Full-mouth reconstruction at Lambton Dental
Full-mouth reconstruction is a sequenced plan that rebuilds function, comfort and appearance for patients who have significant tooth loss, worn dentition or multiple failing restorations. At Lambton Dental in West Toronto the dentist plans every step in writing before treatment begins.
What is full-mouth reconstruction?
Full-mouth reconstruction is a coordinated dental plan that rebuilds the way the teeth meet, bite and function across the whole mouth — usually because several teeth are missing, several restorations are failing, or years of wear have shortened the bite. It combines several procedures into a single sequenced plan: periodontal (gum) care, extractions where a tooth is beyond repair, implants, bridges, crowns, inlays or onlays, and, where appropriate, cosmetic finishing work.
The word ‘reconstruction’ matters. This is not a single procedure but a plan built around your specific situation — your dental history, the way your bite works, your gum health, and what you would like to achieve. The plan is put together at a comprehensive assessment and written out clearly, with sequenced visits and a total-cost estimate, before treatment begins so that you can decide with all the information in front of you.
When full-mouth reconstruction is the right approach
Full-mouth reconstruction is worth discussing when:
- You have several missing teeth and several failing restorations, and one-by-one treatment has not felt like it is keeping up.
- Years of grinding or acid wear have shortened your bite and made eating uncomfortable or your face look older than you would like.
- You have significant gum disease alongside failing teeth, and stabilising both together in a sequenced plan often works better.
- You have congenital dental conditions or previous trauma that mean the whole mouth needs to be planned together rather than in pieces.
- You would prefer one written plan with sequenced visits over years of ad-hoc treatment.
Not every case needs reconstruction. If your situation is limited to one part of the mouth, targeted restorative care may be more appropriate. The assessment starts with a comprehensive dental exam so the right approach for you is clear from the start.
What to expect from the reconstruction plan
Comprehensive assessment
A detailed exam of the teeth, gums, bite and jaw joints, with digital scans, X-rays and photographs. This visit is longer than a routine appointment and is often booked as its own session.
Written treatment plan
The dentist puts together a sequenced plan with clear phases — periodontal stabilisation, extractions and healing, implants and provisional teeth, final restorations, and cosmetic finishing — and provides a written estimate.
Consultation and consent
A separate consultation visit reviews the plan with you in detail, answers your questions and confirms sedation options where useful. Nothing is booked until you are ready to go ahead.
Phased treatment
Treatment is done in phases over several months, with recovery time between phases. Each phase is reviewed before the next begins, and the plan is adjusted if the response to a phase changes the next step.
Final restorations
Once the foundation is stable, the final crowns, bridges and implant-supported teeth are fabricated in a dental laboratory and fitted at their own longer appointments.
Long-term maintenance
Structured maintenance visits — usually every three to four months — keep the reconstruction stable long term and pick up any problems early.
Sedation options are available at each phase where useful. See our sedation options page for how nitrous oxide, oral sedation or IV sedation are used to keep longer visits comfortable throughout the plan.
Living with a completed reconstruction
Once the reconstruction is complete, the focus shifts to protecting the investment for the long term. Structured maintenance visits every three to four months are the single most reliable way to keep the reconstruction stable — the hygienist reviews the gums around every restored tooth and implant, the dentist reviews the bite and the materials, and any early problems are picked up and treated at low cost.
A nightguard is often part of the long-term plan, particularly when wear from grinding was part of what led to the reconstruction. Home care matters as much as the visits: the hygienist coaches an interdental cleaning routine specific to the shape of your restored teeth and implants. If any restoration ever needs repair, it is planned within the overall reconstruction so the whole mouth continues to work as one unit.
Cost, insurance, and CDCP / IFHP coverage
Full-mouth reconstruction is a substantial investment, and the exact cost depends on how many implants, crowns, bridges and other procedures are needed. The dentist provides a total-cost written estimate at the consultation, along with the cost of each phase, so you can plan the treatment and any insurance predeterminations well in advance.
Most Canadian dental insurance plans cover parts of a reconstruction — periodontal care, extractions, crowns and, in some cases, implants — up to an annual maximum, and treatment is often sequenced across calendar years to make the most of that maximum. We direct-bill wherever your plan allows. Lambton Dental is also a provider for the Canadian Dental Care Plan (CDCP) and the Interim Federal Health Program (IFHP); coverage of larger reconstruction work under these programs is limited and depends on eligibility.
Financing is available for the total plan through a third-party partner on approved credit; our payment options page explains billing openly.
For larger treatment plans, monthly payment plans through a third-party financing partner are available on approved credit — ask at your consultation or see our payment options.
Why patients choose Lambton Dental for reconstruction
- The whole plan is written out in phases with a total-cost estimate before treatment begins, so decisions are made with all the information.
- Periodontal care, implants, bridges, crowns and cosmetic finishing are coordinated under one roof.
- Sequenced treatment across calendar years makes the most of annual insurance maximums where possible.
- We direct-bill CDCP, IFHP and major Canadian insurance carriers wherever your plan allows.
- Evening and weekend appointments make it easier to fit in longer reconstruction visits around work and family.
- Our team serves patients in English, French, Italian, Spanish, Portuguese, Hindi, Punjabi, Urdu, Tagalog, Vietnamese, Ukrainian, Mandarin and Cantonese.
Related services
Frequently asked questions about full-mouth reconstruction
How long does a full-mouth reconstruction take?
Most reconstructions unfold over six to eighteen months, depending on how much healing is needed between phases and whether implants are part of the plan. Some cases are longer where extensive bone or gum work is done first. The consultation visit reviews an expected timeline with you in detail and revisits it before each phase so the plan continues to fit your schedule and life.
Will I be without teeth during the treatment?
No. Provisional (temporary) crowns, bridges or partial dentures are used throughout the treatment so you always have functional teeth to smile, speak and eat with. The provisionals are made to look natural and are worn while implants integrate or laboratory-made final restorations are being fabricated. You never leave a visit without a working set of teeth in place.
Is reconstruction painful?
Every phase is done under local anaesthetic where needed and sedation options are available. Some phases — for example implant placement or extractions — produce swelling and mild soreness for a few days afterwards, which is well controlled with over-the-counter or prescribed pain relief. The dentist reviews what to expect and how to manage recovery before each phase of the plan.
Can insurance cover a reconstruction?
Most Canadian dental plans cover parts of a reconstruction up to an annual maximum, and treatment is often sequenced across calendar years to use two years’ worth of coverage. We submit predeterminations before each phase so you know in advance what your plan will pay. The exact coverage depends on your plan and is reviewed openly at the consultation visit as part of the estimate.
How long will the reconstruction last?
Crowns, bridges and implant-supported teeth typically last many years with regular maintenance visits and good home care. The exact lifetime depends on the materials used, your bite forces, whether you grind at night and how well maintenance visits are kept up over time. The dentist reviews expected longevity and any warranty on laboratory work at the consultation visit for your specific case.
Do you refer parts of the treatment out?
Yes, when appropriate. Complex extractions, larger periodontal surgery or specific implant cases may be referred to an oral surgeon or periodontist. Referrals are coordinated so their work fits into your overall plan and the routine phases continue under one dentist at Lambton Dental, so you have a single office coordinating your care from start to finish.
How do I know if I'm a candidate for reconstruction?
The starting point is a comprehensive dental exam. The dentist reviews your teeth, gums, bite, jaw joints and dental history, and discusses what you would like to change. From there it becomes clear whether a full-mouth plan is the right approach or whether targeted restorative or cosmetic care would achieve your goals more simply. Either way the plan is written out for you to consider.
Book a reconstruction consultation
Book online or call (416) 666-3700 to arrange a comprehensive assessment. The dentist will put together a sequenced written plan and estimate before any treatment begins.
CDCP welcome
We welcome patients covered under the Canadian Dental Care Plan and can help you understand what's covered.
Learn about CDCP →IFHP welcome
We are registered to treat patients under the Interim Federal Health Program and bill Medavie Blue Cross directly.
Learn about IFHP →Direct billing
We bill all major Canadian dental insurance carriers directly, so you pay only what your plan does not cover.
How direct billing works →