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Perfectly matching a crown on a front tooth

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Dr. Hall,
I recently got a porcelain veneer crown on a tooth that I chipped when I was 10 years old. The first permanent crown that was put on did not match my other teeth, so I had to get it redone. I just got my 2nd one put on and after everyone in the office said it looked great, the color is still off and it is darker than my other teeth. I know a perfect match is difficult, but I would rather it be whiter than darker because that would be less noticeable. I was wondering if I were to get the crown redone again, if this would have any long term side effects on what is left of my tooth underneath my crown? Please let me know what advice you can offer and if it would be safe for me to try to get another crown remade.
– Kyle in Ohio

Kyle,
I’m not sure what you mean by a porcelain veneer crown. I think you may be referring to a porcelain fused to metal crown – because that has a metal foundation and has porcelain veneered over the metal. To get the best match to a natural tooth, it’s best to use an all-porcelain crown, because that can be made to have the same translucency as a natural tooth. But if your dentist hasn’t brought up doing an all-porcelain crown, then I wouldn’t mention it. That’s a recipe for trouble if you start pushing a dentist out of his or her comfort zone – rarely will they admit to a patient that they’re uncomfortable with a newer technology.

And yes, it is possible to get a perfect match on a single front tooth,  so that you couldn’t tell, even at very close range, any difference between the crown and the other natural tooth. But this requires extra training and talent that most dentists don’t have. This is why I publish this website – to help people find excellent cosmetic dentists that can do this work.

Dentists generally choose that field because they like to work with their hands and they like to fix things. So they approach things from an engineering mentality. They aren’t good at subtleties of color. And tooth color is very complex. There is a lot of variation in all the colors that are within a single tooth – from the gumline to the biting edge there is a color gradient, plus there are spots where the color is slightly different. Add to this that tooth enamel is fairly translucent and the dentin underneath it is only partially translucent. So matching a tooth gets very complex.

When everyone in the dental office was trying to tell you that this tooth matches so great, that to me is a big red flag. Really good cosmetic dentists don’t act that way – they listen to the patient. So when we would try on a crown, we would ask the patient what they thought. I would pay close attention if there was any hesitation on the part of the patient, and I would insist that they be happy with the result. I would never tell a patient that a tooth or a smile looked great if they didn’t think so. And for a single front tooth, even for an excellent cosmetic dentist, it may be three or four try-ins before the lab would nail the color exactly.

On the other part of your question, it shouldn’t hurt the tooth at all to do this again, as long as the dentist knows what they are doing and is reasonably careful. But don’t try this with a general or family dentist. I would say that about one dentist in maybe fifty or a hundred could do this well.
– Dr. Hall

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

An impending Lumineers disaster – mynewsmile.com to the rescue!

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Jason from California wrote to me two days ago saying that he was going to pay for fixing his nephew’s teeth, but his nephew wanted to do Lumineers, and he was worried about that. I warned him about Lumineers, about their limitations. He wrote back and said the following, and sent a photograph of his nephew, and I commented back. This is truly an impending Lumineers disaster. Hopefully we can help out here.

Dr. Hall,
You are amazing. Thanks so much for the quick response. I’m going to convince my nephew to see one of the dentists you recommend.

Also, I’m attaching a photo of my nephew so you may see his teeth.

The dentist wanting the $18,000 for eighteen Lumineers is… (name deleted).

Again, Dr. Hall, thank you very much for your guidance.
– Jason from California

crooked-teeth

Jason,
Thanks for sending that info – the photo and the name of the dentist he wants to see.

Red flags here all over the place.

His teeth definitely need work. What I told you before would apply to his case – it would be a choice between traditional porcelain veneers and Invisalign – assuming we are ruling out traditional orthodontics because of the time factor and the discomfort. Looking at his lower teeth, they could also use work, so what I said about just bleaching them may not work that well. But the idea of doing Lumineers on them isn’t too good of an idea, either. Depending on a bite analysis and the x-rays, you may want to do a combination of porcelain veneers on the upper, Invisalign on the lower, or some other variation.

This is absolutely NOT a case for Lumineers. The reason for doing Lumineers rather than traditional porcelain veneers is to avoid having to prepare the teeth. That technique may be okay for teeth that are maybe a little short, that are reasonably straight, that maybe have gaps between them. What he has is just the opposite. The lower teeth are crowded. The upper right canine is sticking out too far. There is no way to get a decent result with this with porcelain veneers without shaving off the parts of the teeth that are sticking out. If he is serious about an acting career, this could be one way to really kill that career – with a phony-looking smile that ends up changing the way he speaks and disrupting his speech. I have had e-mails from Lumineers patients who have ended up getting their upper lip caught on their teeth now, or have ended up with a lisp or dry mouth because the Lumineers have made the teeth too bulky and they end up getting in the way of their tongue or lips or make it so they can’t close their teeth all the way.

And it was very interesting looking at the website of this dentist your nephew wants to go to. This dentist, Dr. [blank], says he’s a member of the American Academy of Cosmetic Dentistry. However, checking the AACD membership records, he has only been a member for one year, which indicates that he would like to know more about cosmetic dentistry, but doesn’t have a lot of training yet. His CV is lacking any indication of any serious post-graduate training in cosmetic dentistry so far. And then the smile gallery photographs illustrating Lumineers are mostly from the Lumineers brochure, and don’t illustrate his own work. I called his office to get the details on this. There are a couple of photos of his own work on the website, but the esthetic and functional quality of that work, in my opinion, is poor.

Your nephew could definitely benefit from some guidance here. He is about to be supremely disappointed if he goes through with this Lumineers idea with this dentist. This is not an easy case. You need a dentist with strong expertise in cosmetic dentistry and with integrity.
– Dr. Hall

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

How NOT to get great dental care

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I had an e-mail exchange with a woman named Ann. I don’t want to give too many details so I don’t reveal her identity, but I thought this last back and forth would be instructive. If you sense some frustration on my part, your perception is accurate. I was frustrated because what I had said in my earlier e-mail didn’t seem to impact her at all.

She had written to me in early December for help in asking what the best implants are made of and what the best dentures are made of. In my answer, I told her that the question is not as simple as she is making it sound. The best implant fixtures aren’t distinguished by the material they are made of but the care and precision in making them. Also, most dentists leave the materials research on denture bases to the dental laboratory, and they know by experience which dental laboratories they can trust for good information and quality workmanship.

I also gave her a warning about trying to take to herself the decision about materials. I told her that the way to get the best materials was to communicate to the dentist that’s what they want, to be willing to pay a little extra, to ask some probing questions, but then to, in the end, trust the dentist’s recommendations.

Here’s how she responded to that:
I never received a response since my last e-mail. I need to know the best implant materials because after I invest thousands of dollars a dentist will state, “I didn’t know you wanted the best.” It is crucial I know the best implant materials. I can no longer afford slip shod dentistry monetarily or medically.

Trust is a great motivator but honesty & integrity are also important.

How can I be assured I am getting the best?

Money is no object.
Thank you
Ann

Ann,
You’re going to continue to get slip-shod dentistry unless you change your approach. If you focus on micro-managing the dentist, you will get slip-shod dentistry.

Get the best dentist and you’ll get the best treatment. But if you micro-manage the dentist’s decision, he or she will not want to see you.

The best implant dentists will be fellows and diplomates in the American Academy of Implant Dentistry and in the International Congress of Oral Implantologists. Go to the ICOI website, and I believe they have lists of the dentists with these high credentials. Not all great implant dentists will pursue these credentials, so this isn’t an exclusive list, but those on the list have proven their expertise.

But I fear that if you had one of these top dentists, you wouldn’t like him or her because they wouldn’t want to play your game where you grill them about materials and want to pick the fixtures and all those other little details that you would like to manage. So you’ll walk out. And you’ll end up with a dentist who does play your game, and he or she will be just another in the line of shoddy dentists that somehow attract you. I’ve been on the receiving end of these micro-managing patients, and I can tell you from repeated experience that this is how it works.

There are people who are able to get excellent dental care and who seem to be able to find the best dentists. But they select their dentists on the basis of the dentist’s results, not with all this research where they try to take over the decision of the choice of materials or laboratories, etc.

Dr. Hall

 

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About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Should I get Lumineers or Porcelain Veneers?

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Hi Dr. Hall, I have been meaning to get my teeth fixed for about a year now but I am still not sure as to which procedure to get done. I have irregular teeth two of my front teeth are badly shaped one is very thin and has a triangular shape and the other one pretty much looks like a broken tooth. I have been thinking about getting either lummineers or veneers but dont know which would be best. I have heard lummineers crack easily and i went to a cosmetic dentist and he recomended veneers beacuse my teeth are already worn down so they would not have to ground them down much but I am still not sure as to which would benefit me most in concerns to durability. This procedure is very expensive and I am still saving up for it so I want to spend my money wisely and not have to go back to fix more problems which would mean spending more money. If you can please advise me as to which of the two would be a better choice concerning not only the look but most important the durability and which in your opinion can give more problems. thank you.
– Joyce from Florida

Joyce,
I’m going to suggest that you change your frame of mind in “shopping” for a new smile. This isn’t a product like a pair of shoes that you buy and it doesn’t matter where you buy it. This is a work of art and you’re hiring an artist to create it for you. Let’s say a community group asked you to commission a painting for the lobby of a local concert hall. Would you start by picking out the brand of paint to be used and the type of brush? Of course not. But that’s how it sounds like you’re approaching this new smile.

Lumineers is simply one brand of porcelain veneers. So asking whether to get Lumineers or porcelain veneers is like asking whether you should buy a Chrysler or a car. Lumineers is one of many brands of porcelain veneers.

There is a very big difference from one dentist to the next on how well they do with smile makeovers. Some dentists are exquisitely talented at this and they attract movie stars and models who fly to see them from across the country. And then there are many dentists who have no concept of beauty, and I could show you the e-mails I have received from patients who are literally in tears because their “cosmetic dentistry” that they paid thousands of dollars for is ugly. Here’s the deal: dentists pick this field because they like to fix things. 98% of them have an engineering mentality, and they simply aren’t artistic.

Start by picking the cosmetic dentist. And you’re going to have to delve a little deeper than simply that the dentist claims to be a cosmetic dentist. The reason I operate this website is to help steer patients to dentists who are true artists and can do beautiful work. There are a number of dentists who are capable of doing beautiful cosmetic dentistry beyond the handful who treat the movie stars, and that’s the kind of dentists I list on this website. It’s about one out of every fifty dentists who is artistic enough to create a beautiful smile. And the whole reason for this website is that I try to teach people that, and then I research the dentists and ask for photos of their work and I tell the website visitors who those dentists are.

A word about the Lumineers brand. Many excellent cosmetic dentists refuse to do Lumineers. They are strong enough, but they tend to be somewhat opaque and pasty-looking. Plus, because they are a trademarked brand, the dentist has to send them to the Lumineers laboratory in Santa Maria, California, and many excellent cosmetic dentists feel that lab doesn’t produce truly beautiful results. So the best you can get with the Lumineers brand is maybe a “B” smile, even with a great cosmetic dentist. That might be good enough for you. But the little secret is that usually you can get an “A” smile for the same fee or maybe just a little more, like $1100 per tooth instead of $1000.

You said that you went to a cosmetic dentist. I’m wondering how you know that he is a cosmetic dentist. I hope you have more to go on than just that’s how the practice was advertised. You can’t count on that. Cosmetic dentistry is an unregulated field – you don’t need any special training to be able to announce yourself as a cosmetic dentist.

My advice is, before you spend all your money and then write me another e-mail a year from now asking what to do now that you hate your new smile – spend a little more time on this. Get a second opinion from one of the cosmetic dentists on our list. I’m guessing from your area code that Dr. Jose Abadin is probably closest to you, but there are others you could check out. Go to our Florida page, pick one you think you’d be comfortable with, and spend some time picking a great cosmetic dentist. If you do that, everything else will fall into place.

And about the durability – actually even that is mostly dependent on the dentist and the techniques used rather than the material. All porcelains are very hard, but they are somewhat brittle. They get their strength from bonding them to the tooth. When Lumineers crack, it is usually because they weren’t bonded properly.

Dr. Hall

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Your Questionable Ethics, Dr. Hall

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Just so that you get things stright, there is NO such thing as a cosmetic dentist, implant dentist, family dentist, etc….In many states, a dentist is not allowed to advertise or call onself by those afformentioned “specialties” since they don’t exist. Specialists who completed accredited advanced training programs, who have RECOGNIZED specialites, are allowed to specify the type of dentistry that they practice. It’s very misleading and self-serving to call yourself and others on your website cosmetic/implant dentists. It’s interesting that you speak about ethics of certain practitioners and treatment they perform yet your own ethics seem very questionable.
– This comment comes from an anonymous visitor who gave no name, no phone number, not even a state.

Dear Doctor,

You didn’t identify yourself, but I can figure out from your e-mail address that you’re a dentist. But I have learned from experience that it’s the anonymous who often take the pot shots, and who then try to claim the ethical high ground.

What you say is not true—that there is no such a thing as a cosmetic dentist nor an implant dentist. A lot of people recognize those titles. So it’s not true to say they’re not recognized. They are recognized by many patients. Further, the accreditation granted by the American Academy of Cosmetic Dentistry has been recognized by the courts to be a legitimate credential. To get it straight, it is the American Dental Association that doesn’t recognize those distinctions, but you and I both know that is because of politics. Most dentists want a piece of the cosmetic dentistry business, so they don’t want some dentists designated with that specialty title and taking away that potential source of income for them.

I make it clear in this website that cosmetic dentistry isn’t a legally recognized specialty. I believe it should be. Clearly you don’t. But, what do you think, Doctor, if we took a poll of Hollywood celebrities, would they be willing to go to any dentist on any street corner for a smile makeover? Or have they figured out that there are actually very few dentists who are true artists who can create a beautiful smile?

You and I both know the answer to that.

Dr. David Hall

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About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

The History of AACD Accreditation

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Dr Hall,
Just wanted to let you know I referenced you when writing for a website.

I had a related question. It has been very difficult getting certain information regarding the early AACD accredited dentists and so it makes me feel that there is something to hide. My respect for you is considerable and that’s why I hope you will be forthright with me on this. I wanted to find out if the early doctors were conferred accreditation without much ado. It’s happened before and with other new organizations, such as the fellowship I received, but I think it would be better to be up front about stating that the founders became accredited without examinations and case submission rather than be untruthful.

Kindest Regards,
A cosmetic dentist in Chicago

Dear —
Thank you for your kind words.

I was there in Toronto in 1986 when the AACD first announced the accreditation program. The first dentists accredited didn’t have to pass an exam, because there was no accreditation committee – they had to start somewhere. So there was some agreement that certain of the charter members were skilled enough, and there wasn’t any exam anyway, because there was no one recognized to examine the others. Jack Kammer, the founder, Michael Miller, the first accreditation chair, and others were accredited by being “drafted” so to speak. Those dentists then set up the examination protocol and formed a committee to judge the skills of dentists who wanted to become accredited.

For a while after that, to be able to get recognized authorities and lecturers accredited and help establish the credential, there were dentists who were given accreditation “by lecture.” Their lectures were well known and the work they displayed was of recognized quality, so they were granted accreditation without an exam.

I have heard rumors or grumblings, if you will, that some of the very first dentists accredited in this way didn’t have work that was of good enough quality to pass the exam. I have no direct knowledge of that happening with any dentist nor have I seen work from an accredited cosmetic dentist that looked substandard. Nor am I aware of any attempt to gloss over the early history of accreditation. But I do know that once the examination process got established, there were measures taken to tighten up the process and there was much grumbling that the exam was too hard. The failure rate was about 2/3 for a while, and those in charge of accreditation would not budge as far as making it easier. Instead, their answer was to bolster the education and preparation process, and to add mentors to help to bring the dentists up to a certain level of excellence. I know from going through the accreditation process even in the early days (I was among the first 40 dentists to become accredited, having started the accreditation process only one year after the path to accreditation was announced) that it was very demanding. I felt as though I had done a masters thesis. It required a great deal of focus, self-criticism, and re-doing of cases before I felt that I had cases that would meet the approval of the committee. And even then I had one case I thought was good enough, but I had used a material that didn’t take a polish well. This wasn’t good enough for them, and I had to resurface it with another material and polish it to a perfect sheen in order to bring it up to their standards. The questioning was tough, and there were dentists who did quite nice work who failed.

– Dr. Hall

Links:
Click here to find a cosmetic dentist.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Possibly saved from a root canal treatment.

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Dr. Hall
Just wanted to say thank you for a great and informative website. I got some good advice from the section on there about new fillings hurting. I recently had a composite put in and it has been almost 2 weeks. I’m having the unusual sensitivity where it doesn’t hurt to clench down but when I eat it hurts. Your site said that this can usually be remedied if the filling is replaced. I have no problems with my dentist but when I saw him earlier this week he found no infection and no cracking…couldn’t figure out the problem. He was talking root canal which doesn’t scare me other than the cost! I don’t have insurance right now and can’t handle that. Anyway I called them today and told them what I had found and brought it up thinking that a new filling may help. He is going to replace it early in the coming week. The receptionist complimented me for doing my “homework” and asked where I found the info. She had never heard of this issue before and asked if I could print the page and show it to them when I come in. Hope I get a finder’s fee, haha…that or he doesn’t charge me for having to fix this. It’s bad enough I’ll have to shell out money for the original filling but the cavity there in the first place was making it extremely sensitive (reason for my initial visit). This will be my 3rd appt in 3 weeks about this same tooth….hopefully a refill on it fixes the problem! Thanks again 🙂
– Jason from New York

Jason,
Thanks for your kind comments.

When it doesn’t hurt to clench but hurts when you eat, yes, that is almost always this bonding issue. If the dentist uses a self-etching primer, that will practically completely prevent that type of sensitivity. If he doesn’t have a self-etching primer, then he should be careful not to dry the tooth too much after etching. Visible moisture should be removed, but you don’t want the dentin dessicated.

Since the tooth was quite sensitive before it was filled, that kind of weighs on the side that it could be some bacteria in the pulp. Hopefully replacing the filling will do it for you.
– Dr. Hall

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Thank you for your reassuring advice

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Hi Dr.Hall,

Thank you for responding to my true concerns and questions! 

When I reviewed your website material, I was extremely impressed with the way you handled your questions–with pure honesty.  This is why I needed to contact you about how I’ve been feeling since having these crowns in 2004.

Your professional advice has assuaged my unsure decision of having crowns.  And let me tell you, I’ve been unsure since 2004, and I feel better with this decision more than ever.  (I’ve been complaining about this to my supportive husband–the poor guy.)  When my family and I can save more money, I will make sure I seek one of your recommended cosmetic dentists.  I will send you photos once I make the better change.

Please remain active in your specialty and website.  You have been more than helpful. 
THANK YOU THANK YOU.

Sincerely,
Alma

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

A putrid smell in my mouth, after getting 28 crowns.

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Sir i got all my 28 teeth replaced with crowns for the purpose of teeth lengthening. Upper & lower molars(8) of Porcelain fused to Metal. Premolars of Zirconia(8). Incisors & canine (12)of Empress. And now after 2 months from the procedure done am having very much bad breath that its very much difficult to live with and even to breathe, and it tastes like vomit. Still after using mouthwash and brushing twice a day its not helpful and the smell is as it is. even i got done scaling but still the smell and taste of the teeth remains. Please tell me some solution that can be done now to get rid of this as its too much difficult to live like this. i am really helpless. And also tell me is it was right for the teeth lengthening??
– Ogas in India

Dear Ogas,
There is something very wrong with your dental work. It my days of practice, I had several occasions to replace dental work done in other countries, and I frequently found poor dentistry with overhangs that would catch food or other basic defects.

The materials your dentist used sound first class. But if there are overhangs on all the crowns, that could produce the putrid smell that you’re experiencing. I can’t tell if that’s the case. There are other possibilities.

If this problem is allowed to remain, it will likely lead to gum disease and early loss of your teeth.

There are excellent dentists throughout the world. But I believe the consensus among the world’s dentists is that there is no place that has as high standards for dental care as the United States. So what I would look for would be a dentist in India with some credentials from an international organization based in the United States. A couple examples of that would be accreditation or some other credential from the American Academy of Cosmetic Dentistry (There are two accredited members of the AACD in Mumbai, India, and several accreditation candidates in the country), or fellowship or diplomate status with the International Congress of Oral Implantologists. There may be other credentials. I would track down a dentist with a credential like that and go there for an opinion on your case. Go to the website of the specific organization and they usually have a search tool for finding a credentialed member.
– Dr. Hall

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About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

How do I become a cosmetic dentist?

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Hello Dr. Hall,

My name is Ashleigh and I’m currently an undergrad and pre-med/dental student at the University of New Mexico. My mother is a dental hygienist so I’ve grown up around the biz and I’d love to train for cosmetic dentistry. I’m primarily an artist and greatly value aesthetics and form, so I feel this was a wonderful direction in which to switch gears. I’ve got a ways to go before dental school, but I’d like to know exactly what special training (and possibly where to get it) I would need on top of finishing dental school to become a cosmetic dentist? Thank you for your time. All the best, Ashleigh

Ashleigh,
From my experience and from asking other cosmetic dentists this same question, most of us feel it takes about five years after dental school, attending continuing education courses and trying to practice the things you learn, to really feel competent in cosmetic dentistry.

And I believe the best way to learn cosmetic dentistry is to join the American Academy of Cosmetic Dentistry and faithfully go to their annual meetings every year. They have excellent lecturers and hands-on training that are designed for dentists to start learning the basics of cosmetic dentistry and gradually become masters at it. There are other postgraduate programs in cosmetic dentistry, such as at Baylor University in Texas, UCLA, the Pacific Aesthetic Continuum, and other places, too. Though most of dental academia look down their noses at dentists who are interested in cosmetic dentistry.

And, of course, as I preach throughout this website, a cosmetic dentist needs to be fundamentally artistic, which goes against the grain of the great majority of dentists. So you’ve got a good start in that direction.

Dr. Hall

Click here for referral to a cosmetic dentist.

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

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