How Common Are Bite Problems with Full Mouth Reconstruction?

Full mouth reconstruction is an awesome restoration but can be very demanding and problematic when not done well.Please visit the web link to learn and  hear a patient who describes what happens when the Full Mouth Reconstruction goes wrong.Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMOChair, Alliance of TMD OrganizationsDiplomat, American Academy of Pain ManagementDiplomat, American Board of Dental Sleep MedicineRegent & Fellow, International College of CranioMandibular OrthopedicsBoard Eligible, American Academy of CranioFacial PainDental Section Editor, Sleep & Health JournalMember, American Equilibration SocietyMember, Academy of Applied Myofunctional Sciences

The reason why we would be doing full mouth reconstruction is because the patient has existing problems with their teeth including their bite. Dr. Ayzin will work with you to make sure you are comfortable with your bite and have reached the goal for your new smile! 

Thanks for asking!

Dr. Ayzin

Dentistry @ its Finest

(714) 540-5511

The amount of adjustments can be reduced by identifying the relaxed muscles position (low muscles activities) prior to the fabrication of the full mouth restoration.  This is known as the Neuromuscular Bite which is one way that an ideal bite position of your teeth can be identified.  It is not uncommon to need multiple bite adjustments after a full mouth reconstruction.  Most times in such cases the actual bite position is altered to accommodate the new restorations (crowns/onlays/veneers).  The ideal bite position can be identified prior to the final phase of the teeth preparations.  This can be done with a fix or removeable orthotic.  This is a temporary test done by adding acrylic on your teeth to establish the ideal and comfortable bite position.  Once this is established it is transferred to the final Full Mouth reconstruction restorations.  By doing so the number of adjustments after the Full Mouth is done can be minimized.  Some individuals may require as little as a single adjustment while others can be a lot more.  At our office we use data like EMG measurements of the muscles activities to help us identify the ideal bite position.  

A full mouth reconstruction can create a difficult situation for a patient. It is not the case all the time but in some situations the harmony between the hard and soft tissue in oral reconstruction is not created until a few visits later. It is normal to notice a difference between your natural teeth and the prosthetics that were made.But it only takes a minute discrepancy in your bite to create an uncomfortable situation. When your bite is off it's similar to having a small pebble in your shoe. You know that is there, it's small but it makes it very difficult to function normally and until that discrepancy is removed the problem remains.  It may take multiple visits to create harmony between your facial muscles, the joints of your jaw and the new crowns. Sometimes I recommend an occlusal guard to help manage the  problem. In most situations the problem can be corrected with minor adjustments.

Dr. C