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A Smile Makeover When You Have Enamel Hypoplasia

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I have enamel hypoplasia and am tired of being embarrassed with my smile. What would be the best way to get a smile makeover when there is that complication? Is it even possible? My general dentist feels I should just be happy that I have healthy teeth. I am, but we live in a world that judges us on superficial appearances.


Dear Cassie,

mile and severe enamel hypoplasia

I completely understand your feelings. We all want to look our best. Your dentist’s comment likely more reflects the fact that he or she does not have adequate cosmetic training. Just because your hair is healthy doesn’t mean you don’t get it cut and styled.  The good news is there is a great solution for your enamel hypoplasia. You can have a gorgeous smile makeover.

For those who are unware of this condition, enamel hypoplasia is a defect where the tooth enamel has not fully developed. Often it is a genetic condition, but can also happen by disease while the teeth were still forming.

The Solution to Enamel Hypoplasia

porcleain veneer being held up to a tooth
Porcelain Veneers


If you have mild hypoplasia, and don’t want to change anything else about your smile, then the easiest solution is to have the spots treated with direct composite bonding. If you have more severe hypoplasia or you have other things you want to change about your smile, then the better treatment would be to get porcelain veneers. These tiny wafers are able to completely remake your smile. They can change the shape, size, and color of your teeth.

No matter which procedure you choose, the key factor in any successful smile makeover will be the dentist you choose to do it. Smile makeovers are not adequately taught in dental school. It actually requires a significant amount of post-doctoral training in cosmetic dentistry in order for a dentist to have both the technical skill and artistry.

Unfortunately, there is not a recognized specialty in cosmetic dentistry so any general dentist can claim to be a cosmetic dentist. That makes it tricky for patients to find who is actually qualified and has the artistry to back it up. The American Academy of Cosmetic Dentistry (AACD) recognized this problem. As a solution, they began an accreditation program. If a dentist is AACD accredited, then they will be in the top of the field in cosmetic dentistry and can provide you with the stunning smile you desire.

It takes years to get accredited and very few dentists attain the level of skill needed. In fact, Dr. Weber is the only AACD accredited dentist in Franklin.

This blog is brought to you by Franklin, TN Cosmetic Dentist Dr. Christopher Weber.

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