Total Smile Restoration with Two Specialists & One Coordinated Plan
If you have multiple missing, damaged, or worn teeth, or if you’ve been avoiding the dentist due to complex dental problems, full-mouth reconstruction can transform your oral health, appearance, and life.
At Valley Dental Health, Dr. Ashley Izadi (award-winning general dentist) and Dr. Roham Rafat (dual-specialist in Periodontics and Prosthodontics) work together to rebuild your smile from the ground up. Unlike practices that refer you to outside specialists, we coordinate every phase of your care under one roof. From gum disease treatment to dental implants to final cosmetic restoration, we do it all.
Whether you’ve experienced years of tooth decay, traumatic injury, advanced gum disease, or severe wear from teeth grinding, we have the advanced training and technology to restore your smile.
What Is Full-Mouth Reconstruction?
Full-mouth reconstruction (also called full-mouth rehabilitation) is a comprehensive treatment plan that rebuilds or replaces most or all of your teeth. Unlike a smile makeover, which focuses primarily on cosmetics, full-mouth reconstruction addresses both function AND appearance.
A full-mouth reconstruction may include:
- Periodontal (gum) disease treatment
- Bone grafting to rebuild the jawbone
- Dental implants to replace missing teeth
- Same-day Crowns and natural-looking bridges to restore damaged teeth
- TMJ therapy to correct bite problems
- Root canal therapy to save infected teeth
- Tooth-colored fillings
- Orthodontics (including Invisalign)
- Porcelain veneers for cosmetic finishing
The specific combination of treatments depends entirely on your unique needs. Dr. Izadi and Dr. Rafat will conduct a comprehensive evaluation before any work begins. Then, they design a phased treatment plan that respects your budget, timeline, and goals.
When Is Full-Mouth Reconstruction Necessary?
You may be a candidate for full-mouth reconstruction if you experience:
- Multiple missing teeth
- Severely worn, cracked, or broken teeth
- Advanced tooth decay or failed restorations
- Chronic teeth grinding (bruxism) has destroyed tooth structure
- Advanced gum disease with bone loss
- Congenital conditions affecting tooth development
- Traumatic dental injuries
- Long-standing bite problems causing jaw pain or headaches
- Significant dissatisfaction with your current smile
Many full-mouth reconstruction patients have avoided the dentist for years due to fear, shame, or cost. We understand. Our team is judgment-free, experienced with anxious patients, and offers sedation options to keep you comfortable throughout treatment.
Why Valley Dental Health for Full-Mouth Reconstruction?
Dual-Specialist Team Under One Roof
Most full-mouth reconstruction patients need both surgical and restorative care. In most practices, that means coordinating between:
- A periodontist for gum treatment and implant surgery
- A prosthodontist for crowns and bridges
- A general dentist for final restorations
At Valley Dental Health, Dr. Roham Rafat is both a periodontist AND a prosthodontist. He is one of only a few dual-specialists in Maryland. He can surgically place your implants AND restore them with natural-looking crowns. Dr. Ashley Izadi adds advanced general dentistry expertise, including award-winning Invisalign treatment and cosmetic dentistry.
You get coordinated care, fewer appointments, and a single team managing your entire journey at Valley Dental Health.
Advanced Technology for Predictable Results
- Digital Smile Design: Preview your new smile before treatment begins
- CBCT 3D Imaging: Precise implant planning and bone assessment
- Same-day CEREC crowns: Permanent crowns in one visit, no temporaries
- Digital denture fabrication: Better fit, digital records stored for future emergencies
- In-office sedation options: Including IV sedation for complex cases
Patient-Centered, Phased Treatment
Full-mouth reconstruction can feel overwhelming. We break it into manageable phases:
- Comprehensive evaluation and diagnosis (including digital imaging and bite analysis)
- Treatment of active disease (gum disease, decay, infection)
- Surgical phase (extractions, bone grafting, implants)
- Restorative phase (crowns, bridges, dentures)
- Cosmetic finishing (veneers, whitening, final adjustments)
We also offer flexible payment options and can phase treatment over time to fit your budget.
Patient Review
Components of a Full-Mouth Reconstruction
Periodontal Disease Treatment
Healthy gums are the foundation of any lasting smile. Dr. Rafat specializes in treating all stages of gum disease using scaling and root planing, Arestin® antibiotic therapy, and surgical procedures when needed.
Bone Grafting & Ridge Preservation
If you’ve lost bone due to periodontal disease or long-term tooth loss, bone grafting can rebuild your jawbone to support dental implants. Dr. Rafat performs in-office bone grafting procedures as part of your reconstruction plan.
Dental Implants
Dental implants are the gold standard for replacing missing teeth. Dr. Rafat can place and restore:
- Single-tooth implants
- Multiple-tooth implants (implant-supported bridges)
- Full-arch implants (All-on-X)
- Implant-supported dentures
With proper care, dental implants can last a lifetime.
Same-Day CEREC Crowns
For damaged but savable teeth, we offer same-day crowns using CEREC technology. You arrive with a damaged tooth and leave with a permanent, natural-looking crown in about two hours.
Dental Bridges
For patients who aren’t candidates for implants or prefer a fixed alternative, dental bridges replace one or more consecutive missing teeth using adjacent natural teeth as support.
Dentures & Partials
For patients missing all or most teeth in an arch, we offer both traditional and implant-supported dentures. Our digital denture fabrication process ensures a better fit and allows us to store your digital records for future emergencies.
TMJ Therapy
If bite problems have contributed to your dental breakdown, Dr. Izadi and Dr. Rafat offer TMJ therapy. This includes custom mouthguards, bite adjustment procedures, and orthodontics to correct the underlying issue.
Cosmetic Finishing
Once your smile is healthy and functional, we can add cosmetic finishing touches. This may include porcelain veneers, professional whitening, and gum contouring. We will ensure your new smile looks as beautiful as it feels.
The Full-Mouth Reconstruction Process
Step 1: Comprehensive Consultation
Your journey begins with a thorough evaluation. Dr. Izadi and Dr. Rafat will:
- Review your medical and dental history
- Take digital X-rays and CBCT 3D images
- Evaluate your gums, teeth, and jawbone
- Assess your bite and TMJ function
- Listen to your goals and concerns
- Discuss sedation options if needed
Step 2: Treatment Planning
Based on your evaluation, we’ll present a detailed treatment plan including:
- Recommended procedures in order of priority
- Timeline (typically 6-18 months depending on complexity)
- Cost breakdown and insurance information
- Payment and financing options
Step 3: Active Treatment
Treatment proceeds in phases, starting with the most urgent needs (infection, pain, gum disease) and moving toward restorative and cosmetic procedures. We’ll schedule appointments around your availability and comfort level.
Step 4: Maintenance
Once your reconstruction is complete, we’ll create a long-term maintenance plan. The plan includes regular cleanings, periodontal maintenance (if needed), and periodic imaging to monitor your implants and restorations.
Full-Mouth Reconstruction FAQs
How long does full-mouth reconstruction take?
The timeline varies significantly based on your needs. Simple reconstructions (crowns, bridges, a few implants) may take 3-6 months. Complex cases involving extensive bone grafting, multiple implants, or full-arch restorations can take 12-18 months. Dr. Rafat and Dr. Izadi will provide a personalized timeline during your consultation.
How much does full-mouth reconstruction cost in Hunt Valley, MD?
Full-mouth reconstruction costs vary widely based on the number and type of procedures needed. A reconstruction involving 10-12 crowns might range from $15,000 to $30,000. A case involving full-arch dental implants typically ranges from $30,000 to $60,000 per arch.
Note: These are just industry estimates. We will provide a complete, itemized treatment plan before any work begins, with no surprises.
Does insurance cover full-mouth reconstruction?
Most dental insurance plans cover a portion of medically necessary procedures in a reconstruction, including extractions, periodontal treatment, and basic restorative care. However, annual maximums typically range from $1,000 to $2,500, which cover only a fraction of the cost of a full reconstruction. We offer flexible financing through CareCredit and our KLEER membership plan. We’ll also help you maximize your insurance benefits.
Is full-mouth reconstruction painful?
We prioritize your comfort throughout treatment. Most procedures are performed under local anesthesia, and we offer sedation options (including IV sedation) for longer appointments or anxious patients. While you may experience some soreness after certain procedures (extractions, implant placement, gum surgery), we provide detailed aftercare instructions and pain management recommendations. Most patients report that the comfort of their new smile far outweighs any temporary discomfort.
Am I too old for full-mouth reconstruction?
Age alone is not a barrier to full-mouth reconstruction. As long as you are healthy enough for the necessary procedures (including possible oral surgery), we can help. Many of our full-mouth reconstruction patients are in their 60s, 70s, and beyond. The benefits of a functional, pain-free smile (including better nutrition, clearer speech, and renewed confidence) are valuable at any age.
What is the difference between a smile makeover and full-mouth reconstruction?
A smile makeover focuses primarily on cosmetic improvements (veneers, whitening, bonding) for patients with healthy teeth and gums. Full-mouth reconstruction addresses significant functional problems like missing teeth, advanced decay, gum disease, and bite disorders BEFORE cosmetic finishing. In many cases, a full-mouth reconstruction includes cosmetic finishing as the final phase.
Can I get full-mouth reconstruction if I have dental anxiety?
Absolutely. Many of our reconstruction patients have significant dental anxiety. We offer multiple sedation options (nitrous oxide, oral conscious sedation, IV sedation) and a judgment-free environment. We also break treatment into manageable phases so you never feel overwhelmed. Your comfort is our priority.
Will my new teeth look natural?
Yes. Dr. Rafat is a dual-specialist in periodontics and prosthodontics. This means he has advanced training in both surgical placement AND aesthetic restoration. Dr. Izadi adds award-winning cosmetic expertise.
Together, they design restorations that match your natural tooth color, shape, and translucency. We also use Digital Smile Design technology to let you preview your new smile before treatment begins.
Ready to Rebuild Your Smile?
You don’t have to live with missing, damaged, or painful teeth. Modern full-mouth reconstruction offers solutions that are comfortable, natural-looking, and built to last.
Call Valley Dental Health at 443-733-6613 to schedule your full-mouth reconstruction consultation. You can also request an appointment online anytime.
Serving Hunt Valley, Cockeysville, Timonium, Sparks, Phoenix, Lutherville, Jacksonville, and all of Baltimore County.