The questions patients ask us most.

All-on-4 is one specific full-arch implant approach using four implants. Full-arch is the broader category, including approaches with four, five, six, or more implants depending on what your case requires. We use the implant count that gives the bone and bite the best support — not a marketing number.

Most upper-arch cases use four to six implants. Lower-arch cases sometimes use as few as four. The number depends on bone volume, bone quality, bite forces, and whether you grind your teeth. We plan from the case, not from a template.

In selected cases, yes — same-day temporary teeth are routine when bone, implant stability, and tissue conditions support it. Patient-specific exceptions apply, and we will tell you honestly at consultation whether your case is a same-day candidate or whether staging gives you a better long-term result.

Traditional dentures rest on the gum and often become loose as bone shrinks over time. Full-arch implants are anchored in the jaw and prevent the bone loss that comes with long-term denture wear. Fixed full-arch implants are not removed by the patient; implant-supported overdentures are removable but much more stable than traditional dentures.

Most full-arch cases take three to six months from implant placement to final teeth. Same-day temporary teeth allow you to function during that healing window in selected cases. The exact timeline depends on bone integration, soft tissue healing, and case complexity.

Often, yes. Bone grafting, sinus lifts, and modern implant techniques can make implant treatment possible in many cases of bone loss that would have been told 'no' a decade ago. The CBCT at your consultation tells us what is and is not possible for your specific anatomy.

Nitrous oxide (light sedation, awake), oral conscious sedation (deeper relaxation, may have limited memory), and IV sedation (light sleep state, ideal for longer surgical cases). We discuss the right option for your specific procedure and medical history at consultation.

Depending on the option chosen. Nitrous and oral sedation keep you awake but relaxed. IV sedation can produce a light sleep state where you drift in and out, while still breathing on your own. General anesthesia (full unconsciousness) is not used in our office for routine cases.

Yes for oral conscious sedation and IV sedation. Not required for nitrous oxide — the effects wear off within minutes of stopping the gas.

When performed by a properly trained provider with continuous monitoring and proper case selection, IV sedation has an excellent safety record. We review your medical history thoroughly before any sedation appointment.

Yes. Many of our patients come to us specifically because they have been avoiding care for years. We pace appointments, explain every step, and use sedation when appropriate. Anxiety is not the reason to delay care that you already know you need.

Call the office at (202) 659-3500, or use Refer a Patient on this site to request a callback. Please don't send patient details through the website. We respond to routine referrals within one business day and make space for urgent referrals the same day when we can.

We send your patient back. Our role is the periodontal or surgical phase. The restoration — the crown, bridge, or final denture — belongs in your practice. We coordinate timing and communicate at every stage.

Patient name and contact, brief case description, any imaging you have (CBCT, panorex, periapicals), and an indication of urgency. For full-arch or implant cases, your treatment plan for the final restoration helps us plan surgical position accordingly.

Call the office directly. Acute periodontal abscess, implant pain or mobility, trauma — we make space same day when we can. For routine cases, call or use Refer a Patient to request a callback.

Yes — we host periodic lunch-and-learn sessions and case-review meetings for referring doctors and their teams. Topics include recession management, implant planning, peri-implantitis, and full-arch case workup. Contact the office to be added to the invite list.