Tired of fixing your teeth one problem at a time?
A smile repaired piece by piece never adds up to a design. The foundation comes first, then alignment, then the teeth. Send us a photo and we will tell you how we would need to plan your case, and what it would cost.
- A call within two hours during office hours.
- A written cost from us, before you commit to anything.
- No obligation. Many patients take weeks to decide. That is normal.
What this case cost
$872/month
144 payments at 9.99% APR, on approved credit.
Total: $73,000 for the implant surgery under IV sedation, the gum grafts, the wisdom teeth removal, clear aligners, the smile and bite design, temporaries and twenty-seven e.max restorations.
How full-mouth reconstruction works, and what it costs today →
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Treatment Plan by Dr. Mehdizadeh
- Phase 1, the foundation, under IV sedation: removal of the two upper wisdom teeth; six implants, three upper and three lower, replacing missing back teeth; connective tissue grafts to rebuild the gum over two upper premolars.
- Clear aligners for four months to bring the teeth into line.
- Smile and bite design, built on the finished foundation.
- Contouring of the teeth and temporary restorations in both arches, worn as the design and adjusted until approved.
- Twenty-seven e.max restorations, fourteen upper and thirteen lower, six of them on the implants, made in our laboratory.
- Balancing of the bite, and a retainer that works as a night guard.
The Patient's Journey
He had spent years having his teeth treated one problem at a time, each repair answering whatever had gone wrong that year. None of it added up to the smile he wanted, and he was tired of never having the result he wanted. He came to us for one comprehensive cosmetic plan that would finish the job.
Understanding the Challenge
Piecemeal dentistry fails in a predictable way. Each repair is designed around the teeth as they are at that moment, so the smile ends up as a collection of patches with no common design behind them. His teeth were out of line, six back teeth were missing, and the gum over two upper premolars needed rebuilding. Treating any one of those on its own would have repeated the pattern he came in to escape.
How Dr. Mehdizadeh Approached a Smile Built in Pieces
The answer was a plan that dealt with everything, in the right order: foundation first, then alignment, then aesthetics.
The foundation came first because everything else rests on it. Under IV sedation, Dr. Mehdizadeh removed the two upper wisdom teeth, placed six implants, three in each arch, to replace the missing back teeth, and rebuilt the gum over two upper premolars with connective tissue grafts, all in one visit. A connective tissue graft takes a thin layer of tissue from elsewhere in the patient's own mouth and places it under the gum where the gum needs it. It thickens thin gum and restores the tissue that frames the tooth, which a restoration cannot do for itself: porcelain can rebuild a tooth, but the gum line around it decides whether it looks like one.
The implants then had time to bond with the bone while the next phase ran. An implant replaces the root of a missing tooth, and the restoration that sits on it is designed with everything else, so the replaced teeth match the natural ones around them rather than standing out as repairs.
Alignment came second. Clear aligners moved his teeth into line over four months. Straightening teeth before restoring them means we have to remove less tooth to make the smile even, and it puts every tooth where the design will need it.
Only then did he design the smile and the bite, on the foundation the first two phases had built. He contoured the teeth and placed temporary restorations in both arches, so the patient could wear the design, live with it and ask for changes before our laboratory made any porcelain. Designing last is what keeps the result from becoming another patch: we decide the shape of every tooth against the finished foundation, not against problems still awaiting repair.
The Result After Seven Months
Seven months after treatment began, he has twenty-seven e.max restorations, fourteen upper and thirteen lower, six of them on the new implants, all made in our laboratory as a copy of the approved temporaries. The teeth are in line, implants replace the missing back teeth, and the smile is one design. Dr. Mehdizadeh balanced the bite at delivery, and the patient wears a retainer at night that also works as a night guard to protect the porcelain.
Frequently Asked Questions About Implants and Full-Mouth Reconstruction
Why did he need a comprehensive plan instead of more individual repairs?
Years of individual repairs had left him with a smile no one had designed as a whole. One plan treats the foundation, the alignment and the aesthetics together, so every restoration fits the same design.
Why were the implants and gum grafts done first?
They are the foundation. The new teeth sit on the implants and the gum frames them, so both had to be in place before Dr. Mehdizadeh could design the smile on them.
Why were his teeth aligned before the restorations?
Moving teeth into line first means we remove less tooth to make the smile even, and every tooth is where the design needs it.
What did the gum grafts do?
Connective tissue grafts rebuilt the gum over two upper premolars, thickening the tissue that frames those teeth.
Was he awake for the surgery?
Dr. Mehdizadeh performed the surgical phase under IV sedation.
How long did the treatment take?
Seven months in total, four of them in clear aligners.
How much did this case cost?
$73,000. $872/month: 144 payments at 9.99% APR, on approved credit.
What are the restorations made of?
All twenty-seven, including the six on implants, are e.max, a lithium disilicate ceramic, made in our own laboratory.
How does he protect the result?
He wears a retainer at night that also works as a night guard, which keeps the teeth in position and takes grinding forces off the porcelain.
Am I a candidate if I have had years of piecemeal dental work?
Most people are. The consultation, including a 3D X-ray (CT scan), shows what the foundation needs before we plan anything cosmetic. Send us photographs and we will tell you how we would plan your case and what it would cost.
