​​​​​​​Full Mouth Reconstruction

Living with missing, failing, or severely damaged teeth affects more than your appearance. Difficulty chewing, chronic pain, bone loss, and a compromised bite can all worsen over time if the underlying problems go unaddressed. Full mouth reconstruction gives you a path forward, one that addresses every issue in a coordinated, sequenced treatment plan designed around your anatomy and goals.

At Wilshire Oral Surgery and Implant Center, our surgeons, Dr. Jonathan R. Shadi and Dr. Saman Vahedi, are board-eligible and board-certified oral and maxillofacial surgeons with advanced training in implant surgery, bone reconstruction, and full-arch restoration. Dr. Vahedi is a Diplomate of the American Board of Oral and Maxillofacial Surgeons. Our team works closely with your restorative dentist or prosthodontist to develop a plan that addresses your surgical needs from start to finish.

What Is Full Mouth Reconstruction?

Full mouth reconstruction, also known as full mouth rehabilitation or full mouth restoration, is the comprehensive process of rebuilding and restoring all of the teeth in both the upper and lower jaws. It combines restorative and surgical procedures to address missing teeth, severely damaged teeth, failing restorations, bone loss, and bite dysfunction in a single coordinated plan. According to research published on PubMed (NCBI), immediate-load protocols for full-arch reconstruction now produce predictable, globally accepted outcomes for patients with complex dental conditions.

A reconstruction differs from a cosmetic makeover in that it is driven by functional and clinical need. It is appropriate for patients dealing with severely worn dentition, extensive tooth loss, significant bone deterioration, or a combination of conditions that cannot be resolved with a single procedure.

Procedures We Offer as Part of Full Mouth Reconstruction

After a thorough consultation and cone beam 3D imaging, our surgeons identify which surgical components are needed for your case. Procedures that commonly make up a full mouth reconstruction plan include:

• Dental Implants — Titanium posts placed in the jawbone to serve as permanent anchors for crowns, bridges, or full-arch prostheses.
• Bone Grafting — When the jawbone has deteriorated from tooth loss or infection, grafting rebuilds the volume needed to support implants and preserve facial structure.
• Zygomatic Implants — For patients with severe upper jaw bone loss who are not candidates for traditional implants, zygomatic implants anchor into the dense cheekbone, eliminating the need for large-volume grafting in many cases.

  Factor	Traditional Implants	Zygomatic Implants
  Anchor Point	Jawbone	Cheekbone (zygoma)
  Bone Volume Required	Adequate jaw bone needed	Works with severe bone loss
  Bone Grafting	Often required when bone is insufficient	Typically not required
  Best Candidate	Patients with sufficient jawbone density	Patients previously told they cannot have implants due to bone loss
  Treatment Timeline	Longer if grafting is needed first	Shorter overall timeline in many cases

• All-on-4 / Full Arch Restoration — Replaces an entire arch of teeth using four strategically placed implants, allowing permanent teeth to be placed in a single surgical visit.
• Orthognathic Surgery — Corrective jaw surgery that addresses misaligned jaws and bite dysfunction that cannot be corrected with dental work alone.
• Extractions — Removing failing or non-restorable teeth to establish a stable foundation before implant placement or prosthetic work begins.

Your treatment plan may involve one or several of these procedures, sequenced in the correct order to achieve a stable, long-lasting result.