Structural viability
What remains of each tooth, and whether it can carry a restoration.
Full mouth reconstruction
Nobody can tell you whether your teeth should be kept or replaced, so they get replaced. The Full Mouth Reconstruction Decision System™ exists to answer that question first.
Developed in this practice
Structural viability, periodontal and bone stability, and bite physics are each settled in sequence. The sequence matters: judging one out of order produces the wrong answer about all of them.
What remains of each tooth, and whether it can carry a restoration.
A restoration built on unstable foundations fails on schedule. Periodontal status is settled first.
How force travels through the arch decides what any of it will survive.
Why the sequence matters
The protocol was developed to prevent premature extraction, and implants that were never necessary. Teeth other dentists call hopeless are frequently teeth that were assessed in the wrong order.
Questions
Often, yes. Implants are one option within the plan, not the plan itself. Whether you need them is an output of the evaluation.
Decades, when the sequence was followed. Failures usually trace to a foundation that was never stabilised rather than to the restorations.
Often yes. Hopeless frequently reflects the limits of a particular provider rather than the tooth. The consultation is free.
No obligation
The preliminary consultation is free and includes a 2‑D panoramic scan. If the plan you were given was the right one, you will be told so.