If you can't smile, life can
be very dull. 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.
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
Dr Mona Kakar guided through this Extreme Case, as shown
in the pictures below:
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Statutory Warning: The information is intended
to help you better understand dental conditions and procedures and should
not be construed as specific medical advice or recommendation. The general
information provided here is not a substitute for a consultation with the
dentists. Only personal discussion of your individual needs with a professionally
qualified doctor / dentist will determine the best method of treatment suitable
for you.
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