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Rebuilding more than a smile

Full-Mouth Rehabilitation

Sometimes there is no single dental problem to point to. Teeth may be worn or broken, old dental work may be failing, the bite may have changed, or missing teeth may be making it harder to eat comfortably. Full-mouth rehabilitation looks at all of those concerns together, giving Dr. Tokunaga the chance to restore the health and function of your mouth while also improving the appearance of your smile.

Treatment may involve rebuilding damaged or missing teeth, replacing older dental work, correcting problems with the bite, or making changes to the shape and appearance of the smile. What needs attention, and how much treatment makes sense, will be different for every patient.

Four Things We Look At

Aesthetics

Your smile should look natural and feel like it belongs to you. Dr. Tokunaga considers tooth shape, proportion, symmetry, color, and how your smile relates to your face rather than focusing on individual teeth in isolation.

Function

A beautiful result still needs to work comfortably. Your bite, chewing efficiency, jaw movement, muscle function, and any underlying problems that may be contributing to discomfort all play a role in treatment planning. Airway and breathing concerns may also be considered when they are relevant.

Structure

Crowns, implants, bridges, veneers, and natural teeth all need to work together. Dr. Tokunaga plans restorations with the existing structure of your mouth in mind so that individual repairs become part of a larger, coordinated result.

Biology

Healthy teeth and restorations depend on healthy gums, bone, and supporting tissues. Before rebuilding a smile, Dr. Tokunaga looks closely at the health of the mouth and addresses conditions that could affect the long-term success of treatment.

Treatment Built Around Your Mouth

There is no single procedure called a full-mouth reconstruction. Treatment may involve orthodontics, onlays, crowns, bridges, veneers, dental implants, dentures, or a combination of several approaches.

The plan depends on where you are starting, what can be preserved, what needs to change, and what you want to accomplish.

Common Questions About Full-Mouth Reconstruction

Who might need a full-mouth reconstruction?

Patients often come to us with several concerns that have accumulated over time. Teeth may be badly worn, broken, missing, or repeatedly repaired. Older crowns or bridges may be failing, the bite may feel uncomfortable, or chewing may have become difficult. Full-mouth reconstruction allows Dr. Tokunaga to consider these problems together instead of treating each one separately.

Is full-mouth reconstruction the same as a smile makeover?

There can be some overlap, but full-mouth reconstruction goes further than appearance alone. Esthetics are part of the plan, but so is bite efficiency, comfort, muscle function, tooth structure, and the health of the gums and supporting tissues.

Will every tooth need treatment?

No. Your healthy, natural teeth and dental work that is functioning well may be left alone. Dr. Tokunaga evaluates what can be preserved and builds the treatment plan from there.

What procedures are included?

Depending on what you need, your treatment may include orthodontics, crowns, onlays, veneers, bridges, dental implants, dentures, or other restorative care. Some patients need several types of treatment, while others may need only a few carefully chosen changes.

How do I know where to start?

You do not need to figure that out before your appointment. Tell Dr. Tokunaga what feels uncomfortable, which foods have become difficult to chew, what you would like to change about your smile, and any dental problems you have been putting off. He'll take a close look at what's been going on, explain what he sees, and help you decide which options make sense for you.

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