Full Mouth Reconstruction
Teaneck, NJ & Roselle, NJ
 If you’ve been dealing with multiple failing restorations, severe tooth wear, jaw pain that won’t quit, or the slow accumulation of dental work that no longer fits together, full mouth reconstruction at RJ Dental in Teaneck and Roselle, NJ approaches the whole picture as one coordinated plan rather than another patch job. Full mouth reconstruction (often shortened to FMR) is a treatment plan, not a single procedure, designed for adults whose mouths need substantial structural and cosmetic work to function comfortably and look the way they should.
FMR pulls together pieces that usually live on separate service pages: implants, crowns, veneers, bridges, periodontal treatment, sometimes orthodontic alignment with Invisalign. The point is sequencing them in the right order, supported by a full diagnostic workup before any drill comes out. Walking into a consultation that ends with a treatment proposal the same day is the wrong way to start, and we don’t operate that way.
Adults considering FMR are usually in one of a few situations. They’ve had multiple crowns or fillings done over the years and pieces are now failing in sequence. They’ve ground their teeth down significantly enough that the bite has changed. They have TMJ symptoms tangled up with collapsing posterior support. Or they want function and aesthetics addressed in one coordinated effort instead of piecemeal. Our restorative dentistry services include FMR alongside the individual procedures it’s built from. We’d rather take the time upfront to map the whole plan than fix one tooth and watch the next one fail.
On This Page
What Is Full Mouth Reconstruction?
Full mouth reconstruction is a treatment plan that combines multiple dental procedures, sequenced to rebuild function and appearance across most or all of your teeth. The exact mix depends on your case. One person’s FMR might be ten implants and a full set of crowns; another’s might be perio treatment, four crowns, two veneers, and a bite adjustment.
What sets FMR apart from one-off treatment is the planning. Before we place any restoration, we work through diagnostic imaging, occlusal (bite) analysis, photographs, and a smile design. The goal is a plan you understand sequence-by-sequence, with the whole picture clear before any tooth is touched.
FMR vs. Smile Makeover
A smile makeover is purely cosmetic, focused on veneers, whitening, bonding, and gum reshaping aimed at appearance. FMR can include those elements, but the patient profile is functionally different. FMR addresses bite collapse, tooth wear, multiple failed restorations, missing teeth, periodontal damage, and TMJ involvement alongside any cosmetic concerns. If your mouth is healthy and you want it to look better, you want a smile makeover. If your mouth has structural problems that need to be solved before aesthetics can be addressed, you want FMR.
FMR vs. Restorations for Seniors
Our full mouth restorations for seniors page addresses the specific needs of older patients: dentures, denture-related complications, and the realities of dental work in the 70+ age range. This page covers the broader adult population, including patients in their 30s, 40s, and 50s dealing with the consequences of years of dental work that no longer holds together. The diagnostic process is similar; the procedural mix is often different.
Your Full Mouth Reconstruction Doctor in Teaneck and Roselle
Dr. Richard Buffong leads full mouth reconstruction at RJ Dental. His clinical niche has been full mouth reconstructions, applying cosmetic dentistry to each procedure, and that’s exactly what FMR demands. Combining implant work, cosmetic dentistry, and restorative planning into one coordinated process is what he’s built his practice around. Full background and credentials on his bio page.
Dr. Buffong is also a Fellow of the International Congress of Oral Implantologists (FICOI), which matters for FMR specifically because most reconstruction cases involve at least some implant component. The implant placement, the prosthetic design, and the relationship between implant-supported teeth and your natural teeth all need to be planned together. Having one doctor coordinate that work, rather than handing parts of it off mid-treatment, keeps the plan consistent.
The Full Mouth Reconstruction Process
FMR moves through three phases: diagnostic workup, sequenced restoration, and long-term maintenance. The exact details vary by case, but the structure is consistent.
Phase 1 – Complete Diagnostic Workup
 Before any restorative work begins, we gather the information needed to design a plan that holds up. That typically includes:
- Cone beam CT scan – evaluating bone, sinus position, and the structures around any planned implant sites.
- Digital impressions – captured with our intraoral scanner.
- Clinical photographs – of your existing smile, bite, and facial proportions.
- Occlusal (bite) analysis – identifying wear patterns and TMJ involvement.
- Periodontal probing – confirming the foundation is healthy enough to support the work.
This phase typically takes one to two appointments and produces a written treatment plan with phasing, timing estimates, and a cost breakdown. You leave with the full picture before committing to anything.
Phase 2 – Sequenced Restoration
Once you sign off on the plan, restoration follows the sequence the diagnostics dictated. The general order goes: periodontal care to stabilize the gums first, then root canal therapy on teeth that need it, then dental implant placement with healing time built in for integration, then the prosthetic phase. The prosthetic phase combines dental crowns for damaged teeth, bridges where needed for short spans of missing teeth, and veneers where cosmetics dominate. If your plan includes Invisalign for alignment, that usually slots in early so the teeth are positioned correctly before final restorations go on.
Most patients are not in temporary restorations for the entire treatment. We use temporary crowns and bridges where they make sense, but our 3D printer and intraoral scanner allow us to fabricate same-day permanent restorations on many cases. Our same-day dental crowns workflow is part of why FMR doesn’t require living in temporary teeth for months.
Phase 3 – Maintenance and Follow-Up
FMR is a long-term investment, and protecting it requires ongoing care. We schedule periodic checkups, professional cleanings, and adjustments as needed. Patients with implants or extensive restorative work usually see us every three to four months for the first year, then every six months once everything is settled. We monitor the bite, watch for wear on the new restorations, and catch small issues before they become large ones.
Benefits of Full Mouth Reconstruction
FMR addresses problems that piecemeal dentistry can’t. Here’s what the coordinated approach actually delivers.
You eliminate the cycle of failures. When a single crown fails, the typical response is to replace it; if the underlying bite issue isn’t addressed, the next failure is months away. We use the diagnostic phase data (cone beam imaging combined with the occlusal analysis) to design the new restorations as part of one bite, not as separate fixes glued on top of each other. The new work isn’t fighting old patterns because we mapped the patterns first.
Your jaw and TMJ have a chance to heal. Bite collapse from worn-down teeth puts continuous strain on the TMJ. Our diagnostic workup includes a TMJ evaluation specifically, and our team handles orofacial pain treatment with trigger point injections and therapeutic Botox in cases where additional therapy beyond the restorative work is needed. Restoring proper vertical dimension during FMR often resolves jaw pain that’s been chronic for years.
You get a coordinated aesthetic result. Crowns done at different times by different practices rarely match in shade, shape, and proportion. We use our intraoral scanner and 3D printer to design every visible restoration as part of the same smile, working from the same digital impressions across every step. Where appropriate, dental veneers handle the cosmetic component while crowns and implants handle structure.
You replace the dental anxiety of “what’s failing next” with a defined endpoint. Patients living through years of one-off treatments often describe feeling stuck in an endless cycle of dental work. We give you the full written plan at the end of the diagnostic phase, with every procedure, every appointment, the order, and the cost detailed, so you know what the endpoint looks like before any work begins.
Why Choose Our Team for Full Mouth Reconstruction
FMR has been Dr. Buffong’s clinical focus for years, and the practice has been built around supporting that work. That’s not a marketing claim; it shows up in how the offices are equipped.
 We have the diagnostic and fabrication tools FMR demands in-house: cone beam CT for surgical planning, an intraoral scanner for digital impressions, a 3D printer for in-house fabrication, soft tissue laser for gum-level work, and digital x-ray. Each of these is described in detail under our dental technology. Having all of it under one roof means we don’t outsource pieces of your case to external labs and lose control of timing or fit.
We treat the diagnostic phase as the actual decision point. Many practices treat the consultation as a sales conversation; we treat it as the place where the plan gets built. The diagnostic appointment produces a written treatment plan with phasing, timing, and cost broken down by procedure, and that’s what you decide from. If FMR isn’t the right approach for your case, we’ll tell you. If a smaller intervention would address your issues, we’ll lay that out instead.
We coordinate the work internally. Implant placement, restoration, periodontal care, and orthodontic alignment all happen at our offices in Teaneck and Roselle, with the same team across phases. Patients who’ve lived through being shuttled between three different specialists for one project usually appreciate the continuity.
Full Mouth Reconstruction Cost and Financing
Cost matters, and we want to be straightforward: FMR pricing varies dramatically by case. A reconstruction involving four implants, multiple crowns, perio treatment, and orthodontic alignment costs significantly more than one involving six crowns and a bite adjustment. There is no flat number that would mean anything for your specific case. The diagnostic phase tells us what your case actually requires.
After your diagnostic phase, you receive a written plan with itemized costs for each procedure in the sequence. That plan covers what insurance will likely cover (most dental plans cover portions of FMR, since periodontal treatment, implants, crowns, and root canals are usually partially covered), what falls outside of insurance, and what your out-of-pocket portion looks like in total. Coverage details and accepted plans are listed under insurance and financing options.
Most FMR cases unfold in phases over time, which means cost spreads over the course of treatment rather than concentrating in one appointment. We offer flexible payment plans, and we work with CareCredit, Sunbit, and LendingPoint for longer-term financing. The diagnostic phase itself is a relatively small portion of total cost, so it’s a low-commitment way to find out what your specific case actually requires.
Schedule Your Full Mouth Reconstruction Consultation
FMR starts with the diagnostic workup, not with treatment. The consultation is where we figure out whether FMR is right for your case and, if so, what it looks like. Call our Teaneck office at (551) 369-2001, our Roselle office at (908) 488-5005, or book through our Request an Appointment page. We’re at 865 Teaneck Rd in Teaneck, NJ 07666. Our Roselle office is at 121-125 Chestnut St, Suite 201 in Roselle, NJ 07203.
Frequently Asked Questions
How long does full mouth reconstruction take?
Most FMR plans at our practice run six to eighteen months from the start of restoration to the final appointment, depending on whether implants are involved and how many phases the case requires. Implant-heavy plans take longer because each implant needs three to six months of healing before the final restoration goes on. Cases without implants can sometimes wrap up in three to four months. Your written treatment plan after the diagnostic phase gives you a specific timeline for your case.
Will I be in temporary teeth the whole time?
Usually no. When temporaries make sense, they’re typically only on individual teeth being prepped for crowns or veneers, not the whole mouth at once. Our same-day dental crown workflow lets us fabricate and place many definitive restorations in a single visit rather than waiting weeks for a lab. The exception is during implant healing, where the implant area carries a temporary while the implant integrates with bone.
How is FMR different from a smile makeover?
A smile makeover is cosmetic-only, focused on veneers, bonding, whitening, and gum contouring aimed at appearance. FMR is broader: it includes the cosmetic work but also addresses bite collapse, missing teeth, failed restorations, periodontal disease, and TMJ involvement. If your mouth is healthy and you want it to look better, you want a smile makeover. If your mouth has structural issues that need to be solved before aesthetics can be addressed, you want FMR.
Will full mouth reconstruction fix my TMJ pain?
Often yes, but not always. TMJ symptoms tied to bite collapse, missing teeth, or excessive wear typically improve significantly when we restore the bite to its proper vertical dimension during FMR. TMJ pain caused by joint disc displacement, arthritis, or trauma may not fully resolve from restorative work alone, though it often improves. The diagnostic workup includes a TMJ evaluation specifically to determine which scenario you’re in.
What if something fails or needs adjustment after FMR?
We build follow-up appointments into the plan precisely so we can catch and address small issues before they become large ones. Crowns and veneers come with manufacturer warranties on materials, and we stand behind the workmanship of any restoration we place at our offices. Implants have very high long-term success rates but require ongoing periodontal maintenance to protect the surrounding bone, and we typically see implant patients every three to four months during the first year. If a restoration needs adjustment in the months following placement, that’s part of what your plan covers.
Does dental insurance cover full mouth reconstruction in Teaneck or Roselle?
Insurance typically covers portions of FMR rather than the whole plan, because FMR is a collection of procedures rather than a single billable service. Periodontal treatment, root canals, individual crowns, and implant restoration are commonly partially covered. Cosmetic-only veneers usually are not. Our team verifies your specific benefits during the diagnostic phase and provides a written breakdown of what insurance covers and what falls outside, so there are no surprises.
How do I know if I’m a candidate for full mouth reconstruction?
You’re likely a candidate if you have multiple failing restorations, significant tooth wear that’s changed your bite, missing teeth combined with structural problems on remaining teeth, jaw pain tied to dental issues, or you’ve been told by previous dentists that piecemeal fixes aren’t working. The diagnostic appointment confirms whether FMR is the right approach for your specific case. If a smaller, less involved treatment would address your issues, we’ll recommend that instead. The fastest way to find out is to request an appointment online.
Can I do FMR in stages over multiple years?
Yes, and many patients do. While there’s a clinical sequence that has to be respected (periodontal treatment before crowns, implant healing before final restoration), the timing between phases can be flexible to fit your schedule and budget. Some patients complete FMR in six months; others spread it over two or three years. The treatment plan we build accommodates either approach as long as the underlying clinical sequence stays intact. |
