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A smile makeover is a coordinated cosmetic plan, not a single procedure. Dr. Grillo, Dr. Lum, Dr. Weatherington, Dr. Breziner, and the team at DNTL in San Diego design the whole result first, using 3D facial scanning and Smilecloud virtual mock-ups, then sequence the treatments that get you there: veneers, whitening, bonding, gum contouring, crowns, or alignment, in whatever combination your case actually calls for.
You see your new smile on your own face before anyone touches a tooth. Our prosthodontists, periodontist, and endodontist all practice under one roof on Lusk Blvd, so the aesthetic plan, the gum work, and the restorative work are planned together rather than passed between offices.
To find out what your case would involve, book a consultation. Call us at (858) 755-9810.
Most of the outcome is decided before the first drill ever spins. Here's the sequence we follow.
We start by listening. What bothers you when you see photos of yourself? Do you want your teeth whiter, longer, straighter, or all three? Vague goals produce vague results, so we spend real time getting specific about what "right" looks like to you. Dr. Grillo and Dr. Lum lead these conversations, and you can reach our San Diego office to start one.
A 3D facial scanner captures how your teeth relate to your lips, midline, and facial proportions, both at rest and when you smile. Intraoral scanners take digital impressions without the putty trays, and digital X-rays plus cone beam imaging show us the bone, roots, and existing restorations underneath. See more of the technology we use.
Those records feed into Smilecloud, where we build a 3D mock-up of your proposed smile and generate a video simulation so you can see it in motion. You react to it. Tooth length too long? Edges too uniform? We adjust it on screen, at the design stage, where changes cost nothing.
Some cases need gum treatment, contouring, or alignment before the cosmetic layer goes on. Because Dr. Weatherington, our periodontist, practices in the same building, that work gets sequenced into the same plan instead of adding months of back-and-forth referrals. Read more about our gum disease treatment.
We prepare the teeth conservatively to the approved design, then place temporaries so you can live in your new smile shape for a while. Meanwhile your final restorations, such as porcelain veneers, are crafted from our digital specifications by the top-tier laboratory technicians we've worked with for years. At delivery we seat, refine, and check the bite before anything is bonded permanently.
This is usually the right conversation when whitening and time haven't solved it. Common reasons patients ask us about a makeover include:
Some situations call for a different starting point. Active gum disease, untreated decay, or significant bite problems need attention first. If your concern is a single chipped tooth, bonding or one veneer may be all you need. And if teeth are missing, implant treatment or a full mouth reconstruction is the more appropriate conversation.
Every case runs on its own clock, but the milestones look like this:
One longer appointment covers preparation and temporaries, and you leave with provisionals shaped like the approved design. And Final restorations are seated, adjusted, and polished across one or two visits, with a follow-up to check tissue health, bite, and comfort.
A focused veneer case can move from consultation to final placement in a matter of weeks. A comprehensive plan involving periodontal work or alignment first may span several months. We'd rather give you the honest range at the start than compress a plan into a schedule that shortchanges the result.
A few things help beforehand. Old photos of your own smile are surprisingly useful, and so are any reference images of what appeals to you; together they give us language for the design conversation during your cosmetic dentistry consultation.
Get your regular cleaning up to date, and if you grind, clench, or wake up with jaw soreness, tell us, because that changes how we design and protect the final restorations. If there's an event on the calendar, let us know the date early so we can sequence around it.
Afterward, the care is straightforward. Brush and floss the way you always should, since the natural tooth structure at the margins can still decay. Regular hygiene visits let us monitor the gumline and the edges of your restorations, and if you grind, the nightguard we make for you is the single most effective protection for ceramics.
Avoid chewing on ice, popcorn kernels, and pen caps. Coffee, tea, and red wine won't stain porcelain the way they stain enamel, but they will stain any natural teeth alongside it, so keep the shade consistent with a touch-up of take-home whitening or a shade check at your next visit.
We review the complete cost with you at the consultation, once we know exactly what your plan involves. The total depends on:
Purely cosmetic treatment typically falls outside dental insurance coverage. Where parts of your plan are restorative, we'll help you understand your benefits, and we're a Delta Dental provider. Payment is due at the time of service, and financing is available through Cherry Financing.
You won't find charges on your bill that weren't discussed in advance. To talk through the numbers for your case, schedule a consultation or call (858) 755-9810.
We began as a small restorative practice and grew into something different: sixteen operatories and four specialists working as one group. Dr. Grillo and Dr. Lum bring prosthodontic training, Dr. Weatherington handles the periodontal side, and Dr. Breziner covers endodontics. For a cosmetic case, that means the person planning your aesthetics and the person managing your gum tissue are looking at the same scan on the same screen, in the same building on Lusk Blvd, without a referral in between.
The technology exists for one reason: better outcomes. Cone beam imaging, 3D facial scanning, impression-less intraoral scanners, CEREC, and AI-driven smile design with live animation all serve the same goal, which is knowing the result before we commit to it. Pair that with laboratory partners whose ceramists we know by name, and the artistry becomes repeatable rather than lucky. It is the same digital planning we rely on for veneers and full-arch restorative work.
The design review is its own appointment rather than a few rushed minutes at the end of another visit, and your periodontal and cosmetic plan are reviewed together before you leave. To see what that looks like for your case, schedule a consultation or call (858) 755-9810.
Veneers are one tool inside a larger plan. A makeover starts with your facial proportions, bite, and gum health, then selects the treatments that fit. Sometimes veneers are the answer; sometimes whitening plus gum contouring gets you there with far less tooth reduction.
Yes. You see the Smilecloud mock-up at your first consultation, usually the same day we take your scans, and revisions at the design stage are free. Then you get a second test drive: your temporaries are shaped like the approved design, so you can live with the length and shape before the final restorations are bonded.
Longevity depends on materials, the precision of the fit, your bite, and home care. That's why we invest in digital records and premium laboratory work, and why we'll insist on a nightguard if you grind. We'll give you a realistic expectation for your specific plan at the consultation.
Preparation is done under local anesthetic and most patients describe it as uneventful. Digital scanning removes the gag-inducing impression trays entirely. If dental anxiety is a factor, oral conscious sedation and IV sedation are both available here.
Only if that's what you ask for. The design stage exists so you can dial in shade, length, and character before anything is permanent. Natural-looking results come from planning proportions against your own face, which is what the facial scanner is for.
Often, yes. Aging veneers, mismatched crowns, and receded gumlines around older restorations are common reasons patients come to us. Our San Diego team will assess what's worth keeping and what needs replacing.
The consultation is a conversation. We look at what you're working with, listen to what you want, and show you a preview of where this could go using our cosmetic dentistry planning tools. You see it, you respond to it, and then you decide, with the fees and financing laid out in front of you.
Call (858) 755-9810 to schedule at our San Diego office on Lusk Blvd. Dr. Grillo, Dr. Lum, Dr. Weatherington, Dr. Breziner, and the whole DNTL team would be glad to meet you.
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