MOVERS & SHAKERS
What is a full mouth rehabilitation?
Full mouth reconstruction, rehabilitation or restoration are used interchangeably to describe the process of rebuilding or restoring all of the teeth in the upper and lower jaws.
If you have many broken, decayed worn and/or multiple missing teeth, then full mouth rehabilitation may be required.
Your dentist will remove all of your old dental work and replace them with new dental work designed to create a new bite. This treatment will clean up any tooth decay or infection and improve your oral health.
This will often require most teeth to be restored with a combination of different dental procedures, including crowns, bridges, implants, dentures and fillings.
At Dental Sense we have the experience and expertise to bring together the various dental disciplines required to create full mouth reconstructions that not only look great, but will function correctly, are healthy and will last for many years to come.
Why may I need full mouth rehabilitation?
Patients that have missing teeth, or that have already had a lot of dentistry in the past have a good reason to get their entire mouth reconstructed.
Over the years all of your dental work will have been done at different times, which means that it was not necessarily designed in harmony. This type of tooth-by-tooth dentistry does not allow the dentist to improve your bite position, as they must respect the existing conditions.
What is bite reconstruction?
A bite reconstruction would mean that the dentist assesses your bite in its current state and visualises the original bite and then formulates a plan to get you back to that bite.
At Dental Sense we will assess your case and bite and provide you with several options. We will always try to utilise the least invasive treatment so we preserve as much of your own tooth structure as possible.
Bite rehabilitation is generally done in stages or sections so that your jaw and surrounding muscles can get used to the new bite.
Many people notice that bite reconstruction makes their face appear younger as their soft tissues are better supported by their teeth.
How the process begins
If you think you need rehabilitation you dentist will carry out a thorough examination and determine the extent of the problems and the options available.
The examination process requires records of your mouth, such as X-rays and photographs and models of your teeth.
Once your dentist has obtained all of the relevant information they will develop a comprehensive, step-by-step treatment plan to correct all of the problems in your mouth to complete your reconstruction.
What procedures are needed?
Only your dentist can determine what procedures are needed for your specific case.
Most reconstructions involve multiple visits and take around one year to complete.
The most commonly used procedures are crowns, bridges, dentures, implants, root canal therapy, hygiene treatments and fillings.
What is the procedure?
Firstly the dentist will identify the colour of your teeth and select the correct material.
The procedure often starts with the removal of some surface enamel, gently micro-preparing the surface of your tooth. This is followed by application of the bonding liquid to the tooth. Then the composite is sculpted onto your teeth to create the perfect shape, and setting it using a high-intensity blue light. Once the material is set, we will carry out any further shaping and polishing, so it matches the sheen of your other teeth.
The treatment time is dependent on the number of teeth required
Can I whiten my teeth before composite bonding?
As most composite bonding is done on front teeth we may also give you the option of tooth whitening prior to treatment to allow a better colour match for your teeth. In some cases it allows you to have that brighter smile!
Once you are happy with the colour of your teeth and ready to go proceed with the treatment we will arrange an appointment for you and get started on creating your ideal smile.
See more examples by our dentist dr Ronit Patel
What is a veneer?
A veneer is a thin shell of material that covers the front visible part of your tooth.
This can change how the colour, shape, length and size of your teeth appear.
What are the types of veneer?
Dental veneers can be made from either porcelain or composite, and can be used for a single tooth to a complete smile makeover.
How long do veneers last?
A composite veneer will probably look good for about 5-7 years. During this time it may need touching up or re-polishing. Porcelain veneers tend to last longer and retain their appearance a little better.
Why might I need veneers?
There are no signs and symptoms that lead to needing dental veneers. They are a cosmetic procedure to improve the appearance of your teeth. If you are unhappy with your smile you may want to investigate cosmetic dental options which will include veneers.
What problems can be corrected by veneers?
Mildly discoloured teeth
Discolouration can come from decay, exposed roots, old fillings, or teeth that haven’t formed properly. Whitening is a sensible idea as it will help to improve the appearance, but also will reduce the amount thickness of veneer, which helps to preserve natural tooth during preparation.
Ageing teeth change in colour as the amount of dentine (the hard material beneath the enamel) thickens, causing yellowing of your teeth. Added to everyday staining from food and drink, you may see a noticeable darkening of your teeth over the years. Small cracks, chips and general wear and tear can add to a deterioration in the appearance of your teeth.
Chipped or fractured teeth
Porcelain veneers can be used to cover the whole front surface of a damaged tooth and where a section of the tooth has been lost due to trauma.
This is the term for a space between your upper central incisors. Veneers can help rid the appearance of this gap if you do not want orthodontic treatment.
Sometimes you may have a tooth that has not formed properly and veneers can help to mask the size of a tooth to make it proportional to the other teeth.
Crowded or uneven teeth
Veneers can change a whole smile without the need for braces. This is comparatively quick to do compared to orthodontic treatment, but there are limitations on what veneers can do and you need to be aware of the long term management.
What are the disadvantages?
For veneers, the tooth needs to be prepared. In some cases this is not an issue as there may already be pre-existing fillings in a tooth. If the tooth has no fillings or damage and is being done for purely cosmetic reasons, the tooth has to be prepared and there may be longer-term consequences.
Because removal of tooth structure is a permanent thing, it is best to consider the least destructive options first.
They cannot be used for very crooked teeth as there is not enough space to hold the veneer without a lot of preparation.
What are the alternatives to a veneer?
The main alternatives to porcelain veneers are:
The first and least invasive cosmetic option for improving your smile is tooth whitening. This may give you that boost in confidence that you are looking for without the need for further treatment.