Cosmetic Dentistry Orange County | Huefner Sensational Smiles Blog

Serving Laguna Niguel, Irvine, Mission Viejo, Newport Beach, Santa Margarita, and Surrounding Areas Of Orange County, California

Friday, March 20, 2009

Unbelievable Smile Makeover with Porcelain Veneers for Gerald by Dr. Huefner

Gerald is a very shy, kind and soft-spoken man. He was at a point in his life that he realized that it was time for some self-improvement and his teeth and smile were some of the things that were holding him back. He was changing careers and dating and realized that he had to get his smile in shape. A year ago Dr. Huefner had done a smile makeover for one of Gerald's friends, and Gerald wanted to consult with Dr. Huefner to see if he was a candidate for cosmetic dentistry and porcelain veneers.

BEFORE COSMETIC DENTISTRY: Gerald knew it was time that he did something about the appearance of his teeth and smile.

At his cosmetic dentistry consultation Dr. Huefner asked Gerald what he wanted to change about his smile. His answer was that he wanted a great smile, and would leave it to Dr. Huefner to create the best smile possible for him. Usually patient's aren't as trusting as Gerald and want more input into the design of the porcelain veneers.

One of the things that Dr. Huefner had to find out from Gerald was "how white" did he want his teeth? After all, his teeth were very dark and Dr. Huefner wanted to make sure that Gerald would feel comfortable having his teeth made several shades whiter. Again, Gerald said he would leave it up to Dr. Huefner.

Dr. Huefner said he appreciated Gerald's confidence, but he had to make sure that Gerald approved of the color before doing his cosmetic dentistry. The solution to this was for Dr. Huefner to create temporary veneers of Gerald in the size, length, shape and color that Dr. Huefner thought would look best. Then Dr. Huefner would place the temporary veneers, or "trial smile", on Gerald's teeth and let him "test drive" the new smile before fabricating the permanent porcelain veneers for him. This was done and Gerald loved the design created for him and the permanent porcelain veneers were then crafted by Dr. Huefner's master ceramist Dave Stohlman.

AFTER: Gerald's new smile with porcelain veneers by Dr. Huefner

As you might imagine, Geral was absolutely thrilled with his smile makeover with porcelain veneers. Not only did he look healthier and more professional, but people also commented that he looked 10 years younger!

Gerald looked ten years younger with his new smile makeover by Dr. Huefner.

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

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posted by Dr. Norman Huefner at 10:35 AM

Thursday, March 19, 2009

Most Comfortable Way to Have Your Dentistry Done - Oral Sedation Dentistry by Dr. Huefner

What is Oral Sedation Dentistry?

In general we utilize two oral medications in the benzodiazepine class, which are among the safest and most widely prescribed medications used today in the United States.

The first medication is one that you will take the night BEFORE your dental appointment. It is called Diazepam and its purpose is to give you a good night’s sleep and reduce the amount of medication you’ll take at the dental office.

You are not allowed to eat or drink anything the morning of your dental appointment, and will need a responsible person to drive you to Dr. Huefner’s office. When you arrive you’ll be relaxed and will be escorted to your treatment room. There Dr. Huefner will evaluate you and determine how much medication to give you. The second medication, the one use on the morning of your dental appointment is most commonly Triazolam. It is a small blue pill taken about 1 hour before your dentistry begins. This tablet has been prescribed over 10 million times per year, by physicians, for patient’s use at home. The drug has almost no side effects or interaction with other medicines you may currently be taking. There are other medications that Dr. Huefner might be used instead of Triazolam, like Ativan, Hydroxizine or Sonata. However, Triazolam is generally the medication of choice because of its excellent sedative and hypnotic qualities.

Dr. Huefner will monitor your pulse, blood pressure and oxygen saturation, and give you the second medication in the dental office. You’ll relax in a dimly lit room under a warm, cozy blanket. After an hour you’ll feel very tired, relaxed and comfortable, however you will not be put to sleep. When you are completely comfortable Dr. Huefner and his skilled team will do your dentistry. When your treatment is done and your sedation has worn off, your companion will drive you home. You’ll feel as if you slept through the morning and won’t have much memory at all of the dentistry that you had.

What are the Benefits or Oral Sedation Dentistry?
It is amazing because oral sedation dentistry allows you to comfortably undergo everything from a simple cleaning to extensive treatment. One of the most important benefits of the medicine that Dr. Huefner uses is that they have an amnesia quality which for most patients, tends to prevent almost any memory of the visit. Oral sedation dentistry is sometimes referred to as “sleep dentistry” because of this and its other pleasant affects, however you are not actually put to sleep.

Other benefits of oral sedation dentistry are:

  • It enhances effectiveness of anesthetic.
  • It decreases gagging.
  • It decreases joint and muscle soreness.
  • Allows more treatment to be provided in a shorter time, which could decrease total number of visits.

How Long Does Oral Sedation Last?
For most patients, the effects of dental sedation last between 2-4 hours, so we require you to have someone drive you home.

Am I Really Asleep?
Many call it sleep dentistry because most patients do tend to fall asleep just a little. However that is not our goal. We will keep you at a level of sedation where you can still respond to verbal commands. This has been such a comfortable way of doing dentistry that not surprisingly even the most apprehensive patients have been elated with the results.

Safety
We constantly monitor each sedation patient with a computerized computerized state-of-the-art oral sedation monitors. We measure your heart rate, blood pressure and oxygen saturation the entire time. To be completely safe we also have a reversal agent on hand that reverses the effect of the sedation medicine in less than 30 seconds. We are very excited about being able deliver this extremely comfortable type of dentistry to Orange County. This safe, comfortable and relaxing oral sedation method is a blessing for our patients.

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

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posted by Dr. Norman Huefner at 8:05 AM

Tuesday, March 17, 2009

Choosing the Perfect Shaped Porcelain Veneers by Dr. Huefner

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?
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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:
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The design above is round, round, pointed. It is very youthful and oftentimes used when the patient has a very round face.
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The above is a design quite the opposite, square, square, flat. It is a much older and oftentimes much more masculine smile style.
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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”:
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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.
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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

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posted by Dr. Norman Huefner at 9:25 AM

Monday, March 16, 2009

Smile makeover for a More Professional Appearance with Porcelain Veneers by Dr. Huefner

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.
DrHuefner_RD1 BEFORE

DrHuefner_RD2 AFTER

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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

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posted by Dr. Norman Huefner at 11:29 AM

Thursday, March 12, 2009

Sensational Smile Makeover with Porcelain Veneers by Orange County Cosmetic Dentist Dr. Huefner

Amber's crooked and disheveled smile was really starting to embarrass her. She is a very attractive lady in her early 50s and her smile certainly didn't go with the rest of her image. She was ready for a "new smile" and wanted to learn what cosmetic dentistry might be able to do for her.
The first cosmetic dentistry consultation is generally just a fact finding appointment, the patient wanting to find out what possible treatments can be done and if he/she like and trust the cosmetic dentist. The first three questions Dr. Huefner asked of Amber were "How can I help you?", "What do you want changed about your smile?" and "What kind of smile do you want?"
She pretty much knew what she wanted. Her teeth were crooked, and she wanted them straight. Her teeth were discolored, and she wanted them whiter. She had several discolored fillings, and she didn't want her fillings to show. Her teeth had worn down and showed the effects of age, and she wanted slightly longer and more youthful, feminine looking teeth.
Amber's smile before cosmetic dentistry
Amber had bridges and crowns on her back side teeth that she wanted replaced as well, but she didn't want to do that until later. Thus her goals were to first restore her front teeth, giving her a great smile, and later to do her side teeth. Dr. Huefner assured her that he could do her treatment that way if she preferred.
After much discussion and consideration Dr. Huefner recommended that Amber have porcelain laminate veneers on her front teeth. Then later she could have porcelain veneers on her side teeth that would also replace her fillings. Along with that she could later replace her back bridges and crowns.
After discussing the design features that Dr. Huefner recommended for her front teeth (size, shape, length, color, texture and translucency), Amber was pleased to learn that her new smile for her front teeth could be completed in less than three weeks.
Below is the completed smile makeover with porcelain veneers that Dr. Huefner did for Amber's front six teeth.

Amber's new smile with porcelain veneers by Dr. Huefner
Dr. Norman Huefner, Cosmetic and General Dentistry, Laguna Niguel, CA

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posted by Dr. Norman Huefner at 2:16 PM

Monday, March 9, 2009

"Trial Smile" is One of the Most Important Steps in Designing Your New Porcelain Veneers or Porcelain Crowns by Dr. Huefner

When your cosmetic dentist designs your new smile, whether it be by using porcelain veneers or porcelain crowns, much must be decided. Obviously the color of the teeth are important, but there are multiple other things to address. The length of the teeth, shape of the teeth, position in your bite, shape around the gums, size and placement of the teeth relative to the upper and lower lips, etc. are all things that are very important components that help make up the final result of your new smile.

With so many things, how can a dentist determine the final smile design in just one or two appointments? The answer is that most experienced cosmetic dentists would never decide such important things in one or two appointments. Most utilize an extremely important concept called the "trial smile".

At the beginning of treatment the experienced cosmetic dentist evaluates the patients teeth, gums, face, lips, etc. and has some idea how he would design the smile. However, what the dentist has in mind may not be exactly what the patient wants, or even what the patient could determine from just one or two appointments. And, the person who should be most happy with the smile design is the patient, right? So, the dentist first designs the "trial smile", or temporary smile, according to what he deems will look best for the patient.

Then the dentist prepares the teeth, places the "trial smile", and then has the patient wear the "trial smile" for a few days, or sometimes even a few weeks to make sure that the patient approves of the color, shape, length, etc. of the teeth. If there are any changes that the patients wants to be made, those changes can be done much easier to the "trial smile" than the permanent porcelain veneers or porcelain crowns.

If the patient wants the teeth to be longer, then the teeth in the "trial smile" can be lengthened by adding to them. If shorter is what the patient wants, they can be adjusted and shortened. Then after the changes to the "trial smile" are done and approved of by the patient, the cosmetic dentist can precisely direct the ceramist how to make the final porcelain veneers or porcelain crowns.

Below is a photo of Dr. Huefner's patient Sandra. She hated the way her teeth looked, and this made her very self conscious of her appearance, especially when smiling or in photos. Obviously you can see that her teeth were discolored and she had numerous cavities and fillings. Her gums were also uneven and the the front teeth had worn and shortened over the years.

Sandra's teeth before cosmetic dentistry

Sandra wanted whiter teeth, but how white? Also she wanted the spaces between her teeth closed. She wanted her teeth to all be the same color and she didn't want any unsightly cavities or fillings to show. Dr. Huefner also recommended that he even out her gums with his dental gum laser. Porcelain veneers were the recommended treatment. So, Dr. Huefner first placed Sandra in a "trial smile" of his design to allow Sandra to "test drive" her appearance and make sure she approved of the design.

Sandra in her "trial smile" after evening out her gums with the dental gum laser

Sandra wore the "trial smile" for four days, returned to Dr. Huefner's office for the final approval. Then the final porcelain veneers were made to the specifications that Sandra had approved of. The end result was that Sandra got a beautiful new smile and was trilled with the way her new teeth (porcelain veneers) looked!

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

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posted by Dr. Norman Huefner at 1:13 PM

Wednesday, March 4, 2009

Short, Spaced Teeth Transformed into Beautiful Smile with Porcelain Veneers by Dr. Huefner

Anna had worn her teeth down over the years and was increasingly becoming self conscious about her smile. Her teeth also had spaces between them and they were much darker than when she was younger. She is a successful businesswoman and realized that her appearance is important when dealing with people. What could she do to improve her smile and look younger and more professional?


Anna's smile and teeth before cosmetic dentistry

When a new patient comes in for a cosmetic dentistry consultation the most important thing that a cosmetic dentist can do is carefully listen to their concerns. What is it they want? What don't they like about their teeth and smile? Why are they wanting cosmetic dentistry? Why do they want it now, as opposed to earlier or later? What color teeth do they want? How does their teeth and smile effect them with business or interpersonal relationships? Do they only want a minimal improvement or high expectations, wanting an absolutely perfect smile? There are many questions that are asked to the new patient and Dr. Huefner spent considerable time discussing these things with Anna.

It was ultimately realized that Anna wanted a younger, more feminine smile. Teeth that would help her look her very best. And yes, she did want a "perfect smile" if that could be achieved.

Weighing all her conerns and the condition of her teeth and mouth, Dr. Huefner recommended porcelain veneers for Anna's upper and lower teeth. He strongly felt that would be the most conservative way of achieving her goals of obtaining a "perfect smile". At that time she wasn't sure if she wanted to do all her front teeth, so left being undecided. She felt this was a big decision, so she consulted with several other cosmetic dentists before deciding to go forward with Dr. Huefner's recommendations.


Anna's new smile after porcelain veneers and cosmetic dentisry by Dr. Huefner

Dr. Huefner treated Anna in three phases. First the upper front ten veneers were placed. The second phase was doing the lower ten veneers. The final phase was restoring several of her back teeth. The end result for Anna was excellent, as all her objectives were achieved and she was extremely happy with her new smile.

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

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posted by Dr. Norman Huefner at 9:23 AM

Tuesday, March 3, 2009

Tierra Gets Cover Girl Smile with Porcelain Veneers by Dr. Huefner

Beautiful Tierra appeared in the MAC calendar for both February and September. Here are the calendar photos as they appeared.

Tierra was Ms. Desert States 2007 from Reno, NV, and was second runner-up in the Mrs. U.S.-Globe Pageant. Prior to competing in the pageant Tierra came to Dr. Huefner for porcelain veneers (of course, done by MAC, Microdental Advanced Ceramics).

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

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posted by Dr. Norman Huefner at 8:59 AM

Monday, March 2, 2009

Dental Implant Used to Replace Missing Tooth by Dr. Huefner

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 (below).
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Then a zirconia abutment was made (below).
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It was placed into the metal dental implant (below).
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An all-porcelain (non metal) crown was made that fits onto the zirconia abutment (below).
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A all-porcelain (non metal) crown showing how it fits onto the zirconia abutment (below).

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

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posted by Dr. Norman Huefner at 7:51 AM

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