Full-Mouth Rehabilitation in Nashville, TN
Transformative restorations of health, function, and beauty
- Wind back the clock and erase years of loss of tooth structure caused by wear or trauma
- Replace broken, infected, or missing teeth
- Create a healthy and comfortable bite and the smile you deserve
A big focus of our practice is on what we call full-mouth rehab. You may have heard of full mouth rehabilitation, full mouth reconstruction, full mouth makeover. They are all more or less talking about the same thing. Taking someone either through trauma, neglect, tooth wear, or breakage over time, and they’ve found a place where they can no longer just have a tooth or two fixed at a time. Or they’re wanting to completely transform the way things look. But we can’t just change the way the smile looks without improving or recreating the way the back teeth function to allow the front teeth to look differently without breaking or being in a compromised situation. A lot of times, over the years, people go to the dentist. They have one problem, they get one tooth worked on. You play that same story over a couple of decades, and you end up in a place where your bite doesn’t line up, you may have muscle or joint problems now, you’ve got different materials in your mouth that look different, or the colors aren’t the same or your teeth start to wear, they’re breaking, or they’re getting shorter, they’re getting thinner, they’re getting crowded. There’s a lot of different reasons someone can find themselves in a position where they would benefit from recreating beauty aesthetic and proper function. So something that we’re very focused on is we don’t just want to treat the symptom of why your muscles hurt or why your jaw is tired. We don’t just want to treat the symptom of changing the way your front teeth look because they are worn or broken, or chipped. We want to fix causes. We want to take an answer to why is this functionally happening. Why do your teeth look like this? How can we stop this from continuing to happen? A lot of times, that means we have to build up height in the back teeth to change the way that front teeth look. Or we have to use implants or bridges to replace teeth that are missing. But regardless of what your individual needs are, there is a way to completely recreate the look of a beautiful, perfect smile with a bite that doesn’t have joint or muscle pain anymore. There is a better way to receive dental care than what you have been in the past.
Actual Patients Results
Issue: He was concerned about the extreme amount of tooth wear he had noticed over time. Significant enamel loss had created teeth that were shorter than they should be, rough on the edges, and sensitive to foods and temperatures. The broken down shape of the back teeth had also created an inability for him to find a comfortable and repeatable bite position, which accelerated the wear and chipping.
Solution: A diagnostic plan was developed to relax his muscles, find a new bite position, and rebuild the damaged teeth to a place that was comfortable and capable of functioning without repeating the damage of the past. This view shows the completed upper arch with e.max crowns on every tooth. The bottom arch has yet to be completed and the back teeth have long term provisionals on the top of them to keep him stable in his new bite position until the lower teeth can all be crowned as well.
Issue – Significant acidic damage to enamel wrapping around the majority of the teeth creating significant sensitivity and the desire for recreating her smile.
Solution – All ceramic crowns were used to cover and replace the tooth structure that had been damaged and restored all the teeth to a beautifully natural appearance.
Issue: Advanced periodontal disease, multiple missing teeth, and several abscessed remaining teeth.
Solution: All remaining teeth were removed and a digitally guided All-On-X approach was used to place implants and immediate teeth all in one day. Four implants were placed in the upper jaw and six were placed in the lower jaw and the prostheses were attached to the implants, creating a completely stable and non-removable option for the patient. After healing, permanent zirconia prostheses were designed and attached to the implants to completely restore her mouth and smile. This treatment option allowed her to to create the confidence of the healthy smile she wanted while eliminating the risk of continued gum disease, cavities, and tooth pain.
Issue: Long term breakdown of oral health had resulted in a smile she was not confident with anymore. Multiple missing, broken, and infected teeth were present, creating a situation that did not make sense from a risk or financial perspective to rebuild from while keeping natural teeth.
Solution: All remaining teeth were removed and an All-On-X approach was used to restore the upper teeth with a zirconia hybrid attached to six implants. An overdenture attached to two implants in the canine positions was used to replace the lower teeth. This option resulted in the combination of a non-removable upper prosthesis and a more economical removable lower overdenture, allowing her to create the smile and confidence she wanted while remaining within her budget.
Issue – Severe wear and breakdown of remaining teeth, several abscessed teeth, multiple missing teeth.
Solution – Removal of upper teeth and replacement with an implant attached zirconia hybrid denture on six implants. Full arch restoration on the lower arch with ceramic crowns and a single implant on his lower left.
Issue: Years of dental work had left her with a badly positioned bite, poorly shaped crowns, gumline decay, unnatural cosmetic appearance from the opaque white crowns, and missing back teeth.
Solution: A redesigned full mouth rehab which provided a more ideal bite, more naturally shaped and colored teeth, and implant replacement of missing teeth in the back.
Issue – Decades of damage and erosion to the teeth led to significant loss of enamel and tooth structure as a whole. He had significantly sensitive areas, the inability to chew comfortably, and displeasure with the appearance of his smile.
Solution – Full Mouth rehabilitation with ceramic crowns. A comfortable bite and joint position was obtained after deprogramming his chewing muscles. This position allowed an opening of the bite to restore the proper height and length to teeth while also recreating a brilliant smile.
Issue – Significant wear and erosion had almost destroyed a number of his teeth. This was especially evident on the lower front teeth where the tooth structure loss was accelerated by the abrasive porcelain crowns above them.
Solution – Recreating a new bite position which then provided enough room to make teeth taller and restore them to their proper length and shape. Emax ceramic crowns were placed on the remaining teeth to accomplish this purpose and prevent further erosion and damage.
This process can be known by several names — Full-Mouth Rehabilitation, Reconstruction, or Restoration — and they all refer to the comprehensive correction of the causes of damaging bite problems, tooth wear, joint or muscle pain, and broken or missing teeth.
All too often, patients are treated one tooth at a time, simply treating symptoms with patchwork and never provided treatment options and explanations that strive to stop the actual causes of the problems. This can be a complex process with a mix of many procedure types and timelines, but with the training and technology we have available, it can absolutely be a predictable and smooth process. Drs. Jones and Estes of Nashville Restorative Dentistry offer full-mouth rehabilitation services for patients in Nashville, Cool Springs, Franklin, and Brentwood, Tennessee.
We begin by utilizing a temporary bite splint (called a Kois Deprogrammer) to relax your muscles and diagnose any TMJ problems. Once the muscles are relaxed, we will use current tooth positions, digital scans, and photos to develop a mock-up or “blueprint” of what the restored tooth contours and bite would look like. This blueprint is then copied into the mouth with provisional crowns or veneers, which allow us to collectively evaluate bite position, functional comfort, joint stability, and esthetic appearance of the teeth (color, size, shape) and smile. Once we have confirmed everything, master ceramists will design beautiful ceramic veneers and crowns to be placed on the natural teeth when the provisionals are removed. The completed process returns the teeth to an optimal position, size, and shape, along with the desired color and brightness, so you can start smiling confidently again.
Full mouth rehabilitation, sometimes known as a smile makeover or total mouth rejuvenation or reconstruction, includes a variety of restorative procedures in a dental treatment plan to address a wide range of situations. Patients who need to replace or repair the majority or all of their teeth may be good candidates for full mouth rehabilitation.
The treatments chosen for a patient’s unique full-mouth rehabilitation plan will vary greatly depending on their individual needs. No two dental plans are the same! Drs. Ryan Jones and Caleb Estes work directly with Franklin, Tennessee, area patients to help them decide on the treatments that can be integrated into their treatment plan to achieve the results they need and desire. Our team at Nashville Restorative Dentistry creates custom-tailored solutions for individuals after we evaluate their smiles and talk to them about their smile goals. We can:
– Replace missing teeth with dental implants
– Crown teeth that are worn, cracked, or broken
– Brighten the natural tooth enamel with bleaching services
– Straighten teeth with orthodontic treatment
– Cover imperfections in the teeth with porcelain veneers
– Disguise gaps between teeth with dental bonding
The answer to this question depends on how quickly patients want to achieve their dream smiles. Many procedures can be combined into a single appointment, though patients will spend more time in the dental chair than if they choose to have treatments done one at a time. For full mouth cases, we often focus on one jaw at a time and employ oral conscious sedation as a means to let you relax and not remember much of a long dental appointment. We talk with you to determine the best timeline based on your budget, goals, needs, and personal choices.
If you need to replace missing teeth or repair others, full-mouth rehabilitation might be right for you! Drs. Ryan Jones and Caleb Estes of Franklin, Tennessee, can assist you in determining if you could benefit from services at our office. Call (615) 640-8494 to request an appointment at 5005 Meridian Boulevard, Suite #190, and find out if you are a proper candidate. We serve patients in and around Franklin, Brentwood, Nashville, and Cool Springs, TN.