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Full Mouth Reconstruction

Full Mouth Reconstruction NYC Specialists

Having performed many NYC full mouth reconstructions, our team of multi-specialty dentists at 209 NYC Dental can guide you through the entire process, from your initial evaluation to your desired result.

209 NYC Full Mouth Reconstruction

If you ask any dentist why they chose dentistry as a profession, the answer will be very similar: “Oral health is an integral part of overall health. By doing good dentistry, we help patients to maintain proper oral hygiene, eliminate any dental pathologies that may lead to systemic issues and affect overall health. 3-6 month recall is a good way to bypass any serious dental problems. We are always happy to get another 5-star review from a long-standing patient. After completing another successful 209 NYC full mouth reconstruction, there is a greater sense of accomplishment. A patient with severe dental & possibly systemic problems regains full function, a beautiful smile, and self-confidence.”

Full mouth rehabilitation is the time when all the years of schooling, residency & decades of practice are put to the test. The dentist must create and deliver a proper full mouth reconstruction plan that restores full function to the mouth. To do this successfully many factors have to be considered by the clinicians and patients alike.

What is full mouth reconstruction?

Full mouth rehabilitation, also known as full mouth reconstruction or restorations, is a process of restoring one’s mouth with severely compromised teeth, gums, and missing teeth. The goal of the reconstruction is to return full function to the mouth, i.e., being able to eat well. And of course, dentistry is always about giving patients a beautiful smile. A smile is what everyone notices first. Whether it is a209 NYC delivers full rehabilitation or a smile makeover, our goal is always to finish with a beautiful smile or a “Celebrity Smile,”( if that’s what you want)!   

What are the causes for needing full mouth restorations?

Peter Dawson is a renowned educator in dentistry and author of several renowned books on dental disease wrote: “patients lose their teeth in two ways: either the teeth break down, or the other supporting structures break down.”

Reasons for a full mouth rehabilitation vary:

  • Tooth loss to decay or periodontal disease
  • Fractured teeth due to accidental trauma, like a fall
  • Jaw, muscle pain, tension headache due to malocclusion
  • Teeth becoming severely worn as a result of long-term acid erosion, and systemic disease

If you have experienced any of these, please come in for an extensive complimentary initial evaluation. Dr. Kafko will help you decide if a full mouth restoration is the best course of action.

Are you a good candidate for full mouth rehabilitation?

Various factors will be taken into account when evaluating your needs and the degree of restoration necessary:

  • Condition of patients teeth and gums
  • Patient’s overall health, if there are any underlying medical conditions for dental pathologies
  • Ability to accept physical and psychological changes
  • Possible allergic reactions to the materials used
  • Changes in the bite
  • Financial considerations

How does one choose an NYC Full Mouth Reconstruction dentist?

  • It is important to choose a dentist or dental practice that you can trust with extensive knowledge and experience in implantology, periodontics,  cosmetic and restorative dentistry.  These disciplines must be integrated and coordinated.
  • Always ask to see full mouth reconstruction before and after photos. They are a good guide of what to expect from your treatment.
  • Read full mouth reconstruction reviews from previous NYC patients.
  • Full mouth rehab is an extensive treatment. Having modern technology is a benefit that you will appreciate. As discussed below, having proper diagnostic equipment is crucial for accurate diagnosis.  Yucky old school impressions may be something that is hard to stomach for you. 3D scanners are a modern alternative that eliminates the need for impressions. They are fast, precise &  easy to tolerate.

What kind of full mouth rehabilitation procedure is performed during treatment?

Depending on the issues we are addressing, full mouth rehabilitation can include just about any dental treatment or a combination of several dental procedures. Some of the most common procedures performed in reconstruction process include:

  • Dental implants, implant crowns, and implant bridges to restore missing teeth
  • Dental implants and implant supported dentures, all-on-4 or all-on-8 to restore edentulous mouth
  • Dental crowns, veneers to provide added strength to teeth weakened by decay or fractures
  • Ceramic onlays to restore proper occlusion and teeth bite
  • Gum grafting and bone grafting procedures to augment areas where gum or bone is deficient
  • Dental deep cleaning and osseous surgery treatments for moderate to severe gum disease

What is the difference between full mouth reconstruction and a smile makeover?

Both treatments have significant similarities. They will provide an improvement to the health of your mouth. All dental problems will be eliminated as part of either treatment. Both may require the engagement of multi-specialty dentists. However, the goal of a smile makeover is to gain an aesthetically pleasing smile. Full mouth reconstruction is restorative dentistry that is necessary for dental and overall health.  In other words,  full mouth restoration is needed to prevent unhealthy oral conditions from getting worse, stop chronic pain and return full function to a compromised mouth.

How long does full mouth reconstruction take?

The length of full mouth reconstruction depends on what is necessary for treatment. Some cases can last 12 months or more, while others may take less time. During the initial evaluation 209 NYC dentists will determine total time required to restore teeth based on dental necessities and desires of each patient.

Rest assured that 209 NYC Dental team will do all they can to offer you the most practical treatment to give your full mouth restoration everlasting results!

What are full mouth reconstruction steps?

First and most important is proper diagnosis & treatment plan. Having modern digital radiography at dentist’s disposal becomes imperative to delivering a precise dental diagnosis. A panoramic x-ray will show if there is any infection inside the bone that may require a root canal therapy, or if the bone loss is progressive and the tooth cannot be saved. Free consultation with our periodontist Dr. Jin Wang will reveal if gums are healthy or require periodontal treatment before starting any restorative work. Untreated periodontal disease will jeopardize results of any dental work. After the health of the gums and jawbone is evaluated our restorative and cosmetic dentists create a comprehensive treatment plan to replace all missing teeth, remove all decay, restore teeth, and establish proper teeth bite.

The next step in full mouth reconstruction is the treatment. Our root canal specialist performs the endodontic treatment if diagnosed. Dr. Wang completes periodontal treatment along with all needed oral surgery procedures, extractions, bone grafts, and sinus lifts. In some instances when the jawbone is not compromised immediate dental implants are placed during the extraction visit. However, if it is not the case, healing is required before implant placement. After the dental implants achieve osseointegration (when implant integrates with the bone)  the patient is then treated by a restorative dentist.

Full mouth reconstruction options for missing teeth 

The treatment options vary based on the number of missing teeth needing replacement. Below we will give a quick overview of each option; you can find detail explanation for each procedure on the designated service pages.

Full mouth rehabilitation with implants & implant supported crowns

This option is suitable for patients who have few missing teeth. Without causing unnecessary damage to healthy teeth, dental implants and implant crowns are an excellent restoration option. However, if neighboring teeth have large fillings or extensive decay restoring teeth with a traditional dental bridge may be a valid alternative.

Full mouth rehabilitation  with implants & implant supported bridge

Full mouth reconstruction of multiple missing teeth can be achieved with dental implants and implant bridges. By placing just a few implants, an expert implant specialist, like Dr. Wang, can provide support for a large implant bridge. Also, if a whole span of front teeth are replaced, the patient will have an opportunity to choose the exact shade of the porcelain.  

Full mouth rehabilitation with implants & implant supported dentures

If a patient is edentulous, in the past the only option for a full mouth reconstruction was full removable denture. It is still an inexpensive alternative to restore teeth in the arch. Unlike implant supported dentures, removable dentures have a significant number of drawbacks, like poor retention and need for adhesive, inability to eat well; it promotes progressive bone loss.

Implant supported dentures or all-on-4 present patients with an option of complete rehab with a long-lasting restoration that is a s beautiful, as it is functional. In the last two decades, this technique has been mastered and proven to be conclusively the most cost effective treatment. As we discuss in the Dental Implants, the biggest issue missing teeth cause is a progressive bone loss. Dental implants placed correctly help maintain healthy bone levels. The implant supported denture provides incredible retention, so eating and talking is no longer an issue.  With a well-made implant denture, we will return your youthful smile, as in the before and after photos. To find out more, please read the case study about the patient above.

Full mouth rehabilitation with implant denture case study

A female patient, missing all her upper teeth presented to our office for a consultation looking for a more reliable way to replace her full removable denture. Over ten years ago we had restored her lower teeth with implants and implant supported bridge.

Not only she wanted a beautiful smile; she desired to have HER smile back. She brought a photo of her younger self to show us as an example. In the photo, she looked like a celebrity, and she had a gorgeous “Hollywood smile.”

Under the coordinated care of Dr. Jin Wang, our expert implant specialist, and Dr. Steven Kafko, top-rated prosthodontic-restorative dentist, the patient had four implants placed in her upper jaw. She also received a full removable denture modeled after her photo. This denture was used as a temporary prototype of her permanent implant denture. She had enough time to test the look and feel of the new teeth and when she was sure and satisfied her final implant denture was fabricated. Upon completion of the treatment, she left the office beaming with joy and had an extra denture, in case of an emergency. We stayed in the office gratified by the opportunity to have another super satisfied patient. Below you can see the photos and x-rays described in the treatment.

Full mouth reconstruction before and after photos

Before photo of the patient needing full upper arch reconstruction.

Panoramic x-ray

Panoramic x-ray demonstrates edentulous upper jaw of the patient before full upper jaw reconstruction with existing implant bridge

 

Full mouth reconstruction with all-on-4 implant denture & implant supported bridge - full smile view

After photo of full mouth reconstruction performed by 209 NYC dentists. The patient received all-on-4 implant denture & implant supported bridge. Full view of the reconstructed smile.

Full mouth reconstruction with all-on-4 implant denture & implant supported bridge - side view

Full mouth reconstruction performed by 209 NYC dentists. The patient received all-on-4 implant denture & implant supported bridge. Side view of the reconstructed smile.

Full mouth restoration with porcelain crowns, veneers, and onlays

This dental treatment is suitable for patients who still have all their teeth. However, teeth are severely compromised by dental decay, broken due to trauma, or worn down due to bruxism. In this scenario, if the underlying structures, gum, and jawbone are healthy, evaluation by our root canal specialist will determine if any of the teeth require root canal therapy due to deep decay. If it is necessary, our root canal specialist, Dr. Steven Lipner, performs the procedure. Our experienced cosmetic dentist Dr. Ben Ifraimov continues restorative treatment with ceramic crowns, veneers, and onlays. Utilizing 3D scanner, he takes a digital impression of your mouth, with series of intraoral photographs and a shade of your teeth. These are sent to a top ceramic dental lab, where final restorations are constructed. Meanwhile, a patient receives beautiful temporaries that last till final restorations are delivered. After they are fabricated crowns, veneers, and onlays bonded to the tooth with a special cement, the teeth are checked for a comfortable bite.

209 NYC full mouth reconstruction before and after.

Full mouth reconstruction performed by Dr. Ifraimov. The patient had old crowns and bridges restored due to recurrent decay and poor cosmetics.

Chairside (or composite) veneers and composite fillings are a less expensive option to restore decayed or broken teeth that have not had root canal therapy. It is not recommended to use composite restorations on root canal treated teeth because they have no blood supply and become brittle. Ceramic is a hard material that can withstand strong biting pressure and therefore provides better support to the tooth. Unlike composite material, ceramic does not change the color. It stays the same shade as when it is first cemented in your mouth.

How much does NYC full mouth reconstruction cost without insurance?

Since the full mouth rehabilitation is a customized treatment plan, the cost of teeth reconstruction in NYC will vary. Depending on the length of the treatment plan we may offer a payment plan. Prepayment option is also available. We accept FSA, HSA, Care Credit and all major credit cards.

How much does NYC full mouth reconstruction cost with insurance?

If you have a dental PPO insurance, the fee for each procedure will be determined by your insurance. Part of the treatment, up to your insurance maximum, may be covered since the treatment is medically and dentally necessary and is not considered cosmetic. However, due to small annual maximum, the total cost of NYC full mouth reconstruction might be higher than your dental benefits. If it is medically sound, we may break up the treatment in two years to help you utilize your dental benefits. To find more information about our payment options and to see a complete list of accepted dental insurance please see Patient Information.

If NYC full mouth reconstruction is needed as a result of an accidental trauma, like a car accident or a fall; or a disease, like diabetes or cancer, the mouth reconstruction occasionally may be partially reimbursed by medical insurance, if there are out-of-network benefits. Under this circumstances, our staff biller will reach out to your health insurance carrier for further details.

Regardless whether you have insurance or not book a Free Consultation with our skilled dentists today!

Please remember the diligent home care and routine dental cleanings and checkups are required to maintain the longevity of full mouth restorations.

209 NYC Dental: Cosmetic Dentists