Full Mouth Reconstruction in Riverview, FL
Full mouth reconstruction is not a “one-size-fits-all” procedure. It’s a strategic process designed to restore your entire smile—functionally, structurally, and cosmetically. At our office, we approach it step by step, guided by your goals, your health, and your budget.
The 7 Steps of a Successful Full Mouth Rehabilitation
1. Accessing Patient Goals
We start by sitting down and listening.
What brought you here? What are your goals? What’s your budget?
This is the most important part of the visit, because a full mouth reconstruction has many options—and they must be tailored to you, not an insurance company’s checklist.
2. Comprehensive Exam and X-Rays
Before we start, we need the full picture. That means:
Charting existing fillings, crowns, and missing teeth
Digital X-rays and a panoramic scan
Checking your bite and jaw function
Oral cancer screening
Assessing gum health and bone support
This tells us what’s solid, what’s weak, and what’s concerning.
3. Presenting Options
Once we gather the data, we’ll present more than one plan whenever possible. You’ll see what’s realistic, what’s optional, and what’s best long-term. Together, we agree on a plan that balances health, function, and cost.
4. Step-by-Step Treatment
We don’t overwhelm you by doing everything at once. A full reconstruction is systematic:
- Address pain first – emergency relief if needed
- Stabilize gums – treating gum disease, deep cleaning
- Remove non-restorable teeth
- Restore what can be saved – fillings, crowns, bridges
- Implants where appropriate – to replace lost teeth permanently
- Prosthetics – dentures, partials, crowns, bridges or hybrid solutions
- Cosmetic finishing touches – veneers, whitening, or bite refinement
We prioritize what matters most: comfort, health, and long-term stability.
5. Hygiene and Home Maintenance
Once your mouth is restored, maintenance is everything. We teach you how to:
- Clean under bridges and around implants
- Use floss threaders and proxy brushes
- Choose the right toothbrush, toothpaste and mouthwash
- Maintain gum health with proper brushing technique
This keeps your investment healthy for the long run.
6. Routine Check-Ups and Cleanings
Even the best home care can’t replace professional monitoring. At routine visits we:
- Take periodic X-rays to catch decay or bone loss early
- Check old dental work for wear or hidden failure
- Screen for oral cancer and gum disease
- Keep your teeth clean and polished
Prevention saves you from pain—and costly treatment down the road.
CASE 1 Full mouth dental implant reconstruction
Jonell- "I've been struggling without teeth and now I want implants!!!!"
These are the images I used to access Jonell's case.
She was very bone deficient due to years of being edentulous.
- Upper jaw very resorbed in posterior
- The lower jaw was not as deficient.
The bony ridge the teeth are in is stimulated by the teeth once they are gone the ridge resorbs away fast in some people.
Immediate implants or bone grafting are modern procedures that preserve bone levels.
15 implants placed! Followed by Six months of follow up checks while oseointegration healing takes place.
These are the models and the implants with the abutment post prepared for cement retained restorations.
Adjusting restorations and checking bit precementation
Cementing restorations.
These are images from facial, right, and left lateral of the restorations cemented!
"I am just so happy I came here. Dr. Castellano did a great job. He explains things well. They look great! I'm enjoying having real teeth again. It really makes a difference going from dentures to implants. Chewing is easy now. I feel good about myself for finally doing it. I felt comfortable all the way through. I highly recommend him if you’re considering this!"
— Jonel
Case 2 Mixed cosmetic and implant full mouth restoration
David- "Instead of buting a new car im going to fix my teeth"
