Family & Cosmetic Dental Care in a Relaxed Environment.

Exceptional Dentistry Las Vegas and Henderson NV Since 1999.

Dental Implants, Teeth Whitening, Porcelain Veneers, &
Botox Cosmetic.



Smile Design is an individualized treatment plan to improve the overall appearance, feel and most importantly the function of your smile to be one with your unique facial features. Our smiles are unique to each of us. They all have their quirks but for some a change is in order to make us feel more confident about ourselves. An experienced cosmetic dentist can perform what is called a smile design. This will allow your cosmetic dentist to show you what can be done to give you the smile you always dreamed of. Smile design is just planning out the treatment steps necessary to achieve the goal you are looking for.

Treatment For Smile Design

Some of the dental procedures that can help with smile design include:

-Porcelain Crowns. This is a type of dental crown that will give the cosmetic appearance most patients are looking for but also give the strength and stability to be functional. Where teeth grinding is a problem your cosmetic dentist will use a specialized dental crown called a Bruxzir crown. When designed properly, a patient will begin to see an immediate improvement in their bite as well in the esthetic appearance in the skin around the face as wrinkles will soften due to a fuller smile.

Marielaina Perrone DDS Cosmetic Dentist-Porcelain Veneers. Ideal procedure for use in smile design cases. A hallmark treatment of cosmetic dentistry but used in addition to porcelain crowns to lengthen and restore the length of front teeth to their original dimensions. Often called “instant orthodontics” in smile design discussion, porcelain veneers give the dentist the ability to change the alignment of teeth, if the alignment issues are not too extreme.Porcelain veneers are far less invasive and a more conservative treatment than porcelain crowns. For teeth that do not require a full coverage crown, porcelain veneers are an ideal cosmetic dentistry tool to adequately lengthen and reshape, and alter the color of your smile.

-Orthodontics. Can be limited or full orthodontics treatment. Comprehensive orthodontic treatment may be necessary to remove any bite issues that can cause added stress or trauma to the teeth before new restorations are placed.

-Dental Bonding or Tooth Bonding. May be used to restore any teeth that have been damaged by tooth decay, staining or even wear to the edges. Dental bonding is a cosmetically pleasing option that will look very natural when completed and if designed properly match the rest of your smile.

-Facial Asymmetry – In many of us, the muscles of the face may be asymmetrical leading to an imbalanced look to the face which if not properly planned for would give us a deficient smile design. Botox is a new treatment option in smile design for many cosmetic dentists. Botox when used properly in smile design can restore facial symmetry by balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox or dermal fillers (like Juvederm).

-Gummy Smile – This is when a person has a smile that shows too much gum tissue. This usually results from the lip rising too high when smiling. Injecting Botox into the upper lip weakens the retractor muscles of the upper lip so that it won’t raise as high and your smile will appear better balanced.

-Crown Lengthening. A dental surgical procedure to expose more tooth structure so that there is enough room to properly place a crown. This is often necessary in patients with severe teeth grinding issues. This is an example where a good smile design will foresee these issues in advance.

-Gum Tissue and Bone Grafting and Recontouring. Lost bone and gum tissue can often times be grafted to help regrow them. They can also be reshaped surgically to be healthier, easier to keep clean, and more cosmetically appealing.

-Teeth Whitening. Many of our worn teeth are also dark and discolored. The color you desire to reach may require a dental whitening process, or simply a whiter color bonding restoration or a whiter colored porcelain restoration.

Smile Design Las Vegas Conclusion

Smile design is just a fancy term for planning out treatment in advance to achieve the goals the patient has in mind. This takes effort and communication of all aspects of your dental team not only the dentist. A poor smile design will leave poor results but a well planned smile design can give you the smile you always dreamed of and more!”,


Tooth Bonding is a common cosmetic dentistry procedure that can make minimal and maximum changes to your smile. The beauty of tooth bonding is it generally can be completed in a single appointment and may or may not need dental anesthesia and is less expensive than porcelain restorations. . This cosmetic dentistry procedure involves reshaping and blending teeth. Tooth bonding utilizes tooth colored materials that can be bonded to teeth to change shape, color, and length. This same material can also be used to fully cover the front surface (called a composite veneer). 

Tooth Bonding Procedure

Tooth bonding can be used to restore function to a tooth that has tooth decay or just to add a cosmetic dental change. What is involved in the tooth bonding procedure?

-Preparation. Very little preparation is necessary for dental bonding, especially in the case of a chipped tooth. Anesthesia is usually not even needed unless the tooth bonding is needed to restore a deeply damaged or traumatized tooth, a fracture close to the nerve, a sensitive tooth, or a tooth damaged by a tooth decay. Your dentist 89014 will need to roughen up the surface and clean the edges to prepare the area to accept the tooth bonding.

-An acidic etching gel (phosphoric acid) is applied to the tooth being treated to ready the surface for bonding of the dental composite. The gel opens up microscopic tubules which allows for proper bonding to the natural tooth surface.

Tooth Bonding Marielaina Perrone DDS-A liquid conditioning agent is applied to the tooth which wets the surface and again facilitates bonding.

-Your dentist will then choose the proper shade of dental composite to match the tooth being worked on but also the surrounding teeth.

-The dental composite is then formed and shaped so that it will fit into the necessary treatment area can restore the natural contours and function of the tooth. Multiple layers of dental composite are applied. This allows for a stronger end product.

-A special UV light is held over the dental composite. This light hardens and cures the dental composite. Each layer will be cured within seconds.

-After the material has cured, your dentist will adjust the material to remove any excess and bring it to a high polish. This will also be the time your dentist will ensure the bite (or occlusion) is correct. Adjustments may be made to bring the teeth into proper alignment. The final shaping and polishing is one of the most important parts of the process. It is important to blend the composite resin properly to get a result that looks and feels like your natural tooth structure.

-The entire dental bonding procedure usually between 30 minutes to an hour for each tooth. If done properly, tooth bonding should not be noticeable to anyone. It should match your existing tooth structure perfectly.

-Going forward to maintain the tooth bonding, you will want to be diligent about your dental hygiene. This should include brushing and flossing regularly.

What Can Tooth Bonding Do For You?

Tooth bonding is a popular cosmetic dentistry procedure, but can also be used to restore teeth that have tooth decay. Tooth bonding can do the following:

-Repair cracks or chips in teeth.

-Close gaps in between teeth.

-Cover stains or discolorations.

-Cover exposed roots thus eliminating or decreasing tooth sensitivity.

-Change length or shape of teeth.

Tooth Bonding Conclusion

A dentist has many tools to restore your teeth but none more important than dental bonding. It is a versatile cosmetic dentistry procedure that can restore your smile to its natural form and function.