Madderra Dental Spa

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Full Mouth Reconstruction in San Francisco

Restore your smile’s health, function, and beauty with a comprehensive, personalized full mouth reconstruction at Madderra Dental Spa.

Book Your Consultation Call: (415) 552-9200

A New Beginning for Your Smile

Full mouth reconstruction results

Years of dental problems can take a toll, affecting not just your ability to eat and speak comfortably, but also your confidence. If you're facing multiple, complex dental issues—such as numerous missing teeth, severe wear, widespread decay, or chronic jaw pain—a full mouth reconstruction can be a life-changing solution. It's not just a series of repairs; it's a strategic, comprehensive approach to completely rebuilding your smile from the foundation up, restoring it to optimal health and function.

Unlike a smile makeover, which is primarily cosmetic, a full mouth reconstruction is a medical necessity focused on addressing underlying structural and health problems. The goal is to create a stable, comfortable, and long-lasting foundation for your oral health. Dr. Madderra and Dr. Holmann meticulously plan every case, integrating various restorative and cosmetic procedures to address your unique combination of needs. This process harmonizes the relationship between your teeth, gums, and jaw muscles.

At Madderra Dental Spa, we combine this clinical excellence with a spa-like environment, ensuring your journey to a new smile is as comfortable and stress-free as possible. We understand this is a significant decision, and our team is dedicated to providing the compassionate, expert care you need to regain a smile that is not only beautiful but also strong and healthy for years to come.

Is Full Mouth Reconstruction Right for You?

A full mouth reconstruction is designed for individuals with extensive and complex dental problems. You may be an ideal candidate if you experience several of the following:

  • Multiple Missing Teeth: Lost due to decay, trauma, or gum disease.
  • Severely Worn Teeth: Caused by long-term acid erosion or tooth grinding (bruxism).
  • Widespread Decay: Numerous teeth with large cavities or failing fillings.
  • Cracked or Broken Teeth: Extensive damage across multiple teeth.
  • Chronic Jaw Pain & Headaches: Often related to a misaligned bite (malocclusion) or TMJ disorders.
  • Advanced Gum Disease: Resulting in bone loss and loose teeth.
  • Failing Dental Work: Old crowns, bridges, or fillings that need replacement.
  • Congenital Conditions: Genetic disorders that affect tooth development.

The Madderra Approach: Comprehensive & Conservative

Decades of Experience

With over 34 years of experience, Dr. Garret Madderra has planned and executed countless complex full mouth reconstructions. This depth of expertise ensures a strategic, predictable, and successful outcome, even for the most challenging cases.

Conservative Philosophy

Our guiding principle is to preserve as much healthy tooth structure as possible. We use advanced diagnostics to create a plan that is both effective and minimally invasive, ensuring the longevity of your natural teeth and new restorations.

Integrated Technology

We utilize state-of-the-art technology, including digital 3D imaging (CBCT), intraoral scanners, and advanced bite analysis tools. This allows for meticulous planning and precise execution of every phase of your reconstruction.

Your Journey to a Restored Smile

1

Comprehensive Evaluation

Your journey begins with a thorough examination. We use digital X-rays, 3D CBCT scans, and intraoral cameras to get a complete picture of your oral health. We'll discuss your goals, concerns, and medical history to create a truly personalized plan.

2

Personalized Treatment Plan

Dr. Madderra or Dr. Holmann will present a detailed, phased treatment plan. This may include a combination of procedures like dental implants, crowns, veneers, bridges, and gum therapy. We'll show you a digital preview of your potential new smile and provide a transparent breakdown of the timeline and costs.

3

Phase 1: Foundational Health

We start by addressing any underlying health issues. This may involve treating gum disease, performing root canals, or extracting non-restorable teeth. For implant-based reconstructions, this is when the implants are surgically placed.

4

Phase 2: Restorative & Provisional

Once the foundation is stable, we begin the restorative process. You will be fitted with high-quality temporary restorations (provisionals). These allow you to 'test drive' your new bite and smile, ensuring optimal function and aesthetics before the final restorations are created.

5

Phase 3: Final Restorations

After you are completely happy with the provisionals, our master ceramist will fabricate your final crowns, veneers, or bridges. These are then meticulously bonded into place, completing your new, beautiful, and functional smile.

Recovery and Long-Term Care

Your recovery experience will depend on the procedures performed. We will provide you with a detailed, personalized aftercare plan. This includes dietary recommendations, hygiene techniques for your new restorations, and management for any temporary sensitivity. Protecting your investment is crucial. We recommend regular check-ups and cleanings every 3-6 months to ensure the longevity of your reconstruction and maintain optimal oral health. With proper care, your restored smile can last for decades.

Patient Stories

"Dr. Madderra gave me my smile back. The full mouth reconstruction was life-changing. I can eat, speak, and smile without embarrassment. Forever grateful."

Lisa P.

Full Mouth Reconstruction

July 2025

"The comprehensive treatment plan addressed all my dental issues. Dr. Madderra coordinated everything beautifully. I have a functional, beautiful smile for the first time in years."

Barbara K.

Full Mouth Reconstruction

April 2024

"This was a significant investment, but worth every penny. The transformation is incredible. I can eat comfortably and smile confidently again."

Joseph T.

Full Mouth Reconstruction

March 2024

Frequently Asked Questions

Full mouth reconstruction (or rehabilitation) is a comprehensive, customized treatment plan that combines multiple restorative, cosmetic, and neuromuscular dental procedures to rebuild or simultaneously replace all of the teeth in a patient's mouth. It's designed to address severe, widespread dental issues and restore optimal oral health, function, and aesthetics.
The timeline varies significantly based on the complexity of the case and the specific procedures involved. It can range from a few weeks for simpler cases to over a year for complex treatments involving dental implants, bone grafting, and orthodontics. We create a phased treatment plan to ensure each step is completed meticulously.
Patient comfort is our top priority. We use local anesthesia and offer sedation options to ensure procedures are as painless as possible. Some post-procedure soreness or sensitivity is normal, but we provide detailed aftercare instructions and pain management strategies to keep you comfortable during recovery.
The cost of full mouth reconstruction is highly variable and depends entirely on the procedures included in your personalized treatment plan. Costs can range from $30,000 to $100,000 or more. During your consultation, we will provide a transparent, detailed breakdown of all costs and discuss financing and insurance options.
Absolutely. Dr. Madderra and Dr. Holmann combine artistry with advanced dental technology to create results that are not only functional and healthy but also beautifully natural. We use high-quality, tooth-colored materials and design your new smile to complement your unique facial features.
Long-term success depends on excellent oral hygiene. This includes diligent brushing and flossing, as well as regular professional cleanings and check-ups at our office. We will provide you with specific instructions tailored to the types of restorations you have, such as crowns, bridges, or implants.
A smile makeover is an elective cosmetic procedure focused on improving the appearance of your smile. A full mouth reconstruction is a necessary medical procedure designed to address complex functional problems, such as missing teeth, widespread decay, or bite issues, which also results in a cosmetic enhancement.
Portions of your full mouth reconstruction may be covered by dental insurance, particularly the restorative components like crowns or bridges. Coverage varies widely between plans. Our team will work with you to maximize your benefits and explore financing options for any out-of-pocket costs.

Related Services

Dental Implants

Permanent, natural-looking replacements for missing teeth that restore full function and confidence.

Learn More →

Porcelain Veneers

Custom-crafted shells that transform the appearance of your smile with natural-looking results.

Learn More →

Dental Crowns

Durable, tooth-colored caps that restore strength and beauty to damaged teeth.

Learn More →

Ready to Reclaim Your Smile?

If you're ready to leave complex dental problems behind, we're here to help. Schedule a consultation with Dr. Madderra or Dr. Holmann to discover if a full mouth reconstruction is the right path for you.

Call (415) 565-0502