Huefner Sensational Smiles Blog

Yes, unfortunately as you can see from the photo below that Jan had a number of dental issues. Her front two caps were too big and after having root canals by her previous dentist, the teeth underneath had turned black. Also, she showed way too much of her gums and her other teeth were disproportionately small. She is single professional person, and she also wanted “whiter teeth“. What could we do to fix her smile?

BEFORE

First, we recommended reshaping her gums with the dental gum laser so that her smaller teeth would appear longer and there wouldn’t be so much of her gums showing when she smiles. Then we removed the old caps and whitened the black teeth underneath with “composite masking” (putting tooth colored filling over the black tooth). Then we replaced her old porcelain-on-metal caps with all-porcelain caps and placed porcelain veneers on her other teeth. Doing porcelain veneers was very important as it allowed us to create a normal size and shape for all of her teeth that was proportionate to her mouth and smile. We finished by doing teeth whitening on her lower teeth.

Here is her new smile in the photo below just a few days after her new smile was created! Isn’t it an amazing improvement.

AFTER

One of the other things we accomplished was by doing porcelain veneers on her side teeth (bicuspids) we were able to widen her smile, as her original teeth tilted in way too much. All and all, it turned out to be an incredible improvement for Jan and her smile.

Labels: cosmetic dentist, gummy smile, irvine, orange county cosmetic dentist, porcelain veneers, san juan capistrano

Your teeth and smile are a huge part of your face and smile and the way the world sees you. having an unattractive smile always really bothered Barbara. She showed too much of her gums, which were very uneven. Her teeth were spaced, crooked, discolored and she didn't like the actual shape of the teeth.

BEFORE

What could be easily be done? Well, we suggested she have two things done immediately. Reshape her uneven gums with the dental gum laser and then whiten her teeth. This is the way her smile looked two weeks later after doing those two things.

AFTER LASER GUM RESHAPING AND TEETH BLEACHING

Barbara was pleased, but then decided she really wanted a nicer smile. What else could be done? Dr. Huefner recommended porcelain veneers. He could give her the color she always really wanted (much whiter), fill the spaces, give her normal shaped teeth of the appropriate length to follow the smile line of her lower lip. Here is how her new smile looked the following month after Dr. Huefner finished the smile makeover for Barbara with porcelain veneers.

AFTER PORCELAIN VENEERS

Barbara looked terrific with her new smile. Amazing how cosmetic dentistry and porcelain veneers can greatly improve someone's appearance so much and so quickly.

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

Labels: cosmetic dentist, gummy smile, irvine, laser gum reshaping, mission viejo, orange county, porcelain veneers, teeth whitening

Very concerned that her teeth were too yellow and small, Courtney was considering cosmetic dentistry to have a much nicer smile. Dr. Huefner designed a smile for her with porcelain veneers. Along with Dr. Huefner, Courtney also chose to have slightly longer teeth that followed her “smile line” (i.e. lower lip line) and whiter color for her new porcelain veneers.

What Courtney really liked about the porcelain veneers that Dr. Huefner did for her was that they looked so natural and “real” and that they don’t stain or discolor over the years.

Earlier this year Dr. Huefner did a smile makeover with porcelain veneers for beautiful Courtney and these are the portraits that he took of her in his "smile design and portrait studio" in his dental office. As you can clearly see she now has a “very sensational” new smile. Look in the current issue of Orange Coast Magazine for Courtney’s photo in black.

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

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

There are approximately 25 different shades (colors), three different surface textures (how the light reflects off of the front of the porcelain 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 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, irvine, lake forest, newport beach, porcelain crowns, rancho santa margarita

When getting a "new smile", either with porcelain veneers, bonding or all-porcelain crowns, it is a serious decision. Of course, you'll want to choose the color teeth that you think makes you look your very best, but how about the length, shape and proportion of the teeth? In many respects, that may have more influence on the final result than just the color. Your dentist, as a cosmetic artist, will suggest a "smile style" that he or she thinks will give you the best overall look.

So, what is the perfect “smile style” for your new porcelain veneers or porcelain crowns? In my previous article about Smile Design, I discussed that there are over 30,000 different ways that a cosmetic dentist can create a new smile and one of the most popular “smile guides”, Dr. William Dickerson’s “LVI Smile Library”. This article features my other favorite “smile guides”, the Lorin Library, created by cosmetic dentist Dr. Lorin Berland of Dallas, TX. 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 (s), square at one corner and rounded at the other (sr), or rounded at both corners (r). Similarly, the cuspids or eye teeth (third tooth back) could be pointed (p), rounded (r) or flat (f). Combining these different shapes each produces a uniquely different smile style. Note that the first smile design on the top left has a r-r-f design, meaning the four incisors are rounded and the canines are flat. 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”.

In creating a new smile for you with porcelain veneers or all-ceramic crowns, we could use any of the above 18 smile designs from the Lorin Library or any of the 12 smile designs from the “LVI Smile Library”. However, in general I recommend against smile designs that have the cuspids (third teeth back from the center) too pointy (p) or too flat (f). Pointy cuspids can make the smile look to aggressive and flat cuspids can render an older looking smile. It is so important in the beginning of treatment that my patient involve themselves in an active discussion with me regarding the different smile styles available and which would be most appropriate for them. We take into consideration the age, face shape, personality and a host of other things when recommending one smile style over another. 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. This is very helpful, as many patients are very relieved that they can try out their smile before making their final decision.

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

Labels: orange county, porcelain crowns, porcelain veneers, smile design, smile makeover

BEFORE

The big questions he asked us was “would we have to pull any of his bottom teeth?” and “would he need braces?” The answer to both questions was “No!”, which was an answer that thrilled him. Here is the result was got for John with porcelain veneers on his lower teeth, and porcelain veneers and a bridge on his upper teeth.

AFTER

Note that no lower teeth were removed. The crowding, color and shape of his lower teeth was corrected with some simple gum recontouring with laser and ten porcelain veneers, which we sometimes call "instant orthodontics". Since his teeth had worn and shortened over the years, we also made his upper teeth a little longer, resulting in a smile that made him look younger.
As you can clearly imagine, he was extremely pleased with the results that we achieved for him and now he beams a great smile everywhere he goes!

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

Labels: cosmetic dentist, irvine, laguna niguel, porcelain bridge, porcelain veneers, teeth whitening

Labels: cosmetic dentist, ladera ranch, orange county cosmetic dentist, porcelain crowns, san clemente