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Berkhamsted Dental Practice

06 / 10 / 2026

The smile design process: what happens at a cosmetic consultation?

For many patients, the cosmetic dental consultation is unfamiliar territory. It feels different from a routine check-up, and it can be unclear what to expect. This is a clear account of what happens at a cosmetic consultation at Berkhamsted Dental, and why the process matters as much as the treatments that follow.

The consultation is the design session

Cosmetic dentistry at its best is a collaborative process. The consultation is not simply an examination. It is a conversation in which your goals, your concerns, and the clinical realities of your specific teeth are brought together to create a treatment plan that is both aesthetically ambitious and clinically sound. Arriving with a clear sense of what bothers you about your smile, and ideally with some examples of smiles you admire, gives the consultation a productive starting point.

clinical assessment

Your dentist will carry out a thorough examination of your teeth, gums, bite, and facial proportions. The health of your mouth must be established before any cosmetic treatment is planned. Active decay, gum disease, or bite issues that would compromise the longevity of cosmetic work need to be addressed first. This is the foundation of a cosmetic result that lasts.

Digital scanning and smile design

At Berkhamsted Dental, we use our iTero Lumina intraoral scanner as part of the smile design process. The scanner captures a precise digital model of your teeth in minutes, which is then used to model potential changes and to run digital simulations of proposed treatments.

For patients considering Invisalign as part of a smile makeover, the scanner feeds directly into the ClinCheck software, so you can see a projected outcome before committing.

Treatment planning

Once the assessment is complete and the design conversation has happened, your dentist will put together a sequenced treatment plan. This sets out exactly which treatments are recommended, in what order they should be carried out, and why.

A complete, written fee breakdown is provided at the same time. There are no hidden costs and no pressure to proceed. The plan is yours to consider in your own time.

The smile gallery

Our smile gallery showcases real results from real patients treated at Berkhamsted Dental. Browsing it before your consultation can help you identify the kind of outcome you are hoping for and give you a clear way to communicate your goals.

Book a cosmetic consultation

If you are ready to take the first step towards the smile you have been thinking about, book a cosmetic consultation at Berkhamsted Dental. The consultation is where your smile begins.

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Opening Times

Monday
08:00 AM - 06:00 PM
Tuesday
08:00 AM - 06:00 PM
Wednesday
08:00 AM - 06:00 PM
Thursday
08:00 AM - 06:00 PM
Friday
08:00 AM - 01:00 PM
Saturday
09:00 AM - 01:00 PM

Opening Times

Monday
08:00 AM - 06:00 PM
Tuesday
08:00 AM - 06:00 PM
Wednesday
08:00 AM - 06:00 PM
Thursday
08:00 AM - 06:00 PM
Friday
08:00 AM - 01:00 PM
Saturday
09:00 AM - 01:00 PM
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  • Site last updated: 3 November 2026
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Berkhamsted Dental Practice

5.0 164 reviews

  • Great service and lovely staff! Emily on reception was fantastic :)

  • Greeted warmly by everyone. Treated respectfully by my dentist with step by step explanations regarding my treatment. Consequently, I was able to feel more relaxed having been reassured that all was going well. Thank you for an excellent outcome.

  • Very happy with my Invisalign process with Kish. He kept me well informed throughout and always took time to answer all my many queries. The price was reasonable compared to others in the area and it has all been completed within the original time advised.… Read more

    Very happy with my Invisalign process with Kish. He kept me well informed throughout and always took time to answer all my many queries. The price was reasonable compared to others in the area and it has all been completed within the original time advised. I'm yet to have my composite bonding done but hope to have a transformed smile in the end. Would thoroughly recommend BDP if you're considering Invisalign.

  • Berkhamsted dental practice have been amazing and so helpful. Other dentist didn't want to help me with my treatment as needed alot of work but they have taken one look and gone above and beyond to help me. The staff are friendly helpful and quick to respond… Read more

    Berkhamsted dental practice have been amazing and so helpful. Other dentist didn't want to help me with my treatment as needed alot of work but they have taken one look and gone above and beyond to help me. The staff are friendly helpful and quick to respond to any questions I may of had after treatment. I still need a lot of treatment but very grateful for the help i have received so for and looking forward to the final outcome down the line

  • I have just completed the main part of my Invisalign journey followed by composite bonding and could not be happier. Having been told by my previous dentist that it wasn’t worth doing ( due to my age and small change I would achieve) I had a consultation with… Read more

    I have just completed the main part of my Invisalign journey followed by composite bonding and could not be happier. Having been told by my previous dentist that it wasn’t worth doing ( due to my age and small change I would achieve) I had a consultation with Dr Kish to start a programme of Invisalign to straighten out my front teeth which had moved over time and now had a very slight overlap. Once complete, I saw Dr Ventsi for bonding to the edges of 6 teeth, which, as a heavy tooth grinder, were chipped and uneven. Both Drs were knowledgeable and lovely to deal with. I could not be happier with the result! A little change has made a huge difference !

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