Full Mouth Reconstructions

What is it?

A full mouth reconstruction (FMR) is a comprehensive, multi-disciplinary treatment plan that rebuilds or restores every tooth in the mouth using a combination of implants, crowns, bridges, veneers, gum treatment, and orthodontics as required.

Why do you need it?

Severe dental disease, trauma, acid erosion, or years of neglect can leave patients with multiple missing or structurally compromised teeth, painful biting, and altered facial height. FMR restores function, eliminates pain, and rebuilds facial structure systematically.

Who is it for?

Patients who have lost multiple teeth, have severe decay in most teeth, experience significant bite collapse, suffer from severe acid erosion, or have experienced dental trauma affecting the entire mouth.

Treatment Procedure

1. 1Comprehensive records: full-mouth X-rays, CBCT, study models, photographs, and occlusal analysis.
2. 2Diagnosis and sequenced treatment plan discussed at length with the patient.
3. 3Phase 1 - Disease control: extraction of hopeless teeth, gum therapy, caries removal.
4. 4Phase 2 - Functional restoration: implants, bone grafting, temporary crowns to restore vertical dimension.
5. 5Phase 3 - Definitive restorations: permanent crowns, bridges, or implant-supported prostheses fitted once bone and soft tissue are stable.
6. 6Phase 4 - Aesthetics: veneers or final adjustments for appearance.
7. 7Maintenance programme established.

Aftercare

• Follow phase-specific aftercare instructions throughout the treatment.
• Wear a night guard post-reconstruction to protect all restorations.
• Soft diet for several weeks after surgical phases.
• Meticulous oral hygiene: electric toothbrush, interdental brushes, water flosser.
• Three-monthly hygiene appointments for the first year.

Diagnosis

CBCT imaging, full-mouth periodontal charting, occlusal analysis, and often laboratory-mounted study models are used to understand the complexity and sequence of treatment required.

Prognosis

Full mouth reconstructions performed by experienced clinicians have excellent long-term outcomes. Individual restorations last 10-25 years. The key to longevity is strict maintenance, non-smoking, and wearing a night guard.