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Full mouth reconstruction in San Juan Capistrano, CA

San Juan Capistrano Full Mouth Reconstruction

Full mouth reconstruction is not one procedure but a sequenced plan: several treatments across both jaws, ordered so that each one builds on the last. It is for mouths where fixing a single tooth would not hold.

When is a full reconstruction the right answer?

When the problems are connected. Worn-down teeth, repeated crown failures, jaw pain and a collapsed bite are usually symptoms of one underlying issue, and treating them one at a time keeps failing.

A common pattern: teeth wear down, the bite loses height, the jaw joint starts to complain, and new fillings keep chipping because they are taking forces they were never designed for. Rebuilding tooth by tooth in that mouth is expensive and short-lived.

Reconstruction starts from the bite as a whole — what height it should be, how the jaws should meet — and then rebuilds the teeth to fit that.

What does the plan actually involve?

Diagnosis first, then a written sequence: what is treated, in what order, and why. Only after you have seen that plan does any drilling start.

Diagnosis means photographs, a cone beam CT, scans of both jaws and a record of how the jaws meet. Together these show the current bite and the target one.

The treatments themselves come from the usual toolkit — crowns, implants, root canals, gum treatment, sometimes orthodontics. What makes it a reconstruction is the order and the shared endpoint.

Records and diagnosis
Scans, photographs, bite records. One or two visits.
Stabilise
Deal with infection, decay and gum disease first. Nothing is built on an unstable base.
Rebuild
Implants, crowns and bridges in the planned sequence, with temporaries along the way.
Refine and protect
Final restorations, bite check, and a night guard if grinding was part of the problem.

How long does it take?

Months rather than weeks — commonly six to eighteen, depending on how much healing is built into the plan. Implants and gum treatment set the pace.

The long stretches are healing, not appointments. Between stages you wear temporary restorations that look and function well enough to live with normally.

It can be staged around your life and budget: the plan sets an order that stays sound even if the later stages happen a year after the first ones.

Can it be done in stages, or is it all at once?

In stages, almost always. What cannot be split is the diagnosis — the plan has to exist for the whole mouth before the first tooth is touched.

Splitting the work without a plan is how mouths end up with mismatched crown heights and a bite that never settles. With a plan, each stage is a complete step that stands on its own.

We put the sequence and the reasoning in writing, so you can take it away, think about it, and get a second opinion if you want one.

Questions we get asked

Will I be without teeth at any point?
No. Temporary crowns and bridges cover every stage where a tooth is being replaced or rebuilt.
Is sedation available?
Longer appointments can be planned with sedation. Tell us at the consultation if that matters to you, so it is built into the plan rather than added late.
Does insurance cover it?
Parts of it usually are — a crown, a root canal, gum treatment. Coverage is checked treatment by treatment, and we help with the submissions.
What does it cost?
It varies more than any other treatment we offer, because no two plans contain the same work. You get a written plan with a figure per stage before anything begins.

Words used on this page

Bite (occlusion)
How the upper and lower teeth meet. The starting point of any reconstruction.
Vertical dimension
The height of the bite. Years of wear lower it, and rebuilding often means restoring it.
Temporary restoration
A provisional crown or bridge worn between stages.
Night guard
A custom shield worn while sleeping to protect restorations from grinding.
REVIEWED AND SIGNED BY
General dentist · cosmetic dentistry, prosthodontics, endodontics, oral surgery
CA license DDS107544
Published 2026-09-01 · Updated 2026-09-01
This page is for information only and does not replace an in-person examination. What suits you is decided at a consultation, after an exam and imaging.
32382 Del Obispo St Ste C2
San Juan Capistrano, CA 92675
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