Oral & Maxillofacial Sugery

Full mouth reconstruction is a treatment that repairs damaged teeth with crowns (caps) and bridges. If the remaining teeth are too badly compromised from decay or gum disease, then conventional crowns or bridges will not work.

When people are facing the removal of their terminal teeth, a full mouth reconstruction can be preformed with dentures. Dentures are made to fit on the gummy-ridge after the teeth are removed. A small percentage of people adjust to and use dentures with success. However, a vast majority of denture users experience difficulty with chewing, smiling and talking while using dentures. As denture users age the gummy-ridge shrinks and causes more difficulty. Denture success is highly dependent on good saliva. Many prescription medications can lead to poor saliva which makes denture use even more difficult.

The other type of Full Mouth Reconstruction is a situation where implants are used to support a complete or partial denture. You may have heard of “All-on-4”, “Teeth-in-a-Day” or “Same Day Teeth”. These terms are referring to placing a prostheses onto implants the day of surgical placement. The providers at CRIOS have the most experience in the Coulee Region providing this sort of treatment and are happy to help determine if this type of treatment is appropriate for you. Implants assist or support the “teeth” or prosthesis. Depending on the situation the replacement teeth are “fixed” or secured to the implants and are only removed by the dentist. The alternate method is to have the teeth made to be removed by the patient.

The providers at Coulee Region Implant and Oral Surgery can help with determining your treatment options.

Reasons for Full Mouth Reconstruction

This treatment may be for you if are suffering from one of the following:

  • More than four teeth missing in one jaw
  • Missing large amounts of enamel due to grinding (erosion or attrition)
  • More than one third of remaining teeth with decay (dental caries)
  • Moderate to severe bone loss with the remaining teeth (periodontal disease)
  • Loose or painful teeth
  • Having to use denture glue (adhesive) daily for speaking and chewing
  • Sore gums on daily basis from ill fitting dentures

Oral Pathology

Oral pathology can be scary for patients, but fortunately the providers at CRIOS have advanced training in the detection and management of oral pathology. Oral pathology includes development problems, benign and malignant lesions of the soft and hard tissue of the face, and oral cavities. Thankfully, it is very uncommon for people to develop oral cancer. Most oral pathology is benign or non cancerous and is easily treated.

Self Examination

The American Association of Oral and Maxillofacial Surgeons recommend everyone perform an oral cancer self-exam each MONTH.

Steps for Self-Exam:

  1. Remove any oral prosthesis (denture, partial denture)
  2. Look and feel inside the mouth, including the lips, tongue, under the tongue and roof of mouth
  3. Use a bathroom mirror and bright light to see the back of the mouth
  4. Feel for lumps and enlarged areas that seem to be only on one side of the mouth or face.

What to Look For:

  1. White patches
  2. Red patches
  3. Red and white patches
  4. Sores that bleed easily or do not heal
  5. Lumps or thick tissue on one side of the mouth or face
  6. Chronic sore throat or change in voice quality
  7. Difficulty with chewing or swallowing
  8. Mass or lump in the neck
  9. Changes in hearing, vision or sensation of the face
  10. Chronic sinus congestion or nose bleeds

Risk Factors for Oral Cancer:

  1. Alcohol and tobacco use: Using these two together increases the risk of oral cancer 15-to-1 alone
  2. Infection with Human Papilloma Virus 16 has been linked to oral cancer
  3. Age 40 years and older
  4. Prolonged sun exposure or multiple severe sun burns as a child