Full Mouth Reconstruction

Guide to getting a Full Mouth Reconstruction in Mexico

 

The process of getting your full mouth restoration will not only improve aesthetics but it will also provide you with the correct function of your bite. If you think you might need a full mouth restoration please read this guide if you are planning on getting you Smile Makeover with Cancun Dental Specialists.

The terms Full Mouth Reconstruction, Full Mouth Rehabilitation and Full Mouth Restorations all practically mean the same treatments, these terms are used to indicate extensive and intenvisve restorative procedures in which the occlusal plane is modified in many aspects to accomplish “equilibration”.

Complete mouth rehabilitation is a dynamic functional endeavor and it embodies the correlation and integration of all components parts into one functioning unit. The planning and executing the restorative rehabilitation of the decimated occlusion is one of the most intellectually and technically demanding tasks Doctors face. We receive many cases from U.S or Canada were patients have been recommened to extract all their teeth and use dentures, or maybe have been recommended and implant supported treatment like an all on 4, snap on dentures, fixed hybrid dentures, or a Prettau bridge. Most of these dentitions are not compromised dentitions and are candidates for a rehabilitation. We strongly believe that if your teeth can be saved and rehabilitated there is no need to extract them. Consider each root a dental implant, integrated and adecuate for your body.

A Full Mouth Reconstruction or Full Mouth Restoration are a series of Dental Procedures required to fix serious dental problems and enhance aesthetics. If you are suffering from Malocclusion issues, TMJ, Severe Caries, decay or Missing teeth, you may be a candidate for a Full Mouth Reconstruction.

A full evaluation is needed to determine the correct plan of treatment. A 3D CBCT scan is taken, along with periapical X-Rays and study models which are evaluated by our Specialists. You will go over treatment options and alternatives based on your direct needs, dental goals and budget. Once you and the Specialist have discussed the course of action and you have agreed, we will get started. Treatments that could be involved with Full Mouth Restoration could be Dental Implants, Root Canals, Dental Bridges, Crown Lengthening, Crowns, Fillings, Periodontal maintenance, etc.

Often when completing a Full Mouth Restoration you will be dealing with different Specialists to insure that any dental treatment is done to the best of standards. When planning a big treatment like this you will want to make sure you give the Specialists and Lab Technicians enough time to complete any work that may be required to restore your smile and enhance your way of life.

To get started it is important you classify your case into one of 3 Categories  (Classification by Turner and Missirlain) :

Category 1 – Excessive wear with Loss of Vertical Dimension

A typical Patient in this category has few posterior teeth and unstable posterior occlusion. There is excessive wear of anterior teeth. Closest speaking space of 3mm and interocclusal distance of 6mm. There is some loss of facial contour that results in drooping of the corners of the mouth. Patients with dentiogenesis imperfecta with excessive occlusal attrition, around 35 years of age and appearing prognathic in centric occlusion also belongs to this category. Closest speaking space of 5mm and interocclusal distance of 9mm indicates there is loss of occlusal vertical dimensions with concomitant occlusal wear.

full-mouth-rehabilitation

Category 2 – Excessive Wear without loss of vertical dimension of occlusion but with space available

Patient has adequate posterior support and history of gradual wear. Closest speaking space of 1MM and interocclusal distance of 2-3MM. Continous eruption has maintained occlusal vertical dimension leaving insufficient interocclusal space for restorative material. Manipulation of mandible into centric relation will often reveal significant anterior slide from centric relation to maximum intercuspation.

ful-mouth-restoration-case

Category 3 – Excessive wear without loss of vertical dimension of occlusion but with limited space available

Posterior teeth exhibit minimal wear but anterior teeth show excessive gradual wear over a period of 20-25 years. Centric relation and centric occlusion are coincidental with closest speaking space 1mm and interocclusal distance 2-3MM. It is most difficult to treat because vertical space must be obtained for restorative material.

full-mouth-reconstruction-case

If you are not in either one of these 3 categories, you are currently wearing dentures. Please look at our Treatment Alternatives.

Infection, Missing teeth, treatment times, budget and availability to travel all contribute to your treatment plan. Treatments plans for full mouth restorations can only be accurately done in the office after seen by Dr. Irma Gavaldon D.D.S M.S A.E.G.D. Please read our next section which will cover how to diagnose and do a treatment plan for these cases.

Once Dr. Irma Gavaldon obtains all information relevant to the dental treatment, she will develop a comprehensive treatment plan to correct all the problems in your mouth and complete your full mouth reconstruction. If you have any questions on the procedure or you don’t understand the procedure being described to you, ask us for a detailed written description of the proposed treatment plan so you can review it. This can be helpful if you want to get a second opinion. Be sure you understand the risks and benefits of the recommended procedures and treatments.

FULL MOUTH RESTORATION, REHABILITATION, RECONSTRUCTION, SMILEMAKOVER COSTS MEXICO

The process of getting your full smile makeover can take a week, month, several years and may involve work by our Maxilo-Facial Surgeon, Endodontists, Restorative Specialists.

The typical costs of these treatments

  • Moderate Full Mouth Restoration / Cost $6,000 - $14,000 USD
  • Extensive Full Mouth Reconstruction / Cost $10,000 - $24,000 USD

The total cost will depend on the procedures needed. These can include:

Gum Surgery
$ 400-3,500USD
Crown Lenghtening
$ 250USD
Tooth Extraction
$ 60-250USD
Braces
$ 1,500-3,000USD
Root Canals
$ 250-350USD per tooth
3D CBCT Scan
$ 50USD per Scan
Dental Implants
$ 1,500USD per tooth (Implant,Abutment,Crown)
Zirconia Crown
$ 450USD per Crown
Dental Bridge
$ 450USD per Unit on Bridge
Partial Denture
$ 300-580USD (Temporary, Metal-Frame, Valplast)
Porcrelain Veneer
$ 420USD per Veneer
Composite Tooth Bonding
$ 150USD per tooth
Professional Teeth Whitening
$ 100USD per Session

Your Dental Insurance might cover some of theses treatments in Mexico, please contact them to see if they accept out of country and bring the forms so we can fill them out at our clinic and you can get reimbursed back home.

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How can I get started my treatment with Cancun Dental Specialists?

Please Give us a call at 1 800 278 3215 or send us an e-mail at contact@cancundentalspecialists.com with the following information:

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Pre Op Instructions

Please have a read at all the Pre-Op Instructions.

3 WEEKS BEFORE SURGERY

Smoking and Dental Implants don’t go together. Why did you lose your teeth/tooth in the first place. We know smoking can be difficult to quit but we insist that patients stop smoking at least 3 weeks prior to their Dental Implants. In rare cases we might ask you to quit sooner. Smoking can interfere with healing by constricting and decreasing blood flow all over the body which may prevent the wound from healing properly. Do not resume smoking after surgery until you are given permission by our Dental Surgeon.

3 WEEKS BEFORE SURGERY

We know you will be on vacation and the all-inclusive bar might be tempting. Please try and stay away from alcohol consumption for a minimum of 5 days prior to your procedure. Alcohol causes increased bleeding, increases the chances of infection, depresses immune functions and may interfere with wound healing.

3 WEEKS BEFORE SURGERY (over-the-counter and prescribed)

Please check with your Physician about suspending any medication prior to arrival.

You will be instructed by your surgeon or patient counselor to temporarily discontinue certain medications in the weeks ahead.

Drugs containing ASPIRIN, SALICYLATES, SALICYLAMIDES or IBUPROFEN should be avoided for at least two weeks before and after surgery. Brand names are:

  • Aleve
  • A.S.A. Enseals
  • Alka Seltzer Cold Medicine
  • Alka Seltzer Effervescent Tablets
  • Advil Anacin with ASA
  • Anaprox

3 WEEKS BEFORE SURGERY

It is important that you maintain a healthy diet. You will be on a soft mechanical diet or some form of a modified diet tailored to your surgery. It is important that you follow these instructions! It is a good idea to stock up on protein supplements like BOOST or Ensure. Various softer foods like well cooked pastas, eggs, soup/broths, and yogurt are also good ideas. We will provide you with a list of dietary suggestions in your post-op packet as well.

2 WEEKS BEFORE SURGERY

  • All Aspirin and Ibuprofen products including the drugs listed on the enclosed insert.
  • All anti-inflammatory drugs (i.e. Ibuprofen) used for arthritis. (Please consult your physician prior to discontinuing).
  • All anti-coagulants.
  • Vitamin E taken internally.
  • If a medication is in question, call our office nurse.
IMPORTANT! These products may cause excessive bleeding.

2 WEEKS BEFORE SURGERY

  • Take a Multivitamin tablet daily. Most multivitamins contain some form of vitamin E, however this is acceptable to take prior to surgery. We do ask that you refrain from taking additional vitamin E.
  • Take Vitamin A – 8,000-10,000 units, twice a day. This has well-documented beneficial effects on surgical healing and will also fuel your immune system.
  • Take Vitamin C – 1,000 mg., twice a day. This is essential for collagen synthesis, which is part of normal wound healing. Your need for Vitamin C will increase after surgery.
  • Take Bromelain – 1,000 mg., twice a day. (Pineapple enzyme – from a health food store) This helps to relieve the swelling associated with surgery. Bromelain: This anti-inflammatory promotes healing.

1 week BEFORE until 2 weeks AFTER procedure

  • Eat healthy, regular meals.
  • Eat 2 fruits and 3 green vegetables daily (per diet instructions).
  • Eat a small amount of protein at each meal.
IMPORTANT! Your diet can aid healing remarkably and reduce swelling and pain!

1 WEEK BEFORE SURGERY

    • You may begin taking Arnica Montana
    • Take every 8 hours as directed and continue for 10 days.
    • Continue taking Bromelain as directed every 12 hours between meals. This anti-inflammatory promotes healing. As an alternative, eat fresh pineapple.

Arnica: Arnica Montana is an herb that grows wild in the Swiss Alps. Also known simply as “Arnica,” it’s been used in Europe for hundreds of years for the reduction of bruising and swelling and to shorten the recovery period after a physical trauma such as an accident, surgery or injury.

Post Op Instructions

Please select a topic in order to see details.

Standards of good oral hygiene are critical for the success and functionality of the implants and restoration. The best way to prevent infection and ensure healing is to keep your mouth clean. Clean your mouth thoroughly after each meal beginning the day after surgery. Use a soft bristle toothbrush and toothpaste after meals and at bedtime. Use of a dental waterpik is highly recommended to irrigate underneath the denture to flush out debris.

Minimal bleeding is expected after this implant procedure. The best way to stop bleeding is to place a damp piece of gauze in the mouth and gently bite for 30 minutes. Rest quietly with your head elevated. If bleeding continues, use gauze for an additional 30 minutes. Pink or blood-tinged saliva may be seen for 2-3 days following the surgery and does not indicate a problem. Suture material may last 2 to 3 weeks and should be left alone. You will be asked to return to the office for a 2 week follow-up appointment. Any sutures remaining at that time may be removed at the surgeon’s discretion. Do not pull or cut the sutures yourself.

Swelling is the body’s normal reaction to surgery and healing. The swelling will not become apparent until 24 hours after surgery and will not reach its peak for 2-3 days. After this time, the swelling should decrease but may persist for 7-10 days. Swelling may be minimized by the immediate use of ice packs. Apply the ice packs to the outside of the face 20 minutes on and then 20 minutes off while awake for the first 24 hours.

Unfortunately, most oral surgery is accompanied by some degree of discomfort. If you do not have an allergy to non-steroidal anti-inflammatory medications (Ibuprofen, Motrin, Advil) we recommend taking this prior to the local anesthetic wearing off. More severe pain may require a narcotic pain medication. Narcotic pain medication will make you drowsy, do not drive or operate mechanical machinery while taking the prescription. Alternate Ibuprofen (2 tablets / 200mg each) and the narcotic medication every two hours if needed. Once you feel like you can stop the narcotic, use Ibuprofen or Tylenol. You may also be prescribed an antibacterial mouth rinse which should be used twice daily in the first two weeks following implant surgery. Post-operative antibiotics should be taken as directed and always take entire course of the prescription. All medications should not exceed the recommended dosage.

NOTE: If you are taking PLAVIX or COUMADIN, do NOT take Ibuprofen or Aspirin products.

After General anesthetic or I.V. sedation, start with liquids. While numb, patients should avoid hot liquids or foods. Your food intake will be limited for the first few days, compensate for this by increasing your fluid intake. We recommend high protein shakes/smoothies (Ensure, Special K, etc.) as meal replacement supplements. Patients are restricted to a SOFT CHEW diet for the first 6 weeks… if food cannot be easily cut with a fork… DO NOT eat it!

For the first 48 hours you should rest and relax with no physical activity. After 48 hours, you may resume activity as tolerated.

Eat:

  • Jell-O
  • Pudding
  • Yogurt
  • Ice Cream
  • Scrambled Eggs
  • Cream of Wheat / Oatmeal
  • Soups
  • Mashed Potatoes
  • Fish
  • Pasta
  • Pancakes
  • Cottage Cheese
  • Applesauce

Drink:

  • Water
  • Juice
  • Ice Chips
  • Popsicles
  • Smoothies / Protein Shakes
  • Milkshakes

Add Soft Foods When Numbness is Gone / Increase Diet as Tolerated

  • If the corners of your mouth are stretched, they may dry and crack. Your lips should be kept moist with an ointment such as Vaseline.
  • Sore throats and pain when swallowing are not uncommon. The muscles get swollen and the normal act of swallowing can become painful. This will subside in 2 to 3 days.
  • Stiffness of the jaw muscles may cause difficulty in opening your mouth for a few days. Do not force your mouth open. Massage the muscles and apply moist heat.
  • With upper jaw implant treatment, you may develop bleeding from the nose. This is usually a temporary finding and will not persist past 2 to 3 days. Avoid blowing your nose for several days.
  • An appointment with your general dentist may be needed within a few days of surgery to make any adjustments to your temporary denture.
  • Your case is individual as no two mouths are alike. Discuss all questions or concerns with your oral surgeon or implant coordinator.

Informed patients are happy patients that why we have taken the time to write this.
Any questions please give us a call at 1 800 278 3215

Treatment Alternatives

All on 4

If you have teeth that are mobile, missing in different locations, or who have infection or serious decay, you may consider a long term approach to your dental problems by extracting these poorly functioning teeth and preforming the All on 4 procedure. With a Fixed denture stabilized with a titanium bar and secured to 4 Implants, you will have the stability and esthetics that you were lacking.

Orthognathic Surgery

Perhaps your dental issues stem from a joint problem called TMJ and you do not want to crown your teeth in order to restore the bite. Our Maxillofacial Surgeon is qualified to preform the Orthognathic Surgery to help correct these TMJ issues. Orhtognathic Surgery is usually done after or before an Orthodontic treatment. Contact a Dental Coordinator for questions regarding your case.

Zygomatic Implants

Zygomatic Implants are Implants that are much longer in length than conventional Implants (40 mm – 50 mm), and are placed in the dense Zygoma bone or otherwise known as the cheekbone. The advantage of using Zygomatic Implants is that it eliminates the need for procedures like ridge augmentation (Bone Grafting) and/or Sinus Lifting, which would require more surgery and longer healing periods before the placement of the final restoration.

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