I injured an upper tooth when I was 16 and had a root canal, which left it discolored. Over the years, I’ve tried to improve its appearance with my general dentist, but each step became more invasive. I’m now left with a discolored crown and an irritated gum line.

I feel worn down by the process, but I don’t want to rush into more treatment without understanding my options. My goal is a tooth that looks natural and feels comfortable.

I’ve had one consultation with a local cosmetic dentist. I’ve considered whether an all-porcelain or a porcelain-layered zirconia crown would yield the best result, but I also understand that the dentist’s experience and comfort with the material matter more than the material itself. What question can I ask to anticipate the results from this dentist? Thanks. Yadira from Chicago

Yadira,

Cosmetic dentistry relies heavily on judgment, proportion, and an eye for detail. While a dentist may train extensively, not all pursue the artistic side of dentistry. Those who do usually showcase their work.

Looking at completed cases on a dentist’s website gives you more insight than reading about techniques or materials.

Ways to Evaluate a Dentist’s Aesthetic Work

A dentist’s smile gallery serves as a practical screening tool. It allows you to assess whether their outcomes align with your goals before you ever schedule a visit.

As you review photos, consider the following carefully.

• Do the restorations look natural rather than uniform?
• Do the teeth reflect subtle color variation and depth?
• Would you feel confident having similar work done on your own smile?

A Balanced View of Cost, Insurance, and the Role of Materials

Practices that emphasize affordability and insurance participation often operate under financial constraints that limit time, materials, and lab collaboration. High-level cosmetic dentistry usually requires flexibility in all three areas.

When it comes to crown materials, an experienced cosmetic dentist can achieve excellent results with layered zirconia, e.max, or feldspathic porcelain. Just as you wouldn’t judge a painter by the brand of paint alone, you shouldn’t judge a cosmetic dentist by material choice without seeing their work.

Plano, Texas, female dentist Dr. Miranda Lacy sponsors this post.