Living Dental Health · Bend, OR
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— full mouth reconstruction —

Built right, the first time.

Full mouth reconstruction is a precise endeavor. A poorly executed rebuild causes TMJ pain, headaches, speech difficulties, and chewing problems — for life. Dr. Engel has spent over 1,000 hours of continuing education learning how to do it right.

Dr. Andy Engel in conversation with a patient at Living Dental Health in Bend, Oregon

Picture a patient who has ground down their teeth over the last twenty or thirty years. There’s still enough bone and there are still enough teeth to rebuild — but the bite has shifted, the muscles have adapted around it, and the jaw joints have learned to work in a way that isn’t healthy. Reconstructing that mouth without precision doesn’t fix the problem. It locks the problem in. That’s why every full mouth reconstruction at Living Dental Health begins as a planning exercise — not a procedure.

— the training —

Trained beside a prosthodontist.

Full mouth reconstruction isn’t a single procedure — it’s getting the whole system right: how your teeth meet, how your bite distributes force, how every crown, veneer, and implant works together so the result lasts and feels natural instead of merely looking acceptable. It’s the hardest thing to get right in dentistry, and it’s where rebuilds most often fail in less experienced hands — a bite that’s “off,” restorations that wear out early, work that has to be redone. And the consequences aren’t only dental: a misaligned bite can cause chronic headaches, migraines, TMJ pain, and other symptoms that don’t seem connected to the mouth at all.

During his training, Dr. Engel had a rare opportunity: he worked directly alongside a prosthodontist — the specialist whose entire focus is rebuilding how the mouth fits and functions, from the bite to the full structure of the teeth. He learned the discipline the way it’s actually mastered: not from a textbook, but at the chair, on real cases, over countless hours with a specialist who does this every day. For you, that means the dentist planning your reconstruction understands the full architecture of the bite — the part that determines whether the result holds up for decades or starts failing in a few years.

01  /  06

Comprehensive Diagnosis

Every reconstruction begins long before any treatment. Dr. Engel performs a complete evaluation of every tooth, the surrounding bone, the gums, and — critically — the bite. Diagnosis is supported by in-house CBCT 3D imaging — a cone-beam CT scan that produces a true three-dimensional model of the teeth, jaw, and bone, well beyond what a flat panoramic X-ray can show. He maps how the upper and lower teeth meet, where wear patterns came from, and what the rebuild needs to do for the mouth to function properly again.

full mouth evaluation · bite analysis · in-house CBCT 3D imaging · written treatment plan

02  /  06

Precision Planning

This is where reconstruction succeeds or fails. Andy maps the final result first — the exact bite, the tooth proportions, the muscle and joint relationships — and reverse-engineers the work from there. A reconstruction without this step is a series of procedures hoping to add up. With it, every implant, crown, and graft has a single coordinated target.

reverse-engineered from the bite · coordinated multi-procedure plan · written and reviewed with you

03  /  06

Implants & Grafting

For patients missing teeth or with bone loss, structural work comes first. Dr. Engel places implants and performs bone and tissue grafting in-house — work that many practices refer out. Implant placement starts with an in-house 3D CBCT scan that maps the jaw and surrounding bone in true three dimensions. From that scan, Dr. Engel designs a custom surgical guide and prints it on the office's 3D printer. Designed by him, made by him, placed by him — no guesswork on where the implant lands in the bone. Keeping every step under one roof means the same dentist who planned the rebuild executes the foundation.

dental implants · bone & tissue grafting · CBCT-guided · in-house 3D-printed surgical guides

04  /  06

Crowns & Veneers

Once the foundation is set, the visible smile is rebuilt with crowns and veneers designed to match the planned bite and your facial proportions. Dr. Engel designs each piece to function correctly first, look right second — the order matters, and getting the order wrong is how patients end up with cosmetic work that breaks down within a few years. For especially demanding shade work, custom shade matching can be arranged directly with the lab technician fabricating the porcelain, so the final color and translucency match your existing teeth.

porcelain crowns · veneers · designed to the planned bite · custom shade matching

05  /  06

Bite Calibration

This is the step that separates a real reconstruction from cosmetic dentistry that looks good for a year and causes problems for a decade. A poorly calibrated bite can cause TMJ pain, chronic headaches, speech changes, and difficulty chewing. Andy spends real time here, in multiple short appointments, refining how the teeth meet until the entire system is in balance.

TMJ-aware adjustment · multi-visit refinement · the precision step that protects your investment

06  /  06

Long-Term Maintenance

A well-done reconstruction can last decades — but it needs maintenance the way any precision system does. Dr. Engel and the hygiene team see reconstruction patients on a tailored schedule, watch for early signs of trouble, and make small adjustments before they become problems.

tailored recall schedule · nightguard if needed · early adjustments before issues

Who full mouth reconstruction helps

  • Severely worn or ground-down teeth
  • Multiple missing teeth
  • Past dental work that's failing
  • TMJ pain or chronic headaches
  • Speech difficulties from past reconstruction
  • Difficulty chewing
  • Bone loss in the upper or lower jaw
  • Low confidence in your smile

1,000 hours. Then we begin.

On top of his OHSU degree and surgical training, Dr. Engel has completed over 1,000 hours of continuing education focused specifically on smile design, cosmetic dentistry, and full mouth reconstruction. For context, most dentists complete 20–40 continuing-education hours per year. That’s the depth of preparation behind every reconstruction we do.

Already living with TMJ symptoms?

TMJ pain, jaw clicking, and chronic headaches are often the direct result of a bite that’s out of balance — sometimes from past dental work, sometimes from years of grinding, sometimes from injury. The same precision principles that govern a full mouth reconstruction apply to TMJ treatment.

Insurance & financing

Full mouth reconstruction is typically planned and phased over months, which makes financing manageable. We accept most major insurance plans in-network and provide the same quality of care out-of-network. We accept CareCredit financing and offer an in-office dental plan for patients without insurance.

Common questions

What is full mouth reconstruction?
Full mouth reconstruction is a comprehensive process of rebuilding the teeth, bite, and oral function for patients with severe wear, multiple missing teeth, bone loss, or failed past dental work. It commonly combines dental implants, bone and tissue grafting, crowns, veneers, and precise bite calibration into a coordinated treatment plan.
Does Dr. Andy Engel perform full mouth reconstruction in Bend, Oregon?
Yes. Dr. Andy Engel performs full mouth reconstruction in-house at Living Dental Health in Bend, Oregon. He has completed advanced training at Oregon Health Sciences University and over 1,000 hours of continuing education in smile design, cosmetic dentistry, and full mouth reconstruction.
Why does precision matter in full mouth reconstruction?
A poorly executed reconstruction can cause TMJ pain, chronic headaches, speech difficulties, and chewing problems. The bite must be calibrated with precision so the new teeth function in harmony with the jaw joints, muscles, and surrounding teeth. This is why Dr. Engel approaches each case as a planning exercise before any treatment begins.

Start with a conversation.

Every reconstruction begins with a diagnostic appointment. Dr. Engel will walk you through exactly what your case involves — what’s realistic, what it takes, and what it doesn’t. No pressure, no hard sell.

Call (541) 550‑5311