When multiple teeth are failing, missing, or severely compromised, a full mouth reconstruction restores function and aesthetics across the entire dentition — upper arch, lower arch, or both — through a coordinated sequence of implant, restorative, and periodontal procedures. At Ocean Breeze Prosthodontics, Dr. Nicholas Goetz designs the entire reconstruction plan before any work begins: sequencing each phase in the correct clinical order, planning implant positions prosthetically, and delivering a result that functions correctly for the long term. Serving Boynton Beach and Palm Beach County from our office at 101 SE 27th Ave.
Full mouth reconstruction requires a clinician who evaluates the final result first — not one who addresses individual teeth in isolation. Prosthodontists are dentistry’s specialists in tooth replacement, bite restoration, and comprehensive restorative planning. Dr. Goetz maps the entire bite before touching a single tooth: assessing vertical dimension, occlusal relationships, and the sequencing constraints that determine what gets treated first. Periodontal problems are resolved before crowns or implants are placed. Implants are positioned where the final restoration requires them, not just where bone happens to be available. That planning discipline is what separates a prosthodontist-led reconstruction from a piecemeal series of restorative appointments.
No two reconstruction cases are identical — the procedures involved depend on what your specific dentition needs. Common components include dental implants (for missing teeth), porcelain crowns and bridges (for damaged or compromised teeth), periodontal treatment (to address gum disease before restorative work begins), bone grafting (where bone loss requires augmentation before implant placement), and full arch restorations such as All-on-4 or All-on-6 for patients who are edentulous or facing full-arch extraction.
The sequencing of those procedures is where the prosthodontist’s training matters most. Placing a crown on a tooth before treating the surrounding gum disease means building on a failing foundation. Installing implants before bone grafting has fully integrated risks placement failure. At Ocean Breeze Prosthodontics, Dr. Goetz establishes the correct clinical sequence from day one — and maps out the full timeline and cost before any procedure begins. No mid-treatment surprises, no scope creep, no handoffs to other providers.
Reconstruction cases at Ocean Breeze Prosthodontics are planned using CBCT imaging for 3D bone and anatomy assessment, digital bite analysis to evaluate vertical dimension and occlusal load distribution, and digital treatment planning software that lets Dr. Goetz model the final result before committing to any procedure. Boynton Beach patients receive the same level of specialist-led precision typically found only at academic dental centers — in a private practice setting serving the local community. Learn more about dental implants in Boynton Beach.
Every procedure listed below is performed by Dr. Goetz in our Boynton Beach office — no referrals out, no loss of continuity between phases.
Missing teeth are replaced with titanium implants planned prosthetically — Dr. Goetz designs the crown or bridge restoration first, then positions each implant to support it precisely. CBCT-guided surgical guides are used on every implant case. Single tooth, implant-supported bridges, and full arch implant restorations (All-on-4, All-on-6) are all performed in-house. Learn more →
Damaged, decayed, or structurally compromised teeth are restored with full-coverage porcelain crowns matched to adjacent tooth shade and morphology. Bridges replace missing teeth supported by adjacent natural teeth or implants, maintaining bite alignment and preventing adjacent tooth drift. All crown and bridge work is planned in coordination with the overall reconstruction sequence.
Gum disease is addressed before any restorative work begins — this is non-negotiable in a proper reconstruction sequence. Placing crowns or implants in a mouth with active periodontitis compromises both the restoration and the surrounding tissues. Dr. Goetz evaluates periodontal health comprehensively at the initial consultation and coordinates treatment to ensure a healthy foundation exists before restoration begins.
For patients who are fully edentulous or facing complete arch extraction, All-on-4 and All-on-6 implant restorations replace the entire arch on 4–6 implants with a fixed permanent prosthesis. Dr. Goetz designs the final arch before any implant is placed, delivers same-day temporaries at the time of surgery, and delivers the final arch once osseointegration is confirmed. Learn more →
Full mouth reconstruction is the most complex treatment in restorative dentistry — and also the area where a prosthodontist’s specialist training matters most. Dr. Nicholas Goetz is fellowship-trained in maxillofacial prosthodontics and holds a DMD and MS from the University of Florida, where he also completed his Prosthodontic Residency. His UCLA fellowship and clinical background with the U.S. Army and VA Medical Center gave him regular exposure to multi-system, multi-phase reconstruction cases that most private practice dentists see rarely if ever.
For Boynton Beach patients who have been told their case is “too complex” or who have been passed between specialists without a coherent plan, Dr. Goetz’s role is to design the complete solution as a single clinical project — integrating every phase, every provider, and every restoration into one cohesive treatment plan with a predictable outcome from the start.
We'll review your background, treatment history, and current challenges to fully understand your needs.
Dr. Goetz performs a thorough examination using CBCT scans to assess your oral and facial structures.
Using advanced software, we design your prosthesis digitally before any treatment begins.
We'll walk through your treatment plan, timeline, and financing options so you can make an informed decision.
Smile Transformations
FAQs
Full mouth reconstruction is a comprehensive, sequenced treatment plan that addresses multiple failing or missing teeth across both arches simultaneously. Unlike single-tooth restorations, full mouth reconstruction coordinates multiple treatment types — dental implants, crowns, bridges, periodontal therapy, bone grafting — in a clinically correct sequence designed to restore bite function, aesthetics, and long-term oral health. Dr. Goetz plans the entire reconstruction as a prosthodontist, ensuring the functional outcome drives every treatment decision before any work begins.
Full mouth reconstruction is appropriate for patients with multiple failing teeth, advanced decay across several teeth, severe gum disease that has compromised tooth support, significant tooth wear from bruxism (grinding), bite collapse, or extensive tooth loss across both arches. Good overall health is required for the surgical components, particularly implant placement. Dr. Goetz evaluates candidacy at your initial consultation through a comprehensive exam, CBCT imaging, and a review of your medical and dental history before recommending any specific treatment sequence.
Timeline depends on the complexity and number of treatment phases required. Cases involving dental implants typically take 9–18 months total — implants require 3–6 months to osseointegrate before final restorations are delivered. Cases involving only crowns, bridges, and restorative work without implants can often be completed in 3–6 months. Dr. Goetz will outline your specific sequencing and estimated timeline at your consultation, including any preparatory procedures like bone grafting or periodontal treatment that must be completed first.
Cost varies significantly based on the number of teeth involved, the specific treatments required (implants, crowns, bridges, periodontal procedures), and whether preparatory work like bone grafting is needed. A case involving implants for several missing teeth plus crowns across multiple arches will cost considerably more than a restorative-only reconstruction. Dr. Goetz provides a detailed, itemized treatment plan with associated costs at your consultation — there are no surprise fees added mid-treatment. Financing through CareCredit and Lending Club is available, and we assist with PPO insurance reimbursement.
Partial coverage is possible. Most PPO dental plans cover individual procedures within a reconstruction — crowns, extractions, periodontal treatment, and sometimes implants — each subject to their own benefit category, waiting periods, and annual maximums. The plan typically does not cover the reconstruction as a single line item. Ocean Breeze Prosthodontics files claims on your behalf and helps maximize available PPO reimbursement. We are not in-network with any insurance companies. We recommend calling your insurer ahead of your consultation to understand coverage for each planned procedure.
**Requested time is not final until you receive confirmation from our office. Please do not submit any Protected Health Information (PHI).
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