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Full-Mouth Reconstruction – Cary, NC

Repairing Smiles For a Better Future

A younger man with a beard smiles widely in a mirror while at the dentist’s office after undergoing a smile makeover in Cary

Dr. Darren Koch and his team in Cary, NC, are pleased to provide patients with the ability to achieve fully restored teeth and gums with the help of full-mouth reconstruction. Combining both restorative and cosmetic dentistry services, he can formulate a comprehensive and personalized treatment plan to address problem areas and improve your quality of life. This unique smile makeover focuses on far more than just aesthetics. It also serves to improve functionality and oral health to give you and your smile a second chance. Find out if you are a qualified candidate by contact our office today.

When is Full-Mouth Reconstruction Necessary?

A middle-aged man wearing a denim button-down and brown watch covers his mouth in embarrassment

Individuals living with smiles that are incomplete, damaged, or severely decayed may benefit from full-mouth rehabilitation. It is not uncommon for chips, breaks, fractures, missing teeth, stains, discoloration, gum disease, or serious infection to wreak havoc on teeth over the years, but most commonly, excessive wear and tear can lead to a weakening of tooth enamel and more complex problems, resulting in the need for dental intervention.

How Tooth Erosion Leads to Full-Mouth Reconstruction

A digital image showing how the top and bottom teeth are worn down

Over the years, the daily chewing, eating, and consumption of highly-acidic foods and beverages can take a toll on tooth enamel. Also, bad habits such as eating ice, chewing on pens and pencils, or even illness can wear down teeth, ultimately raising the risk for tooth decay, gum disease, serious infection, and bone and tooth loss.

The most common causes of erosion are often caused by:

  • Overconsumption of carbonated beverages
  • Acid reflux
  • Eating disorders (i.e., Bulimia)
  • Overconsumption of citrus fruits (i.e., lemons, limes, oranges)

Learn More About Acid Reflux and GERD

The lifestyle habits that most commonly cause tooth enamel to break down over time include:

  • Chewing or gnawing on inanimate objects (i.e., pens, pencils)
  • Excessive and hard brushing
  • Eating hard, crunchy, coarse foods
  • Teeth grinding (Bruxism)

What Services are Used in Full-Mouth Reconstruction?

An older man points to his new and improved smile

To create a customized treatment plan based on your individual needs, Dr. Koch will first examine your oral cavity and facial structure to determine the problem areas of your smile. He will then consider the various methods of available treatment to formulate a plan that you can feel confident in and are eager to pursue.

Some of these services may include:

Porcelain Veneers

Using thin coverings made of porcelain, Dr. Koch can easily place them over the surface of your tooth to hide cosmetic imperfections. Veneers are customized base on the color, size, and shape of your regular teeth and are a permanent fixture that can last 10-15 years with regular care and maintenance.

Dental Implants

Whether you are missing one, multiple, or all your teeth, dental implants can be surgically placed into your jawbone to mimic the natural tooth structure and restore your oral health and aesthetic. Their permanent placement within the oral cavity will allow you to have a greater bite force and improved functionality when eating, chewing, and speaking.

Dental Crowns and Bridges

If broken or chipped teeth are causing you to feel self-conscious, or you are missing consecutive teeth but prefer a less invasive solution, dental crowns and bridges are a suitable solution. Not only can Dr. Koch better protect weakened teeth with customized crowns, but he can also fuse multiples together to create a fixed bridge that is anchored to nearby teeth to fill in the gaps of your smile.


If your jawbone is not strong enough to withstand the pressure of implants and a custom restoration, Dr. Koch can identify the densest areas of your bone before inserting four All-On-4 dental implants. Offering maximum support for your customized denture, you can forgo the necessary bone grafting procedure that is required for individuals with significant bone loss and who want traditional dental implants.


If surgical tooth replacement doesn’t sound like something you want to pursue, you can always opt for traditional dentures. Whether full or partial, Dr. Koch will make sure a restoration is created that looks natural and feels comfortable when inserted into your mouth. While partials are secured using metal clasps or clips, full dentures use your natural suction and dental adhesives to remain firmly in place.

There are endless combinations Dr. Koch can combine to ensure you reach your smile goals. If you have questions or concerns about any of the above-mentioned services, do not hesitate to ask during your initial consultation. This will allow Dr. Koch and our team to consider alternative options if you do not feel comfortable with or prefer to move forward with a different restorative or cosmetic service.

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