Dr Anupam Sinha
BDS, MDS - Orthodontics
- Delhi State Dental Council registration number A-6723 (2015).
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Full Mouth Rehabilitation in Greater Kailash 1, Delhi
Full mouth rehabilitation is a planned programme to restore the teeth in both jaws, so that they look, bite and work together. At Orion Dental Clinic, a dentist in Greater Kailash 1 (GK 1), South Delhi, this page explains who it is for, how the stages run, what systematic reviews say about worn teeth and a raised bite, and what can go wrong, in plain language.
Treatment is planned by Dr Anupam Sinha (BDS, MDS) and Dr Natalia DeSilva (BDS, MDS). Ask as many questions as you need before you decide.
- Temporary restorations let you try the new shape and bite before the final work 1
- Try it first
- Grinding, acid reflux and diet are identified so the new restorations are not worn away again 4
- Find the cause
- A protective appliance was given after treatment in 7 studies in one review 1
- Protect it
- Restorations can chip, loosen or wear, and the cause of the original damage can return 1
- Check-ups
These figures come from systematic reviews and a European consensus statement, listed at the end of the page. They describe average results, and the studies are small and varied. Your dentist will explain what applies to your own mouth.
Medically reviewed by Dr Anupam Sinha, BDS, MDS - Orthodontics, .
Quick answer
Full mouth rehabilitation at Orion Dental Clinic in Greater Kailash 1, Delhi is a planned programme to restore the teeth in both jaws. Dr Anupam Sinha and Dr Natalia DeSilva plan it after an examination, X-rays and a study of your bite. It runs in stages over several visits, and the evidence behind it is limited.
01 Overview
What is full mouth rehabilitation, and how does it work in Greater Kailash 1, Delhi?
Full mouth rehabilitation, also called full mouth reconstruction or restoration, is not a single procedure. It is a plan for treating the whole mouth, usually because many teeth are worn, broken, decayed or missing, or because the bite has changed. The plan can use fillings, crowns, bridges, implants, dentures and gum care, and sometimes braces, in an order set by the dentist.
The most studied cause is tooth wear, where enamel and then dentine are lost from grinding, acid or other causes. A European consensus statement says that the cause has to be found first, and that management is multifactorial and depends on how severe the wear is and what the patient wants.4 The same statement says restorative treatment is typically delayed as long as possible, and that when it is needed a conservative, minimally invasive approach, supported by prevention, is recommended.4
When treatment starts, the usual steps are diagnostic wax-ups, a decision on the bite position, whether to raise the vertical dimension (the height of the bite), a provisional stage, final restorations and aftercare. In a review of treatments for generalised tooth wear, 8 studies tested a raised bite, 7 used a provisional stage and 7 gave a protective appliance afterwards, but the evidence was not strong enough to support conclusions.1 Our page on missing teeth covers one of the other reasons a whole mouth may need treatment.
Full mouth rehabilitation is a plan rather than a procedure, and it is advised when the whole bite needs rebuilding.
02 Candidacy
Who needs full mouth rehabilitation in Greater Kailash 1, Delhi?
It is considered when problems affect most of the mouth and treating each tooth on its own would not fix the bite. The dentist decides after an examination and X-rays.
When it is usually considered
- Severe tooth wear, where the teeth have worn short or the biting surfaces have been lost.4
- Many broken, decayed or heavily filled teeth in both jaws.
- Missing teeth in several areas together with worn or damaged teeth.
- A bite that has changed so that the jaws no longer meet comfortably.
When another plan may be needed
Rehabilitation is for the whole mouth, so smaller problems are better handled one at a time.
03 Options
Which full mouth rehabilitation options are available in Greater Kailash 1?
A plan is built from several kinds of restoration, and reviews of tooth wear compare them.
Direct composite restorations
Tooth-coloured resin built up directly on the teeth, usually with little or no shaping of the tooth. Composite resin was used in 6 of the studies reviewed for the final restoration of worn teeth.1
Used in 6 studies 1
Indirect ceramic or metal restorations
Crowns, onlays and similar restorations made in a laboratory. The 16 studies in one review used ceramo-metal crowns, full gold crowns, lithium disilicate, zirconia and other materials.2
16 studies 2
Implants, bridges and dentures
Where teeth are missing, they can be replaced with implants, bridges or dentures as part of the plan. Their own reviews are covered on separate pages.
For missing teeth
For missing teeth, see dental bridges and full mouth dental implants.
| Direct composite | Indirect crowns and onlays | Implants, bridges, dentures | |
|---|---|---|---|
| What it involves | Resin built up on the tooth 1 | Laboratory-made restorations 2 | Replacing teeth that are missing |
| What the research found | Used in 6 studies for the final restorations 1 | No evidence that one restoration method is superior 2 | See the separate pages |
| Main limit | Evidence for generalised wear is not strong 1 | Contradictory results on which type does better 2 | Needs its own planning |
The evidence does not rank the methods, so the plan should follow your teeth, your bite and what you want.
04 Procedure
How does full mouth rehabilitation work, step by step?
Every case is individual, so your steps may differ. This is the usual order.1
The work is planned before it is carried out, and the provisional stage is a chance to change the plan.
Examination for full mouth rehabilitation
The dentist examines your teeth, gums, bite and jaw joints, takes X-rays, and asks about grinding, acid reflux, diet and what you want to change.
Finding the cause of tooth wear
Wear, breakage and loss have causes, such as grinding or acid. They are identified so that the new restorations are not worn away again.4
Treating disease first
Decay and gum disease are treated, and teeth that cannot be kept are taken out. The mouth needs to be healthy before major restorations.
Planning the bite and vertical dimension
Models or scans of your mouth are used for a diagnostic wax-up, a preview in wax of the planned teeth. The dentist plans the bite position and whether the vertical dimension has to be raised.1
A provisional stage
Temporary or provisional restorations let you try the new shape and bite before the final work. In a review of raising the bite, a fixed restoration was more predictable and led to better adaptation than a removable one.3
Final restorations for worn teeth
The final fillings, crowns, bridges or implant restorations are made, often a section of the mouth at a time, and checked for fit, bite and appearance.
Protective appliance and review
A protective appliance, often called a night guard, may be given, and you return for regular reviews.1
05 Aftercare
Looking after your teeth after full mouth rehabilitation in Greater Kailash 1
Your dentist will give you written instructions, and those come first.
Getting used to a raised bite
A raised bite can feel strange at first. In the review, negative signs and symptoms from raising the bite were self-limiting, but tell your dentist if the bite feels wrong or the jaw aches.3
Every day
Brush twice a day with fluoride toothpaste and clean between the teeth every day, especially at the edges of crowns and where restorations meet the gum.
Protective appliance
If you are given a night guard, wear it as advised. 7 studies in one review gave a protective appliance after treatment.1
Check-ups
Keep your regular check-ups, because restorations can chip, loosen or wear, and the cause of the original damage can return. Studies in the review scheduled regular evaluation after treatment.1
When to call us
Call the clinic on 098115 01995 if a restoration comes off, chips or feels loose, if your bite feels uneven or high, if a tooth hurts when you bite, or if your jaw is painful or does not open normally. If you have trouble breathing or swallowing, or swelling that spreads across your face or neck, call 112 or go to a hospital emergency department.
Check-ups and a protective appliance are part of keeping the result.
06 Limits and risks
When is full mouth rehabilitation not the right choice?
It is a large undertaking, and it does not suit every mouth. These are situations where another plan may be better:
- Mild or slow tooth wear, which may only need counselling and monitoring.
- A cause that has not been found or controlled, because the new teeth can wear in the same way.
- Untreated gum disease or decay.
- Problems in only a few teeth or one area of the mouth.
- A wish for a quick change of appearance, for which a smaller cosmetic treatment may do.
In these cases counselling and monitoring, treatment of the cause, or smaller treatments for individual teeth may be better.
Risks and complications
The evidence is limited. In a review of treatments for generalised tooth wear, the evidence was not strong enough to form conclusions, and in another review of 16 studies no restoration method was found superior.12
The studies are small and uncontrolled. Only 9 of 902 studies met the criteria of a review on raising the bite, and it called for controlled and randomised studies. Most studies of quality of life had a high risk of bias.35
Quality of life usually improved, with a caution. After restorative treatment, 6 studies found that quality of life usually improved, but some showed a slightly negative effect on appearance in the years afterwards.5
Treatment is delayed where possible. The European consensus says restorative treatment is typically delayed as long as possible, and that a conservative, minimally invasive approach with prevention is recommended.4 Ask what happens if you wait.
A good plan names these limits before treatment starts, and considers waiting and monitoring first.
07 Your visit
What happens at your first full mouth rehabilitation appointment?
At your first visit, a dentist at Orion Dental Clinic asks what bothers you about your teeth and bite, how long the problem has been developing, and what you would like to change. You are asked about your health, medicines, allergies, grinding, acid reflux, diet and earlier dental work.
The dentist examines your teeth, gums, bite and jaw joints, and takes X-rays where needed. You then talk through what is wrong, what the stages would be, how long they would take, what the alternatives are, including monitoring, and what the risks are, and you can take your time to decide.
The first visit is for questions and a plan, and nothing is changed until you agree.
08 Why this clinic
Why choose Orion Dental Clinic for full mouth rehabilitation in Greater Kailash 1?
You meet the doctors who plan your treatment, and you can ask them how they would approach your mouth.
Dr Natalia DeSilva
BDS, MDS - Oral Medicine and Radiology
- Delhi State Dental Council registration number A 11417 (2013), and Karnataka State Dental Council A-13203 (2003).
Doctors you can ask
Dr Anupam Sinha and Dr Natalia DeSilva see patients with many different problems, and patients mention both in their reviews.
Several treatments under one roof
Fillings, crowns, bridges, implants, gum care and braces can be planned together, which helps when one mouth needs several.
Imaging on site
Imaging is available at the clinic, so the X-rays used for planning can be taken there.
Ask how the dentist would stage the treatment for your mouth and what could be left for later.
09 Reviews
Patient reviews of Orion Dental Clinic in Greater Kailash 1
“On my first visit to the clinic I got undivided attention and a thorough examination by Dr Natalia who seemed very proficient in her area of dentistry. It has given me a lot of confidence to approach her for my further consultation and treatment. I feel my search for a good dentist has ended here - thank you Dr Natalia !”
“I visited Dr Natalia for oral check up . Dr Natalia is very knowledgeable and understand patient’s concerns . She provided me clear reason and resolutions for the issues. Overall it was a very good experience.”
“Had a great experience with Dr. Natalia and Dr. Anupam as well as the rest of the staff. Everybody is very professional and sweet.”
10 Visit us
Full mouth rehabilitation clinic in Greater Kailash 1 (GK 1), Delhi: location and hours
Mon to Sat, 9:30 am to 8:00 pm
Orion Dental Clinic Basement, E 75, Greater Kailash-1,Greater Kailash Enclave I
New Delhi, Delhi 110048
098115 01995
| Monday to Saturday | 9:30 am to 8:00 pm |
|---|---|
| Sunday | Closed |
If you are looking for full mouth rehabilitation in Greater Kailash or nearby, Orion Dental Clinic is in the basement of E 75, Greater Kailash Enclave 1 (GK 1), opposite Anubhav Play School, with the entrance at Gate 1, so call or message us on WhatsApp to book an appointment and use the map for directions. More about the clinic: dentist in Greater Kailash.
11 Travelling patients
Visiting Delhi and needing full mouth rehabilitation?
Full mouth rehabilitation runs in stages, with a planning stage, a provisional stage and final restorations,1 so it usually needs several visits spread over weeks or months. Tell us how long you can stay and we will say what could be done during a visit, and what could be continued with a dentist at home, with your X-rays and a note of the plan.
You can read about how dental tourism in Delhi works.
Plan full mouth work around its stages, and decide early who will carry out the follow-up.
12 Questions
Full mouth rehabilitation questions patients ask in Greater Kailash 1
What is full mouth rehabilitation?
A planned programme to restore the teeth in both jaws so that they look, bite and work together. It can use fillings, crowns, bridges, implants, dentures and gum care in an order set by the dentist.
Who needs full mouth rehabilitation?
People with many worn, broken, decayed or missing teeth, or a bite that has changed. The European consensus says restorative treatment is typically delayed as long as possible, so milder cases may only need monitoring.4
How long does full mouth rehabilitation take?
It runs in stages, with planning, a provisional stage and final restorations, so it usually takes several visits over weeks or months. Your dentist will give a plan for your mouth.
What is raising the bite?
Increasing the vertical dimension, the height of the bite, so that there is room for restorations on worn teeth. In a review of 9 studies, a fixed restoration was more predictable than a removable one, and negative signs were self-limiting.3
Which materials are used?
Composite resin, glass ceramic, ceramo-metal, gold, lithium disilicate and zirconia have all been used for worn teeth. No method was shown to be superior in a review of 16 studies.2
Will my quality of life improve?
In a review of 6 studies, quality of life usually improved after restorative treatment, though some studies showed a slightly negative effect on appearance in the years afterwards.5
Do I need a night guard afterwards?
Your dentist will advise. In a review of treatments for worn teeth, 7 studies gave a protective appliance after treatment.1
Can I wait instead?
Often yes. The European consensus recommends finding the cause, prevention, counselling and monitoring, and says that restorative treatment is typically delayed as long as possible.4 Ask your dentist what waiting would involve.
Where can I find full mouth rehabilitation near me in South Delhi?
Orion Dental Clinic is a full mouth rehabilitation clinic in Greater Kailash 1 (GK 1), in the basement of E 75, Greater Kailash Enclave 1, opposite Anubhav Play School, with the entrance at Gate 1. Patients come for full mouth rehabilitation in Greater Kailash from Kailash Colony, CR Park, Nehru Place, Lajpat Nagar, Defence Colony and South Extension. Call or message us on WhatsApp to book an appointment.
13 Second opinion
Many teeth worn, broken or missing, and unsure where to start?
A consultation lets you ask what the whole mouth needs, in what order and what could wait, before you commit to anything. Bring any earlier X-rays or reports. The dentist will examine your mouth, explain what they find and describe the options, including monitoring. There is no form to fill in: message us on WhatsApp or call, and we will find a time that suits you.
14 Related
Related treatments and guides
Crowns for damaged teeth
Read this for the restoration most often used on worn or broken teeth.
Dentures
Read this for removable replacements for missing teeth.
Full arch implant treatment
Read this for a fixed set of teeth held by implants.
Patient guides
Single Tooth Implants: What to Know Before You Decide
How a single tooth implant replaces one missing tooth without touching its neighbours, what the stages involve and what research says about how long they last.
How Painful Are Dental Implants? A Day-by-Day Guide
A realistic timeline of discomfort after dental implants, from the day of surgery through the first weeks and months, with what helps and when to call.
Dental Braces: Types and How to Choose
A plain-language overview of dental braces: why people have them, the main types, how treatment runs, how long it lasts and how to choose what suits you.
Sources (5)
- Muts EJ, van Pelt H, Edelhoff D, Krejci I, Cune M. Tooth wear: a systematic review of treatment options. Journal of Prosthetic Dentistry, 2014;112(4):752-759. pubmed.ncbi.nlm.nih.gov/24721500/
- Hardan L, Mancino D, Bourgi R, Cuevas-Suarez CE, Lukomska-Szymanska M, Zarow M, et al. Treatment of tooth wear using direct or indirect restorations: a systematic review of clinical studies. Bioengineering, 2022;9(8):346. pubmed.ncbi.nlm.nih.gov/36004871/
- Abduo J. Safety of increasing vertical dimension of occlusion: a systematic review. Quintessence International, 2012;43(5):369-380. pubmed.ncbi.nlm.nih.gov/22536588/
- Loomans B, Opdam N, Attin T, Bartlett D, Edelhoff D, Frankenberger R, et al. Severe tooth wear: European consensus statement on management guidelines. Journal of Adhesive Dentistry, 2017;19(2):111-119. pubmed.ncbi.nlm.nih.gov/28439579/
- van Sambeek RMF, Mehta SB, Flapper C, Fokkinga WA, Loomans BAC, Pereira-Cenci T. Changes in oral health-related quality of life after (non-)restorative treatment of tooth wear in adult patients: a systematic review. Journal of Dentistry, 2024;105428. pubmed.ncbi.nlm.nih.gov/39433149/
This page is general information, not a diagnosis or a substitute for an examination, and results vary between patients.