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.
Advantages of This Full Mouth Rehab Technique
I have experienced multiple advantages with this approach. The overall result is that I feel much more technically confident while doing more complex cases.
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.