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Patients who have many
missing teeth or severe deterioration of most teeth, may require
a full mouth reconstruction using a combination of restorations,
veneers, crowns, bridges, dental implants or partial dentures.
The oral cavity is a dynamic environment where changes constantly
occur, sometimes quickly but more often slowly over time. Changes
can be due to a traumatic accident, periodontal disease, shifting
teeth, a lifetime of neglect, a destructive habit such as grinding,
or a lifetime of dentistry focusing on one tooth at a time and
leaving the mouth resembling a patchwork quilt.
Case study:
This patient has an ill-fitting, unstable denture combined with
a deep bite and general tooth discolouration which is a major
aesthetic and functional concern. We treated it by improving colour
and tooth arrangement using a combination of porcelain and composite
veneers and new upper and lower partial cosmetic prosthesis.
Full-mouth reconstruction,
by its very nature can be extremely complex. Dental techniques
and technologies have come a long way in the past 30 years and
patients are often surprised by what can be done. Correct diagnosis
and analysis is important to identify and address the causes of
the problems in the treatment plan. Treatment is often a non-surgical,
comprehensive approach to getting the upper and lower jaws in
proper alignment, removing all decay, repairing all chipped, weakened,
and broken teeth, and ultimately, creating a healthy, attractive
smile that will last for many years.
Once this treatment is completed you can expect a mouth that looks
great, feels comfortable, and gives you the confidence to smile.
If you are experiencing bite-related problems, feel that your
teeth or gums have been allowed to deteriorate or feel your mouth
is in poor condition, a full-mouth reconstruction may be the appropriate
solution.
Our patient here chose a non-surgical option for personal reasons.
The patient presented with inadequately fitting upper partial
denture and an incorrectly instituted treatment plan resulting
over a period of time: multiple loss of teeth that resulted in
loss of jaw bone and facial height resulting in an accelerated
ageing appearance. We solved the problem by improving the facial
height (raising the bite), improving the upper smile line using
a combination of porcelain veneers, upper and lower precision
milled, highly aesthetic and firm partial dentures to restore
the following:
- Facial and dental
aesthetics
- Comfort
- Function
Tooth
Replacement Options
This is often a difficult
question, but one about which Dr Nalbandian, in practice of prosthodontics
(specialised area of dentistry related to reconstruction of teeth
and supporting structures)) is experienced in advising. Some of
the general advantages and disadvantages of single to multiple
tooth replacement options are listed below.
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Advantages
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Disadvantages
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| Removable
partial dentures |
- Removable
– good access for cleaning
- Cost effective
- Very minor
tooth reduction required
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- Reduced
comfort
- Possible
clasp display
- Gaps visible
on removal
- Patient
intolerance
- Food traps,
if not properly maintained, can cause dental caries
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| Implant
replacement |
- No tooth
reduction required
- Access for
cleaning similar to natural teeth
- Failure
can mean just loss of the implant ,and attached crown
or bridge can mean further tissue loss
- Minimal
biological intervention compared to bridgework where
adjacent teeth require preparation
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- Requires
minimal surgical intervention, similar to normal tooth
removal
- More expensive,
however compared to bridgework it is cheaper in the
long term both financially and biologically as all bridges
fail at one point affecting one or more of the retaining
teeth, complicating future treatments
- Areas of
large bone loss may require bone augmentation-grafting
to improve ridge anatomy/shape for better tooth emergence,
function and aesthetics
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| Fixed
bridgework |
- Good where
adjacent teeth would benefit from crowns
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- Requires
considerable tooth reduction (irreversible loss of usually
all enamel and supporting teeth) and risk of pulp death
requiring root canal therapy.
- More difficult
access for cleaning (risk of gum infection and tooth
decay)
- Failure
can mean considerable damage to supporting structures
- Similar
cost to implants initially, however high biological
cost
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Advanced Dental Care Center 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.
Am I a candidate for Full Mouth Reconstruction:
If you answer yes to any of the following
statements, you are a candidate for Full Mouth Reconstruction:
- TMJ problem (temporomandibular
joint syndrome)
- headaches or migraines
- tooth loss
- teeth are worn, broken, chipped
or cracked
- pain or soreness around my jaw
joints
- facial, neck, shoulder and/or back
pain
- clicking or grating sounds in jaw
joints
- experience limited jaw movement
or have locking jaw
- unexplained numbness in my fingers
and arms
- unexplained congestion or stuffiness
in my ears
- vertigo
Full mouth rehabilitation 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 you have always
desired.
Full mouth rehabilitation begins with
the gums, the foundation for the teeth and the rest of the mouth. Prosthodontic
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.
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
urable materials that will stand the tests of time.
Our dentists
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, our dentist will ensure that
the end result is the same-a lovely smile and a more confident you.
Techniques for full mouth rehabilitation
Previously, dentures
were the solution to address several lost teeth; however modern technology
and dental advancements offer the option of a full mouth rehab using dental
implants.
Implants offer many advantages over dentures. Following is a comparative
list of the disadvantages of dentures versus the advantages of a full-mouth
rehab procedure with dental implants.
Please
contact us to setup a consulation for a checkup.
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Client
Testimonials
This is a "must visit" if you are going to India
for any medical treatment....
Click here to read more 
Our trip to India
from USA was successful. We are very happy with the dental treatment we
got from Dr. Anshu. "The thing that struck me the most about Dr.
Anshu . Click
here to read more
.
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