Medically Reviewed by: Thomas Ok. Hedge, DDS
Full mouth reconstruction, rehabilitation and restoration are phrases typically used interchangeably to explain the method of rebuilding or concurrently restoring all the tooth in each the higher and decrease jaws.
Full mouth reconstruction usually includes basic or restorative dentists (performing procedures like crowns, bridges and veneers), and might incorporate dental specialists like periodontists (specializing within the gums), oral surgeons, orthodontists (specializing in tooth actions and positions) and endodontists (specializing within the tooth pulp).
The necessity for full mouth reconstruction could consequence from:
- Enamel which were misplaced attributable to decay or trauma.
- Enamel which were injured or fractured.
- Enamel which have grow to be severely worn on account of long-term acid erosion (meals, drinks, acid reflux disease) or tooth grinding.
- Ongoing complaints of jaw, muscle and headache ache requiring changes to the chew (occlusion).
How the Course of Begins
In the event you suppose you want reconstruction, see your dentist for a complete examination. Your dentist will study your mouth to find out the extent of the issue and the therapy choices that can be utilized to appropriate it. Specifically, she or he will study the situation of your:
- Enamel: The situation of your tooth will decide what restorative procedures could also be wanted, comparable to porcelain veneers or full-coverage crowns, inlays or onlays, bridges or implants restored with a crown. Specifically, your dentist will make notice of any cavities and decay, tooth put on, cracks, brief/lengthy tooth, root canal points and any tooth motion.
- Periodontal (gum) tissues: In case your gums are usually not wholesome, you’ll almost definitely want scaling and root planing to deal with periodontal illness. It’s possible you’ll require extra intensive therapies from a periodontist to make sure that your newly reconstructed tooth may have a strong basis. Such therapies might contain comfortable tissue or bone grafts to construct up your gums and underlying jaw bone. Your dentist will search for deep pockets, extreme or inadequate gum tissue, periodontal illness and bone density irregularities.
- Temporomandibular joints, jaw muscle groups and occlusion: A steady chew – one during which you aren’t in ache whenever you shut your mouth or chew and one that doesn’t trigger put on or destruction of your tooth – is vital to your total oral well being. Occlusal modifications must be considered when your dentist plans your restorations. In actual fact, you might require orthodontics or another kind of therapy (night time guard or chew reprogramming orthotic) to appropriate occlusion earlier than extra restorative procedures may be carried out.
- Esthetics: The colour, form, measurement and proportion of your tooth, and the way they seem in relation to your gums, lips, mouth, facet profile and face, are additionally vital elements in full mouth reconstruction.
The examination course of requires data of your mouth, comparable to X-rays and images, impressions of your higher and decrease tooth, fashions of your tooth which are made out of the impressions and a mannequin of your chew. Your dentist might also refer you to specialists (periodontist, orthodontist, oral surgeon) for a session as a way to develop a therapy plan that’s finest for you.
As soon as your dentist has obtained all info related to your case, she or he will develop a complete, step-by-step therapy plan to appropriate all the issues in your mouth and full your reconstruction. If you don’t perceive the process being described to you, ask for an in depth written description of the proposed therapy plan so you’ll be able to evaluation it. This may be useful if you wish to get a second opinion. Make sure you perceive the dangers and advantages of the beneficial procedures and coverings.
What Procedures Are Wanted?
Solely your dentist and the staff of specialists working in your full mouth reconstruction can decide what procedures are wanted on your particular case. Different therapies might also be obtainable, so ask your dentist about all potential procedures that may be required on your case and below what circumstances.
Most reconstructions contain a number of phases and workplace visits. It isn’t unreasonable to count on therapy to take 12 months or extra, relying in your scenario. The next procedures could also be concerned, relying in your wants:
- Prophylactic tooth cleansing and periodontal care (roughly $80, on common).
- Crown lengthening to show wholesome, sound tooth construction for potential crowns or bridges (roughly $550, on common).
- Orthognathic surgical procedure to reposition the jaw.
- Contouring of the gum tissue to create stability and concord in your smile.
- Preparation (discount) of your pure tooth construction so crowns, bridges or veneers may be positioned.
- Placement of non permanent restorations so you’ll be able to grow to be accustomed to your new tooth and the texture of your new mouth or chew alignment.
- Placement of everlasting restorations, comparable to crowns, veneers, inlays/onlays or bridges, made out of ceramic, ceramic supported by steel or a mixture of each.
- Orthodontics (braces) as a way to transfer your tooth into the optimum place for reconstruction.
- Implant placement and restoration to switch lacking tooth and/or anchor bridge restorations.
- Bone or comfortable tissue grafting to reinforce the soundness of your tooth, proposed implants and/or different restorations.
Full Mouth Reconstruction vs. Smile Makeover
How does full mouth reconstruction differ from smile makeover? A smile makeover is one thing that you simply elect to have carried out, whereas a full mouth reconstruction is one thing that you simply want.
Because the makers of dental supplies reply to growing client calls for for lovely, natural-looking dentistry, it’s turning into exhausting to attract a line between purely “beauty” (comparable to elective) dentistry and “restorative” (crucial) dentistry. For instance, it’s now potential on your dentist to deal with tooth decay with a tooth-like filling materials that appears pure. In the event you want reconstruction, the supplies obtainable at present make it potential on your dentist to give you sturdy, useful and clinically sound therapies that additionally look pure.
It is usually vital to notice {that a} smile makeover – although carried out primarily to enhance the esthetic look of the smile – requires using clinically confirmed dental supplies and therapy methods, in addition to distinctive data, coaching and ability on the a part of the dentist. Lots of the identical methods and gear used for full mouth reconstruction are additionally used to make sure the success and long-term stability of smile makeover therapies.
Prices and Insurance coverage Protection
Most full mouth reconstruction instances contain all tooth within the mouth, however each case is exclusive and is dependent upon your scientific scenario. The approximate value (at a minimal) could possibly be about $800 to $1,500 per tooth. That determine doesn’t embrace any costs for oral surgical procedure, crown lengthening, periodontal therapies, and so on. It isn’t unreasonable to count on a reconstruction to value roughly $30,000 to $45,000 or extra.
Dental insurance coverage could pay for some prices related to full mouth reconstruction. This can rely in your prognosis and the therapy plan your dentist has developed, in addition to your dental insurance coverage protection. Third-party financing could also be obtainable by your dentist’s workplace to help you in making inexpensive month-to-month funds.
Concerning the Reviewer
Thomas Ok. Hedge, DDS, is an skilled dentist and Director of Scientific Affairs for Smile Supply Signature Dental Care. Dr. Hedge obtained his Bachelor’s diploma from Kenyon Faculty in Gambier, OH and his dentistry diploma from the Ohio State College Faculty of Dentistry. He has participated in additional than 250 hours of continuous schooling per yr over the past decade and is a frequent lecturer and contributor to publications that promote skilled improvement. Dr. Hedge has superior coaching within the areas of anesthesia, pediatrics, emergency medication, geriatrics, TMJ therapy, endodontics, periodontics, orthodontics, oral surgical procedure, prosthetics and implantology.