Restoring a Collapsed Bite with Crowns: A Path to Comfort and Confidence

October 30, 2024

For many, having a full set of healthy, functional teeth means more than just a smile—it affects chewing, jaw comfort, and overall quality of life. When the bite (or the way teeth come together) collapses, typically from years of grinding or wear, patients often experience not only cosmetic concerns but also functional issues, like jaw pain and headaches. Full mouth reconstruction with crowns can be a powerful solution, addressing the root issues and creating a balanced, comfortable, and aesthetically pleasing bite.

What Is a Collapsed Bite?

A collapsed bite happens when years of grinding or excessive wear cause the teeth to lose their natural height, shortening them and impacting the natural alignment of the upper and lower jaws. Patients often come in with complaints about jaw pain, headaches, or a feeling that their face is “sinking in.” Many notice that their teeth are worn down, or their bite doesn’t feel quite right anymore. Without enough space between the upper and lower teeth, discomfort can worsen over time.

In many cases, people initially ask to “just fix the front teeth,” thinking this will resolve their issues. However, if only the front teeth are treated without addressing the underlying bite structure, the crowns can end up dislodging due to the pressure from the misalignment. This is why, when we restore a collapsed bite, we often need to treat all or most of the teeth to establish a balanced, stable bite.

The Full Mouth Reconstruction Process

Rebuilding a collapsed bite with crowns requires a comprehensive approach that not only restores the appearance of the teeth but also addresses the bite’s structure. In many cases, this can involve placing crowns on all teeth in the upper and lower arches (known as full mouth reconstruction). Each crown is carefully crafted to restore the tooth’s original height, creating more space and balance in the bite. This process is similar to giving the teeth and jaws a “reset,” which can alleviate many symptoms caused by grinding and poor alignment.

In some cases, depending on the needs of the patient, veneers can also be used to achieve an aesthetic result. However, for significant bite restoration, crowns often offer the best support, durability, and function.

Why Is Vertical Dimension Important?

The term “vertical dimension” refers to the distance between the upper and lower jaws when the teeth are in contact. A healthy vertical dimension ensures a balanced bite, which is crucial for both appearance and function. Restoring this dimension during a full mouth reconstruction allows us to return the teeth to their ideal positions and create a comfortable, supportive bite that can help reduce strain on the jaw muscles.

The process can take some time because it involves reshaping how the teeth come together, which can transform how a patient feels and functions. Full mouth reconstructions have been shown to help alleviate TMJ (temporomandibular joint) issues, reduce headaches, and even improve posture by relieving muscle strain in the head and neck area.

Before and After: A Powerful Transformation

The change that patients experience with a full mouth reconstruction is often profound. Many people not only gain a more youthful, open appearance but also experience relief from long-standing discomfort. The transformation is about more than aesthetics—it’s about restoring function, comfort, and confidence.

For a full mouth reconstruction, each crown is designed with precise aesthetics in mind, allowing us to shape, color-match, and size the crowns to create a natural look that suits each patient’s face and personality.

Supporting Long-Term Success with Botox and Night Guards

Following a full mouth reconstruction, many patients find it helpful to use a night guard, which protects their new crowns by reducing grinding or clenching during sleep. Botox injections can also be beneficial for patients who have strong masseter muscles (jaw muscles), as they help reduce clenching forces and can even prevent migraines related to muscle tension.

For patients who are prone to stress or whose work requires high focus, masseter Botox can be an additional supportive treatment, especially in the first year after reconstruction. Some patients find that regular masseter Botox appointments help the jaw muscles adapt, making clenching less likely over time.

Finding Confidence and Comfort Again

Full mouth reconstruction through crowns offers a chance to address not only worn, short teeth but also the impact of a collapsed bite on overall comfort and health. Whether patients seek relief from jaw pain or want to restore the natural look of their teeth, full mouth reconstruction can provide a transformative solution. By giving patients back their bite, we give them back their smile, their ability to eat comfortably, and a newfound confidence in their appearance. If you think a full mouth reconstruction could be right for you, call us at Potomac Dental Centre for a consultation to discuss your options and set a plan for reclaiming a healthy, functional smile.