Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Women have known for years that different changes to their hair, makeup, or clothes can give them a whole new look. Makeup has been used for centuries by women trying to highlight

and define their individual facial features. While these techniques have long been known….Did you know that changing your teeth can give you similar results?

Some of us are born with teeth that complemnts our facial features. But not all of us are so lucky.

A bright, white, beautiful smile creates a first impression that poeple are sure to take note of. Without a spoken word, your smile can give off a confident, optimistic and friendly personality. An esthetically pleasing smile is an attractive quality that brings people to you, making them respond in a positive way towards you.

Physical characteristics aside, a winning smile can also have a major mental and emotional influence on you. People who are self conscious about their smiles tend to appear timid, hesitant, withdrawn or even angry. You may not feel as attractive as you can be.

Modern advances in cosmetic dentistry has allowed a growing number of people to benefit from smile makeoversCosmetic dentistry smile makeovers are capable of transforming a person’s smile to produce dramatic life changing results. A cosmetic dentist will examine your smile and make notes of the changes that need to be made.

Cosmetic Dentistry - smile makeover

Cosmetic Dentistry – smile makeover

Smile Design Principles or Smile Design for Cosmetic Dentistry

A smile design influences the overall cosmetic impact of an person’s smile. Smile design can be divided into four separate components:

-Facial Esthetics. A person’s facial esthetics varies greatly from patient to patient. A cosmetic dentist can evaluate this using a visual examination and the use of photography. Facial Esthetics will include not only the teeth but also the bone structure of the face and the musculature. It will also inlcude the way your lips frame your smile when you speak, smile, or laugh.

-Gingival (Gum) Tissue Esthetics. A smile with diseased gum tissue will never bo one that is considered attractive. Healthy gum tissue is an essential element in smile design. Common cosmetic dentistry complaints include a gummy smile, uneven gum tissue, and exposed root surfaces from recession. All of these things take away from a person’s smile appeal.

-Microesthetics. This component deals with the subtle attributes that make your teeth appear the way they do. This includes how they reflect light, any unique marks or colorations. This technique is applied when restoring a tooth from decay. Cosmetic dentistry will restore the tooth to give it qualities closely resembling the natural tooth. The anatomy and coloration of natural teeth is a unique quality that varies from patient to patient.

-Macroesthetics. This area allows the cosmetic dentist to analyze the relationship and proportions between a patient’s front teeth, surrounding tissues, and facial characteristics. Analyzing these characteristic will ensure the final result will be natural and attractive for the patient. Working together, your cosmetic dentist and dental laboratory technician combine their technical and artistic abilities to create a natural and esthetically pleasing appearance in which the shapes, sizes and arrangement of individual teeth blend with and complement your particular features.

Anatomy of a Smile in Cosmetic Dentistry

The following are the important anatomical structures or landmarks used in cosmetic dentistry:

-Lips. In cosmetic dentistry the lips are usually compared to a picture frame. The lips frame your smile, teeth, and gums. Lip enhancements correcting shape, fullness, and symmetry of your lips can make your smile seem broader and fuller.

For optimal cosmetic effect, your facial features should line up to your teeth and lip lines. When your lips form a broad smile, an imaginary line can be drawn through the corners of the mouth, from one side to the other. The amount of upper front (maxillary anterior) tooth revealed below this line helps create a vibrant, youthful image. In a youthful smile, the upper front teeth should fill between75-100% of the space between your upper and lower lips in a full smile.

-Midline. The facial midline is an important landmark in cosmetic dentistry. It is an imaginary vertical line drawn between the front two upper teeth. For optimum esthetics the facial midline should line up with the middle of the face.

Sometimes facial features can throw the midline off. These include the eyes, nose, and chin. A portion of the population has uneven eye levels or a nose that is slightly off center. If not taken into account this will throw the whole analysis off. Cosmetic Dentistry uses a more accurate landmark on the face. The point between the eyebrows and the cupid’s bow in the center of the upper lip is used. By using these two landmarks, cosmetic dentists can draw and locate the facial midline wile also determining its direction.

Whenever possible, the midline between the upper front teeth (central incisors) should coincide with the facial midline. In cases where this is not possible, the midline between the central incisors should be perpendicular to the imaginary line that could be drawn through the corners of the mouth.

-Smile Line. Your smile line is the line created by the top of your lower lip. In an ideal smile line, the edges of your upper teeth should be parallel to your lower lip when you smile. The bottom of your lower lip should have the same line as the gums of your lower jaw. This should always be a standard, regardless of the size or shape of your smile. Once your cosmetic dentist has determined the orientation of your smile line, they can design its curve, or shape, and determine the length of your new restorations for your smile makeover.

-Teeth. Smiles that tend to be considered attractive usually hve a few things in common. These features include white teeth, teeth that are unstained, and evenly spaced with no crowding.

Upon smiling, your top teeth show fully in a good proportion to your gums. The line where the gums and teeth meet is smooth and even. The smile line of the upper teeth follows the curve of the lower lip. The midline of the upper front teeth ideally is in the center of the face. Tooth reveal is a term that describes the amount of tooth structure that shows during smiling and various angles of your face.

Cosmetic Dentististry Variations

The impact of a smile cannot be judged just by the individual beauty of teeth and gums. Each and every patient has their own unique qualities, quirks, and traits. These include age, sex, personality traits, as well as cosmetic dentistry expectations.

When considering  person’s ideal smile, the cosmetic dentist will always consider an individuals personal traits. These include facial features, skin tones, hair color, as well as how your teethare framed by your overall appearance. Occlusal and functional considerations will also play a role in the final treatment.

Macroesthetic concepts provide only guidelines and reference points for beginning esthetic evaluation, planning and treatment. The artistic component can be applied and perfected in cosmetic dentistry by dentists who understand the rules, tools and strategies of smile design. In modern cosmetic dentistry there are tools such as digital imaging, lasers, teeth whitening procedures that allow a skilled cosmetic dentist to create smile makeovers.

The cosmetic dentistry procedures range from teeth whitening to dental bonding to porcelain veneers, crowns, and dental implants. Cosmetic dentists also have at their disposal the ability to augment soft tissues. The use of dermal fillers can correct certain facial feature such as thin lips or even facial asymmetry. Advances in cosmetic dentistry and sedation dentistry make it possible to do these procedures with less patient anxiety and pain.

Ultimately any cosmetic dentistry smile makeover is in the eye of the beholder. Just because certain procedures are possible it does not mean it should be done on each and every patient. Many patients embrace their uniqueness and are fine with the way they look. Others are looking for a change and thats where cosmetic dentistry can come in and make that happen for them.

Have you ever caught yourself staring at the perfect smiles seen on TV, in the movies, and in magazines . . . the smiles of  Hollywood actors and actresses, and models? Have you ever wondered, “How did they get that perfect, white smile? Odds are, those celebrities were not born with pearly white smiles. These smiles were likely designed and created just for them with the help of a cosmetic dentist. The good news? Anyone can enjoy the perfect Hollywood smile, with the assistance of a cosmetic dentist and porcelain veneers.

Porcelain veneers (also referred to as porcelain laminates) are super thin, custom fabricated shells of tooth colored porcelain designed to cover the front surface of teeth to improve your smile’s overall aesthetic appearance. These shells are adhesively bonded to the front of the teeth changing their color, shape, width, and/or length. Versatile and very strong, porcelain veneers are used in a variety of ways to transform your smile, from complete smile makeovers to repairing a chipped tooth.

Porcelain veneers are custom made from a high quality dental porcelain that has similar light reflecting properties as our natural teeth. Porcelain veneers are excellent at resisting stains and they mimic our natural teeth’s light reflecting properties. They are the cosmetic dentist’s greatest tool for elevating a normal smile to a Hollywood smile.

Porcelain Veneers arecosmetic dentist regularly used to fix the following issues:

-Teeth that are stained or discolored. Teeth can become stained or discolored from root canal treatment, from tetracycline or other drugs, excessive fluoride, or the presence of large resin fillings that have discolored over time.

-Teeth that are worn down from use or grinding of teeth.

-Teeth that are broken or chipped.

-Teeth that are misaligned, uneven, or irregularly shaped. Porcelain veneers are sometimes referred to as “Instant Orthodontics”.

-Teeth with gaps or spaces between them. Porcelain Veneers are able to cosmetically close those spaces.

Making the decision to have porcelain veneers is the first step. The entire process usually takes 3-4 visits, one for a consultation and two to make and apply the porcelain veneers. There is sometimes an added appointment following the consultation where the dentist will show the patient a mock up model. This model will be of your teeth where the dentist has waxed onto those teeth what the porcelain veneers will look like on your smile. It is a great visual reference for you to decide the course of treatment for you. This can also be done via software on a computer. One tooth or many teeth can simultaneously undergo the treatment described in the following paragraphs.

Consultation/Diagnosis and Treatment Planning. This first step involves your aCosmetic Dentistctive input. Explain to your dentist what you want in the final result. During this appointment, your cosmetic dentist will examine your teeth to make sure porcelain veneers are appropriate for you and explain to you what the procedure involves and some of its drawbacks. They may take X-rays and possibly make impressions of your teeth as study models. These models will be used by the dentist to do a mock up of the final result. The dentist will prepare the teeth on the model and sculpt wax over them to give you a visual representation of the final product. This is an important step.

Preparing the Teeth for Porcelain Veneers. A dentist must remove  about 1/2 millimeter of enamel from the tooth surface, which is an amount nearly equal to the thickness of the porcelain veneers to be added back to the tooth.  Before beginning, you and your dentist will decide the need for a local anesthetic to numb the area. Next, your dentist will take an impression of your teeth. This model is sent out to a dental laboratory, which in turn constructs your custom porcelain veneer. It takes about 1-2 weeks for the laboratory technicians to complete the process. Temporary veneers are placed using a resin material until the final veneers are ready.

Dental Bonding. Before the porcelain veneers are permanently bonded to your tooth, the dentist will check for fit and color by temporarily placing it onporcelain veneers the tooth. If they fit properly and the color shade is correct the dentist will go on to prepare your tooth, your tooth will be cleaned, polished, and etched (this is a process whereby your tooth surface is roughened up chemically at the microscopic level).  A special adhesive is applied to the porcelain veneers and the veneer or veneers are methodically placed on your tooth. When the they are in the right position, your dentist will apply a special light to the porcelain veneers. This activates chemicals in the adhesive, causing it to cure. The final steps involve removing any excess adhesive, evaluating your bite and making any final adjustments in the porcelain veneers as needed. Your dentist may ask you to return for a follow-up visit in a couple of weeks. This is to ensure you are happy with the final result as well as checking the gum tissue surrounding the new porcelain veneers.

There are some disadvantages to porcelain veneers:

-The procedure is not reversible.

-Porcelain Veneers are not repairable. If they break, a new one will need to be custom  fabricated in the laboratory.

-The color cannot be changed once the porcelain veneers are in place. So both dentist and patient must be sure they are happy with color prior to final placement of the porcelain veneers. It does happen on occasion that the color is not what is desired from the laboratory and they are sent back to be remade. It is of the utmost importance for the patient to be ahppy and satisfied with the final result.

-Porcelain veneers can fall off or chip. The material is very strong but patients who grind their teeth, bite their nails or chew on pencils will be more susceptible to this occurring.

-The teeth under the porcelain veneers are still susceptible to tooth decay. Patients need to be made aware of maintaining proper oral hygiene.

Porcelain veneers can be brushed, and flossed just like your own teeth. You should not even know they are in your mouth as they are bonded to your natural tooth sstructure.

Imagine. In just a few short visits, you can have an amazing Hollywood smile . . . a smile that has been custom designed just for you. A smile that is straighter and whiter than you could have imagined. You’ll be looking younger and feeling more confident. And it’s all possible with your cosmetic dentist and porcelain veneers.