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Full Mouth Rehabilitation

Patients who have many missing teeth or severe deterioration of most teeth,

may require a full mouth reconstruction using a combination of restorations,

veneers, crowns, bridges, dental implants or partial dentures. The oral cavity is

a dynamic environment where changes constantly occur, sometimes quickly

but more often slowly over time. Changes can be due to a traumatic accident,

periodontal disease, shifting teeth, a lifetime of neglect, a destructive habit

such as grinding, or a lifetime of dentistry focusing on one tooth at a time

and leaving the mouth resembling a patchwork quilt.

Case study: This patient has an ill-fitting, unstable denture combined with a deep bite and general tooth discolouration which is a major aesthetic and functional concern. We treated it by improving colour and tooth arrangement using a combination of porcelain and composite veneers and new upper and lower partial cosmetic prosthesis.

Full-mouth reconstruction, by its very nature can be extremely complex. Dental techniques

and technologies have come a long way in the past   30 years and patients are often

surprised by what can be done. Correct diagnosis and analysis is important to identify

and address the causes  of the problems in the treatment plan. Treatment is often a

non-surgical, comprehensive approach to getting the upper and lower jaws in proper

alignment, removing all decay, repairing all chipped, weakened, and  broken teeth, and

ultimately, creating a healthy, attractive smile that  will last for many years.

Once this treatment is completed you can expect a mouth that looks great, feels 

comfortable, and gives you the confidence to smile. If you are experiencing bite-related

problems, feel that your teeth or gums have been allowed to deteriorate or feel your mouth is in poor condition, a full-mouth reconstruction may be the appropriate solution.

Our patient here chose a non-surgical option for personal reasons. The patient presented with inadequately fitting upper partial denture and an incorrectly instituted treatment plan resulting over a period of time: multiple loss of teeth that resulted in loss of jaw bone and facial height resulting in an accelerated ageing appearance. We solved the problem by improving the facial height (raising the bite), improving the upper smile line using a combination of porcelain veneers, upper and lower precision milled, highly aesthetic and firm partial dentures to restore the following:

  • Facial and dental aesthetics

  • Comfort

  • Function

This is often a difficult question, but one about which Dr Nalbandian, in practice of prosthodontics (specialised area of dentistry related to reconstruction of teeth and supporting structures)) is experienced in advising. Some of the general advantages and disadvantages of single to multiple tooth replacement options are listed below.

  • Removable – good access for cleaning

  • Cost effective

  • Very minor tooth reduction required

  • No tooth reduction required

  • Access for cleaning similar to natural teeth

  • Failure can mean just loss of the implant ,and attached crown or bridge can mean further tissue loss

  • Minimal biological intervention compared to bridgework where adjacent teeth require preparation

  • Good where adjacent teeth would benefit from crowns

  • Reduced comfort

  • Possible clasp display

  • Gaps visible on removal

  • Patient intolerance

  • Food traps, if not properly maintained, can cause dental caries

  • Requires minimal surgical intervention, similar to normal tooth removal

  • More expensive, however compared to bridgework it is cheaper in the long term both financially and biologically as all bridges fail at one point affecting one or more of the retaining teeth, complicating future treatments

  • Areas of large bone loss may require bone augmentation-grafting to improve ridge anatomy/shape for better tooth emergence, function and aesthetics

  • Requires considerable tooth reduction (irreversible loss of usually all enamel and supporting teeth) and risk of pulp death requiring root canal therapy.

  • More difficult access for cleaning (risk of gum infection and tooth decay)

  • Failure can mean considerable damage to supporting structures

  • Similar cost to implants initially, however high biological cost

Advanced Dental Care Center can totally rejuvenate your mouth, creating a healthy, beautiful smile in as few as two visits. This process is so successful that others cannot distinguish the real teeth from the restored teeth.

Am I a candidate for Full Mouth Reconstruction:

If you answer yes to any of the following statements, you are a candidate for Full Mouth Reconstruction:

  • TMJ problem (temporomandibular joint syndrome)

  • headaches or migraines

  • tooth loss

  • teeth are worn, broken, chipped or cracked

  • pain or soreness around my jaw joints

  • facial, neck, shoulder and/or back pain

  • clicking or grating sounds in jaw joints

  • experience limited jaw movement or have locking jaw

  • unexplained numbness in my fingers and arms

  • unexplained congestion or stuffiness in my ears

  • vertigo

Full mouth rehabilitation utilizes current technologies to reshape and rebuild one’s teeth, gums and surrounding areas. One or several procedures may be necessary to obtain the effects desired. The end result is an enhanced appearance that allows the patient to enjoy the confidence and attractiveness you have always desired.

Full mouth rehabilitation begins with the gums, the foundation for the teeth and the rest of the mouth. Prosthodontic Dentists work to customize treatment for each patient’s needs. Advances in dental technologies allow doctors to do impressive cosmetic reconstructions and to make them more painless than ever before. Everyone deserves to feel good about his or herself.

The goal of treatment is to properly align the jaw and rebuild damaged teeth. Jaw position is typically corrected using a plastic orthotic that fits over the top of the teeth. Teeth are restored with veneers, crowns, or onlays. Depending on the patient, a prosthesis may be used. The result is an attractively enhanced smile using urable materials that will stand the tests of time.

Our dentists will help you decide an appropriate treatment plan. This is where the full mouth rehabilitation specialist really shines. Though the specific techniques may vary depending on your needs, our dentist will ensure that the end result is the same-a lovely smile and a more confident you.

Techniques for full mouth rehabilitation

Previously, dentures were the solution to address several lost teeth; however modern technology and dental advancements offer the option of a full mouth rehab using dental implants. Implants offer many advantages over dentures. Following is a comparative list of the disadvantages of dentures versus the advantages of a full-mouth rehab procedure with dental implants.

Please contact us to setup a consulation for a checkup.

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