Huefner Sensational Smiles Blog

When considering cosmetic dentistry and a smile makeover what is the perfect “smile style” for your new porcelain veneers or porcelain crowns? In previous articles I discussed that there are over 30,000 different ways that a cosmetic dentist can create a new smile and that there are over 60 different documented “smile styles” available for cosmetic dentists to use as guide and to better communicate with to the cosmetic dental patient and the dental ceramist. In this article we’ll discuss one of the most popular “smile guides”, Dr. William Dickerson’s “LVI Smile Library”. I am particularly fond of this library, as I started my advanced cosmetic training at Dr. Dickerson’s prestigious Las Vegas Institute for Advanced Dental Studies over a decade ago. And since then, following many of the concepts I learned under his tutelage, I’ve done several thousand porcelain veneers and cosmetic crowns, created sensational smiles for hundreds of my patients. Each smile style is a combination of the teeth shapes for the front six teeth. For example, the four front teeth (incisors) could be either square at the corners, square at one corner and rounded at the other, or rounded at both corners. Similarly, the cuspids or eye teeth (third tooth back) could be pointed, rounded or flat. Combining these different shapes each produces a uniquely different smile style. Please note, this smile library below is only to choose the basic shape of the front six teeth, and in no way reflect the color, length, surface texture or translucency that the porcelain veneers or crowns will have. Those other things are addressed in other aspects of smile design and choosing the best combination for your “sensational new smile”.

For most females, the “Enhanced” smile style is one of our most popular designs. Note that the second teeth from the center are a little shorter than the front teeth. This is a youthful effect we call “the gull wing” that really looks nice on females. The “Hollywood” style above is a little more “toothy” and works well for males and especially those wanting to show off a little more teeth. The “Oval” style might look best on someone with a very round face. Notice how very round the edges of the four front teeth are? The “Aggressive” style has tooth edges that are flat almost straight across. We use it mostly for men and it simulates someone who might be a bit older and have a habit of grinding his teeth. The “Youthful” style simulates the shape of unworn teeth that might be seen in a 14 year old. Although many adults like this name because they think it might give them the illusion of being significantly younger, we almost always utilize this design in much younger individuals. The “Mature” style has squarish edges on the four front teeth and is another design that we frequently use for men. The “Softened” style is a very popular design that we use for those wanting their smile to help make them appear a little younger than their years. It is my preference to use smile designs that have the cuspids (also called canines, the third teeth back on each side) that are slightly round, not flat (too old looking) or pointed (too aggressive looking). It is important that both the patient and cosmetic dentist actively discuss the different smile styles at the beginning of the smile makeover process. Using our technique called “the trial smile” we’re able to make provisional veneers or crowns so that our patient can “test drive” their new smile prior to making any final decision regarding the smile design for their final porcelain veneers or porcelain crowns.

Dr. Norman Huefner, General and Cosmetic Dentistry, Laguna Niguel, CA

Labels: cosmetic dentist, irvine, orange county, porcelain veneers, rancho santa margarita, smile design, smile style, teeth whitening

BEFORE

Dr. Huefner suggested that she first bleach her teeth (teeth whitening), making all her natural teeth whiter, which she did. Then he suggested replacing the front two crowns with new all-porcelain crowns and making porcelain veneers for her lateral incisors. Thus, all four front teeth would match and be in proper proportion. Jackie agreed to Dr. Huefner's proposed cosmetic treatment and the treatment was completed in just a few visits over a three week period. Here is the results Dr. Huefner achieved for Jackie by just treating her four front teeth.
AFTER
Afterwards, Dr. Huefner took these portraits of Jackie in his studio. As you can see, Dr. Huefner does both cosmetic dentistry and portrait photography for his cosmetic patients.

Dr. Norman Huefner, General and Cosmetic Dentistry, Laguna Niguel, CA

Labels: cosmetic dentist, irvine, mission viejo, newport beach, porcelain crowns, porcelain veneers

Women aren't the only ones who appreciate having a nice smile. About one third of patients having smile makeovers and cosmetic dentistry today are men.
Porcelain veneers are many times the best solution for many patients who have discolored, chipped and otherwise unattractive teeth and are seeking a more professional appearance. This gentleman was a perfect example of that situation. He also wanted a more youthful appearance, slightly longer teeth that also had a whiter porcelain color (“Hollywood white”). On the right you can see the photo of his porcelain veneers and as you might guess, he was absolutely thrilled with the results we achieved for him.

It is extremely important that the patients become very involved in the color selection to be very satisfied with the ultimate results. In our cosmetic practice we will make suggestions as to what color veneers will look best in our opinion, but it is the patients who have the final decision.

Dr. Norman Huefner, General and Cosmetic Dentistry, Laguna Niguel, CA

Labels: aliso viejo, cosmetic dentist, irvine, porcelain crowns, san clemente, teeth whitening

BEFORE

When we looked closely at Tracy's smile we noticed that there were several other problems besides just having bad looking caps. There was a disproportion of her teeth size (the front two teeth were too wide and thick and the rest of her teeth were too small). She showed too much of her gums when she smiles. The gums and root areas around the front two teeth were dark. Her side teeth leaned in and because of that, didn't pick up much light and made her teeth look darker. Also, she really wanted a whiter, brighter smile.

After much discussion Tracy decided on having her two front caps redone with new all-porcelain crowns and have porcelain veneers on her other teeth. Also, to have some minor gum reshaping with the dental laser so that there would be less of her gums showing and that the gums that did show would be more even. Here is the results we achieved with Tracy's new smile with porcelain veneers and two new porcelain crowns.

AFTER

Dr. Norman Huefner, General and Cosmetic Dentistry, Laguna Niguel, CA

Labels: aliso viejo, cosmetic dentist, dana point, orange county, porcelain veneers, san clemente, teeth whitening

Anyone considering cosmetic dentistry with porcelain veneers should be aware that there are different ways that they could be made, right? But how many different ways and how does one choose the best design and shape for their face and smile? There are approximately 25 different shades (colors), three different surface textures (how the light reflects off of the front of the veneers), several different porcelain types which each has different translucencies (ability of the light to pass through the veneer to render a “life-like” appearance), several different lengths and shapes that each veneer/tooth could be made and at least 60 different documented smile styles. Do the math and you’ll note that there are probably 30,000 different ways that your cosmetic dentist could create your new smile. This can be pretty confusing. So how do you know you’re getting the best combination for your face and smile?

Mrs. U.S.-Globe Jill Frick and her “Enhanced” smile style with ten porcelain veneers by Dr. Huefner.
The short answer is for you and your cosmetic dentist to communicate on a very high level so that your expectations can be met. Your cosmetic dentist wants your input because he/she certainly wants you to love your new smile. Success is dependent on the skill, care and judgment of the dentist, but also on the ability of both the patient and dentist to communicate and work together on deciding key issues. This article concentrates on one of the huge variables that there is, choosing the smile style. Most cosmetic dentists will involve the patient in this selection process, but offering input and suggestions to help guide the patient in the selection based on the shape of the face, age, personality type and other factors. There are three commonly used “smile guides” that cosmetic dentists have available to them to show patients. Dr. William Dickerson’s “LVI Smile Library” (12 different styles), Dr. Loren Berland’s “Loren Library” (18 different styles) and Dr. William Dorfman’s “The Smile Guide” (36 different styles). One question a patient might ask their cosmetic dentist is which smile guide does he use and specifically what smile style does he recommend? If the dentist is experienced in cosmetic dentistry you should be able to see one of these guides and the cosmetic dentist should discuss by name a smile style that he/she advises using. There are different acceptable variations in shape that each porcelain veneer can be made. For example, the four front teeth (incisors) could be either square at the corners, square at one corner and rounded at the other, or rounded at both corners. Similarly, the cuspids or eye teeth (third tooth back) could be pointed, rounded or flat. Combining these different shapes each produces significantly different smile styles. Here are three examples from the Loren Library:

The design above is round, round, pointed. It is very youthful and oftentimes used when the patient has a very round face.

The above is a design quite the opposite, square, square, flat. It is a much older and oftentimes much more masculine smile style.

This one is in between the first two, being square, square-round, round, and is a very popular design.
Here are two popular smile styles from the Dickerson “LVI Smile Library”:

This is the “Enhanced” smile style, very popular with many of the beauty pageant contestants that I’ve created porcelain veneers for over the years. Note that the second teeth from the center are a little shorter than the front teeth. This is a youthful effect we call “the gull wing” that really looks nice on females. See first photo in this article with of Mrs. U.S.-Globe and the “Enhanced” smile style I used with her 10 porcelain veneers.

The “Hollywood” style above is a little more “toothy” and works well for males and especially those wanting to show off a little more teeth.
It is important that both the patient and cosmetic dentist be aware of the differences in tooth shapes and smile styles and have active communication between each other in choosing the best smile style for the patient’s new porcelain veneers.

Dr. Norman Huefner, General and Cosmetic Dentistry, Laguna Niguel, CA

Labels: cosmetic dentist, lake forest, newport beach, porcelain veneers, san clemente, teeth whitening

Breaking and losing a front tooth can be devastating and very embarrasing. Everyone sees it.

Rita broke off just such a tooth at the gum line and it needed replacement. We discussed several options with her (placing a porcelain bridge, a removable partial denture or dental implant). In her case she didn't want to do anything to the adjacent teeth, so a porcelain bridge wasn't chosen. Also, she didn't want a tooth replacement that came in and out like a removable partial denture, so that wasn't chosen either. She wanted something permanent and very strong and accordingly, chose to do a dental implant.

Here is the process that we used to restore her tooth and smile with the dental implant.

First, the remaining part of the tooth (the root) was removed (extracted). A dental implant was placed into the area were the root was.

Then a zirconia abutment was made.

It was placed into the metal dental implant.

A porcelain crown was made that fits onto the zirconia dental implant abutment.

The porcelain crown was cemented onto the zirconia dental implant abutment.

This was a successful case, but could have looked better had veneers been done on the two adjacent teeth to cover over the yellow root areas. Notice how beautifully matched the dental implant was to the two adjacent teeth!

Dr. Norman Huefner, General and Cosmetic Dentistry, Laguna Niguel, CA

Labels: cosmetic dentist, dental implant, laguna niguel, porcelain bridge, porcelain crowns, san clemente