Full mouth reconstruction is a coordinated treatment plan that rebuilds the function and structure of most or all teeth in both jaws, typically combining several procedures — such as implants, crowns, root canal treatment, and gum therapy — in a deliberate sequence. It differs from a single procedure in that the order of treatment, the way your bite is rebuilt, and the coordination between visits determine the outcome as much as any individual restoration does. This guide explains how the process is structured at RODIN DENTAL OFFICE TOKYO, what each phase involves, how costs are itemized, and how international patients can plan visits realistically.
Note on regulated treatments: Full mouth reconstruction in Japan is generally performed as self-funded (private) care and is not covered by Japanese national health insurance when it involves implants or ceramic restorations. Costs, treatment duration, and the main risks are described in detail below.
What Counts as Full Mouth Reconstruction — and What Doesn't
The term is often confused with two related treatments we have covered separately:
- All-on-4 (https://rodin-dental.jp/en/insights/all-on-4-cost-japan-2026) replaces a full arch of missing teeth with a fixed bridge on four implants. It is one possible component of a reconstruction, chosen when an arch cannot be saved.
- Smile makeover (https://rodin-dental.jp/en/insights/smile-makeover-cost-japan) is primarily an aesthetic project — veneers and whitening on structurally sound teeth.
Full mouth reconstruction sits between and beyond these: it is chosen when problems are mixed — for example, several failing crowns, a few missing teeth, worn front teeth from grinding, and untreated root canals — and no single procedure can address them all. The planning question is not "which product do I buy?" but "in what order do we stabilize, rebuild, and maintain this mouth?"
Common situations where a reconstruction plan is discussed:
- Multiple old crowns or large fillings failing at different rates
- Missing teeth in more than one area, with drifting or over-erupted neighbors
- Significant tooth wear that has shortened the teeth and changed the bite
- A combination of gum disease, decay, and previous dental work from different countries that no longer fits together as one system
We look at why each problem developed and plan treatment around those causes, rather than addressing only the visible damage. That last point is something we see specifically with internationally mobile patients: dentistry accumulated across several countries over decades, each treatment reasonable on its own, but with no single clinician ever having planned the mouth as a whole.
📲 Not sure whether your situation calls for a full reconstruction or a smaller plan? Send photos and your current concerns for a free online consultation — WhatsApp (https://wa.me/81334594976) / LINE (https://lin.ee/OSvnk4M) / Tel: +81 3-3459-4976 (tel:+81334594976)
The Five Phases of Treatment
Phase 1: Diagnostics and Planning
Everything starts with records: CT imaging, intraoral scans, photographs, a bite analysis, and a periodontal (gum) examination. For a reconstruction, the diagnostic phase answers three questions in order — which teeth can be kept, what the final bite should look like, and what sequence gets us there safely. The initial consultation and examination at our clinic is ¥19,900 (tax included); the treatment plan and written itemized quote are produced from these records.
For international patients, much of the discussion around the plan can happen remotely after the records visit, so the in-person diagnostic stage is usually compact. See our guide to your first dental consultation in Tokyo (https://rodin-dental.jp/en/insights/first-dental-consultation-tokyo) for what the visit itself looks like.
Phase 2: Stabilization
Before anything is rebuilt, active disease is treated: gum therapy where needed, removal of teeth that cannot be saved, decay control, and root canal treatment on teeth that will carry new restorations. Root canal treatment at our clinic is ¥99,900 per tooth (tax included; retreatment of a previously treated canal ¥109,900).
This phase is where reconstruction plans most often change — a tooth that looked saveable on imaging may prove otherwise once opened, and a good plan builds in decision points for this rather than treating it as a setback.
Phase 3: Foundation Work
Where teeth are missing, implants are placed, sometimes with bone grafting where volume is insufficient. Implant treatment at our clinic is itemized as ¥299,900 for the implant body plus ¥99,000 for the abutment, per tooth (tax included); the crown on top is priced separately as below. Healing after implant placement typically takes a period of months before final restorations, which matters for visit planning (see below and our implant timeline guide (https://rodin-dental.jp/en/insights/dental-implants-timeline-japan)).
Phase 4: Provisional Restorations — the Test Drive
In a reconstruction that changes the bite or rebuilds worn teeth, we generally do not go straight to final ceramics. Provisional (temporary) restorations let you live with the new tooth length, bite position, and appearance for a period, and let us adjust them based on how you actually chew and speak, and whether their shape is easy for you to clean each day. This is a step patients sometimes want to skip to save a visit — in our experience it is the wrong place to economize, because adjustments are simple in provisionals and costly in finished ceramics. The provisional phase is also what allows much of the fine-tuning to happen in fewer, better-planned visits.
Phase 5: Definitive Restorations and Maintenance
Final crowns and other restorations are placed once the provisional phase has confirmed the design. Ceramic crowns at our clinic are ¥179,900–¥229,900 per tooth depending on material (tax included); where veneers are part of the plan, they are ¥199,900–¥399,900 per tooth depending on material (tax included). After completion, scheduled maintenance — professional cleaning and periodic checks of implants, gums, and the bite — is what protects the investment.
What Does Full Mouth Reconstruction Cost in Japan?
There is no meaningful single price for a full mouth reconstruction, because the total is the sum of what your mouth needs. We deliberately do not advertise a package figure; instead, the written quote after examination itemizes every component. The published per-item fees involved (all tax included, from our official fee schedule (https://rodin-dental.jp/en/fees)) are:
| Component | Fee (tax incl.) |
|---|---|
| Initial consultation & examination | ¥19,900 |
| Root canal treatment | ¥99,900 per tooth (retreatment ¥109,900) |
| Dental implant (body + abutment) | ¥299,900 + ¥99,000 per tooth |
| Ceramic crown | ¥179,900–¥229,900 per tooth |
| Porcelain veneer | ¥199,900–¥399,900 per tooth |
| All-on-4 (per arch, where applicable) | from ¥3,500,000 |
Two practical points about how quotes work at our clinic:
- The quote is fixed in writing before treatment begins. Because the plan is staged, the quote is also staged — you can see what each phase costs and where the decision points are.
- All fees are self-funded. Japanese national health insurance does not cover implant or ceramic-based reconstruction. Some private or international insurance plans reimburse part of dental treatment; see our guide to dental insurance for expats in Japan (https://rodin-dental.jp/en/insights/dental-insurance-for-expats-in-japan).
For context on how Japanese fees compare internationally, our dental tourism guide (https://rodin-dental.jp/en/insights/dental-tourism-japan-complete-guide) covers the broader cost picture.
📲 Want an itemized estimate before you travel? Send your panoramic X-ray or CT if you have one — we review it and outline a staged plan and cost range by message: WhatsApp (https://wa.me/81334594976) / LINE (https://lin.ee/OSvnk4M) / Tel: +81 3-3459-4976 (tel:+81334594976)
Timeline and Visit Planning for International Patients
Treatment duration depends on what the plan contains, and the figures below are estimates with substantial individual variation:
- Reconstruction without implants (crowns, root canals, bite rebuilding): typically several months, often structured around 2–3 stays in Tokyo.
- Reconstruction including implants: typically around 4–10 months end to end, because implant healing time sits between foundation work and final restorations. This usually means 2–4 stays, with the healing months spent at home.
- Cases with bone grafting or extensive gum treatment: longer, as grafts need their own healing period before implants.
How we structure this for patients who fly in:
- Remote first: online consultation, review of any imaging you send, provisional plan and cost outline — before you book flights.
- Visit 1 (records + stabilization start): diagnostics, plan confirmation, and as much Phase 2 work as is safe to complete.
- Home interval: healing; we stay in contact by message.
- Visit 2 (foundation / provisionals): implant placement or provisional restorations depending on the plan.
- Final visit(s): definitive restorations, bite verification, maintenance handover.
For anxious patients or long treatment sessions, IV sedation (https://rodin-dental.jp/en/insights/iv-sedation-dentistry-japan-international-patients) can be discussed at the planning stage; combining longer sedated sessions is one way visit counts are kept realistic for travelers.
Main Risks and Limitations to Understand
As with any medical treatment, full mouth reconstruction carries risks, and outcomes vary between individuals. The main ones to weigh:
- Surgical risks where implants or extractions are involved: post-operative pain, swelling, bleeding, infection, and, rarely, nerve-related numbness or sinus complications in the upper jaw.
- Biological setbacks: a tooth planned for a crown may later need root canal treatment or extraction; an implant may fail to integrate and need replacement.
- Adaptation: changes to bite height and tooth shape require an adjustment period; speech and chewing can feel different for a time, which is precisely what the provisional phase is designed to manage.
- Material limitations: ceramic restorations can chip or debond and may need repair or remake over the years; night grinding usually calls for a protective night guard.
- Maintenance dependence: implants and reconstructed teeth remain susceptible to gum inflammation and require lifelong cleaning and periodic professional care. A reconstruction is not a one-time purchase but the start of a maintenance relationship.
- Plan revisions: staged treatment means findings during treatment can change scope and cost; our staged written quotes are designed to make any such change explicit before it happens.
We discuss all of these against your specific plan at the consultation stage, in English.
Next Step
If your dental history has become too complex for one-procedure answers, the useful first step is small: a free online consultation in English. Send your concerns, photos, or imaging, and we will tell you honestly whether you need a full reconstruction plan or something simpler.
📲 Free online consultation: WhatsApp (https://wa.me/81334594976) / LINE (https://lin.ee/OSvnk4M) / Tel: +81 3-3459-4976 (tel:+81334594976) — RODIN DENTAL OFFICE TOKYO, English-speaking care in central Tokyo.
Clinical sources
American College of Prosthodontists: Full Mouth Reconstruction (https://www.gotoapro.org/full-mouth-reconstruction/)
RODIN fees: published fee schedule (https://rodin-dental.jp/en/fees), checked 14 October 2026. Treatment selection and individual costs are confirmed after examination.
