A smiling patient with his arms folded
HomeFull-Mouth Reconstruction

Full-Mouth Reconstruction in McLean & Alexandria, VA

The whole mouth, rebuilt as one plan.

When teeth are worn, broken, failing or missing across the mouth, a prosthodontist rebuilds them together, with implants, crowns, bridges and veneers chosen to fit one design and one bite. Board-certified prosthodontist Dr. Esam Nahlah plans it and restores it.

Book an evaluationSee a reconstruction
FreeSmile preview, before treatment
1 biteUpper and lower designed to meet
1 specialistPlans the surgery and the teeth
What It Is

Not a list of treatments. One mouth, rebuilt as a system.

Full-mouth reconstruction, which prosthodontists also call full-mouth rehabilitation, restores most or all of the teeth in both jaws. Rather than fixing one tooth at a time, the specialist plans the finished mouth first: how the teeth look, how the upper and lower meet, and what each tooth needs to get there.

A smile before a smile makeover, uneven and gapped
Before
Smiling patient holding a framed picture of her teeth before treatment
Planned with you
The bench and stereo microscope in the practice's in-house laboratory
Made in the in-house lab
The same smile after a completed smile makeover by prosthodontist Dr. Esam Nahlah
After

Meet the specialist

Yolanda holding a framed photograph of her smile before treatment
Signs

When one tooth at a time stops working.

Worn and broken teeth, several missing teeth, gum disease and a bite that no longer meets evenly tend to arrive together, and they are often one problem: once a tooth is lost, the bone under it deteriorates and the damage spreads to its neighbors.

Because a prosthodontist reads the whole mouth as one system, the question at your first visit is not which tooth do I fix first but what does the finished mouth need. A second opinion on a plan you already have costs nothing.

Why this practice

The Parts

What a reconstruction can be built from.

Most plans combine several of these; the design decides which tooth gets which.

A crown being seated onto a demonstration model01

Crowns

Custom caps over natural teeth that are too worn, cracked or stained for anything thinner.

A three-unit ceramic bridge on a stone model02

Bridges

Linked crowns that fill a gap. Carried on implants, a zirconia bridge leaves the healthy teeth beside it untouched.

A completed porcelain veneer case03

Porcelain Veneers

Hand-designed porcelain over less than a millimeter of enamel, for front teeth that are chipped, spaced or stained.

Veneers in detail
Illustration of implant-supported bridges lowered onto implant posts in a lower jaw model04

Implants and Full Arches

Where teeth are missing or beyond saving, implants carry the new teeth, from a single crown to a fixed zirconia arch.

Full-mouth implants
The Process

How a reconstruction is planned and built.

A clinician showing a patient a dental model during a consultation01

Evaluation

Time with Dr. Nahlah, your goals, a free digital preview of how the result will look, and the options with their prices.

A stereo microscope over the bench in the practice's in-house laboratory02

Scan and examination

A complete examination and a cone-beam scan of both jaws, to find what needs treating before anything else: gum disease, failing teeth, missing bone.

An intraoral scanner beside the digital model of a patient’s arch03

One design

Shape, shade, proportion and bite settled for the whole mouth, and approved by you before any tooth is prepared.

Dental technician in black gloves working at a precision milling instrument in a dental lab04

In stages

Treatment in the sequence the plan sets, which can mean extractions and grafting before implants and crowns, with the lab in the building adjusting shade and fit.

Real Cases

Reconstructions from this practice.

Case 12, full-mouth reconstruction: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 12, full-mouth reconstruction: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Full-mouth reconstruction · case 12
Before: damaged and missing teethAfter: veneers combined with implantsBeforeAfter
Veneers with implants, from the gallery
Case 26, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 26, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Both arches rebuilt on implants · case 26

Every case in the gallery

Questions

Full-mouth reconstruction, answered.

What is full-mouth reconstruction?
Rebuilding most or all of the teeth in both jaws to one plan, with crowns, bridges, veneers and implants as the case needs. Prosthodontists call it full-mouth rehabilitation, and it is the core of the specialty.Meet Dr. Nahlah →
How is it different from a smile makeover?
A smile makeover works mostly on the teeth that show. A full-mouth reconstruction rebuilds the whole mouth, back teeth and bite included, often with implants where teeth are missing.Smile makeover →
Who needs full-mouth reconstruction?
Usually people with several problems at once: worn or broken teeth, several missing teeth, gum disease or a bite that no longer meets evenly. The examination and scan decide whether the whole mouth needs rebuilding or only part of it.
How long does it take?
It is done in stages, in the order the design requires. Where implants are part of it, allow anywhere from a few months to over a year, longer if bone has to be grafted first.
Can I see the result before treatment starts?
Yes. A digital preview of the finished smile is built from photos and scans of your mouth, free, and you approve the design before any tooth is prepared.
How is it paid for?
The price is set with the plan at the consultation. Most PPO dental plans are accepted, claims are filed for you, and financing reaches $60,000 over terms of up to 96 months.Cost and financing →

Where to go next.

See the whole mouth before you fix one tooth.

A full examination, a scan of both jaws and a free preview of the result, with pricing on the table.