November 23, 2017

Beauty Pageant Winner Wendy and Her New Porcelain Veneers

10 porcelain veneers orange county for wendy by dr. huefner

Wendy, former Mrs. California-Globe, with a sensational smile created with 10 porcelain veneers by Dr. Huefner

Several years ago Wendy was the beauty pageant winner of the Mrs. California-Globe beauty pageant.  Unfortunately the four porcelain veneers she had received by her general dentist twelve years earlier wasn’t giving her the smile she really needed.  She was actually embarrassed by the way her teeth looked. Her right front tooth had a root canal and had turned almost black.  Even with a porcelain veneer trying to cover the black root, that tooth it was significantly darker than the rest of her teeth.  Also, the four old porcelain veneers didn’t cover the teeth all the way to her gum line, and Wendy was the first to admit that the color her old veneers really didn’t look natural.  But more importantly, Wendy really want a white, bright and beautiful smile!  Being in the professional world looking her very best is extremely important to her.  And unfortunately, her teeth and smile were not allowing her to look her very best.  Wendy met Dr. Huefner when he was a judge for the beauty pageant and came to his cosmetic dental practice to replace her old cosmetic dentistry and give her a sensational smile, the kind of smile she had always wanted.

dark tooth and old porcelain veneers

Wendy had four old porcelain veneers with a dark root that showed through one of them. She wanted a bright, white smile and it was time to have her old dentistry upgraded with newer, more artistic cosmetic dentistry techniques.

Dr. Huefner placed ten Empress porcelain veneers for Wendy and whitened her lower teeth with tooth bleaching (tooth whitening).  The dark front tooth was a cosmetic challenge, as Dr. Huefner had to use some special techniques in order to mask the dark color and enable her teeth and porcelain veneers to display normal tooth colors and translucency.  Wendy chose a bight, white color known as  BL1.  Also a “Enhanced smile design” was used from the LVI Smile Catalog.

dark teeth treated with porcelain veneers orange county

Wendy got the sensational smile she had always wanted with ten new porcelain veneers by Dr. Huefner.

Dr. Norman Huefner,
Orange County cosmetic dentisty,
www.drhuefner.com

Orange County Cosmetic Dentist Eliminates Pointy Teeth that Stick Out with Porcelain Veneers

pointed teeth

Heather didn’t like her “pointy” eye teeth and the fact that they stuck out, were crooked and discolored (lower photo). Eight porcelain veneers (top photo) corrected her concerns and gave her a perfect smile.

Heather’s teeth were crooked, discolored, had some chipping on her front two teeth, but most of all she hated the way her eye teeth (upper cuspid teeth) were pointed and stuck out.  She was engaged to be married in a few months, and wanted a beautiful smile for her wedding.  When she came to see Orange County cosmetic dentist Dr. Huefner she had already seen an orthodontist, but after hearing his recommendations she knew that “braces weren’t for her”.  First of all, the orthodontist said it would take 18-24 months to make her teeth straight.  But when she asked about fixing the color and shape of her teeth, the orthodontist said he couldn’t do anything about that.

Then she started researching different ways of treating “pointy crooked discolored teeth”, and came to Dr. Huefner for a cosmetic dentistry consultation.  Heather was pleased to learn that Dr. Huefner was very sure that he could give her an amazing smile before her wedding, and the entire treatment could be done in less than a month’s time!  His recommendations was to place eight porcelain veneers on her upper teeth, slightly adjust the shape of her lower teeth (called “enameloplasty”) and finally bleach (whiten) her lower teeth.  When Heather asked how white could Dr. Huefner make her teeth with porcelain veneers, she was pleased to learn that she could choose the color, and Dr. Huefner’s ceramist will make her veneers (teeth) as white as she wanted.  Heather chose shade BL1.

She was excited, and began her treatment  that week.  And as Dr. Huefner has promised, Heather’s treatment was completed with the 3-4 week time frame.  Now, with a beautiful smile and having white, straight non-pointy teeth, Heather is now ready for her wedding!

Dr. Norman Huefner, Orange County cosmetic dentist serving Laguna Niguel, Newport Beach, Irvine, Mission Viejo, Newport Beach and Rancho Santa Margarita.
www.drhuefner.com

Beautiful white, straight teeth and no more pointy cuspids, Heather is ready for her wedding photos.

Beautiful white, straight teeth and no more pointy cuspids, Heather is ready for her wedding photos.

Congenitally missing teeth treated with very esthetic EMax all-porcelain bridges

all porcelain EMax bridges and two EMax porcelain veneers

Photo above: Teri was congenitally missing both of her upper lateral incisor teeth. For years she had two bonded bridges and six porcelain veneers, but she didn’t like many things about them, especially the color, shape and thickness of the teeth. Photo below: Dr. Huefner replaced her old dentistry with two all-porcelain EMax bridges and two EMax porcelain veneers. Teri got to choose the color, and chose the BL2 shade from the tooth shade guide.

Teri was congenitally missing teeth, both of her upper lateral incisors.  Embarrassed to walk around with two front teeth missing, her parents took her to the family dentist who placed two bonded bridges and six porcelain veneers.   Now having no missing teeth showing Teri was relatively happy with her appearance during high school and early twenties.  But when she graduated from college and entered the work force, she started rethinking how she felt about her two bridges.  She realized they just didn’t look as good as she hoped that they would be.  She liked her old dentist and thought he did the best that he could for her, but couldn’t help but feel that in this day and age, cosmetic dentistry probably offers new technology that could give her a much more attractive looking smile.  It was time for Teri to see a cosmetic dentist to discuss her alternatives.

After hearing Teri’s story, Dr. Huefner asked her specifically what didn’t she like about her old dentistry?  Teri said she wanted whiter teeth, that the bridges were too thick, that there was brown staining between each of her teeth and the edges of her teeth were shorter on her left side compared with her right side.

EMax all porcelain bridges

Upper photo: Notice how Teri’s right central and lateral incisors are shorter that the teeth on her left. Ideally the teeth should be symmetrical, the same length and the edges of the incisors follow the curve of Teri’s lower lip when she smiles. Lower photo: By Dr. Huefner making Teri’s bridges the proper length she had a much more attractive and natural looking smile.

Dr. Huefner was happy to tell Teri that there was an alternative available today that he thought would give her a much more attractive smile.  Rather than do bonded bridges for two teeth replacements, and then porcelain veneers for six teeth, or porcelain fused to metal bridges, Dr. Huefner advised using a new type of all-ceramic bridges called EMax along with two porcelain veneers also fabricated out of the EMax material on her bicuspid (side) teeth.  By doing this she wouldn’t have that unattractive staining line between each of her teethand they wouldn’t be bulky and thick like her present dentistry was.  Also, Dr. Huefner would make the edges of the teeth even and symmetrical in length and follow the curve of her lower lip in a natural way.  But one thing that really excited Teri, Dr. Huefner said that she could actually choose the color of her new dentistry, so she could get the white colored teeth that she had always wanted.  She chose shade BL2 from the Dr. Huefner’s tooth shade guide.

Teri was excited to hear Dr. Huefner’s recommendations and began her treatment almost immediately.  Her entire treatment, EMax bridges and veneers went smoothly and just as Dr. Huefner had planned.  Teri’s new smile makeover with two all porcelain EMax bridges and two EMax porcelain veneers was completed in just under a month’s time.  As you can see from the photos, Teri got a terrific result and her new smile looks much more attractive by using a better design and all porcelain EMax material rather than traditional porcelain fused to metal bridges that dentists have been using for the past three quarters of a century.

For patients not able or willing to have dental implants to treat their congenitally missing teeth, EMax all porcelain bridges should be given much considerations based on its many advantages and superior esthetics.

Dr. Norman Huefner, Laguna Niguel cosmetic dentist serving Orange County and surrounding cities of Rancho Santa Margarita, Mission Viejo, Irvine and Newport Beach
www.drhuefner.com

Irvine Porcelain Veneers for a Sensational Smile Makeover

Irvine porcelain veneers

After Laynie’s smile makeover with porcelain veneers Dr. Huefner took these portraits of Laynie and her beautiful new smile.

Laynie, a beautiful young lady, had just graduated from college.  She was very concerned about the appearance of her teeth and just about to start a new career, this was the time for her to finally do something about it.  When she came to see Dr. Huefner for her cosmetic dentistry consultation, Laynie and Dr. Huefner discussed her teeth and smile in detail and Laynie narrowed it down to correcting four things:

  • Laynie didn't like either the way her teeth or gums looked.  She came to Dr. Huefner to discuss all her options with cosmetic dentistry.

    Laynie didn’t like either the way her teeth or gums looked. She came to Dr. Huefner to discuss all her options with cosmetic dentistry.

    she wanted whiter color teeth

  • her teeth looked short, and she wanted longer teeth
  • she had gingivitis, thus her gums were red and swollen
  • her left central incisor tooth was much darker than all the rest

Dr. Huefner recommended a plan of treatment that would solve all the problems that Laynie wanted corrected.  First, she would see Dr. Huefner’s dental hygienist and have her teeth cleaned and her gums treated.  By doing that and improving her oral hygiene, the redness of her gums would disappear and instead have a healthy, pink color.

irvine porcelain veneers and laser gum reshaping with dental gum laser

By treating her gingivitis and then doing some minor gum reshaping with the dental gum laser Laynie got healthy looking pink gums and teeth that weren’t too short. By bleaching Laynie’s lower teeth and then placing porcelain veneers on eight of her upper teeth. Laynie got the beautiful smile with white, even teeth that she wanted.

Second, since Laynie wanted longer teeth Dr. Huefner would do some minor laser gum reshaping with his dental gum laser.  This would eliminate some of the “gummy smile” that she had and give her more normal length front teeth.

Third, Laynie would have her lower teeth bleached.

Finally, Dr. Huefner would place porcelain veneers on eight of Laynie’s upper front teeth.  By doing the last two things Laynie would have the whiter, more attractive teeth that she wanted and they would all be the same color.  There were no major problems with Laynie’s lower teeth, so the bleaching the lower teeth by themselves would suffice to overcome the problem she had with yellow lower teeth.

BL2 shade porcelain veneers

Laynie’s smile makeover looked terrific! A beautiful, healthy and natural looking smile for a stunning young lady. Laynie’s total treatment time took just about a month.

Laynie accepted Dr. Huefner’s treatment plan and her treatment went as planned.  It took just over a month’s time to accomplish all treatment and the result of Laynie’s Irvine porcelain veneers treatment was amazing.  An absolutely beautiful smile for a very attractive young lady was achieved!

Dr. Norman Huefner, Orange County Cosmetic Dentist, Irvine Porcelain Veneers
www.drhuefner.com

Gummy Smile with Unattractive Teeth Get Revitalized

gummy smile and porcelain veneer treatment

Lower photo: Lindsey didn’t like her gummy smile and hated the cap on her front tooth that didn’t match her other teeth. She also wanted her teeth to be straight, even and them all to be the same whiter, brighter color. Upper photo: Dr. Huefner did some minor laser gum reshaping to level the gums around her four front teeth. He replaced her “ugly cap” with a new, natural looking all porcelain cap. Then he placed seven porcelain veneers. Her new smile was the difference between night and day!

Lindsey is in her late 20s and is an assistant manager in retail sales.  She was wise enough to realize that customers and fellow employees judge other people and oftentimes make buying decisions or promotion decisions based on ones appearance.  Lindsey knew that her teeth and smile weren’t helping her in that regard at all.  In fact, she felt that her smile might actually be hindering her.  Ever since she was a youngster she didn’t like her teeth and smile, but in college she was playing volleyball and tripped, fell to the floor on her face, and broke her front tooth.  Her dentist put a cap on the broken tooth, but it didn’t match her other teeth at all, and since then Lindsey had actually hated her teeth.

She came to Dr. Huefner to get his opinion as to what solutions he had to give her a great looking smile.  She told him that there were four things she wanted fixed: 1)her gummy smile 2)the awful looking cap on her front tooth 3) her crooked teeth and 4) her discolored and mottled (white spots) teeth.

gummy smile that could be treated with lip drop procedure

It is pretty obvious why Lindsey didn’t like her smile. An ambitious young lady in her late 20s, Lindsey was concerned that the unattractive appearance of her teeth and smile would affect her success in dealing with customers and also future promotions. She came to Dr. Huefner for smile enhancement procedures with cosmetic dentistry.

Dr. Huefner told Lindsey that regarding the four things that she wanted fixed there was both good news and bad news.  “First, give me the bad news,” Lindsey told Dr. Huefner. He answered Lindsey that the bad news was that her gummy smile would be relatively difficult and complicated to correct.  She would need to have orthodontics along with jaw surgery.  That would be very expensive and could take a few years to correct.  Another approach would be to have a relatively newer type of lip surgery, called a lip drop procedure, that would enable her upper lip to drop down lower over her gums and not show as much of Lindsey’s gums.

After understanding a bit more how complicated her gummy smile treatment with orthodontics and jaw surgery would be, Lindsey said she would not be willing to undergo that particular treatment.  However, she said that she might consider the lip drop surgery sometime in the future.  It would just depend on how involved the surgery would be and how much it would cost.  Dr. Huefner told Lindsey that he didn’t do the lip drop procedure, but when she was ready to consider it he would refer her to a surgeon who did do the procedure.

Then Dr. Huefner told Lindsey the good news!  Correcting the other three things that she mentioned would be relatively easy and quick to do by replacing the crown she hated with a new all porcelain crown, and then placing porcelain veneers on seven other teeth.  Her teeth would be straight and even and all match in color, and she could even choose the color she wanted!  Lindsey told Dr. Huefner that she had to confess, she has always wanted whiter teeth, so if she could also have whiter teeth, that sounded really great to her.  He told her that he absolutely could give her white teeth, and that he did recommend doing that.

laser gum reshaping and porcelain veneer treatment

Although Lindsey didn’t elect to treat her high lip line and gummy smile, she had a smile makeover by Dr. Huefner with minor laser gum reshaping, one all porcelain crown and seven porcelain veneers. The before and after photos show an amazing smile transformation that changed Lindsey’s life!

Dr. Huefner went on to explain that her that he could do some minor reshaping of her gums around her front four teeth with the dental gum laser.  That would take away a little bit of her gummy smile, but more importantly, it would make the lengths of the four front teeth at the gum line the same.

Lindsey was eager to start her cosmetic dental treatment, which she did do.  Dr. Huefner used his dental gum laser and reshaped her gums around her front four teeth, as he had promised her.  He replaced her ugly front cap with a new all porcelain cap, and at the same time placed the porcelain veneers on her other seven teeth.  Most importantly, the end result of Lindsey’s new smile was an amazing transformation.  It was like night and day, compared to her teeth and smile before treatment.

Afterwards, Dr. Huefner asked her if she was ready for a consult for the lip drop procedure.  She said that she felt that her teeth looked so good now that she didn’t think her gummy smile was nearly as bad as she had thought before.  Thus, she said she would hold off on that unless she changed her mind.

Dr. Norman Huefner,
Orange County Cosmetic Dentist serving Irvine, Mission Viejo, Newport Beach and Laguna Niguel
www.drhuefner.com

Dark Discolored Teeth Fixed with Porcelain Veneers

multicolored teeth in need of smile makeover

Scott didn’t like his multicolored teeth and felt he would look more professional in his business if his crooked, discolored teeth were straight and all the same color. Of the eight teeth that showed when Scott smiled, there were five different colors. Certainly the crown on his front tooth didn’t match any of his teeth, and the other front tooth that had a root canal discolored to a very unattractive brown color. Yes, Scott was the perfect candidate for cosmetic dentistry.

Discolored Teeth a problem for Scott

Scott is a Irvine businessman who is very successful.  He has a number of employees and most of the time is the main person dealing with his customers.  He came to Dr. Huefner’s cosmetic dental practice with one huge complaint.  “I hate my discolored teeth!”, he told Dr. Huefner.  Dr. Huefner told Scott that he understood that really bothered him, but asked him if he would explain a bit more why it bothers him so much?

After a short moment of thinking, Scott started to tell his story.  When he was in high school he used to play a lot of basketball.  One day the game got a little rough and Scott found himself flat on the floor, breaking off a good part of the edge of one of his front teeth.  He went to his family dentist who ended up doing root canal treatments on both front teeth to stop the pain.  Then the dentist fixed the broken tooth by placing a porcelain fused to metal crown on it.

Scott was happy just to be out of pain and have a new tooth again, but his happiness ended later on.  The dentist had made the crown too white, not really matching any of his other teeth, and the adjacent tooth that also had a root canal but wasn’t capped started turning a very dark color.  Fast forward twenty years later, Scott became increasingly self conscious of his discolored teeth and the fact that they were crooked.  “I’m an important leader of a successful business and am constantly dealing face to face with customers every day.  I know it’s time for me to get a professional looking smile where all my teeth are straight, the same color so I won’t be embarrassed about them any more,” Scott stated emphatically.

porcelain veneers and one all porcelain crown solve multicolored tooth problem

Photo below: Scott’s crooked multicolored teeth were a source of embarrassement to him. As a successful businessman Scott felt it was time to get straight, white teeth to enhance his image. Photo above: Dr. Huefner solved the problem of Scott having five different colors and crooked teeth by placing one new all porcelain crown and seven porcelain veneers.

Upon examining Scott’s teeth Dr. Huefner found them to be very healthy, just that like Scott said, his teeth were crooked and discolored.  Of his eight upper front teeth that he showed when he smiled, there were at least five very different colors.  Fortunately for Scott, treating his problem would be very straight forward.  Dr. Huefner recommended replacing the porcelain fused to metal crown that didn’t match any of his other teeth with an all porcelain crown that matched his other teeth and looked like a real tooth.  Also, he advised placing porcelain veneers on the seven other discolored front teeth.  By doing this when Scott smiled his teeth would all be straight, even and he would no longer have discolored teeth!

Scott thought about it for a few moments and then asked what color Dr. Huefner would change his discolored teeth to?  Dr. Huefner answered, “Whatever color you would like Scott!  We’ll recommend a few different tooth colors that we think would look good for you, but the ultimate choice on the color is yours!”

BL2 tooth shade

Scott’s smile makeover was completed in just 2 1/2 weeks. Scott chose BL2 for the tooth color for his porcelain veneers and one all porcelain crown. The end result enhanced Scott’s professional image and also gave him a younger looking and more attractive smile.

“I’d really like them to be a lot whiter as long as they don’t look fake,” Scott exclaimed.  Dr. Huefner and Scott looked at numerous tooth colors from the tooth shade guide, and Scott chose BL2 as his favorite.  “I didn’t think you would choose a color that white,” Dr. Huefner told Scott.  “Actually that color is one of our most popular colors with patients getting the same kind of treatment that you are.  I think that will work for you, certainly giving you a more professional and a little more youthful smile than colors that aren’t as white.”

Porcelain Veneer treatment completed in two and a half weeks

Scott accepted the treatment plan that Dr. Huefner recommended and started his smile makeover with porcelain veneers and one porcelain crown.  His treatment went smoothly and was completed just 2 1/2 weeks later.  Scott was elated with the end results.  Finally, after all these years, a great looking smile and no more discolored teeth!

Dr. Norman Huefner,
Orange County Cosmetic Dentist serving Irvine, Laguna Niguel, Mission Viejo and Newport Beach

www.drhuefner.com

Hodgepodge teeth transformed with new all porcelain crowns and veneers

Photo below: Leslie’s unattractive smile with unnatural looking porcelain crowns on her six upper front teeth. The very dark bicuspid side teeth dramatically contrasted with the color of her front teeth and something needed to be done to correct that. Photo above: Leslie’s new smile with six new all ceramic crowns on her front teeth and four porcelain veneers on her bicuspid side teeth. This dramatic improvement was completed in just over two weeks time.

Leslie is a graduate student in her late 20s.  She was raised in the mid west where she also graduated from college.  As a young lady she had numerous cavities and her parents took her to a dentist who placed porcelain fused to metal caps on both six of her upper front and six of her lower front teeth.  But the sad thing was that even though the cavities were “fixed” the appearance of Leslie’s teeth had much to be desired.

Now in graduate school here in Southern California where people are much more conscious of their appearance, Leslie began to hate the way her teeth looked.  When she came into Dr. Huefner’s office for a cosmetic dentistry consultation Leslie had much to say about what she didn’t like about her teeth and the way she wanted them changed.

Leslie said that her front six caps were ugly and didn’t look natural. One of the porcelain fused to metal crowns had chipped and a dentist tried to repair it. However the repair filling became discolored and started chipping off.

First, she said that she asked for “really white teeth”, and that is what the dentist gave her.  However, they were so opaque with no translucency that they “fake.”  The  color was white all right, but certainly not a natural looking tooth color.  Second, when she turned to the side the extremely dark bicuspid teeth that weren’t treated showed a marked contrast to her front teeth, making it obvious that she had “caps” on her teeth.  Third, because the porcelain caps had metal underneath, the edges or her crowns at the gum line showed an unattractive black line.  And last, the porcelain on one of her front caps had chipped off.  A dentist had tried to fix it, bonding some filling material over the metal.  But it was starting to peal off and discolor, making it the worst looking tooth in her mouth.

By replacing the six ugly porcelain fused to metal crowns with natural looking all ceramic crowns, and then placing porcelain veneers on her four side bicuspid teeth, Leslie got the beautiful smile she wanted. Her teeth were white and yet looked “real” and she can now smile with confidence!

After clearly understanding Leslie’s concerns and expectations, Dr. Huefner recommended replacing the six upper porcelain fused to metal crowns with all ceramic crowns.  Then, covering up the four dark bicuspid teeth that showed on her side teeth with porcelain veneers.  But doing that she could still have the white teeth she wanted, but they would have natural translucency and look like clean, white teeth!  Also, from the side all of her teeth would be the same uniform natural-white color.  Dr. Huefner promised her a beautiful smile that she would love and enable her to smile with confidence!

Leslie agreed to Dr. Huefner’s treatment recommendations and her entire treatment was completed in just over two weeks time, before she returned back to graduate school after her holiday break.  Because Dr. Huefner didn’t use crowns with metal underneath, there were no black lines around her gums.  All ten of the teeth treated were of the same white color, but the new crowns and veneers done by Dr. Huefner looked very “lifelike” and natural, clearly giving Leslie the beautiful smile she really wanted.

Dr. Norman Huefner, Orange County cosmetic dentist, serving Laguna Niguel, Mission Viejo and Irvine
www.drhuefner.com

Porcelain Veneers Helped Nancy Look Younger

Below: Nancy felt her worn, crooked and discolored teeth made her look older. She wanted a more youthful and attractive smile because her daughter’s wedding was coming up soon. Above: Dr. Huefner made Nancy ten porcelain veneers, all a much whiter in color and more youthful in shape.

Nancy from Mission Viejo, CA, wanted to look younger.  Her children were finally out of the house and her older daughter was going to get married in several months.  Wanting to look her best for he daughter’s wedding, Nancy started looking a lot closer at her own appearance.  The thing she disliked most was “hod old” she felt her teeth made her look!  She is fifty years old, but Nancy felt the appearance of her teeth and smile made her look twenty years older.  Nancy made up her mind to consult with Dr. Huefner for cosmetic dentistry.

At her consultation Nancy she told him about wanting to look younger. Dr. Huefner asked if there was anything “special” about why she finally decided to do something about the appearance of her teeth?  Nancy quickly told Dr. Huefner about the upcoming wedding and her embarrassment about how old she felt her teeth made her look.  “How can you make my teeth look younger,” Nancy asked Dr. Huefner.

Nancy’s teeth were worn, crooked and discolored. When she smiled in her daughter’s wedding photos, she didn’t want her daughter to be embarrassed. Nancy liked Dr. Huefner’s treatment recommendations to remake her smile with ten porcelain veneers.

After carefully evaluating Nancy’s teeth and smile, Dr. Huefner said that his suggestion is to place porcelain veneers on Nancy’s ten upper front teeth.  Nancy’s teeth were discolored and worn, but by making the porcelain veneers a lighter color and using a more normal unworn shape, Nancy would end up with a very attractive smile which would look much younger.  Nancy liked that idea!

Nancy went home and discussed things with her husband John.  He knew how important this was for Nancy, and was very supportive of her decision to have Dr. Huefner do a smile makeover for her with ten porcelain veneers.

Mission Viejo porcelain veneers

Nancy’s completed smile makeover with ten porcelain veneers by Dr. Huefner. which is definitely more attractive and youthful then she had prior to Dr. Huefner’s cosmetic dentistry.

Dr. Huefner began Nancy’s treatment two weeks later and Nancy’s entire treatment was completed three weeks later.  Her smile is ten times better looking than it was and much more attractive and youthful.  Now after getting her smile makeover Nancy has all the confidence to “smile big” for her daughter’s upcoming wedding!

Dr. Norman Huefner, Orange County cosmetic dentist, serving Mission Viejo, Irvine and Rancho Santa Margarita, CA
www.drhuefner.com

 

 

Fixing black lines around old crowns and bridges

black lines around old porcelain-fused-to-metal crowns and bridge

Lower photo: Sonia didn't like the black lines around her old bridge and crowns. She also wanted straight, white teeth that would give her a beautiful smile. Upper photo: Dr. Huefner replaced her crowns and bridge with all-ceramic non-metal crowns and bridge. He also placed several porcelain veneers. The end result was a beautiful smile, something she had wanted for years!

Sonia from Mission Viejo had always tried to take good care of her teeth.  As a youngster she didn’t have much professional dental care.  So as a young adult she had much catching up to do.  She lost one front tooth and over the years had to have a porcelain-fused-to-metal bridge and many porcelain-fused-to-metal crowns.  Her smile finally got to the point where it looked pretty good.  But over the years she started slacking off with her dental hygiene and visits to her dentist.  By the time she was fifty her gums had receded, and there was a visible black lines around most of her crowns.  She started noticing that her crowns were quite yellow compared to her friends’ teeth and Sonia became increasingly self conscious about the appearance of her teeth.  It was time for Sonia to see a cosmetic dentist about replacing much of her old, unesthetic dentistry and getting a beautiful smile.

In addition to hating the black lines around her bridge and crowns, Sonia didn't like the space between her front teeth.

She came to our cosmetic dental practice in Laguna Niguel to get Dr. Huefner’s opinion as to what was needed for him to make her beautiful looking teeth.  Dr. Huefner’s dental assistant Kathy took digital photographs of Sonia’s teeth and smile, and then together Sonia and Dr. Huefner looked at the photos on the computer monitor screen.  “Tell me Sonia, when you look at your teeth what is it that you don’t like and want changed?” Dr. Huefner asked Sonia.

Sonia had been closely looking at all her teeth for months and was able to quickly list several things:

  • “I especially don’t like the black lines around my old crowns”
  • “My teeth are yellow, I want my teeth to be much whiter”
  • “My teeth are crooked”
  • “I hate the space between my two front teeth, it looks dark”
  • “My back-side teeth lean in and look darker than my front teeth”

Sonia's new cosmetic dentistry gave her a gorgeous smile. Her teeth were white, straight and very evenly proportioned. The porcelain veneers on her side teeth didn't lean in like or natural teeth did and gave her a much more attractive and full smile.

After carefully listening to Sonia it became apparent that she didn’t want to just correct her bridge and a few old crowns, she wanted a “smile makeover”.  Dr. Huefner recommended replacing her porcelain-fused-to-metal bridge with an all-ceramic bridge.  He also recommended replacing her porcelain-fused-to-metal crowns with all ceramic crowns.  On her back and side teeth he recommended placing porcelain veneers.  Thus, when she smiled she would have white, straight teeth, all uniform in color and proportion.  It was very clear to Sonia that Dr. Huefner’s recommendations were well founded in order to get the results that she asked for, especially eliminating the black lines around her bridge and crowns.

But Sonia had one more very important question that needed answering.  “Dr. Huefner, as I get older if my gums recede, will there be black lines showing again that I will have to contend with?” she asked.  Dr. Huefner answered with a resolute “No”, that he would be using all-porcelain restorations without any metal whatsoever underneath the porcelain.  The metal underneath the porcelain crowns were the black lines that she was currently seeing in her own mouth.  She would never see black lines like she has now around any of her new dentistry that Dr. Huefner would be placing for her.

Sonia preceded with the cosmetic dental treatment that Dr. Huefner recommended, and got a terrific result.  A beautiful smile, straight white teeth, no space between her front two teeth, no side-back teeth leaning in, and most importantly, no black lines around any of her crowns.

Dr. Norman Huefner, Orange County cosmetic dentist, Laguna Niguel, CA
www.drhuefner.com

 

The Real Housewives of Orange County Brooks Gets New Teeth

Vicki Gunvalson and Brooks Ayers of The Real Housewives of Orange County after Brooks' smile makeover with porcelain veneers by Dr. Huefner

In early November The Real Housewives of Orange County star, Vicki Gunvalson, called me on the telephone regarding her boyfriend, Brooks Ayers. If you follow the reality show, you know that Vicki is going through divorce and that Brooks is the new man in her life. Brooks, who is sharing his time between Mississippi and Orange County, didn’t, in his own opinion have a great smile. As a matter of fact, in Vicki’s words, “Brooks’ smile definitely needed some HELP”! Vicki went on to say, “Brooks is a great man. He’s smart, hard working, successful, handsome, and a lot of fun to be with. His teeth and smile just didn’t fit with the Orange County image. Brooks and I think that he really needs an Orange County smile!” Vicki informed me that she chose me to do a smile makeover for Brooks in order to transform his teeth into the great looking, straight, white, “Orange County” teeth. Vicki also told me that she would like to have a film crew in our dental office during parts of Brooks’ smile makeover to document the procedure which would air on The Real Housewives of Orange County show in the early summer. “Could you do that?” she asked me. My answer was, “Yes… absolutely!” I knew we would have to work fast because his cosmetic dental treatment would have to be completed within a month in order to be filmed for Season 7 of The Real Orange County Housewives which was to begin airing February 7th, 2012.

Brooks had very crooked teeth and his upper right lateral incisor was in cross bite. His teeth were worn short and his upper lip was slightly longer than normal, masking much of his teeth when he smiled. Vicki wanted Brooks to have an "Orange County Smile", with straight, white, perfectly aligned teeth. We had less than a month to accomplish this, as we had to complete his new smile before the last week's filming of "Real Housewives of Orange County."

Vicki brought in Brooks for his first appointment with us, accompanied by The Real Housewives of Orange County film crew. We interviewed Brooks to find out what he didn’t like about his smile and what he wanted to accomplish. He was quick to point out that he was embarrassed about his smile, that his teeth were extremely crooked and that he was not able to get braces as a child like his children have been fortunate to receive. Vicki contributed to the conversation by explaining that since Brooks is now living in Orange County and that they are a couple portrayed on a reality show, it is important that he look “the Orange County” part. That is when the fun began. Seeing the drama of Brooks and Vicki banter back and forth about his teeth, his lips, his jaws and all his little “flaws” that I needed to correct, I realized our biggest challenges were neither Vicki nor Brooks, but the short time span we had to complete Brooks’ treatment and the correction of the cross bite he had on his upper right, lateral incisor. I explained to them both that ideally he should have braces to move the tooth in cross bite into a normal position, but that would take several months to accomplish. The other alternative would be to remove the tooth in cross bite and make a bridge. Although we prefer not to remove a healthy tooth, doing that would allow me to have the best control over giving him the “Orange County smile” that he wanted as well as staying within his time restraints. They both agreed that if removing one tooth would enable me to create beautiful, straight, white teeth for him within a month’s time that they would do that. So off Brooks went to the oral surgeon and the tooth was removed.

At the "trial smile" (temporary veneer phase), Brooks and Vicki got to preview the smile design Dr. Huefner created for him. Specifically, the "trial smile" is used to determine if the patient likes the length, shape, contour and color of the "new teeth." If he (or Vicki?) didn't approve, then Dr. Huefner would change the design until it met their approval. From the "trial smile" design, Dr. Huefner's ceramist, Dave Stohlman from LK Dental Studio, would make Brooks' final porcelain veneers and porcelain bridges.

A couple days after Brooks had the tooth extracted he returned to our office without Vicki. We prepared his teeth for four porcelain veneers and two porcelain bridges. Then we created Brooks’ “trial smile” which are temporary veneers and bridges that we used as our template for his final porcelain veneers and bridges. This was a very important step, as the “trial smile” is used to verify that we are designing his new teeth to his liking in regards to the size, shape, length, color and alignment of his new teeth. It’s kind of like a “test drive” of the new smile. If you didn’t like the “test drive” on a car, of course you wouldn’t buy it! Good cosmetic dentists use the “trial smile” as a “test drive” of sorts, making sure that the cosmetic dentist and patient are all on the same page before the final cosmetic dentistry is made duplicating the basic design of the “approved” trial smile.

After wearing the “trial smile” for a few days, Brooks was asked to return with Vicki to give his approval. Of course, in this situation, I needed to get approval from both of them. I gathered that Vicki would want to be on board with the design, too. Without Vicki’s approval, I am very sure that both Brooks and I would get our own “reality check” from her. If there was something Brooks and/or Vicki wanted to change, I would make (or note) those changes and finalize the design before sending it to our ceramist, Dave Stohlman, at L.K. Dental lab to adjust.

Two days later, we saw Brooks, Vicki, and The Real Housewives of Orange County camera crew again in our office to film for the show. We proceeded to take photos of Brooks’ “trial smile.” After which, the three of us looked at the photos and discussed our goals. Were the teeth long enough? Straight enough? Was the shape a masculine smile design that worked well with his lips and face? Did the edges of his teeth nicely follow the contour of his lower lip when he smiled? Once we were in agreement regarding Brooks’ smile design, the actual color needed to be selected. They definitely wanted his “new teeth” to be whiter than the BL4 tooth color of the “trial smile.” I pointed out that since Brooks has a longer upper lip that naturally shadows his teeth, we should over compensate by making his teeth at least one or two shades lighter than they originally requested. Using a custom shade guide by LK Dental Studio made of actual EMax porcelain, Vicki and Brooks chose the whitest natural looking tooth color, BL1.

EMax custom shade guide LK Dental Studio

In choosing the color for Brook's "new teeth," we utilized a custom shade guide of EMax porcelain made by our ceramist, Dave Stohlman at LK Dental Studio. Right, top to bottom: A1,B1. Left, top to bottom: BL4, BL3, BL2 and BL1. Brooks and Vicki chose BL1 for his new porcelain veneers and porcelain bridges.

Now that the details of the smile design were agreed upon, there wasn’t any guesswork for our ceramist, Dave Stohlman, at LK Dental Studio to follow. Once I gave Dave the specific details that Vicki, Brooks and I required, he added in the artistic details – that master ceramists like him do – to make the cosmetic dentistry look exceptionally beautiful and extremely lifelike. Brooks was instructed to wear his “trial smile” (temporary veneers and bridges) for another week while Dave was completing his porcelain veneers and porcelain bridges.

Brooks had an amazing transformation with his smile makeover with porcelain veneers and porcelain bridges. We not only made his new teeth considerably whiter and slightly longer, but they were now straight, without any cross bite. The shape of the teeth created a very masculine smile and improved his self confidence.

The following week, Brooks returned without Vicki. We gently removed his temporary veneers and tried on his porcelain veneers and porcelain bridges for his approval. He loved the BL1 tooth shade and the masterfully created porcelain veneers and porcelain bridges that Dave made for him. We then bonded Brooks’ cosmetic dentistry into place with a porcelain bonding laser and he left very happy with his new smile. The real test would be the following day….”the reveal”…..when Vicki would see Brooks for the first time with his “Orange County Smile.”

The before and after photos of Brooks' teeth show an amazing transformation. One might think that orthodontic braces would have been the only way that crooked teeth could be made straight. However, it was clear that a patient with as many dental problems as Brooks, that cosmetic dentistry is oftentimes the treatment of choice. Can you see which tooth had been removed and replaced with a porcelain bridge?

The next day Brooks returned for his normally scheduled post-insertion adjustment accompanied by The Real Housewives of Orange County camera crew. We took our final photos of Brooks’ completed smile makeover while anxiously awaiting Vicki’s arrival. Once Vicki arrived, we brought her back to our studio/consultation room and for the first time she saw Brooks with his new smile. I’m not going to spill the beans about the drama of “the reveal” visit – you’ll just have to tune in and watch Season 7 of The Real Housewives of Orange County. I will spill the beans about one thing, Brooks and Vickie were both so delighted with the results that they both returned together the following week and we did a “couple’s photo shoot” for them (see photo collage at top of the blog).

Brooks Ayers, Vicki Gunvalson's boyfriend and one of the "stars" on the Real Housewives of Orange County reality show needed an "Orange County Smile." We transformed his "crooked, discolored, Mississippi" smile into a stunning "Orange County Smile." No longer is Brooks self-conscious about his teeth and smile.

This professional quality portrait photo shoot that my assistant, Kathy, and I did for Brooks and Vicki is a gift we actually have been doing for most of our smile makeover patients over the last eight years. These photo portraits serve to celebrate our patients’ “new smiles” and new beginnings that their beautiful teeth and improved appearances have created.

In a cosmetic dental practice like ours, we deal with complex smile makeovers like we did for Brooks all the time. But for us, having a film crew in our office while doing such intense dentistry in an extraordinarily short period of time was a new and challenging experience. As you might imagine, there was definitely some stress involved, but we love taking on new challenges and we certainly enjoyed our experience with The Real Housewives of Orange County reality show. In the end, Vicki was pleased with the results and we were pleased to have met her high level of expectation. I’m also very sure that if she wasn’t pleased, she certainly would have communicated that with me.

Dr. Norman Huefner, Orange County Cosmetic Dentistry and Porcelain Veneers. Serving the surrounding cities of San Clemente, Laguna Niguel, Irvine, Newport Beach, Mission Viejo, Coto de Caza, Rancho Santa Margarita and Lake Forest, CA.

 

 

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