Full Mouth Rehabilitation(FMR) is a highly customized treatment procedure. The main objective of FMR is to improve the health of the entire mouth, which includes the teeth, the gums, bite, jaw muscles and the jaw joint- temperomandibular joint. In many cases, it is required to replace or restore every single tooth in the mouth using a combination of dental procedures.
Full mouth rehabilitation can include a combination of the following procedures like
At Smile and Glow, we treat your dental problem from the root. We follow a few procedures that you may not find in any other hospital. The given below are the procedures we do for Full Mouth Rehabilitation.
The teeth are made of three layers, the Enamel, dentin and the pulp. The Enamel is the outermost layer of the tooth which is white in colour. Since, it does not have nerve endings, the patient does not feel any symptoms like sensitivity or pain when there is a decay in the enamel. The second layer of the tooth is the Dentin which partially has nerve endings, and when the cavity progresses to the second layer, it causes sensitivity. The third layer and the innermost layer of the tooth is the pulp. It contains actual nerves and blood vessels and hence the patient experiences severe pain when the decay reaches the pulp.
The most important aspect of FMR is restoring the patient’s natural bite . For this we use special devices like T-Scan and techniques. Rehabilitation of dentition is done in combination with teeth, gums,joints(TMJ) and facial muscles and should be in harmony to have long term stability, function and aesthetics.
To achieve this we do the following :
Pre-ops photos taken for evaluation of facial structures.
Pre-op gnathostatic models taken for identifying jaw relationship with teeth
3) FACEBOW TRANSFER/ SAM ARTICULATION:
Facebow is used for recording the maxillo-mandibular relationship from the patient to undergo lab procedures for proper occlusal fit in the prosthesis and helps in diagnosis of occlusal diseases.
This relationship is transferred to an articulator called SAM articulator.
It is developed on gnathological principles (human mandibular movements) replicating exact movements of mouth.
SAM Articulator is an instrument used for registering the exact maxilla and mandibular position from the patient to get your prosthesis done with perfection and precision.SAM articulator is developed on gnathological principles (human mandibular movements) replicating exact movements of mouth.
4) OCCLUSAL FORCE ANALYSED WITH DIGITAL SENSOR – T-SCAN:
Digital occlusal analysis to provide customised crowns,bridge and implants and occlusal mapping in terms of real time patient bite forces.
5) J-5 TENS MACHINE :
Ultra low frequency TENS machine used for relaxing the muscles oriented to the skull and the mandible to go for a posture rest position and to get a proper bite in maxillo-mandibular relationship
6) Digital treatment planning
After evaluating the patient’s photos, X-rays, CT Scan and 3D modelling of face, digital treatment planning would be done with the active involvement of the patient .
7) Test drive/ trial mock up
The final outcome desired by the patient would be made as temporaries for trial in the mouth which after approval by the patient and their family will be fabricated precisely and delivered.
8) Full mouth rehabilitation
All the damages to the teeth are restored using tooth coloured restorations, veneers and crowns.Where needed gum surgeries are also done. Missing teeth are replaced with either bridges or implants. Thus the entire mouth is rehabilitated to restore the oral function back to normal.
The main advantage of the digital dentistry is that the patient wouldn’t be surprised of the outcome as the treatment is predictable.
At SMILE AND GLOW DENTAL HEALTH CARE HOSPITAL Chennai, our expert dental specialists who have received advanced training in full mouth rehabilitation would strive to provide you with the world-class dental treatmentsAuthored By : Dr. S. Hemamalathi and Dr. K. S Senthil Kumar