FULL MOUTH RECONSTRUCTION
Full mouth reconstruction, also known as a full mouth rehabilitation, is a complex dental treatment modality that focuses on saving existing teeth with the use of advanced dental procedures. Because of its complexity, this multifaceted dental procedure should only be attempted by a very experienced clinician. Just as you would want the most experienced pilot to fly your plane through a storm, you should only seek a dentist with the most experience when reconstructing an entire mouth of teeth.
Why Someone Might Need a Full Mouth Restoration
A full mouth restoration is more than cosmetic—it’s a comprehensive approach to rebuilding the health, function, and beauty of your smile. Many patients are surprised to learn how common these issues are. You may be a candidate for full mouth reconstruction if you’re experiencing any of the following:
Severely worn teeth – Multiple missing teeth – Broken, cracked, or failing teeth –
Extensive decay or repeated dental work – Long- standing bite or jaw problems – Difficulty chewing or speaking – Severe discoloration or mismatched dental work – Congenital or developmental issues –
Trauma or accident-related damage – Periodontal (gum) disease damage – Many other Dental issues
Why Full Mouth Reconstruction Requires a Decision System
The Kurpis Full Mouth Reconstruction Decision System™
After more than four decades of treating complex dental cases, Dr. Kurpis developed a formal decision system to guide full-mouth reconstruction — especially in patients who are unsure whether their teeth can or should be saved.
This system is designed to:
Prevent premature tooth removal
Avoid unnecessary implants
Identify cases where implants are truly the best option
Restore function, comfort, and appearance in a predictable, defensible way
Every full-mouth case is evaluated through the same structured decision pathway.
How Full Mouth Reconstruction Decisions Are Made
The Kurpis Full Mouth Reconstruction Decision System™ evaluates each patient through a structured, step-by-step clinical pathway before any treatment is recommended.
This process determines:
Whether natural teeth can be safely preserved
Whether reconstruction can be completed without implants
When implants are medically necessary — and when they are not
Which approach offers the best long-term stability, function, and comfort
Decisions are not based on trends, shortcuts, or cosmetic goals alone.
They are based on biology, biomechanics, and long-term predictability.
What This Means for You
If you’ve been told that your only option is to remove your teeth and get implants, this evaluation may reveal additional possibilities.
Some patients who appear to need implants can safely preserve and rebuild their natural teeth.
Others truly benefit from implant-supported reconstruction — but only after careful analysis confirms that preservation would be unpredictable or unstable.
The goal is not to avoid implants at all costs.
The goal is to use them only when they are the right solution.
FREQUENTLY ASKED QUESTIONS
Q: If my teeth are worn or failing, is it better to pull them and get implants or save them through reconstruction?
A: This is one of the most critical decisions a patient can make. While “All-on-4” or dentures are often marketed as a quick fix, they are irreversible. My philosophy, backed by decades of clinical experience and conservative academic training at Columbia University School of Dental Medicine, is that your natural teeth, if properly rehabilitated, are superior to any titanium or plastic substitute. Like anything else, healthy natural is always better than artificial. Full mouth reconstruction and rehabilitation focus on restoring the structural integrity of your existing natural teeth. This preserves your natural jawbone, maintains your facial profile, and avoids the “sunken” look that often follows mass extractions.
Q: I’ve been told my teeth are “hopeless.” Can a specialist with years of experience offer a different perspective?
A: “Hopeless” is often a matter of the provider’s comfort level or personal philosophy regarding healthcare. Performing a comprehensive rehabilitation on a compromised mouth is both a scientific challenge and an artistic mastery. My academic background and decades in practice allow me to look at the mouth as an entire functional system rather than a collection of individual “bad” teeth. We often find that through advanced porcelain engineering, bite realignment and periodontal gum treatment we can save a smile that others would have discarded.
Q: Is full mouth rehabilitation a cosmetic procedure or a medical necessity?
A: It is a sophisticated hybrid. The science involves correcting a collapsed bite and restoring the “vertical dimension” of your face to protect your jaw joints and muscles. It also involves returning the teeth to a state of health. There is an undeniable, oral systemic relationship, and the health of your mouth ultimately has an influence on the health of vital organ systems in your body. The art part of the equation involves using my talent for aesthetic design to ensure those restorations look indistinguishable from natural enamel. Although trained formally as a dentist, I also consider myself an artist with the ability to paint, draw and sculpt. When you have decades of experience, you learn that beauty without function fails, and function without beauty is incomplete. I and my team provide both to ensure your new smile feels as natural as it looks.
Q: How does the experience of the doctor impact the longevity of a full mouth reconstruction?
A: Longevity is the true test of a doctor’s skill. A clinician who has performed these procedures for over 50 years understands the “physics of the mouth“, how porcelain reacts to the force of a human bite over a decade, not just weeks. My deep experience ensures that the materials chosen and the engineering principles applied are tailored to your specific muscular habits that influence your jaw movements through it’s many excursions during mastication. This prevents the fractures and failures common in less experienced hands.
The Goal: A Healthy, Functional, Beautiful Smile
A full mouth restoration brings every tooth—and the bite as a whole—back into harmony. The result is stronger chewing, improved comfort, a rejuvenated appearance, and long-term oral health.
Below are examples of how this decision system translates into real world outcomes
Actual Patient Before & After Photos
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DR. KURPIS – OVER 50 YEARS EXPERIENCE!
“My full mouth reconstruction with Dr. Kurpis was truly life-changing. My teeth were worn, broken, and painful, and I was embarrassed to smile. Dr. Kurpis explained everything clearly and restored my entire smile with incredible precision. I can finally chew comfortably, my bite feels natural, and I have my confidence back. He didn’t just fix my teeth—he gave me my life back.” – Jim J.
FULL MOUTH RECONSTRUCTION SUCCESS STORY VIDEOS
The primary goal of a full mouth reconstruction is to return the mouth to state of optimal oral health and well-being, while being aesthetically pleasing to the eye.
A full mouth reconstruction often involves other complex dental procedures, such as:
Periodontal treatment
Root canal therapy
Posts and Cores
Crown lengthening surgery
Bite opening of the vertical dimension
Bite correction and alignment
Use of dental implants
Custom dental abutments
Various dental materials
Treating TMJ (temporomandibular joint dysfunction therapy)
Apicoectomies
Hemisections
Night guard therapy
Gingival grafts
Bone grafts
Specialty appliances
Interceptive orthodontic treatment
Other cosmetic procedures.
It is important for the patient to ask a lot of questions and fully understand their treatment plan prior to starting a full mouth reconstruction. This dental treatment is a big commitment in terms of both time and money, and a well-informed patient should be educated to have realistic expectations.
OCCLUSAL WEAR
There are many people who grind their teeth during the day or while sleeping. Grinding, also known as bruxism, can excessively wear the teeth down to a point where they are unsightly and the bite begins to collapse. A collapsed bite not only makes a person look older, it may also lead to other problems with chewing or Temporomandibular Joint (TMJ) dysfunction. Bite restoration is complex and requires knowledge, talent, and experience to know just how much a bite should be raised to complete the full mouth restoration successfully. No two occlusal wear patterns are alike, so we take special precautions with our diagnosis and occlusal analysis before attempting to rehabilitate a mouth that exhibits occlusal wear. Our team has the necessary knowledge and experience to restore worn and collapsed dentitions.
RAMPANT DECAY
Tooth decay often progresses rapidly and destructively. This can happen for a variety of reasons, such as a high sugar diet, drug abuse, or patient neglect. We will never judge you. Our only goal is to help you get back to a state of health where you can be confident and start to smile again. Whatever the cause for rampant decay, the solution is full mouth rehabilitation with porcelain crowns and/or dental implants. All decay/cavities are removed and the teeth are permanently repaired before crowns are placed on the teeth. Once the new crowns are cemented in place, a completely restored, natural looking smile is achieved. Taking the first step and coming in for a consultation is difficult for many people. But once the journey is complete, patients always tell us they can’t believe they waited so long to restore their teeth.
MUTILATED DETENTION
Many people neglect their teeth and fail to seek dental treatment for years. This may be due to dental fears, lack of funds for dental care, or simply not enough time to properly address the problems as the teeth break down or are lost. Many patients are told that their situation is hopeless and that the only solution is full dentures. Before considering dentures, come to the Kurpis Center for a second opinion. You will be amazed at the cutting edge techniques we have available that just may be the answer to avoiding full dentures. When patients feel that they are finally ready to restore their teeth, they can begin their journey towards full mouth reconstruction. At the Kurpis Center, we use a team approach to restore complex mutilated dentitions. Our goal is to restore dental health and function in harmony with esthetics. Ask to see before and after pictures from our vast portfolio of full mouth rehabilitations and see what we can do for you.
ACID EROSION CAUSED BY BULIMIA / GERD / ACIDIC FOODS
Acid erosion is a very destructive process causing rapid and excessive wear of tooth enamel. Once the enamel layer is worn away, the softer dentin layer is exposed and tooth wear and deterioration accelerates. It is not uncommon to see a full mouth of teeth totally destroyed in a relatively short period of time. The four main causes of acid erosion are: a highly acidic diet, drug abuse, stomach acid regurgitation, and bulimia. Our office is trained to manage and repair the destruction caused by acid erosion and support patients with extenuating circumstances contributing to this process. Please do not feel embarrassed. We understand your problem and can help to get your teeth healthy and beautiful again. Teeth destroyed by acid erosion are typically restored with porcelain veneers or full mouth dental crowns. If you suffer from the destructive nature of acid erosion, you no longer need to feel embarrassed or ashamed. Take comfort in knowing that our group of dentists at the Kurpis Center for Advanced Dentistry understands your situation and is here to restore your smile in only a few short visits.