Full Mouth Reconstruction

Do you have missing, chipped, broken, or uneven teeth? Or is your bite uneven?

Full mouth reconstruction or restoration might be what you need! These conditions may easily occur due to any of the following causes:

  • Severe case of cavities which have decayed your teeth entirely
  • Trauma or an accident that caused damaged or broken teeth
  • Grinding your teeth
  • Recent occlusion (bite adjustments) that have left you in severe pain

Dr. Joshua Hong can guide you through the Simple Two Step Procedure to give you a beautiful new smile:

STEP ONE – DIAGNOSIS

The “Game Plan” is built on how the mouth and smile can be fixed by asking the following questions:

  • A) Are the jaw joints healthy enough to build teeth on? (Joint Health)
  • B) How does the mouth function? (Gnathological Method – The new teeth are built based on how the mouth moves & functions.)
  • C) What type of smile is desired? A “Natural/Organic” Smile or a “Hollywood” Smile? (Smile Design)

STEP TWO – TREATMENT

Treatment can be done in a number of different ways:

  • Braces
  • Restoration (Building up of teeth by using composite, veneers or crowns.)
  • Equilibration (Grinding down of teeth to make sure function is right.)
  • Orthognathic surgery (Jaw Alignment might be needed to create an even and functional bite)

Follow Dr. Hongʼs Client to see how a Full Mouth Reconstruction case happens from start to finish!

Clientʼs Main Objective: Restore Smile and Bite

Before:
After:

STEP ONE – DIAGNOSIS

A) Are the jaw joints healthy enough to be built on?
NO. Jaw joint health was resolved by the client using a Full-time FOSA orthodic for several months (similar to a mouthpiece or retainer.)

Before Orthodic Treatment:

Teeth are in contact, but joints are not aligned and healthy

After Orthodic Treatment:

Teeth are NOT in contact, but joints now aligned, healthy & ready for the new teeth to be built on!

B) How does the mouth function?

1:

Bite Relationship Stone – None of the teeth touch with the new healthy jaw joint.

2:

Bite Relationship Stone – There is only one place where the bite contacts now that the joints are healthy.

3:

A (pain free!) Basta Gnathograph traces the movement of the jaw.

4:

Movements from the Basta Gnathograph are transferred to the Basta Articulator. This machine now moves exactly how the clientʼs mouth and jaw moves.

5:

The teeth are designed out of wax. Dr. Hong creates the teeth & the function of the teeth.

6:

This is a model of the teeth in wax and shows what the smile will look like.

C) What type of Smile is desired by the client?The client wants a symmetric smile. (Most people are attracted to symmetry!)

1:

Before Smile

2:

Before Smile (Shown in retractors)

3:

The black dotted line shows the ideal gum line.

4:

The (pain free!) FACE smile guide acts as a “leveler.” People are most attracted to symmetry. The FACE smile guide aids Dr. Hong in creating a smile that is parallel to the eyes and perpendicular to the nose. (If the nose is crooked, a straight smile can still be created.)

5:

The “leveler” is inverted and helps to create the new smile on a cast mold.

6:

Chuʼs gauge. This tool, shown in yellow, helps to give quick, accurate measurements of the proper gum line for the crown lengthening procedure.

STEP TWO – TREATMENT

Treatment Plan for the Client:
*Crown Lengthening Procedure
Gums were cut away, revealing more of the natural tooth.
*Fixed Restorations
Veneers & Crowns were used to achieve a beautiful, natural smile.

1:

Stone model of the clientʼs restorations that came from the dental lab. These are the actual teeth that were put into the clientʼs mouth.

2:

Beautiful After Smile

3:

Beautiful After Smile (Shown in retractors)

Before:
After: