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How to Transform Your Full Mouth Rehab Technique in 2018

Try this full mouth rehab technique in 2018

The most impactful trick or technique I have learned for complex full mouth rehab cases is to do the anterior ten first, then restore the molars in a later stage of the case.

by Dr. Lee Ann Brady

Advantages of This Full Mouth Rehab Technique

Try this full mouth rehab technique in 2018I have experienced multiple advantages with this approach. The overall result is that I feel much more technically confident while doing more complex cases.

Technical Advantages

Let’s start with the technical advantages. Because we are not going to prepare molar teeth in the first stage of the reconstruction, we use molar control bites. This approach allows us to very precisely hold a new vertical dimension, as we are often opening vertical in these complex cases. The molar control bites also enable us to very predictably treat the case in centric relation and accommodate for any minor condylar seating that occurs through the restorative process.

The next clinical advantage is that the molars allow a place to positively seat the matrices we use for mock-up, provisionals, and reduction guides. This adds a significant improvement in predictability to the restorative steps. Having the unprepared molars as a reference to our starting point is the most important step in making these kinds of cases simple and predictable.

Patient Advantages

The patient gets the advantage of restoring all or most of the teeth in the esthetic zone. There is no compromise in the initial esthetic improvement or our ability to level occlusal planes and change the parameters of the final tooth position. The lack of the molar contact initially has never been a negative to patients during function, although this was one of the concerns with trying this technique.
The other advantage is that patients can stage the dentistry in a way that often helps with financial logistics. More importantly, it feels less overwhelming because they are spreading it out.
When I explain this process, my experience is that the patient seems to relax once I help them understand we are going to complete the work in stages and they can dictate the pace. Often my patients take advantage of a break after the anterior ten are complete, simply because they are fatigued by the effort of the dentistry.

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