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Implant Surgeries

Dental Implant Surgery in Washington DC | Elite Prosthetic Dentistry

Top-Rated Surgical Prosthodontist Serving Chevy Chase, Bethesda, Arlington, & the greater Washington DC area provides leading implant surgeries and restorations in one office.

Optimum dental implant therapy begins with impeccable treatment planning, implant site preparation, and, as needed, utilizing sophisticated bone grafting procedures to actually regrow your bone where your jaw has resorbed. When grafting is preferred, this “ridge augmentation” is a critical part of providing you with the finest looking, best functioning, and longest lasting implants. At Elite Prosthetic Dentistry, we spend extensive time ensuring that your bone is ideal to optimally position your implants to have the greatest strength.

If you would like to discuss your dental surgery options, please contact or call our experienced surgical prosthodontist, Dr. Marlin, today at 202-244-2101 to schedule an appointment. We are one of the only prosthodontic practices with a full-service crown and bridge and implant restoration lab that also provides implant surgery.

Patients visit us from around Washington D.C., Bethesda, Chevy Chase, Potomac, Rockville, Alexandria, Arlington, and other nearby areas, as well as from other regions of the country and internationally for our therapy because of our consistent results by “getting it right” the first time.

When and How is Bone Grafting/Ridge Augmentation Performed?

Prior to or during implant placement, Dr. Marlin frequently performs bone grafting procedures to reinforce implants by facilitating bone growth in extraction sockets (socket preservation), building out an atrophic bony ridge (ridge augmentation), and increasing the bone density (densification). When tooth roots or implants are in the jaw, the bone is preserved. Conversely, when either is not in place, the bone resorbs. Therefore, bone grafting is often needed to rebuild the bone to support the implant.

When the bone has atrophied from disuse, periodontal disease, tooth extraction, or just the individual’s anatomy, an implant should not be placed without bone grafting/ridge augmentation of the site either before or in combination with Precision Implant Placement (see below).

In this example, the tooth position potentially jeopardized the bone when being removed, and the ridge had a 45⁰ angulation while being too narrow (5.6mm) to receive and restore an implant. Therefore, the tooth was precisely extracted, preserving the bone, and bone grafting/ridge augmentation was performed to widen the ridge to 10.4mm while changing its angulation from 45⁰ to 20⁰. By rejuvenating the bone, the implant was now able to be preplanned and inserted to fit in an ideal, rather than a compromised position directly below the temporary crown.

Dr. Marlin is not only committed to bone preservation as a priority but also to saving teeth when possible. He has also helped thousands of patients achieve and maintain optimal oral health. Dr. Marlin will carefully evaluate your unique situation and develop a customized treatment plan tailored to your specific needs.

If you have been told that you have had bone loss and/or will be losing one or more teeth and would like a definitive assessment of your situation, call 202-244-2101

Case Study- Bone Grafting/Ridge Augmentation

What is Precision Implant Placement (PIP)?

Our patients appreciate having this comprehensive care performed in one office. You can see an overview of the steps necessary for great aesthetics, precise fit, and best function below: “Single Anterior Implant Restored” on the Implant Restorations web page.

First and foremost, if necessary, Precision Implant Placement Begins with preparation of the prospective implant site with bone grafting, ridge widening (see above), sinus lift or other procedures, to create the ideal site to receive your implant. This contributes to the implant’s optimum aesthetics, function, and longevity.

Next, applying his comprehensive restorative knowledge along with his extensive implant surgical expertise, Dr. Marlin designs your replacement teeth and uses 3D imaging to preplan your implant’s placement.

PIP begins restoratively with our in-house, state-of-the-art laboratory designing your final crowns’ aesthetics and function whose image will be superimposed on the CT scan (yellow arrow) that will fit over the implant site and scans its image to a CT scan of the jaw.

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How a Failing Dental Implant is Repaired

Dr. Marlin will evaluate your specific needs and repair your implant using materials from our in-house lab. Dr. Marlin is renowned for his ability to repair complex failed dental implant cases. Your first step is to schedule a consultation with Elite Prosthetic Dentistry today.

Patients often seek out Dr. Marlin because they have received an implant from another practice that needs to be fixed. Implants may fail for various reasons, including:

  • Insufficient bone structure
  • Smoking and tobacco use
  • An improperly inserted and/or restored implant
  • Poor overall health

How are Tooth Extractions Best Performed?

We try to save teeth as a priority. However, we may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease or have broken in a way that cannot be repaired.

Extensive Bone Loss
Tooth Extracted With Bone Graft
Implant

In most instances, we will extract the hopeless teeth and bone graft the sites to preserve your jawbone. When we remove teeth, we take extra precautions to preserve as much bone as possible and always fill the extraction sockets with a combination of bone and a growth factor that routinely creates very dense bone (even denser than an individual’s own bone).

In the following example, tooth #4 had extreme bone loss (see yellow bracket). The tooth was extracted, and bone plus a growth factor was simultaneously inserted (see yellow arrow). Four months later, after the bone was fully integrated into her jaw, the implant was inserted into newly created, dense bone.

Schedule your Dental Implant Surgery Consultation Today

Dr. Marlin is renowned for his work as a prosthodontist and his many exceptional services, such as his work with implant restorations, smile makeovers, crowns that last over 35 years, and more. Learn more about Dr. Marlin’s training, philosophy, accomplishments, and more by viewing his bio page.

To learn more about dental implants, cost, and financing, and to find out if they are right for you, please email us or call 202-244-2101 to schedule an initial consultation with Dr. Marlin. We welcome dental implant patients from Washington D.C., Bethesda, Chevy Chase, Potomac, Rockville, Alexandria, Arlington, and other nearby areas, as well as from other areas of the country and abroad.

Dental Implants in Washington DC- FAQS

No. With good oral hygiene and regular professional care, your teeth are meant to last a lifetime. However, if left untreated, periodontal (gum) disease can lead to tooth loss. It is the primary cause of tooth loss in adults 35 and over.

Studies have shown a 10 year success rate of implants to be between 90 and 95%. This success rate also depends on the dentist’s skill, along with the quality and quantity of the bone available at the site, and the patient’s oral hygiene. Our success rate is greater than 95%.

Our senior patients may not consider implants due to their ages. From a biologic standpoint, you are never too old to receive dental implant therapy. Our oldest implant patient was ninety-one years old. However, health is more of a factor than age in assessing if a patient is a candidate for dental implants. Implants offer vastly improved chewing and function normally, which is a primary concern of our older patients.

Most of our patients do not experience significant pain after implant surgery. To prevent or diminish discomfort, we pre-medicate our patients with an anti-inflammatory, such as, Advil, Motrin or Ibuprofen. Following surgery, you may experience some discomfort. However, with medication before and after surgery, most of our patients report being more comfortable than they anticipated. We do ask you to avoid strenuous exercise for the next 48 hours to protect the implant site.

The answer is yes, in selected cases. However, is being promoted as a simplistic way of receiving new teeth the same day as dental implants are placed. It can mean anything from replacing a single tooth via an implant-supported, temporary crown to restoring a whole arch of teeth in one day with a permanent appliance.

For more in-depth information on this topic, see our section on Teeth In A Day. After a complete examination, we will be able to tell you whether you are a candidate for Teeth In A Day therapy.

Smoking is a significant risk factor with regard to tooth loss and dental implant failure. Smoking negatively affects blood flow to the bone and tissues surrounding the gums and teeth, which impairs bone healing. People who smoke are at a greater risk of infection or other causes of implant failure following surgery.

We encourage you to kick the habit. There are many new smoking cessation products and support groups to help you. Smoking cessation takes a huge commitment and it is usually easier if you have help. To begin a tobacco cessation program, ask us or your physician for more information.

A mini-implant is a titanium screw with a round head that is placed into your jaw and o-rings are placed into your lower denture to snap your denture securely in place. In many cases these implants can be placed and the denture implants snapped into place the same day. For patients who are interested in preserving their bone (via bone grafting), we use mini implants as a transitional way of having a stable removable, until it can be replaced with the larger implants and a fixed prosthesis.

Each implant maintains the integrity of the bone, since it is a replacement titanium root. A greater number of inserted implants translates to enhanced support for the prosthesis along with additional preservation of the bone. With the Same-day Implant Prosthesis, a minimum of four implants is necessary to support the fixed prosthesis, but additional implants can provide additional bone preservation and a greater number of future treatment options. We will discuss this with you at your consultation visit so that you can choose the treatment that works for you taking into account your budget and your desires.

The angulation of your new implants (such as in the All-on-4® technique) can affect your ability to have additional implants placed near them in the future. In some instances, angling these implants is necessary because of a lack of bone, in the posterior part of your jaw, but, in other instances, the implants do not need to be angled. At your consultation, we will show you how we plan to place your implants as we demonstrate it on your CT Scan (3D image) so that you can make an informed decision on how many implants to request.