The short answer, up front

Full-mouth reconstruction is not one procedure. It is a coordinated plan that combines whichever of crowns, bridges, implants, orthodontics, and bite correction a mouth actually needs, sequenced so each phase sets up the next one. It is not something we recommend for a mouth that needs one or two fixes. It comes up when years of wear, old restorations, or a shifting bite have compounded into a bigger problem that a single procedure will not solve.

When it is warranted

A few patterns tend to point toward a full-mouth conversation rather than a single-tooth fix. Bite collapse, where teeth have worn down enough that the jaw sits differently than it used to. Extensive wear across many teeth, often from years of grinding. Multiple restorations that are failing around the same time, which happens more often than people expect once crowns and fillings from decades ago start reaching the end of their service life together. And cases where both the look and the function of the mouth have declined enough that fixing one tooth at a time would mean years of piecemeal visits instead of one plan.

The Smile Center of Orlando advantage: one office, no handoffs

A full-mouth case in a lot of practices means a general dentist for the exam, an orthodontist for bite correction, an oral surgeon for implants, and a prosthodontist for the final crown and bridge work, each on a separate schedule with separate paperwork. “We refer out as little as possible as we can,” is how Dr. Altomare describes his approach, and a full-mouth case is where that matters most. He sequences the orthodontic movement, the implant placement, and the crown and bridge work himself, in this office, so the plan does not fall apart because two providers were not talking to each other. When a case genuinely needs a specialist, we refer inside our own network of trusted providers.

Timeline and cost, honestly

There is no fixed quote for full-mouth reconstruction, because no two cases are the same. A case built around implants and bone healing takes longer than one built primarily around crown and bridge work. Depending on what the mouth needs, the full arc can run anywhere from about six months to over a year. Cost is built phase by phase and discussed as each phase is planned, not handed over as a single number on day one, because committing to a full price before we know exactly what the bite needs would mean guessing.

What the first consultation looks like

The first visit is diagnostic, not a sales conversation. Dr. Altomare examines the bite, reviews imaging, and talks through what has changed over time and why. From there, he lays out a phased plan: what happens first, what depends on what, and roughly how long each phase takes. You leave with an understanding of the whole picture, even though the exact final cost gets refined as the plan progresses.

Frequently asked questions