COSMETIC DENTISTRY IN GRANADA HILLS
Cosmetic dentistry is any treatment done primarily to change how your teeth and gums look — their color, shape, length, alignment, or the way they sit against your gums and lips. At Viva Smile in Granada Hills, it covers everything from a single chipped edge repaired in an afternoon to a full smile redesigned tooth by tooth. What ties all of it together is one principle: the result is designed before anything is done to your teeth, and for any case that changes your smile substantially, you wear a mockup of that result and approve it first.
Most cosmetic dentistry pages are a list of procedures. This one is organized differently — around what you actually notice when you look in the mirror. Find your concern below and you'll find what fixes it, and why.
Start with what you see, not with a procedure name
Patients rarely arrive asking for "enameloplasty." They arrive saying "this one tooth is shorter than the others" or "I hate how much gum shows when I laugh." The procedure is our job to name. Here's how the common concerns map to what we do.
"My teeth are yellow or stained"
For most people, the answer is professional whitening, not veneers. Viva Smile has a dedicated whitening specialist on staff, and whitening is done either in the office in a single session or with a custom take-home kit. Whitening lifts stains within the enamel — coffee, wine, tea, age. What it can't fix is discoloration that comes from inside the tooth (an old root canal, certain medications) or from a restoration that's yellowed. For those, porcelain veneers or composite veneers cover the color rather than lift it. An exam tells you which kind of staining you have, so you don't pay for veneers when whitening would do, or waste money on whitening that won't touch the problem.
"A tooth is chipped, cracked, or worn at the edge"
Small chips and worn edges on otherwise healthy teeth are usually repaired with cosmetic bonding — tooth-colored composite shaped onto the tooth and polished so the repair disappears. It's done in one visit with no lab. When the issue is that a tooth is slightly too long or has an uneven edge, enameloplasty (tooth reshaping) smooths and reshapes the enamel itself, often in minutes, with no anesthetic. For chips too large to bond reliably, or edges worn across several teeth, veneers restore the shape properly.
"There's a gap between my teeth"
It depends on where the gap is. A space between two front teeth can often be closed with bonding or composite veneers in a single visit, or with porcelain veneers as part of a larger design. If the gaps are the result of tooth position, Invisalign moves the teeth to close them rather than covering the space.
There's a specific kind of gap most people don't have a name for: the small dark triangles that open up at the gumline between teeth, usually after gum recession or orthodontic treatment. Black triangle closure fills them with composite shaped to the tooth and gum, so the dark spaces disappear and the teeth look the way they used to.
"My teeth are crooked or uneven"
Alignment is a cosmetic concern with a functional root, and the honest answer is usually to move the teeth rather than mask them. Invisalign straightens teeth with clear aligners, and at Viva Smile it's frequently the first stage of a larger cosmetic plan — align first, then refine with veneers or bonding. In cases where the unevenness is minor and the teeth are otherwise well-placed, veneers alone can create the appearance of alignment. Which route fits is a design decision, made from your scans, before anything begins.
"Too much gum shows when I smile"
A "gummy smile" has several causes, and the right fix depends on which one you have.
If the teeth are the right size but the gum sits too low over them, Solea laser gum contouring reshapes the gumline — the laser removes and sculpts excess tissue with almost no bleeding and healing measured in days, not weeks. When the bone underneath also needs adjusting so the teeth can be properly exposed, that's crown lengthening, done the same way. If the gum and teeth are fine but the upper lip lifts too high when you smile, the answer is surgical lip repositioning: a procedure that limits how far the lip rises, so less gum shows. All three are done in-house — more on the gum surgeries and Solea laser pages.
"My gums are dark or blotchy"
Dark or patchy gum pigmentation is common and harmless, but for some people it's the thing they notice most in photos. Laser gum depigmentation lightens the tissue by removing the pigmented surface layer with the Solea laser. It's comfortable, and the tissue heals to a more uniform pink.
"My teeth look too long, or my gums have receded"
Gum recession exposes the roots of the teeth, making them look longer and often causing sensitivity. Gum grafting restores the tissue over the exposed root — using tissue from the palate or a donor source — so the gumline returns to where it belongs and the tooth looks its proper length again. This is both cosmetic and protective: covered roots are healthier roots.
"I have visible metal fillings or crowns"
Old silver fillings and metal-based crowns show every time you laugh, and they often have a grey line at the gum as the years pass. They can be replaced with tooth-colored restorations — composite fillings for smaller areas, porcelain inlays and onlays for larger ones, and full porcelain crowns where a tooth needs complete coverage. Same-day CAD/CAM technology means many of these are designed, milled, and placed in a single visit.
"One tooth is damaged, discolored, or just doesn't match"
When a single tooth is broken down, heavily filled, or has darkened after a root canal, a full porcelain crown restores it completely and matches it to its neighbors so it no longer stands out. When only part of the tooth needs rebuilding, a porcelain onlay does the job while preserving more of the natural tooth.
"I'm missing a tooth in my smile"
A gap in the smile zone is replaced with a dental implant — a titanium post in the bone, topped with a porcelain crown designed to match the teeth beside it. In the visible zone, the shape of the gum around the implant matters as much as the crown, which is one reason implant cases at Viva Smile are planned by the same clinician who restores them. The full picture is on our dental implants page.
"Everything looks worn, tired, or just wrong"
Sometimes it isn't one thing. Teeth worn short over years, a bite that's collapsed, multiple old restorations, uneven color — the smile as a whole has changed and no single fix addresses it. This is full-mouth rehabilitation: the entire smile redesigned and rebuilt as one plan, combining whatever it needs — veneers, crowns, implants, alignment, gum work — into a single coherent result. It's the most demanding work in cosmetic dentistry, and it's the work Viva Smile is built around.
How every cosmetic case here is designed
Whatever your concern, the cases that change your smile substantially follow the same path: Digital Smile Design.
Your smile is designed digitally, in proportion to your face — your lips, your midline, the way you actually smile and speak. Then a 3D-printed mockup of the design is fitted in your mouth on what we call Vogue Day, and you look at it in the mirror, in photos, in your own face. If the shape or length isn't right, we change the design while it's still a mockup. Permanent work begins only after you've approved what you'll get.
That order matters because most cosmetic dentistry is permanent, and the most common cosmetic regret isn't bad work. It's good work that wasn't what the patient pictured. Designing and approving first is how that gets caught. Viva Smile is the first certified Digital Smile Design clinic in Los Angeles, and DSD governs every veneer, full-mouth, and smile-zone implant case here. The complete process is on our Digital Smile Design page.
For smaller procedures — a bonded chip, a whitening session, a reshaped edge — the design step is proportionally simpler. But the principle holds: you know what you're getting before it's done.
Who does the work
Cosmetic dentistry isn't a recognized dental specialty, so any dentist can offer it. What separates practices is training and judgment, and the most meaningful measure of both is accreditation by the American Academy of Cosmetic Dentistry. Accredited Member status requires a written examination, documented clinical cases judged by a peer panel, and an oral examination — a process that takes years, and that fewer than 350 dentists worldwide have completed. Dr. Káren Baghdasaryan has held it since 2011.
He is also an Associate Fellow of the American Academy of Implant Dentistry and a Digital Smile Design Master. In practice, that combination means one clinician plans and performs the whole case — the gum work, the implant, the veneers — rather than coordinating it across several offices. The design is one design. The hands are the same hands.
What you notice in the mirror is where this starts
Whether it's a single tooth that's bothered you for years or a smile you've been hiding in photos, the first step is the same: an exam that tells you what's actually causing what you see, and what fixing it involves. No pressure to decide, no pressure to do more than you came for.
Book a dental exam online or call (818) 900-2800. If you'd rather start with a conversation, the free Zoom consultation is available — though which treatment fits your smile is ultimately a question your records answer in person.
Frequently asked questions
Is cosmetic dentistry covered by insurance?
Generally not. Treatment done purely to change appearance — whitening, veneers, gum contouring — isn't covered by dental plans. Some procedures that have a functional component, such as replacing a failing metal filling or crowning a damaged tooth, may be partially covered. We verify your specific benefits before treatment, and financing is available through in-house payment plans, CareCredit, and Cherry.
Will my results look natural?
That's the standard every case is held to. The most common reason cosmetic work looks artificial is design — too white, too uniform, too long for the face. Designing against your actual features through DSD, and letting you see the result on Vogue Day before it's permanent, is how a natural result is engineered rather than hoped for.
How do I know which treatment I need?
You don't have to. Come in with the concern — the stain, the chip, the gum that shows — and the exam determines the cause and the right fix. Often the answer is less than people expect; sometimes it's a combination. Either way, you'll leave knowing exactly what's recommended, why, and what it costs.
Can several cosmetic problems be fixed at once?
Yes, and it's usually better to plan them together than to fix them one at a time. Gum contouring changes what veneers should look like; alignment changes where bonding is needed. When more than one concern is in play, the smile is designed as a whole so every piece fits the final picture.
Do I have to commit to a full smile makeover?
No. Many patients fix one thing and stop there. If your concern is a single chipped tooth, that's what we'll treat. The design-first approach scales up when the case does — it never means you're pushed into more than you came for.
What's the first step?
For most cosmetic concerns, a dental exam: X-rays and scans are taken, the cause is identified, and you leave with clear options and costs. If you already know you want to redesign your smile — veneers, a full-mouth case — the Smile Design Appointment is the direct route, and its fee applies toward your treatment. Book online or call (818) 900-2800. A free Zoom consultation with Dr. Baghdasaryan is also available if you'd like to talk it through first.
