Full Mouth Reconstruction in Philadelphia
Complete smile rebuilds at Razavi Dental in Center City Philadelphia. Implants, crowns, veneers, and complex restorations planned using Digital Smile Design and delivered by an experienced restorative dentist and on-staff periodontist.
What Is Full Mouth Reconstruction?
Full mouth reconstruction is a comprehensive treatment plan that restores or replaces most or all of the teeth in a single coordinated process. It is not a single procedure. It is a plan that combines several restorative treatments — dental implants, crowns, veneers, bridges, or periodontal therapy — sequenced in the right order so each phase supports the next.
The term is sometimes used interchangeably with full mouth restoration or complete dental restorations. They mean the same thing. What distinguishes full mouth reconstruction from a single procedure is the scope. Rather than addressing one tooth or one problem, reconstruction addresses the mouth as a whole, correcting the underlying causes of damage at the same time as restoring the appearance and function.
At Razavi Dental, full mouth reconstruction begins with Digital Smile Design — a digital planning process that maps your facial proportions, gum line, and bite before any treatment starts. You see the projected outcome before any work begins, and the plan is built around that result.
Who Is a Candidate for Full Mouth Reconstruction?
Most patients who seek full mouth reconstruction have one thing in common — multiple problems that developed gradually over time and reached a point where addressing them one at a time no longer makes sense. A coordinated plan is faster, more predictable, and almost always more cost-effective than treating each issue separately as it becomes urgent.
Why Patients Seek Reconstruction
- Severe tooth wear from grinding or acid erosion
- Multiple missing teeth across both arches
- Failing or broken-down dental work — old crowns, bridges, or fillings that need replacement
- Bite collapse from years of untreated tooth loss
- Significant decay involving most of the teeth
- Trauma or injury affecting multiple teeth
- Teeth that have become worn, short, or damaged with age
What It Can Correct
- Full chewing function restored
- Bite alignment corrected
- Gum health stabilized before restorations begin
- Teeth rebuilt to proper size and shape
- Smile aesthetics restored alongside function
- Jawbone preserved through implant placement
- Long-term durability through properly sequenced care
Full Mouth Reconstruction at Razavi Dental
Dr. Razavi has built her practice around complex restorative cases. Full mouth reconstruction draws on every discipline in the practice — cosmetic dentistry for the design and final restorations, periodontics for the gum and bone foundation, and implant surgery for missing teeth. At Razavi Dental, all of that is available without referrals out.
For cases involving implants, Dr. Pouya Hatam, a board-certified periodontist and surgical faculty member at the University of Pennsylvania School of Dental Medicine, performs the implant surgery as part of the same treatment plan. Dr. Razavi handles the restorative phase — the crowns, veneers, and final design. The two specialists work together in one Philadelphia practice, which keeps the plan coordinated from start to finish.
Planning begins with Digital Smile Design. High-resolution photography, intraoral scanning, and facial video analysis are used to map facial proportions, gum line dynamics, and bite relationships before treatment begins. The software produces a projected outcome so you can see what the result will look like before anything is done. Treatment proceeds from that design, not the other way around.
What Full Mouth Reconstruction Involves
Every reconstruction plan is different because no two patients arrive with the same combination of problems. The procedures below are the most common components. A full plan may involve several of them, sequenced in the order that gives each restoration the best foundation.
Dental Implants
When teeth are missing, implants replace the root and the crown, preserving the jawbone and restoring full bite function. At Razavi Dental, implant surgery is performed by Dr. Hatam, a board-certified periodontist. Learn more about dental implants in Philadelphia.
For patients replacing several teeth in different areas, visit our multiple implants in Philadelphia page.
Dental Crowns
Crowns restore teeth that are cracked, heavily decayed, or worn down to a point where a filling is no longer sufficient. In a full mouth reconstruction, dental crowns are often placed on multiple teeth to rebuild the bite to the correct height and function.
Porcelain Veneers
Veneers resurface the front of the teeth, correcting chips, discoloration, uneven edges, and spacing. In a full mouth reconstruction, porcelain veneers are typically placed on the front teeth as the final aesthetic layer after the underlying bite and function have been corrected.
Dental Bridges
A bridge replaces one or more missing teeth by anchoring to the teeth on either side. In a reconstruction, bridges are used when the adjacent teeth are already in need of crowns, making implant placement less critical than in an otherwise healthy arch. For patients missing most or all teeth, implant-supported dentures in Philadelphia offer a full-arch solution that combines the stability of implants with the coverage of a denture.
Periodontal Treatment
Active gum disease must be treated before any restorative work begins. Placing crowns or implants over infected tissue leads to failure. Dr. Hatam handles periodontal treatment as part of the same plan, so patients do not need to be referred elsewhere before reconstruction can start.
Digital Smile Design Planning.
Every full mouth reconstruction at Razavi Dental begins with Digital Smile Design. Digital imaging and facial mapping produce a projected outcome before treatment starts, so the final result is planned — not improvised.
What Is Digital Smile Design?
Digital Smile Design is a treatment planning protocol developed by Brazilian dentist Christian Coachman that uses digital photography, video, and 3D imaging to map a patient’s facial proportions before any dental work begins. The software analyzes facial symmetry, gum line, lip movement, and tooth proportions to design a smile that fits the patient’s face — not just their teeth. At Razavi Dental, every full mouth reconstruction begins with a DSD consultation so the outcome is designed before treatment starts.
The Full Mouth Reconstruction Process
Treatment follows a logical sequence designed to give each phase the right foundation before the next begins.
1
Consultation and Digital Planning
Dr. Razavi reviews your history, takes intraoral scans and photographs, and uses Digital Smile Design to map your facial proportions and project your outcome before treatment begins.
2
Periodontal Preparation
If gum disease or bone loss is present, Dr. Hatam addresses it before any restorations are placed. This phase may include deep cleaning, laser treatment, or bone grafting.
3
Implant Surgery
For patients with missing teeth, Dr. Hatam places the implant posts. Osseointegration takes three to six months. Temporary restorations keep the area functional during healing.
4
Core Restorations
Crowns, bridges, or other structural restorations are placed once implants have integrated and the periodontal foundation is stable, rebuilding the bite to the correct height and function.
5
Final Aesthetic Layer
Porcelain veneers or other cosmetic restorations complete the final appearance. The result matches the Digital Smile Design projection from the consultation.
How Long Does Full Mouth Reconstruction Take?
Timeline varies significantly depending on the complexity of the case. A reconstruction involving implants takes longer than one involving crowns and veneers only, because osseointegration requires three to six months after implant placement before final restorations can be placed.
A realistic range for most full mouth reconstructions is six months to two years from first consultation to final appointment. Cases that require bone grafting before implant placement sit at the longer end. Cases involving crowns and veneers without implants can often be completed in three to six months.
Dr. Razavi walks through a realistic timeline at the initial consultation once the full scope of treatment is clear. Patients are not given a generic estimate — the timeline is built from the actual plan.
Full Mouth Reconstruction Cost in Philadelphia
Full mouth reconstruction cost varies more than almost any other dental treatment because no two plans involve the same procedures. A case involving four implants and eight crowns has a fundamentally different cost than one involving twelve veneers and gum treatment.
The clearest way to understand it is by component. A full mouth reconstruction involving both arches can range from $20,000 to $70,000 or more depending on what the case requires. The exact cost depends on the number of teeth involved, whether implants are required, and whether periodontal treatment or bone grafting is necessary before restorations can be placed.
Insurance coverage for reconstruction is limited but not zero. Procedures with a functional basis — implants replacing missing teeth, crowns on teeth that have fractured — are more likely to receive partial coverage than purely cosmetic components. Razavi Dental will submit to your insurance on your behalf after treatment. The office also offers financing to help spread the cost of treatment over time.
The most useful thing Dr. Razavi can offer is a treatment plan with actual numbers for your specific case. That only becomes possible after the initial consultation and Digital Smile Design session, where the full scope of treatment is clear.
Ready to See If You Are a Candidate?
Most patients don’t know what full mouth reconstruction involves until they sit down with Dr. Razavi. The consultation is the starting point — not a commitment.
Why Patients Choose Razavi Dental for Full Mouth Reconstruction
- Restorative and cosmetic expertise combined in one practice
- Implant surgery performed by an on-staff board-certified periodontist
- UPenn School of Dental Medicine faculty credentials
- Digital Smile Design planning before any treatment begins
- Periodontal treatment and implant surgery handled in-house — no referrals out
- Coordinated care from first consultation through final restoration
Frequently Asked Questions
What is the difference between full mouth reconstruction and a smile makeover?
A smile makeover is primarily cosmetic — veneers, whitening, bonding — and focuses on appearance. Full mouth reconstruction addresses function as well as aesthetics. It is typically recommended when there are structural problems that need to be corrected, such as missing teeth, a collapsed bite, or significant wear, rather than purely cosmetic concerns. In practice, the two often overlap. A reconstruction that restores function usually also improves appearance significantly.
Do I need full mouth reconstruction or can I just fix teeth one at a time?
It depends on how many teeth are involved and whether the problems are connected. Addressing teeth individually makes sense when problems are isolated. When multiple teeth have failed or are failing, a coordinated plan is almost always better — it is faster, more predictable, and tends to cost less in the long run than repeated emergency visits. Dr. Razavi will give you a clear picture of whether reconstruction makes sense for your situation at the consultation.
Does full mouth reconstruction hurt?
Each individual procedure in a reconstruction is performed under local anesthesia. Most patients find the experience far more manageable than they expected. The more relevant question is recovery time between phases — most patients have periods of mild soreness after surgical steps like implant placement, manageable with over-the-counter pain relief for a few days.
Can I get full mouth reconstruction if I have gum disease?
Active gum disease must be treated before restorations are placed. Crowns and implants placed over infected tissue are likely to fail. Because Dr. Hatam is a periodontist who works within the same practice, periodontal treatment is built into the reconstruction plan rather than requiring a separate referral. Patients with gum disease are candidates for reconstruction — the periodontal phase simply comes first.
How long do the results last?
With proper care, the results of a full mouth reconstruction can last decades. Dental implants, once integrated, are designed to be permanent. Porcelain crowns and veneers typically last 15 to 20 years depending on care and wear patterns. The longevity of the result depends significantly on treating the underlying causes — bite issues, grinding, gum disease — as part of the reconstruction rather than leaving them unaddressed.
What is Digital Smile Design and why does it matter for reconstruction?
Digital Smile Design is a planning process that uses digital photography, video, and intraoral scanning to map your facial proportions and project the outcome of treatment before anything begins. For full mouth reconstruction, it matters because the final result involves many teeth — small miscalculations in proportion or bite height compound across the arch. Designing the outcome in advance and building the treatment plan from that design produces a more predictable result than working tooth by tooth without a coordinated plan.
How do I know if I am a candidate?
The clearest answer comes from a consultation with Dr. Razavi. Generally, candidates are patients with multiple failing, missing, or severely damaged teeth who want a comprehensive solution rather than ongoing piecemeal repair. Most adults in reasonable overall health qualify. Dr. Razavi will review your dental and medical history, take imaging, and give you a clear picture of what treatment would involve and whether it makes sense for your situation.
Ready to Rebuild Your Smile?
Razavi Dental offers full mouth reconstruction in Philadelphia with Digital Smile Design planning, on-staff periodontal expertise, and restorative care from consultation through final restoration. Schedule your consultation with Dr. Razavi.