Reconstructing the mouth basically involves with having a balanced bite, occlusion, where there is no sign of disease, and removal of damaged tooth structure and substituting with restorations in which withstands the forces of your bite. Not all reconstructive dentist are a cosmetic dentist. If you do want cosmetic and reconstructive, then in addition to rehabilitation of your mouth, the dentist must consider the color, shape, length and width of teeth relative to your face, skin tone, and white of your eyes to design a smile that the individual is proud of with confidence, in which reflects who they are. Dr Anthony Mobasser is one of those expert dentists with over 30 years in knowledge, who has his attention to details and providing rehabilitation and Aesthetic results for his patients.
Who are candidates to have dental reconstruction?
Top 10 candidates Dental reconstruction, are as follows:
1. People with short teeth, who want their teeth to look longer, show more teeth, to look youthful.
usually, the reason for the short teeth is due to parafunctional habits, such as grinding, or bruxism, wear and tear due to age.
2. Bad Bite – meaning although the patient does not realize any pain at present, the bite is causing interference on
the individual teeth, and slowly causing bone loss and the support, consequently causing , chips and fractures, unsupported enamel ( the stronger outer layer of teeth), loose teeth , space openings , and food impaction between teeth.
3. Missing Teeth – It is important to know that the back teeth support the front teeth, back teeth root form and bone structure
is designed to chew food properly and do not let the front teeth touch upon chewing, ( the front teeth are designed to tear food and aid in phonetics, not chewing! if there is wear on back teeth , the balance of your bite is shifted ,
causing trauma , to the front teeth, causing chipping or cracks on your front teeth, causing unsupported outer layer of front teeth, exposing the second layer which is dentin, in which dentin is not as strong as enamel, and much softer, causing teeth to get shorter or,( PROTRUSION ) OF THE TEETH, or flaring of the front teeth..
4.CROOKED TEETH – many times patients with crowded teeth want their teeth to look straight, to harmonize with their lip line but does not want to go through orthodontics and brackets, ( although orthodontics might be the best solution) , individuals having full mouth reconstruction can get straight teeth, by possibly coordinated effort of an Endodontist.
5. Discolored yellow teeth with a wide smile ( ear to ear) – Patients that show a lot of teeth due to their bone and lip structure, but do not like the color, shape, length, can benefit from full mouth reconstruction, or full mouth dentistry.
6.Bulimic or Anorexia- causing severe loss of enamel ( the strong outer layer of teeth ), due to high acidity , eating away enamel and erosion of the dentition with exposed dentin( the softer layer), making teeth to be damaged!
The damaged teeth structure can be substituted with designed strong porcelain structure to remedy the breakdown.
7. Severe Teeth Decay or advanced cavities- due to holes , cavities and decays on many teeth, causing shift of balance , damaging the vitality and original structure of teeth, causing domino effect to the nerve of teeth, bite, bone causing imbalanced bite, and further breaking down the healthy teeth, due to imbalanced forces of the occlusion (bite).
8. TMJ/TMD/Neuromuscular Disorders- People with jaw pain, muscle pain due to hyperactivity of the muscles of mastication (chewing), can be a candidate to have full mouth reconstruction done.
9. Periodontal Disease – Individuals with gum disease or lack of adequate bone support, can be a candidate to have full mouth reconstruction , by splinting teeth together
( making the loose teeth as one force ) so the roots of the loose teeth can withstand the forces of their occlusion (bite), and the teeth do not get looser, or have spaces between the individual teeth.
10.Age or Trauma- As individual gets older, due to wear and tear or who did not have proper care , or due to unfortunate accidents have lost or traumatized the original teeth , and want to look at their best with healthy teeth structure are certainly candidates.
What Are The Benefits Of Dental Reconstruction:
Top 10 benefits of having dental reconstruction are as follows:
1. You turn back time, you get a Younger looking Smile, more youthful dream smile.
2. Boost confidence, and being proud of your smile , improves one’s image!
3. Knock out “sexy Smile” that matches your face, lip structure and your character
4. Makes you complete.
5. Improving the Jaw joint clicks, and possibly headaches
6. Improving your oral health , by having a balanced bite, improving structure,health and strength of your teeth
7. Improving your systemic health ( overall health of your body ), reducing risk of heart disease, and gastro intestinal problems
8. Improved sleep and rest
9. Improved concentration
10. Improved form and function of the masticatory system , peace of mind.
What qualification should the Reconstructive Dentist have, and what questions I should ask, before performing dental reconstruction?
Since the individual is trying to rehabilitate the full mouth, not all dentist want to do the full mouth dentistry, specially when
reconstructive and cosmetic dentistry needs additional training and most importantly experience, as far as handling the patient needs and comfort.
Best bet is to see if the Dentist is on the top/ best/ reconstructive dentists.
Questions in which can aid you choose the reconstructive dentist:
- How long have you been performing cosmetic and dental reconstruction procedures?
- How many times have you performed reconstructive dentistry procedure? Is that what you do most of the time ? or sometimes?
- What are the pros and cons in my case wanting rehabilitation dentistry procedure?
- What are the risks and benefits in my case?
- Are there any other options I may have?
- How many of your patients had to redo, revise, or correct this procedure again?
- May I review before and after pictures?
- Do I have any choices regarding performing the full mouth reconstruction procedure via IV sedation, oral sedation, or with the help of an anesthesiologist so I do not feel anything?
- Does the reconstructive Dentist has his own master ceramist ? and does he provide custom work on the color and shape of this specific procedure?
- Are my hard tissue and soft tissue ( Bones and gums ) in satisfactory health before I start Full mouth reconstruction , or dental reconstruction? (Periodontal disease can compromise the final outcome of any cosmetic procedure!)
- How many visits and how much time are required to complete the dental reconstruction?
- Are there any further costs besides the costs of the procedure itself
- How do I maintain my reconstructive dentistry investment?
- Are there any compromises as far as my dental health (my roots, my gums, and my bone) that I should be aware of? Do I need clearance from my physician to start full mouth rehabilitation?
What must the Rehabilitation Dentist consider before full mouth reconstruction?
Top 10 Evaluation needed, among many more, before performing Dental Reconstruction are as follows:
1. what was the root cause of breakdown in the individual’s oral health, cosmetics and function ?
2. The full mouth reconstructive dentist needs to check the bone level , height and width ( The Hard Tissue )
3.The full mouth reconstructive dentist need to check gums, and the symmetry on the gums , Are they Healthy or diseased ? ( The Soft Tissue)
4. need to check the bite , and have bite analysis done,
5.The full mouth reconstructive dentist need to check the alignment of individual teeth, are the teeth canted? is one side longer than the other, do they have proper axial inclination.
6.The full mouth reconstructive dentist need to check the muscles, are they hyperactive
7. need to check the tmj ( temporomandibular joint) re health or disease
8. The full mouth reconstructive dentist need to check the color, and size of the teeth , measurements in regards to width, length ratios of individual teeth, and if using dental golden proportions (DA vinci’s principal of golden proportion )
9. The full mouth reconstructive dentist need to check face and lip structure,Reconstructive Dentist Dr Mobasser calls it , Lip line vs the top edge of the upper teeth
10. The full mouth reconstructive dentist need to evaluate for any damaged nerves, or thermal sensitivity to hot/ cold that needs or possibly needing endodontics treatment.
What procedures are used in performing Full mouth Reconstruction ?
Full mouth reconstruction can consists the use of following procedures, but not limited to:
1. Porcelain veneers or Dental veneers, or porcelain laminates, with different strength porcelain materials
2. Porcelain inlays or onlays
3. Porcelain crowns , using Lava, Emax, Zirconia porcelain, Porcelain fused to metal ( gold, semi precious, non precious), all ceramic crowns
Ips empress , Ips e.max, procera, occlusal gold crowns
4. Porcelain bridges again using,Lava, Emax, Zirconia porcelain, Porcelain fused to metal ( gold, semi precious, non precious), all ceramic crowns
Ips empress , Ips e.max, procera, occlusal gold
5. Implant dentistry, titanium implants or zerconia implants
6. Veneer Onlays or veneer overlays
8. Periodontic and possibly Endodontic therapy
9. Custom colors, and shaping, digital photos to match color to your skin tone, white of your eyes, and personality type
10. Dental bonding and possibly dental bleaching prior to commencing Full Mouth Reconstruction
How long does full mouth reconstruction Lasts?
It really depends on two things:
1. How compromised was your case to begin with? and which expert dentist is performing your dental reconstruction?
2. How well do you take care of your teeth ?, and if so do you follow up on your periodontal and cosmetic maintenance visits?
Having said that , I have seen my cases that have been doing great and functioning properly for 28 years , and also have seen cases which needed to be partly redone in 7 to 8 years.Please understand that there is no guarantee on how long the full mouth reconstruction lasts.
Does full mouth reconstruction involves other specialty Dentist?
In most cases , I would say yes.
The reconstructive dentist is usually the captain if you will , and certain damages to your jaws require cooperation of expert specialty dentists,
such as if need be, visit to Periodontist ( gum surgeon ), oral surgeon ( in regards to bone and joints, and need of implants) , Endodontist ( in regards to damaged nerves)
and possibly Orthodontist , re positioning of teeth, possibly due to root proximity ), it is the responsibility of Reconstructive Dentist to determine if
cooperation of any other specialist is needed to give you the best possible results.
How long does it take to have Full mouth Reconstruction done?
Depending on the severity of your mouth, and the diseased structure , can take 3 weeks up to 6 months, in terms of visits to reconstructive dentist
it can take as little as 3 to 4 visits , and possibly more. The need for full mouth comprehensive Evaluation Is a must !! and all questions after full mouth evaluation can be addressed by the Reconstructive Dentist.
In my practice , however those visits are longer visits requiring 4 to 5 hours and breaks for the patient appropriately.
How much does full mouth reconstruction cost?
Depending on the complexity of the case, each full mouth reconstruction can have different cost, Also depending on the experience of
the reconstructive dentist there is wide range of costs in completing the full mouth reconstruction, again depending on the complexity of the case, the time
factor, and the comfort of the patient. It is best to see Dr Anthony Mobasser for a complete full mouth evaluation first, and a one on one consult with him to go over your needs and wants and of course the price.
Dental Reconstruction in Los Angeles, before and after pictures: