Dentists and technicians both face significant challenges when performing a full mouth reconstruction. Full mouth reconstruction aims to reestablish functional harmony, pulpal health, and esthetics and protect the dentition from further damage in patients with excessive wear.
Reconstructing a person’s mouth can improve his or her self-esteem and health in general. The success of these types of cases depends on proper planning and support.
REQUEST THE BURBANK DENTAL LAB FEE SCHEDULE
REQUEST FEE SCHEDULE HERE
REQUEST FEE SCHEDULE
Prescribing a Full Mouth Rehabilitation
The most common reason for prescribing full mouth rehabilitation is tooth wear. In most cases, people choose this treatment plan to regain a more youthful and functional dentition. Uncovering the possible etiological factors is extremely important to determine the cause of the wear.
Some of these may be:
Understanding the Patient’s Vertical Dimension of Occlusion (VDO)
It’s important to take into account muscle issues, periodontal disease, and the temporomandibular joint when considering full-mouth rehabilitation. To achieve improved oral health, all of these factors must work together. The path to restoration can be started after a proper evaluation has been conducted.
Once a patient’s VDO is identified, the appropriate approach to restoring the case is determined. Patients who exhibit excessive wear usually can be placed in one of the following categories:
In addition to assessing the patient’s dental health, an evaluation of the vertical dimension of the occlusion, the available space, and the position of the condyles can be used to determine restorative options.
The Treatment Plan
Collaboration with Burbank Dental Lab can begin after the diagnosis is made. Involving the dental lab early on is essential to ensure a successful outcome. A functional diagnostic wax-up and mounted preliminary models will help solidify the proposed treatment plan. During this stage, the proposed treatment should be communicated to the lab to prepare a wax-up.
FREE TO DOWNLOAD – SUCCESS GUIDES
DOWNLOAD A GUIDE
The Diagnostic Wax-Up
The diagnostic wax-up allows the lab to work up the case according to the clinician’s specifications. This will be the roadmap to the final restorations, as the patient will be able to try out the restorations prior to the final restoration being fabricated. During this phase, the patient can approve the proposed case or request changes.
To properly fabricate the restorations, it is best to follow these steps:
Along with the above information, digital photos are also necessary. Burbank Dental Lab recommends sending along the following photos:
Along with this information, either a digital impression or a traditional impression will be provided for the wax-up process.
When the wax-up is completed, the following will be provided:
The Staging Strategy
The staging strategy of a full-mouth case is dependent on the VDO situation of the case. How the preparation and bite records are taken is an important step in creating proper function.
This step is dependent on whether:
Download our Cosmetic Success Guide for greater detail on how to handle each of the specific VDO strategies.
FREE TO DOWNLOAD – SUCCESS GUIDES
DOWNLOAD A GUIDE
The Provisionals
Provisionals are provided to the patient so the proposed new treatment can be worn and evaluated. To ensure patient satisfaction, it is essential to gather feedback from the patient regarding their experience with the temporaries. After the patient has approved the proposed case, provide the following:
The Final Restoration
After the provisionals have been approved, the case is ready for the final restoration. The restorations are fabricated using the material best suited for the specific case.
All of the preplanning information is used in the final case. It is highly recommended that a bisque try-in (see the above image) is done before the final glaze. This will allow the opportunity to make any adjustments to the case, and then the final glaze can be completed.
A full-mouth case can be a life-changing experience for a patient.
These cases are challenging; however, if the proper steps are followed and a plan is developed, these cases can be completed with exceptional results.
Do you have a patient that might benefit from a full mouth rehabilitation?
Call or chat with a Burbank Dental Lab team member for help on your next case.
Previous Post: 
