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Exceptional Dentistry Las Vegas and Henderson NV Since 1999.

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

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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 DentistPorcelain 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!”,




A wedding day is a memory that will last a lifetime. Our wedding photos will be shown to our family, friends, children, and even grandchildren. Shouldn’t your wedding smile be up to the task to ensure long lasting beautiful memories? A well trained cosmetic dentist can make major and even minor changes that can alter one’s smile to make it more pleasing to themselves as well as others. Below you will fond some common procedures to make you smile shine brightly on your big day.

Cosmetic Dentistry For Your Big Day!

Dental Bonding. This procedure uses tooth colored dental materials that are adhesively bonded to a tooth. This might be one of the simplest and most cost effective cosmetic dentistry procedures to bring your smile back to life. Dental bonding gives your cosmetic dentist the ability to change shape, size, color, length, and close any gaps that might be present in your smile. Dental bonding can be completed in a short period of time (as little as an hour). The main disadvantages of dental bonding are possible chipping, wearing over time, and staining. The final end product is not as strong as a porcelain restoration and may need to be updated as time goes on. While dental bonding is also used to restore teeth damaged by tooth decay it can also be used as a cosmetic veneer. Dental bonding is a very easy way to make your smile youthful and natural in appearance again for that perfect wedding smile.

Porcelain Veneers and Porcelain Crowns. Often referred to as “instant orthodontics”, porcelain veneers give the dentist the ability to change the alignment of teeth, if the alignment issues are not too extreme. Porcelain veneers and porcelain crowns can be a great way to replace lost tooth structure and alter imperfect teeth creating a more youthful, natural appearance. Porcelain crowns and porcelain veneers usually require more than one visit, but the results will give you a beautiful, youthful smile that lasts for years to come. Porcelain Veneers are custom made, ultra thin, tooth colored shells that are bonded to your teeth, and will not change color over time. This allows the cosmetic dentist to not only alter color of your teeth, but shape and length as well. Porcelain crowns can be used on teeth that either already have crowns or need more extensive work (having prior large restorations or existing tooth decay). Both porcelain veneers and porcelain crowns can as used by your dentist to give the patient a flawless, more youthful and natural looking smile.

Teeth Whitening. This is quite possibly the most popular cosmetic dentistry procedure today. It is safe and effective and comes in a few forms. These forms include in office whitening, at home whitening (with dentist provided trays), as well as use of teeth whitening strips, and topical gels. All of these methods are quite effective for most people. It has been proven by research time and again, that people find a whiter smile to be more youthful and attractive.  People tend to feel better about themselves when they are happy with their appearance. Teeth whitening can give patients a dramatic change to their smile with minimal cost and time invested.

Teeth Re-Contouring. This might be one of the simplest cosmetic dentistry procedures of all. It is usually done without the need for anesthesia and can be as simple as filing down a tooth that appears longer or is slightly out of alignment with the others. Most patients are quite surprised at how such a small adjustment can alter their smile for the better.

Gum contouring and Gum grafting. Evening out gum levels can help teeth to look more evenly sized and can make short teeth appear longer. Gum grafts can fix areas where gum recession has occurred to make everything appear even and natural again.

Dental Implants. Dental implants allow cosmetic dentists another option in tooth replacement to recreate a youthful, attractive smile. Whether it is a single tooth or a full mouth restoration, dental implants can fill that need. Missing teeth or open spaces has long been considered a sign of old age. Having a full set of white teeth screams youth especially when they are bright, white, and sparkling. When a person is missing a tooth they have several options. There are partial and complete dentures (including the all on 4 dental implants system), traditional bridges, and dental implants. A dental implant can look and feel just like a natural tooth. It is also easier to keep clean than a traditional bridge. Dental implants are placed directly into bone creating a solid foundation for a natural tooth replacement.

Bite Reclamation. Over time as we age, we tend to lose some height on our teeth. This loss of height of height is also referred to as loss of vertical dimension. Some other factors that cause this loss include acid reflux or teeth grinding (bruxism). Reclaiming a person’s bite utilizing dental implants and porcelain crowns will increase vertical height which will also remove some of the wrinkles around the mouth. These wrinkles develop as our we age and our mouth’s sag from this loss of dimension. Cosmetic dentistry can fix some of this.

Botox and Dermal Fillers. Historically an area for cosmetic surgeons but dentists around the world have now added these procedures to give what is called a dental face lift. In combination with dental work, removing some of those wrinkles on the face and around the mouth specifically will better frame that beautiful, white, youthful smile. A dentist may use dermal fillers or botox injections to get you ready for your big day!

Wedding Smile Conclusion

A wedding smile will last a lifetime both in pictures and actual appearance. If you are interested in modifying your smile see your dentist as soon as possible so treatment can be planned prior to your big day. Some treatment can be completed in a short time but other more extensive treatment can take weeks if not months to complete.



Anyone who is fashion conscious knows sometimes the accessories are what makes a well dressed man or women. Whether it be a watch or a tie for a man or a handbag for a woman they can make or break someone’s look. What about your smile? Have you ever considered your smile to be an accessory to your look? If your smile is dull and lifeless it will detract from your overall look making you appear older and less vibrant. Below are some cosmetic dentistry procedures that can be utilized to brighten up an overall smile.

Using Cosmetic Dentistry To Be Fashion Forward

Dental Bonding. This is the cosmetic dentistry procedure in which tooth colored dental materials are adhesively bonded to a tooth. This might be one of the simplest cosmetic dentistry procedures to bring your smile to life. Dental bonding gives the dentist the ability to change shape, size, color, length, and close any gaps that might be present. Dental bonding can be completed in as little as an hour. The main disadvantages of dental bonding are chipping, wearing over time, and staining. The final product is not as strong as a porcelain restoration and may need to be updated over time. While dental bonding is also used to restore teeth damaged by tooth decay it can also be used as a cosmetic veneer. Dental bonding is a very easy way to make your smile youthful and natural in appearance again.

Porcelain Veneers and Porcelain Crowns. Often called “instant orthodontics”, porcelain veneers can change the alignment of teeth, if the alignment issues are not too extreme. Porcelain veneers and porcelain crowns can be a great way to replace lost tooth structure and alter imperfect teeth creating a more youthful appearance. Porcelain crowns and porcelain veneers tend to require more than one visit, but the results will give you a beautiful, youthful smile that lasts for years to come. Porcelain Veneers are custom made, ultra thin, tooth colored shells that are bonded to your teeth, and do not change color over time. This allows the cosmetic dentist to not only alter color of your teeth, but shape and length as well. Porcelain crowns can be used on teeth that either already have crowns or need more extensive work (having large restorations or tooth decay). Both porcelain veneers and porcelain crowns can as used in cosmetic dentistry to give the patient a flawless, more youthful and natural looking smile.

Teeth Whitening. This is quite possibly the most popular cosmetic dentistry procedure today. It is safe and effective and comes in a few forms. These forms include in office whitening, at home whitening (with dentist provided trays), as well as use of teeth whitening strips, and topical gels. All of these methods are quite effective for most people. It has been proven by research time and again, that people find a whiter smile to be more youthful and attractive.  People tend to feel better about themselves when they are happy with their appearance. Teeth whitening can give patients a dramatic change to their smile with minimal cost and time invested.

Teeth Contouring. This might be one of the simplest and most cost effective cosmetic dentistry procedures of all. It is usually done without the need for anesthesia and can be as simple as filing down a tooth that appears longer or is slightly out of alignment with the others. Most patients are quite surprised at how such a small adjustment can alter their smile for the better.

Gum contouring and Gum grafting. Evening out gum levels can help teeth to look more evenly sized and can make short teeth appear longer. Gum grafts can fix areas where gum recession has occurred to make everything appear even and natural again.

Dental Implants. Dental implants allow cosmetic dentists another option in tooth replacement to recreate a youthful, attractive smile. Whether it is a single tooth or a full mouth restoration, dental implants can fill that need. Missing teeth or open spaces has long been considered a sign of old age. Having a full set of white teeth screams youth especially when they are bright, white, and sparkling. When a person is missing a tooth they have several options. There are partial and complete dentures (including the all on 4 dental implants system), traditional bridges, and dental implants. A dental implant can look and feel just like a natural tooth. It is also easier to keep clean than a traditional bridge. Dental implants are placed directly into bone creating a solid foundation for a natural tooth replacement.

Bite Reclamation. Over time as we age, we tend to lose some height on our teeth. This loss of height of height is also referred to as loss of vertical dimension. Some other factors that cause this loss include acid reflux or teeth grinding (bruxism). Reclaiming a person’s bite utilizing dental implants and porcelain crowns will increase vertical height which will also remove some of the wrinkles around the mouth. These wrinkles develop as our we age and our mouth’s sag from this loss of dimension. Cosmetic dentistry can fix some of this.

Botox and Dermal Fillers. Long the realm of cosmetic surgeons, dentistry has now added these procedures to give what is called a dental face lift. In combination with dental work, removing some of those wrinkles on the face and around the mouth specifically will better frame that beautiful, white, youthful smile.

Cosmetic Dentistry Conclusion

Many studies have shown that the first thing people notice upon meeting is their smile. If your smile is dull and lifeless it can lead to a bad impression. Put your best foot forward in your choice of clothes and in your smile maintenance. You only get one chance for a first impression, make it a good one!