The idea of the perfect smile is changing—and it’s not just about being whiter, straighter, or more symmetrical. Today’s patients are looking for something that feels more personal, more natural, and yes, more biologically sound. With nearly one in five Americans having already had a cosmetic dental procedure, the demand is growing—but so is the desire for a different kind of result. We sat down with Dr. Ilona Fotek of Dental Healing Arts in Jupiter to talk about subtlety, proportion, and why the best cosmetic work should never feel like a makeover.
How do you define a “stylish” smile—and what makes one stand out without looking overdone?
A stylish smile is one that feels effortless and authentic — a reflection of who the person truly is. It’s not about perfection, but rather harmony. The most striking smiles are those that complement the individual’s facial structure, skin tone, and personality without overpowering their natural features.
What’s the biggest misconception people have about cosmetic dentistry?
That it’s purely cosmetic and unrelated to health or function. In truth, a well-executed treatment plan must consider biomechanics, bite alignment, facial support, and long-term tissue health. Another misconception? That it always leads to the overly white, bulky “Hollywood” look. But when guided by sound facial analysis and techniques that mimic real enamel’s translucency, texture, and shade, results can be both subtle and transformative.
You practice biologic dentistry as well—what does that mean in terms of the materials and techniques you use?
It’s an approach that looks beyond the teeth, taking into account how dental materials and treatments can impact overall health. It prioritizes safer, body-friendly alternatives and favors techniques that minimize disruption, protect healthy tissue, and encourage the body to heal itself.
Do you find that patients today are becoming more thoughtful about the health implications of their cosmetic decisions?
Absolutely. Patients are increasingly asking not just how something will look, but how it will impact their overall health. They’re reading labels, asking about materials, and seeking out providers with a more integrative approach. It reflects a broader shift toward viewing aesthetics, performance, and systemic health as deeply connected. People are realizing that what goes into the mouth doesn’t stay there—it can affect hormones, the microbiome, energy, even cognitive clarity.
Are patients typically seeking dramatic changes, or do they tend to prefer more understated enhancements?
The majority of my patients are looking for refinement, not reinvention. They want to feel more radiant, more polished — but still like themselves. There’s a growing preference for results that are elegant, understated, and timeless rather than trendy or extreme. That might mean softening a gummy smile or creating better symmetry — all without anyone being able to pinpoint exactly what changed.
What is one small change that can yield a disproportionately large improvement in a smile?
Small adjustments—like reshaping incisal edges or correcting gum asymmetries—can recalibrate the entire smile without altering tooth structure. Even subtle brightening or refining the shape of the front teeth can create a fresher, more youthful look. These nuanced changes require a trained eye, but when done precisely, they elevate the smile without making it feel “done.”
What do you wish more people understood before pursuing cosmetic dental work?
That this is a form of advanced restorative art backed by science. Outcomes vary dramatically based on the provider’s diagnostic philosophy, material selection, and patients’ overall health and lifestyle. Cosmetic dentistry is not a one-size-fits-all solution — and quick fixes can sometimes lead to long-term compromises. True esthetic work requires careful planning, a deep understanding of facial anatomy, and a personalized approach.
What Is Biologic Dentistry?
Biologic dentistry treats the mouth as part of the whole body—not a separate system. It avoids metals and petrochemical-based materials in favor of biocompatible options like ceramic and BPA-free resin. It also supports natural healing through minimal intervention, ozone therapy, and platelet-rich fibrin. The goal is to create lasting, aesthetic results without compromising systemic health.