Rejuvenation Dentistry is fully reopened in accordance with NY state and CDC Guidelines - Learn More.

Visit Our Two Locations

Manhattan, NY || East Hampton, NY

Full Mouth Reconstruction [Benefits, Risks, Cost, & Steps]

happy smile joy

In certain cases, the teeth in both the upper and lower jaw need to be rebuilt and restored in a process called a full mouth reconstruction. In cases where oral health has been severely compromised, this can be a life-changing procedure.

When researching or discussing the process, it may also be referred to as a full mouth restoration or full mouth rehabilitation.

What is a full mouth restoration? A full mouth restoration tailors a series of dental procedures to the patient’s individual needs. Jaw joints, bite, smile, and facial support treatment options are all considered when reconstructing the mouth and restoring dental health.

With such extensive dental procedures, it’s crucial to choose natural, biocompatible materials. At Rejuvenation Dentistry, we say no to potential toxins and yes to safe ingredients in all of our full mouth reconstructions.

Benefits of Full Mouth Reconstruction

A full mouth reconstruction is designed with the following benefits in mind:

  • An improved bite and ease while chewing
  • Addressing tooth decay
  • Increased gum health
  • Clearer speech
  • Boosted self-confidence
  • Restored facial and lip support
  • A smile makeover

It’s also quite common for sinus pain, headaches, and bad breath to fade out after a full mouth reconstruction.

Who requires a full mouth reconstruction?

Typically, the best candidates for a full mouth reconstruction are patients with multiple dental problems. These conditions may include:

  • Heavy wear and tear on the teeth, such as cracked or broken teeth due to bruxism
  • Gum disease
  • Multiple missing teeth
  • Severe acid reflux (GERD)
  • Ground-down teeth due to bruxism
  • Misaligned bite
  • Pain in the temporomandibular joint
  • Severe decay
  • Loss of density in the jawbone
  • Harmful metals used in dental repairs

If a patient is experiencing severe pain, tooth loss, difficulty eating, or toxicity due to synthetic materials, it may be time for a full mouth reconstruction with us.

With this amount of work, you’ll want to go with a cosmetic dentist with a biologic approach to avoid unnecessary chemicals. We also have decades of experience treating patients with dental anxiety. We’ll put you at ease while we provide the best quality dental care.

Parts of the Mouth a Dentist Will Examine

As anyone familiar with biologic dentistry knows, the mouth is more than just teeth. To get a full scope of the issue and plan a tailor-made dental reconstruction, your dentist will need to get a comprehensive understanding of your mouth.

Here’s what, and where, your dentist will be examining in your mouth:

  • Bite. Malocclusion, or a misaligned bite, can cause problems with chewing, shifting teeth, frequently biting the tongue or cheeks, and shifting teeth. You may need orthodontic treatments or even a night guard to adjust the bite and alignment inside the mouth. Many patients who seek a full mouth reconstruction have trouble eating due to bite issues.
  • Gum tissues. In cases of periodontal disease, deep cleaning procedures like scaling and planing may be needed to improve gum health. In some more severe cases, gum or bone grafting can help to add support and structure back to the mouth before oral surgery. If the gums aren’t healthy, additional problems like missing teeth and jaw damage can occur. Gum contouring can also be an option for patients looking to improve the appearance of their smiles.
  • Teeth. Cracking, wear and tear, and tooth decay can all compromise oral health. Any and all issues with individual teeth and missing teeth will be taken care of as part of a full mouth reconstruction. Treatment options include root canals, dental crowns, dental implants, and dental bridges.
  • Temporomandibular joints and jaw muscles. Patients with TMJ and jaw pain will be treated, potentially in conjunction with bite issues. We sometimes use Botox while getting to the root cause of jaw pain and headaches.
  • Esthetics. When considering the full mouth restoration, the color, shape, and proportion of teeth will be important. Teeth whitening, porcelain veneers, and onlays are options when designing your new teeth.

As you can see, each full mouth reconstruction is individual and based on the root causes of pain and decay that need to be addressed, as well as cosmetic alterations they’d like to make.

In order to observe all of these facets of the mouth, a dentist may use x-rays, impressions of upper and lower teeth, and take note of prior dental procedures that may use toxic materials or be showing wear and tear.

A full mouth reconstruction is different from a smile makeover: A smile makeover primarily addresses cosmetic concerns, while a full mouth reconstruction changes both the appearance and function of the mouth.

9 Steps of Full Mouth Reconstruction

Comprehensive, restorative full mouth reconstruction must be done in steps. The survival of your procedures depends on it. Long-lasting cosmetic procedures like porcelain veneers can fail if you don’t address overall oral health and root causes.

The bottom line is that you need a healthy mouth to support your reconstruction.

How long does full mouth reconstruction take? A full mouth reconstruction takes anywhere from a few months up to a full year. The length of a full mouth reconstruction is based on the number of surgeries, treatments, and cosmetic changes required in each case.

At Rejuvenation Dentistry, we believe the following 9 steps will provide the best foundation for lasting change:

  1. Consultation.
  2. Impressions and design.
  3. Creating the treatment plan.
  4. Removal of all old dentistry.
  5. Elimination of decay, if needed.
  6. Periodontal disease treatment, if needed.
  7. Preparation of foundations or build-ups.
  8. Teeth impressions.
  9. Custom restorations created and placed.

Here are the details for each of the full mouth reconstruction steps.

1. Consultation

When walking in for a consultation, you’ll get to know the team designing your full mouth reconstruction. You’ll be able to ask and answer some crucial questions, like:

  • Do you have any medical details the team should know? These could include a smoking habit, any immune issues, medications that could interfere with treatment, severe acid reflux, or dental anxiety. These factors can inform your treatment plan.
  • Do you have any trouble or pain from chewing, or severe pain in the jaw/neck/teeth? This may indicate cavitations, temporomandibular joint issues, or airway issues that need to be dealt with during the reconstruction.
  • What is your ideal smile? As you chat with your dentist, you can give input on what you’d like the final result to look like.
  • Any questions you may have. You may have questions about the length of treatment, cost, and the dentist’s experience. You can also discuss sedation options at this time.

It’s essential to choose a dentist with experience in full mouth reconstruction who uses biocompatible materials. You want someone who knows what they’re doing and what materials will keep your mouth healthy as you undergo these dental treatments.

2. Impressions and designing the smile

After your initial consultation, you’ll need to get impressions of your mouth made, along with x-rays and any other required scans. This will help your dentist get an idea of your bite, tooth structure, and any decay or prior dental work.

3. Creating the treatment plan

Once you and your dentist are both fully informed and they have been able to examine the current state of your mouth, it’s time to create the treatment plan for your full mouth reconstruction.

The goal of the treatment plan is to build a functional, healthy, aesthetically pleasing mouth that enhances your confidence and oral health.

4. Removal of all old dentistry

As biologic dentists, we remove all previous dental work. There are several reasons why this can be beneficial as full mouth reconstruction begins:

  • Old dental work can tend to shrink and shift away from the tooth, causing room for more decay
  • Dental work is often done with toxic metals that can be harmful to overall health
  • If metal fillings are removed improperly, the procedure can leak heavy metals into your system

We like to remove all old dentistry and start from scratch to ensure your mouth only has safe, clean, biocompatible materials to offer.

5. Removal of decay

Any further decay that hasn’t been treated should be addressed. If left untreated, existing decay in a natural tooth can threaten the stability and longevity of your reconstruction.

Treatments for tooth decay may include:

  • Fillings in cases of small cavities.
  • Root canal therapy for teeth with infected soft tissue.
  • Tooth extractions in extreme cases of rotting, followed by a dental implant to preserve the integrity of the teeth and bite and prevent shifting.
  • Oral surgery in some instances.

It is not recommended to use dentures in a full mouth reconstruction, as you’re rebuilding a healthy new set of teeth.

6. Periodontal disease treatment

Scaling, planing, and treating pockets is the essential next step in a full mouth reconstruction. Unhealthy gums can pull away from teeth and implants, causing loose or missing teeth. Proper gum health is also crucial in preventing diseases like diabetes, stroke, and heart disease.

7. Preparation of foundations or build-ups

In this next stage, the dentist prepares your teeth for further work. Now that root causes and underlying issues have been addressed, it’s time for your smile to shine!

8. Teeth impressions taken.

The team will take impressions of your teeth as they are at this stage in the process so that crowns, implants, veneers, inlays, and onlays can be designed perfectly with your healthier mouth as the basis for design.

9. Custom restorations created and placed

Custom restorations, created by the Master Ceramicist at Rejuvenation Dentistry, are the final step in reconstruction. You’ll be able to share your preferences for the shape and color of your new teeth.

You’ve come a long way, and your smile’s appearance is the finishing touch in the process.

How much does a full mouth reconstruction cost?

The cost of a full mouth reconstruction can vary widely by the procedures needed in each situation but can average around $45,000-$90,000.

While costs may change as the full mouth reconstruction progresses, you can break down the procedures needed into ballpark figures. Treatment costs may include:

  • Fillings, ranging from $150-$200 per tooth.
  • TMJ treatment, which can range anywhere from $500-$10,000 depending on the options (which can range from Botox injections to surgery).
  • Root canal therapy, which runs between $700-$1800 based on the tooth’s placement.
  • Dental crowns, which run between $900-$1,400 for each tooth.
  • Dental implants, which vary widely from $3,000-$7,000 per tooth, depending on the type and location.
  • Inlays and onlays, costing from $600-$1,200 depending on materials.
  • Porcelain veneers, which range between $600 and $2,500 for each tooth.

As you can see, the procedures needed for your individual case can affect the cost of a full mouth reconstruction by thousands of dollars.

How much does it cost to replace all your teeth? If you replaced all your teeth with dental implants, it would cost anywhere between $50,000-$90,000, depending on the materials used.

Risks of Full Mouth Reconstruction

The risks of a full mouth reconstruction are primarily linked to improper technique, and the most common are:

  • Aches in the teeth, jaw joint, and muscles from improper alignment and placement
  • Sensitivity in the teeth
  • More treatments needed if restorations aren’t adequately cared for at home
  • The potential need for root canal therapy if proper techniques aren’t followed during the reconstruction

The risks highlight why it’s essential to choose an experienced dentist for your full mouth reconstruction — your teeth deserve the best care.

Dental insurance is often a gray area when it comes to full mouth reconstruction. Each insurance provider has different qualifications for what’s considered essential. Talk to your dental insurance company to discuss what costs they may be willing to cover based on your dentist’s assessment.

Typically, dental insurance companies are more likely to cover work that causes functional issues, such as pain, bite problems, or speech disruption.

Before & After Photos of Full Mouth Reconstruction

The before and after photos of full mouth reconstructions speak for themselves.

However, be forewarned that some of the before images can be pretty grisly!

The transformative power of a full mouth reconstruction can completely remake both oral health and the power of your smile.

Schedule a Full Mouth Reconstruction With Rejuvenation Health

If you’ve been needing an oral health overhaul, you’re likely wondering about a full mouth reconstruction dentist near you that’s trustworthy. The expert you choose can determine the success of your entire procedure.

We are the premiere place for full mouth reconstruction for New York residents, with decades of combined experience in every step along the way.

Book a consultation with us today to determine how we can transform your oral health with biologic dentistry. Let’s design your health together.

Sources

  1. Afroz, S., Rathi, S., Rajput, G., & Rahman, S. A. (2013). Dental esthetics and its impact on psycho-social well-being and dental self confidence: a campus based survey of north Indian university students. The Journal of Indian Prosthodontic Society, 13(4), 455-460. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3792334/
  2. Zeighami, S., Siadat, H., & Nikzad, S. (2015). Full mouth reconstruction of a bruxer with severely worn dentition: a clinical report. Case reports in dentistry, 2015. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502311/
  3. Lal, S. J., & Weber, K. K. (2020). Bruxism Management. StatPearls [Internet]. Full text: https://www.ncbi.nlm.nih.gov/books/NBK482466/
  4. Tiwari, B., Ladha, K., Lalit, A., & Naik, B. D. (2014). Occlusal concepts in full mouth rehabilitation: an overview. The Journal of Indian Prosthodontic Society, 14(4), 344-351. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4257939/
  5. Bártová, J., Procházková, J., Krátká, Z., Benetková, K., Venclíková, Z., & Sterzl, I. (2003). Dental amalgam as one of the risk factors in autoimmune diseases. Neuroendocrinology Letters, 24(1/2), 65-67. Abstract: https://pubmed.ncbi.nlm.nih.gov/12743535/
  6. Armfield, J. M., & Milgrom, P. (2011). A clinician guide to patients afraid of dental injections and numbness. SAAD digest, 27, 33-39. Abstract: https://pubmed.ncbi.nlm.nih.gov/21323034/
  7. Beier, U. S., Kapferer, I., Burtscher, D., & Dumfahrt, H. (2012). Clinical performance of porcelain laminate veneers for up to 20 years. International Journal of Prosthodontics, 25(1). Abstract: https://pubmed.ncbi.nlm.nih.gov/22259802/
  8. von Lindern, J. J., Niederhagen, B., Bergé, S., & Appel, T. (2003). Type A botulinum toxin in the treatment of chronic facial pain associated with masticatory hyperactivity. Journal of oral and maxillofacial surgery, 61(7), 774-778. Abstract: https://pubmed.ncbi.nlm.nih.gov/12856249/

Share This Post

Share on facebook
Share on linkedin
Share on twitter
Share on email

Don’t let bone loss hurt your smile.

Schedule your consultation today.