You may actually start with the preliminary procedures like extractions and putting in false teeth because these are procedures that will not affect your appearance but braces and retainers are different things. Check with your dentist first and discuss the procedures that need to be done on your teeth and then decide when you are going to do it. (A perfect set of teeth projects health.) Smile makeover Basically, this is a comprehensive assessment in the aesthetics of your smile (crooked, ugly, lopsided, etc.) and the procedures to improve its overall appearance. This may take not just one or two cosmetic dentistry procedures. These can include dental veneers, implants, gingival (gums) sculpting, teeth whitening and other procedures on both lower and upper dental arches. (The academy requires adherence to rigorous study, ethical standards and examination to qualify as an accredited member.) Consultation During your consultation with your cosmetic dentist, discuss what you like and do not like about your smile. This is the one time you and your cosmetic dentist will establish realistic expectations about your dental treatment. ) Procedure The first part is the material selection process. This is where the cosmetic dentist chooses the right tone of the composite resin (white or natural-looking dental bonding materials) to match the patient s own natural shade of teeth. The start of the bonding process is when the dentist uses a rubber dam to isolate the tooth (or teeth). Because of its hard-surface property and lightness, titanium implants are preferred by more dental patients. The items would be implanted into the patients gums, making them look and feel really natural. The titanium false teeth are surgically implanted into the patient s jaw bone. The bone structure is also realigned to give support for the implanted dentures and for bridges and crowns. Gray teeth caused by natural pigmentation or use of antibiotics will lighten two to three shades. Whatever is the outcome, your teeth is noticeably brighter after teeth whitening. While there may be a number of over-the-counter teeth whiteners, only a dental professional can recommend the most effective teeth whiteners.