Surgical — 7 min read
Full Mouth Reconstruction
When worn, broken, missing and shifted teeth stop being separate problems and become one problem, you are no longer buying procedures. You are buying a plan.
Screened and introduced free, usually within a few hours. Sunny Isles Beach, Florida and the surrounding corridor.
Indications
This is usually the right conversation when
Full mouth reconstruction is not a procedure so much as a sequence — periodontal, endodontic, surgical and prosthetic work staged in the correct order over months. It is the answer when treating one tooth at a time has stopped working.
- Your front teeth are visibly shorter than they were ten years ago
- You have had three or more crowns fail, chip or come loose
- Chewing has migrated to one side because the other side hurts or does not meet
- Old dentistry from different decades has left mismatched colours and heights
- Jaw or temple soreness on waking, with flattened, polished-looking chewing surfaces
- A dentist has told you the bite is collapsed, or that you have lost vertical dimension
Good candidate if
- You want one coordinated plan rather than a decade of separate emergencies
- You are prepared for a staged process measured in months, not weeks
- You will wear a night guard afterwards
- You want the diagnostic phase done properly before committing
No cost, no obligation, no lead list.
The detail
What a reconstruction actually involves
When worn, broken, missing and shifted teeth stop being separate problems and become one problem, you are no longer buying procedures. You are buying a plan.
A reconstruction rebuilds the relationship between your upper and lower jaws, then rebuilds the teeth to fit that new relationship. The order is unforgiving: disease first, position second, shape last. Gum infection is resolved and failing roots are removed before anything permanent is designed, because permanent work built on unstable foundations fails on a schedule.
The diagnostic phase is where the money is either well spent or wasted. Expect a CBCT scan, digital scans of both arches, photographs, a mounted study of how your jaw closes, and a trial smile you wear before anything irreversible happens. A clinician who wants to start drilling at the first visit is quoting a job, not planning a case.
The sequence
What actually happens, in order.
Timings vary between practices and cases. The order does not — and a plan that skips a step is worth asking about.
Records and diagnosis
CBCT, intraoral scans, facial and dental photography, bite records mounted on an articulator. Two to three appointments before any treatment.
Stabilise
Periodontal therapy, extraction of hopeless teeth, root canals or implant placement. This phase makes the mouth healthy enough to build on.
Prototype the bite
Provisional restorations in the proposed new position, worn for weeks or months. You test the height, the speech and the comfort before it is permanent.
Definitive restoration
Once the prototype is proven, it is copied in zirconia, lithium disilicate or layered porcelain, unit by unit.
Protection and review
A night guard, a hygiene interval, and scheduled reviews. Reconstructions fail from neglect far more often than from technique.
Getting the right hands
Who should be doing your full mouth reconstruction.
This is the variable that decides your result, and it is the one you have least ability to assess from the outside.
Not years in dentistry. How many of these they do in a month, and what the difficult ones looked like.
Anyone can photograph a result on delivery day. We want to see it after it has been used.
CBCT, microscope, scanner, printer — whichever this case genuinely requires, on site rather than referred out.
For anything ceramic, the technician is half the result. A dentist who cannot name theirs is outsourcing blind.
Full Mouth Reconstruction FAQ
What people ask us about full mouth reconstruction.
Including the cost question, answered with a real range rather than a request to call.
It spans a wide range because the term covers very different cases — from twelve crowns on healthy roots to a staged implant and prosthetic rebuild of both arches. Locally, the planning and records phase commonly runs into the low four figures, with total treatment ranging from roughly $30,000 to well past $90,000. What matters more than the number is whether the quote is itemised by phase. We ask every clinician in our network to quote that way.
No. All-on-X replaces a full arch of missing or hopeless teeth with a fixed prosthesis on four to six implants. Full mouth reconstruction usually keeps most of your natural teeth and rebuilds around them. Some cases combine both — an All-on-X upper against a reconstructed lower is common.
Almost never. Provisional restorations and temporary bridges are placed at every stage. A properly planned reconstruction has no phase in which you are avoiding the mirror.
A prosthodontist, or a restorative dentist with documented advanced training in occlusion who works with a named surgeon and a named laboratory. Ask to see three finished cases photographed at two years, not on the day of delivery.
Yes, and it is often clinically sensible. The condition is that the whole plan is designed up front, so that phase one does not have to be undone to allow phase three.