Implants, Bridges, and Crowns Working Together For Full Mouth Reconstruction

Implants, Bridges, and Crowns Working Together For Full Mouth Reconstruction

A healthy and functional smile is important for so many reasons! But for some, it may require a full mouth reconstruction. A full mouth reconstruction is the rebuilding, replacement and restoration of all the teeth in a patient’s mouth. This restoration usually includes a variety of treatments and procedures that may include a combination of implants, bridges and crowns.

Full mouth reconstruction, also known as a full mouth rehabilitation, involves a restorative dentist and can also include specialists like a periodontist, oral surgeon, orthodontist, prosthodontist or an endodontist.

Why would someone need a full mouth reconstruction? There are a variety of reasons including a serious accident that causes trauma to the mouth, extensive decay or neglect, or teeth being worn down from bruxism. There are also a few medical conditions like Ectodermal Dysplasia (missing permanent teeth or teeth that grow in peg-shaped or pointed), Ameliogensis (defective tooth enamel) and Dentinogenesis Imperfecta (abnormal dentin formation), that often require extensive tooth restoration. Full mouth reconstruction is a great option to explore if you’re wanting to avoid having to wear dentures.

AM I A CANDIDATE FOR RECONSTRUCTION?

To be a candidate for full mouth reconstruction , it’s important that you can withstand the oral surgery procedures and are healthy enough to receive local and/or general anesthesia. Certain heart or autoimmune diseases may require us to be more careful or conservative in a full mouth reconstruction as well. It’s extremely important you let us know of all the medications you are currently taking. Smoking is also a risk factor and can quickly compromise the results of a full mouth reconstruction.

Another thing to remember with reconstruction is that it is a process, not an overnight change. It will require many appointments, waiting periods, treatments, etc. But the results are incredible! Having a functional and beautiful smile can enhance your life in so many ways. In fact, a 2015 survey by the American Academy of Cosmetic Dentistry found participants said an investment in their smile is more important than weight loss or hair enhancement. Beyond aesthetics, getting your teeth in good shape can decrease your risk for certain diseases and medical conditions.

FULL MOUTH RECONSTRUCTION STEPS

First things first, you will need a thorough examination to asses the condition of your teeth, gums and jaw. We will examine all of your teeth looking for any cavities, cracks or decay. We will also inspect your gums looking for any gum disease or recession. We will also check your bite to make sure it is tracking properly. We will also ask you about any cosmetic goals you may have in mind like whitening or shaping.

X-rays and impressions will be taken and studied by our dental team.

Then all your information will be sent to a dental lab where your prosthetic pieces (crown, bridge, implant, veener, etc.) will be created.

In the meantime, we may need to prepare your mouth for prosthetics. For example, if you will be receiving dental implants we may need to do some bone grafting and secure a dental post beforehand to create a strong foundation for your implant.

Or if you will be receiving a veneer, we will have your do some whitening beforehand because your veneer will not respond to bleaching. For a crown, we may need to trim back some gum tissue to accommodate a crown.

When the prosthetics are finished we will have your come back to the office to place them.

IS A FULL MOUTH RECONSTRUCTION THE SAME THING AS A SMILE MAKEOVER?

No. Smile makeovers are elective and cosmetic — and we love doing them! But a full mouth restoration is more a need than a want; it is done to help the patient achieve functional teeth and gums. Often the patients that come to us needing a full mouth reconstruction have been dealing with tooth and jaw pain and intense tension headaches for long periods of time.

HOW MUCH DOES A FULL MOUTH RECONSTRUCTION COST?

Reconstruction can cost anywhere from $800 to $1,500 peer tooth, plus the expense of anesthesia, office visits, x-rays, etc. If your entire mouth needs to be reconstructed it can run you $30,000 to $45,000 or more.

Costhelper estimates the average price is around $50,933.

There are certain elements of full mouth reconstruction that are more expensive than others. On the high end there is gum repair and orthognathic surgery to reposition the jaw and on the lesser end you can get a veneer for around a $1000 or a crown for $500 to $3000. The unique mix of procedures your smile requires will determine the price.

Typically your insurance company may cover some parts of the process but not others. Speaking with our office’s billing specialist will help you strategize the best way to pay for your reconstruction as well as finding ways to get insurance to cover any procedures if possible. If you will be calling the insurance company yourself, gather all the pertinent information beforehand: the name on the account (if you are using a spouse’s plan), the group number, ID number, co-pay details, etc. Understanding terms like yearly maximum, deductible, exclusion, limitations and waiting period can help you immensely! For example, after you have asked if a procedure is covered, double check by saying, “Are there any exclusions, limitations or waiting period on it?” The American Dental Association has this fabulous glossary available.

Crowns and bridges are some of the procedures that are more likely to be covered because you can argue that they are being done to support a weak or damaged tooth, which is not necessarily cosmetic in nature.

Our office does have financing plans available to allow you to get your reconstruction now and pay for it slowly over the course of several years in the future.

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