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Total Smile Makeovers in Lakeway, TX

At Lakeway Cosmetic Dentistry, we understand that a smile is more than just a facial expression—it’s a representation of your confidence, personality, and zest for life. Over time, various factors, from age and genetics to lifestyle choices, can diminish the vibrancy of your smile. That’s where our Total Smile Makeovers come into play. Leveraging state-of-the-art technology, unparalleled expertise, and a holistic approach to dental aesthetics, we’ve transformed countless smiles, restoring not just the beauty of teeth but the confidence that comes with it.

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What Is A Total Smile Makeover?

A Total Smile Makeover is a comprehensive approach to rejuvenating and revitalizing one’s smile. The beauty of a Total Smile Makeover lies in its versatility. It can address a myriad of dental concerns, ranging from chipped, discolored, or misaligned teeth to more complex issues like gum disease, bite anomalies, and jawbone deterioration. The process begins with a detailed assessment of the patient’s dental health, identifying underlying issues that might be causing visible dental problems. By doing so, it not only corrects immediate concerns but also mitigates potential long-term complications.

All-in-one, comprehensive treatment

Custom tailored approach

Improved long-term dental health

Improved functionality

Boosted self-esteem


What Problems Can Be Fixed?
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What Can A Smile Makeover Fix?

A Total Smile Makeover at Lakeway Cosmetic Dentistry goes beyond mere cosmetic improvements. It delves deep into both the immediate and long-term dental issues, ensuring comprehensive oral health.

Missing Teeth

One of the most apparent dental issues is missing teeth. In the short term, missing teeth can lead to aesthetic concerns, difficulty in chewing, and speech disturbances. Over time, these gaps can cause adjacent teeth to shift, lead to jawbone deterioration, and result in facial sagging or further tooth loss. A Total Smile Makeover addresses this concern through the placement of dental implants, bridges, or dentures, restoring both the function and appearance of your smile.

Damaged Teeth

Teeth that are chipped, cracked, or decayed not only impact your smile’s appearance but can also lead to increased sensitivity and pain. Left unattended, these damaged teeth can weaken further and lead to infections or more significant dental problems. As part of a smile makeover, such teeth can be repaired or replaced using dental crowns, veneers, or bonding, ensuring a natural look and a healthy mouth.

Damaged Gums

Gum health is paramount to overall dental well-being. Short-term gum issues can include redness, swelling, and bleeding. However, untreated gum conditions like gingivitis can escalate to more severe periodontal diseases, causing tooth loss and affecting the jawbone. Smile makeovers incorporate periodontal treatments, from deep cleaning to more intensive therapies, to rejuvenate gum health.

Misaligned Bite

A misaligned bite might seem like a minor inconvenience initially, causing slight discomfort or affecting the way you chew. But, over time, a misaligned bite can cause undue stress on certain teeth, leading to premature wear, TMJ disorders, and even chronic headaches. Orthodontic solutions, like braces or aligners, integrated into a smile makeover, correct these bite issues, harmonizing your smile.

Jaw Problems

Issues like TMJ disorders can cause pain, clicking sounds, and even lockjaw. These problems can arise from various factors, including bite misalignment or teeth grinding. Treating the root causes and offering solutions like mouth guards or bite adjustments is a pivotal part of the makeover process, ensuring jaw comfort and function.

Compromised Dental Work

Old fillings, crowns, or bridges that have worn down or don’t fit correctly anymore can lead to recurrent dental issues and discomfort. A smile makeover assesses and replaces outdated dental work with state-of-the-art solutions, ensuring durability and a seamless appearance.

Oral Disease

From cavities to more severe conditions like oral cancer, these diseases can have both immediate and far-reaching implications for one’s dental health and overall well-being. Regular check-ups, cleanings, and necessary treatments integrated into the makeover ensure a disease-free oral environment.

Speech Problems

Issues like missing teeth, misaligned bite, or certain jaw problems can affect the clarity of speech. Addressing these concerns not only beautifies the smile but also improves enunciation and speech quality. The comprehensive approach of a Total Smile Makeover ensures that every aspect of oral health, including speech, is catered to.

How Are Dental Problems Fixed With A Total Smile Makeover?

Singular oral problems are solved with a single type of procedure, but full mouth reconstruction combines surgical techniques with repairs and replacements to completely renovate the oral cavity. Reconstruction situations are almost always unique and require your dentist to consider creative solutions to oral health issues. A reconstruction may involve any of the following:

General Dentistry

General dentistry forms the foundation of a Total Smile Makeover, addressing fundamental dental health issues while also setting the stage for more specialized procedures. It encompasses a wide array of treatments designed to maintain, restore, and enhance the health and appearance of your smile.


Dental crowns act as protective caps, enveloping damaged or weakened teeth. Whether a tooth has suffered from severe decay, fracture, or has undergone a root canal procedure, crowns provide both structural integrity and aesthetic appeal. Made from durable materials like porcelain, ceramic, or even gold, they replicate the natural appearance of teeth while offering strength. In the context of a smile makeover, crowns can dramatically transform teeth that might otherwise seem beyond repair, restoring them to their original state or even better.

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Dental implants represent a groundbreaking solution to missing teeth. Unlike other tooth replacement options, implants replace both the root and the crown of a tooth. A titanium post is anchored into the jawbone, providing a stable foundation for a custom-made crown. This not only ensures that the replacement tooth looks natural but also functions like a genuine tooth. Over time, implants fuse with the jawbone, preventing bone loss that typically follows tooth extraction. In the realm of Total Smile Makeovers, implants are invaluable in recreating a complete and functional smile.

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For those missing one or more consecutive teeth, dental bridges offer a reliable solution. As the name suggests, bridges 'bridge' the gap left by missing teeth. They consist of two or more crowns placed on teeth on either side of the gap, with artificial teeth in between. Beyond their aesthetic appeal, bridges restore the ability to chew and speak properly, maintain the shape of your face, and distribute the forces in your bite correctly. They play a critical role in smile makeovers, ensuring that the continuity of the smile line remains unbroken.

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Fillings are one of the most common general dentistry procedures, primarily used to treat cavities or minor tooth decay. When a tooth gets damaged due to decay, it's essential to remove the decayed part and fill the cavity to prevent further damage. Modern fillings are not only functional but also aesthetically pleasing. They can be color-matched to your natural teeth, ensuring that they blend seamlessly. In the broader scope of a smile makeover, fillings guarantee that even the smallest imperfections are addressed, leading to a flawless finish.

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Cosmetic Dentistry

At the intersection of art and science, cosmetic dentistry focuses on enhancing the appearance of one's smile. While traditional dentistry addresses the health and functionality of teeth, cosmetic dentistry delves into the nuances of color, position, shape, size, and alignment. It's about creating a smile that not only functions optimally but also looks stunningly beautiful. Modern cosmetic dentistry offers a range of solutions tailored to individual needs, ensuring that every patient walks away with a confident and radiant smile.

Porcelain Veneers

Porcelain veneers are ultra-thin shells of ceramic material that are bonded to the front surface of teeth. Ideal for correcting a myriad of cosmetic imperfections, veneers can transform discolored, chipped, or misaligned teeth into a uniformly beautiful smile. Their strength and light-reflective properties mimic those of natural tooth enamel, making them almost indistinguishable from natural teeth. In a cosmetic dentistry journey, porcelain veneers often stand out as a versatile solution to achieve that picture-perfect smile.

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Teeth Whitening

One of the most sought-after cosmetic procedures, teeth whitening, offers a quick and noticeable enhancement to one's smile. Over time, our teeth can become stained or discolored due to factors like age, consumption of certain foods and beverages, smoking, or even some medications. Cosmetic teeth whitening uses potent yet safe bleaching agents to lift these stains, rendering teeth multiple shades lighter. It's a non-invasive procedure that provides dramatic results, elevating the brightness and appeal of your smile.

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Dental Bonding

Dental bonding employs a tooth-colored resin material applied and hardened with a special light, thereby bonding the material to the tooth to improve a patient's smile. It's particularly effective in repairing decayed, chipped, fractured, or discolored teeth. The material can be shaped and polished to match surrounding teeth, making it a discreet solution. Dental bonding is not only cost-effective but also minimally invasive, often requiring little to no removal of enamel. In the world of cosmetic dentistry, bonding is a testament to how even minor tweaks can lead to substantial aesthetic enhancements.

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Jaw Repairs and Treatments

The foundational structures of our mouth, like the jaw and gums, play a pivotal role in not just the function, but also the aesthetics of our smile. While often overshadowed by the teeth, issues in these areas can lead to pain, discomfort, and visible irregularities in one's appearance. Modern dentistry provides advanced procedures and treatments that address the complexities of these problems, ensuring both oral health and a harmonized appearance.

Gum Contouring

Gum contouring, often referred to as gum reshaping or tissue sculpting, involves adjusting the gum line to achieve a more balanced look. For those who feel their smile is too "gummy" or that their gums cover too much of certain teeth, gum contouring can be a transformative solution. Reshaping the gum tissue not only enhances the smile's aesthetic appeal but can also improve gum health, particularly when pockets of bacteria are eliminated during the process.

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TMD or TMJ Treatment

Temporomandibular joint disorder, often abbreviated as TMD or TMJ, pertains to issues surrounding the hinge joint that connects the jaw to the temporal bones of the skull. Patients with TMD may experience jaw pain, difficulty chewing, and even clicking sounds when the jaw moves. Treatment for this disorder is multifaceted, ranging from physical therapies and oral devices to medications and, in severe cases, surgical interventions. Addressing TMD is vital not only for alleviating discomfort but also for ensuring the jaw functions properly, facilitating a natural bite and smile.

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Teeth Grinding Therapy

Teeth grinding, known medically as bruxism, can lead to a host of dental issues including worn-down teeth, chipped or cracked enamel, and even TMD. Often, patients aren't even aware they're grinding their teeth, as it frequently occurs during sleep. Teeth grinding therapy involves identifying the underlying cause of the condition—be it stress, a misaligned bite, or other factors—and providing solutions. This might include protective night guards, dental correction procedures, or relaxation therapies. Addressing bruxism ensures the longevity of dental health and the preservation of a radiant smile.

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Orthodontic Care

Orthodontics is a specialized branch of dentistry that addresses teeth and jaw alignment, ensuring optimal function and aesthetic harmony. It revolves around correcting bites, occlusion, and the straightness of teeth. A beautiful smile is often built on a foundation of well-aligned teeth, and orthodontic care lays down the framework for this, catering to both children and adults. It harnesses various appliances and techniques to methodically move teeth and adjust underlying bone structures.


Braces remain one of the most recognizable and widely used orthodontic devices. Comprising brackets adhered to the teeth and connected by wires, braces apply consistent pressure over time to shift teeth into desired positions. Modern dentistry offers a range of braces, from traditional metal ones to clear ceramic and even lingual braces that sit behind the teeth. Whether addressing crowding, spacing, overbites, or underbites, braces provide a comprehensive solution to reposition teeth, enhancing both function and facial aesthetics.

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Once the active phase of orthodontic treatment concludes, and braces or other corrective appliances are removed, retainers come into play. These custom-made devices are designed to hold teeth in their newly aligned positions. Given that teeth have a natural tendency to drift back to their original locations, retainers play a crucial role in preserving the results achieved during the orthodontic journey. Available in removable or fixed varieties, retainers ensure that the hard work and time invested in achieving a perfect smile is sustained for the long term.

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Oral Surgery

Oral surgery encompasses a broad spectrum of procedures that deal with the diagnosis and surgical treatment of injuries, defects, and diseases of the oral and maxillofacial region. Ranging from simple extractions to more complex interventions, oral surgeries are critical for both remedying acute problems and preventing potential complications. With modern advancements, these procedures have become more precise, ensuring optimal outcomes with minimized discomfort.

Root Canal

A root canal, or endodontic therapy, is a procedure designed to save a tooth that's been severely infected or damaged. The process involves removing the damaged area of the tooth (the pulp), cleaning and disinfecting the inner chambers, and then filling and sealing the space. Contrary to popular misconceptions, modern root canals are similar in discomfort to getting a filling. They stand as a testament to dentistry's ability to preserve natural teeth, even when faced with significant challenges.

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Tissue Grafting

Tissue grafting, particularly in the context of dental care, usually refers to gum grafts. This procedure is employed when there's gum recession, which exposes the roots of the teeth. Grafting involves taking a piece of tissue, often from the patient's palate, and attaching it to the receded gum area. This not only enhances the aesthetic appearance of the gums but also protects the teeth from sensitivity, decay, and potential bone loss.

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Tooth Extraction

Tooth extraction, as the name suggests, involves the removal of a tooth. Reasons for extraction can be manifold: severe tooth decay, advanced periodontal disease, a broken tooth that can't be repaired, and even overcrowded teeth. While dentists strive to save every tooth, there are instances when removal becomes essential for overall oral health. Post-extraction, several restorative methods, like implants or bridges, can be employed to replace the missing tooth and restore function and appearance.

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Our Smile Transformations

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before dental implants in Lakeway, TXafter dental implants in Lakeway, TX
before dental implants in Lakeway, TXafter dental implants in Lakeway, TX

Real Patient Reviews

“As a new patient I felt so at home...”

“ if I had been there a million times already. The front office staff was very friendly and welcoming. The Hygienist is very knowledgeable and thorough. She did an awesome job cleaning my teeth. Dr. D'Alfonso is absolutely amazing! He came in the room with so much energy. He made me fell as if I've known him for a very long time. From check in to check out every one made me feel comfortable. They made me feel comfortable on trusting them with my dental needs for years to come. Thanks for making my visit special!!!!”

Toni, Patient

“Would highly recommend!!”

“Dr. D'Alfonso and his entire staff are a real pleasure to work with. I received excellent care and attention for all of my visits for my recent work - everyone greets you like a friend, treats you like family, and shows they value your business. Dr. D'Alfonso called me on 2 separate Sunday afternoons to check on me, and to make sure I didn't have any pain - I've never had a dentist do that for me. This shows how much they care. The work I had done was exceptional. They take pride in doing a great job. Would highly recommend!! :)”

Barry, Patient

Ready To Get Started On The Journey To A Stunning Smile?

Submit your virtual consultation or contact the team at Lakeway Cosmetic Dentistry today to get started on your Total Smile Makeover procedures.

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Who Can Have Full Mouth Reconstruction?

Dental patients who suffer from multiple oral health issues to the point that their oral health is interfering with their ability to perform normal functions are perfect candidates for full mouth reconstruction. A total smile makeover requires general anesthesia for most cases, so a candidate must be healthy and able to recover from the effects of anesthesia.

Considerations for those undergoing a smile makeover

The status of your current oral health will affect the extent of work that can be done. Those with oral diseases will need to address those first before preventive measures are taken to prevent further damage. Your age will determine how serious your dental work will be. Older patients cannot handle anesthesia as well and may need to consider dentures before mouth reconstruction. Patients with medical conditions or heart problems will be unable to undergo reconstruction. Also, patients with illegal drugs or alcohol problems will likely be turned away from a smile makeover due to potential complications or conflicts with anesthesia. For More information contact the professionals at Lakeway Cosmetic Dentistry.

How To Get Started


Virtual Consult

Sign up for a free virtual consultation to see what procedures are best for you during your Total Smile Makeover in Lakeway, TX. We’ll help you make the best decision for your smile based on the information you provide to us.



Given the nature of the Total Smile Makeover, you’ll have to undergo several appointments and procedures to ensure your smile is as best as it can be. Expect to visit Lakeway Cosmetic Dentistry several times during your Total Smile Makeover journey.


Post-Procedure Checkups

Once all of the procedures have been completed, we’ll do one, or a series of post-procedure checkups to ensure your mouth, gums, and teeth are all healing properly. If we notice any issues during these post-procedure checkups, we’ll make an appointment to address them as soon as possible.

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Meet Dr. D’Alfonso

While studying at the University of Texas at Austin, Dr. D’Alfonso was driven by an innate desire to make a meaningful difference in people’s lives and to aid in their self-improvement. This mission led him to the world of cosmetic dentistry, where he seamlessly combined his love for scientific exploration with his aspiration to uplift others.

Dr. D maintains a distinguished membership with the American Academy of Cosmetic Dentistry and holds numerous specialized credentials in various realms of advanced cosmetic dentistry, inclusive of the renowned Pankey Institute. Moreover, he stands out in Lakeway’s dental community with a fellowship recognition from the International Congress of Oral Implantologists.

Discover more about Dr. D’Alfonso and the dedicated professionals at Lakeway Cosmetic & Family Dentistry.

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Frequently Asked Questions About Total Smile Makeovers

How is a total smile makeover different from regular cosmetic dentistry?

While cosmetic dentistry often focuses on enhancing the appearance of teeth for a better smile, a total smile makeover is a more comprehensive approach. It addresses not only cosmetic concerns, but also functional and health-related issues of the teeth, gums, and sometimes even the jaw.

How long does a total smile makeover take?

The duration varies depending on the individual and the procedures involved. Some treatments can be completed in 3-4 visits, while other treatments, like those including orthodontics, may take several months to over a year.

How long will the results of my smile makeover last?

With proper care and regular dental check-ups, the results of a smile makeover can last for decades. Some treatments, like porcelain veneers, can last a decade or more, while others, like teeth whitening, might require periodic touch-ups.

Can anyone get a total smile makeover?

While many people are candidates for a total smile makeover, individual suitability depends on oral health, existing dental issues, and overall health. A thorough consultation with a dentist is essential to determine candidacy

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Say Goodbye To Your Old Smile And Hello To The Total Smile Makeover

If you’re ready to get started on your total smile makeover, submit your virtual consultation, contact us online, or give us a call. Our team is ready to help you feel more confident by providing you with a brand new smile.

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Lakeway Cosmetic Dentistry
401 Ranch Road 620 S #300
Lakeway, TX 78734

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Office Hours

Mon – Thurs: 8 a.m. – 5 p.m.
Fri & Sat: By Appointment