Full Mouth Rehabilitation
Making It All Over Again
If you ask any dentist why they chose dentistry as a profession, the answer will be very similar: “Oral health is an integral part of overall health. By doing good dentistry, we help patients to maintain proper oral hygiene, eliminate any dental pathologies that may lead to systemic issues and affect overall health. 3-6 month recall is a good way to bypass any serious dental problems. We are always happy to get another 5-star review from a long-standing patient. After completing another successful full mouth reconstruction, there is a greater sense of accomplishment. A patient with severe dental & possibly systemic problems regains full function, a beautiful smile, and self-confidence.”
Full mouth rehabilitation is the time when all the years of schooling, residency & decades of practice are put to the test. The dentist must create and deliver a proper full mouth reconstruction plan that restores full function to the mouth.
What is full mouth reconstruction?
Full mouth rehabilitation, also known as full mouth reconstruction or restorations, is a process of restoring one’s mouth with severely compromised teeth, gums, and missing teeth. The goal of the reconstruction is to return full function to the mouth, i.e., being able to eat well. And of course, dentistry is always about giving patients a beautiful smile. A smile is what everyone notices first. Whether at Ideal Smile we deliver full rehabilitation or a smile makeover, our goal is always to finish with a beautiful smile or a “Celebrity Smile,”( if that’s what you want)!
Reasons for a full mouth rehabilitation vary:
- Tooth loss to decay or periodontal disease
- Fractured teeth due to accidental trauma, like a fall
- Jaw, muscle pain, tension headache due to malocclusion
- Teeth becoming severely worn as a result of long-term acid erosion, and systemic disease
If you have experienced any of these, please come in for an extensive complimentary initial evaluation. Dr. Aqib will help you decide if a full mouth restoration is the best course of action.
Are you a good candidate for full mouth rehabilitation?
Various factors will be taken into account when evaluating your needs and the degree of restoration necessary:
- Condition of patients teeth and gums
- Patient’s overall health, if there are any underlying medical conditions for dental pathologies
- Ability to accept physical and psychological changes
- Possible allergic reactions to the materials used
- Changes in the bite
- Financial considerations
What kind of full mouth rehabilitation procedure is performed during treatment?
Depending on the issues we are addressing, full mouth rehabilitation can include just about any dental treatment or a combination of several dental procedures. Some of the most common procedures performed in reconstruction process include:
- Dental implants, implant crowns, and implant bridges to restore missing teeth
- Dental implants and implant supported dentures, all-on-4 or all-on-8 to restore edentulous mouth
- Dental crowns, veneers to provide added strength to teeth weakened by decay or fractures
- Ceramic onlays to restore proper occlusion and teeth bite
- Gum grafting and bone grafting procedures to augment areas where gum or bone is deficient
- Dental deep cleaning and osseous surgery treatments for moderate to severe gum disease
What is the difference between full mouth reconstruction and a smile makeover?
Both treatments have significant similarities. They will provide an improvement to the health of your mouth. All dental problems will be eliminated as part of either treatment. Both may require the engagement of multi-specialty dentists. The goal of a smile makeover is to gain an aesthetically pleasing smile. However, full mouth reconstruction is a restorative procedure that is necessary for dental and overall health. In other words, full mouth restoration is needed to prevent unhealthy oral conditions from getting worse, stop chronic pain and return full function to a compromised mouth.
How long does full mouth reconstruction take?
The length of full mouth reconstruction depends on what is necessary for treatment. During the initial evaluation Dr. Aqib at Ideal Smile will determine total time required to restore teeth based on dental necessities and desires of patient.
Rest assured that Ideal Smile Dental team will do all they can to offer you the most practical treatment to give your full mouth restoration everlasting results!
What are full mouth reconstruction steps?
First and most important is proper diagnosis & treatment plan. Having modern digital radiography at dentist’s disposal becomes imperative to delivering a precise dental diagnosis. A panoramic x-ray will show if there is any infection inside the bone that may require a root canal therapy, or if the bone loss is progressive and the tooth cannot be saved. Consultation with Dr. Aqib will reveal if gums are healthy or require periodontal treatment before starting any restorative work. Untreated periodontal disease will jeopardize results of any dental work. After the health of the gums and jawbone is evaluated Dr. Aqib will create a comprehensive treatment plan to replace all missing teeth, remove all decay, restore teeth, and establish proper teeth bite.
The next step in full mouth reconstruction is the treatment. After our Associate dentist completes the periodontal treatment, Dr. Aqib performs all needed oral surgery procedures, extractions, bone grafts, sinus lifts and root canals. In some instances when the jawbone is not compromised immediate dental implants are placed during the extraction visit. However, if it is not the case, healing is required before implant placement. After the dental implants achieve osseointegration (when implant integrates with the bone) the patient is then treated by a restorative dentist.
Full mouth reconstruction options for missing teeth
The treatment options vary based on the number of missing teeth needing replacement. Below we will give a quick overview of each option; you can find detail explanation for each procedure on the designated service pages.
Full mouth rehabilitation with implants & implant supported crowns
This option is suitable for patients who have few missing teeth. Without causing unnecessary damage to healthy teeth, dental implants and implant crowns are an excellent restoration option. However, if neighboring teeth have large fillings or extensive decay restoring teeth with a traditional dental bridge may be a valid alternative.
Full mouth rehabilitation with implants & implant supported bridge
Full mouth reconstruction of multiple missing teeth can be achieved with dental implants and implant bridges. By placing just a few implants, an expert implant specialist, like Dr. Aqib, can provide support for a large implant bridge. Also, if a whole span of front teeth are replaced, the patient will have an opportunity to choose the exact shade of the porcelain.
Full mouth rehabilitation with implants & implant supported dentures
If a patient is edentulous, in the past the only option for a full mouth reconstruction was full removable denture. It is still an inexpensive alternative to restore teeth in the arch. Unlike implant supported dentures, removable dentures have a significant number of drawbacks, like poor retention and need for adhesive, inability to eat well; it promotes progressive bone loss.
Implant supported dentures or all-on-4 present patients with an option of complete rehab with a long-lasting restoration that is as beautiful as it is functional. In the last two decades, this technique has been mastered and proven to be conclusively the most cost effective treatment. Dental implants placed correctly help maintain healthy bone levels. The implant supported denture provides incredible retention, so eating and talking is no longer an issue. With a well-made implant denture, we will return your youthful smile.
Full mouth restoration with porcelain crowns, veneers, and onlays
This dental treatment is suitable for patients who still have all their teeth. However, teeth that are severely compromised by dental decay, broken due to trauma, or worn down due to bruxism. In this scenario, if the underlying structures, gum, and jawbone are healthy, evaluation by Dr. Aqib will determine if any of the teeth require root canal therapy due to deep decay. If it is necessary Dr. Aqib, performs root canal procedure. Dr. Aqib will then continue restorative treatment and take impressions .These are sent to a top ceramic dental lab, where final restorations are constructed. Meanwhile, a patient receives beautiful temporaries that last till final restorations are delivered. After they are fabricated crowns, veneers, and onlays are bonded to the tooth with a special cement and the teeth are checked for a comfortable bite.
Chairside (or composite) veneers and composite fillings are a less expensive option to restore decayed or broken teeth that have not had root canal therapy. It is not recommended to use composite restorations on root canal treated teeth because they have no blood supply and become brittle. Ceramic is a hard material that can withstand strong biting pressure and therefore provides better support to the tooth. Unlike composite material, ceramic does not change the color. It stays the same shade as when it is first cemented in your mouth.