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Full Mouth Reconstruction in Boston
Restore Your Smile. Rebuild Function. Feel Like Yourself Again.
When many teeth have become worn, damaged, broken or missing, fixing one tooth at a time may not address the bigger picture.
Full mouth reconstruction takes a comprehensive approach.
At Boston Center for Oral Health, we look at how your teeth, gums, bite and jaw work together. From there, we develop an individualized treatment plan designed to restore oral health and function while creating a smile that looks natural and feels like you.
No two full mouth reconstruction cases are exactly alike.
Your treatment begins with you — what is happening with your teeth today, what is causing the problem, what you want to change, and what will provide a healthy and sustainable result.
What Is Full Mouth Reconstruction?
Full mouth reconstruction — sometimes called full mouth rehabilitation or full mouth restoration — is the process of rebuilding or restoring many or all of the teeth in the mouth.
It isn’t one particular dental procedure.
Instead, it is a carefully planned combination of treatments selected according to the needs of the individual patient.
For one person, reconstruction may involve restoring badly worn teeth. For another, it may mean replacing missing teeth with dental implants. Another patient may need crowns, bridges, periodontal treatment or a combination of restorative and cosmetic procedures.
The goal is not simply to create a more attractive smile.
We want your teeth to look good, but they also need to work together properly.
That means considering function, comfort, bite, oral health and appearance as parts of the same treatment plan.
Who May Need Full Mouth Reconstruction?
There are many reasons someone may reach the point where comprehensive dental reconstruction should be considered.
You may be a candidate if you have:
- Multiple missing teeth
- Severely worn teeth
- Broken, cracked or failing teeth
- Extensive decay
- Older dental work that is beginning to fail
- Significant tooth loss
- Problems with your bite
- Difficulty chewing comfortably
- A combination of functional and cosmetic dental concerns
- Complex dental needs that cannot be adequately addressed by treating one tooth at a time
Sometimes patients know exactly what is wrong.
Others simply know that their mouth doesn’t feel the way it used to, eating has become more difficult, or they have stopped feeling comfortable with their smile.
That’s enough reason to start a conversation.
[REQUEST A FULL MOUTH RECONSTRUCTION CONSULTATION]
Full Mouth Reconstruction Is Not the Same for Everyone
There is no standard full mouth reconstruction package.
And there shouldn’t be.
Before recommending treatment, we need to understand the condition of your teeth and gums, your bite, your dental history and what you hope to accomplish.
Depending on your needs, your treatment plan may bring together several areas of dentistry.
Dental Implants
When teeth are missing or cannot predictably be restored, dental implants may provide a foundation for replacing them.
Implant treatment can become one component of a larger reconstruction rather than being considered in isolation.
Learn About Dental Implants at BCOH
Dental Crowns and Restorations
Teeth that are damaged, heavily restored or significantly worn may sometimes be rebuilt with crowns or other restorations.
The objective is to restore the individual teeth while considering how they function together as part of the entire bite.
Porcelain Fixed Bridges
When one or more teeth are missing, a fixed dental bridge may be an option for restoring the space, depending on the condition of the surrounding teeth and the overall treatment plan.
BCOH offers porcelain fixed bridges designed to restore both appearance and chewing function.
Learn About Porcelain Fixed Bridges
Periodontal Care
A reconstruction needs a healthy foundation.
The gums and bone supporting the teeth therefore need to be evaluated before extensive restorative treatment. When periodontal disease is present, treatment may need to become part of the overall reconstruction plan. BCOH’s periodontal treatment is based on the type and severity of the patient’s periodontal condition.
Learn About Periodontal Treatment at BCOH
Cosmetic Dentistry
Function matters, but so does the way you feel about your smile.
Tooth shape, proportion, color and overall appearance can all be considered when developing a comprehensive reconstruction.
BCOH’s cosmetic dentistry services include treatments ranging from veneers and implants to restorative procedures designed to address damaged or missing teeth.
Explore Cosmetic Dentistry at BCOH
Your Bite and Jaw Function
How the upper and lower teeth come together matters, particularly when many teeth are being reconstructed.
For patients who also experience jaw discomfort, headaches, difficulty chewing or other symptoms involving the temporomandibular joints, evaluation of the bite and jaw may also be appropriate. BCOH’s TMJ program includes evaluation of the jaw joints, bite, muscles and oral health before developing an individualized treatment plan.
Learn About TMJ/TMD Treatment at BCOH
One Plan. A Team Approach.
Complex dental problems don’t always fit neatly into one category.
A patient may need restorative dentistry as well as periodontal treatment. Another may require dental implants followed by restorative treatment. Bite considerations can also influence how a reconstruction is planned.
This is one of the advantages of receiving care at Boston Center for Oral Health.
BCOH was built around comprehensive dental care, with specialists and restorative dentists working together when a patient’s needs cross different areas of dentistry.
Instead of looking only at the tooth causing today’s problem, we can look at how the pieces fit together.
That collaborative approach can be especially valuable when rebuilding an entire smile.
Meet Walter — The Beginning of a Smile Reconstruction Journey
Every Reconstruction Has a Starting Point
Walter is a South Boston resident beginning his smile reconstruction journey at Boston Center for Oral Health.
Rather than showing you only a dramatic before-and-after photograph when everything is finished, we want to show you something different:
The journey itself.
In this first chapter, you’ll meet Walter before treatment begins and hear, in his own words, what brought him to BCOH.
You’ll also meet Dr. Carmine Morreale as Walter begins the process of rebuilding his smile.
Walter’s Smile Reconstruction Journey — Chapter 1: Before Treatment
Meet Walter, a South Boston resident beginning his smile reconstruction journey at Boston Center for Oral Health.
Follow Walter’s Journey
Chapter 1 — Before Treatment
Meet Walter and hear what brought him to Boston Center for Oral Health
Chapter 2 — Treatment Begins
Follow Walter as his treatment begins and the reconstruction plan moves into action.
COMING SOON
Chapter 3 — The Reconstruction
Follow the different stages as Walter’s smile is rebuilt and his treatment progresses.
COMING SOON
The Final Result
See Walter’s completed smile reconstruction and the conclusion of his journey.
COMING SOON
What Happens at a Full Mouth Reconstruction Consultation?
Your first appointment isn’t about deciding how many crowns or implants you need.
It’s about understanding the problem.
We begin by talking with you about your dental history, what is bothering you, how your teeth function today and what you would like to change.
Your doctor can then evaluate your teeth, gums, existing dental work, bite and other factors that may affect treatment.
If full mouth reconstruction is appropriate, the next step is developing a treatment plan specifically for you.
For complex cases, treatment may occur in stages rather than all at once.
The objective is a plan you understand — including what needs attention, why treatment is being recommended and how the different pieces fit together.
How Long Does Full Mouth Reconstruction Take?
There isn’t one answer because full mouth reconstruction can describe very different treatment plans.
Some restorations can be completed relatively quickly.
More complex cases involving extractions, implants, periodontal treatment, healing periods or multiple phases of restorative dentistry can take considerably longer.
During your consultation, your BCOH doctor can explain the anticipated sequence and timeline for your particular treatment.
How Much Does Full Mouth Reconstruction Cost?
There is no single price for full mouth reconstruction because there is no single full mouth reconstruction procedure.
A patient restoring existing teeth has very different needs from someone requiring multiple extractions and dental implants.
The number of teeth involved, the condition of those teeth, whether implants or periodontal treatment are required, and the type of restorations selected can all affect the overall cost.
After evaluating your individual situation, your BCOH doctor can discuss the recommended treatment plan and its associated costs with you.
[REQUEST A CONSULTATION]
Why Choose Boston Center for Oral Health for Full Mouth Reconstruction?
Full mouth reconstruction requires more than making individual teeth look better.
It requires looking at the mouth as a whole.
At Boston Center for Oral Health, patients have access to comprehensive dental care in one Boston practice. BCOH’s approach includes general, restorative, cosmetic and specialty dental services, allowing different aspects of a complex case to be coordinated when necessary.
Our approach starts with something simple:
Understand the patient first. Then build the treatment around the patient.
That is especially important when treatment may change not just a smile, but how someone eats, speaks and feels about their teeth every day.
Full Mouth Reconstruction FAQ
What is full mouth reconstruction?
Full mouth reconstruction is a comprehensive approach to restoring or replacing many or all of the teeth in a patient’s mouth.
Rather than being one specific procedure, it can combine several treatments into a coordinated plan designed around the patient’s oral health, function and individual needs.
Is full mouth reconstruction the same as a smile makeover?
Not exactly.
A smile makeover is generally focused primarily on appearance. Full mouth reconstruction usually addresses functional or oral-health problems as well, such as damaged, worn, failing or missing teeth.
Improving the appearance of the smile can still be an important part of a full mouth reconstruction.
What procedures can be included in full mouth reconstruction?
Depending on the individual patient, treatment may include dental implants, crowns, bridges, periodontal treatment and other restorative or cosmetic procedures.
Not every patient needs every procedure.
Can dental implants be part of full mouth reconstruction?
Yes.
Dental implants can be incorporated into a full mouth reconstruction when one or more teeth need to be replaced and implants are appropriate for the patient’s individual situation.
Learn More About Dental Implants
Can badly worn teeth be rebuilt?
Many worn teeth can be restored, but treatment depends on the amount of remaining tooth structure and the reason the teeth became worn.
Determining why the wear occurred is an important part of planning treatment, particularly when multiple teeth are involved.
Does full mouth reconstruction include cosmetic dentistry?
It can.
Although restoring oral health and function is fundamental, the shape, proportion, color and overall appearance of the teeth can also be considered when planning the reconstruction.
Explore Cosmetic Dentistry at BCOH
Does full mouth reconstruction fix your bite?
The bite is one of the factors that may be evaluated when planning a comprehensive reconstruction.
If the way the teeth come together is contributing to tooth wear, discomfort or other problems, it may influence how treatment is planned.
Patients with jaw-related symptoms may also benefit from a separate TMJ evaluation.
Learn About TMJ Treatment at BCOH
Is full mouth reconstruction painful?
Treatment varies considerably from one patient to another.
Comfort and anesthesia options depend on the procedures being performed and should be discussed with your dentist as part of your individual treatment plan.
How long does full mouth reconstruction take?
Treatment may range from several appointments to a process lasting many months.
The timeline depends on the procedures involved and whether treatment requires stages such as periodontal therapy, implant placement or healing before the final restorations can be completed.
How much does full mouth reconstruction cost in Boston?
There is no standard cost because each reconstruction is different.
The number of teeth requiring treatment, the procedures involved, the type of restorations and whether dental implants or other specialty care are required can all affect cost.
An examination and treatment plan are necessary before an individualized estimate can be provided.
How do I know if I need full mouth reconstruction?
If you have multiple missing, broken, severely worn or failing teeth, difficulty chewing, extensive previous dental work or several dental problems occurring together, a comprehensive dental evaluation can help determine whether full mouth reconstruction or a more limited treatment would be appropriate.
Where can I get full mouth reconstruction in Boston?
Boston Center for Oral Health provides comprehensive dental care at 400 Commonwealth Avenue in Boston’s Back Bay. The practice provides general, cosmetic, restorative and specialty dental services from its Boston location.
Patients considering extensive restorative treatment can schedule a consultation to discuss their dental condition, concerns and possible treatment options.
Ready to Talk About Your Smile?
You don’t need to know which procedures you need before you come in.
That’s what the consultation is for.
Whether you are dealing with worn teeth, missing teeth, old dental work that is failing, difficulty chewing or simply a combination of problems that has become overwhelming, we can start by looking at the whole picture.
Then we can talk about what is possible.
Schedule a Full Mouth Reconstruction Consultation
Boston Center for Oral Health
400 Commonwealth Avenue
Boston, MA 02215
Medically Reviewed
Medically Reviewed by
Dr. Carmine L. Morreale, DMD, MAGD
Boston Center for Oral Health
Boston, Massachusetts
Last reviewed: September 2026