Over the past 30 years, the dental profession has changed from being mainly a pain-driven service orientation to including procedures that enhance the appearance of patients and improve their self-esteem and enjoyment of life. It has been estimated that approximately 50% of a typical American dentist's revenue is related to esthetic/ cosmetic procedures; it is predicted that this trend will continue. However, caution must be used to honestly provide all treatment possibilities, including expected treatment longevity, and to receive patient consent before providing irreversible esthetic procedures.