It’s completely normal to notice small things shifting over time. Maybe one tooth is chipping, or the alignment just doesn't feel right when you eat hard foods. For a lot of patients, these issues build up without you even realizing it, and soon you’re managing numerous teeth with large fillings or dealing with the discomfort of multiple missing teeth.
You deserve to partner with someone who sees the whole picture. Full mouth reconstruction is the strategic process of hitting the reset button on a compromised mouth, seamlessly addressing everything from tooth decay and periodontal disease to complex tooth replacement. The final result is both perfectly functional and naturally stunning.
A successful mouth restoration hinges on the initial diagnostic phase, which must consider the entire system: the bone structure of the jaw, the health of the gums, and the alignment of the temporomandibular joints.
Failure often occurs when the restorative plan is built on an unstable foundation. A general dentist may focus on the visible damage—the broken teeth, the badly worn teeth, or the numerous teeth that are missing—without fully accounting for the forces that caused the wear in the first place.
For instance, addressing multiple missing teeth requires a specialist to look beyond simple replacement and confirm the jawbone has sufficient density to support a permanent fixture. When bone loss is ignored or inadequately treated, it can ultimately lead to dental implant failure down the line. A prosthodontist, like Dr. Richard Feinberg, DDS, specializes in this structural approach, ensuring the comprehensive reconstruction accounts for every force, angle, and biological variable across the patient's mouth.
For many patients, full mouth reconstruction relies heavily on dental implants to replace lost teeth. Implants themselves have a high success rate, but they are not immune to failure. When a large-scale reconstruction fails, the implant failure is often a key component.
One critical issue is the placement. Improper implant placement can set the entire restoration up for chronic problems. If the implant is placed without considering the forces of the patient’s bite (occlusion) or is positioned incorrectly within the implant site, it will endure undue stress. This structural overload can break the crowns or the abutment, or worse, compromise the connection to the jawbone.
Another common failure point is biological. The absence of regular dental check-ups and rigorous hygiene can lead to an infection around the implant, known as peri implantitis.
Two primary stages of tissue breakdown affect the health of a working implant:
For patients who have had implants placed elsewhere, Dr. Feinberg and the team are often called upon for a consultation to diagnose these subtle symptoms and halt the deterioration before it happens.
A failed reconstruction is frequently a materials failure disguised as a biological one. The choice of materials for crowns, bridges, and restorations must be matched to the patient’s long-term habits and functional needs. Cheap, low-quality restorations are prone to chipping and fracturing, requiring constant, expensive treatment revisions. Dr. Feinberg insists on the use of a master ceramist and high-quality materials to ensure that the results of these complex cosmetic dentistry procedures are both beautiful and durable.
A patient’s overall health and pre-existing conditions play a large role in long-term success. Certain systemic conditions, such as uncontrolled diabetes, osteoporosis, or autoimmune disorders, can significantly affect the body's ability to heal and integrate implants. Additionally, other habits, such as heavy smoking, severely compromise the implant site and dramatically increase the risk of infection after implant surgery.
A thorough medical history review—a hallmark of advanced specialization—identifies these medical conditions and mitigating factors early on. This allows the prosthodontist to execute necessary steps, such as a bone graft or specialized planning, to secure the implant foundation. Conditions like ectodermal dysplasia, which affects teeth and bone development, require a specialist’s deep understanding to achieve a functional and aesthetic smile.
Dr. Feinberg and the San Diego Dental Center team view themselves as more than just technicians. When it comes to full mouth reconstruction, they are working as preventative specialists. With 36 years of experience and advanced training focused on restorative and functional dentistry, he is the patient's best defense against the systemic breakdown that leads to failed dental work.
When patients require full mouth reconstruction, it is often because they are dealing with years of accumulated damage from gum disease, extensive tooth decay, or previous restorations that failed. Addressing the underlying periodontal disease and ensuring a healthy foundation of gum tissue is non-negotiable before proceeding with implant placement or mouth restoration.
The goal of seeking this expert advice is to avoid becoming a patient who later requires corrective surgery for failed dental implants. The entire process is designed to eliminate surprises, manage expectations, and build a lasting smile from the ground up.
The patient’s journey to a restored smile is an investment that should only be entrusted to a provider who has the expertise to engineer long-term success. If you are considering full mouth reconstruction or seeking a second opinion on failed dental work, taking the time to schedule a consultation to understand your treatment options is the first step toward guaranteed stability.
The first step towards a beautiful, healthy smile is to schedule an appointment.
Please contact our office by phone or complete the appointment request form. Our scheduling coordinator will contact you to confirm your appointment.
Call us Today (619) 462-8550
San Diego Dental Center proudly serves patients from La Mesa, La Jolla, El Cajon & the entire San Diego, CA area.
Office Hours
Monday: 9am - 4pm
Tuesday: 8am - 4pm
Wednesday: 8am - 4pm
Thursday: 8am - 4pm
Friday: 8am - 2pm
