Porcelain veneers are one of the most dramatic breakthroughs in cosmetic dentistry. Unlike the bulky caps and unnatural looking porcelain crowns of decades past, which required reducing a significant portion of your natural tooth structure, today porcelain veneers can be paper-thin and bonded onto the tooth front. Sometimes, no natural tooth is required to be removed before porcelain veneer placement. The latest versions are also more translucent to blend effortlessly into your smile. San Diego Cosmetic Dentist, Dr. Eshom creates state-of-the-art porcelain veneers that allow light to penetrate through, producing translucent natural looking teeth.

Watch this Porcelain Veneers Video

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Cosmetic Dentist Professional Pointer: Whenever deciding on dental treatment or porcelain veneers the most important thing to consider is not the procedure, but whether the procedure is right for your tooth and/or smile desires. Every tooth and person is different and it is important to know first what the final result you desire. Once you know your desires it is important that the cosmetic dentist picks the most conservative procedure to get your ideal smile. Experience, training and artistic talent are of the utmost importance. Dr. David Eshom, makes absolutely certain that he understands your desires and formulates a plan of procedures that achieve the ideal results, (check out the before-and-after veneer patients) while always insuring a minimum of tooth structure is removed. His suburb talents with bonding, porcelain veneers, minimally invasive dentistry, lasers, cosmetic dentistry and art combine to give you the best of smiles.

Click the titles below to find out more about porcelain veneers

  • Facts about Dental Porcelain Veneers

    pv6Dental porcelain veneers, usually fabricated from porcelain, are a thin, semi-translucent “shell,” custom made to fit precisely over an existing tooth. They are permanently bonded, held in place by a special resin which adheres the back of the veneer to the front of the tooth. The finished result is extremely strong and durable. Though dental porcelain veneers are not suitable for every patient, they are a cosmetic alternative for a variety of dental conditions affecting the front teeth.

    • Porcelain Veneers close spaces between the teeth
    • Porcelain Veneers restore broken or chipped teeth
    • Porcelain Veneers cover unsightly, stained or washed out fillings
    • Porcelain Veneers whiten permanently stained or discolored teeth
    • Porcelain Veneers correct uneven or crooked teeth
  • Advantages and Benefits of Veneers

    When your smile is disfigured by decay, abrasion, chipping, breakage or imperfect development, our goal is to restore its natural beauty, so you can smile with confidence. At one time, tooth colored bonding or porcelain crowns were used to treat these types of conditions. Tooth colored bonding does last and is weak. Porcelain crowns require too much tooth structure to be ground down. So today fortunately, a third, more conservative alternative is available. Conservative, tooth saving porcelain veneers!

    There are many benefits and advantages to having porcelain veneers applied to your front teeth. These may include any or all of the following considerations:

    • Only a small amount of natural tooth structure (if any) is removed during the procedure.
    • A healthy, natural look is achieved with little or no discomfort.
    • Veneers are often less expensive than alternative procedures.
    • Veneers are strong, durable and color-stable.
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    Before
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    After
  • How Are Veneers Different From Fillings or Crowns?

    A tooth-colored bonded filling is used when only a small amount of tooth structure needs replacing or repair. A full crown is indicated when a tooth has had root canal treatment or when a substantial amount of the entire tooth structure (enamel) has been lost. San Diego Cosmetic dentist, Dr. Eshom, doesn’t do very many crown in his office because he like to preserve as much tooth structure as possible by doing veneers and bonding to enhance his patients smiles. A porcelain veneer is indicated when a portion of the front surface of a tooth needs a “face lift”.

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  • How Are Porcelain Veneers Created?

    Similar to a resin bonding procedure, veneers are attached directly to the existing tooth structure. We take an impression of your tooth to make an exact replica. During your appointment, we treat your tooth with a mild conditioning solution. Before the veneer is placed, we apply a tooth-colored liquid bonding material, which helps the veneer adhere to your natural teeth.

  • What Can You Expect from Your Veneers?

    Veneers can last for years, depending on how well you take care of them. Because veneers are stronger than simple bonding, they are also more resistant to stains and chipping. However, it is important to maintain regular oral hygiene, to avoid bad habits such as biting nails or chewing ice and to visit us regularly for routine cleaning and exams. These precautions will help ensure that your veneers will last a long time and keep looking as good as new. The decision to enhance your smile with porcelain veneers is a personal one. Even a subtle change in your smile can make an exceptional difference in the way you look and feel and on your social outlook. There’s no question that a beautiful smile goes a long way toward improving your self confidence in both personal and professional circles.

  • How Dental Porcelain Veneers Work

    If Dr. Eshom, determines that you are a good candidate for dental veneers, they are probably the most aesthetically pleasing restorative option to improve your smile. Dental veneers are ultra-thin, custom-made laminates that are permanently bonded directly to your teeth. They have become increasingly popular and are a great durable option for changing the size, shape, position, and color of teeth. I placed my first dental veneers in 1986 on Karen, my wife of 25 years, and they are still working perfectly and looking gorgeous.

    Porcelain veneers are used to close gaps, straighten teeth, replace worn edges, or resurface discolored teeth (usually brown, orange, or black) that for various reasons did not get white enough with tooth whitening procedures. The best candidates for porcelain veneers are people whose teeth are healthy and free of decay and periodontal disease. However, cavities or tooth decay can often be repaired at the time of dental veneer preparation. If your front teeth are chipped or crooked or if you have a gap that is beyond what conventional bonding can cover, then dental veneers might be your best option. Unlike a crown, which covers the entire tooth, a porcelain veneer covers mainly the visible front part of the tooth and slightly wraps over the biting edge. This makes porcelain veneers a conservative option. There are two types of dental veneers: porcelain (sometimes called laminates) and composite (plastic/resin) dental veneers.

    A tooth prepared for a porcelain veneer is shown on a model from front and back.

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    A porcelain veneer is about as thin as a fingernail. Notice that the back of the tooth is almost untouched because the porcelain veneer mostly covers the front of the tooth and only needs to lap over the edge slightly.

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    Before Porcelain Veneers
    The porcelain veneers fitted
    The porcelain veneers fitted

    This patient wore orthodontic braces to straighten his teeth but had worn his front teeth so much pre-braces that porcelain veneers were used to finish his smile after the braces. Notice the use of translucency and anatomically correct contours which make the porcelain veneer teeth look identical to natural teeth.

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    This patient had old dental bonding and a worn smile. Porcelain veneers restored her teeth to the natural length and color after teeth whitening. Notice the beautiful porcelain match to her existing teeth the natural translucency and that Cosmetic Dentist Dr. Eshom and the patient intentionally left one tooth longer than the other to give it an even more natural appearance.

    Porcelain veneers are extremely thin tooth coverings made of durable dental ceramic. They cover only the visible part or front part of the tooth, hence the name “veneers.” At the first visit you and  Dr. David Eshom will select a smile style and color. We ask patients to bring in pictures from magazines to our cosmetic dental practice or we can select a style from my book or styles of other patient’s porcelain veneer treatment done by Dr. Eshom. Dr. Eshom has a complete reference to different smiles treated with porcelain veneers where he has treated 1 tooth with a porcelain veneer, 2 teeth with porcelain veneers, 4 teeth with porcelain veneers all the way up to 28 teeth treated with porcelain veneers. There is a 100% chance that , Dr. David Eshom, considered one of the top cosmetic dentists in San Diego can show you a case of porcelain veneers that corrects or improves a smile problem just like yours from patients he has treated with porcelain veneers. Dr. Eshom suggests that patients insist on seeing a porcelain veneer case just like theirs before choosing to be treated.

  • Dr. Eshom's Smile Guidelines for Dental Porcelain Veneers

    For color, my preference is either to select a shade that matches the existing color of your teeth or to bleach, tooth whiten, the rest of the teeth first and then match the new, whiter color with porcelain veneers. Sometimes patients want their new dental veneers slightly lighter than their existing color.

    Cosmetic Dentist Tip: If you are going to whiten your teeth, it is important to do it before you get dental veneers, so the new color of the dental veneer can match the new color of the teeth.

    To make sure you know exactly what dental veneer length and shape you are getting, I then use composite resin to make a ‘mock-up” of the selected dental veneer smile style, directly on your teeth. Because anesthesia is usually not needed at this stage, we can see how the lips will naturally rest on the new dental veneer smile. Once the shape is perfected, an impression is made to be used as a “blue print” for the temporary porcelain veneers and as a guide for the cosmetic dental lab to copy.

    Next, Dr. David Eshom prepares your teeth by removing about 0.5 to 1 millimeter of enamel—about the thickness of your fingernail—from the front and sides so the porcelain veneer won’t make the tooth look too big or bulky once it’s attached. Dr. Eshom then makes an impression of the “contoured” teeth to be used as a guide to making your dental veneers in the cosmetic dental laboratory. Then your cosmetic dentist, Dr. Eshom puts temporary dental veneers on your teeth so you do not have to walk around with unsightly teeth. These are made from the “blue print” of your previously approved mock-up.

    Before Dental Veneers
    Before Dental Veneers
    Temporary Veneers
    Temporary Veneers
    Before Dental Veneers
    Before Dental Veneers
    Temporary Veneers
    Temporary Veneers

    Dr. Eshom likes to make the dental veneer temporaries look as close to the final veneers as possible. This is like a “trial smile” giving you a preview of the final product. Well-made dental veneer temporaries may be indistinguishable from the final porcelain veneers for most people. In fact, I have had CEOs for Fortune 500 companies wearing temporary dental crowns or dental veneers and give speeches on television. To my delight, even on the television, no one would know but me.

    If alterations are made to the original mock-up, a second model of the new shape is then sent to the lab as a guide to copy. Cosmetic dentist, Dr. Eshom says: if you do not like your temporary dental veneers, do not keep it a secret—tell us so they are not copied for the permanent porcelain veneers. While the temporary dental veneers look beautiful, they are not as strong as the final porcelain veneers, so you will have to restrict your diet to soft foods, and because they are all connected, flossing these temporary teeth will be impossible and not advised. The final porcelain veneers, of course, will all be separate, individual teeth.

    Our cosmetic dental lab takes one to three weeks to fabricate the final porcelain veneers. In special circumstances, we can rush your porcelain veneer case in one to three days, but this usually increases the cosmetic dentistry fees.

    When you return to our San Diego dental office for your second porcelain veneer visit, Dr. Eshom places the final porcelain veneers on your teeth to check the fit, size, shape, and color—and to make sure you approve of your new smile. If adjustments are needed, they are made at this time. Then the porcelain veneers are permanently bonded to the teeth with resin cement.

Porcelain Veneers Video

Before and After Porcelain Veneer Photos

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This patient came into Dr. Eshom’s San Diego cosmetic dental office with prior dental porcelain veneers that made her teeth look bulky and unfeminine. Some cosmetic dentists use Lumineer-type porcelain dental veneers, which are prep-less dental porcelain veneers that require no removal of tooth structure. Prepless porcelain veneers are an ideal dental solution in some cases, but for the vast majority of patients, natural looking porcelain veneers require some preparation of the tooth. With an experienced cosmetic dentist, the minimal amount of preparation needed to create natural looking porcelain dental veneers is worth it.

Placement of Lumineer-type dental porcelain veneers without an experienced cosmetic dentist can lead to unnatural, bulky dental porcelain veneers. Unless your smile has lots of gaps, or teeth that slant inward and need to built outward—you usually end up with bulky, fake-looking teeth. The small amount of tooth structure removal for minimally prepped veneers can go a long way to giving you that natural looking smile. Cosmetic dentist Dr. Eshom’s experience with minimally prepared porcelain veneers corrected the bulkiness of this patient’s previous dental work. By preparing this patient’s teeth for the placement of dental porcelain veneers, it provided the patient with slender and more natural looking teeth.
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Living in Southern California, we are fully aware of how teeth can affect your entire look. Teeth whitening has become a huge trend and it is hard to keep up with the brilliant white standard for teeth whitening set by celebrities.

It’s not hard to see how appealing white teeth can be... Teeth whitening instantly brightens your entire face, and having a perfectly straight smile is an added bonus. This patient came to cosmetic dentist, Dr. Eshom wanting a picture perfect smile. Dr. Eshom and his dental team developed a plan to improve her smile through teeth whiting, porcelain veneers, and dental crowns.

The first step to improving our patient’s smile with cosmetic dentistry was teeth whitening to remove unwanted stains which had accumulated over the years. Whitening the teeth before any other dentistry procedures allows the cosmetic dentist to match the dental material to your natural tooth color (rather than matching the natural tooth color to the porcelain veneers, a much more difficult goal to reach.

After teeth whitening, cosmetic dentist Dr. Eshom worked on making her teeth look more symmetrical by placing porcelain veneers, crowns, and some dental bonding of a tooth colored material to the edges of her teeth. When deciding on dental treatment to correct you asymmetrical teeth, as cosmetic dentist, Dr. Eshom about money saving techniques that still result in that perfect smile.
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San Diego Dental Porcelain Veneers Restoration Before and After

One of the most noticeable things about a person is their smile. When we are self-conscious about this noticeable feature it shows in our speech patterns, how we address others, and when and how much we smile. Ann came into La Jolla Cosmetic dentists, Dr. Eshom, for an evaluation for instant orthodontics. Instant orthodontics is a phrase used to describe a smile-makeover that addresses several crooked teeth at once without having to place traditional braces. Like many patients Ann wanted her teeth straight and color corrected. La Jolla cosmetic dentist, Dr. Eshom, laced porcelain dental veneers across Ann’s top teeth to correct the crooked teeth, giving Ann instant straight teeth without the discomfort of metal braces. Dr. Eshom and Ann chose to brighten the color of her dental porcelain veneers by choosing a final porcelain veneer shade brighter and whiter than her natural tooth color. Ann’s dental porcelain veneers created an even, straight, white smile that she no longer wanted to hide!
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This patient came into Dr. Eshom’s San Diego cosmetic dental office with prior dental porcelain veneers that made her teeth look bulky and unfeminine. Some cosmetic dentists use Lumineer-type porcelain dental veneers, which are prep-less dental porcelain veneers that require no removal of tooth structure. Prepless porcelain veneers are an ideal dental solution in some cases, but for the vast majority of patients, natural looking porcelain veneers require some preparation of the tooth. With an experienced cosmetic dentist, the minimal amount of preparation needed to create natural looking porcelain dental veneers is worth it.

Placement of Lumineer-type dental porcelain veneers without an experienced cosmetic dentist can lead to unnatural, bulky dental porcelain veneers. Unless your smile has lots of gaps, or teeth that slant inward and need to built outward—you usually end up with bulky, fake-looking teeth. The small amount of tooth structure removal for minimally prepped veneers can go a long way to giving you that natural looking smile. Cosmetic dentist Dr. Eshom’s experience with minimally prepared porcelain veneers corrected the bulkiness of this patient’s previous dental work. By preparing this patient’s teeth for the placement of dental porcelain veneers, it provided the patient with slender and more natural looking teeth.
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Kevin was a manager for a well known company. Co-workers had commented that his teeth looked older than he did, which didn’t match the image Kevin saw of himself. A patient of Dr. Eshom’s dental practice, Kevin scheduled an appointment for a cosmetic dentistry consultation. Dr. Eshom recommended that Kevin do one-hour laser teeth whitening followed by at home tooth whitening trays, and six porcelain veneers to correct his front teeth gaps and spaces. An advantage of porcelain veneers over orthodontic procedures for correcting gaps and spaces is the reduced treatment time and absence of awkward, metal braces.

Cosmetic Dentist Tip: Sometimes your smile can get a much needed face-lift by simply addressing the dark stains and chipped edges. In the case of Kevin, his general dentistry reflected an older version of himself that didn’t match the youthfulness of how he felt. An advantage of porcelain dental veneers is a strong, permanent youth that radiates every time you smile.

Since the smile makeover, Kevin has been promoted and his smile let’s everyone know just how young he feels!
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Using an artist’s eye is important in cosmetic dentistry and especially for natural looking porcelain dental veneers. Knowing proportions of each tooth in the smile is vital to creating dental porcelain veneers that look like they are your own teeth. Also, seeing angles of teeth to the face, nose, eyes and the horizon is important so that the smile fits the face properly and doesn’t point in an unpleasant direction. In this case a beautiful young woman wanted a more pleasing smile that would match the rest of her already beautiful face, skin, hair and eyes. Her front teeth were disproportional to nature (her teeth were too long for their width) and pointed sideways from her eyes and the horizon (her teeth were angled or canted to her left). In order to create the pleasing smile you see, we not only had to change the proportion of her front teeth but the angle too. Only 4 porcelain dental veneers were placed to make the perfect smile for this patient. If a cosmetic dentist does not have the experience and artist’s eye he/she may have tried to do only 2 veneers that would look fake, leaving the teeth angled.

Dr. Eshom’s Dental Porcelain Veneer Smile Tip For Patients: For natural looking dental porcelain veneers make sure you have a cosmetic dentist that uses artistry and experience to veneer only the teeth that need treatment while making sure that proportions are correct in the final smile. Dr. Eshom makes his temporaries look just like the finals so that these proportions and angle are corrected before the final porcelain dental veneers are permanently bonded.
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Using an artist’s eye is important in cosmetic dentistry and especially for natural looking porcelain dental veneers. Knowing proportions of each tooth in the smile is vital to creating dental porcelain veneers that look like they are your own teeth. Also, seeing angles of teeth to the face, nose, eyes and the horizon is important so that the smile fits the face properly and doesn’t point in an unpleasant direction. In this case a beautiful young woman wanted a more pleasing smile that would match the rest of her already beautiful face, skin, hair and eyes. Her front teeth were disproportional to nature (her teeth were too long for their width) and pointed sideways from her eyes and the horizon (her teeth were angled or canted to her left). In order to create the pleasing smile you see, we not only had to change the proportion of her front teeth but the angle too. Only 4 porcelain dental veneers were placed to make the perfect smile for this patient. If a cosmetic dentist does not have the experience and artist’s eye he/she may have tried to do only 2 veneers that would look fake, leaving the teeth angled.

Dr. Eshom’s Dental Porcelain Veneer Smile Tip For Patients: For natural looking dental porcelain veneers make sure you have a cosmetic dentist that uses artistry and experience to veneer only the teeth that need treatment while making sure that proportions are correct in the final smile. Dr. Eshom makes his temporaries look just like the finals so that these proportions and angle are corrected before the final porcelain dental veneers are permanently bonded.
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Taking good care of your teeth is an important way to stay healthy. Recent studies have suggested that the health of your smile can be a good indication of the health of your heart. Remembering to visit your dentist regularly, brushing, flossing, or watching what you eat or drink can help your dental health significantly. In this case, signs of neglect include the yellow staining, the exposure of the dentin in the lower jaw, and the uneven shape of his teeth.

Dr. Eshom, an experienced cosmetic dentist, focuses on dental health as the most important concern of his La Jolla dental office. Dental health issues can be addressed while still maintaining an aesthetic approach with cosmetic dentistry. Laser dentistry can treat built up bacteria and plaque that harbors dental disease and destruction to the gums and with the placement of porcelain dental crowns, this patient’s worn, gapped smile will look brand new.

A full mouth restoration using porcelain dental crowns to close the gaps and whiten this patient’s teeth. Cosmetic dentist, Dr. Eshom with the specific needs of his patient in mind, created a treatment plan that put this patient’s cosmetic and general dentistry needs on the road to a healthier lifestyle.
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Using an artist’s eye is important in cosmetic dentistry and especially for natural looking porcelain dental veneers. Knowing proportions of each tooth in the smile is vital to creating dental porcelain veneers that look like they are your own teeth. Also, seeing angles of teeth to the face, nose, eyes and the horizon is important so that the smile fits the face properly and doesn’t point in an unpleasant direction. In this case a beautiful young woman wanted a more pleasing smile that would match the rest of her already beautiful face, skin, hair and eyes. Her front teeth were disproportional to nature (her teeth were too long for their width) and pointed sideways from her eyes and the horizon (her teeth were angled or canted to her left). In order to create the pleasing smile you see, we not only had to change the proportion of her front teeth but the angle too. Only 4 porcelain dental veneers were placed to make the perfect smile for this patient. If a cosmetic dentist does not have the experience and artist’s eye he/she may have tried to do only 2 veneers that would look fake, leaving the teeth angled.

Dr. Eshom’s Dental Porcelain Veneer Smile Tip For Patients: For natural looking dental porcelain veneers make sure you have a cosmetic dentist that uses artistry and experience to veneer only the teeth that need treatment while making sure that proportions are correct in the final smile. Dr. Eshom makes his temporaries look just like the finals so that these proportions and angle are corrected before the final porcelain dental veneers are permanently bonded.
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Misaligned teeth can have a larger affect on your teeth than you may think. In this case, because this patient’s teeth were misaligned, it caused extreme wearing down of the teeth, even into the dentin (the interior tooth tissue). With teeth this worn down, everyday activities can become extremely hard to do. Exposed dentin can cause teeth to become sensitive, vulnerable to cavities, and can cause difficulty in eating.

Porcelain veneers can be used for aesthetic and health reasons.

In cosmetic dentist Dr. Eshom’s San Diego dental office, oral health is considered to be a top priority. To fix the exposed dentin and the worn down teeth, cosmetic dentist Dr. Eshom placed a combination of porcelain crowns and porcelain veneers on the most exposed worn teeth of his smile. In this case, careful placement of the porcelain veneers and crowns were necessary to prevent eventual grinding. To put a stop to the grinding, the shape of the porcelain veneers and crowns were carefully chosen and properly aligned. In addition, this patient was given a night guard to use while sleeping when grinding is most prevalent. Take a look at his before and after photos—the end result is indescribable!
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Using an artist’s eye is important in cosmetic dentistry and especially for natural looking porcelain dental veneers. Knowing proportions of each tooth in the smile is vital to creating dental porcelain veneers that look like they are your own teeth. Also, seeing angles of teeth to the face, nose, eyes and the horizon is important so that the smile fits the face properly and doesn’t point in an unpleasant direction. In this case a beautiful young woman wanted a more pleasing smile that would match the rest of her already beautiful face, skin, hair and eyes. Her front teeth were disproportional to nature (her teeth were too long for their width) and pointed sideways from her eyes and the horizon (her teeth were angled or canted to her left). In order to create the pleasing smile you see, we not only had to change the proportion of her front teeth but the angle too. Only 4 porcelain dental veneers were placed to make the perfect smile for this patient. If a cosmetic dentist does not have the experience and artist’s eye he/she may have tried to do only 2 veneers that would look fake, leaving the teeth angled.

Dr. Eshom’s Dental Porcelain Veneer Smile Tip For Patients: For natural looking dental porcelain veneers make sure you have a cosmetic dentist that uses artistry and experience to veneer only the teeth that need treatment while making sure that proportions are correct in the final smile. Dr. Eshom makes his temporaries look just like the finals so that these proportions and angle are corrected before the final porcelain dental veneers are permanently bonded.
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Small details can have a large impact on your smile. For example, this patient’s two front teeth had edges that looked dinged, tipped and unnatural. Although it may have been a small detail, the two front teeth didn’t match the shape of her side front teeth.
Cosmetic dentist Dr. Eshom in San Diego used dental porcelain veneers to fix the unnatural edges of the two front teeth veneers to correct the old bonding on her side teeth to create a tooth shape that flowed into the rest of our patient’s smile. The feminine rounded edges of her cosmetic dentistry treatment gave this patient a youthful, softer look to her already beautiful face.
Dr. Eshom's cosmetic dentistry tip: the shape of the veneer makes it look natural; not just the shade.
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Just like Tom Cruise, you may notice that this patent’s teeth are leaning on an angle (canted) and are not perpendicular to the rest of this patient’s face. Canted teeth are not known to affect your oral health and people who choose to fix their canted teeth purely do so for aesthetic reasons. Canted teeth can develop over time and will not straighten eventually. Consulting an experienced cosmetic dentist is necessary to fix angled or canted teeth.

To corrected this patient’s canted teeth, cosmetic dentist Dr. Eshom placed one dental crown on the left central incisor (the left front tooth), three dental porcelain veneers on the other central incisor and on the two lateral incisors, and four other dental porcelain veneers were also placed on her lower four front teeth. Placing a dental veneer and a dental crown next to each other can be tricky—an artistic eye is necessary to create a realistic and natural looking smile. With cosmetic dentist Dr. Eshom’s experience, he can help you attain that straight smile that you are looking for.
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Frequent illnesses at a young age and certain medications can cause the color of your teeth to look blotchy and discolored. Because the discoloration is not a surface stain, correcting it can be difficult without dental porcelain veneers. This young patient came to cosmetic dentist Dr. Eshom in San Diego with hopes of eventually having a beautiful smile. Besides having blotchy colored teeth, her teeth were unevenly shaped and did not have a uniform look that is commonly wanted in a smile. To create her new smile, ten porcelain dental veneers were placed to remove the blotchiness and to create that uniform look.