Cosmetic Dentist in Beverly Hills - David S. Frey DDS

Full-Mouth Reconstruction – Smile 360

With more than 27 years of experience creating world-class smiles, Beverly Hills Dentist, Dr. David Frey, can recommend the best treatment options for full-mouth reconstruction to all of his patients.

We call this procedure Smile 360! It involves a comprehensive 360 approach that makes sure you have healthy gums, no infections or missing teeth, a healthy bite that is headache and pain-free, and most importantly, a beautiful smile!  When all of these pieces of the pie are working together, a trip to Dr. Frey’s office may be no more than regular cleaning and exam for years to come!

Full Mouth Reconstruction Beverly Hills | Full Mouth Restoration

If any of these pieces of the dental pie stop working well, your oral health can become compromised. It may be a case of missing or severely decayed teeth. It could be gum disease. It could be bite problems caused by the temporomandibular joint disorder. It could be a crooked smile.

At this point, all of the teeth in both the upper and lower jaw may need attention. This is called full-mouth reconstruction— or Smile 360— and Dr. Frey has written a book with that exact title!  Almost three decades of experience in its various facets. His combination of neuromuscular and cosmetic dentistry expertise can give you back the healthy, enduring, natural smile you once had.

Brian’s New Movie-Star Smile

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What is the Full-Mouth Reconstruction Procedure?

Full-mouth reconstruction also referred to as full-mouth restoration and Smile 360, involves a comprehensive approach. It is designed to replace missing teeth, repair damaged teeth, correct improperly aligned jaw joints and bites, reverse gum disease, rebuild lost jawbone mass, replace worn-out dental appliances with dental implants, and most importantly, create the most gorgeous smiles that look relaxed and proportional to your face.

Smile 360 with Dr. Frey involves looking at the entire mouth, not just the visible teeth. It will do so much more than just make a beautiful smile, as we re-build the bite by the placement of implants to repositioning the bite due to TMJ stresses, from using orthodontics to move the teeth to use bone grafts to rebuild the jawbone, full-mouth reconstruction, Smile 360 is an involved process. Dr. Frey can handle most of what is needed, depending on your unique situation, of course, but he may also enlist the work of esteemed endodontists, oral surgeons, and periodontists at his office since we are a multi-specialty practice!

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Recovery from a Full-Mouth Reconstruction Treatment

Full mouth reconstruction often occurs, ideally, in two major visits. The first visit is called the “prep” visit when all the teeth are prepared for crowns, veneers, bridges etc. The second major visit is known as the “insertion” visit. From each of these appointments, patients should expect a short recovery period. Usually swelling, bruising, bleeding and soreness is all to be expected and normal. All patients are different and some need 3-5 days to heal up and others need just a day or less. It’s better for us to overestimate the time needed to feel back to normal than to tell patients a shorter time. We say that is better to over deliver and under-promise than the other way around. At each stage of the process, Dr. Frey reminds patients what to expect and how to care for their mouths at that particular time. Our staff is also always happy to answer questions if they arise.

What procedures may be involved with Full-Mouth Reconstruction?

Full-mouth reconstruction better known as Smile 360 with Dr. Frey isn’t a one-appointment situation. You have to make sure all aspects of the dental pie have been addressed before you can begin. Are your gums healthy? Is your bite good? Multiple phases and office visits may be necessary for advancement to embarking on the Smile 360 procedure. The entire process may take different amounts of time to complete, depending on your situation.  Once you are ready and all aspects of your dental pie have been addressed, we like to perform the Smile 360 procedure in two major visits that are spaced two weeks apart.  Full-mouth reconstruction or the Smile 360 procedure can include any combination of the following procedures before we start:

  • Restorative dental treatments — Dental crowns, bridges, fillings, inlays, and onlays
  • Implant dentistry — Implants to replace missing teeth, and to provide anchor points for appliances such as bridges
  • Cosmetic dentistry — Porcelain veneers, bonding, teeth whitening, gum re-contouring
  • Neuromuscular dentistry— Correction of TMJ related problems and realignment of the bite
  • Bruxism treatment — Measures to end bruxism (tooth grinding)
  • Orthodontics — Traditional braces, Invisalign, spacers, expanders, and retainers, all with the intent of moving the teeth into the proper locations
  • Oral surgery— dental implants and extractions
  • Endodontic treatment— Root canals
  • Periodontal treatments — Gum scaling, root planing, and periodontal surgery to address gum disease, soft and hard tissue bone grafting

Smile 360 Before and After Photos

Full Mouth Reconstruction Beverly Hills | Full Mouth Restoration

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Candidates for Full-Mouth Reconstruction

There isn’t a single threshold denoting a full-mouth reconstruction. The term is mainly used to describe a situation that has progressed past just a tooth or two needing attention, or when the gums have passed gingivitis into full-on gum disease.  We call this a “Re-Organized Approach” which is the formula for long-lasting teeth and a beautiful smile!

These are some possible issues that lead to full-mouth restoration:

  • Multiple teeth that have been lost due to extensive decay or trauma
  • generalized gum problems
  • a mouth full of old and different crowns and fillings from many generations
  • Multiple teeth that have been injured or fractured
  • Teeth that have been worn down from long-term grinding or acid reflux
  • Ongoing issues with the jaw, muscle, and headache pain due to improper jaw alignment–TMJ

The Smile 360 Procedure

Full Mouth Restoration Beverly Hills CA

The treatment techniques and length will vary between patients, but the first step is always a comprehensive dental exam. Before we can plan restorative dentistry, it’s important to assess your dental health.

In some instances, patients require neuromuscular dentistry to address pain and worn teeth from grinding. It is one of many pieces of dental pie that needs to be addressed.  It’s important to address all aspects of the dental pie before cosmetic dentistry can begin so that your new smile is comfortable and everlasting. YES!

Is the Smile 360 Procedure Safe?

Full mouth reconstruction is a procedure that is comprehensive and patients are able to achieve better smiles, bites, and much more from it. The Smile 360 process is one that Dr. Frey developed with years of clinical training and experience guiding the way. The full mouth reconstruction procedure looks at all aspects of oral structure, health, and aesthetics because health is not indicated only by what is visible. Dr. Frey performs mostly all of the procedures that are involved in the Smile 360 process. However, if necessary, he collaborates with esteemed specialists to make sure each stage of reconstruction is handled in the best way. Many times, a periodontist is needed to make the gums healthier or replace missing teeth with dental implants.

What happens During Full-Mouth Reconstruction?

Pretty dentist doctor showing patient jaw model, explaining treatment methods, empty spaceWe like to perform the Smile 360 procedure in two major visits spaced out in between one-two weeks. The first major visit is to prepare the teeth so that the dental lab can make the perfect smile and bite. It usually involves removing old crowns and fillings and making sure no decay exists in any teeth. You leave with a beautiful temporary restoration that resembles the final look. We call this the “trial smile”. We have you return for a minor visit so that we can perfect the “trial smile” that you are wearing temporarily. The second major visit is usually two visits combined in one.  We like to try on the new porcelain teeth first and review them in front of a mirror. If they are not better or just as nice as the “trial smile” we do not put them in.  If you love them, we permanently bond in your new gorgeous smile!

What is the difference between Full-Mouth Reconstruction and the Smile Makeover Procedure?

Before and after of a mans smile full mouth reconstruction dental procedure.In order to be true “artists of the smile,” we look at the entire mouth and not just the visible teeth. This is what we call a re-organized approach. This treatment may require neuromuscular therapy, or bite correction, to correct the core of the problem that caused the cracked, broken, missing, or crooked teeth you may have.

Full-mouth reconstruction combines our expertise in both neuromuscular and cosmetic dentistry for a healthy and natural smile that will last.

Smile makeovers are generally elective procedures, utilizing dental procedures such as the placement of porcelain veneers or dental implants to improve the overall smile. Smile makeovers are cosmetic, meant to give the patient a beautiful smile. They only involve the teeth that show in the smile and do not take other issues into account.

Full-mouth reconstruction, on the other hand, is necessary if the patient wants to keep his or her teeth and not lose significant amounts of the jawbone to erosion. Full-mouth reconstruction can reverse a patient’s declining oral health.

Is full-mouth reconstruction painful?

In most instances, the treatments used in full-mouth restoration Smile 360 procedure are painless, and our patients are extremely comfortable before, during, and after they visit our office. If you’re apprehensive about dental visits, checkups, or procedures, we encourage you to try sedation or sleep dentistry to help you feel more comfortable.

At our office, we strive to make every procedure as comfortable as possible. Modern anesthesia and techniques make most procedures very comfortable. There may be some pain during recovery, but we help you manage that. And if you’re apprehensive about any treatments, we offer sedation dentistry to help you overcome those fears.

Is the Smile 360 Procedure covered by Insurance?

closeup of smile with white healthy teeth

The Smile 360 process can include several different procedures. Each treatment plan is unique based on the findings of our comprehensive consultation and dental exam. Patients may undergo some reconstructive treatments, some restorative treatments, and some cosmetic treatments. Dental insurance may cover a portion of necessary restoration and reconstruction, such as crowns to restore or replace teeth or orthodontic care. The extent of coverage varies based on the plan. Patient out-of-pocket expenses can vary.  After your Smile 360 consultation and examination, our team will be able to put together a detailed list of costs that you can use to explore insurance benefits or financing if necessary. Most dental insurance has yearly maximums which they will pay per year.

How much does the Smile 360 Procedure Cost?

Treatment cost is influenced by several factors. These include the extent of reconstruction that is planned, dental materials, number of appointments, and more. Our staff has years of experience in treatment planning, insurance billing, and patient care. You are in good hands with our team. Once your treatment plan has been developed, you will be provided with an overall cost for your Smile 360 procedure that includes a breakdown based on the individual treatments to be included.

Side Effects Of the Smile 360 Procedure

Soreness, tenderness, and swelling are manageable with over-the-counter pain medication. Though rarely needed, prescription pain medication may sometimes be used for a few days after a procedure. Dr. Frey is committed to a positive patient experience and communicates well with patients so they know what to expect at each stage of their reconstructive process.

Schedule Your Full-Mouth Reconstruction in Beverly Hills, CA

If you are interested in learning more about full mouth reconstruction and Smile 360 call (310) 276-4537 to schedule a consultation with Beverly Hills TMJ Dentist, Dr. Frey.


Call 310.276.4537 today if you have any questions or comments, or to learn more about how we can help you.

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