Full Mouth Reconstruction in Hillsboro — Rebuilding the Whole Bite, One Phase at a Time

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Full Mouth Reconstruction in Hillsboro — Rebuilding the Whole Bite, One Phase at a Time

Full mouth reconstruction is the planned rebuilding of most or all teeth in both the upper and lower jaws — usually after years of severe wear, multiple missing teeth, failed dental work, advanced gum disease, or a bite collapse that has caused jaw pain and broken teeth. At East Wind Dental Care, the work is shared across three doctors so each phase is handled by the right clinician: Dr. Jovan Gvozden for surgery and implant placement, Dr. Merat Ostovar for restorative and cosmetic work, and Dr. Derek Youngblood for general and preventive care. Most plans run 6 months to 2 years from the first phase to the final restoration. Call (503) 614-0198 for a planning consultation that includes 3D CBCT imaging and a written, phased treatment estimate.

What Is a Full Mouth Reconstruction?

A full mouth reconstruction (sometimes called full-mouth rehabilitation) is a coordinated set of procedures that rebuild the function and appearance of the entire dentition. The American College of Prosthodontists describes it as the simultaneous restoration of all teeth in both arches — usually combining several specialties in one master plan rather than treating each tooth as a separate problem. The American Academy of Cosmetic Dentistry defines comprehensive smile restoration as a personalized approach combining multiple treatment modalities to restore optimal oral health and function.

Reconstruction is different from a smile makeover. A smile makeover is mostly cosmetic — veneers, whitening, bonding. A reconstruction is medical: the bite, jaw joint, gums, and bone are all part of the diagnosis, and durable function is the first goal. Aesthetics come second, but the right plan delivers both.

Who Needs Full Mouth Reconstruction?

You may be a candidate if one or more of these describes you:

• Severe tooth wear — teeth ground down to short stubs from grinding (bruxism) or acid erosion
• Multiple missing teeth in both arches, with the remaining teeth shifting or over-erupting
• Failed older dentistry — multiple crowns, bridges, or fillings breaking down at the same time
• Advanced gum disease that has loosened or lost several teeth
• Bite collapse — back teeth missing or worn so the front teeth carry the load and chip
• TMJ pain combined with cosmetic concerns — jaw pain, headaches, and an unhappy smile in the same patient
• Trauma — an accident that damaged multiple teeth at once
• Congenital conditions — missing or malformed teeth from birth (amelogenesis imperfecta, ectodermal dysplasia, etc.)

Many patients arrive after years of patchwork dentistry — one crown here, one extraction there — and want a single plan that fixes the whole mouth instead of staying one tooth behind the disease.

How Does the 3-Doctor Team Coordinate Treatment?

Most full mouth cases need more than one set of skills. At East Wind, three doctors share the work:

• Dr. Jovan Gvozden, DMD — Tufts-trained, 30+ years of surgical experience. Handles complex extractions, bone grafting and sinus lifts, and surgical implant placement.
• Dr. Merat Ostovar, DMD, FAGD — primary clinician and treatment-plan owner. Handles restorative work, crowns and bridges, porcelain veneers, implant restorations, and bite design.
• Dr. Derek Youngblood, DMD — general dentist focused on family and preventive care. Manages the maintenance phase: cleanings, periodontal monitoring, and long-term care of the new restorations.

Treatment plans are reviewed together. You get a single point of contact (Dr. Ostovar) but the right hands for each step — without referrals to outside offices.

What Procedures Are Combined in a Full Mouth Reconstruction?

Every plan is different, but most combine several of the following:

• Periodontal therapy — gum disease treatment must be controlled before any restorative or surgical work
• Tooth extractions — removal of teeth that cannot be saved
• Dental implants — single implants, implant bridges, or All-on-4 full-arch implants when an entire arch is failing
• Bone grafting and sinus lifts — to rebuild bone before implant placement
• Root canal therapy — to save teeth that have deep decay or infection but solid roots
• Crowns and bridges — to restore broken-down teeth or span gaps
• Porcelain veneers — to restore the front-tooth aesthetics once the bite is stable
• Orthodontics — Invisalign or fixed braces to correct bite alignment before final restorations
• TMJ therapy and night guards — to protect the new work from grinding (see TMJ treatment)

The order matters. Disease is treated first, surgery and bone work next, then implants and crowns, with cosmetic refinement at the end.

What Does Phased Treatment Planning Look Like?

A typical phased plan runs like this:

Phase 1 — Diagnosis and stabilization (weeks 1–6). 3D CBCT scan, digital impressions, photos, bite analysis, periodontal charting. Active gum disease is treated. Painful teeth are stabilized. The full plan is written and priced.

Phase 2 — Surgery and extractions (months 1–4). Failing teeth are removed. Bone grafts and sinus lifts are placed where needed. Implants are placed in healed sites or, when possible, immediately after extraction.

Phase 3 — Healing and provisionals (months 3–9). Implants integrate with the bone (osseointegration takes 3–6 months). Temporary teeth keep you eating, speaking, and smiling during healing.

Phase 4 — Final restorations (months 6–18). Permanent crowns, bridges, implant crowns, and veneers are designed, milled, and placed. Bite is verified and refined.

Phase 5 — Maintenance (ongoing). Cleanings every 3–6 months, night guard if grinding is a factor, annual review of all restorations.

Most patients are in active treatment for 6 months to 2 years depending on how much surgery and grafting is involved.

How Much Does Full Mouth Reconstruction Cost in Hillsboro?

Full mouth reconstruction is one of the largest dental investments most patients ever make. Honest cost ranges:

| Plan complexity | Typical total |
|—|—|
| Crowns and veneers, no implants (~10–14 teeth restored) | $15,000 – $30,000 |
| Reconstruction with a few implants (2–6 implants + crowns + bridges) | $30,000 – $55,000 |
| Reconstruction with full-arch implants on one arch (All-on-4 + opposing crowns/bridges) | $40,000 – $70,000 |
| Reconstruction with full-arch implants on both arches | $60,000 – $100,000+ |

Per-component reference prices:

• Single crown: $1,200 – $1,800
• Porcelain veneer: $1,200 – $2,000
• Single implant + crown: $3,500 – $5,500
• All-on-4 per arch: $20,000 – $35,000
• Bone graft (per site): $500 – $2,500
• Periodontal therapy (per quadrant): $200 – $800
• Invisalign (when included): $4,500 – $7,500

How Patients Pay for It

• VIP Membership Plan — $299/year for adults, $199/year for children. Includes 15% off all treatment, with no annual maximum and no waiting periods. On a $50,000 plan, that is a $7,500 savings. 100% of payments accumulate as credits — every dollar paid in fees becomes credit toward future treatment if not used.
• Insurance coordination — most dental plans cover periodontal therapy, extractions, and a portion of crowns and implants. Medical insurance sometimes covers surgical placement when it is medically necessary. Our team verifies both.
• Third-party financing — CareCredit (0% interest up to 24 months on qualifying balances), Cherry, and Sunbit provide monthly payment options.
• Phased payments — because reconstruction is broken into phases, the cost is spread across many months rather than paid up front.

We provide a written estimate with insurance breakdown before any treatment begins.

How Long Does the Whole Process Take?

The honest answer: 6 months on the short end, 2 years on the long end. The drivers are:

• Bone grafting — a graft adds 3–4 months of healing before an implant can be placed
• Implant healing — 3–6 months of osseointegration before final crowns
• Orthodontics — Invisalign or braces add 6–18 months if bite alignment must be corrected first
• Number of arches involved — single-arch cases finish faster than dual-arch reconstructions

You will not be without teeth at any point. Temporary crowns, partials, or implant-supported provisionals keep you functional throughout.

Where Do Your Patients Travel From?

Patients come for full mouth reconstruction from across Washington County and the west Portland metro: Hillsboro, Beaverton, Aloha, Orenco Station, Tanasbourne, Cornelius, Forest Grove, Rock Creek, South Hillsboro, and Reedville. Many work at Intel Ronler Acres, Intel Jones Farm, or Nike WHQ and value being able to complete a multi-year plan close to home and work.

Get a Written, Phased Plan Before You Commit

The planning consultation includes a 3D CBCT scan, photos, bite analysis, and a written estimate broken out by phase. Call (503) 614-0198.

Book Your Planning Consultation

Related Services at East Wind Dental Care

• Dental Implants — Implants as part of full-mouth rehabilitation
• Crowns & Bridges — Crowns and bridges for restoration
• Porcelain Veneers — Veneers for cosmetic finishing
• Cosmetic Dentistry — Cosmetic procedures included in the plan
• All-on-4 Dental Implants — Full-arch All-on-4 reconstruction
• Smile Design — Smile design planning process

Areas We Serve

East Wind Dental Care welcomes patients from across Washington County and the west Portland metro area: Hillsboro, Orenco Station, Tanasbourne, Aloha, Beaverton, South Hillsboro, Rock Creek, AmberGlen, Cornelius, Forest Grove, North Plains, and Banks.

Frequently Asked Questions — Full Mouth Reconstruction Hillsboro

How is full mouth reconstruction different from a smile makeover?

A smile makeover is cosmetic — usually veneers, whitening, and bonding on the front teeth. A full mouth reconstruction is medical and structural: it addresses the bite, the jaw joint, the gums, the bone, and the back teeth as well as the front. Reconstruction is the right answer when you have wear, pain, missing teeth, or failing dentistry across both arches. A makeover is the right answer when the function is fine but the front teeth need cosmetic work.

Will I be without teeth during treatment?

No. We use temporary crowns, partial dentures, or implant-supported provisionals so you have functional teeth at every stage. Many patients are surprised at how normal day-to-day life feels through the middle phases of treatment.

Does dental insurance cover full mouth reconstruction?

Coverage varies. Most plans cover a portion of periodontal therapy, extractions, root canals, and crowns. Implant coverage is less common but improving — many plans now cover one implant per year or a percentage of implant surgery. Medical insurance sometimes covers the surgical implant placement when it is medically necessary (severe trauma, congenital absence). Our team verifies your dental and medical benefits and gives you a written breakdown before treatment.

Can I get the whole thing done at once instead of phases?

For most patients, no. Bone needs to heal after extractions and grafts before implants can be placed, and implants need 3–6 months to integrate before final crowns. The phased approach is what makes the result durable. The exception is All-on-4 cases, where extractions and same-day temporary teeth can happen in a single surgical day — but the final prosthesis still arrives 3–6 months later.

How long do the new teeth last?

Implants themselves are designed to last decades — many last a lifetime when the bone is healthy and the patient maintains regular cleanings. Crowns and bridges typically last 10–20 years before needing replacement. Veneers last 10–15 years. Night guards and 3-to-6-month cleanings are the single biggest factor in extending the life of the work.

Do I need orthodontics as part of my reconstruction?

Sometimes. If your existing teeth have shifted significantly, straightening them with Invisalign before final restorations can mean fewer crowns, more conservative tooth preparation, and a more stable bite. Dr. Ostovar reviews your bite at the planning consultation and includes ortho in the plan only if it materially improves the outcome.

What happens if I do nothing?

Most full-mouth cases get worse over time, not better. Bite collapse accelerates as more teeth are lost. Bone resorbs in areas where teeth are missing, making future implants harder. Failing crowns and bridges break down and damage the teeth they sit on. The conversation we have at the planning consult is honest about what is urgent versus what can wait — but waiting almost never costs less.

How do I know if I need full mouth reconstruction or just a few crowns?

Full mouth reconstruction is typically the right answer when you have multiple failing or missing teeth across both arches, when your bite has collapsed or shifted significantly, when you have chronic jaw pain alongside dental problems, or when previous dental work is failing on many teeth simultaneously. A few crowns are the right answer when problems are isolated to specific teeth and your overall bite and bone structure are still healthy. At your planning consultation, Dr. Ostovar reviews full-mouth X-rays, bite analysis, and photos and gives you an honest assessment of which approach will actually solve the problem. Call (503) 614-0198 to schedule.

What is the first step toward full mouth reconstruction?

The first step is a comprehensive planning consultation at East Wind Dental Care. We take full-mouth X-rays, a CBCT 3D scan when needed, digital photos, and bite records. Dr. Ostovar and the surgical team review the findings together, map out which teeth need extractions, implants, bone grafting, or restoration, and sequence the phases so each step supports the next. You leave with a written phased treatment plan and cost estimate — no pressure, no commitment required. Call (503) 614-0198 to schedule.

Can I finance full mouth reconstruction, and how much does it cost in Hillsboro?

Full mouth reconstruction in Hillsboro typically ranges from $15,000 to $75,000 or more, depending on the number of implants, the extent of bone grafting, and the materials selected for final restorations. We provide a detailed phase-by-phase written estimate so you understand exactly what each step costs before you commit. Financing is available through CareCredit and Cherry, with low-interest and deferred-interest options for qualified applicants. Many patients finance one phase at a time as the work progresses. Call (503) 614-0198 to discuss your options.

Schedule Your Full Mouth Reconstruction Consultation

Office Location: 7546 NE Shaleen St, Hillsboro, OR 97124
Phone: (503) 614-0198

One Plan. One Team. The Whole Mouth.

Call (503) 614-0198 for a planning consultation with 3D CBCT imaging and a written, phased estimate. We answer your questions before you commit to anything.

Request Your Consultation

From Our Dental Library

• Full Mouth Reconstruction Cost Guide: What to Expect in Hillsboro
• Getting Dental Implants Years After Extraction: What You Need to Know
• Dentures vs. Dental Implants: Making the Right Choice

Reviewed by Dr. Merat Ostovar, DMD, FAGD | East Wind Dental Care, Hillsboro, OR | Last medically reviewed: 2026-05-05 | Book a consultation

> Dr. Ostovar leads East Wind Dental Care in Hillsboro, which has served the community since 2006. He holds Fellowship in the Academy of General Dentistry (FAGD), a credential held by fewer than 7% of general dentists in the U.S. Surgical implant placement at East Wind is performed by Dr. Jovan Gvozden, DMD — Tufts-trained, with 30+ years of oral surgery experience. Family and preventive care is led by Dr. Derek Youngblood, DMD.

Written by Dr. Merat Ostovar, DMD

Doctor of Dental Medicine | 15+ Years Experience

Last updated: May 14, 2026