Restorative Consultation Treatment Planning
Restorative Consultation Treatment Planning is a specialized dental service provided by the board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Comprehensive restorative treatment that rebuilds the entire dentition — restoring function, stability, and aesthetics from the foundation up
Rebuilding Your Entire Smile When Multiple Teeth Need Treatment
Full mouth reconstruction addresses patients whose dental health has deteriorated across the entire dentition — extensive decay, multiple failing restorations, advanced wear, missing teeth, and collapsed bite dimension. This is not a cosmetic makeover. It is a systematic rehabilitation that re-establishes proper occlusal relationships, replaces compromised tooth structure, and creates a dentition that functions under load without progressive breakdown.
At ADSC, comprehensive reconstruction begins with extensive diagnostic records: CBCT imaging of all teeth and supporting bone, full-mouth digital impressions, facebow registration transferring jaw relationships to an articulator, bite force analysis, and detailed photographic documentation. These records allow Dr. Ostovar and Dr. Gvozden to plan the entire case before touching a single tooth — determining the vertical dimension of occlusion, the positions of the new incisal edges, and the occlusal scheme that will govern how the teeth contact during function.
Treatment is sequenced strategically across multiple phases. Periodontal therapy stabilizes the foundation. Endodontic treatment saves compromised but restorable teeth. Implants replace teeth beyond saving. Provisional restorations establish the new bite at the planned vertical dimension, testing function and aesthetics over weeks before definitive restorations are fabricated. This phased approach, while time-intensive, produces predictable outcomes for the most complex dental situations seen at our Beaverton specialty center.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for smooth continuity of care from start to finish.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Occlusal Science in Full Mouth Rehabilitation
Full mouth reconstruction fundamentally reorganizes the occlusal system — the three-dimensional relationship between upper and lower teeth, temporomandibular joints, and masticatory muscles. The Dawson approach establishes centric relation (the most superior-anterior position of the condyle in the fossa) as the starting reference point. From this reproducible position, the occlusal vertical dimension is established based on physiologic rest position, freeway space, and phonetic evaluation. The mutually protected occlusion scheme — where posterior teeth bear forces during chewing and anterior teeth disclude posteriors during excursive movements — minimizes destructive lateral forces on restorations. Provisional restorations worn for 4 to 12 weeks allow neuromuscular adaptation and patient feedback before committing to definitive ceramics.
Why Choose a Specialist?
Dr. Ostovar and Dr. Gvozden coordinate full mouth reconstruction cases at ADSC using CBCT imaging, digital planning, and phased treatment protocols. Complex cases may involve collaboration with periodontists, endodontists, and orthodontists to ensure comprehensive care.
Your Restorative Consultation Treatment Planning Treatment Steps
- Consultation & Exam: Comprehensive restorative consultation treatment planning evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist discusses your restorative consultation treatment planning options, timeline, and costs. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for best healing.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
A Note from Your Dental Team
In my experience, the patients who get the best results from restorative consultation treatment planning are those who come in with realistic expectations and follow their post-treatment instructions carefully. I’d rather spend extra time explaining what to expect than have a patient be surprised later.
“Every patient I see has a different story, a different set of concerns, and a different definition of what ‘success’ looks like. That’s why I don’t believe in one-size-fits-all treatment plans. When you come in for a consultation, I’ll listen first, examine second, and recommend third.
I also won’t recommend a procedure you don’t need. If your tooth can be saved with a filling instead of a crown, I’ll tell you that. If watchful waiting is appropriate, I’ll explain why. My job isn’t to sell treatment — it’s to give you my honest clinical judgment so you can make an informed decision.
If you have questions about whether this treatment is right for you, or if you’ve been told you need this procedure by another dentist and want a second opinion, call us at (503) 822-0096. We’re happy to take the time to explain everything — no rush, no pressure.”
— Dr. Merat Ostovar & Dr. Jovan Gvozden | Aloha Dental Specialty Center, Beaverton, OR
I know many patients feel anxious about dental procedures — you’re not alone in that. What I hear most often after treatment is: “That was so much easier than I expected.” We’re here to make this as comfortable as possible for you.
Who is a good candidate? Most patients in good general health qualify for restorative consultation treatment planning. We evaluate your specific situation — including medical history, current medications, and dental condition — during a thorough consultation with CBCT 3D imaging. Factors like uncontrolled diabetes, certain medications, or active infections may require management before proceeding.
What are the risks? As with any dental procedure, potential risks include temporary discomfort, minor swelling, and in rare cases, infection. Serious complications are uncommon when treatment is performed by experienced specialists using proper protocols. We use 3D imaging and sterile technique to minimize risk, and we discuss all potential outcomes with you before starting treatment.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Related Dental Services
Frequently Asked Questions
What qualifies someone for full mouth reconstruction?
Patients with multiple failing teeth requiring treatment across most or all of the dentition. Common scenarios include severely worn dentitions (bruxism, acid erosion), multiple large failing restorations, extensive untreated decay, combined tooth loss and structural damage, and bite collapse with loss of vertical dimension. If your dental problems are widespread rather than isolated, reconstruction may be appropriate.
How long does full mouth reconstruction take?
Typically 6 to 18 months from diagnosis to final restoration delivery. The timeline depends on the number of teeth involved, whether implants are needed (osseointegration requires 3 to 6 months), the extent of periodontal treatment required, and the complexity of the occlusal rehabilitation. Each phase must be completed properly before the next begins.
How much does full mouth reconstruction cost?
Costs range from $20,000 to $80,000 or more depending on the number and types of restorations, implant placement, periodontal or endodontic treatment needed, and material selection. A detailed cost breakdown is provided after the diagnostic workup. Insurance covers portions of individual procedures. Financing options spread payments across the treatment timeline.
Is the process painful?
Individual treatment sessions use local anesthesia and are comparable in comfort to routine dental procedures. IV sedation is available for longer sessions or anxious patients. The phased approach means each appointment addresses a manageable portion of the total treatment. Most patients report that the process is far less uncomfortable than they anticipated.
Can I function normally during treatment?
Yes. Provisional (temporary) restorations are placed at each phase, maintaining chewing function and appearance throughout the treatment process. These provisionals are well-made acrylic restorations that look natural and allow normal eating and speaking. You are never left without functional teeth during reconstruction.
What is the difference between full mouth reconstruction and a smile makeover?
A smile makeover is elective cosmetic improvement of healthy teeth (veneers, whitening, bonding). Full mouth reconstruction is comprehensive rehabilitative treatment of a dentition with widespread functional and structural problems. Reconstruction addresses bite, function, stability, and health — aesthetics improve as a consequence of restoring proper dental anatomy.
How do you determine the new bite position?
Centric relation is recorded using deprogramming techniques (leaf gauge, bimanual manipulation). The vertical dimension is evaluated through phonetic tests (closest speaking space), rest position measurement, and aesthetic assessment of facial proportions. The planned bite is tested in provisional restorations for weeks to months before definitive restorations are fabricated, confirming comfort and function.
What materials are used for the final restorations?
Material selection is tooth-specific. Posterior teeth under heavy load receive zirconia crowns. Anterior teeth prioritize lithium disilicate for translucency. Implant-supported teeth use titanium abutments with ceramic crowns. Composite resin may serve for provisional phases. The material plan is part of the treatment design, matching each restoration to its functional and aesthetic requirements.
Will my new teeth look natural?
Full mouth reconstruction produces results that look natural — often better than the patient's teeth ever looked before. Digital smile design allows preview of the planned result before treatment begins. Ceramic layering by skilled laboratory technicians replicates the color, translucency, and surface texture of natural teeth. The result is a complete, harmonious dentition.
What happens if I need implants as part of reconstruction?
Implants are placed during the surgical phase, typically early in the treatment sequence. They integrate with bone over 3 to 6 months while other teeth are being treated. By the time the restorative phase is reached, the implants are healed and ready for crowns. CBCT-guided implant placement ensures best positioning for the planned prosthetic result.
How do I maintain my teeth after reconstruction?
Regular brushing, flossing, and professional cleanings every three to four months (more frequent than standard six-month intervals). A custom nightguard protects the investment from bruxism damage. Annual comprehensive evaluation monitors restoration integrity, occlusion stability, and periodontal health. The maintenance protocol is detailed before treatment begins.
Can full mouth reconstruction fix TMJ problems?
When TMJ dysfunction results from occlusal instability (missing teeth, collapsed bite, unstable contacts), reconstruction that re-establishes proper occlusal relationships often resolves symptoms. However, TMJ disorders have multiple causes — muscle tension, joint degeneration, psychological stress. TMJ symptoms are evaluated independently, and reconstruction is planned to support (not compromise) joint health.
What if I cannot afford the full treatment at once?
Treatment is naturally phased over months. Costs are distributed across phases rather than due upfront. The treatment plan identifies priorities — the most urgently needed work is scheduled first. Financing plans, insurance benefits applied to individual procedures, and phased scheduling make comprehensive reconstruction financially manageable for most patients.
How many appointments will I need?
Complex reconstructions typically require 10 to 25 appointments over the treatment timeline. This includes diagnostic records, periodontal treatment, surgical procedures (extractions, implants), provisional restoration phases, and definitive restoration delivery. Most appointments are 1 to 2 hours. Sedation appointments for multiple procedures may be longer.
Is full mouth reconstruction permanent?
The restorations are permanent (cemented or screw-retained). Individual restorations have lifespans of 15 to 25+ years with proper maintenance. The occlusal scheme and bite relationship established during reconstruction are maintained through nightguard wear and regular occlusal monitoring. Reconstruction is a long-term investment that, with proper care, provides decades of function.
Begin Your Full Mouth Reconstruction Consultation
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026