Full mouth reconstruction — rebuilding the bite, not just the teeth.
This is the deepest end of dentistry: worn, broken or collapsed teeth restored across both arches, with the bite itself re-established first. It takes months, costs five to six figures, and the planning matters more than any single restoration.
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Typical case
$28,000 – $70,000
Time to complete
9 – 18 months
Units involved
20 – 28
Trial phase before permanent
2 – 3 months
Planned in phasesstabilise, test the bite, then rebuild
Step 1 — your location
Ten reconstructive dentists near you.
Very few general dentists take on full-mouth cases, and fewer still should. We rank on case volume, whether the practice works with a prosthodontist, and whether they run a reversible trial phase before anything permanent is made.
Your location is used to sort results and is never sold or shared with third parties.
Showing 10 reconstructive dentists near Austin, TXRanked by distance, review quality and published pricing
The bite comes first. Everything else follows from it.
When teeth have worn down over decades, the jaw has closed to compensate and the muscles have adapted to a position that is no longer where the teeth should meet. You cannot simply build the teeth back up — the new height has to be established, tested in something removable or temporary for weeks, and confirmed comfortable before a single permanent restoration is made. Practices that skip that testing phase are the reason full-mouth cases sometimes have to be redone.
It is for function, not appearance. If your teeth are healthy and you dislike how they look, this is not the treatment — a smile makeover is.
Expect a reversible trial phase. Weeks in a splint or temporary restorations at the proposed new bite height, before anything permanent.
It is usually a team. Prosthodontist, sometimes periodontist and endodontist. Ask who is doing which part.
Some of it is insurable. Crowns on cracked and root-treated teeth are restorative, and that adds up across twenty units.
The phases exist so that the expensive, irreversible work happens last — after the new bite has been proven comfortable.
01
Diagnosis & records
Full radiographs, photographs, scans, jaw tracking and mounted models. This phase alone can take three appointments.
3 – 6 weeks
02
Stabilisation
Decay, gum disease, failing root canals and unsalvageable teeth dealt with first. Nothing cosmetic happens yet.
2 – 4 months
03
Bite testing
The proposed new bite height is worn in a splint or provisional restorations for six to twelve weeks and adjusted until it is comfortable.
6 – 12 weeks
04
Provisional rebuild
Temporary restorations at the confirmed height, worn and tested in real life — eating, speaking, sleeping.
4 – 8 weeks
05
Definitive restorations
Only now are the permanent crowns, onlays and veneers made, copying the shape you have been living with successfully.
2 – 4 months
Before & after
Reconstruction cases from dentists on this list.
Submitted by listed practices, with the patient's written release and the fee they actually charged.
BeforeAfter
Severe wear from decades of grinding
Bite height re-established over ten weeks in provisionals, then twenty-four units placed across both arches.
Duration
14 months
Fee charged
$52,800
BeforeAfter
Acid erosion, upper arch rebuilt
Reflux had dissolved the biting surfaces. Medically managed first, then twelve onlays and veneers.
Duration
11 months
Fee charged
$34,600
BeforeAfter
Collapsed bite with missing back teeth
Four implants placed to restore posterior support, then the bite rebuilt around them.
Duration
18 months
Fee charged
$68,400
Individual results vary with your diagnosis, anatomy and healing. Fees shown are what those specific patients paid at those specific practices and are not a quote. Photography on this page is licensed stock imagery, not photographs of the patients described.
Cost & insurance
What full mouth reconstruction costs in 2026.
Ranges below are the 25th–75th percentile of fees published by listed practices. Any dentist we match you with has agreed to give you a written quote before treatment.
Bite testing & provisionalsSplint therapy and temporary restorations
$3,500 – $9,000
Stage 3
Crowns & onlaysPer unit, 20–28 units typical
$1,100 – $2,400
Stage 4
Implants, if posterior support is missingPer implant
$3,100 – $5,800
Stage 4
Complete caseAll phases, both arches
$28,000 – $70,000
$899/mo72 months
Never accept a single number for a case this size. Insist on a phased quote where each stage is priced separately, because it lets you stop and reassess between phases, spread the cost across several insurance years, and claim the genuinely restorative portions rather than writing the whole case off as cosmetic.
What insurance usually covers
More of this is claimable than people expect. Crowns on cracked or root-treated teeth are restorative, and across twenty units that is significant.
Gum treatment and root canals in the stabilisation phase are usually covered at standard rates.
Splint therapy is often covered where grinding is documented — and it is clinically necessary here anyway.
Phase it across calendar years. On a case this size, using three annual maximums instead of one is worth thousands.
FSA and HSA funds cover this in full — it is a qualified medical expense.
In-house 0% plans at 6–24 months, offered by roughly two-thirds of listed practices.
Third-party financing at 24–72 months, typically 9.9%–17.9% APR once the promotional window ends.
Dental school clinics run 40–60% below private fees, with longer timelines and supervised residents.
Get it itemised, in writing — every time
Every component on a separate line. It is the only way two quotes ever become comparable, and every practice on this list has agreed to give you one before you pay a deposit.
Payment calculator
Work out the monthly number before you walk in.
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Estimates only. Actual approval, APR and term depend on the practice, the lender and your credit. Promotional 0% offers are usually deferred-interest products — if the balance is not cleared inside the promotional window, interest may be charged retroactively from the purchase date. Always read the credit agreement.
Compare your options
Reconstruction, or something less?
Full-mouth work is sometimes proposed when a narrower treatment would do. Here is how to tell the difference.
Ask to see every option planned. A dentist who only ever recommends one route, regardless of the scan, is worth a second opinion.
Full mouth reconstruction
Smile makeover
Targeted repair
Typical cost
$28,000 – $70,000
$8,800 – $24,000
$1,500 – $6,000
Time to complete
9 – 18 months
2 – 9 months
2 – 8 weeks
Changes the bite height
Yes — the core of it
No
No
Treats both arches
Usually
Usually upper only
No
Reversible trial phase
Essential
Trial smile
Not needed
Insurance contributes
Substantially
Rarely
Usually
Best when
Teeth are worn or broken across both arches and the bite has collapsed
Teeth are healthy and the complaint is appearance
A handful of teeth are damaged and the rest are sound
How to judge a practice
Four things that separate a good practice from an average one.
None of this is marketing gloss — each one measurably changes how predictable your result is. Ask the practices you shortlist which of the four they actually have.
Imaging
They show you the images
A practice that turns the monitor towards you and walks through what it is actually seeing is a practice that expects to be questioned.
Ask to see your own scan
Pricing
A written, itemised quote
Every fee on its own line, handed over before you pay a deposit. Every practice we list has agreed to provide one.
Non-negotiable on this list
Volume
They do this often
Skill compounds with repetition. Each listing shows how many cases of this type the practice has completed in the last two years.
Case counts shown on every card
Aftercare
Someone answers afterwards
A named contact for the week after treatment, and a written policy on what a redo costs if something is not right.
Checked at every renewal
Inside the network
What a listed practice looks like.
We visit or video-audit every practice before it goes on the list — the operatory, the sterilisation room, the imaging suite and the front desk that will handle your insurance claim.
The operatoryChair, imaging and delivery unitSecond surgerySo urgent cases aren't bumpedSterile protocolAudited at every renewalThe front deskFiles your claim, not youStreet levelParking and access checked
Free consultation
Tell us the situation. We'll do the calling around.
Send this once and up to three matched reconstructive dentists near you come back with a phased written plan — what happens in each stage, what each stage costs, and who on the team is doing it.
Our Austin care team — 11 people, none on commission
1. You send the details
Ninety seconds. Your ZIP, what you need, and your insurance if you have it.
2. We shortlist and forward
We pick the three strongest matches on distance, case volume and price transparency — then send them your case.
3. You compare in writing
Three written estimates in your inbox within two business days. Pick one, or none.
Care team hours (Eastern Time)
Monday – Friday7:00 AM – 11:00 PM
Saturday8:00 AM – 9:00 PM
Sunday9:00 AM – 8:00 PM
Open now — median callback time 41 minutes
Get up to 3 written estimates
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FAQ
Full mouth reconstruction questions, answered straight.
Reviewed by our clinical advisory panel in January 2026. General information, not a diagnosis.
Still deciding?
Talk it through with a care coordinator before you book anything. They don't work on commission and they can tell you when this is the wrong call.
The signals are functional rather than cosmetic: teeth worn flat or short across both arches, repeated fractures, a bite that feels like it has closed over the years, jaw or muscle pain, and multiple failing restorations. If your teeth are structurally healthy and the complaint is colour or shape, you want a smile makeover at a quarter of the cost. Any practice proposing full-mouth work should be able to show you the wear on your own scans.
Because the bite has to be changed slowly and tested before it is made permanent. Your jaw muscles and joints have adapted over decades to the position your worn teeth created; moving that position takes weeks of wearing a splint or provisionals while everything settles and is adjusted. Compressing that phase is the single most common cause of full-mouth cases that have to be redone.
You wear the proposed new bite height in a removable splint, then in temporary restorations, for anywhere from six weeks to three months — eating, sleeping and speaking with it. If something is wrong, the temporaries are adjusted or remade cheaply. Skipping it means discovering a problem after twenty-four permanent units have been cemented. No reputable practice will let you skip it.
More than most people assume, but never the whole thing. Crowns on cracked or root-canal-treated teeth are restorative and usually claimable at around 50%; gum treatment and root canals in the stabilisation phase generally are; splint therapy often is where grinding is documented. Across twenty-plus units that is meaningful. Phasing the case across two or three calendar years multiplies your annual maximum accordingly.
Yes, and for most people it is the sensible route. The stabilisation phase in year one, bite testing and provisionals in year two, definitive restorations in year three. The plan has to be designed as a whole from the outset so each stage is compatible with the next, but the payments and the insurance claims can be spread considerably.
A prosthodontist leads most full-mouth cases, often working with a periodontist for the gum phase and an endodontist for root canals. A general dentist with genuine documented experience in complex restorative work can do it too. What matters is that you ask directly: how many full-mouth reconstructions have you completed in the last two years, and can I see three of them?
Grinding is the cause of a large share of these cases, and it does not stop because you have had the work done. A night guard is not optional afterwards — it is the thing that protects a five-figure investment. Expect it to be part of the plan and the fee, and expect to be told to wear it every night for the rest of your life.
Fifteen to twenty-five years for well-made restorations on healthy foundations, and the foundations matter more than the porcelain. Gum health, grinding control and the annual maintenance schedule determine the outcome far more than which ceramic was used. Budget for a review appointment twice a year and expect one or two units to need attention over a decade.
Imaging
Pricing
Volume
Aftercare
