Implants, Dentures, and Bridges at Metropolitan Dental Care

There are several ways to replace a missing tooth or multiple missing teeth.

1. Implant Dentistry

An implant is a permanent titanium prosthesis that is surgically placed in the bone to replace a single tooth or to retain a denture. First the bone in the missing space will be assessed for height, width, density, location and other parameters by our oral surgeon. If adequate, an implant will be placed. Healing time varies, however usually after four to six months of healing and osseointegration in the bone the implant will be assessed for stability and osseointegration with a dental xray. Once the site is ready we will take an impression of the healed area. And shortly thereafter the implant will have a custom crown made to match that implant and the unique space that it will fill in order to ensure comfortable eating and home care. Implant systems our office has years of experience with every major implant brand including Nobel Biocare, Zimmer Biomet, Thommen, Straumann, and Megagen. The final prosthesis is permanent and is not able to be removed at home.

Note: After the removal of a tooth or to resolve an existing missing space patients can elect to have a temporary removable denture made to hide the missing space until the implant osseointegrates and is restored with a crown.

2. Bridge - Fixed Definitive Prosthesis

This is possible when there is a missing space between two existing healthy and stable teeth. The space and remaining bone is assessed. The adjacent teeth are assessed on their periodontal status and the presence of tooth decay. The two teeth adjacent to the space will be shortened and prepared to fit a crown over them. Sometimes sensitivity may develop on these teeth and more treatment may be indicated. Instead of a standard crown that fits over a single tooth, a bridge is a three crown unit. The three crowns are welded together to serve as one unit therefore home hygiene will be accomplished with either a WaterPik, Proxabrush or Super floss. The procedure takes two to three appointments typically, between visits the patient will wear a temporary prosthesis held in by temporary cement. The final prosthesis is permanent and is not able to be removed at home once cemented.

3. Complete Denture or Partial Denture

A denture is an acrylic removable prosthesis that replaces missing teeth. When patients have no teeth it is recommended that implants be placed in the existing bone to help retain the denture prosthesis. Implants provide structure and added retention of the denture. This added retention provides patients with more comfort when eating and greater confidence when speaking. The dentures will snap-in in the morning and snap-out at night when going to bed. If there is insufficient bone due to teeth missing for many years a complete denture can still be made to help restore your smile, however the comfort of eating and conversation is sacrificed without implants. If a patient is missing a few teeth a removable partial denture is possible. It is designed to fit around existing teeth. Periodically existing dentures should be assessed by a dentist because the bone and soft tissue can change over the years.

At Metropolitan Dental Care we ensure comfort and clarity, for any questions about the above treatment options and to discuss this further please schedule a consultation. Call 212-867-4223 today!

*These statistics have been provided by, April 10, 2020 - for more information please visit:

Dr. Leelah Jaberi, DDS

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