Smile gallery
Smile Makeover
Explore real smile makeover cases and learn how a personalized consultation can coordinate cosmetic and restorative treatments at our Kitsilano clinic in Vancouver.
What is a smile makeover?
A smile makeover is a coordinated treatment plan for people who want to address more than one aspect of the appearance of their teeth or gums. It is not a single procedure and does not require every available cosmetic treatment. The plan may involve whitening, bonding, veneers, clear aligners, gum contouring or restorative treatment depending on the clinical findings and the changes being considered.
The gallery below shows real examples of treatment combinations used at Westcoast Smile. Individual results and suitable treatment options vary.
Who may consider a smile makeover?
A smile makeover may be worth discussing when several visible concerns overlap—for example, tooth colour together with worn edges, spacing, older restorations or uneven gum contours. It can also be useful when a patient is unsure which concern should be treated first and wants to understand how different procedures interact.
Good oral health is the starting point. Active decay, gum disease, significant bite concerns or other dental problems may need treatment before elective cosmetic procedures. A smile makeover plan can include restorative or orthodontic steps when those are important to the health, function or stability of the final result.
What a smile makeover consultation evaluates
The consultation starts with the concerns you want to discuss and the outcome you are hoping to understand. Dr. David Cheng reviews the condition of the teeth and gums, previous dental work, tooth position, the bite and the relationship between the teeth, lips and gum contours. Photographs, radiographs, impressions or digital records may be recommended when they add useful information.
The purpose is to identify reasonable options and explain what each would involve. This can include treatment sequence, expected appointments, maintenance, alternatives and costs. Before-and-after cases can be reviewed to illustrate different approaches, but the treatment plan is based on your own examination rather than reproducing another patient’s result.
- Your main smile concerns and priorities.
- Oral health and whether any disease or functional issue should be treated first.
- Tooth colour, shape, proportion, position and existing restorations.
- Gum levels and how they relate to the visible teeth.
- The bite and whether orthodontic or restorative sequencing should be considered.
- Potential treatment combinations, timing, fees and long-term maintenance.
Real smile makeover cases
Female, Age 32
Before – failed composite bonding space closure
Solution – 4 front teeth esthetic hand-sculpted and composite veneers
Female, Age 49
Before – worn front teeth, gummy smile, dark triangle
Solution – laser gum recontouring, 4 upper porcelain veneers, 2 esthetic bonding
Female, Age 49
Before – gummy smile, failed bonding, and square shaped teeth
Solution – laser gum recontouring, 6 upper esthetic bonding
Male, age 25
Before – failed 2 front crowns, spacing, gummy smile
Solution – laser gum recontouring, 6 upper porcelain veneers
Female, age 29
Before – enamel defects, failed bonding
Solution – laser gum recontouring, 6 upper esthetic bonding
Female, Age 27
Before – gummy smile, disproportionate previous veneers
Solution – laser gum recontouring, 6 upper porcelain veneers
How smile makeover treatments are combined
When several treatments are involved, the sequence can affect the final result. Clear aligners may be considered before veneers or bonding if tooth position should change first. Whitening may be planned before selecting the shade of new restorations. Gum treatment may need to occur before the final shape and proportions of veneers or bonding are decided.
Not every smile makeover requires extensive treatment. In some cases, one or two conservative changes may address the concern. The consultation is used to compare options and decide whether a coordinated plan is appropriate.
For treatment-by-treatment information, visit our Cosmetic Dentistry Treatments & Options page. For more complex restorative-esthetic examples, see the Extreme Makeover cases.
Ready to discuss your smile goals?
Request an appointment with Westcoast Smile Dental in Kitsilano, Vancouver, to review your concerns and possible treatment pathways.