Orthodontics Pre-full Mouth Rehabilitation
Updated: Mar 14, 2022
It is never too late to take care of yourself
What is full mouth rehabilitation?
Full mouth rehabilitation leverages prosthodontic dental treatments to renew the smile and regain function. These kinds of procedures are generally planned through collaboration between a prosthodontist and an orthodontist before active dental treatment begins.
Who is a candidate for full mouth rehabilitation?
Individuals who require full mouth rehabilitation generally display a combination of the following:
1. Missing multiple teeth.
2. Numerous teeth with large fillings that are failing or exhibiting decay.
3. Cracked or broken teeth.
4. Excessively worn teeth due to bruxism (tooth grinding).
5. Suffer from conditions such as Ectodermal Dysplasia, Amelogenesis imperfecta or Dentinogenesis imperfecta.
What is the function of orthodontic treatment prior to full mouth rehabilitation?
1. Crowding: teeth have moved or shifted. Orthodontic treatment can resolve crowding before prosthodontic work begins.
2. Occlusion (bite): orthodontic treatment can improve an unfavorable occlusion; deep bite, crossbite or underbite to provide a more stable foundation for a full mouth rehabilitation. Improvements in the occlusal scheme can significantly reduce the risk of prosthodontic dental work failure.
3. Spacing: when some teeth are missing for years, adjacent teeth can start tipping into the space and opposing teeth can move into the space. Orthodontic treatment can properly manage this tooth migration by completely closing spaces, consolidating spaces or generating enough space for future prosthodontic dental work.
4. TMJ evaluation: The Temporomandibular Joint (TMJ) can erode or assume an undesirable position as teeth shift or wear down over the years. If the TMJ wears down significantly, the mouth loses vertical height. The amount of vertical height required to rebuild the teeth is critical to a successful full mouth rehabilitation. If the position of the TMJ is unfavorable, it could lead to Temporal Mandibular Disorder (TMD)-related symptoms like myo-facial pain, ear pain, frequent headaches or migraines, constant bite shifting or limited mouth opening. To eliminate these symptoms and stabilize the joints, reprogramming the TMJ and surrounding structures becomes essential to full mouth rehabilitation.