Full Mouth Reconstruction

Full Mouth Reconstruction (FMR) can address a variety of dental issues. Tooth loss from trauma or decay, misaligned bites (underbite, overbite, crossbite), TMJ disorders, or damaged teeth from injury can all affect your oral health and daily comfort. FMR may offer a comprehensive solution.

Benefits of Full Mouth Reconstruction:

• Dental rehabilitation
  Strengthens the jawbone and gums, reduces headaches, and allows you to eat and drink freely.
• Improved oral function
  Enhances chewing, biting, speaking, and the overall appearance of your smile.
• Better overall health
  Restores oral health, reducing the risk of systemic issues like type-II diabetes.
• Easier hygiene & disease prevention
  Repairs cracked or misaligned teeth, making brushing easier and lowering the risk of decay or infection.
• Boosted self-esteem
  If stained, missing, or crooked teeth make you self-conscious, Full Mouth Reconstruction can restore your smile, giving you aligned, bright teeth and renewed confidence.

A Full Mouth Reconstruction (FMR) may involve major procedures, so several factors are considered before treatment, including oral health, medical and dental history, age, treatment goals, and current oral issues.

• People with worn teeth
  Worn teeth from age or poor oral hygiene can be restored with veneers or Lumineers in a few appointments.
• Cracked or chipped teeth
  Minor cracks or chips may require a crown, bridge, or dental implant.
• Stained teeth or plaque
  Teeth can darken due to age, food, drinks, smoking, or medications. Professional whitening plans can address staining even with good home care.
• Attend regular cleaning sessions
Visit your dentist every 3–4 months for cleaning and exams. Regular checkups maintain your work and help spot potential issues early.
• Congenital conditions or disease
Illnesses, congenital conditions, or oral cancers that cause tooth decay may require extensive FMR as a medical necessity.
• Temporomandibular Joint (TMJ) disorder
  TMJ affects the jaw, teeth, and muscles, causing pain, headaches, and tenderness. FMR can help correct the bite and reduce symptoms.
• Missing teeth
  Trauma or injury may require dentures, partials, implants, or other restorations to fully restore the smile.

Preparation starts with a consultation with an experienced dentist. They will examine your bite, gums, jaws, and teeth, often using X-rays. You will discuss your expectations and how you want your smile to look after treatment. Based on this assessment, the dentist will draft a personalized treatment plan. Step-by-step procedures can be explained in writing if needed.

If you have periodontal disease or bone issues, these are treated first to ensure a strong foundation for your new teeth.

Full Mouth Reconstruction is not a one-size-fits-all procedure. Each plan is individualized to meet your unique needs and achieve an attractive, pain-free smile. Addressing your concerns beforehand helps ensure a smooth procedure and the best possible results.

FMR consists of multiple procedures tailored to your oral health and goals. Your treatment plan may include:

• Deep cleaning
• Bone grafting
• Placement of dental crowns, veneers, fillings, dental inlays and onlays, bridges, dentures, and implants
• Dental Extractions
• Root canal therapy
• Gum tissue contouring
• Treatment of the temporomandibular joint disorder
• Crown lengthening
• Corrective jaw surgery

Patients with oral cancer may require specialized reconstruction to restore oral structures in addition to missing teeth.

Implants may require months to heal, while dentures take only a few weeks. Completion time depends on your treatment goals and underlying oral health.

A careful reconstruction should not be rushed. At My Dentist San Francisco, our experienced dentists take the time to understand your goals, explain treatment options, and provide premium care in a comfortable, supportive environment.

Full Mouth Reconstruction (FMR) can be challenging, but following your dentist’s guidelines helps you enjoy your new smile.

• Get Rest
  Avoid strenuous activities for at least 24 hours. Resting helps your body heal and supports long-lasting results. Follow your dentist’s care instructions during the first few days.
• Use an Ice Pack
  Some procedures cause swelling or soreness that may last a week or more. Apply an ice pack several times a day for 4–5 days. Contact your dentist if swelling persists.
• Brush Gently
  Avoid vigorous brushing or flossing near the surgical site. The area will be sensitive immediately after the procedure.
• Avoid Mouthwash
  Do not use mouthwash right after surgery, as chemicals may irritate treated areas. Your dentist will advise when it is safe to resume.
• Attend Follow-Up Visits
  Regular follow-ups help monitor healing, maintain results, and detect any potential issues early.

What is a Dental Bridges?

A dental bridge restores a missing tooth by bridging the gap between two healthy teeth. The adjacent teeth serve as anchors, unless the bridge is implant-supported.

Types of Bridges:

• Traditional Fixed Bridge: Supported by crowns on both sides, made of porcelain fused to metal or ceramics.
• Cantilever Bridge: Supported by a single tooth; used when only one adjacent tooth is available.
• Maryland Bonded Bridge: Uses metal or porcelain framework bonded to neighboring teeth; less invasive and more affordable.
• Implant-Supported Bridge: Anchored on implants, ideal for larger gaps; very strong and durable.

What Are Dental Crowns?


Crowns are tooth-shaped caps placed over damaged or decayed teeth to restore function and appearance.

Types of Crowns:

• Gold Crowns: Durable, used on back teeth; not aesthetic for front teeth.
• All-Porcelain Crowns: Natural-looking, biocompatible, ideal for front teeth.
• Porcelain Fused-to-Metal (PFM): Strong and aesthetic; metal may show at the gum line.
• Zirconia Crowns: Strong and natural-looking, biocompatible, increasingly popular.
• Lithium Disilicate (E-Max) Crowns: Thin, light, highly aesthetic, suitable for front and back teeth; premium cost.

FMR restores function and appearance of a few or all teeth. Every plan is unique, depending on oral health, goals, and procedures involved.

Key Considerations Before FMR:

1. Define the Cause

• Functional issues like chewing, biting, or speaking problems
• Bite problems such as overbite or underbite
• Jaw changes due to missing teeth
• Cosmetic concerns: crooked, stained, or missing teeth
• Denture issues or failing restorations
• Periodontal disease or TMJ

2. Determine Need vs. Desire

FMR is time-consuming, costly, and partly irreversible. Sometimes, veneers, crowns, or whitening can achieve goals with less cost and recovery.

3. Check Oral Health

• Crooked teeth alone may not require FMR
• Healthy teeth may only need partial cosmetic work
• Adequate bone volume is essential for implants
• Smoking or recent cancer treatment can affect eligibility

4. Budget

FMR can cost $30,000–$90,000 depending on the treatment plan. The cost is fully dependent on what you need and can be discussed in detail after your consult appointment. There are ways to work with your budget and our treatment plan coordinator is an expert on this topic.

Teeth straightening aligns crooked or mispositioned teeth using gentle, gradual pressure. It improves dental health, enhances your smile, and helps correct bite issues such as underbite, overbite, or crossbite.

Misaligned teeth can make eating, chewing, and speaking difficult. They may also affect breathing and increase the risk of tooth decay or gum recession.

• With Braces
  The most traditional method is braces. They are placed on the teeth and apply gradual pressure to guide them into proper alignment. Common types include metal braces, Damon braces, lingual braces, and ceramic braces.
• Without Braces
  Modern orthodontic treatments can straighten teeth without braces. Two common options are invisible aligners and retainers.

  Invisible aligners are custom-made, clear trays worn over the teeth, similar to a mouth guard. They are popular with teens and adults because they are nearly invisible and removable. Unlike braces, they allow you to eat and drink normally after removing them, but they require consistent cleaning. Invisible aligners work by applying gentle pressure to gradually move teeth into position. A widely known option is Invisalign®.

How to choose the right teeth straightening method

Here is a comparison of common options:

Metal braces
Pros:

• Permanently attached, ideal for children or less disciplined patients
• Can treat severe alignment issues
• Customizable with color bands
• Often faster for complex cases
• No need to remove for eating or drinking

Cons:

• Require careful oral hygiene
• Easily visible
• Food can get trapped in wires and brackets
• Some dietary restrictions apply

Invisible aligners
Pros:

• Nearly invisible
• Comfortable and removable
• Do not interfere with meals or oral hygiene

Cons:

• Cannot treat severe cases
• Can be lost or misplaced
• Must be worn ~22 hours daily for best results
• Must be removed to eat or drink

Digital tools like CAD (Computer-Aided Design) and CAM (Computer-Aided Manufacturing) have expanded dentistry from diagnostics to treatment. While traditional and digital methods are both used, a fully digital FMR workflow can be costly and complex.

Key Applications:

• Prosthetic Teeth Construction: Resin printing, ceramic milling, and digital light processing ensure precise, natural-looking prosthetics.
• Virtual Placement Planning: Guides the positioning of titanium screws for all-on-four implants, improving accuracy and effectiveness.
• Digital Surgical Guides: Enhance precision during implant surgery.
• Digital Dentures: Reduce patient visits and simplify the process.
• Invisible Aligners: 3-D digital planning helps create customized, clear orthodontic trays.
• Patient Visualization: Allows patients to preview final results, ensuring predictable and refined outcomes.

Digital technology improves accuracy, reduces errors, and helps patients achieve aesthetically and functionally superior results.

Damaged or decayed teeth can make keeping the mouth clean difficult, which increases the risk of infections.

Crooked or overlapping teeth can trap food, cause plaque buildup, and make it hard to clean areas that a toothbrush or floss can’t reach. This can lead to gum disease and other oral infections.

Full Mouth Reconstruction can help manage gum disease and support overall health. Studies show that gum disease is linked to serious conditions such as diabetes, pneumonia, and heart disease. In fact, people with gum disease are about three times more likely to experience heart-related problems.