About

About

Dr. Kiyan Mehdizadeh, DMD

Most cosmetic dentists refer out for surgery. Most surgeons don’t do cosmetic work. Dr. Mehdizadeh trained in both — and that combination is the whole point of this practice.

He earned his Doctor of Dental Medicine, cum laude, from Boston University, after a Bachelor of Science in Biology from Emory. What followed was years of focused post-doctoral training across the disciplines that usually live in separate offices: implant dentistry and bone grafting at Loma Linda and UCLA, fixed prosthodontics under Mauro Fradeani in Italy, periodontal microsurgery with Hürzeler and Zuhr in Munich, and advanced occlusion and bite design.

He is also among the relatively few cosmetic and implant dentists able to provide IV sedation in his own office, with intravenous sedation training from the University of Alabama at Birmingham. That matters for more than comfort: longer surgical and restorative appointments — implant placement, full-arch reconstruction, extensive veneer work — can be completed in a single sedated visit, managed by the same doctor performing the treatment, with a strong safety record throughout.

That range is the point. When gum surgery, bone grafting, implant placement, sedation, and the final restoration are all planned and performed by one provider, there are no referral chains, no handoffs between offices, and no one pointing fingers when something doesn’t line up. Treatment stays continuous — diagnosed, sequenced, and executed by a single provider accountable for the whole result.

The work is supported by an in-house dental laboratory and master ceramist, so restorations are designed and refined through direct doctor-technician collaboration rather than shipped out and hoped for. The practice has operated in private practice since 2012, focused on cosmetic, implant, and full-mouth reconstructive dentistry for patients across Southern California.

What a Consultation Involves

A first appointment begins with what you want. Not a catalogue of procedures — what you would change if you could, what you have never liked, what you want people to notice and what you would rather they did not. That answer sets the direction of everything that follows. The clinical work is how it gets built; it is not what decides it.

From there: photographs, x-rays, and an assessment of the bite, because the bite determines what is possible and what will last. Existing work is assessed on its own merits. Where a crown or a veneer placed elsewhere is sound, it stays.

What follows is a conversation about outcomes rather than products. Most smiles can be reached by more than one route, and the routes differ in what they cost, how long they take, and how they age. Those differences are set out plainly, so the decision is yours and it is an informed one.

Patients leave with a sequenced written plan and a total cost. No figure changes later without a conversation first.

One Doctor, One Team, One Case

This is a single-doctor family practice. Complex reconstruction, implant surgery and cosmetic work are planned and performed by Dr. Mehdizadeh himself, and the same small team stays with a case from the first appointment to the last.

That is not a scheduling detail. It means the person who answers the phone knows where your case stands. It means nothing is re-explained, no record is lost between offices, and no part of the plan is handed to someone who was not there when it was made. One doctor is accountable for the result, and everyone around him knows the case well enough to be useful.

Taste

Technique can be taught. Every dentist placing veneers has access to the same ceramics, the same adhesives, the same literature. What separates one result from another is judgment about proportion, character and restraint — how wide a central incisor should be for a particular face, how much the edge should catch the light, where the surface should be interrupted and where it should be left alone, how much a smile should change before it stops belonging to the person wearing it.

Those are aesthetic decisions, not technical ones. They cannot be systematized, and they are the reason two technically sound cases can look entirely different. The work here is designed to look like it was always there — which usually means doing less than a patient expects, in exactly the right places.

Design Before Treatment

No tooth is prepared until the design is finished. The bite is worked out first — how the teeth meet, how they travel, what caused the wear or the cracking or the shifting — and the aesthetics are designed alongside it: length, width, edge position, the line the smile follows.

Only when both are settled, and you have seen them, does treatment begin. Ceramics built into an undesigned bite carry the same problem the natural teeth had. Ceramics designed without the bite look correct and do not last. The two are one piece of work, and the work starts when that piece is done.

The Laboratory

Most cosmetic dentistry is designed in one building and manufactured in another. Impressions and a shade note travel to a laboratory, a technician who has never seen the patient interprets them, and the result comes back weeks later to be accepted or rejected.

Here the ceramist works in-house. The technician who builds the restoration sees the patient, reads the shade in the patient’s own light rather than from a written note, and can be asked for a change while the patient is still in the chair. The gradient from the neck of a tooth to its edge, the degree of translucency, the surface texture that decides whether ceramic reads as enamel — these are judgments made by eye, and they are made in front of the person they belong to.

That is also what makes single-tooth work possible. Matching one crown to the natural tooth beside it is the hardest thing in the discipline, and it is not reliably done at a distance.

Who This Practice Is For

It suits patients who want one doctor accountable for the whole result, who would rather understand the reasoning than be handed a recommendation, and who want work that is built to last as well as to look right.

In dentistry those two are the same requirement. A smile that is designed around how the teeth actually meet holds its shape, holds its color, and keeps working for years. Form that follows function is what makes a result durable, and it is also what makes it look natural — teeth that are the right shape for the job look right because they are right.

If that is the standard you are looking for, this is a practice built around it.