In our day-to-day practice, the Hollywood Smile is most commonly achieved using implants, since most patients do not have a sufficient number of teeth, and especially not enough healthy teeth for a veneer, crown, or bridge-produced Hollywood Smile. First, the roots and teeth designated for extraction are pulled out because they will not be usable in the final work. This means that the patient will be partially or totally without teeth before placing implants into sockets where the teeth used to be. You can read more about the procedure of creating Hollywood Smile using implants in the following section.

Esthetically, the best effect is gained if the patient has, which is often not the case, their own teeth because the transition between the crowns or veneers and the gums is then the most natural. When it is estimated that the bone and gum defects are substantial, we make use of pink porcelain as camouflage and imitate gums, which is almost always the case in complete toothlessness where the level of bone deterioration is too great.