A full-mouth reconstruction is a challenging treatment modality. 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. A full-mouth reconstruction approaches the oral cavity truly holistically. It leads to a complete rehabilitation of the mouth. Factors such as "vertical dimension," "centric relation," "speech," "muscle tone," and "equilibrated bite" are essential elements of a full-mouth reconstruction.
What are the most common reasons for a full-mouth reconstruction?
Patients requiring extensive restorative care frequently exhibit significant loss of tooth structure. Specific clinical findings in an extremely worn dentition may vary widely and are often confusing. Severe wear can result from a mechanical cause, a chemical cause, or a combination of causes. The location of the wear, the accompanying symptoms and signs, and information gained from the patient interview are essential components in determining the etiology. If excessive teeth wear is accompanied by TMJ symptoms and/or is compromising mastication, digestion, speech or sleep because of pain, it will justify a medical necessity and the medical insurance could cover some of the costs of rehabilitation.
Excessive wear is often caused by hyperactive masticatory muscles and results in unacceptable damage of the occluding surfaces of the teeth. This in turn may cause a deterioration of structure of the front teeth, which are necessary for specific protective guidance functions, phonetics, and aesthetics.
Patients most at risk of dental erosion have work and sports dehydration, caffeine addiction, gastro-oesophageal reflux, asthma, diabetes mellitus, hypertension or other systemic diseases or syndromes that predispose to xerostomia (dry mouth). Saliva protects the teeth from the extrinsic and intrinsic acids which cause dental erosion. Erosion, exacerbated by attrition and abrasion, is the main cause of tooth wear.
Anorexia and Bulimia
Intrinsic and extrinsic acids are the main etiologic reason for dental erosion. In combination of mechanical abrasion and tooth wear, the processes of erosion lead to substantial loss of tooth structure. In cases of severe eating disorders, like anorexia and bulimia, the whole supragingival tooth structure may be worn off over the years. These patients will need extensive reconstructive dental therapy to regain function and esthetics's of their dentition.
If you have Traditional Medical Insurance or PPO that allows
"out of network services"