Cosmetic Dentistry Before & After Photos | Madison Dental Spa | Upper East Side NYC

At Madison Dental Spa, every smile transformation begins with a conversation about what you want and ends with results that feel completely natural. Our before and after gallery features real patients treated at our Upper East Side practice on East 60th Street, with procedures ranging from porcelain veneers and gum recontouring to full mouth rehabilitation. Whether you're concerned about discoloration, misalignment, worn teeth, or a gummy smile, these cases reflect the range of cosmetic and restorative work we provide to patients throughout New York City. Many of our porcelain veneer and smile makeover cases are crafted in collaboration with Peter Kouvaris, a master ceramist with over 35 years of experience whose work is recognized among the finest in the field. Browse the results below, and when you're ready, we'd love to show you what's possible for your smile.

Ready to see what's possible for your smile? Schedule a consultation at our Upper East Side office.

Our Patient Results

Porcelain Crowns and Veneers

Procedure: Porcelain crowns and veneers on 4 front teeth
Concern: Traumatic accident and needed to restore his smile
Result: Strong, long-lasting restorations that blend in harmoniously with his current smile

Following a traumatic accident, this patient needed to restore his four front teeth without the result looking like dental work. Porcelain crowns and veneers on the affected teeth produced restorations that are both strong and long-lasting and blend in completely with the surrounding smile.

Porcelain Veneers with Gum Recontouring

Procedure: 10 veneers with gum recontouring
Concern: Discolored, small teeth
Result: A more natural, fuller smile

Discolored and small teeth caused this patient to explore a more comprehensive solution. Ten porcelain veneers combined with gum recontouring delivered a fuller, more natural smile, with the gum line properly proportioned framing the new result.

Porcelain Veneers

Procedure: Veneers
Concern: Misaligned teeth, narrow arch
Result: A widened smile, more natural appearance that follows the patient's lipline

This patient came to us concerned about misaligned teeth and a narrow arch. Using porcelain veneers, we were able to widen the smile and create a more natural appearance that follows her lipline for a more natural smile.

Porcelain Veneers

Procedure: Veneers
Concern: Stained teeth, misaligned teeth
Result: Whiter, more natural appearance

Staining and misalignment were affecting how this patient felt about her smile. Porcelain veneers corrected both concerns at once, delivering a whiter, more natural appearance.

Veneers and Crowns

Procedure: Veneers and crowns
Concern: Old restorations, discolored teeth, narrow smile, misalignment of teeth
Result: More harmonious smile, more vibrant; smile follows patient's lipline

Old restorations, discoloration, misalignment, and a narrow smile gave this patient a long list of concerns. A combination of veneers and crowns addressed everything in one treatment plan, widening the smile, correcting alignment, and producing a result that is both more vibrant and more harmonious.

Porcelain Veneers

Procedure: Veneers
Concern: Stained and worn down teeth
Result: More vibrant and natural smile, restored function; bite is in a comfortable position where the patient is less likely to wear her teeth down in the future

Years of wear and staining had left this patient's teeth both esthetically and functionally compromised. Porcelain veneers gave her a more vibrant, natural-looking smile, and importantly, restored her bite to a comfortable position that will protect her teeth from further wear going forward.

Porcelain Veneers

Procedure: Veneers
Concern: Small, discolored teeth
Result: More vibrant smile

Small, discolored teeth were keeping this patient's smile from reaching its potential. Porcelain veneers delivered a noticeably more vibrant result, adding both brightness and proportion while keeping the look completely natural.

Veneers with Gum Recontouring

Procedure: Veneers with gum recontouring
Concern: Worn down teeth, gummy smile
Result: More natural appearance

Worn down teeth and a gummy smile were this patient's main concerns. We combined porcelain veneers with gum recontouring to restore proper proportion and create a more natural appearance overall.

Veneers with Gum Recontouring

Procedure: Gum recontouring, veneers
Concern: Patient was unhappy with esthetics following years of ortho
Result: More natural appearance, less gummy, improved esthetics

After years of orthodontic treatment, this patient still wasn't happy with his smile, particularly the gum line and overall esthetics. We combined gum recontouring with porcelain veneers to address both concerns. The result is a less gummy, more natural-looking smile that reflects the outcome he'd been working toward.

Veneers with Gum Recontouring

Procedure: Veneers and gum recontouring
Concern: Gummy smile, yellow small/chipped teeth
Result: More harmonious smile, less gummy smile

A gummy smile combined with yellow, small, and chipped teeth gave this patient multiple concerns to address. Veneers and gum recontouring worked together to rebalance the smile, reducing the gum display and improving the color and proportion of the teeth. The result is a noticeably more harmonious smile.

Full Mouth Rehabilitation

Procedure: Full mouth rehabilitation with veneers, crowns, and bridges
Concern: Unesthetic, misaligned, and discolored teeth
Result: Corrected alignment, whiter more natural teeth, more confidence overall

This patient came to us with misalignment, discoloration, and teeth that simply didn't look or feel right. A full mouth rehabilitation using a combination of veneers, crowns, and bridges corrected the alignment and overall health of the smile, and produced a result that gave this patient a meaningful confidence boost.

Full Mouth Rehabilitation

Procedure: Full mouth rehabilitation to correct the patient's bite and give him a more confident smile
Concern: Small teeth, spaces, discolored teeth
Result: Improved occlusion, improved esthetics

Small teeth, unwanted spacing, and discoloration made this patient a candidate for a full mouth rehabilitation. The goal was twofold: correct his bite and give him a smile he felt confident with. The result delivered on both goals; improved occlusion and noticeably better esthetics.

Full Mouth Rehabilitation

Procedure: Full mouth rehabilitation to correct bite, remove decay, and improve esthetics with veneers and crowns
Concern: Worn down teeth, bite felt uncomfortable, old bulky crowns
Result: More harmonious smile; reversed aging so teeth don't look so worn down

Worn teeth, an uncomfortable bite, and outdated bulky crowns were all affecting this patient's quality of life. Full mouth rehabilitation using veneers and crowns addressed all three, correcting the bite, removing decay, and delivering a more harmonious smile.

Veneers and Bridges

Procedure: Veneers and bridges
Concern: Missing teeth, spacing, discolored teeth
Result: Fuller smile, more natural, improved function

Missing teeth, unwanted spacing, and discoloration were all affecting both the look and function of this patient's smile. Veneers and bridges closed the gaps, improved color, and delivered a fuller, more natural result with function restored alongside esthetics.

Porcelain Veneers

Procedure: 4 veneers
Concern: Old veneers were discolored; teeth were small
Result: An enhancement that only improved her smile but did not change it

This patient's existing veneers had discolored over time, and her teeth were small in proportion to her smile. Four new porcelain veneers refreshed the result, brightening and improving what was already there without altering the character of her smile.

All-on-4 Full Mouth Restoration

Procedure: All-on-4 full arch extraction with zirconia restorations screwed into implants, coordinated with an oral surgeon so the patient never leaves without teeth
Concern: Severe decay and severe periodontal disease
Result: Screwed-down prosthetic (not removable); patient was able to restore confidence, comfort, and function

This patient came to us with severe decay and severe periodontal disease. We worked hand in hand with an oral surgeon to perform the All-on-4 procedure, extracting all teeth and placing zirconia restorations screwed into implants. The patient never left without teeth. The result is a screwed-down prosthetic that is not removable, restoring confidence, comfort, and function.