Complex dental rehabilitation in Essen
When several teeth, the gums, your bite or existing restorations need treatment at the same time, a plan with clear priorities is essential. We distinguish necessary from optional steps, explain alternatives and tailor treatment to your medical and personal situation.
Your first contact is a free telephone consultation. A trained member of our practice team discusses your concerns, further costs and next steps; a dentist is involved for specialist questions. A personal examination is a separate appointment arranged with you.
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The first step is a comprehensive assessment
We record your symptoms, history and goals, and examine your teeth, gums, existing restorations, bite and function. Photographs, a digital scan, additional measurements and X-rays are used as needed.
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Prioritising urgent care, preservation and reconstruction
Acute symptoms and inflammation are considered first. Depending on the findings, this is followed by measures to preserve teeth, stabilise gum health and function, and replace missing teeth or teeth that cannot be retained.
“Full-mouth” rehabilitation does not mean that every possible procedure has to be performed. The aim is a coordinated plan whose scope you understand and help decide.
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Treatment in manageable phases
Extensive treatments are often divided into diagnostic, preparatory, reconstructive, prosthetic and aftercare phases. Progress can be reviewed and adjustments made where needed.
We discuss the medical urgency, appointments, expected duration and costs of each phase. A gradual approach may also be an appropriate option.
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Long-term care is part of the plan
Home care, check-ups and professional preventive care are tailored to your individual risk and new restorations. This helps us identify changes early and assess them together.
Which restoration suits my clinical findings?
Extensive rehabilitation does not automatically mean implants or the removal of all existing teeth. First, we establish which teeth can be preserved and what role they can play in the later restoration. Where teeth are missing, we compare suitable options supported by natural teeth or implants, as well as fixed and removable restorations.
When planning an implant-supported restoration for a complete jaw, factors include the available bone, opposing teeth, space for the restoration and access for cleaning. Your preferences and day-to-day use also matter. The examination leads to well-founded options rather than a predetermined product. This assessment follows the ITI recommendations for planning complete dental arches.
Why is the plan reviewed during treatment?
In advanced periodontitis, the subsequent restoration also depends on how the teeth and gums respond to treatment. Before the definitive restoration, the supporting capacity and cleanability of the proposed teeth or implants are reassessed. A temporary restoration may be part of this treatment sequence where needed. The appropriate solution and timing of the definitive restoration are decided according to progress. Clinical reference: EFP S3 guideline for treating advanced stage IV periodontitis (2022).
We explain options for individual gaps under Crowns, bridges and implant restorations. For a complete jaw, Fixed teeth on four implants also describes the requirements for an early temporary restoration. We explain material choices under Ceramic implants and aesthetic planning under Smile Design.
Temporary and definitive restorations
A temporary restoration can bridge the treatment phases. It is adapted to healing and any remaining treatment needs. When the definitive restoration is appropriate depends on progress and the reassessed findings. Your plan explains which temporary solution is intended and which steps remain.
If teeth are worn or you have jaw symptoms, a functional examination is also part of the assessment. The type and extent of later crowns, bridges or implant restorations are planned in conjunction with these findings.
Costs and individual planning in stages
Dental rehabilitation often involves several services. Before you decide, we explain the scope, alternatives and expected costs of each phase. Temporary restorations and aftercare are included in the overview. We clarify questions about reimbursement and possible payment arrangements based on your plan; general information is available under Services.
Frequently asked questions about dental rehabilitation.
Does everything have to be treated at once?
Not necessarily. Medical priorities, the necessary sequence of treatment and your circumstances determine the order. An overall plan can often be carried out in clearly defined stages.
Can I compare different options?
Yes. Where medically appropriate, we explain suitable alternatives and their implications for treatment, care, function, appearance and costs.
A particular outcome, freedom from pain or a fixed lifespan cannot be promised in general.
Responsible for clinical content: Dr. Stefan Schmid, dentist.
Your first step: a telephone consultation
Start with a free telephone consultation. The initial examination page explains the later in-person examination. For travel information, see Directions; you can reach us by telephone on 0201 25 794.