A plan, not a procedure.
Full-mouth reconstruction is not a single surgery. It’s the coordinated plan that moves a patient from significant dental disease, failed prior work, or extensive tooth loss to a stable, functional, aesthetic final state, usually across multiple surgical phases over several months. The reconstruction includes the implants, the bone work that has to happen before them, the prosthetics that come after, and the integration of all of it.
At Revive, the reconstruction is owned by a single team. Surgical placement, sedation and anesthesia, in-house lab work, and the prosthetic design all happen in the same building, and more importantly, under one plan, with one set of judgment calls running the case. We’ve been doing implant work for 15+ years and the consistent pattern in successful reconstructions is integration. Cases that break down are almost always cases where the surgical, lab, and prosthetic work were running on separate tracks.
The components that turn full-arch into reconstruction.
- Both arches. Reconstructing one arch is full-arch implant work; reconstructing both, and getting the occlusion to work between them, is reconstruction.
- Significant bone work. Sinus lifts, staged grafting, ridge augmentation. When the bone has to be built before implants go in, the timeline stretches and the reconstruction becomes a sequence rather than a procedure. See bone grafting and sinus lift.
- Zygomatic involvement. Severe upper-jaw atrophy combined with a full or partial lower-jaw plan creates a reconstruction that needs both zygomatic planning and conventional implant planning. See zygomatic implants.
- Salvage decisions. Some teeth in a failing dentition are worth saving; others aren’t. The salvage analysis, including the orthodontic, endodontic or periodontal work that might come from it, is part of the reconstruction plan. We refer the non-implant components to trusted offices where appropriate; we don’t do them in-house because we don’t do general dentistry.
- Medical coordination. Patients with anticoagulation, bisphosphonate history, diabetes, cardiac history, or other complexity often need the reconstruction sequenced around their medical care. Dr. Metwally coordinates that with your physician where appropriate.
One team, one plan, one building.
The reason full-mouth reconstructions go sideways in fragmented care is not that any one provider is doing bad work. It’s that the handoffs accumulate. The periodontist’s graft heals differently than the implant surgeon expected. The lab’s prosthetic doesn’t match the bite the prosthodontist designed. The sedation facility’s schedule pushes a critical phase by six weeks. None of these are anyone’s fault individually; collectively, they compound.
At Revive, the surgical, lab, and anesthesia work happens in the same building, with Dr. Metwally holding the plan. When a phase moves, the lab adjusts the same day, not a week later via courier. When the bite needs refinement, the prosthetic designer walks down the hall. When a sedation slot needs to shift, the anesthesiologist is already familiar with the case. The result is fewer handoffs and tighter execution.
See our in-house lab and sedation & anesthesia for the capability detail.
Months. We say so up front.
The honest timeline picture for full-mouth reconstruction:
Months 1–2: Planning
Initial consultation, CBCT and full diagnostic workup, planning appointment, written treatment plan with sequencing, financing decisions, anesthesia consultation where indicated.
Months 2–6: Surgical phases
Extractions, grafting where required, sinus lifts where required, implant placement (often staged across multiple surgical days). Provisional prostheses fitted between phases so you’re not without teeth.
Months 4–10: Integration
Implants integrate while you wear provisional prostheses. Periodic clinical reviews. In complex cases, integration confirmation runs as each phase reaches the appropriate window, not all at once.
Months 9–14: Final prosthetics
Final restorations designed and milled in-house, fitted across one or more appointments depending on case complexity. Occlusal refinement.
Ongoing: Maintenance
Routine implant maintenance, hygiene visits, and, for the patients who want it, our monthly hygienist program. See implant aftercare.
Representative reconstructions.
Reconstruction case narratives will appear here once photography is complete: both-arch cases restored after years of partial dentures and crowns, reconstructions combining zygomatic and conventional implants, and revisions of prior reconstructions that came up short. Until then, we walk through cases at consultation with patient consent.
The plan starts at the consultation.
Reconstruction is not a decision to make from a website. The right plan depends on imaging, occlusal analysis, your medical history, what you’ve been told elsewhere, and what you actually want from the outcome. Book a consultation. We’ll review everything together and give you a written plan, with the staging and the financing both laid out. For the cost picture across all our treatment, see cost & financing.