of enamel is usually caused by factors such as attrition, abrasion, erosion, trauma and caries; the exposure of dental root is caused by gum extraction, improper brushing, abrasive paste, periodontal diseases and occlusion disorders.
Treatment of dentin sensitivity can be done in two ways; the first is that individuals could use sensitivity relieving toothpaste or mouthwash at home, and the second is done as a professional practice in the clinic. Deciding which method to follow depends on factors such as the severity of sensitivity, level of volume loss and required amount of time for the treatment. Moreover, nowadays lasers have been used to increase the success and duration of these treatments.
Dentinin ağız ortamına açılması mine dokusunun kaybı veya kök yüzeyinin açığa çıkması ile oluşur. Minenin kaybı genellikle atrisyon, abrazyon, erozyon, travma ve çürük gibi nedenlerden kaynaklanırken kök yüzeyinin açığa çıkması diş eti çekilmesi, yanlış diş fırçalama, aşındırıcı diş macunları, periodontal hastalıklar ve okluzyon bozuklukları gibi nedenlerden oluşur.
Dentin hassasiyetinin tedavisi iki şekilde yapılabilir: birincisi; bireylerin evde diş macunu, ağız gargarası gibi hassasiyet giderici ürünler kullanmasıyla, ikincisi ise muayenehane şartlarında profesyonel uygulamalarla yapılmaktadır. Hangi tedavi yönteminin tercih edileceği; hassasiyetin şiddeti, etkilenen diş sayısı, diş yapısı kaybının derecesi ve gereken tedavi süresine bağlı olarak değişmektedir. Ayrıca günümüzde lazerler bu tedavilerin başarısını ve süresini arttırmak amacıyla kullanılmaya başlanmıştır.
44.How should Mother to be care for their teeth?
In this special period, gum tissue is affected as majority of the body tissue is affected by the changes in hormones, and the tissue becomes more responsive to microorganisms. For this reasons, it is important to pay strict attention to regular brushing and flossing in order to keep bacterial plaque under control.
Pregnancy gingivitis occurs in about 30-100% of pregnant women. It is the most common oral complication of pregnancy, and it is caused by increased response to local irritants which is due to increased estrogen progesterone levels, and poor oral hygiene. Gum disease that existed before pregnancy can affect the severity of the disease that keeps developing during pregnancy. If oral care is not enough, the severity of gum inflammation increases. In particular, pregnant individuals with gin should consult with a periodontal specialist.
In addition, there could be an increase in the formation of caries during pregnancy because of cravings for high-sugar food and poor care of oral hygiene after vomiting which could be common for the first months of pregnancy.
Hamilelik gingivitisi hamile kadınların yaklaşık %30-100′ünde görülür. Hamileliğin en yaygın oral komplikasyonudur ve artmış östrojen ve progesteron seviyeleri neticesinde lokal iritanlara karşı artmış cevap ve daha az titiz oral hijyenden kaynaklanır. Hamilelikten önce var olan dişeti hastalığı hamilelik döneminde gelişen hastalığın şiddetini ve ciddiyetini etkileyebilir. Eğer ağız bakımı da yeterli değilse dişeti iltihabının şiddeti artar. Özellikle dişeti kanaması olan hamile bireyler muhakkak bir periodontoloji uzmanına başvurmalıdırlar.
Hamilelik döneminde ayrıca, şekerli gıdalara aşerme ve ilk aylarda görülen bulantı ve kusmalardan sonra annenin ağız bakımına yeterince özen gösterilmemesi gibi nedenler de çürük oluşumunu arttırabilir.
45.What causes gingival bleeding?
The start of gingival disease is the gingivitis. This disease causes gingival swelling and redness as well as bleeding during brushing and flossing.
Healthy gingivitis is pink color, tightly adhered to the tooth and with a clear end. If plaque is not removed from the teeth, the gums will become red and swollen, and the gums will lose their ability to hold firmly on the teeth.
The most important and earliest sign of gum disease is bleeding when brushing and/or biting a hard food. In this case, a periodontist should be consulted.
Sağlıklı dişeti gülkurusu pembe renkte, diş üzerine sıkıca yapışık ve bıçak sırtı gibi keskin sonlanan yapıdadır. Dişeti hastalığının temel nedeni olan bakteri plağı dişler üzerinden uzaklaştırılmazsa dişeti sağlığı bozularak rengi kırmızılaşır, dişeti hafif şişkinleşir, diş üzerine sıkıca tutunma özelliğini kaybeder.
Dişeti hastalığının en önemli ve en erken bulgusu fırçalarken ve/veya sert bir gıdayı ısırırken oluşan kanamadır. Bu durumda yapılması gereken bir periodontoloji uzmanına başvurmaktır.
46.Why do unwanted stains occur on teeth? How to get rid of them?
Tooth color is a mix of the inner structure and surface color of the tooth. The inner tooth color is associated with the light distribution and adsorption properties of enamel and dentine. The characteristics of the dentine structure of the tooth plays the most important role in determining the overall tooth color. Outer stains are tend to form in areas where it is hard to reach by toothbrush, and their formation might accelerate with smoking, consuming tannin rich food and drinks (e.g. red wine), the use of chlorhexidine and similar cationic agents or the use of tin and iron salt for various treatments. For optimum tooth color, whitening treatment should be performed to whiten the internal discoloration after removing the external stains on the teeth by means of cleaning the tartar and polishing the teeth.
47.Can zirconium teeth be applied to people with gum disease?
Gum disease is treated first. After the treatment, zirconium teeth can be placed.
48.Is there any downside to zirconium crowns?
It is not recommended for toothless areas in mouth since this would increase the likelihood of fracture in the rear of crown.
49.Is it common for zirconium crowns to break or fall?
Excessive force might cause breaks or fractures however, this is as likely as a tooth to break. It can be repaired to a great extent in clinical environment. If the tooth under crown decayed over time and lost volume, the crown might fall. In such cases, the tooth is treated if possible and the crown is adhered again.
50.Compared to porcelain and metal, how durable is it?
With the methods applied in recent years, zirconium sub-structure crowns and bridges are as durable as metal sub-structure crowns and bridges. It is less fragile than porcelain. It has less flexibility and thus more fragile compared to metal. This allows porcelain zirconium to adapt better than metal. As a result, it minimizes porcelain fracturing.
51.Is there any age restriction to this aesthetic dentistry operation?
Zirconium crown treatment can be performed at any age as long as the teeth are erupted. However, for the 18-20 years old group, it might have to be replaced frequently since the patient will experience diastema due to jaw growth. For this reason, it is not recommended for this age group.
52.How long does it take to finalize this aesthetic treatment?
In patients whose gums are healthy, the procedure is completed within a week. A few rehearsals can be added until the patient and the dentist are both satisfied with the results.
53.Will I experience an aesthetic problem during treatment?
In particular, temporary veneers on the front teeth will be similar to permanent zirconium crowns. These acrylic crowns are not resistant to impact, but will satisfy your needs with their color and shape adaptations.
54.For how long can I use zirconium crowns?
As long as the periodic checks are done, they can be used for many long years. It is not possible to give a specific amount of time for their lifespan. Teeth are formed of living tissue, and they are subjected to change in shape over years due to eruption and abrasion. On the other hand, zirconium crowns do not change in shape. And they might need to be replaced for them to fit better with your other teeth.
55.How can I maintain zirconium crowns?
They can be brushed just like regular teeth. Superfloss can be used as dental floss and toothless areas. Visiting a dentist every 6 months would allow you to foresee any problems and take necessary precautions.
56.Does it cause a change in taste or odor in my mouth?
Since Zirconium crowns do not consist of any metals, it does not cause any change in taste or odor.
57.How do zirconium teeth fit with my gums?
It is a material that is compatible with the gums. It does not lead to purple gums which might be seen in metal-assisted dentures. It doesn't cause gum recession. If you experience gum recession due to improper brushing, it would not lead to an aesthetically bad look.
58.What is a zirconium crown?
It is a white alloy used in place of gray metal, which is the material of conventional porcelain bridges and dentures.
59.What should be considered after tooth extraction?
The buffer placed by the dentist on the wound should not be disposed of immediately and should be kept on the tooth socket for at least 25 to 30 minutes.
After the buffer is disposed, it should not be replaced with a new one if possible. This is necessary so that the blood clot that is forming on the wound does not break. If you change the buffer frequently, you will prevent the clot from forming. The clot will seal the tooth socket like a natural buffer and will prepare for filling the socket with bone structure in the future. If the clot is blocked or ruptured, the wound healing becomes impaired and a painful process begins.
You should not rinse your mouth with water.
You should not eat anything for two hours after the extraction. After two hours, the patient should choose warm food and drinks avoiding hot and cold ones.
You should not smoke and take alcohol for 24 hours. These might cause inflammation of the wound.
You should not tinker the tooth socket with your tongue or suck the blood inside to spit it.
You should not touch the area by hand where the tooth extraction is made. The wound can get infected directly.
Bleeding may continue sometime after extraction. This issue might last for about 6 to 24 hours, and if excessive bleeding occurs, it should be discussed with the physician.
The painkiller to be used after the extraction should not be used without consulting the dentist.
Food residue left in the wound might promote bacterial growth. The extraction area should be brushed gently with a soft toothbrush 24 hours after the extraction. You may rinse your mouth with warm salty water.
Regular oral care treatments can be continued one day after extraction. But you should be careful brushing this area.
If you experience swelling on your face, excessive pain, bleeding lasting 24 hours, bad taste and odor in the mouth; you should contact your dentist without delay.
60.What should be considered before tooth extraction?
First of all, the drugs given by the dentist prior to tooth extraction should be used. The patient should notify the dentist if the s/he has diseases such as diabetes, high blood pressure, heart disease, etc. If possible, the patient should brush his/her teeth, and rinse his/her mouth with antiseptic water to reduce the rate of oral bacteria.
The person to have extraction should stay calm, and if she has a fear tooth extraction s/he should share this with the dentist. Despite the efforts to overcome the fear of dentist nowadays, there are still many patients experiencing this type of fear. If the patient informs the dentist about his/her fears, such fears could be overcome by talking. If the patient is unable to overcome the fear, extraction can be performed under general anesthesia.
61.Is implant an expensive treatment?
Since the procedure consists of multiple long processes and requires costly materials, it is more expensive than regular dental services. However, it is observed that patients who completed the treatment get their money's worth.
62.Is implant a guaranteed treatment?
The patients general condition, bone structure and oral condition is evaluated clinically and radiologically by the academic expert staff consisting of Professors and Associate Professors of Dentaydın Hospital, and after that it is decided if the patient can have the treatment. It would be wrong to provide guarantee for any health related treatment, however, it is possible to achieve 90 to 95% success rate in implant treatment depending on operation technique, bone structure and oral hygiene.
63.What are the advantages of implant treatment?
One of the best advantage is the aesthetic appearance. It provides a healthy and balanced diet by allowing the patient with the freedom to eat whatever s/he wants. Thus, patients have a happier social life.
64.Will i feel pain during or after implant treatment?
Implants are administered painlessly with local anesthesia. After the operation, you might experience same amount of pain you would have after any tooth extraction. Since the procedure is applied on the jaw bone, slight edema might also occur.
65.Is the implant brand important? Do implants have varying qualities?
Due to the widespread use of implants, there are many available brands. An implant company who is in the market for quite a long time would naturally has a lot of experience. And the companies make best use of their experience in their implant designs to offer the best performance.
In addition, it is another advantage to consider if the selected implant have its secondary parts, which might have many different purposes, readily available in the market. It is important that the implant brand should be one of those with a quality certificate, and one acknowledged by the dentist to administer the treatment.
An implant can be qualified as "high quality" if it has a good number of favorable features. Therefore, as we prefer one brand over another, we take such features into consideration and try to pick the one with the maximum amount of favorable features. Thus, the result is a long lasting implant which can be used comfortably by our patients.
66.Can I have an implant after tooth extraction?
In most cases, provided that the implant area has sufficient bone volume, the implant treatment can be administered immediately after the extraction. It is a common practice to support the implant area with bone ash.
67.What can be done if the implant area has an insufficient bone volume?
The implant area might not have sufficient bone volume for various reasons. In this case, oral surgeon might increase the bone volume to the desired amount by means of some procedures; augmentation, bone grafting, bone ash, augmentation with box technique.
68.Can any patient have implant treatment?
Implant treatment can be administered for patients who have completed their transition from adolescence to adulthood, after evaluating the bone structure suitability with panoramic X-ray film. In cases of chronic diseases such as diabetes, blood pressure or heart disease, implant treatment can be administered if the regarding disease is under control.
69.Do I need care after implant treatment?
Implants, just like our own teeth, require care and doctor control. After the implant is made; improper brushing, excessive smoking or lack of dentist control might cause damage to the implants just like such factors would damage our own teeth. But in cases where implants are properly cared, which might include brushing, using mouth wash, staying away from excessive smoking, having dentist control every 6 months; they can be used for a lifetime.
70.How is implant treatment administered?
Implants are made by opening holes in the appropriate position, diameter and length for the implant that is planned to be made in the jaw bone with a surgical procedure. Since implant placement is a surgical procedure, the quality of the materials used, sterilization and hygiene requirements of the environment are one of the most important criteria. For implant surgery, local anesthesia is sufficient to numb the area.