Smile Designs

One difference between a cosmetic dentist and a general dentist is that a cosmetic dentist, before doing any cosmetic dentistry work that involves multiple front teeth, will often perform a “Smile Design” consultation. Cosmetic dentists understand that communication with the patient over what they expect, what they want their teeth to look like, is critical to their success. During the consultation we will generate what is called a “Diagnostic Wax-Up” to clearly communicate with the patient. The Diagnostic Wax-Up is a set of Casts where we will compare the patient’s current condition of their teeth versus the Proposed Final Outcome or Proposed Final Cosmetic Results. Cosmetic dentistry is a self-esteem service. As such, if the result is not pleasing to the patient, the treatment is a failure. In order for you to be happy with the result, you need to have strong input into the artistic planning of your smile. To help you accomplish that, we have this brief presentation on the several categories of smile design. Please refer to the Photos Below:

Some of the “Factors” that influence the smile design are:

1. Your facial shape. For example, a long face may need to accentuate width to appear more oval. Someone with attractive features in the center of the face may need bold central incisors to draw attention to that center.

2. Your image aspirations. How do you want to appear to others? A sophisticated smile gives the appearance of more intelligence, maturity and judgment. A sexy smile gives the appearance of more warmth, energy and boldness.

3. Your age, or how old you want to appear. Longer central incisors make you appear younger. Also, whiter teeth make you appear younger. Conversely, a flatter smile or a more subdued color to the teeth make you appear more mature.


With your Smile Design Consultation, Dr. Carlos Parajon, a Prosthodontist, will go over all of these factors. He will have you pick a smile from a book of photographs of smiles. As a good cosmetic dentist we may disagree with your pick and will tell you, but the final decision is ALWAYS still yours. Ultimately, you have to be the one who is happy with your smile!

Quite frankly, the artistic sensitivity that makes a good cosmetic dentist often goes against the grain of the training that occurs in dental schools. Prosthodontists or Cosmetic dentists are almost a "different breed" from your usual family dentist. A Prosthodontist or Cosmetic Dentist has a certain passion about esthetics and creating “Beautiful Smiles” that makes him or her want to dedicate his or her practice to this aspect of dentistry and to pursue extensive training in this special field. If you are contemplating cosmetic dentistry, we recommend using the services of a specially trained cosmetic dentist or better yet a Prosthodontist rather than a general dentist who merely claims expertise in cosmetic dentistry.


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