August 15, 2018

Archives for April 2014

Does Your Smile Ever Embarass You?

If your smile is less than perfect due to a chipped or broken tooth, then, now may be the right time to consider getting porcelain veneers to correct your minor dental imperfections. Porcelain veneers work to brighten your smile in a way that doesn’t tamper with  your other perfect teeth.  Not only will veneers correct your flaws, but they can brighten, straighten, and whiten your teeth.

Our Orange County teeth whitening dentist, Dr. Huefner, can recommend whether or not veneers are the right cosmetic dentistry option for you and will listen attentively to any concerns or questions you have. Please call 949-495-6322 to learn more.

Benefits of Porcelain Veneers

The thin porcelain laminates, as thick as an average eggshell, are custom made to fit securely over your tooth’s surface and will conceal any blemish or flaw. The shape and shade of your porcelain veneers are designed to fit in flawlessly with all of your surrounding teeth.

There are many benefits to enhancing your smile in a natural-looking way with porcelain veneers. Here are a few:

  • Can be used in tandem with other treatments
  • Durable
  • Stain-resistant
  • Corrects any rotated or uneven teeth
  • Minimal risks

Make sure you practice good preventative dentistry by getting your dental cleanings, flossing and brushing daily, and if any difficulty arises, consult with our Orange County cosmetic dentist, Dr. Huefner, immediately.

If you would like to learn more about how veneers can restore the brilliance and lustre of your smile, please contact Huefner Sensational Smiles or call 949-495-6322 to schedule your smile consultation with our experienced Orange County cosmetic dentist.

We serve patients in Laguna Niguel, Irvine, Mission Viejo, Newport Beach and the surrounding Orange County, CA areas.

Missing Lateral Incisors and Illusions Created with Veneers Laguna Niguel

porcelain veneers replacing congenitally missing teeth

Johnny’s new smile with porcelain veneers to correct for his congenitally missing lateral incisors. A special technique using illusions in the shape of the porcelain veneers enabled Johnny to have a completed smile that obscured his missing teeth.

Johnny, a young man from Laguna Niguel was congenitally missing lateral incisors, the two teeth in a normal mouth that are next to the front teeth. He had had porcelain veneers placed fifteen years ago, and realized it was time to replace his old porcelain veneers.  However, this time he wanted to find a cosmetic dentist who could give him a really nice smile!

His dental history relating to his two missing teeth was simple, one very similar to many other people.  About 5% of the population are congenitally missing one or more teeth.  The most common congenitally missing teeth are the upper lateral incisors, like Johnny was missing. Other commonly missing teeth are the lower second bicuspids, lower second molars and wisdom teeth.

In Johnny’s situation it was obvious when he was nine years old that the two permanent lateral incisors were missing.  So, his parents took him to the orthodontist who put him in braces and closed up the two spaces so that he didn’t have any gaps between his front two teeth and his canine teeth.  However, after it was finished his smile still didn’t look right.  Since the canine teeth were moved into the spaces of the lateral incisors he had very big teeth there in the place where normal lateral incisors are much smaller. Not only are they smaller, they are supposed to be narrower and flatter as well.

original 4 porcelain veneers used to treat missing tooth problem

After orthodontics to close the spaces of the missing teeth and four porcelain veneers were placed Johnny still didn’t have a normal looking smile, and he really wanted a great looking smile! Dr. Huefner placed 8 new porcelain veneers (see photo top of page) which completely corrected the problem with the appearance of his teeth and gave Johnny the great smile he had always wanted.

He then went to his family dentist who placed four porcelain veneers to try to make the canine teeth look more like lateral incisors.  Still, treating just the four front teeth didn’t do the trick.  Exhausted with trying to correct the problem, and thinking that there were no other options to give him a great smile, Johnny and his parents settled for the smile created for him by the orthodontist and the general dentist.  Fifteen years passed and Johnny started researching cosmetic dentists in Laguna Niguel and came to Dr. Huefner’s cosmetic dental practice to see if new techniques were yet available in porcelain veneering that might solve his problem and give him a nice smile?

Fortunately for Johnny we did have a “special trick up our sleeves” that could give him not only a normal smile, but a great smile too!  By “normal smile” we’re referring to appearing as though he has a normal compliment of teeth, four front incisors followed by canine teeth, and then bicuspid teeth right behind those. Dr. Huefner suggested to Johnny that he do something special that he  had done for a number of other patients who were congenitally missing teeth – creating some dental illusions  with porcelain veneers!  We could place eight porcelain veneers but make them each look like the teeth that should normally occupy the position rather than making the porcelain veneers look like the tooth that it is actually on.

Specifically, in Johnny’s case we would make his canine teeth (which were in the position of lateral incisors) look like lateral incisors.  Then we would make his first bicuspids (which were in the position of the canine teeth) look like canines.  Making the second bicuspid look like a first bicuspid was easiest of all.  We would give the illusions that no teeth were ever mission or in the wrong position.

Johnny and his parents were really pleased to hear the solution we offered them.  However, they said that if they were going to do porcelain veneers again could we make his teeth whiter than the original old porcelain veneers?  The answer was “of course!”  We would guide him and recommend the color of the porcelain veneers that we thought would look best, but the final decision would be Johnny’s! ( He ultimately chose BL2.) We added that we would also design the actual shapes of Johnny’s new porcelain veneers to give him a masculine smile design.

The illusionary porcelain veneer treatment for Johnny was completed in just over three weeks time with results that looked fantastic according to Johnny.  (See top photo) His comments were that he really wished that the original cosmetic dentist who did his first four porcelain veneers fifteen years earlier had been able to do that for him.

Dr. Norman Huefner,
Orange County cosmetic dentisty, serving Laguna Niguel, Irvine, Mission Viejo and Rancho Santa Margarita

Q: How long would it take to open a gap between my canine and central incisors? (missing lateral incisors)

Now, I also have baby pre-molars that are adjacent to my canines. I wanted to know how long it would take to open a gap between my canines and central incisors in order to place an implant that would replace my lateral incisors? Also, would transplantation of my canines be possible? Or would it be better to get a veneer or crown to shape my canine like a lateral incisor and then extract my pre-molars and replace them with implants that look like a canines?

Dr. Huefner’s answer:
Based on the photo you sent, you have very little space, and as such it would be difficult (but not impossible) to orthodontically open the space large enough to place a dental implant.  Not only is the small space a problem, but the canine teeth (the ones you want to move backwards) have the longest roots, and as such are more difficult to move.  There is another problem as well, is that even if the space were opened you would most likely have to have bone augmentation (grafting) to have enough bone to place the implants into.
I do not believe tooth transplantation is possible to correct your problem.
I agree with the concept of porcelain veneers, as this is a very predictable way of correcting your problem.  Braces and implants, even if they could be done would take many years.  Porcelain veneer treatment can be completed in less than a month.
I refer you to the web link below, that shows a great example of spacing and missing lateral incisors treated with porcelain veneers.

Web reference:

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