Treatments : Full Mouth Rehabilitation


If you can't smile, life can be very dull.

BEFORE                                                 DURING                                                AFTER

        

 

        

 

        

 

        

A full-mouth reconstruction is a challenging treatment modality that corrects imperfections in bite position and enhances the appearance of the smile. The entire dentition is rehabilitated during a full-mouth reconstruction. The restorative dentist needs to thoroughly understand every aspect of the dentition, its relationship to the temporo-mandibular joints, and the functional interactions of the masticatory muscles. Age, illness, or accidents can sometimes lead to extreme tooth loss. When a patient experiences the loss of several teeth, your dentist may recommend a full-mouth rehabilitation to correct the problem.

Full-mouth rehabilitation (or sometimes called reconstruction or rejuvenation) is the individual recreation of each tooth in a mouth. Full-mouth reconstruction is needed when the teeth are worn down, broken or missing, causing problems in both the bite and appearance of the mouth. The Medical Center Dental Group can totally rejuvenate your mouth, creating a healthy, beautiful smile in as few as two visits. This process is so successful that others cannot distinguish the real teeth from the restored teeth.

Who is a Candidate?

If you answer ‘yes’ to one or more of the following statements, you are more likely a candidate for Full Mouth Reconstruction

  • I have TMJ (temporomandibular joint) syndrome
  • I experience frequent headaches or migraines
  • I have unexplained congestion or stuffiness in my ears
  • I have facial, neck, shoulder and/or back pain
  • There are clicking or grating sounds in my jaw joints
  • I experience limited jaw movement or have locking jaw
  • I have unexplained loose teeth
  • My teeth are chipped, cracked or extremely worn dentition
  • I have pain in my teeth that seems to move around
  • My dental restorations frequently crack, chip or break
  • I have pain or soreness around my jaw joints
  • I have unexplained numbness in my fingers and arms
  • I have vertigo

Full mouth rehabilitation is the best option so that you do not have to settle for the natural course of aging your mouth has taken. You can eat without getting pangs of discomfort from hot or cold food, you can start your day without soreness in your jaw, and you can complete tasks without having to fight recurring headaches. It is typically performed on people with severely worn teeth or TMJ problems.

A full-mouth reconstruction approaches the oral cavity truly holistically. Factors such as "vertical dimension," "centric relation," "speech," "muscle tone “and” equilibrated bite" are essential elements of a full-mouth reconstruction. Combining the science of Neuromuscular Dentistry with the artistry of Cosmetic Dentistry, Full Mouth Rehabilitation creates a smile that is functional, comfortable and beautiful. The jaw position is corrected with the use of an orthotic (a virtually invisible appliance that fits over the top of the lower teeth, gently repositioning the jaw) or the application of dental restorations, including porcelain veneers, crowns or onlays. As an added benefit, the restorations are exceptionally attractive and strong, enhancing the smile beautifully.

In order to achieve the desired result one needs to wear the orthotic for several weeks or may be for several months. The Jaw starts dropping naturally.  It eventually takes the most comfortable position much to the relief of patient. It now is the time that the doctor can begin the further process of restoring the bite. He will then make the choice of appropriate and beautiful porcelain dental restorations. The aim is to either raise or lower the bite, as the case may be, to best arrive at the jaw position that is optimally comfortable. With this correction, patients experience decreased or eliminated pain and discomfort, and better overall health. Once a patient sincerely commits to the use of an orthotic, the results so achieved are not easy to reverse.

Complications:

If the patient takes the decision to abandon the treatment and remove the orthotic mid way and/or disallowing the full mouth restoration, it is not going to help his cause at all. The patient is sure to experience discomfort. His muscles are more like to start moving back fast only to stop at their previous position. All his TMJ symptoms will return to the same irritants he experienced when the orthotic were placed.

The first task in formulating a plan is developing a relationship. It is important that your comforts, anxieties, expected goals and budget issues are dealt with at the beginning. Full-mouth reconstruction does not necessarily mean surgery. It can be a non-surgical, comprehensive approach to getting the upper and lower jaws in proper alignment by removing all decay, repairing all chipped, weakened, and broken teeth, placing veneers, crowns and bridges in the patients’ mouth. Ultimately, a healthy, attractive smile is created that will last for years.

Dentures or Implants:

Previously, dentures were the solution to address several lost teeth; however modern technology and dental advancements offer the option of a full mouth rehabilitation using dental implants. Implants offer many advantages over dentures. When a patient has limited funds and cannot afford ideal restoration, complete dentures can restore a smile and good looks. Even with unlimited funds, the remaining teeth may not be restorable and must be removed. This can occur with severe periodontal (gum) disease or extensive tooth decay.

Following is a comparative list of the disadvantages of dentures versus the advantages of a full-mouth rehab procedure that is achieved using dental implants.

Disadvantages of Dentures

  • Cause pain, sore spots, and denture breath
  • Require relining as bone melts away
  • Require adhesives
  • Cause an inability to eat certain foods
  • Compromise integrity of facial structures
  • Accelerate visible aging
  • Unattractive changes in facial appearance
  • Embarrassment when denture moves or falls out

Benefits of Implant-supported Tooth Replacement

  • Increases comfort
  • Restores natural biting and chewing capacity
  • Virtually stops bone loss/deterioration
  • Maintains integrity of facial structure
  • Improves facial appearance, restoring lost lip support and minimizing wrinkles

BASIC PROCEDURE FOLLOWED DURING

FULL MOUTH RECONSTRUCTION

Full Mouth Rehabilitation Treatment

Full mouth rehabilitation requires an advanced treatment procedure that uses state-of-the-art technology. A significant portion of the procedure involves the dentist deciding an appropriate course of action individualized for the patient's particular needs. During this phase sophisticated tools are used to measure mouth formation.

The goal of treatment is to properly align the jaw and rebuild damaged teeth. Jaw position is typically corrected using a plastic orthotic that fits over the top of the teeth. Teeth are restored with veneers, crowns, or onlays. Depending on the patient, a prosthesis may be used. The result is an attractively enhanced smile using durable materials that will stand the tests of time.

Your dentist will help you decide an appropriate treatment plan. This is where the full mouth rehabilitation specialist really shines. Though the specific techniques may vary depending on your needs, your dentist will ensure that the end result is the same-a lovely smile and a more confident you.

Prosthesis

Dental prostheses are prosthetic restorations commonly used in implant dentistry. One of the most familiar types of prosthesis is dentures. Different dental prosthesis options fall into two general groups: removable and non-removable.

Removable prostheses are generally easy to clean and maintain. Although they are typically less expensive than non-removable restorations, they are not as stable and require a longer adjustment time than complete non-removable prostheses.

Non-removable prostheses offer patients a sense of having a permanent tooth replacement.

However, they are also difficult to clean and are more prone to recurrent dental disease. Therefore, patients with non-removable prostheses must maintain a high level of hygienic vigilance when caring for their restorations.

It is up to you and your dentist to decide which path to take when choosing a dental prosthesis. There may be pros and cons for both removable and non-removable prostheses, but the benefits far outweigh any costs. The dental prosthesis provides a complete restoration that will allow you to flash a bright smile everywhere you go.

Partial Dentures

Partial dentures are a form of dental prosthesis that is a viable option for many patients seeking full mouth rehabilitation dentistry. These prostheses can be built faster and less expensively than other forms of dental implants.

Partial dentures may be supported by natural teeth and are removable. They usually consist of replacement teeth attached to plastic bases which are connected by metal framework. However, there are different types of partial dentures as well as alternatives to this dental prosthesis.

Your dentist can advise you on the specifics of this treatment. Don't let stereotypes about dentures deter you! Partial dentures are an effective way to obtain an excellent smile. With modern technology the benefits of partial dentures are clear.

Cosmetic Full Mouth Reconstruction

Cosmetic full mouth reconstruction utilizes current technologies to reshape and rebuild one's teeth, gums and surrounding areas. One or several procedures may be necessary to obtain the effects desired. The end result is an enhanced appearance that allows the patient to enjoy the confidence and attractiveness he or she has always desired.

Cosmetic full mouth reconstruction begins with the gums, the foundation for the teeth and the rest of the mouth. Cosmetic dentists work to customize treatment for each patient's needs. Advances in dental technologies allow doctors to do impressive cosmetic reconstructions and to make them more painless than ever before.

Everyone deserves to feel good about his or herself. If you have endured a lifetime of dissatisfaction with your smile, the time to act is now. Your decision to contact an experienced cosmetic dentist can have long term positive impacts on all aspects of your life. Do not wait any longer to take steps towards a brighter future.

Full Mouth Rehabilitation of Neurotic Patient.

Procedure Description:

Full Mouth Rehabilitation corrects imperfections in bite position and enhances the appearance of the smile. Anyone with short, worn teeth or those that are chipped and broken throughout the mouth would be an excellent candidate. Combining the science of Neuromuscular Dentistry with the artistry of Cosmetic Dentistry, Full Mouth Rehabilitation creates a smile that is functional, comfortable and beautiful.

Neuromuscular Dentistry measures and determines the optimal position of the jaw. Once determined, the jaw position is corrected with the use of an orthotic (a virtually invisible appliance that fits over the top of the lower teeth, gently repositioning the jaw) or the application of dental restorations, including porcelain veneers, crowns or onlays. As an added benefit, the restorations are exceptionally attractive and strong, enhancing the smile beautifully.

How It's Done:

Using advanced technology, the dentist measures the jaw's muscle function in both stressed and relaxed positions by running computerized scans.

If an imbalance is determined, the dentist will decide whether to treat with an orthotic appliance, or to fit the patient with dental restorations. The orthotic is a removable or fixed appliance that artificially builds up the patient's bite to a comfortable resting position. For patients that wish to eliminate the orthotic, full mouth restoration is often required.

After the orthotic has been worn for several weeks to several months, the jaw naturally drops into its most comfortable position. Only then can the doctor begin to restore the bite. He will use beautiful porcelain restorations that can raise or lower the bite to achieve the most comfortable jaw position. With this correction, patients experience decreased or eliminated pain and discomfort, and better overall health.

Keep in mind: To complete this process with the best possible result for your bite, it is best to work with a doctor who can prepare your entire mouth in one appointment. Some highly qualified doctors prefer to work on one arch at a time - uppers, then lowers. If your dentist prefers to work either on one tooth at a time or in quadrants (1/4 of the mouth), it will be extremely difficult to restore your bite to a comfortable position.

Technology:

Many doctors utilize the Tens, a low level electrical impulse machine that exercises the jaw muscles and releases the lactic acid buildup from muscle overuse in the wrong position. Then the Myotronics K7, or a similar bite measurement technology, measures the jaw's muscle function in both stressed and relaxed positions. A sonograph may also be used to listen to your jaw joints. X-rays, called tomographs, measure and reveal the jaw-to-skull ratio and aid in diagnosis.

To help in the aesthetic portion of this procedure, your dentist may also use digital imaging technology to show you what your new smile will look like.

Recovery/Post Op Expectations:

Patients who have their bite repositioned with the use of an orthotic will be under the dentists care for up to 1 year. The orthotic gently and slowly repositions the bite, creating a naturally comfortable position. The patient's progress will be monitored on a regular basis.

Patients who are then fitted with dental restorations can expect recovery to be about the same as any dental procedure. The gums may be tender for a couple days after restorations are placed on the teeth. Over the counter anti-inflammatory medications, such as ibuprofen, can ease any discomfort.

Complications:

Once a patient commits to the use of an orthotic, the results are not easy to reverse. After just a few weeks of constant wear, the bite will shift and the muscles will begin the get used to the new, more comfortable position. If the wearer decides not to complete treatment and follow through with the full mouth restoration, and they remove the orthotic, they will experience discomfort as the muscles move back to their previous position. All of the TMJ symptoms they experienced before the orthotic was placed will return.

Cost:

Full mouth rehabilitation is just that - a recreation of every tooth in the mouth. Only select doctors are truly qualified to complete this treatment, and as such, their fees will be in line with their skills.

In addition to the cost of restorations for each tooth, there will likely be a fee for the computerized muscle and jaw scans and orthotic, ranging from Rs 5000 to 10000. The actual restorations typically range in cost from Rs 3000 to 6000 per tooth, depending on the skills, education and location of the dentist.

Once the work is complete, you wouldn't want it reversed for all the money in the world!

Comments

  • vaghela atululcer in mouth and clean tooth in side and out side. how much fee for the above treatment. plz inform me and appoint me..
  • dr.amol loharNice
  • pranav maniardear sir i want to see wisdom teeth
  • Niiihow can we do bleach/teeth withening? can anyone say the stuf and recept ?
  • dr.adiya soninice
  • RajanHow much it cost for root Canal Treatment
  • shweta morzariaA good portal. Best wishes :)
  • prafull goswamiI want to make zirconia bridge at your clinic, rajkot.
  • Kazi FaridGood
  • sushanta kumar pradhanGood evening Sir/Mam, I have already fitted brackets before 2 yrs in Chennai.But the space between the upper teeth has n't yet filled.Iwant to complete the treatment in your clinic.So please suggest.
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