Full Mouth Rehabilitation
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 Dr. Mark Civin performing procedures like crowns, bridges, and veneers.
The need for full mouth rehabilitation 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).
If you think you need reconstruction, see your Dr. Civin for a comprehensive examination. Dr. Civin will examine the following areas of your mouth to determine the extent of the problem and the treatment options that can be used to correct it:
The condition of your teeth will determine what restorative procedures may be needed, such as porcelain veneers or full-coverage crowns, inlays or onlays, bridges or implants restored with a crown. In particular, Dr. Civin will make note of any cavities and decay, tooth wear, cracks, short/long teeth, root canal issues, and any tooth movement.
If your gums are not healthy, you will most likely need scaling and root planing to treat periodontal disease. You may require more intensive treatments from a periodontist to ensure that your newly reconstructed teeth will have a solid foundation. Such treatments could involve soft tissue or bone grafts to build up your gums and underlying jaw bone. Dr. Civin will look for deep pockets, excessive or insufficient gum tissue, periodontal disease, and bone density irregularities.
A stable bite – one in which you are not in pain when you close your mouth or chew and one that does not cause wear or destruction of your teeth – is important to your overall oral health. Occlusal changes need to be taken into consideration when your dentist plans your restorations. In fact, you may require orthodontics or some other type of treatment (night guard or bite reprogramming orthotic) to correct occlusion before additional restorative procedures can be performed.
The color, shape, size, and proportion of your teeth, and how they appear in relation to your gums, lips, mouth, side profile and face, are also important factors in full mouth reconstruction.
The examination process requires records of your mouth, such as X-rays and photographs, impressions of your upper and lower teeth, models of your teeth that are made from the impressions and a model of your bite. Dr. Civin may also refer you to specialists (periodontist, orthodontist, oral surgeon) for a consultation in order to develop a treatment plan that is best for you.
Once all the information relevant to your case has been obtained, Dr. Civin will develop a comprehensive, step-by-step treatment plan to correct all of the problems in your mouth and complete your reconstruction.
What Procedures Are Needed?
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:
- Periodontal care
- Crown lengthening to expose healthy, sound tooth structure for possible crowns or bridges
- 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
- Restoration to replace missing teeth and/or anchor bridge restorations
Full Mouth Reconstruction vs. Smile Makeover
How does full mouth reconstruction differ from smile makeover? A smile makeover is something that you elect to have performed, while a full mouth reconstruction is something that you need.