The Smile Design and Space (SDS) concept

The Smile Design and Space (SDS) concept

by | Jan 6, 2025 | Cosmetic Dentistry, Dental Treatment, News and Research

Innovative full-mouth reconstruction to enhance oral health and biomechanics

Living life with a truly optimised smile is about more than just beautiful teeth. The Smile Design and Space (SDS) concept takes a broader view—considering your entire head anatomy, including jaw alignment, facial structure, and lip mobility—to achieve a harmonious balance of aesthetics, functionality, and health. This holistic approach integrates advanced dental techniques to craft smiles that are not only stunning and natural but also built for lasting comfort and performance.

The Smile Design and Space (SDS) concept

Source: Łukasz Lassmann, SDS Concept

What is the SDS concept?

The SDS approach is about ensuring your anatomy has the space it needs where it matters most. This groundbreaking method optimises the vertical space between the upper and lower jaws when you bite. That space is known as vertical dimension of occlusion (VDO), and it is vital to proper oral function, long-term dental health, and overall comfort.

Unlike traditional tooth-centric methods which have a narrower focus, the SDS concept takes a facially driven treatment approach. It carefully evaluates the unique relationships between facial features, teeth, and jaw alignment to create a tailored plan that enhances aesthetics and functionality. By addressing the limitations of conventional VDO adjustments, the SDS concept minimises invasiveness while delivering exceptional, patient-specific results. This innovative method prioritises comfort, balance, and a natural appearance, offering a holistic solution for full-mouth restoration.

How does the SDS concept work?

The SDS concept follows a meticulous, structured approach that integrates precise assessments with advanced dental techniques, delivering consistently optimal results. Here’s how it works:

Evaluating the maxillary central incisors

The upper front teeth—or maxillary central incisors—are carefully assessed for their position and visibility in relation to the upper lip, both at rest and during a full smile. This step is crucial for determining the ideal incisal edge position, which significantly influences the harmony and natural appearance of the smile.

Evaluating the maxillary central incisors

Source: Łukasz Lassmann, SDS Concept, Upper incisal position and visibility

Considering lip mobility

Each patient’s lip mobility is analysed, as it impacts how much of the teeth and gums are visible when smiling. Special attention is given to patients with gingival exposure (a “gummy smile”) to ensure a balanced and aesthetically pleasing result.

Source: Łukasz Lassmann, SDS Concept, Virtual planning for the vertical dimension of occlusion adjustments

Strategic adjustments to the bite height

The SDS concept uses a systematic formula that accounts for dental relationships, wear patterns, and individual needs to determine precise alterations to the vertical dimension of occlusion. These adjustments are carefully calibrated to enhance both the functional dynamics of the bite and the overall aesthetic outcome.

Strategic adjustments to the bite height
Strategic adjustments to the bite height
Strategic adjustments to the bite height

Source: Łukasz Lassmann, SDS Concept, Determining the ideal start and end points for central incisor placement

Integrating these steps, the SDS concept delivers a personalised approach to full-mouth reconstruction that emphasises harmony, functionality, and minimal invasiveness. This meticulous process ensures lasting results that blend seamlessly with each patient’s unique features.

Benefits of the SDS concept

The SDS concept provides several compelling advantages compared to traditional methods of full-mouth reconstruction:

Minimal invasiveness: By preserving as much natural tooth structure as possible, the SDS concept reduces the need for extensive preparation or irreversible changes, ensuring a conservative yet effective treatment approach.

Enhanced aesthetics: The SDS concept integrates dental and facial features to create a balanced, natural-looking smile that complements the patient’s unique appearance.

Improved functionality: Proper alignment and bite are prioritised, reducing the risk of jaw discomfort, uneven wear, or compromised chewing efficiency.

Predictable outcomes: The systematic and patient-focused methodology enhances the reliability of the treatment, leading to consistent, high-quality results and a higher rate of long-term success.

Why is the SDS concept significant?

The SDS concept represents a paradigm shift in dental care, emphasising highly individualised treatment plans. By tailoring the approach to each patient’s unique aesthetic and functional needs, the SDS concept ensures outcomes that are not only visually stunning but also durable and comfortable over the long term. This focus on personalisation enhances patient satisfaction and the overall success of full-mouth reconstructions.

Who can benefit from the SDS concept?

The SDS concept is particularly beneficial for individuals considering full-mouth reconstruction to address complex dental issues such as:

Severe tooth wear: Restoring the original structure and function of heavily worn teeth.

Misalignment: Correcting bite issues to improve chewing efficiency and comfort.

Gummy smile: Balancing the visibility of teeth and gums for an aesthetically pleasing result.

The SDS concept combines aesthetics with functionality, providing a comprehensive solution for patients seeking transformative dental care. This innovative approach makes it possible to achieve a healthy, balanced, and naturally beautiful smile tailored to each individual’s unique characteristics.

full-mouth reconstruction

Exceptional whole-mouth restorations

The SDS concept goes far beyond the basics of dentistry to provide precise, lasting results for your entire oral anatomy, including jaw, teeth, gums and lips. This powerful framework balances aesthetics with functionality, to create customised treatment plans that truly meet each patient’s needs in a genuinely comprehensive manner.

For those undergoing full-mouth reconstruction, achieving a beautiful and healthy smile is non-negotiable. For these patients, the SDS approach delivers predictable outcomes with confidence. Support your long-term oral health and optimise your bite biomechanics by asking your dental professional about the SDS concept.

References:

Lassmann, Ł., Calamita, M. A., & Blatz, M. B. (2024). The “Smile Design and Space” concept for altering vertical dimension of occlusion and esthetic restorative material selection. Journal of Esthetic and Restorative Dentistry: Official Publication of the American Academy of Esthetic Dentistry, 10. https://doi.org/10.1111/jerd.13317

Lassmann, Ł. (2024). SDS concept [Facebook post]. Facebook. https://www.facebook.com/share/p/15eKDmRJk3/

The art of natural-looking dental restorations

The art of natural-looking dental restorations

by | Dec 18, 2024 | Cosmetic Dentistry, Dental Treatment, New Dental Technology

Your smile is one of your most valuable assets, reflecting confidence and enhancing your well-being. Yet dental issues like decay, chips, discolouration, or missing teeth can make you hesitant to share it.

With modern advancements in dental technology and materials, achieving a natural-looking restoration is easier than ever. These state-of-the-art techniques restore your smile’s health and natural brilliance, making it virtually impossible to tell the difference between restored teeth and their wholly natural neighbours.

Natural aesthetics matters

In today’s world of modern dentistry, we believe that function and aesthetics are equally important. A truly outstanding dental restoration doesn’t just restore a tooth’s function—it also integrates smoothly with your natural teeth, creating a smile that looks and feels perfectly in harmony.

Natural aesthetics

Achieving this level of excellence means your dentist blends technical skill with artistic flair and a deep understanding of facial aesthetics. They must pay close attention to every detail to ensure your smile not only works beautifully but also looks effortlessly natural.

Factors contributing to natural-looking restorations

Creating natural-looking dental restorations involves a combination of technical expertise and artistic insight. Several factors contribute to achieving a restoration that blends seamlessly with your natural teeth:

Material selection

Material selection

The foundation of a natural-looking restoration lies in the choice of material. Each material possesses unique optical and physical properties that influence the final aesthetic outcome.

Porcelain: Renowned for its strength and lifelike appearance, porcelain excels at mimicking the translucency and colour variations of natural teeth. Its ability to reflect light in a similar manner creates a remarkably natural look. This makes porcelain an ideal choice for crowns, veneers, and bridges where aesthetics are paramount.

Composite resin: Offering versatility and customisation, composite resin allows dentists to meticulously match the colour and shape of your teeth. It can be layered and sculpted to achieve a seamless blend with the surrounding dentition. While not as translucent as porcelain, advancements in composite technology have significantly improved its aesthetic qualities, making it suitable for fillings and smaller restorations.

Zirconia: Traditionally known for its exceptional strength, zirconia has evolved to offer improved aesthetics. Modern zirconia materials exhibit enhanced translucency, enabling the creation of restorations with a more natural appearance. However, for optimal aesthetic results, zirconia may require additional layering or masking techniques.

Lithium disilicate: Striking a balance between strength and aesthetics, lithium disilicate offers excellent translucency and colour properties. This material allows for the creation of highly natural-looking restorations with minimal masking. It is a popular choice for crowns and veneers due to its durability and lifelike appearance.

Acrylic resins: Primarily used for dentures, acrylic resins have limitations in terms of aesthetics compared to other materials. They tend to be less translucent and more susceptible to staining. However, advancements in acrylic resin technology have led to improvements in their appearance, making them a suitable option for certain temporary restorations.

New hybrid resins: The dental industry continues to innovate, with new hybrid resins emerging that combine the strengths of composite resins and ceramics. These materials offer enhanced aesthetics, strength, and durability, promising even more natural-looking restorations in the future.

Precise colour matching

Achieving a truly natural-looking restoration is deeply intertwined with accurate colour matching. Dentists employ sophisticated techniques to select materials that seamlessly integrate with the patient’s existing teeth.

Precise colour matching

Shade selection: Dentists meticulously determine the correct colour match using traditional shade guides or advanced digital shade-taking softwares. This ensures a precise foundation for the restoration.

Customisation: To replicate the natural complexity of tooth colour, dentists often layer different shades of materials. This creates a subtle colour gradient that mimics the variations found in natural teeth.

Staining and glazing: The artistry of dental restoration extends to staining and glazing. These techniques add depth, character, and lifelike qualities to the restoration. By carefully applying stains and glazes, dentists can mimic the translucency, opacity, and surface texture of natural teeth.

Lifelike contours

Lifelike contours

Replicating the natural contours and texture of teeth is essential for a seamless and harmonious appearance.

Curvature: Replicating the gentle curves of natural teeth is essential. Dentists utilise cutting-edge intraoral scanners and dental modelling software to recreate these subtle bends, ensuring a smooth and harmonious transition between the restoration and the adjacent teeth.

Translucency: Natural teeth exhibit varying degrees of translucency, depending on their location in the mouth. Dentists carefully select materials and apply layering techniques to match the light-transmitting properties of the restoration to the surrounding teeth. This creates a lifelike appearance and prevents the restoration from appearing opaque or artificial.

Surface texture: The surface of natural teeth is not perfectly smooth; it contains subtle ridges, grooves, and enamel lines. Dentists replicate these textures in restorations using advanced techniques and materials. This attention to detail contributes to a highly realistic and natural-looking result.

Harmonious integration

Harmonious integration

For a dental restoration to appear truly natural, it must seamlessly blend with the surrounding teeth and facial features.

Size, shape and alignment: The restored tooth should mirror the proportions, form, and position of its neighbouring teeth. Any discrepancy in these elements can disrupt the natural look of the smile.

Symmetry: Facial symmetry plays a vital role in aesthetic appeal. The restoration should complement the overall balance of your facial features, ensuring a harmonious and pleasing outcome.

Natural junction: The area where the tooth meets the gumline is a critical factor in achieving a natural appearance. A skilled dentist will carefully contour the restoration to create a smooth and imperceptible transition, enhancing the overall beauty of the smile.

Bite and occlusion

Proper bite alignment is crucial not only for aesthetics but also for functionality. A restoration that disrupts the bite can lead to discomfort and affect the appearance of the teeth. Ensuring the restored tooth fits well within your natural bite pattern is essential for a comfortable and natural-looking result.

natural-looking restorations

Common types of natural-looking restorations

A diverse range of dental procedures can be utilised to craft restorations that seamlessly integrate with the natural aesthetics of the teeth.

  • Composite bonding
  • Dental fillings
  • Dental veneers
  • Inlays and onlays
  • Dental crowns
  • Dental bridges
  • Dental implants
  • Dentures

The artistry of your smile

Achieving natural-looking dental restorations is a collaborative effort between the patient and the dentist. A skilled dentist is the architect of your smile, combining artistry with scientific precision.

Your dentist will conduct a thorough examination to understand your dental goals and assess the condition of your teeth. With a keen eye for detail, they will develop a personalised treatment plan tailored to your unique needs. By utilising high-quality materials and advanced techniques, your dentist will craft restorations that seamlessly blend with your natural teeth, enhancing your smile’s beauty and function.

Maintaining your natural-looking restorations

Proper care is essential to prolong the life and natural appearance of your dental restorations.

  • Prioritise oral hygiene with consistent brushing and flossing.
  • Visit your dentist regularly for check-ups and cleanings.
  • Limit sugary and acidic foods to prevent plaque, decay and erosion.
  • Avoid harmful habits like nail-biting and biting hard, sticky foods.
  • Prevent tooth damage caused by sports or teeth grinding with mouthguards or night guards.
Dental Restoration
Dental Restoration

Showcase your natural-looking smile

A truly natural-looking dental restoration is where art meets science. It’s more than advanced materials and techniques—it’s the meticulous attention to detail that turns a good smile into a great one. With your dentist’s expertise, your restoration will blend seamlessly with your natural teeth, enhancing your smile’s beauty and your confidence.

Step into a future where your smile stands out for all the right reasons—effortlessly combining function, harmony, and brilliance.

Total arch tooth loss is no lost cause with All-on-4 dental implants

Total arch tooth loss is no lost cause with All-on-4 dental implants

by | Dec 9, 2024 | Cosmetic Dentistry, News and Research, Oral Surgery

The heavy toll of full-arch tooth loss can significantly degrade your health, confidence, and everyday quality of life. Whether you’ve already lost all your upper or lower teeth, or you know you’ve got an entire arch already on its way out, All-on-4 dental implants offer a transformative solution that can restore what matters most to you. This efficient and effective technique provides a reliable, long-lasting way to reclaim a full, natural-looking smile in less time than traditional methods.

What’s All-on-4 dental implants?

The All-on-4 dental implant technique offers an innovative solution for restoring a full arch of teeth—upper, lower, or both—using just four implants. Pioneered by Dr. Paulo Malo in the 1990s, these strategically placed implants provide stable anchors for a fixed, full-arch prosthesis, offering a secure, permanent alternative to traditional dentures.

Full-arch tooth loss solution

Surprisingly few steps for instant results

Comprehensive evaluation: Your journey to a complete smile starts with a thorough oral health assessment. Your dentist will conduct clinical examinations, utilise 3D CBCT imaging, and perform intraoral scans to determine if you’re a suitable candidate. They’ll evaluate crucial factors such as bone density, gum health, and your overall medical history.

Implant placement: Four titanium implants are perfectly positioned in the jawbone to maximise stability. Two of these are placed vertically at the front, while the other two are angled at the back to optimise their contact with existing bone structure. This angled placement often eliminates the need for bone grafting, even in patients with some bone loss.

Temporary restoration: Immediately after placing the implants, a temporary prosthesis is secured to tide you over until the next steps of your restoration can be completed. This means you can leave the dental office with a set of teeth which look and feel good. This provisional arch of teeth will help you to speak and eat comfortably while your implants heal and integrate.

Healing and integration: Over the next 3 to 6 months, your implants fuse with your jawbone through a natural process called osseointegration. This integration creates a strong, durable foundation for your permanent restoration.

Final restoration: Once healing is complete, your dentist replaces your temporary prosthesis with custom-made bridgework or a fixed denture designed to look and function like natural teeth.

dental implants

Get the All-on-4 advantage

Immediate results: Traditional dental implants often involve multiple surgeries and lengthy healing times, whereas All-on-4 technique provides a fully functional set of teeth on the same day as surgery. This immediate transformation not only restores your smile but also significantly enhances your quality of life straight away.

Bone grafting minimised: The All-on-4 technique uses angled implants, placed at a 45° angle, to optimise jawbone contact and often eliminate the need for grafts. This delivers a firm base for restorations, even suitable for some patients with reduced bone density. Unlike traditional full-arch implants, which more often require bone grafting, All-on-4 offers a less invasive alternative.

Cost-effective: By using only four implants per arch, All-on-4 is generally more affordable than traditional full-mouth restoration, which may require 6 to 8 implants. Being so cost-efficient makes it an attractive option for those seeking a long-term solution without the higher expense of installing more than 4 implants.

All on four

High success rates: A 10-year study by Malo et al. involving 245 patients demonstrated impressive success rates for All-on-4 lower jaw implants: 98.1% at 5 years and 94.8% at 10 years, with a 99.2% dental prosthesis survival rate. These figures reflect the procedure’s durability and reliability, offering patients confidence in their investment.

Material Durability: Prosthetics used in an All-on-4 treatment are typically made from high-quality materials like zirconia, high-strength ceramic, and acrylic. Zirconia and ceramic are known for their exceptional durability and resistance to wear, while acrylic offers a cost-effective solution that’s easier to repair if needed.

Improved quality of life: Studies consistently show that patients with All-on-4 implants report significantly higher satisfaction than those using traditional dentures, especially ill-fitting ones. Many patients experience a marked improvement in chewing function, allowing them to enjoy a wider variety of foods with greater ease.

Additionally, speech clarity is often enhanced, as the implants provide a firmer foundation compared to removable dentures. They look and feel great too, which means All-on-4 implants not only restore a natural-looking smile but also boost self-esteem, psychological well-being and social confidence.

Zirconia

Respect the limits of All-on-4 dental implants

While All-on-4 offers great benefits, there are a few limitations to note:

Suitable for many, but not all: While this is a widely suitable solution, some patients’ oral anatomy can’t reliably support an All-on-4 restoration. All-on-4 minimises the need for bone grafting, but severe bone loss or extremely low bone density in a patient could be a red flag that rules out an All-on-4 procedure. For these people, additional grafts or implants may be needed to ensure a stable foundation for their particular restoration.

Potential complications: As with any surgical procedure, there are inherent risks. Potential issues include implant failure, infection, or peri-implantitis, a condition involving inflammation around the implants. Choosing a highly skilled and experienced dental professional is crucial to minimising these risks and ensuring a successful outcome.

Maintenance requirements: This is a permanent solution, but keeping it in good condition for life requires effective, consistent oral hygiene. Regular comprehensive dental check-ups, professional cleanings, and diligent daily care are essential to mitigate complications and maintain the health of your implants.

Wear and tear on your restoration: While the titanium implants are designed to last a lifetime, the prosthetic denture may require replacement or adjustments after 10 to 15 years due to normal wear and tear. Regular oral hygiene and maintenance are important to the longevity and functionality of the prosthesis.

All-on-4 dental implants

Is All-on-4 dental implants right for you?

When your dentist considers if an All-on-4 procedure is your best choice, they will look at several important factors:

Bone health:

Adequate bone density is crucial to the stability of dental implants. While the All-on-4 technique minimises the need for bone grafting, sufficient bone structure is still necessary to support the implants securely.

Oral and general health:

The condition of your overall health plays a significant role in the success of the procedure. Conditions such as uncontrolled diabetes, certain autoimmune diseases, or a history of heavy smoking can impact the healing process and long-term outcomes. Managing these conditions effectively is essential before undergoing the procedure.

Personal goals:

Consider what you hope to achieve both aesthetically and functionally. Are you looking for a permanent, non-removable solution that restores your ability to eat and speak comfortably? Exploring and understanding your expectations will help guide the decision-making process.

Empower your choices with professional consultation

Your first step is to consult with an experienced implant specialist. They will conduct a thorough evaluation, including clinical exams and imaging, to assess your specific needs. Based on this comprehensive assessment, they will recommend the most suitable treatment plan, tailored to your oral health and personal goals.

Your complete, stunning All-on-4 smile

All-on-4 full-arch restorations come with significant benefits, and a few limitations. Now that you have a feel for whether it might suit your unique needs, it’s time to take action by consulting a qualified dental professional. Informed by a comprehensive evaluation, they can guide you through the process to help you determine whether this innovative and efficient treatment is right for you.

All-on-4 dental implants

An All-on-4 restoration could transform your smile and quality of life—don’t miss out on what it has to offer! Get in touch today so we can help you find your best path to restore your smile.

Inlays and onlays—Faster, stronger smile with 3D printing

Inlays and onlays—Faster, stronger smile with 3D printing

by | Oct 24, 2024 | Cosmetic Dentistry, New Dental Technology, Oral Conditions and Issues

Stronger smiles faster with 3D printed inlays and onlays

You might be familiar with dentistry history, in which fixing moderately damaged teeth usually meant removing a lot of healthy tooth structures to make room for a crown. This approach, while effective, wasn’t ideal for preserving as much of the natural tooth as possible. In some clinics and certain cases, that older approach continues to be used, but there’s a better restoration method now available in modern clinics: 3D printed inlays and onlays. These highly precise restorations fit into or onto the damaged part of the tooth, allowing for a more conservative approach that saves more of your natural tooth.

With the introduction of digital dentistry and 3D printing, inlays and onlays have become even more efficient and precise. This technology allows dentists to create custom-fit restorations that perfectly match your tooth’s unique shape and structure, resulting in a faster, stronger, and more natural-looking smile.

What are inlays and onlays?

Inlays and onlays—Faster, stronger smile with 3D printing
Inlays and onlays—Faster, stronger smile with 3D printing

Inlays and onlays are tooth restorations used to repair teeth with moderate damage, such as large cavities, cracks, or fractures. Unlike crowns, which completely cover the tooth, inlays and onlays are more conservative. Here’s a breakdown of their key features:

Function: Inlays resemble fillings but are more substantial and custom-crafted to fit precisely within the tooth’s cusp (pointed chewing surface). Onlays, on the other hand, cover a larger portion of the tooth structure, extending beyond the cusp onto one or more sides.

Material: Inlays and onlays are typically made from strong, durable materials like porcelain or composite resin. These materials are chosen for their ability to withstand chewing forces and resist wear and tear.

Benefits: There are several advantages to choosing inlays and onlays over traditional restorations:

Preservation of tooth structure: By only replacing the damaged portion of the tooth, inlays and onlays conserve more of the natural tooth structure. This can benefit the long-term health of the tooth and surrounding bone.

Strength and longevity: The materials used in inlays and onlays are highly durable and can last for many years with proper care.

Improved aesthetics: Inlays and onlays are custom-designed to match the colour and texture of your surrounding teeth, resulting in a natural and seamless appearance.

What’s good about 3D printed restorations?

Dental Restoration

Faster turnarounds and streamlined visits

Say goodbye to weeks of waiting! Traditional inlays and onlays involve sending impressions to a lab, leading to multiple appointments. 3D printing eliminates this wait. Dentists can now use digital scans and design software to create precise restorations right in their offices. This can potentially condense the entire process into a single visit, saving you valuable time and reducing the number of trips to the dentist.

Enhanced precision and potential for longer lifespan

3D printing boasts incredible accuracy, resulting in inlays and onlays that fit your teeth flawlessly. This precise fit minimises the risk of future problems like leakage or sensitivity, potentially leading to a longer lifespan for your restoration. Additionally, the improved fit can translate to a more comfortable chewing experience.

Convenience and comfort you can smile about

Patients choosing 3D-printed inlays and onlays benefit from a more convenient treatment journey. Fewer appointments are typically needed compared to traditional methods. Plus, ditching the uncomfortable physical impressions often used in traditional techniques translates to a more pleasant experience overall.

Natural look, long-lasting results

3D printed restorations are custom-made to perfectly match your surrounding teeth, ensuring a natural and aesthetically pleasing appearance. These restorations are not just beautiful, they’re built to last. The high-quality materials used in 3D printing contribute to the durability of the inlays and onlays, allowing you to enjoy a confident smile for years to come.

How 3D printed inlays and onlays are created

Creating 3D-printed inlays and onlays uses advanced digital dentistry technology to achieve precise and efficient dental restorations. Here’s how the process works:

Digital X-rays:

For optimal treatment planning, dentists usually rely on high-resolution digital X-rays. These detailed images allow them to see your tooth’s internal structure clearly, revealing any decay, fractures, or hidden problems. This information is crucial for creating a customised restoration plan that minimises tooth removal and ensures the best coverage for your tooth.

Intraoral scanning:

This handheld camera takes a well-defined, precise 3D digital impression of your prepared tooth and the surrounding area. It eliminates the need for messy traditional impressions and provides an accurate model for designing restorations.

3D printed Inlays and onlays CAD Software

Smile designing:

Using advanced smile modelling software like Medit CliniCAD or exocad, your dentist virtually designs the 3D model of your restorations. This software allows for precise adjustments to ensure a perfect fit within the prepared cavity. For the best possible outcome, factors like gap size and restoration thickness are tailored to your unique needs, promoting strength, aesthetics, and bite function.

3D printing:

Following the design of your ideal smile, your dentist will use biocompatible resin to 3D print your custom inlay or onlay. These resins, often ceramic-filled, are incredibly strong and designed to mimic your teeth’s natural look and feel. This translates to long-lasting restorations that blend seamlessly with your surrounding teeth, creating a natural and beautiful smile.

Support removal and polishing:

The temporary support structures used during printing will be removed using clippers or tweezers. Precise removal techniques ensure a smooth surface for the following polishing step. Once removed, the restorations are then polished to achieve a smooth, natural-looking surface that reflects light like your surrounding teeth.

Cleaning:

This phase typically involves an initial wash in isopropyl alcohol (IPA) to remove any residue, followed by alcohol spraying and meticulous cleaning with a micro brush. Compressed air drying ensures no moisture remains, which could impact the final result.

Post-curing in glycerine:

Your dentist may apply a thin layer of glycerine to prevent moisture absorption before final curing. Glycerine eliminates oxygen, allowing the resin to fully cure and reach its optimal strength.

Final curing:

Your restoration is placed inside a UV curing unit for final hardening, ensuring the inlay or onlay achieves maximum strength and durability.

3D printed Inlays and onlays

Characterising:

For exceptional aesthetics, pigments, stains, and textures can be applied to perfectly match the colour and surface characteristics of your natural teeth. UV light is used to ensure proper bonding and curing of the glaze and coats.

Mock-up wax-up:

A replica of your prepared tooth is used to verify the fit and function of the completed inlay or onlay. This mock-up step ensures the restoration integrates seamlessly into your mouth and functions properly before actual bonding.

Might 3D-printed inlays and onlays be right for you?

If you have a moderately damaged tooth that needs more than a simple filling but doesn’t require a full crown, 3D-printed inlays and onlays could be a suitable option. These restorations are designed to preserve as much of your natural tooth structure as possible. Here are some factors to consider:

The extent of damage: Inlays and onlays are ideal for teeth with moderate damage. If the damage is too extensive, a full crown might be necessary.

Preservation of tooth structure: Inlays and onlays are less invasive than crowns, meaning more of your natural tooth can be preserved.

Precision and fit: 3D-printed inlays and onlays offer high precision and a perfect fit, which can enhance the longevity and effectiveness of the restoration.

Consult your dentist: Your dentist will evaluate the damage’s extent and overall oral health to determine if inlays or onlays are the best option for you.

Save more of your smile to live your best life

3D printing is rapidly evolving in dentistry, offering exciting possibilities that give you better results and greater freedom. Efficient, personalised, and durable restorations are available faster than ever before! As this technology continues to advance, 3D-printed inlays and onlays are becoming an increasingly popular choice for those looking to maintain a healthy and beautiful smile. Your outstanding results are just waiting to be seen!

Consult with your dentist to discuss your specific needs so you can experience the benefits of these cutting-edge restorations for yourself.

How our oral health affects our overall wellbeing

How our oral health affects our overall wellbeing

by | Oct 4, 2024 | News and Research, Oral Links to General Health, Oral Pathogen & Microbiome, Risk Factors

How our oral health could make or break us

Our bodies function as complex, interconnected systems, where each part influences the others. Close attention to how oral health impacts chronic diseases has resulted in increasingly clear research findings. More and more studies now demonstrate the connection between the condition of our mouths and our general health. You may have even seen this link highlighted in the recent Australian Dental Association’s statement on oral and systemic disease. Oral health is now understood to impact the entire body, from your heart and your metabolism, right through to the health of your brain.

Poor oral health could even be considered as increasing one’s risk of an early death. Given it is associated with an increase in one’s likelihood of developing chronic diseases like diabetes and heart disease, it really cannot be neglected. Evidence suggests it’s a two-way street, since poor oral health can exacerbate chronic diseases, while chronic diseases can increase the risk of dental problems. Just like an airplane needs both its wings to soar, we rely on excellent oral and overall health for a long and happy life.

What’s the oral-systemic connection?

There are three ways in which oral health connects to chronic diseases. Direct impacts, indirect impacts, and shared risk factors each reveal different ways the condition of one’s mouth is closely linked to their overall health.

Direct impact

This occurs when chronic illnesses or their treatments directly influence oral health, and vice versa. For instance, diabetes, especially when poorly controlled, can lead to high blood sugar levels, creating an environment that promotes gum inflammation (periodontitis). This is because excess sugar in the blood can feed harmful bacteria in the mouth, increasing the risk of infection and gum disease. On the flip side, untreated gum disease leads to chronic inflammation that can spread throughout the body. This systemic inflammation makes it harder for the body to respond to insulin, exacerbating diabetes and leading to a vicious cycle of worsening oral and overall health.

Indirect impact

Oral health and chronic diseases can also affect one another indirectly through treatments, medications, and lifestyle factors. Many people with chronic conditions take medications, but these can have unintended side effects on oral health. For example, antidepressants, blood pressure medications, and certain cancer treatments can cause dry mouth (xerostomia). When saliva production decreases, there’s less natural protection against harmful bacteria, leading to an increased risk of cavities and gum disease.

Moreover, oral health issues like tooth decay, gum disease, or missing teeth can make it difficult to chew, which may limit someone’s ability to eat a healthy, balanced diet. Poor nutrition can further worsen chronic conditions like diabetes, heart disease, or digestive disorders, creating a negative feedback loop where one problem worsens the other.

Shared risk factors

Many oral health issues and chronic diseases share common lifestyle habits and risk factors that can harm both areas. Smoking is a well-known cause of gum disease and tooth loss, but it’s also a major risk factor for chronic illnesses like heart disease, lung disease, and cancer. Smokers are more likely to have inflamed gums, increased plaque buildup, and a weakened immune response, which makes it harder for the body to fight infections. Quitting smoking can significantly improve both oral health and reduce the risk of chronic diseases.

A diet high in sugar contributes to tooth decay and gum disease, as well as being a key factor in the development of conditions like obesity and type 2 diabetes. Cutting down on sugar can improve your oral health and overall well-being, reducing your chances of developing chronic diseases. Likewise, a nutrient-rich diet that includes plenty of vegetables, fruits, and whole grains can support healthy teeth and gums while reducing the risk of heart disease, diabetes, and other chronic illnesses.

Is your oral microbiome your friend or foe?

Your oral microbiome is the community of microorganisms, including bacteria, fungi, and viruses, that naturally make their home in the various parts of your mouth. Under normal conditions, these microbes coexist harmoniously, playing a role in maintaining oral health by aiding digestion and protecting against harmful pathogens.

However, when the balance of these microbes is disrupted—whether through poor oral hygiene, diet, or other factors—it leads to a state called dysbiosis. This imbalance can result in an overgrowth of harmful bacteria that cause inflammation and infection, such as gum disease (periodontitis), and can weaken the body’s ability to fight off other health threats.

Dysbiosis in the mouth doesn’t just stay localised—it can have far-reaching effects on overall health. Research has increasingly linked oral microbial imbalances to serious chronic diseases, such as diabetes, heart disease, and Alzheimer’s disease.

oral microbiome

Which common chronic diseases are linked to oral health?

Heart disease: Gum disease (periodontal disease) triggers inflammation, allowing harmful bacteria to enter the bloodstream. This can contribute to plaque buildup in the arteries and increase the risk of heart disease. Conversely, heart disease can compromise the immune system, making individuals more susceptible to gum infections.

Diabetes: There is a two-way relationship between diabetes and gum disease. Diabetes weakens the body’s ability to fight infections, which can worsen gum disease. In turn, the chronic inflammation from gum disease makes it harder for the body to regulate blood sugar, complicating diabetes management.

Alzheimer’s disease: Emerging research indicates a potential link between chronic gum infections and Alzheimer’s disease. The inflammatory response caused by gum disease may contribute to cognitive decline, though this connection is still under investigation.

Respiratory illness: Poor oral hygiene allows harmful bacteria from the mouth to be inhaled into the lungs, potentially leading to respiratory infections such as pneumonia, especially in those with weakened immune systems.

Mental health: Chronic dental pain and discomfort can significantly impact mental health, contributing to conditions like anxiety and depression. Additionally, concerns about bad breath, tooth appearance, or other oral health issues can negatively affect self-esteem and social interactions.

Obesity: Obesity is associated with increased systemic inflammation, which can exacerbate gum disease. Additionally, poor dietary habits linked to obesity, such as high sugar consumption, contribute to oral health issues like tooth decay and gum inflammation.

Cancer: There is evidence to suggest a link between poor oral health and certain types of cancer, particularly oral cancers like squamous cell carcinoma. Risk factors such as smoking, alcohol consumption, and chronic gum inflammation play significant roles in this connection.

diabetes

What’s the mechanism of the impact?

Hormone production: Inflammation in the mouth can interfere with the production of essential hormones, including enzymes like salivary amylase, which aid in digestion. This disruption may impair the body’s ability to properly break down food and absorb nutrients, impacting overall health.

Metabolic syndrome: Chronic inflammation from gum disease can exacerbate insulin resistance, a key factor in metabolic syndrome. This condition involves a combination of health issues, such as high blood pressure, elevated blood sugar, and abnormal cholesterol levels, increasing the risk of heart disease and diabetes.

Gut microbiome: The oral microbiome plays a crucial role in influencing the balance of bacteria in the gut. Maintaining a healthy oral environment can support gut health, potentially lowering the risk of metabolic conditions like obesity and type 2 diabetes by preventing harmful bacteria from disrupting gut flora.

Immune system: Poor oral health can lead to chronic inflammation, which places ongoing stress on the immune system. This weakened immune response can make the body more vulnerable to infections and systemic health problems beyond the mouth.

Simple steps to impeccable oral health

Maintaining outstanding oral health can significantly improve your overall health and quality of life. It’s worth the effort!

Brush and floss daily: Brush your teeth twice a day for at least two minutes, and floss once daily to remove plaque and bacteria between teeth, preventing gum disease and tooth decay.

Regular dental checkups: Schedule routine dental visits every six months to catch and address issues early, such as cavities, gum disease, or oral infections, before they worsen.

Eat a balanced diet: Focus on a diet rich in fruits, vegetables, lean proteins, and whole grains. Limit sugary foods and drinks, which can fuel the growth of harmful bacteria and lead to cavities and gum problems.

Stay hydrated: Drink plenty of water throughout the day. Water helps wash away food particles and bacteria, while staying hydrated supports saliva production, which is essential for maintaining a healthy oral environment.

Eat a balanced diet

Use fluoride: Incorporate fluoride toothpaste and mouthwash into your oral care routine. Fluoride strengthens tooth enamel, making it more resistant to decay.

Quit smoking: Smoking increases the risk of gum disease, tooth loss, and oral cancers. Quitting smoking is a win-win: it benefits your oral health and your overall physical health.

Chew sugar-free gum: Chewing sugar-free gum after meals can stimulate saliva production. This helps neutralise acids and wash away food particles, protecting your teeth between brushings.

Limit alcohol consumption: Excessive alcohol can dry out the mouth and erode enamel, increasing the risk of gum disease and oral infections. Moderating alcohol intake helps protect both your mouth and body.

Incorporating these habits can help protect your smile and support your overall health.

Your healthy smile makes for a healthier you

Caring for your oral health goes so much further than giving you a beautiful smile—it’s a truly valuable commitment to your overall well-being. It’s an essential part of proper self-care that simply can’t be neglected. Regular brushing, flossing, and dental checkups are simple practices, yet they can protect your teeth, nurture your body, and reduce the risk of chronic diseases. If living a long and fulfilling life is important to you, then a great oral health routine is well worth the effort.

When you prioritise your oral health, you invest in your confidence, vitality, and peace of mind for life. So, keep smiling, cherish each moment, and take pride in your healthy smile which underpins your bright future!