A process for making a dental restoration includes forming a dental restoration base, selecting a decal representing a natural oral cavity characteristic, and attaching the selected decal to the base. Thereafter, the decal and the dental restoration base are conditioned to create a finished dental restoration having desired oral cavity color and characteristics such as teeth, enamel, dentin, crazing lines, stains, veins, blood vessels, bony coloration, hyper-calcification, mucosal tissue or gum tissue. In an alternative embodiment, the process may include placing a sealant over the decal and at least a portion of the dental restoration base. Additionally, a secondary decal may be attached over the sealant, followed by glazing the secondary decal.