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Full Mouth Reconstruction


Full mouth reconstruction is using many different elements of dentistry to result in a common goal, the correct relationship between gums and teeth, while achieving a beautiful, decay free, aligned smile. With all the recent advancements in dental technologies, patients are truly able to achieve any cosmetic result they desire. When full mouth reconstruction is properly done, the jaw, head, and neck also receive less tension. Stopping frequent headaches, migraines, and neck aches. 

Orthodontics, endodontics, implants, neuromuscular dentistry, porcelain crowns, porcelain veneers, and whitening are all potential procedures used in full mouth reconstruction. It varies case by case, each patient having different needs.

Smile Line Makeovers (the smile lift)

Veneers are utilized often in smile line makeovers. A veneer is a porcelain jacket custom fit to cover your teeth. Veneers are usually placed from bicuspid to bicuspid and create a dramatic beautiful new smile when used. Veneers are minimally invasive and do a great job of reshaping, resizing and changing the color of natural teeth.

When veneers are not an option due to severe staining, rotated teeth, missing teeth, or previously crowned teeth, all porcelain crowns are often used. Dr. Koeppel prides himself on making a smile that fits the framework of ones face, artistically fingerprinting it for that individual.

Cosmetic Procedures

Purely cosmetic procedures, such as veneer makeovers, are often sought after by patients who already know exactly how they want to see themselves after the procedure. Most want a smile that is not crooked, too small, too round, too wide, or that shows too much gum. They want the “perfect smile” that matches there face and personality. Not many cosmetically driven patients worry about the function of the teeth after the procedure. Dr. Koeppel not only changes the appearance of the teeth, but provides proper occlusion in treatment to avoid any bite issues in the future.  This insures a long lasting result.

Dr. Koeppel is very experienced with the Golden Rule of Proportion. He perfected this technique when he studied at the Las Vegas Institute for Dental Excellence, and at PAC Live. With Dr. Koeppels guidance and expertise, any patient can take the smile in their head, waiting to come out, and bring it to life.

Cause and Effect

Some functionally driven patients need full mouth reconstruction to correct biting relationships. Misaligned and severely over crowded teeth cause an uneven bite, and worn anterior (front) teeth.  Leading to pain and frequent head and neck aches. Without proper occlusion (bite relationship) chewing can become impaired and teeth can become worn, causing them to break more easily. When your teeth are out of ideal alignment, every time you open and close your mouth the damage ensues.
Others need full mouth rehabilitation due to loss of enamel, or because the teeth have become severely decayed.

Genetic defects such as Ectodermal dysplasia cause some to be born without enamel. Others,  loose enamel from sucking lemons, or eating a lot of food that contains citric acid. Sour gummy bears or sugar-filled gum can cause teeth to dissolve. Frequently eating candies or mints can also cause acid erosion. Without enamel, teeth are more prone to infection, often times this leads to ramped decay.

Some medications can cause xerostomia (dry mouth). Smoking, illness and age can also be contributors to this. When there is no saliva in the mouth, the teeth become a harvesting ground for decay, and the friction caused by dry mouth may cause wear and fractures.

Sometimes this severe decay is caused by previous full mouth dental work gone awry. Leaking fillings invite new decay to breakdown more tooth structure. Crowns that do not fit properly can do the same. Fillings not adjusted properly can trap bacteria in food traps, becoming more difficult to clean.

Soda, in excess, is kryptonite for healthy teeth. Soda is liquid candy packed with sugar. There are about 14 tablespoons of sugar in one serving of soda. One who drinks soda all day is depleting the body of calcium rapidly, due to the diutryic acid content in sodas. Most soda drinkers do not brush their teeth right after they have had a glass of soda, so the sugar content stays on the teeth and breaks them down.

Failed Reconstruction

A failure in full mouth reconstruction is a very complex problem. This is because such a large amount of teeth were done at once. Meaning, it will take that much more work to correct the issues.

Most times failure at this magnitude is not due to faulty products. It is technique error. These errors can lead to crooked smiles, mismatched teeth, jaw joint and ear pain, migraine headaches, veneers that discolor or fall off, bleeding gums, and extreme tooth sensitivity.

To rehabilitate a full mouth reconstruction gone badly, most crown and veneer work must be removed, excavated for decay, and re-done. Dr. Koeppel is no stranger to this large task. Many patients have come in hopeless, but due to his extensive knowledge on biting relationships and use of only the highest quality materials he is able to create esthetically pleasing smiles that function harmoniously.


Patients who have additional questions about full mouth reconstruction, unusual enamel conditions due to genetics, growth factors, medication histories or acid erosion are invited to contact Dr. Koeppel directly with our on-line Ask The Dentist form. Dr. Koeppel will respond to you directly with the answers or information you are seeking.


A complementary consult can be arranged by calling our office at (631) 318-0000 or with our Consult Request form. Obtain the objective information you need for selecting the most sensible treatment option.

Before Severely Worn and
Fractured Teethv Collapsed Bite

After Balanced Bite Cosmetics Function

Dr. Koeppel explaining bite relationship to patient.


Extensive Wear and Destructive
Forces Over Many Years

Failed Recontruction Decay at Gumline