Full Mouth Reconstruction
Full mouth restoration is a complicated procedure that involves a complete rebuilding of all the teeth in the mouth. While a general practice dentist is in many cases capable of performing this procedure there are times when specialists may be called upon. Typically, the full mouth restoration process involves replacing diseased or injury-damaged teeth with crowns, bridges or veneers.
The need for a full mouth restoration could be the result of a traumatic injury or some other unforeseen emergency that causes a large portion of the teeth to be lost or damaged. At other times, the restoration may be needed because of a problem that began as a minor dental concern. If left untreated, tooth decay and gingivitis can spread and flourish to become full-fledged dental nightmares resulting in tooth loss and gum disease. Additionally, long-term damage to the teeth from acidic food and beverages, grinding teeth or from rubbing against other teeth can cause a wearing effect that exposes the dentin and can result in pain, discomfort and pronounced sensitivity. Even more problems, like Temporomandibular Joint disorder – also known as TMJ – can be degenerative in nature and require reconstructive measures.
A dentist can best make the determination whether a patient’s condition may require full mouth restoration. During an initial visit, the dentist will conduct a thorough examination of the mouth to diagnose the problem and determine the extent of damage. The dentist will consider several areas in particular.
The general health of the teeth – or lack thereof – will play a large role in the decision regarding what corrective measures may be appropriate and possible. A variety of options including full crowns, dentures, inlays or onlays, porcelain veneers and bridges or implants topped with a crown are possible depending on the specific circumstances. Existing conditions such as cavities, attrition and erosion of teeth, cracks and exposed or damaged nerves can result in the need for additional procedures to correct the problem before restorative efforts can be made.
Unhealthy gums can necessitate the need for pre-restoration procedures like scaling or root planning to treat gum disease. To ensure the restorative efforts are successful, a periodontist may become involved to ensure there is sufficient gum tissue and bone to anchor the artificial teeth. In some severe cases, this process can involve bone or tissue grafts.
The dentist will also check for improperly aligned bite or jaw occlusion. Sometimes measures like dental braces or retainers may be needed to properly set the jaw prior to restorative care.
A full mouth reconstruction should not be confused with a ‘smile makeover’. The former is a necessary process that is required due to some form of oral trauma whether inflicted by injury or disease. The later is cosmetic in nature and considered elective treatment to improve aesthetic qualities of the face and mouth. Usually, smile makeovers are not covered by insurance whereas most dental insurance plans will cover at least part of a full restoration because the benefits extend beyond physical appearance and can correct disease and severe injury.