Cosmetic dentistry in Vancouver & Kitsilano
Extreme Makeover
Explore real cosmetic dentistry cases and personalized treatment planning at Westcoast Smile Dental in Kitsilano, serving patients from across Vancouver.
Cosmetic dentistry planning in Vancouver
Cosmetic dentistry can involve one focused treatment or a coordinated plan that addresses several concerns. At Westcoast Smile, planning begins with the health of the teeth and gums, the bite, existing restorations and the changes you would like to discuss. That helps us determine whether whitening, bonding, veneers, clear aligners, contouring or another approach is appropriate.
Dr. David Cheng’s restorative and esthetic clinical work includes complex cases where treatment planning, tooth position, gum contours and final restorations all need to work together. The goal is not to apply the same cosmetic procedure to every smile, but to select treatment that fits the clinical situation and the patient’s priorities.
Cosmetic dentistry treatment options
The right treatment depends on what you want to change and what the examination shows. Common pathways include:
- Professional teeth whitening: for natural teeth affected by staining or discoloration when whitening is suitable.
- Composite bonding: for selected chips, worn edges, small spaces or shape changes.
- Porcelain veneers: for cases where changes to tooth shape, colour or proportion may be better managed with a laboratory-made restoration.
- Invisalign clear aligners: for selected alignment and spacing concerns where moving the teeth is part of the plan.
- Tooth and gum recontouring: when small changes to tooth edges or gum contours may improve balance and proportion.
- Smile makeover planning: when several treatments need to be coordinated toward one overall result.
- Dental implants and restorative treatment: when missing or significantly damaged teeth are part of a broader restorative-esthetic plan.
For a complete overview organized by treatment type, visit our Cosmetic Dentistry Treatments & Options page.
Real Cosmetic Dentistry Cases
Male, Age 52
Before – failed restorations, leaking old crowns, disproportionate/round shape teeth
Solution – laser gum recontouring, 8 upper porcelain Veneers, 4 lower porcelain veneers
Male, Age 58
Before – Misaligned/worn teeth Discolored
Solution – full-mouth reconstruction, Limited orthodontics, 24 Porcelain restorations
Male, Age 41
Before – Failed restorations, Worn teeth, Discoloration
Solution – full-mouth restoration, Laser gum recontouring, 24 Porcelain restorations
Female, Age 56
Before – failed old crowns, misaligned lower teeth, smile brightness
Solution – laser gum recontouring, 8 Upper porcelain crowns, lower Invisalign orthodontics, 6 lower porcelain restorations
Female, Age 50
Before – failed restorations, leaking old crowns, disproportionate/round shape teeth
Solution – laser gum contouring, 24 Porcelain restorations
When cosmetic treatment becomes more complex
Some cosmetic concerns involve more than colour or one chipped edge. Worn teeth, failing crowns, missing teeth, uneven gum levels or a bite that has changed over time can make the treatment plan more restorative than purely cosmetic. In those situations, appearance, tooth structure and function need to be considered together.
A complex plan may include several stages. Tooth position may be changed before restorations are designed; gum contours may be treated before the final tooth proportions are selected; or old restorations may need replacement as part of a broader rehabilitation. The cases on this page show examples of that kind of coordinated planning.
Not everyone who wants cosmetic improvement needs extensive treatment. If a simpler option can address the concern, that should be part of the discussion. Our Cosmetic Dentistry Treatments & Options hub explains the individual procedures in more detail.
Cosmetic dental care at our Kitsilano clinic
Westcoast Smile Dental is located in Kitsilano and treats patients from across Vancouver. Cosmetic and restorative plans can involve several appointments, so having examination, treatment reviews and ongoing dental care coordinated through one clinic can make the process easier to follow. If laboratory-made restorations are required, the dentist can review fit, shade, bite and tissue response as treatment progresses.
Dr. Cheng and Dr. Jeffrey Norden bring extensive restorative and cosmetic dentistry experience to the clinic. Where appropriate, published clinical material, photographs and real treatment cases can be used to explain why a particular approach is being recommended.
What to expect at a cosmetic dentistry consultation
A consultation is an opportunity to explain what you would like to change and understand which options are realistic. We review oral health, the teeth and gums involved, your bite, previous dental work and any records or imaging that may be useful. If more than one treatment could address the concern, we can compare the advantages, limitations, timing and likely maintenance of each approach.
Where treatment involves several teeth or more than one procedure, sequencing matters. For example, tooth position may need to be considered before veneers or bonding, and whitening may be planned before selecting the shade of a new restoration. A written treatment plan can then outline the recommended stages and expected fees before you decide how to proceed.
Why real cosmetic dentistry cases matter
Before-and-after cases can help explain how different treatment combinations are used, but they are examples rather than promises of a particular result. Tooth condition, gum levels, bite, existing restorations and treatment goals differ from one person to another. The cases on this page are retained as first-party examples of the restorative and cosmetic planning performed by the clinic.
If your main interest is a coordinated multi-treatment smile plan, see the dedicated Smile Makeover gallery and consultation information.
Considering cosmetic dentistry in Vancouver?
Request a consultation at Westcoast Smile Dental in Kitsilano to discuss your goals, treatment options and next steps.