The dental patient was having new porcelain crowns and veneers done at the surgery in Sochi, Russia- but he wanted something "extra special".
Dentist Levchenko Lev then offered to engrave the man's initials, letters, or his own signature on his gnashers.
But the patient stunned staff when he asked for portraits of Trump and Putin to mark their first phone call on Friday, days after the former was inaugurated as the 45th US President.
He said: "During the discussion with the patient's unique capabilities in the manufacture of dental restorations, I offered to do the initials, letters, or my signature on their own work.
"The patient was actively interested in whether you can make the image of Putin and Trump at the crowns. I called the artist to clarify whether it is possible to make such small figures clearly, and met with the artist," Lev was quoted as saying by UK-based Sun newspaper.
The engraving was done on ceramic.
The artist first made the engraving with a fine brush, and then baked it in a dental oven and covered the material with a layer of dental transparent glaze.
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