fabricating preevaluation temporaries, which can give a preliminary evaluation to the esthetics, phonetics and teeth occlusion, in addition, it gives an opportunity to the clinicians to check if they need to do any corrections. Implants Dental implants are prosthetic replacements for missing teeth. According to ICOI (International Congress of Oral Implantologists) there are commonly three parts to what it is described as an implant: the implant device which is predominantly made of titanium (which is inserted into the bone), the abutment, and a dental crown or a denture which are connected to the implant through the abutment. Gum lifts A gum lift is a cosmetic dental procedure that raises and sculpts the gum line. The procedure involves reshaping the tissue and/or underlying bones to create the appearance of longer or more symmetrical teeth. Straightening Metal braces are used primarily to correct crowded or misaligned teeth. While correcting issues such as jaw alignment are the primary purpose, they can also improve aesthetics. Clear aligners are used as an alternative to traditional metal braces. Clear aligners produce comparable results to metal braces and are preferred by some patients as they are less noticeable to others than traditional braces. Bite reclamation Bite reclamation is for patients who have had years of excessive wear to their teeth due to grinding or acid reflux can alter their vertical dimension. This gives them a closed or shorter look to their face and smile. By opening up their bite, a qualified professional can reclaim their vertical dimension. Materials In the past, dental fillings and other tooth restorations were made of gold, amalgam and other metals—some of which were veneered with porcelain. Now, dental work can be made entirely of porcelain or composite materials that more closely mimic the appearance of natural tooth structure. These tooth-colored materials are bonded to the underlying tooth structure with resin adhesives. Unlike silver fillings (amalgams) they are entirely free of mercury. Cosmetic dentistry has evolved to cover many new procedures and new dental materials are constantly introduced. Training The American Dental Association does not recognize cosmetic dentistry as a specialty. Prosthodontics is the only dental specialty under which the concentration of cosmetic/esthetic dentistry falls. General dentists may perform some simple cosmetic procedures. Consequently, there are questions regarding whether it is ethical for general dentists to treat "smile makeovers" or complex cosmetic and full-mouth reconstruction cases, as they are not qualified to address