Some patients can experience a widespread destruction of their teeth.  This may be the result of decay, periodontal disease, abnormal wear or be caused by  trauma.

Restoring single teeth usually involves matching to the surrounding color, shape and performance of the neighboring teeth.  Restoring several teeth at a time requires greater attention to the motion of the jaw joint and a more advanced understanding of the engineering factors.  A complete or full mouth rehabilitation, involves reconstruction of the entire dentition.  In such cases, it is not possible or even desirable to try to copy what was originally present.  The dentist must control several variables simultaneously.

Full mouth reconstruction compares to single tooth restoration the way building an entirely new house compares to a renovation.  The reconstruction demands a more comprehensive understanding of design, foundation, materials and infrastructure than that which is required for localized repair work.

STEPS IN A FULL MOUTH REHABILITATION:

1.  Elimination of infections in the gums and/or root canal.  The first step is intended to address the issues of gum disease and abcesses.  This often requires the intervention of a Periodontist and and Endodontist.
2.  Elimination of active decay which removal of caries and the placement of temporary fillings and/or crowns.  Extraction of hopeless teeth.
3.  Resolution of acute disorders in the temporo-mandibular joint.
4.  Placement of titanium dental implants if required.
5.  Restoration of the proper bite position and the correct bite height. Orthodontic treatment as required.
5.  Evaluation of cosmetic objectives and pre-viewing of the new smile.
6.  Consolidation of the foundation by re-enforcing teeth which have had root canal treatment.
7.  Placement of restorations and occlusal refinement to create a "mutually protected occlusion".
8.  Home care instruction in the care and maintenance of the rehabilitation.
9.  Short-term follow-up to ensure correct performance and home-care
10. Long-term follow-up and professional cleaning as required.

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