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Hollywood smile

A Hollywood smile is not one treatment. It is a name for reshaping the front teeth so they look even and white, usually with veneers or crowns, sometimes with whitening and alignment instead. What you need depends on the teeth you already have. Done well it lasts fifteen years or more. Done badly it cannot be undone, because enamel that has been filed away does not grow back.

What the name actually means

Nobody trained in dentistry calls it a Hollywood smile. It is what patients ask for, so it is what this page is called, but it is worth knowing that the phrase describes a result rather than a treatment.

The result is a row of front teeth that are even in shape, even in length, and lighter than they were. There are several ways to get there and they differ enormously in cost, in how long they last, and in how much of your own tooth is gone at the end.

The treatments behind the name

Veneers. Thin shells of porcelain bonded to the front of the tooth. A small amount of enamel is removed first. This is what most people mean by a Hollywood smile.

Crowns. The tooth is reduced on all sides and capped. Far more of the tooth is taken away, so crowns are for teeth that are already heavily filled, broken or root treated, not for healthy teeth that are the wrong colour.

Whitening. Changes the colour and nothing else. It removes no tooth structure at all, and for a good number of people who walk in asking for veneers, it is most of what they actually wanted.

Alignment. If the problem is that the teeth are crooked rather than discoloured, moving them is the answer. Braces or aligners take longer and cost less than covering crooked teeth with porcelain to make them look straight.

What decides which one you need

Three things, in this order.

What is actually wrong. Colour, shape and position are three different problems. Whitening fixes one of them. Filing down healthy teeth to fix a position problem is the most common overtreatment in cosmetic dentistry.

How much tooth you have left. A heavily filled tooth is a candidate for a crown anyway. An untouched tooth is the one worth protecting.

Your gums. Porcelain bonded at an inflamed gum line looks wrong within a year. Gum treatment comes first, always, and it is not optional.

The part clinics do not put on Instagram

Veneers and crowns are irreversible. Once enamel is off, that tooth needs covering for life, and every replacement costs roughly what the first set cost. A twenty five year old having ten veneers is committing to perhaps four replacements across a lifetime.

That is a reasonable trade for someone who has thought about it. It is a bad surprise for someone who was shown a photograph and quoted a price.

There is more on this, including what actually happens to a tooth underneath, on whether veneers damage your teeth.

Who should not have one

People with active gum disease or untreated decay, until those are dealt with. People who grind their teeth heavily, until that is managed, because porcelain chips. Smokers, who will be disappointed by how the surrounding teeth and the gum line age around the new work.

And anyone whose main complaint is colour. Whiten first. If you are happy, you have saved a great deal of money and all of your enamel.

What it costs

Not one number, and anyone giving you one over the phone is guessing. The things that actually move it are set out in what a Hollywood smile costs in Lebanon.

In more detail

Questions people ask

It is a marketing name, not a procedure. It describes the result, which is a set of even, light front teeth, and clinics reach that result by different routes: veneers, crowns, whitening, alignment, or a combination. Anyone quoting you a price before looking at your teeth is quoting for a product, not for your mouth.

It can, and that is the honest answer. Veneers need a thin layer of enamel removed and crowns need a great deal more. Neither grows back, so from that day on the tooth needs a covering for the rest of your life. Whitening and alignment take nothing away, which is why we work through those first.

Good veneers last ten to fifteen years and often longer, then need replacing. The gum line moves over the years and eventually shows the join, which is the usual reason for redoing them rather than breakage. Plan for replacement rather than being surprised by it.

Most people show between six and ten teeth when they smile broadly, and that is the usual range. Doing fewer is often better and cheaper. Doing more than shows is money spent where nobody is looking, and more enamel gone for no visible gain.

Two to three weeks for veneers in a straightforward case: a planning appointment, preparation and temporaries, then fitting once the laboratory has made them. If the teeth need moving or the gums need treating first, that comes before the clock starts and can add months.

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