WHAT IS A FULL MOUTH RECONSTRUCTION?

A full mouth reconstruction is the process of rebuilding or restoring severely damaged, missing, or malfunctioning teeth with a goal of achieving total harmony between the upper and lower jaw. Extensive tooth decay, years of dental wear, or facial trauma can collect a high toll from your smile. In fact, without a knowledgeable dentist in your corner, you may not feel much like smiling at all. Patients who experience extensive tooth loss, decay, or damage may need to create a personalised, comprehensive restoration plan. These extensive restoration plans typically fall under the category of a full mouth reconstruction.

Treatment Options for Full Reconstruction

In general, any dental treatment that affects all teeth in the mouth is called full mouth reconstruction or full mouth rehabilitation. Some treatment options for oral cancer may require the patient to undergo a unique type of full mouth reconstruction that not only involves the replacement of missing teeth, but potentially restoration of missing structures of the oral cavity.

A full dental reconstruction often involves a series of different dental treatments. These include but are not limited to:

  • Dental implants

  • Veneers

  • Crowns and bridges

  • Inlays

  • Onlays

  • Root canal therapy

  • Partial and full dentures 

  • Tooth extractions

  • Soft tissue or bone grafting

These will essentially provide not only a "smile makeover", but improved chewing efficiency for the patient. 

How the Process Begins?

If you think you need reconstruction, see Dr Saleh for a comprehensive examination. He will examine your mouth to determine the extent of the problem and the treatment options that can be used to correct it. In particular, he will examine the condition of your:

  • Teeth: 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 Saleh will make note of any cavities and decay, tooth wear, cracks, short/long teeth, root canal issues and any tooth movement.

  • Periodontal (gum) tissues: if your gums are not healthy, you will most likely need scaling and root planing to treat periodontal disease. You may require more intensive periodontal treatments 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 Saleh will look for deep pockets, excessive or insufficient gum tissue, periodontal disease and bone density irregularities.

  • Temporomandibular joints, jaw muscles and occlusion: 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 Dr Saleh 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.

  • Esthetics: The colour, 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. 

 

Once Dr Saleh has obtained all information relevant to your case, he will develop a comprehensive, step-by-step treatment plan to correct all of the problems in your mouth and complete your reconstruction. If you do not understand the procedure being described to you, ask more questions about the proposed treatment plan so you can understand the risks and benefits of the recommended procedures and treatments.

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