PART 1
Collapsed bite due to loss of teeth
Aged appearance because loss of vertical dimension which leads to deepening of skin fold or wrinkle around corner of mouth and difficulty in chewing.
Food lodgement in multiple teeth
Repeated fracture of restorations
Night grinding which may present as heaviness in jaw while waking up, tension headaches, pain in the cheek and neck muscles, and shoulder stiffness
Trauma to occlusion that may present as severe toothache without having infection perse in tooth.
Difficulty in biting.
Unacceptable aesthetics- discolored or pitted teeth.
TMJ disorders which can present in form of clicking sound in the jaw.
Developmental anomalies in dentition
Mal-occlusion which may causing any of the problems cited above.
What are the phases of full mouth Rehabilitation?
Typically it involves 3 phases:
PHASE 1:
Examination & treatment planning:Your dentist will examine your mouth to determine the extent of the problem and the treatment options that can be used to correct it.The examination process requires records of your mouth, such as X-rays and photographs, impressions of your upper and lower teeth, models of your teeth that are made from the impressions and a model of your bite.
Once your dentist has obtained all information relevant to your case, he or she will develop a comprehensive, step-by-step treatment plan to correct all of the problems in your mouth and complete your reconstruction. Be sure you understand the risks and benefits of the recommended procedures and treatments.
PHASE 2:
Treatment execution:Most reconstructions involve multiple phases and office visits. It is not unreasonable to expect treatment to take 2-3 months or more, depending on your situation. The following procedures may be involved, depending on your needs:
• Prophylactic teeth cleaning and gum care .
• Crown lengthening to expose healthy, sound tooth structure for possible crowns or bridges.
• Contouring of the gum tissue to create balance and harmony in your smile.
• Preparation (reduction) of your natural tooth structure so crowns, bridges or veneers can be placed.
• Placement of temporary restorations so you can become accustomed to your new teeth and the feel of your new mouth or bite alignment.
• Placement of permanent restorations, such as crowns, veneers, inlays/onlays or bridges, made from ceramic, ceramic supported by metal or a combination of both.
• Orthodontics (braces) in order to move your teeth into the optimal position for reconstruction.
• Dental Implant placement and restoration to replace missing teeth and/or anchor bridge restorations.
PHASE 3: (most commonly ignored by patients)
Maintenance :
• Adequate scaling is periodically done to maintain gingival health.
• Margins of restoration should be evaluated for secondary caries
• Oral hygiene aids are prescribed -oral brush, floss, oral irrigation device or oral rinses.
• Recall schedule- 1month, 3 months, 6months after 1 year and then annually.