First of all, the patient's discomfort and the problem is learned, a model is created on a scale taken from the patient, a model is made on this model, tooth-borne problems are corrected with a special material.This design, which is designed in the model, is aimed to be able to see in our own mouth, and is transported to our patient's mouth without any treatment with a non-porcelain material. In this way, the intended design is presented to the patient's image very closely, although not exactly.The patient's satisfaction with the applied design or the parts that he wants to be changed are discussed with the physician and the teeth are; the desired result of shape, size, alignment is achieved.If necessary, after the implant applications to the tooth cavities and the regulation of gum levels, the restoration of the teeth is started by selecting the necessary materials.The target design is achieved by considering the latest lips.

Aesthetic dentistry, today, many dentistry branches working together with different methods and materials to design a personalized smile. In smile design, not only the teeth but also the aesthetics of the gums gain importance. If the patient does not need surgical and orthodontic treatments, the gum health is restored and the levels of the gums are regulated.Color, position, size and shape changes of teeth; whitening processes are reorganized with zirconium ceramic, full ceramic or lamina veneer ceramic applications. Missing teeth can be removed with implant applications or bridge treatments if possible.In smile design, the symmetry of the lips, the fullness of the lips and the posture of the smile line are as important as the teeth and gums. The smile design can be complemented by small interventions to the lips if necessary. Tooth coloringSingle or several teeth at different positions or positionsThe gums are not at the proper levelCavities caused by missing teethLips incompatible tooth lengthsThe disproportion of apparent amounts of teeth and gumsAged appearance caused by collapse of face and lips and shrinkage caused by missing teeth.All these problems may lead to deterioration in the aesthetic appearance of the patients. The smile design created with a personalized design is aimed not only at the teeth and gums, but also at the lips and face.

Clenching teeth; It is a chewing system disorder that causes discomfort in the hard and soft tissues of the mouth and head, neck and back region which occurs as grinding or squeezing teeth during the day and during sleep.Clenching, tension in joints and tissues cause head and neck pain. The facial muscles may cause chewing muscles to grow, causing a muscular facial appearance. In the long term, jaw bone resorption, gingival tooth cracks and fractures in the enamel can cause sensitivity in the teeth. Implant and prosthetic restorations can cause failure. It must be taken seriously and treated with appropriate options.

High success rates are achieved with implant therapy for persons who are aged >18 years, have good general health status, performs a good oral care and have healthy gingiva and bone structure that allows and supports implant in the jaw bone. In some cases, amount of bones may not be sufficient for placement of an implant. If loss of bone is high, appropriate infrastructure can constructed using advanced techniques in order to place implants. Persons who received radiotherapy for head and neck region, young persons with incomplete bone growth and development and heavy smokers are not appropriate candidates, since smoking suppresses intra-oral wound healing and success of implant. Implants can be placed if correct conditions can be achieved after health status of persons with diabetes, hypertension, hemophilia and systemic diseases, such as autoimmune diseases, and, who use Bisphosphonate, corticosteroid or immunosuppressive agents, is consulted with primary or relevant physicians. An implant is not preferred for patients with uncontrolled diabetes and/or other advanced stage systemic diseases (kidney, liver and heart failure, cancer, mental diseases, etc.).

Cold, hot, sugared or sour foods and beverages can cause sudden-onset reaction, pain and ache in teeth. Toothache is severe, sudden and deep (this condition is colloquially called as setting teeth on edge).

Bad breathe results from sulfur compounds that are residues of bacteria in the oral cavity. Dead or almost dead bacteria release sulfur compounds.• Bacterial plaques and food residues are accumulated at posterior part of the tongue. Tongue surface is highly rugged, which favors survival of bacteria. Large amounts of sulfur compounds accumulate at this region.• If tooth surface is not cleaned, it becomes a suitable area for survival of bacteria within a short time.• People with severe gingival diseases have pockets that cannot be cleaned or reached easily by the people themselves. Such areas, like deep gingival pockets, also result in bad breath.• Fortunately, treatment of bad breath originating from mouth cavity does not take long time and this problem can be eliminated.

Fissure sealants are liquid filling materials that are used for sealing small indentations and protrusions located on chewing surfaces of molar teeth. Since 90% of dental caries originate from these indentations or pockets, sealing such surface is one of the most effective methods to prevent caries.

First, the etiology should be revealed. If it is secondary to stress or habit and etiological factors cannot be eliminated, wearing of teeth can be prevented with bite plate that is used at night and efforts are made to eliminate this habit. 

Bruxism is involuntary friction of lower and upper teeth to each other. It is commonly dubbed as "tooth grinding” in daily life or colloquially. It is more common for individuals with orthodontic tooth arrangement disorders and with malocclusion and children with allergy and asthma.

It is not recommended for pregnant women. It is not harmful if necessary measures (lead apron, shielded rooms, dose management etc.) are taken. It is an important aiding method for dentists.

One may consider dental caries, if teeth sensitivity is provoked by cold and hot foods, hot, sweet or sour foods or pressure, if foods are entrapped between teeth and if bad breath exists.

If caries have not occurred yet, fissure sealant applied on chewing surfaces of molar teeth prevents caries and fluoride mouth washes helps reducing frequency of caries. However, they cannot stop caries that had already developed. Correct and effective brushing comes to the first place for preventing dental caries.

Dental plaque is formed by bacteria located in mouth cavity and it may produce acid from the residues of sugary and floury foods. Acidic environment deteriorates enamel and ultimately dental caries and cavities develop, since mineral tissue is harmed.

Hypertensive patients or patients with cardiac disease should necessarily consult to his/her primary physician before an implant treatment. If their physician approves, implant treatment can be started while patients are closely followed up. Treatment period can be facilitated by performing treatments in morning and in short sessions in order to avoid tiredness.

Bad breath can be secondary to decayed tooth, gingival disease, conditions of digestive system or upper respiratory tract infections. Bad breath can be eliminated when etiologic condition is managed.

Gingival bleeding while brushing teeth is one of the symptoms of gingival inflammation. Patient should immediately present to a dentist without wasting time. Current gingival inflammation will get worsen if teeth are not brushed due to the bleeding. Patients should brush the bleeding region better and present to a dentist for treatment.

Gingival bleeding during pregnancy is not secondary to calcium recession in tooth. The reason of bleeding is gingival inflammations or worsening of current gingival inflammation secondary to hormonal changes during pregnancy in case of insufficient oral care. Tooth loss in pregnancy can be prevented with good oral hygiene and dental visits. Second trimester, or Month 4, 5 and 6 of pregnancy, is the best period for dental interventions during pregnancy. If an aching tooth should be extracted or urgent treatments, such as canal root treatment, are required, they should not be postponed until post-partum period.

It is not a solution to have aching tooth extracted. Tooth should be treated (such as canal root treatment) and conserved in the mouth as long as possible. Every possible treatment solution should be tried for decayed and aching tooth in order to conserve it.