Full Mouth Reconstruction

Full mouth reconstruction is comprehensive, carefully sequenced treatment that rebuilds a mouth affected by years of wear, decay, gum disease or tooth loss. Rather than treating problems one tooth at a time, it looks at the whole picture — your bite, your gums, your remaining teeth and your goals — and combines treatments such as implants, crowns, bridges, gum therapy and alignment into a single coherent plan. It is among the most transformative work we undertake at our Wimpole Street practice.

Patients who benefit typically fall into a few groups: those with widespread tooth wear from grinding or acid erosion, those with multiple failing teeth or old restorations reaching the end of their life, those who have lost several teeth and find eating increasingly difficult, and those whose bite has collapsed over time, changing the shape of the lower face. If several of these sound familiar, a comprehensive assessment is the right starting point. Suitability and sequencing are always confirmed at an in-person consultation with a GDC-registered dentist.

Every reconstruction begins with comprehensive records at our Marylebone practice: clinical photographs, digital 3D scans of your teeth, X-rays and CBCT imaging where implants are planned, and a detailed analysis of how your jaws meet. From these, your dentist designs the end result first — often as a digital or wax mock-up you can actually see — and only then plans the stages needed to reach it. Designing backwards from the finished smile is what keeps complex treatment coherent.

Foundations come before fine work. The first phase always stabilises disease: gum therapy to bring the supporting tissues to health, removal of any teeth that genuinely cannot be saved, and root canal treatment where infection is present inside teeth being kept. Building beautiful restorations on unstable foundations is a false economy, and we will never do it.

The rebuilding phase then follows in a logical sequence. Alignment may come first where repositioning teeth reduces the amount of drilling needed later. Implants are placed where teeth are missing, with osseointegration typically taking 3–6 months, though healing times vary. Crowns, bridges and onlays restore worn and damaged teeth, frequently at a carefully rebuilt bite height. Where appropriate, provisional restorations let you test-drive the new bite and appearance before anything is finalised — an invaluable safeguard in complex cases.

Materials and technology are chosen case by case: zirconia and e.max ceramics for strength and aesthetics, titanium implants planned in 3D from CBCT scans, digital impressions throughout, and UK laboratory craftsmanship for every restoration. Because so many elements must work together, meticulous planning matters more here than in any other treatment we provide.

Costs are always quoted after consultation, because no two reconstructions are alike — the total depends on how many teeth are involved, whether implants and grafting are needed, the materials chosen and the number of stages. What we promise is complete transparency: a staged, written, itemised plan with the price of every phase set out before anything begins, and finance options explained for qualifying treatment. We are also happy to review quotes and plans from other clinics.

An honest word about alternatives and limitations. Not everyone needs a full reconstruction — sometimes a smaller, phased plan addressing the most urgent problems first is the wiser route, and we will say so if that is true for you. Complex treatment also carries the normal risks of its component parts: implants can occasionally fail to integrate, root-treated teeth can occasionally reinfect, and restorations need maintenance over time. Success rates for well-planned comprehensive treatment are typically high, but no treatment can be guaranteed, and we build review and maintenance into every plan.

Most reconstructions are staged over several months — sometimes longer where implants and healing periods are involved — and we plan the stages around your diary, with provisional restorations keeping you comfortable and presentable throughout. You are never left without teeth, and you always know what stage comes next and what it costs.

Aftercare determines how long the result lasts. A reconstructed mouth needs the same things a natural one does, delivered consistently: excellent daily hygiene, regular hygienist visits, periodic reviews and, for most patients, a night guard to protect the new work from grinding forces. With that care, comprehensive reconstructions can serve well for many years — often decades — though longevity varies with individual factors.

Communication is the quiet discipline that holds complex treatment together. Throughout your reconstruction you will have a single lead clinician coordinating every stage, photographs and scans documenting progress, and reviews at each milestone where you can see how the plan is unfolding. Questions between visits are welcomed — complex treatment goes best when patients feel informed and involved, never processed.

Patients seeking full mouth reconstruction in London choose our Wimpole Street practice for the depth of planning, the in-house delivery of multiple disciplines under one roof in central London, near Harley Street, and the written transparency that complex treatment demands. If your mouth has reached the point where piecemeal fixes no longer feel like enough, a comprehensive consultation is the place to start.

Practicalities matter over a treatment journey measured in months, and we plan for them. Appointments are grouped where clinically sensible so you are not travelling in for single small steps, and longer sessions can be scheduled for mornings or afternoons to suit your work pattern. Our Marylebone location is a short walk from Bond Street, Oxford Circus and Regent's Park stations, which patients commuting from across London — and those travelling in from further afield — tell us makes a real difference across a staged plan. Between visits, you always have a direct route to contact us with questions or concerns, and provisional restorations are designed so day-to-day eating and speaking remain comfortable throughout.

Nervous patients undertake full reconstructions with us more often than you might expect, usually after years of avoiding the dentist while problems accumulated. If that is your situation, please say so at the first phone call — there is no judgement here, only a plan. Early visits can be kept short and low-key to rebuild confidence, sedation can be discussed for the longer surgical stages in suitable cases, and the same familiar clinical team sees you throughout. Many patients find that completing the first stabilising phase — getting out of pain and infection — transforms how they feel about the rest of the journey.