Complete Oral Rehabilitation or Full Mouth Reconstruction
Full mouth reconstructions (FMR) are needed in patients who have one or multiple problems affecting all the teeth for e.g.; decay, worn out flat teeth, reduced chewing efficiency, generalized sensitivity in all the teeth. It is the process of rebuilding or simultaneously restoring all of the teeth in both upper and lower jaws.
The comprehensive scope of the procedure requires a large amount of planning, and the dedication and unique qualifications of the Prosthodontics team means that each stage of your treatment will be carefully planned to achieve flawless results to restore your oral function. Various records of your jaw movement will be taken with accuracy and precision using sophisticated instruments and apparatus to lay the foundation for truly customized treatment just for you.
Full Mouth Reconstruction typically involves Prosthodontists (performing procedures like crowns, bridges and veneers), and can incorporate dental specialists like endodontists (specializing in the root canal treatments-RCT), periodontists (specializing in the gums), oral surgeons and sometimes orthodontists (specializing in tooth movements and positions).
When does one need full mouth rehabilitation?
The need for full mouth reconstruction may result from:
- Multiple teeth that have been lost due to decay or trauma.
- Multiple 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).
How is full mouth reconstruction done?
If you think you need reconstruction, see your dentist for a comprehensive examination who will determine the extent of the problem and the treatment options that can be used to correct it:
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, your dentist 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. Your dentist will look for deep pockets, excessive or insufficient gum tissue, periodontal disease and bone density irregularities. You may require more intensive treatments soft tissue or bone grafts to build up your gums from a periodontist to ensure that your newly reconstructed teeth will have a solid foundation.
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. In fact, you may require orthodontics or some other type of treatment (night guard or bite reprogramming splint) to detect any discrepancy in bite or correct it before additional restorative procedures can be performed. Changes in bite are needed to be taken into consideration when new teeth are planned for you.
Esthetics: The color, shape, size and proportion of your existing teeth, and how they appear in relation to your gums, lips, mouth, side profile and face and what are the final results you want 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 your dentist has obtained all information relevant to your case, he or she will develop a comprehensive, step-by-step treatment plan to correct all of the problems in your mouth and complete your reconstruction.
What are the requirements?
Your dentist and the team of specialists working on your Full Mouth Reconstruction can determine what procedures are needed for your specific case and various steps in the treatment. Most reconstructions involve multiple phases and multiple visits. The treatment may take anywhere from 4 months to 8 months or more, depending on your situation. The following procedures may be involved, depending on your needs:
- Prophylactic teeth cleaning and periodontal care.
- Splint to be worn on teeth to restore and check the correct Position of new teeth.
- 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.
- Orthodontics (braces) in order to move your teeth into the optimal position for reconstruction.
- Orthognathic surgery to reposition the jaw.
- Implant placement and restoration to replace missing teeth and/or anchor bridge restorations.
- Bone or soft tissue grafting to enhance the stability of your teeth, proposed implants and/or other restorations.
The whole team will work together to make your dreams of having teeth that look and feel just like your own come true first showing it in the form of temporary teeth then delivering the final restorations.
Full Mouth Reconstruction vs Smile Makeover
A smile makeover is something that you elect/choose to have performed, while a full mouth reconstruction is something that you need.
As the makers of dental materials respond to increasing consumer demands for beautiful, natural-looking dentistry, it is becoming hard to draw a line between purely "cosmetic" (such as elective) dentistry and "restorative" (necessary) dentistry. For example, it is now possible for your dentist to treat tooth decay with a tooth-like filling material that looks natural. If you need reconstruction, the materials available today make it possible for your dentist to provide you with durable, functional and clinically sound treatments that also look natural.
It is also important to note that a smile makeover – though performed primarily to improve the esthetic appearance of the smile – requires the use of clinically proven dental materials and treatment techniques, as well as exceptional knowledge, training and skill of cosmetologist. Many of the same techniques and equipment used for FMR are also used to ensure the success and long-term stability of smile makeover treatments.
Cost of Full Mouth Reconstruction varies according to cases which usually involves all teeth in the mouth, but every case is unique and depends on your clinical situation. Dental insurance may pay for some costs associated with Full Mouth Reconstruction . This will depend on your diagnosis and the treatment plan your dentist has developed, as well as your dental insurance coverage.
Precautions After Full Mouth Reconstruction Procedure
It is advised to you to avoid eating or drinking anything for at least 30 minutes. It is also advised not to take hard food for 24 hours, you should take soft food like Dal rice or Porridge etc. You are also advised to follow the instructions of the dentist as suggested. You might feel sensitivity in some teeth after few days after the procedure. You can ask your dentist for the anti-sensitivity toothpaste to decrease the sensitivity and how to use it.
What you should expect after Full Mouth Reconstruction procedure
Full Mouth Reconstruction procedure involves at-home oral care and regular dental visits. In order to keep your newly restored teeth clean and plaque-free, brushing, flossing and interdental brushes are must. After treatment, your prosthodontist will collaborate with you to develop the best care plan for you. Periodic follow-up visits will be scheduled to monitor your restored teeth and gums to make sure they are healthy.