RECONSTRUCTIVE DENTISTRY · NEWTON, MA
Full Mouth Reconstruction in Newton & Boston
When multiple teeth need restoring, a full mouth reconstruction at Smolyar Dental delivers a comprehensive, coordinated solution. Dr. Alex Smolyar and his Newton, MA practice rebuild oral health, function, and aesthetics from the ground up — with all specialist care managed in-house, serving patients across greater Boston.
Request ConsultationAbout This Service
What is full mouth reconstruction?
Full mouth reconstruction — also called full mouth rehabilitation or full mouth restoration — is a comprehensive, coordinated treatment approach that addresses the health, function, and aesthetics of all the teeth in the mouth simultaneously. Unlike a smile makeover, which is primarily cosmetically motivated, full mouth reconstruction is often medically necessary to restore a mouth that has been significantly compromised by decay, trauma, gum disease, tooth loss, severe wear, or structural failure. At Smolyar Dental in Newton, MA, Dr. Alex Smolyar designs and oversees every full mouth reconstruction case from initial evaluation through final restoration.
A reconstruction plan is highly individualized. Depending on the patient’s situation, it may incorporate dental implants, porcelain crowns, bridges, dentures, bone grafting, gum disease treatment, root canal therapy, extractions, and cosmetic refinements — all sequenced in the correct order and executed with precision. The process typically unfolds in phases over several months to a year or more, with each phase building on the last toward a final result that is healthy, functional, and beautiful.
What makes Smolyar Dental particularly well-suited for full mouth reconstruction is that Dr. Smolyar never needs to refer patients out for specialist procedures. When surgery is part of the plan, it is handled in-house by oral surgeon Dr. Jeffrey Reitzel. When root canal therapy is needed to save a tooth, it is performed in-house by endodontist Dr. Ronit Smolyar. Dr. Smolyar coordinates every element of the reconstruction directly with his team — no communication gaps, no fragmented referrals, no loss of continuity. Patients have one trusted relationship managing their entire journey.
“Full mouth reconstruction is the most demanding and most rewarding work we do. When a patient comes to us with a severely compromised mouth and leaves with a healthy, beautiful smile they can rely on for decades — that is exactly what this practice was built to deliver.” — Dr. Alex Smolyar, DMD
Candidacy
Who needs full mouth reconstruction?
Full mouth reconstruction is recommended when multiple teeth are compromised and cannot be adequately addressed with isolated single-tooth treatments. If you recognize your situation in any of the following, a comprehensive evaluation with Dr. Smolyar at our Newton, MA practice is the right next step.
Often a great fit if you have…
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Multiple missing teeth or extensive tooth loss affecting your ability to chew and speak
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Severely worn, cracked, or fractured teeth from bruxism, acid erosion, or trauma
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Advanced gum disease that has caused bone loss around multiple teeth
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Multiple failing restorations — old crowns, bridges, or large fillings that are breaking down
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A bite that is significantly uneven, painful, or causing jaw joint problems
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Teeth that are structurally compromised and require a comprehensive plan to save or replace
Alternatives may be better for patients with…
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Isolated concerns affecting one or a few teeth — individual crowns, implants, or bonding may be sufficient
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Primarily cosmetic goals with healthy underlying teeth and gums — a smile makeover may be the better fit
Restore your oral health from the ground up.
Dr. Smolyar will perform a thorough evaluation of your teeth, gums, bite, and bone at your Newton, MA consultation and present a clear, honest plan. No pressure, no obligation — just the information you need to move forward with confidence.
Request ConsultationWhat to Expect
The full mouth reconstruction process
Every full mouth reconstruction at Smolyar Dental is designed by Dr. Alex Smolyar around the patient’s specific clinical situation. The sequence below reflects a typical phased approach, though your individual plan may vary.
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Step 01
Comprehensive Evaluation & Planning
1–2 AppointmentsDr. Smolyar performs a thorough clinical examination including digital X-rays, 3D CBCT imaging, bite analysis, gum health assessment, and a detailed review of existing restorations. A complete picture of the mouth is established and a phased treatment plan is developed. You receive a clear timeline, a description of each procedure, and a detailed cost estimate before any treatment begins.
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Step 02
Foundational Health — Gum & Bone
VariesActive gum disease is treated first to create a stable, healthy foundation for all restorations. Scaling and root planing, periodontal therapy, or surgical gum treatment may be required. When implants are planned and bone volume needs augmentation, bone grafting or socket preservation procedures are performed in-house, coordinated directly by Dr. Smolyar.
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Step 03
Extractions, Implants & Endodontics
VariesNon-restorable teeth are extracted and implants are placed in-house — all coordinated within Dr. Smolyar’s practice without outside referrals. Root canal therapy preserves any teeth that can be saved but require endodontic treatment before crown placement. Implants integrate with the jawbone over 3 to 6 months while the reconstruction plan continues on the remaining teeth.
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Step 04
Restorations — Crowns, Bridges & Final Work
VariesOnce the foundation is stable, Dr. Smolyar places all final restorations — porcelain crowns, bridges, implant-supported crowns, or implant-supported dentures, depending on the treatment plan. Each restoration is fabricated by a premier dental laboratory to exact specifications and shade-matched for a completely natural-looking result across all teeth.
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Step 05
Final Review, Bite Refinement & Maintenance Plan
1 AppointmentDr. Smolyar evaluates the completed reconstruction fully — aesthetics, bite, function, and comfort. Final adjustments are made and you receive a personalized long-term maintenance plan. Regular monitoring visits ensure the reconstruction remains healthy and stable for years to come.
Why Choose Dr. Smolyar
Why choose Smolyar Dental for full mouth reconstruction?
Full mouth reconstruction is the most demanding category of dental treatment. The outcome depends on the vision, coordination, and clinical depth of the practice managing it. Here is what sets Smolyar Dental apart.
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25+ Years of Reconstructive Excellence
Dr. Smolyar earned his DMD from Tufts University School of Dental Medicine in 1998, graduating with honors, and completed Pankey Institute training in advanced and comprehensive dentistry. More than 25 years of practice in Newton, MA has given him the depth of reconstructive experience to manage cases ranging from single-tooth restorations to the most complex full-arch rehabilitations — overseeing every phase from planning through final delivery.
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Specialist Resources In-House — No Referrals Required
Dr. Smolyar built his Newton, MA practice around a simple principle: patients should never need to leave to access specialist care. When surgical procedures are part of a treatment plan, in-house oral surgeon Dr. Jeffrey Reitzel handles them — working in direct coordination with Dr. Smolyar from day one. When endodontic treatment is needed, in-house endodontist Dr. Ronit Smolyar manages it. Patients stay with the team they trust, and Dr. Smolyar remains the accountable center of their care throughout.
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One Plan. One Accountable Team. One Practice.
The biggest risk in full mouth reconstruction is fragmentation — different specialists working independently without a unified plan or shared accountability. At Smolyar Dental, Dr. Smolyar authors the entire treatment plan and remains the accountable center of the patient’s care from first appointment to final restoration. Every procedure — surgical or restorative — is executed within a single coordinated plan that Dr. Smolyar oversees at every step.
Patient Reviews
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Dr. Alex Smolyar is the best dentist in the world. He is so talented and professional but above all he is an amazing human being. I have been his patient since 2015 and he does a phenomenal job. I appreciate everything he does.
Comprehensive Dental Care · Google Review -
Dr. Smolyar was tremendous. He, Ronit, and his whole team completely exceeded my expectations. Alex is a skilled and meticulous professional. In every sense, a great experience.
General Dental Care · Google Review -
Dr. Smolyar is an Einstein in the field of dentistry. After suffering for years with chronic migraines and visiting multiple specialists, Dr. Smolyar diagnosed and treated my migraines without medication. No more pain.
TMJ & Headache Dentistry · Facebook Review
Frequently Asked Questions
Questions worth asking.
Full mouth reconstruction raises serious questions. These are the ones patients ask most before their consultation with Dr. Smolyar in Newton, MA.
Ask Dr. Smolyar-
The timeline varies significantly based on case complexity. Straightforward reconstructions may take 3 to 6 months. Complex cases involving multiple implants, bone grafting, and extensive periodontal treatment may take 12 to 24 months or longer. Dr. Smolyar provides a realistic, phased timeline at your Newton, MA consultation so you know exactly what to expect and when.
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Full mouth reconstruction is highly individualized and costs vary widely based on the number and type of procedures required. Dr. Smolyar provides a comprehensive, itemized treatment plan and cost estimate at your consultation.
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Some components may be covered — particularly procedures that are medically necessary to restore health and function, such as crown placement on structurally failing teeth and periodontal treatment. Cosmetic components are generally not covered. Dr.
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Individual procedures are performed under local anesthesia. Sedation options including nitrous oxide, oral sedation, and IV sedation are available for anxious patients or for longer appointments. Between procedures, some soreness is normal and is managed with over-the-counter or prescribed medication. Most patients are surprised by how manageable the process is when it is well-sequenced and paced by an experienced team.
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Yes. Dr. Smolyar designs the reconstruction sequence to maintain your ability to eat, speak, and function throughout. Temporary restorations protect prepared teeth between appointments. The phased approach means you are never left without functional teeth at any stage of active treatment at our Newton, MA practice.
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A smile makeover is primarily cosmetically motivated — it transforms the appearance of a healthy or near-healthy smile. Full mouth reconstruction is clinically motivated — it restores a mouth significantly compromised by disease, trauma, or structural failure. Many reconstructions include cosmetic refinements as a final phase, but the foundation is always clinical health and functional integrity.
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With proper care and regular maintenance visits at Smolyar Dental, the restorations placed during a full mouth reconstruction can last 10 to 20 years or longer. Dental implants, when properly integrated and maintained, can last a lifetime. Longevity depends on consistent oral hygiene, regular professional cleanings, and following Dr. Smolyar’s personalized maintenance guidance.
Serving Newton & Greater Boston
Full mouth reconstruction near you.
Smolyar Dental is located at 71 Needham Street in Newton, MA, minutes from Newton Centre, Chestnut Hill, and Route 9. Patients seeking full mouth reconstruction in the Boston area choose Dr. Smolyar because no other practice in the region offers the same combination of comprehensive planning, in-house specialist resources, and single-dentist accountability — all coordinated by one trusted team.
We serve patients from Newton, Brookline, Chestnut Hill, Needham, Wellesley, West Newton, Waltham, Weston, Natick, and across the greater Boston metro area. On-site parking is available and the practice is accessible from the Newton Highlands MBTA Green Line D stop.
- Phone
- (617) 712-2770
- Hours
- Mon–Thu: 9am to 4pm · Friday: 9am to 2pm · Saturday & Sunday: Closed
71 Needham Street, Newton, MA 02461
Route 9, Route 128/95, and the Mass Pike. Most patients within 20 min.
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Ready for a smile you’re proud of?
Your consultation with Dr. Smolyar begins with a conversation. He listens, he evaluates, and he tells you honestly what your situation requires and what to expect at every stage. There is no pressure and no obligation — just the clarity and confidence you need to move forward.
- Dr. Smolyar personally conducts every consultation and oversees your complete care
- Specialist services coordinated in-house — no referrals, no gaps in care
- Newton, MA office — serving Boston, Brookline, Chestnut Hill, Wellesley and beyond
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Fill out the form below and a member of our Newton, MA team will be in touch within one business day.