Smile Design Cases
Smile Makeover Toronto: Restoring Worn-Out Teeth and Deep Bite with Advanced Cosmetic Dentistry in Toronto
Case 76
A Smile Makeover Journey With a Leading Cosmetic Dentist in Toronto
Portrait of a male patient in his fifties before cosmetic dentistry treatment in Toronto, showing worn-out teeth, deep bite, and collapsed bite support.
When a gentleman in his fifties first walked into Toronto Smile Design – Yorkville Dental, he carried more than just worn-out teeth — he carried the weight of a smile that no longer reflected his true self. Years of daily wear and functional stress had left him with excessively worn teeth, a collapsed vertical dimension of occlusion (VDO), and a deep bite that made both chewing and smiling a challenge. Beyond the physical discomfort, his smile had lost the vitality that once defined him.
Two-dimensional digital smile design planning with reference lines on teeth, used by cosmetic dentist Toronto to plan smile makeover and porcelain veneers.
Like many patients searching for a “cosmetic dentist near me” in hopes of restoring both function and beauty, he was looking not just for treatment but for transformation. Our clinic specializes in cosmetic dentistry in Toronto, offering advanced solutions such as porcelain veneers Toronto, dental bonding Toronto, and teeth whitening Toronto, all tailored to meet each patient’s unique needs. For this patient, the goal was clear: a comprehensive smile makeover Toronto that would rebuild his worn-out teeth, correct his deep bite, and bring back the confidence he had been missing.
At Toronto Smile Design, our mission is to blend technology, artistry, and patient-centred care. For him, this journey was not simply about fixing teeth — it was about rediscovering himself with the guidance of the best cosmetic dentist in Toronto.
Frontal intraoral photo showing excessive tooth wear on upper and lower teeth, deep bite, and collapsed bite before cosmetic dentistry in Toronto.
Left side intraoral photo showing deep bite and worn-out teeth before cosmetic dentistry treatment in Toronto.
Right side intraoral photo showing excessive upper teeth inclination placing stress on lower anterior teeth before cosmetic dentistry in Toronto.
Why Teeth Wear Down: Understanding the Root Causes
Excessive wear and tear on teeth doesn’t happen overnight. In this patient’s case, years of grinding and clenching slowly eroded the natural enamel, leaving the teeth shorter, flatter, and more fragile. This condition, often called bruxism, is one of the leading causes of worn-out teeth in adults. Over time, the loss of protective enamel exposes the inner layers of the teeth, making them more sensitive and prone to fractures.
A second factor was his deep bite. When the upper teeth overlap the lower teeth too much, the constant pressure accelerates enamel breakdown. Instead of distributing the bite forces evenly, the deep bite caused destructive forces concentrated on just a few teeth, speeding up the wear process.
Lifestyle choices can also add to the problem. Acidic foods, carbonated drinks, and even some medical conditions like acid reflux contribute to tooth erosion, softening the enamel and making it easier to grind away. For our patient, these factors combined over decades, leaving him with excessively worn teeth and a collapsed bite that no longer supported proper chewing or facial balance.
This is exactly where modern cosmetic dentistry in Toronto makes all the difference. By addressing both the causes and the consequences of tooth wear, a skilled cosmetic dentist Toronto can rebuild not only the teeth themselves but also restore function, harmony, and aesthetics through a comprehensive smile makeover Toronto.
Intraoral photo of lower arch showing severely worn-out teeth and bite collapse before cosmetic dentistry treatment in Toronto.
Intraoral photo of upper arch showing severely worn-out teeth, deep bite, and enamel loss before cosmetic dentistry in Toronto.
Intraoral scan screenshot showing severe deep bite and worn-out teeth on left and right sides before cosmetic dentistry in Toronto.
Intraoral scan of the upper jaw from the occlusal plane with heatmaps showing uneven biting forces and severely worn-out teeth before cosmetic dentistry in Toronto.
Intraoral scan of the lower jaw from the occlusal plane with heatmaps showing uneven bite forces and worn-out teeth before cosmetic dentistry in Toronto.
MODJAW screen recording of patient’s pre-operative protrusion motion showing dysfunctional jaw dynamics before cosmetic dentistry in Toronto.
MODJAW screen recording of patient’s pre-operative chewing motion showing unstable bite dynamics and worn-out teeth before cosmetic dentistry in Toronto.
The First Step: Comprehensive Documentation
With Toronto’s Leading Cosmetic Dentist
At Toronto Smile Design – Yorkville Dental, every smile transformation begins the same way — with complete documentation. Whether a case is straightforward or highly complex, our philosophy is clear: the more we understand, the better we can plan. For this gentleman, whose worn-out teeth and deep bite required a carefully tailored approach, documentation was not just important — it was essential.
MODJAW screen recording of pre-operative right lateral motion showing absence of canine guidance and dysfunctional bite before cosmetic dentistry in Toronto.
MODJAW screen recording of pre-operative left lateral motion showing absence of canine guidance and uneven bite forces before cosmetic dentistry in Toronto
Our process includes a full comprehensive oral exam (COE), high-resolution intraoral and extraoral photographs, and digital X-rays. When additional precision is required, we also use CBCT scans to evaluate the bone and supporting structures. Beyond these traditional tools, we incorporate advanced technologies such as MODJAW documentation, which records real-time jaw movement and bite dynamics, and facial scans and videos to capture how the smile integrates with the patient’s overall appearance.
MODJAW screen recording of pre-operative centric relation showing irregular occlusal contacts before cosmetic dentistry in Toronto
MODJAW screen recording of pre-operative centric relation showing irregular occlusal contacts before cosmetic dentistry in Toronto
In his case, MODJAW played a crucial role. By recording the way his jaw functioned during chewing and speaking, we could see exactly how his deep bite had contributed to the breakdown of his teeth over time. These insights allowed us to plan restorations that would not only look natural but also function seamlessly for years to come.
Technically, what we are building is a digital avatar of the patient. This avatar becomes a precise, interactive model — a virtual version of the patient’s mouth, jaw, and face. With it, we can design the new smile digitally, test functional movements, and even simulate potential challenges. In a way, we aim to make all possible mistakes on the avatar, so that no mistakes are ever made on the patient.
This is where the artistry and science of cosmetic dentistry in Toronto truly intersect. By combining technology, design, and clinical expertise, our team ensures every smile makeover Toronto is not only beautiful but also predictable, functional, and long-lasting.
MODJAW screen recording of pre-operative bruxing showing heavy occlusal contacts and destructive forces
Two-dimensional digital smile design planning with reference lines on teeth, used by cosmetic dentist Toronto to plan smile makeover and porcelain veneers.
Screenshot of 3D smile design created from 2D planning by dental lab
Treatment Planning: Why Function Comes Before Aesthetics
At Toronto Smile Design – Yorkville Dental, patients often arrive with esthetic concerns — they want brighter, straighter, more beautiful smiles. But as experienced specialists in cosmetic dentistry in Toronto, we know that focusing on looks alone is a recipe for failure. If the function is not restored first, even the most beautiful restorations will break down. That’s why, in every treatment plan we create, function is the primary goal. Aesthetics will always follow naturally, but never the other way around.
For this patient, whose deep bite and worn-out teeth had caused years of functional stress, the key was to restore what had been lost — his proper bite and vertical dimension. We did this by opening the vertical dimension of occlusion (VDO). In simple terms, opening the VDO means carefully adjusting the height between the upper and lower jaws to restore the space that was lost over time.
By creating this additional space, we achieved two crucial things:
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Restorative Room Without Aggressive Drilling
In traditional dentistry, regaining space often means shaving down healthy teeth. With our approach, opening the VDO naturally created the restorative space we needed. This allowed us to prepare the teeth conservatively, preserving as much natural structure as possible. -
Rebuilding, Not Taking Away
Our goal was not to reduce what little remained of his teeth. Instead, we set out to rebuild — giving him back the height, strength, and harmony that had been lost over decades of wear.
This approach reflects the philosophy that sets apart the best cosmetic dentists in Toronto (whoever respects the integrity of their patients’ teeth): function first, aesthetics as a consequence. By correcting the foundation of the bite, the smile’s appearance improves organically. In this patient’s case, restoring proper function paved the way for a smile makeover Toronto that would not only look natural but also stand the test of time.
Before-and-after video showing patient’s pre-operative smile with worn-out teeth and mock-up smile design
From Digital Design to Patient Presentation: Giving Patients “The Why”
Every smile makeover Toronto begins long before the first tooth is touched. At Toronto Smile Design – Yorkville Dental, we believe our patients deserve full transparency, clarity, and confidence before committing to any treatment. That’s why our process always starts with a digital design.
Using advanced software, we create a digital wax-up — a three-dimensional prototype of the proposed smile. From this wax-up, a 3D-printed model is produced, which then allows us to deliver a mock-up directly in the patient’s mouth. This step is crucial: the mock-up lets patients see and feel the future smile before any work begins. It is the bridge between planning and reality, turning vision into something tangible.
Before-and-after center-view photo showing patient’s pre-operative worn-out teeth and deep bite compared to mock-up smile makeover
Before-and-after left side view photo showing patient’s pre-operative deep bite and worn-out teeth compared to mock-up smile design
Before-and-after right side view photo showing patient’s pre-operative worn-out teeth and deep bite compared to mock-up smile design
But we don’t stop there. Every patient receives a treatment plan presentation — a structured, comprehensive overview that covers every aspect of their case:
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The Diagnosis: A clear explanation of the issues, such as his worn-out teeth and deep bite.
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The Nature of the Proposed Treatment: Step-by-step details of how we will restore function and aesthetics.
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Risks of the Proposed Treatment: Honest discussion of potential challenges and complications.
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Benefits of the Proposed Treatment: Improved function, longevity, and natural beauty.
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A Reasonable Alternative: Options such as dental bonding Toronto or partial restorative approaches.
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Prognosis of the Proposed Treatment: Expected outcomes and long-term success.
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The Consequences of No Treatment: What could happen if the issues remain unaddressed — worsening function, further breakdown, and compromised esthetics.
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The Cost of the Proposed Treatment: Full transparency in financial planning.
This presentation is not just about providing information; it’s about giving patients “The Why.” We want every patient to fully understand the reason behind each step of their treatment. By answering all possible questions before the journey begins, we ensure our patients feel informed, empowered, and confident in their choices.
This is the standard of care that defines a true cosmetic dentist Toronto — combining artistry with technology, and transparency with compassion. It’s why patients looking for the cosmetic dentist in Toronto trust us to guide their transformation.
MODJAW data intake video capturing a patient’s jaw movements for digital dentistry and cosmetic dentistry
Functional Testing Before Final Restorations: The MODJAW-Guided Splint
Once the patient approved the treatment plan, we began with a critical step: testing function. Although he had no TMJ pain or concerns, his case was unique because he had lost all of his natural occlusal surfaces, as well as his canine and anterior guidance, many years ago. These elements are essential for bite stability, and without them, any restoration would be at risk of premature failure.
To ensure predictability, we created a MODJAW-guided TMJ functional splint. Using real-time motion capture of the jaw with MODJAW, we simulated the patient’s functional patterns at the proposed, increased vertical dimension of occlusion (VDO). This approach allowed us to “test-drive” the bite before committing to final restorations.
The splint served two vital purposes:
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Simulation of the New Bite
By guiding the bite at the increased VDO, we could observe whether the patient’s jaw adapted comfortably to the changes. This step reduced the risk of surprises once final restorations were placed. -
Validation of Stability and Comfort
We carefully monitored how the patient functioned with the splint — chewing, speaking, and resting. His comfort and stability at the new VDO confirmed that the treatment plan was sound and that we could proceed with confidence.
This step reflects our philosophy at Toronto Smile Design – Yorkville Dental: never guess, always verify. While many may focus solely on esthetics, we know that cosmetic dentistry in Toronto must first prioritize function. The smile makeover Toronto we envisioned for this patient was built on the foundation of stability, ensuring that the final restorations would be both beautiful and long-lasting.
By combining technology with expertise, we created not just a treatment plan, but a clear, functional roadmap to success — one of the hallmarks of working with the cosmetic dentist in Toronto.
Digital screen recording showing splint fabrication process for a patient using advanced cosmetic dentistry and digital dentistry in Toronto.
MODJAW screen recording of pre-operative right lateral motion showing absence of canine guidance and dysfunctional bite
Digital assessment video of right lateral jaw motion showing restored canine guidance and balanced function
MODJAW screen recording of pre-operative left lateral motion showing absence of canine guidance and uneven bite forces before cosmetic dentistry in Toronto
Digital assessment video of left lateral jaw motion showing restored canine guidance and functional stability
Final Restorations: Longevity, Predictability, and the Beauty of Imperfection
Every treatment we deliver at Toronto Smile Design – Yorkville Dental is guided by two principles: longevity and predictability. In a significant case like this, we take full advantage of digital dentistry, ensuring that the wealth of data collected during documentation is carried into the final restorations. For this patient, that meant carefully planned porcelain veneers and porcelain onlays, designed digitally and executed with absolute precision.
MODJAW screen recording of patient’s pre-operative protrusion motion showing dysfunctional jaw dynamics before cosmetic dentistry in Toronto.
Digital assessment video of protrusion jaw motion showing balanced anterior guidance
Along the way, we also replaced two old crowns the patient had received from a previous dentist. Those restorations had been placed reactively, addressing isolated concerns rather than taking into account the full picture. Our approach was different: comprehensive, cohesive, and designed to restore both function and esthetics in harmony.
What made this case particularly unique was the patient’s request. While many people seeking a smile makeover Toronto ask for bright, uniform “Hollywood” smiles, this gentleman wanted something entirely different — he wanted his new teeth to look as natural as possible. He emphasized that he did not want to lose the individuality of his natural teeth in the process. Unlike most, he truly meant it.
MODJAW screen recording of pre-operative bruxing showing heavy occlusal contacts and destructive forces
Digital assessment video of bruxing motion showing even force distribution and stable bite
We explained how we could replicate the subtle irregularities that make a natural smile beautiful:
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Minor cracks and texture on the enamel.
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Small incisal edge discrepancies instead of perfect symmetry.
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Slight alignment differences between teeth.
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Gradual color variations and translucency rather than a uniform shade.
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Unique morphologies for symmetrical teeth, ensuring they looked like brothers, not identical twins.
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The patient was fully on board. He understood that nature is never perfectly uniform. In fact, what makes nature appear “perfect” are the imperfections it contains. A completely uniform smile can sometimes look artificial; true beauty lies in subtle variation. By embracing these details, we created a result that was natural, unique, and completely authentic to him.
Screen recording of digital wax-up production process for smile makeover planning
Screen recording of digital production process for final restorations, with prepared teeth data sent to the dental lab
This approach is what defines our philosophy as a leading cosmetic dentist Toronto: tailoring every treatment not just to a clinical plan but to the patient’s personality, preferences, and long-term well-being. With the artistry of porcelain veneers Toronto and porcelain onlays, supported by advanced digital workflows, this patient received a smile that restored his function, reflected his individuality, and will stand the test of time.
Left side view of final restorations on dental model showing natural morphology and lifelike porcelain veneers created
Right side view of final restorations on dental model showing lifelike porcelain veneers and onlays
Frontal view of final restorations on dental model showing natural-looking porcelain veneers and onlays created
Left side view of lower final restorations on dental model showing natural porcelain restorations
Right side view of lower final restorations on dental model showing lifelike porcelain restorations
Frontal view of lower final restorations on dental model showing natural-looking porcelain restorations
Side-by-side before-and-after portrait of patient showing smile transformation with porcelain veneers
Before
Side-by-side before-and-after portrait of patient showing smile transformation with porcelain veneers
Intraoral photo of upper and lower teeth in biting position showing steep deep bite and severe wear
After
Left side before-and-after portrait of patient showing smile makeover with porcelain veneers
Center intraoral photo after treatment showing corrected deep bite and restored worn-out teeth with porcelain veneers
Left side intraoral photo of upper and lower teeth in biting position showing steep deep bite and worn-out teeth
Left side intraoral photo after treatment showing corrected deep bite and restored worn-out teeth with porcelain veneers
Right side intraoral photo of upper and lower teeth in biting position showing steep deep bite and worn-out teeth
Right side intraoral photo after treatment showing corrected deep bite and restored worn-out teeth with porcelain veneers
Patient Approval and the Precision of Final Cementation
When the final restorations were ready, we didn’t rush the process. The patient was given plenty of time to examine his new smile in detail before anything was made permanent. I always encourage patients to enter what I call their “criticizing mode” — to search for even the smallest detail that doesn’t feel right. This step is essential because once we cement, the restorations become a permanent part of the patient’s life.
With the level of precision and artistry that goes into our design process, it is usually difficult for patients to find issues. Still, I believe in empowering them with the opportunity to critique their smile before it is finalized. In this case, after a careful review, the patient was genuinely thrilled with the outcome. His restorations looked natural, harmonious, and true to his request for uniqueness. With his enthusiastic approval, we moved forward to the final step: cementation.
SOUND ON!
Before
Intraoral photo of upper and lower teeth in biting position showing steep deep bite and severe wear
Left side intraoral photo of upper and lower teeth in biting position showing steep deep bite and worn-out teeth
Right side intraoral photo of upper and lower teeth in biting position showing steep deep bite and worn-out teeth
After
Center intraoral photo after treatment showing restored lower teeth morphology with corrected deep bite and porcelain veneers
Left side intraoral photo after treatment showing restored lower teeth morphology, corrected deep bite, and natural porcelain restorations
Right side intraoral photo after treatment showing restored lower teeth morphology, corrected deep bite, and natural porcelain restorations
Magnification: Seeing What the Eye Alone Cannot
We performed cementation under magnification, using advanced dental loupes to enlarge the treatment area. This allowed us to see details invisible to the naked eye, ensuring that every margin of the veneers and onlays was sealed perfectly. Magnification is not an optional luxury — it is a necessity for the highest level of precision in cosmetic dentistry. It ensures accuracy, longevity, and flawless integration between the restoration and the natural tooth.
Rubber Dam Isolation: Creating a Perfect Environment
Equally important was the use of rubber dam isolation during cementation. A rubber dam is a thin, medical-grade sheet that isolates the teeth being treated from the rest of the mouth. This serves two critical purposes:
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Moisture Control: Dental cements require a perfectly dry environment to achieve their full strength and bond. The rubber dam prevents contamination from saliva, guaranteeing the restorations adhere securely.
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Enhanced Precision and Safety: By isolating the working area, we can focus entirely on the cementation process without interference, while also protecting the surrounding tissues.
This meticulous approach ensured that the patient’s porcelain veneers Toronto and porcelain onlays were bonded with maximum strength and durability. It is these small but vital details — magnification, isolation, digital workflows — that separate routine care from world-class cosmetic dentistry in Toronto.
When we finally revealed the cemented restorations, the patient’s reaction said it all. His smile not only looked natural and unique, but it also functioned exactly as it should. This was more than a smile makeover Toronto — it was the restoration of confidence, function, and individuality.
Close-up smile photo of patient before cosmetic dentistry in Toronto showing worn-out teeth, deep bite, and loss of vertical dimension
Close-up smile photo of patient after cosmetic dentistry in Toronto showing corrected deep bite and natural porcelain veneers
Longevity, Maintenance, and the Importance of Ongoing Care
One of the most common questions patients ask after a smile makeover Toronto is: “How long will my restorations last?” The truth is, with today’s advances in cosmetic dentistry in Toronto, treatments like porcelain veneers Toronto and porcelain onlays can last well over a decade — often 15 years or more — when properly maintained. However, as with anything in dentistry, longevity depends on both the quality of the work and the commitment of the patient to long-term care.
What to Expect Over Time
Even with meticulous planning, precision cementation, and advanced materials, restorations are still subject to everyday wear. Small issues may arise over time:
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Decementation: a veneer or onlay may occasionally come loose.
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Cracks or Chips: minor fractures can occur from biting into hard objects, clenching, or accidents.
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Staining: while porcelain is highly resistant to discoloration, surrounding natural teeth may change shade over the years, sometimes requiring teeth whitening Toronto to maintain harmony.
These events are not failures — they are simply part of the natural lifespan of restorations. The important thing is that they can be repaired or replaced efficiently, preserving the integrity of the overall treatment.
Why Ongoing Maintenance Matters
Choosing the best cosmetic dentist in Toronto means having a team prepared not just to deliver the initial transformation but to protect it for years to come. Regular checkups, night guards for bruxism, and professional cleanings all help extend the life of the restorations. When small issues are addressed early, they rarely become big problems.
The Consequences of No Treatment
But what if a patient chose not to pursue treatment in the first place? For this gentleman, the consequences of no treatment would have been severe:
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Progressive tooth wear until almost no enamel remained.
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A worsening deep bite, further collapsing the bite and jaw support.
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Increased risk of fractures, sensitivity, and tooth loss.
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Compromised esthetics that could not be corrected without even more extensive interventions later.
By restoring his worn-out teeth now, with a function-first philosophy, we not only gave him back his smile but also protected him from these outcomes. In short, the investment in comprehensive cosmetic dentistry in Toronto is also an investment in preserving natural teeth, jaw health, and confidence for the long term.
Before
Center intraoral photo of upper teeth before treatment showing severe wear, deep bite, and loss of natural tooth morphology prior to cosmetic dentistry in Toronto
Left side intraoral photo of upper teeth before treatment showing worn-out teeth, enamel loss, and collapsed bite
Right side intraoral photo of upper teeth before treatment showing severe wear and loss of morphology
After
Center intraoral photo after treatment showing upper teeth restored with natural-looking porcelain veneers
Left side intraoral photo after treatment showing upper teeth restored with natural porcelain veneers
Right side intraoral photo after treatment showing upper teeth rebuilt with natural porcelain veneers
Conclusion: A Smile That Stands the Test of Time
This patient’s journey is a reminder that cosmetic dentistry in Toronto is about far more than appearances. It is about rebuilding what time has worn away, restoring balance where it was lost, and creating smiles that are both beautiful and functional. At Toronto Smile Design – Yorkville Dental, our philosophy is simple: function first, esthetics as a natural result. By respecting the patient’s individuality, preserving healthy tooth structure, and leveraging the power of digital dentistry, we can deliver smiles that are as unique as the people who wear them.
For this gentleman, the outcome was more than a smile makeover Toronto. It was the return of comfort, confidence, and authenticity. His restorations were designed not to erase his history but to celebrate it — to bring back the strength of his bite while keeping the natural imperfections that made his smile truly his own.
This is what sets apart a true cosmetic dentist Toronto: the ability to blend science, artistry, and compassion into every case. Because at the end of the day, a smile is not just about teeth — it is about identity, confidence, and quality of life.
So, if you are searching for the “best cosmetic dentist in Toronto” or typing “cosmetic dentist near me” in hopes of finding a trusted partner in your own transformation, know this: your journey can begin here. At Toronto Smile Design – Yorkville Dental, every detail matters, every smile is personal, and every outcome is designed to stand the test of time.
Because a smile should not only look beautiful today — it should carry you, confidently, into every tomorrow.
“There is no exquisite beauty… without some strangeness in the proportion.”
— Edgar Allan Poe
Smile Makeover Toronto: Restoring Function and Natural Beauty
At Toronto Smile Design – Yorkville Dental, we believe every smile should be both functional and beautiful. Dr. Johnson Ozgur, a leading cosmetic dentist in Toronto, combines advanced digital dentistry with artistry to deliver life-changing results.
A gentleman in his fifties came to us with worn-out teeth, a collapsed bite, and a deep bite. Using digital tools like MODJAW jaw tracking, CBCT imaging, and facial scans, we created a digital avatar of his smile. This allowed us to design, test, and perfect his new bite before touching a single tooth.
We restored his smile with a combination of porcelain veneers Toronto and porcelain onlays, replacing two old crowns as well. Unlike many patients seeking uniform “Hollywood teeth,” he asked for a smile that looked natural and unique. We embraced the beauty of small imperfections — subtle texture, slight asymmetry, and natural shade variation — to create a truly authentic result.
Final cementation was done with magnification and rubber dam isolation, ensuring strength, precision, and longevity. His restorations will last for many years, protecting his teeth from further damage while giving him the confidence of a functional, natural-looking smile.
Whether you’re searching for the “cosmetic dentist in Toronto” or exploring options for a smile makeover Toronto, our team is here to help. At Toronto Smile Design, we don’t just fix teeth — we rebuild confidence.
