If you have several dental problems at once, a single filling or crown may not be enough to restore your smile. Full mouth reconstruction combines restorative, cosmetic, periodontal, and sometimes surgical dentistry to rebuild the health, function, and appearance of your mouth.
At Financial District Dentistry, we provide full mouth reconstruction in San Francisco for patients with multiple dental concerns, including worn teeth, broken teeth, missing teeth, gum disease, tooth decay, discoloration, bite problems, and old failing dental work.
Our current full mouth reconstruction page explains that complex full-mouth rehabilitation is usually recommended when patients have multiple problems in the mouth, including gum disease, discoloration, tooth decay, crooked teeth, and other concerns occurring at the same time.
Financial District Dentistry
220 Montgomery St. Suite 120
San Francisco, CA 94104
Phone: (415) 399-9999
We serve patients throughout the Financial District, SoMa, Embarcadero, Union Square, Chinatown, Nob Hill, North Beach, Mission Bay, and downtown San Francisco.
What Is Full Mouth Reconstruction?
Full mouth reconstruction, also called full mouth rehabilitation or full mouth restoration, is a customized treatment plan that rebuilds or replaces many or all of the teeth in the mouth.
The American College of Prosthodontists explains that full mouth reconstruction refers to rebuilding and/or replacing all teeth in a patient’s mouth, combining esthetics with restorative dentistry to improve health, function, and beauty.
A full mouth reconstruction may address:
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Missing teeth
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Broken or cracked teeth
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Worn-down teeth
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Severe tooth decay
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Gum disease
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Bite imbalance
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Jaw discomfort
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Failing crowns, bridges, or fillings
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Loose dentures
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Discoloration or cosmetic concerns
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Teeth damaged by grinding or clenching
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Dental trauma or injury
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Difficulty chewing or speaking clearly
A full mouth reconstruction is not one procedure. It is a personalized treatment plan based on your oral health, goals, timeline, and budget.
Who Needs Full Mouth Reconstruction?
You may benefit from a full mouth restoration in San Francisco if your dental problems affect several areas of your mouth or make everyday activities difficult.
Full mouth reconstruction may be right for patients with:
| Concern | How Reconstruction May Help |
|---|---|
| Multiple missing teeth | Replaces teeth with implants, bridges, or dentures |
| Severe decay | Restores or replaces teeth that cannot function properly |
| Worn teeth | Rebuilds tooth structure and bite support |
| Broken teeth | Repairs damage with crowns, veneers, bonding, or implants |
| Gum disease | Stabilizes oral health before restorative treatment |
| Bite collapse | Rebuilds chewing function and facial support |
| Old dental work | Replaces failing crowns, bridges, fillings, or dentures |
| Dental trauma | Restores damaged or lost teeth after injury |
| Cosmetic concerns | Improves tooth shape, color, symmetry, and smile balance |
If your smile feels overwhelming because “everything needs work,” full mouth reconstruction allows your dentist to organize treatment into a clear, phased plan.
Full Mouth Reconstruction vs. Smile Makeover
Full mouth reconstruction and smile makeovers can overlap, but they are not the same.
| Treatment | Main Goal | Common Focus |
|---|---|---|
| Full mouth reconstruction | Restore health, bite, function, and appearance | Damaged, missing, worn, decayed, or failing teeth |
| Smile makeover | Improve cosmetic appearance | Tooth color, shape, alignment, spacing, and symmetry |
A smile makeover may focus mainly on whitening, veneers, or cosmetic bonding. Full mouth reconstruction is more comprehensive and often includes treatment for bite problems, missing teeth, gum disease, severe wear, decay, and structural damage.
For many patients, the best result combines both: strong function and a beautiful, natural-looking smile.
Conditions Full Mouth Reconstruction Can Treat
Worn-Down Teeth
Teeth can wear down from grinding, clenching, acid erosion, bite imbalance, or age-related changes. Worn teeth may become sensitive, shorter, flatter, or more likely to chip.
Treatment may include porcelain crowns, veneers, bonding, bite adjustment, or a night guard to protect the final result.
Missing Teeth
Missing teeth can affect chewing, speech, confidence, and bite stability. Replacement options may include dental implants, bridges, partial dentures, full dentures, or implant-supported dentures.
The FDA notes that losing a tooth due to injury or disease can lead to complications such as rapid bone loss, speech problems, and changes in chewing patterns.
Broken or Cracked Teeth
Damaged teeth may need crowns, onlays, root canal therapy, extraction, or implant replacement depending on the extent of the fracture.
Cleveland Clinic explains that dental crowns can restore decayed, broken, weak, or worn-down teeth and can also cover dental implants or root canal–treated teeth.
Severe Tooth Decay
When several teeth have decay, treatment may include fillings, crowns, root canal therapy, extractions, or implants. The goal is to remove disease, preserve healthy tooth structure when possible, and restore long-term function.
Gum Disease
Healthy gums are essential before major restorative treatment. If gum disease is present, periodontal therapy may be recommended before crowns, bridges, implants, veneers, or dentures.
Bite Problems and Jaw Strain
A full mouth rehabilitation may help restore bite balance when teeth are worn, missing, shifting, or uneven. Peer-reviewed dental literature emphasizes that occlusion, or how the teeth meet, is a key part of full mouth rehabilitation planning.
Treatments Used in Full Mouth Reconstruction
Your treatment plan may include one or several dental services. The right combination depends on your diagnosis, goals, and oral health foundation.
Dental Crowns
Crowns cover and protect teeth that are weak, cracked, worn, root canal–treated, or heavily restored. They can rebuild tooth shape, strength, and bite support.
Dental Bridges
Bridges replace one or more missing teeth by anchoring artificial teeth to neighboring teeth or implants. Cleveland Clinic notes that bridges can restore chewing function, improve appearance, and support oral health.
Dental Implants
Dental implants replace missing tooth roots and can support crowns, bridges, or dentures. They may be used for a single missing tooth, several missing teeth, or full-arch reconstruction.
Dentures and Implant-Supported Dentures
Dentures can replace several teeth or a full arch. Implant-supported dentures may provide more stability for patients who struggle with loose removable dentures.
Porcelain Veneers
Veneers may be used when front teeth need cosmetic improvement, shape correction, color enhancement, or minor alignment improvement as part of a larger plan.
Tooth-Colored Fillings
Composite fillings can repair cavities and small areas of damage while blending with the natural tooth color.
Root Canal Therapy
Root canal therapy may save infected or severely damaged teeth that can still be restored with crowns.
Extractions and Oral Surgery
When teeth cannot be predictably saved, extractions or oral surgery may be needed before tooth replacement.
Periodontal Therapy
Scaling and root planing, periodontal maintenance, or other gum care may be recommended to create a healthier foundation for reconstruction.
Night Guards
A night guard may be recommended after reconstruction to protect crowns, veneers, implants, or natural teeth from grinding and clenching.
What to Expect During the Full Mouth Reconstruction Process
1. Comprehensive Consultation
Your dentist begins with a complete exam, discussion of your concerns, and review of your medical and dental history.
2. Digital Imaging and Diagnostic Records
X-rays, photographs, scans, impressions, bite records, and other diagnostic tools may be used to evaluate teeth, bone, gums, bite, jaw joints, and existing dental work.
Financial District Dentistry offers modern dental technology and comprehensive dental services, supporting detailed diagnosis and treatment planning from one downtown office.
3. Oral Health Stabilization
Before final restorations are placed, urgent problems are addressed first. This may include treating infection, removing decay, managing gum disease, extracting hopeless teeth, or relieving pain.
4. Personalized Treatment Plan
Your plan may include:
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Teeth that can be saved
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Teeth that need removal
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Replacement options for missing teeth
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Gum treatment recommendations
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Bite and jaw considerations
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Cosmetic goals
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Timeline and treatment phases
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Cost and insurance considerations
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Long-term maintenance plan
5. Phased Treatment
Full mouth reconstruction is often completed in phases. This allows your dentist to prioritize health, comfort, function, and aesthetics while keeping the treatment plan manageable.
6. Final Restorations
Final restorations may include crowns, bridges, veneers, implants, dentures, or implant-supported restorations designed to look natural and function comfortably.
7. Maintenance and Protection
After reconstruction, regular cleanings, exams, home care, and protective appliances such as night guards may help maintain your results.
Benefits of Full Mouth Reconstruction
A full mouth restoration may help:
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Restore chewing comfort
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Replace missing teeth
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Repair broken or worn teeth
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Improve bite balance
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Reduce tooth sensitivity
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Improve smile appearance
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Support clearer speech
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Restore facial support
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Improve confidence
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Replace failing dental work
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Protect long-term oral health
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Make daily eating more comfortable
The goal is not only to make your teeth look better. It is to help your whole mouth function better.
How Long Does Full Mouth Reconstruction Take?
The timeline depends on the number of teeth involved, the severity of dental problems, the need for gum treatment, extractions, implants, healing time, lab fabrication, and patient preferences.
Treatment may take longer if you need:
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Periodontal therapy
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Multiple crowns or bridges
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Tooth extractions
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Dental implants
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Bone grafting
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Dentures or implant-supported dentures
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Root canal therapy
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Bite rehabilitation
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Replacement of old failing dental work
Some patients complete treatment in weeks. More complex cases may take several months or longer, especially when implants or staged healing are involved.
Is Full Mouth Reconstruction Painful?
Your comfort is a priority. Many restorative procedures are performed with local anesthetic, and treatment is planned in stages to make the process more manageable. Some soreness or sensitivity can occur after procedures such as crowns, extractions, implants, or gum therapy.
Financial District Dentistry emphasizes welcoming, compassionate care and states that its staff works to help patients feel right at home during visits.
How Much Does Full Mouth Reconstruction Cost in San Francisco?
The cost of full mouth reconstruction in San Francisco varies widely because every treatment plan is different.
Cost depends on:
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Number of teeth involved
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Type of restorations used
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Need for extractions
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Need for dental implants
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Gum treatment requirements
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Root canal therapy needs
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Lab materials and customization
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Bite rehabilitation complexity
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Sedation or comfort options
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Insurance benefits
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Whether treatment is completed in phases
Financial District Dentistry accepts most PPO insurance providers and is in network with Delta Dental® and Cigna®. For a personalized estimate, call (415) 399-9999.
Full Mouth Reconstruction for Worn Teeth
Worn teeth are one of the most common reasons patients seek comprehensive reconstruction. Teeth may become shorter, flatter, chipped, or sensitive over time.
Causes of worn teeth may include:
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Teeth grinding
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Jaw clenching
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Acid reflux
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Acidic drinks
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Bite imbalance
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Missing teeth
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Old dental work
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Age-related enamel wear
A reconstruction plan for worn teeth may include crowns, veneers, bonding, bite correction, replacement of missing teeth, and a custom night guard to protect the results.
Full Mouth Reconstruction for Missing Teeth
Patients missing several teeth often need a plan that restores both appearance and function. Missing teeth may be replaced with bridges, implants, dentures, or implant-supported dentures.
Your dentist may consider:
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Number of missing teeth
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Location of missing teeth
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Jawbone support
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Gum health
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Bite force
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Facial support
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Budget and timeline
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Desire for fixed vs. removable teeth
A comprehensive plan helps prevent patchwork dentistry and supports a more predictable long-term result.
Full Mouth Reconstruction for Failing Dental Work
Old crowns, fillings, bridges, or dentures may eventually wear out, loosen, break, or develop decay around the edges. If several restorations are failing at once, full mouth reconstruction may be a better approach than repairing one tooth at a time.
Signs old dental work may be failing:
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Loose crowns or bridges
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Dark lines around crown margins
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Recurrent decay
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Chipped porcelain
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Food trapping
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Bite changes
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Sensitivity
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Pain when chewing
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Dentures that no longer fit
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Repeated dental emergencies
A complete evaluation can help determine which restorations can be repaired and which should be replaced.
Why Choose Financial District Dentistry for Full Mouth Reconstruction?
Comprehensive Dental Services Under One Roof
Full mouth reconstruction often requires several types of dentistry. Financial District Dentistry provides general, cosmetic, restorative, periodontal, emergency, oral surgery, dental implant, denture, bridge, crown, veneer, and technology-supported services in downtown San Francisco.
Convenient Downtown San Francisco Location
Our office is located at 220 Montgomery St. Suite 120, San Francisco, CA 94104, with office hours Monday through Thursday from 7:30 a.m. to 5:00 p.m.
Experienced Restorative Care
Dr. Evangeline Amores brings decades of clinical experience and advanced training, including a DDS from Columbia University’s School of Dental and Oral Surgery, hospital-based residency training, special care dentistry fellowship training, and implant dentistry education. She is also affiliated with the American Dental Association, California Dental Association, and American Academy of Implant Dentistry.
Personalized, Phased Treatment Planning
Full mouth reconstruction can feel overwhelming. Our team helps break the process into clear phases so you understand what comes first, what can wait, and how each step supports your final result.
How to Maintain Your Results After Full Mouth Reconstruction
Your new smile needs consistent maintenance to stay healthy and comfortable.
Long-term care may include:
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Brushing twice daily
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Flossing or using interdental cleaners daily
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Professional cleanings and exams
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Periodontal maintenance when needed
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Wearing a night guard if you grind or clench
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Cleaning under bridges and implant restorations
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Avoiding chewing ice or hard objects
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Limiting tobacco use
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Treating dry mouth
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Scheduling visits if a restoration feels loose or your bite changes
For full-arch implant restorations, the American College of Prosthodontists states that routine removal of fixed full-arch implant-supported restorations is discouraged unless hygiene cannot be maintained or mechanical complications are present.
When to Schedule a Full Mouth Reconstruction Consultation
Schedule a consultation if you:
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Have several broken or missing teeth
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Feel embarrassed by your smile
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Have trouble chewing
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Have severe tooth wear
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Have failing crowns, bridges, or dentures
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Need multiple extractions
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Have loose dentures
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Have bite collapse or facial support changes
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Experience frequent dental emergencies
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Want a complete plan instead of temporary repairs
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Have been told you need extensive dental work
A complete evaluation can help you move from uncertainty to a clear plan.
Schedule Full Mouth Reconstruction in San Francisco
If you are ready to rebuild your smile, restore your bite, and improve your oral health, Financial District Dentistry can help you explore your options with a personalized full mouth reconstruction plan.
Call (415) 399-9999 or request an appointment today.
Financial District Dentistry
220 Montgomery St. Suite 120
San Francisco, CA 94104
Monday–Thursday: 7:30 a.m.–5:00 p.m.
Friday–Sunday: Closed
Frequently Asked Questions
What is full mouth reconstruction?
Full mouth reconstruction is a customized treatment plan that rebuilds or replaces many or all teeth in the mouth. It may combine crowns, bridges, dental implants, dentures, veneers, gum therapy, root canal therapy, extractions, and bite rehabilitation.
Who is a good candidate for full mouth reconstruction?
Good candidates often have multiple dental problems, such as missing teeth, worn teeth, broken teeth, severe decay, gum disease, bite problems, or old failing dental work. A comprehensive exam is needed to determine the right plan.
Is full mouth reconstruction the same as a smile makeover?
No. A smile makeover focuses mainly on cosmetic improvements. Full mouth reconstruction focuses on restoring oral health, chewing function, bite stability, and appearance.
How long does full mouth reconstruction take?
The timeline varies. Some cases can be completed in weeks, while complex cases involving implants, extractions, gum treatment, or staged healing may take several months or longer.
What treatments are included in full mouth reconstruction?
Treatment may include crowns, bridges, dental implants, dentures, veneers, fillings, root canal therapy, extractions, oral surgery, periodontal therapy, bite correction, and night guard therapy.
Does full mouth reconstruction hurt?
Procedures are planned with patient comfort in mind, and many treatments are performed with local anesthetic. Some soreness or sensitivity may occur after certain procedures, depending on the treatment performed.
How much does full mouth reconstruction cost?
Cost depends on the number of teeth involved, the treatments needed, materials, implants, extractions, gum therapy, lab work, and insurance benefits. A consultation is needed for a personalized estimate.
Where can I get full mouth reconstruction in downtown San Francisco?
Financial District Dentistry provides full mouth reconstruction consultations at 220 Montgomery St. Suite 120, San Francisco, CA 94104. Call (415) 399-9999 to schedule an appointment.