Implantology and prosthetics
For patients where years of accumulated dental work no longer serve them. A coordinated clinical protocol that addresses teeth, implants, bone, gum tissue, and occlusion as an integrated system.
Full mouth reconstruction is a coordinated clinical protocol that addresses the teeth, implants, bone, gum tissue, and occlusion as an integrated system. It is appropriate when multiple previous treatments have failed or are failing, when functional and aesthetic demands require a complete re-evaluation, or when the cumulative result of years of dental work no longer serves the patient. The critical factor is not the number of teeth involved, but the quality of the diagnostic process that precedes any new treatment.
Full mouth reconstruction is indicated when partial solutions are no longer sufficient: when the existing restorations are failing in sequence, when there is generalised bone loss that has compromised multiple implants or teeth, when the occlusal scheme is generating destructive forces across the entire arch, or when previous high-cost dental work has not produced a stable functional and aesthetic result.
It is also indicated when a patient arrives with a mouth rebuilt in different countries, by different clinicians, at different times, producing a situation where the component parts of the system do not function together.
Full mouth reconstruction begins with diagnosis, not with treatment. At Studio Calesini, the first phase of every complex case involves complete medical and dental history, clinical examination, standardised photographic documentation, CBCT imaging where required, occlusal analysis including mandibular kinematics, and a systematic causal analysis of the existing situation.
This diagnostic phase, which requires two appointments, produces a written treatment plan with clinical rationale: the diagnosis, the causal analysis, the therapeutic sequence, the prognosis, and the alternatives considered. The patient makes a decision based on this document, before any operative phase begins.
Any active disease (periodontitis, peri-implantitis, caries, endodontic pathology) must be controlled before reconstruction begins. This phase cannot be compressed. Its duration depends on the clinical response, not on a predetermined timeline.
Where bone deficiency prevents adequate implant placement, augmentation procedures are planned and executed. Guided bone regeneration, sinus lift, and block grafting are the principal techniques. The augmented sites require healing time before implant placement can proceed.
Implants are positioned according to the prosthetic plan: the final restoration design determines position, angle, and number. Integration requires a period of osseointegration before loading.
The final prosthetic phase restores function and aesthetics on the foundation prepared by the preceding phases. Dr. Calesini’s background as a trained dental technician ensures direct control over the prosthetic production chain, from digital design to verification of the definitive device before cementation.
Studio Calesini is located at Via della Croce 77 in Rome’s historic centre, near Piazza di Spagna. The practice is accessible from all major Rome areas within thirty minutes by public transport, and from Fiumicino airport within forty-five minutes. International patients are regularly accommodated.
Consultations are conducted in Italian and English. For patients whose first language is neither Italian nor English, direct communication in any language is available through AI-assisted support, ensuring complete clinical information without relying on simplified explanations.
Second opinion before committing to reconstruction
Before committing to full mouth reconstruction, a structured second opinion from a specialist in prosthetic dentistry provides the best-informed starting point. The assessment reviews the current clinical situation, provides an independent diagnosis, and presents a treatment plan with written rationale. No obligation to proceed. How second opinion consultations work at Studio Calesini →
Duration depends on the clinical situation. Biological stabilisation and bone regeneration, where required, cannot be compressed. A realistic timeline for complex full mouth reconstruction ranges from twelve to twenty-four months. Any practice quoting a very short timeline for a genuinely complex case should be regarded with clinical caution.
A smile makeover typically refers to aesthetic improvement: veneers, whitening, and cosmetic procedures, performed on a mouth without significant functional or biological pathology. Full mouth reconstruction addresses a compromised biological and functional system. The clinical process and the clinical risks are fundamentally different.
Request a structured assessment from a specialist in prosthetic dentistry and implantology who will evaluate the implants, surrounding bone and soft tissue, and the occlusal scheme before proposing any new treatment. Studio Calesini, Via della Croce 77 in Rome’s historic centre near Piazza di Spagna, accepts these cases for second-opinion consultations and complex implant rehabilitation.
Yes. Studio Calesini conducts consultations in Italian and English. For patients whose first language is neither Italian nor English, direct communication in any language is available through AI-assisted support, ensuring every patient receives complete clinical information without relying on simplified explanations. The practice is at Via della Croce 77, near Piazza di Spagna, in Rome’s historic centre.