Q: Patients often ask—what has changed in cosmetic dentistry over the years?
Dr. Layliev: From a technological standpoint, there have been advancements in materials and tools that enhance the quality of our work. However, the essence of what we do - achieving impeccable results - remains dependent on the practitioner’s skill. The real evolution has been in our pursuit of creating smiles that restore both form and function to a nearly natural state. This requires precision, artistry, and a deep understanding of materials, all of which go far beyond what is taught in dental school.
Q: What is the difference between general dentistry and cosmetic dentistry?
Dr. Layliev: Cosmetic dentistry requires a level of artistic intuition that isn’t necessarily needed in general dentistry. While dental school provides the foundational knowledge of the sciences and patient care, excelling in cosmetic dentistry demands an innate ability to focus on the most minor details to create an indistinguishable, natural finish. My philosophy is that every step of the process - whether the temporary restoration or the final veneer - should be exquisite, functional, and realistic.
Q: How have smile makeovers changed compared to previous decades?
Dr. Layliev: One of the most significant advancements is the introduction of temporary restorations. Years ago, patients undergoing a smile makeover would leave the office with their prepared teeth exposed until their veneers were ready, often experiencing sensitivity in the meantime. Now, temporaries are a crucial step in the process—not just a placeholder, but a preview of the final result. We take the time to sculpt and refine them to mimic very closely the envisioned design. At NYCCD, we custom craft temporaries to be as natural and precise as possible, so our patients feel comfortable and confident along the way. Even though they’re only worn for a few weeks, they should still reflect the artistry we put into our hand-crafted work in emulating natural teeth.
The final restorations in the past were basic - thicker, opaque, and lacking the detailed nuances that we now integrate to ensure optimal aesthetics. Nowadays, we are driven to produce results that match the natural dentition in every way possible.
Q: Communication with the dental lab and ceramist seem to be a critical aspect of cosmetic dentistry. Can you elaborate?
Dr. Layliev: Absolutely. The dental lab and ceramist play a crucial role in the final outcome, and it’s essential to have clear and thorough communication throughout the process. Every element of the smile—the shade, translucency, surface texture, and how the teeth reflect light—must be meticulously planned and executed. Without this collaboration, even the best preparation and design can fall short of the intended result.
Q: Are there alternatives to porcelain veneers? How do you determine the best option for a patient?
Dr. Layliev: Composite bonding is a viable alternative to veneers in certain cases. Choosing between the two depends on factors like the patient’s dental structure, the longevity they seek, and their desired aesthetic outcome. Composite bonding requires a high level of technical skill and artistic layering to create a natural look, whereas porcelain offers durability and a refined finish. Educating the patient on these differences helps guide them toward the best choice for their smile goals.
Q: What should patients consider when selecting a dental practice and dentist for their smile makeover?
Dr. Layliev: Choosing the right dental practice and dentist is just as important as selecting the treatment itself. A general dental office may not have the expertise, tools, or artistic vision required for high-quality cosmetic dentistry. It’s not just about placing veneers—it’s about understanding the intricate details of smile design, facial harmony, and functionality. The best cosmetic practices are built around this philosophy, ensuring that every case is treated with the highest level of craftsmanship.
Beyond the initial transformation, maintaining the integrity of a new smile requires committed follow-up care. At NYCCD, we believe that long-term results depend on a structured maintenance plan, including regular checkups, professional cleanings, and personalized guidance. A great practice doesn’t just create beautiful smiles—it provides the ongoing support needed to preserve them for years to come.
Q: What separates a great cosmetic dentist from the rest?
Dr. Layliev: Attention to detail, an artistic eye, and an unwavering commitment to excellence. Every smile is essentially a handcrafted sculpture, and the process requires immense dedication, both mentally and physically. The service and technique behind the transformation are just as crucial as the final product. At our dental practice, we are fortunate to provide signature smiles that prioritize patient comfort, predictability, and long-term durability.
Q: What is the key takeaway for patients considering cosmetic dentistry?
Dr. Layliev: The best cosmetic work should never look obvious—it should be undetectable. A great smile makeover isn’t about creating something artificial but rather enhancing what nature intended in the most precise and artistic way possible. That’s the essence of what we do.
If you’re considering a smile transformation, schedule a consultation to explore how we can achieve a natural, beautiful result tailored just for you. Because when it’s done right, the best work truly goes unnoticed.
Charlotte Arkwright
Exults Digital Marketing Agency
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