Full mouth reconstruction, rehabilitation and restoration are terms often used interchangeably to describe the process of rebuilding or simultaneously restoring all of the teeth in both the upper and lower jaws.
Full mouth reconstruction typically involves general or restorative dentists (performing procedures like crowns, bridges and veneers), and can incorporate dental specialists like periodontists (specializing in the gums), oral surgeons, orthodontists (specializing in tooth movements and positions) and endodontists (specializing in the tooth pulp).
The need for full mouth reconstruction may result from:
• Teeth that have been lost due to decay or trauma.
• Teeth that have been injured or fractured.
• Teeth that have become severely worn as a result of long-term acid erosion (foods, beverages, acid reflux) or tooth grinding.
• Ongoing complaints of jaw, muscle and headache pain requiring adjustments to the bite (occlusion).
What Procedures Are Needed?
Only your dentist and the team of specialists working on your full mouth reconstruction can determine what procedures are needed for your specific case. Other treatments may also be available, so ask your dentist about all possible procedures that might be required for your case and under what circumstances.
Most reconstructions involve multiple phases and office visits. It is not unreasonable to expect treatment to take 12 months or more, depending on your situation. The following procedures may be involved, depending on your needs:
• Prophylactic teeth cleaning and periodontal care.
• Crown lengthening to expose healthy, sound tooth structure for possible crowns or bridges.
• Orthognathic surgery to reposition the jaw.
• Contouring of the gum tissue to create balance and harmony in your smile.
• Preparation (reduction) of your natural tooth structure so crowns, bridges or veneers can be placed.
• Placement of temporary restorations so you can become accustomed to your new teeth and the feel of your new mouth or bite alignment.
• Placement of permanent restorations, such as crowns, veneers, inlays/onlays or bridges, made from ceramic, ceramic supported by metal or a combination of both.
• Orthodontics (braces) in order to move your teeth into the optimal position for reconstruction.
• Implant placement and restoration to replace missing teeth and/or anchor bridge restorations.
• Bone or soft tissue grafting to enhance the stability of your teeth, proposed implants and/or other restorations.