Coast Dental Blog
The Impact of a Smile Makeover

What does it really mean?

by Nancy Summer Lerch, DDS, FAGD, AAACD
The subconscious yet contagious impact of a beautiful smile is radiant health, happiness, warmth and invitation. A “Smile Makeover”, a common household term for many Americans today, is designed to enhance the esthetic and functional aspects of teeth through cosmetic and restorative dental procedures leaving one with a brighter, whiter, more youthful smile. In the overall context of the face, it’s the eyes and smile that speak to us. When you smile they both light up.

Americans are catching on to the emotional and social importance of a healthy, beautiful smile, and they’re seeking out ways to improve their smiles. It’s not only the rich and famous looking for a smile makeover. According to the largest organization de­voted to smile enhancement dentistry, the American Academy of Cosmetic Dentistry, over 70% of clinical inquiries about cosmetic dentistry come from those in the 31-50 age group – including not only people in family situations and the workforce who want to improve their social and business interactions, but also individuals who just simply want to feel better about themselves.

First Impressions

First impressions are not only important; they often last the longest.

There is no doubt that among people suffering from poor self-image, dental concerns rank among the highest. Smiling, one of humanity’s most innate and in-borne natural expressions, is inhibited when it’s not all it can be. Raising the curtain on the theatre of a smile sets the stage before the show even starts. When the curtain goes up and teeth are discolored, missing, or misaligned, it may be a show stopper right there.

It really doesn’t matter if it is a serious defect or a slight imperfection – if a person is self-conscious about their smile, it can exact an emotional toll and adversely affect interactions with others.

The greatest effect, of course, is within the person himself or herself - YOU - and often it doesn’t end there. Far from being “just in your mind,” an inhibited smile may also affect others’ perceptions of you.

Self-expression is one of the basic freedoms that Americans enjoy. This begins with our ability to engage with others through smiling, laughing and a host of facial expressions. However, the inhibited feelings associated with an unattractive smile have a ripple effect:

  • Friendships and family relations can suffer; dental appearance can even determine who we allow ourselves to fall in love with.
  • Careers can be affected by dental imperfections; those interviewing for jobs and for those whose jobs depend on networking, the self-consciousness of a poor smile can limit a career.
  • Our own feelings of being free and outgoing become stifled. We become aware that we are not as happy as we could be. We then limit our possibilities we have in the world and our future does not look as rosy as it once did.


Perceptions of a Smile

Beall Research & Training, a marketing research firm recently conducted a study evaluating how individuals perceive others according to the quality of their smile. In the study, over five hundred people were shown photographs taken before and after treatment of several individuals who had undergone various degrees of cosmetic dentistry. Each picture was classified by the perception of change created by the “smile makeover.” The photographs were defined as mild, moderate and extreme in regards to the change in appearance (none of the subjects in the photos had catastrophic or grossly deformed smiles to begin with). They were asked to rate each individual they viewed on a scale of 1 to 10 (“1” equaling “no change at all” and “10” equaling “extreme change”) for ten different character traits including “intelligence,” “happiness” and “degree of success.”

While the amount of the cosmetic change between the two photos in each set may be viewed as “not dramatic,” the change in perceptions of those who viewed the photo sets made a definite impact on the measurements. Every category saw a significant improvement in scoring for each pictured individual when comparing the before photos to the photos after cosmetic dentistry. The most significant improvements in character traits occurred in the categories of “attractiveness,” “wealthy” and “popular with the opposite sex.”

Beyond personal and social perceptions, smiling is also viewed as a key component in gaining cooperation, especially among strangers, in a variety of human interactions and transactions. In other words, as the late Dale Carnegie might have put it, a smile is contagious. It can help you “win friends and influence people.”

In 1999, scientists from a variety of disciplines, including zoology and economics, put this idea to the test. Over one hundred subjects participated in a game with the object of making a simple “one-shot” bargaining deal (based on trust) with another participant whom they had not met. They had, however, seen photos of the other contestants – under controlled conditions – of either their bargaining partner smiling or not smiling. The results lent support to the idea that game partners previously viewed as smiling had a greater chance of eliciting trust and completing the bargain.

The Proof is in the Results

Take for example Wendy (pictured below). She had just suffered through the premature death of her husband and was getting back on her feet. She had always hated her short, small, mismatched teeth. She wanted a new look as she began to date again. After whitening, and the placement of upper porcelain crowns and lower porcelain veneers she immediately began to express more confidence and contentment in her interactions with men. This extended to all other areas of her life too.

“My smile makeover made a tremendous difference to me – I now have a beautiful smile. I love the way I look! I feel brighter, whiter and younger!!! I find myself laughing and smiling with ease and grace. I should have done this a long time ago!”

The makeover also re-ignited her professional confidence. “I’ve always been good at dealing with the public, but I noticed a definite boost in the harmony I now enjoy in my personal and professional relationships.” says Wendy.

“I feel my current success is linked to the dental work I received. Even my kids are noticing the change in my self-expression. They say I am happier. I am!”

Wendy’s example underscores the true importance of a smile makeover: while cosmetic dentistry rarely corrects life-threatening conditions, its impact on emotional and social health can be exponential. A smile makeover truly can change your life for the better.


Amy* (pictured below) was soon to be married. All her life she had hated her crowded, protruding front teeth. She could not imagine that on this day, the most important day of her life, she would have to hide her smile. In a very short period (3 weeks) she whitened her teeth and then had just four porcelain veneers placed on her front upper teeth. Amy could smile fully and happily for the first time in her life!

“I had the best wedding ever – I was beaming! You can see it in all my pictures. I felt like I was on top of the world. I wasn’t holding anything back! That full enjoyment was exactly what I was looking for and it was all so easy to obtain.”

Amy’s treatment was simple and easy to do. It only involved four teeth and four office visits. The first visit was for records, models and photographs. The second visit was for the treatment plan discussion and whitening. The third and fourth were for preparation and then cementation of the veneers.

An additional benefit of her smile makeover was the increased self-assurance Amy felt at work. In her profession as a psychologist, she was able to be a better therapist because she was not holding her self-expression back from her clients.

“My smile makeover was the best thing I ever did for myself. I noticed how much more fun I was having with my clients and what better results I was helping them gain. This gave me the confidence to start my own practice in a new city with my husband.”


You Have the Ability to Smile

We are not all born with a beautiful smile. Yet, we are all born with the ability to smile. If you are not projecting radiant health, contentment and cheerfulness through your smile, perhaps you should consider an enhancement, if not a makeover.

Cosmetic and restorative dental procedures can do that for you. After all, smiling and laughing are contagious and this is a good way to infect someone!

Do You Need a Smile Makeover?

Use the following self-test to see whether you can benefit and improve your smile through cosmetic dentistry.

  • Do you avoid smiling in photos?
  • Are you self-conscious about spaces and gaps between your teeth?
  • Are your teeth making you look older than you feel?
  • Have you held back a smile?
  • Do you feel that your teeth are stained or too yellow?
  • Do you hold your hand up in front of your mouth when speaking or laughing?
  • Do you notice areas of excessive tooth wear that make your smile look older?
  • Do you have little teeth and a gummy smile?
  • Are your teeth crooked, chipped or crowded?
  • Do you wish you had someone else’s smile?

If you answer yes to any of these questions, a smile makeover may be right for you. Call Coast Dental & Orthodontics at (800) 32-SMILE to schedule your consultation and let’s get started on creating a smile that will make you feel beautiful and confident!

NancySummerLerch.pngNancy Summer Lerch, DDS, FAGD, AAACD
Dr. Lerch is the founder of the Center of Esthetic Dentistry, LLC where she focuses on comprehensive restorative and cosmetic dental solutions, including smile makeovers and full mouth reconstruction. She is an Accredited member of the American Academy of Cosmetic Dentistry (AACD) where she now acts as an examiner and Chair of the AACD Ethics Committee. She is a Past President of the New England Academy of Cosmetic Dentistry (NEACD), a past AACD Board Member and has attained Fellowship status in the Academy of General Dentistry. She has published numerous papers and lectures throughout the country on a variety of topics. In 2003, Dr. Lerch founded Hope In A Smile, a program dedicated to providing free dental services for women who cannot smile due to domestic violence trauma. She is a graduate of the Univ. of Washington School of Dentistry and completed the Family Dentistry Residency program from the Univ. of Connecticut School of Dental Medicine.

Article excerpt from Coast Dental Magazine by Dear Doctor

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