Your smile tells your story, and when it has been worn down by years of damage, tooth loss, or complex dental problems, rewriting that story takes more than a single appointment. Full mouth reconstruction is one of dentistry’s most comprehensive undertakings, a carefully coordinated process that can restore function, health, and confidence from the ground up. Understanding what the journey looks like, from the very first consultation to the moment you see your final results, helps you walk into that process with clarity and confidence.
At Ocean Breeze Implant & Esthetic Dentistry in Delray Beach, Dr. Nicholas Goetz brings a level of training that very few dentists in the country can match. As one of approximately 150 maxillofacial prosthodontists in the United States, Dr. Goetz holds both a fellowship from UCLA and advanced training from the University of Florida, giving him the foundation to take on even the most complex full mouth reconstruction cases with precision and care.
Phase One: Comprehensive Planning and Evaluation
The reconstruction journey begins long before any treatment is performed. During your initial consultation, Dr. Goetz conducts a thorough evaluation of your teeth, gums, bite, jaw function, and bone structure. This is where the full picture comes into focus.
Diagnostic Imaging and Records
A cornerstone of this phase is advanced CBCT dental scanning technology, which produces detailed three-dimensional images of your oral anatomy. These scans allow Dr. Goetz to assess bone density, identify underlying issues invisible on standard X-rays, and plan treatment with exceptional accuracy. The technology supports his clinical judgment rather than replacing it, providing data that leads to better, more predictable outcomes.
After gathering records, Dr. Goetz and his team develop a phased treatment plan tailored to your unique needs. Recent research in prosthodontics emphasizes that full mouth rehabilitation works best as an interdisciplinary effort that integrates advanced technologies to address complex oral health challenges. At Ocean Breeze, that philosophy drives every planning decision.
Phase Two: Foundational and Preparatory Treatment
Before restorations can be placed, the foundation must be sound. This phase addresses gum disease, bone loss, infections, and any extractions that may be necessary. Patients who require bone grafting or periodontal treatment will complete that work here, allowing the tissues and bone to heal before moving forward.
Why This Phase Matters
Skipping or rushing foundational work is one of the most common reasons reconstructions fail. Restorations placed on compromised tissue or inadequate bone will not hold, no matter how well they are crafted. Dr. Goetz’s approach prioritizes getting the foundation right because long-term results depend on it.
This phase can range from a few weeks to several months, depending on how much foundational work is involved. Patients requiring multiple extractions and bone grafts will naturally have a longer timeline in this stage.
Phase Three: Restorative Treatment
With a healthy foundation in place, the restorative phase begins. Depending on your treatment plan, this may include dental implants, porcelain crowns, bridges, veneers, or a combination of these solutions across both arches. This is where the reconstruction truly takes shape.
The treatments involved in a full mouth reconstruction vary based on each patient’s needs, which is one reason why working with a maxillofacial prosthodontist makes such a difference. Dr. Goetz has the training to coordinate multiple types of restorations simultaneously, ensuring they work together functionally and look great.
The following factors influence the length of the restorative phase:
- Number of restorations needed: More teeth requiring treatment naturally extend the timeline for fabrication and placement appointments.
- Implant healing time: Implants require a healing period of several months for osseointegration before a crown or bridge can be attached.
- Provisional restorations: Temporary restorations are often placed while permanent ones are being crafted, allowing you to evaluate function and appearance before final placement.
Each of these variables is planned for well in advance, so patients always understand where they are in the process and what comes next.
Phase Four: Final Restorations and Bite Refinement
The final phase is where everything comes together. Permanent restorations are placed, bite relationships are evaluated and refined, and any minor adjustments are made to ensure your new smile fits your life perfectly. This phase requires attention to detail and a highly trained eye, both of which Dr. Goetz brings to every case.
Patients leave this phase with a restored, fully functional smile that reflects the months of careful planning and craftsmanship that preceded it.
Start Your Reconstruction Journey at Ocean Breeze Implant & Esthetic Dentistry
A full mouth reconstruction is one of the most meaningful investments a person can make in their health and quality of life, and it deserves a provider who approaches it with the same level of commitment you bring to the decision. Dr. Nicholas Goetz’s background as a maxillofacial prosthodontist, combined with his fellowship training at UCLA and his experience serving patients with the U.S. Army and VA Medical Hospital, means every reconstruction at Ocean Breeze is guided by clinical depth and genuine care. You can also explore patient reviews from others who have gone through their own transformative journeys.
When you are ready to take the first step, we are here to walk through every phase alongside you. Contact our office to schedule your consultation and find out what a personalized reconstruction timeline looks like for you.
