The Implant Center at Facial and Oral Surgery Specialists


 

Facial and Oral Surgery Specialists are experts in treatments to restore your appearance, function and smile. 

We are a collaborative center where the best board certified surgeons, restorative dentists, prosthodontists, laboratory technicians and anesthesiologists work together to achieve one goal: to improve the health, function and appearance of our patients with this life-changing procedure. Our goal is to exceed the expectations of our patients.

We know that patients that have lost teeth are suffering in many ways, including poor nutrition, loss of self-esteem, loss of function and appearance. We are here to help guide you and coordinate your care with the bext trained experts in their fields, to achieve the best results possible. 

Our doors are open for you to come and meet us. We are passionate about what we do and strive to find solutions for all cases even the most challenging ones. 

If you have had a consultation at another full arch implant center, we offer free second opinions. Please make sure to bring all imaging you have had at the other locations to minimize the need for more imaging. 

Call us at West Harrison Office Phone Number 914-500-8985 or email us at [email protected] to know more.

We look forward to meeting you in person soon ! 




What makes our center a better choice 


TEAM APPROACH

Board-certified surgeons for the consultation, procedures and follow-ups of surgical portion of the treatment
– Collaboration with some of the best prosthodontists, restorative dentists and laboratory technicians in Westchester County, New York City, and Fairfield County for the restorative portion of the treatment
– The dentists we collaborate have either extensive full arch and implant restoration experience, or are board certified prosthodontists who have extensive experience and training in complex cases.


OTHER IMPLANT CENTERS

– Sometimes one single clinician doing both the surgical portion of the procedure as well as the the restorative portion

– Visiting surgeons or dentists for the surgical portion of the treatment

– Surgical follow ups done with non-surgeons or non-board certified doctors

– No team approach or collaboration



EXPERIENCE AND TRAINING
– On staff full-time board certified surgeons who also regularly perform complex jaw reconstruction, pathology, cosmetic, TMJ and jaw repositioning
– Our surgeons are dual degree trained (MD and DMD / DDS)
– We regularly perform complex surgeries and are comfortable with complex dental implant placements, zygomatic implants, transnasal or pterygoid implants and associated bone grafting surgeries
– We have advanced specialty training at some of the most prestigious institutions in the country 
– Can handle complications and complex or challenging cases
– Simply put: we have the most experience to perform these procedures


OTHER IMPLANT CENTERS

– Some practitioners who perform these procedures sometimes only occasionally perform these cases

– No board certification 

– No advanced training in Oral and Maxillofacial Surgery or Prosthodontics

– Non-surgeons performing the the surgical treatments

– Occasional visiting surgeons for procedures, and non-surgeons for the initial consultations and follow-ups

– If complications or cases that require complex care, need to refer to other board-certified surgeons or to ER



IMMEDIATE RESULTS, IMMEDIATE TEETH

– Teeth are removed, bone prepared and implants are placed during the same procedure, with pre-fabricated teeth prosthesis inserted immediately on the same day

– The prosthesis is customized based on pre-operative evaluations, CT imaging and intraoral scans, and custom-made for each patient for ideal cosmetics and function

– Trained in All-On-X implant procedures

– Trained in BMP bone grafting, autogenous bone grafting and PRP/PRF to augment bone and jaws

– Trained in placement of Zygomatic Implants if insufficient bone for traditional implants technique, i.e. immediate results and teeth replacements are possible even for patients with atrophied bone

– Patient typically receive one immediate prosthesis (teeth) on the day of the procedure, and a final set after about 4-6 months of healing and sometimes an intermediate set in between. Customization options are possible throughout for the best results possible. 

– Options for either Zirconia or Acrylic or Hybrid for the final sets of teeth prosthesis


OTHER IMPLANT CENTERS

– No immediate teeth on the same day as extractions

– Need to use dentures during healing phase, and implants are placed after healing.

– No capacity to treat more complex cases like atrophic maxilla or mandible

– No advanced training to reconstruct bone and jaws

– One single set of teeth prosthesis, no capacity to customize

– No Zirconia options



ACCREDITED SURGICAL CENTER

The only oral and maxillofacial surgery practice that is QUAD-A accredited (the Gold Standard for surgical centers) as an outpatient surgery center in the Westchester NY or Fairfield CT areas
– Standards are equal to hospitals
– This is a rigorous process which only few facilities nationwide undertake, which reflects our commitment to safety and excellence 

– Extensive safety and emergency protocols and frequent staff training, with c
onstant monitoring and visits by accreditors to make sure all standards are constantly met
– High-flow oxygen capacity, hospital grade alarm systems and monitors in all treatment and recovery rooms, to name a few
–  Board certified MD-anesthesiologist on staff


OTHER IMPLANT CENTERS

– Non-accredited facilities

– Invasive surgeries and anesthesia sometimes performed in a dental office with no advanced accreditation other then regular building codes

– Sometimes procedures need to be done at outside surgical center then patient has to return to other office for continuation of care, delaying treatment

– No monitoring or maintenance requirements for equipment

– No requirement for safety or emergency training and protocols

– No capacity for General Anesthesia or Sedation Anesthesia: Uncomfortable for patients to undergo procedure with local anesthesia or Nitrous Oxide analgesia only



ON-STAFF AT WORLD-RENOWNED AND LOCAL HOSPITALS

– Affiliated with Columbia University Medical Center, New York Presbyterian Hospital, Mount Sinai Hospital, and New York Presbyterian Hospital/Westchester located less then 15 minutes from our location. 
Collaboration with other specialists for complex cases or if tertiary care is needed. Able to coordinate hospital admissions or treatments if emergencies arise.  You can feel comfortable that your safety and well-being is our priority.


OTHER IMPLANT CENTERS

– No hospital privileges or affiliations. 

– If complications that require hospital admission, need to refer to other board-certified surgeons or to ER

– No capacity to collaborate with higher institutions or other specialists if complex cases 

– Sometimes invasive procedures such as removal of multiple teeth, bone reductions, placements of multiple implants and bone grafting are performed without any local hospital affiliations in case of emergencies. 



MOST ADVANCED TECHNOLOGY IN THE FIELD

– CT guided surgical dynamic guidance for the most precise implant placements
ICat Flex CT scan: for the most accurate details
Digital scanners: for precise record taking and more comfort
Laser technology: for faster recovery
Electrocautery: for decreased bleeding
PRP/PRF: to improve healing potential
– The Best Implant Systems on the market
(Straumann, Nobel, Neodent)


OTHER IMPLANT CENTERS

– Surgeries and implants placed with no guidance or little guidance experience

– No digital work-flow, less precise data gathering

– No advanced technology, analog record taking and scanning only

– Patients have to go to outside locations for scans then return to office for evaluation or treatment, delaying the procedures



BOUTIQUE, PRIVATE EXPERIENCE

– A spa-like atmosphere and experience
Private ownership therefore capacity to choose any implant system and any laboratory that we think better fits the patient’s custom needs and preferences
– Personalized touch: able to offer more individualized experience 
– More flexible options to cater to each patient’s needs. 
– We take pride in our patient’s results as evidenced in our multiple 5 star reviews


OTHER IMPLANT CENTERS

– Corporate or Private Equity Ownership sometimes affect doctor’s decision making

– Clinicians need to choose only corporate approved Implant Systems or Laboratories.

– Need to keep patients within the corporate network, no capacity to collaborate with other providers.

– Less individualized approach: standardized corporate protocols

– Less capacity to be flexible in payment options or fees


what you need to know


What are Dental Implants ? 
 – Implants are titanium or ceramic bone screws that serve to anchor a prosthetic tooth or multiple teeth. 
– We are able to place implants using small incisions on the gum tissue to expose the area. 
– In order to place the implants in the most precise fashion, we perform most placements using Surgical Guidance, with a CT-guided sophisticated equipment.
– We sometimes involve the patients in the design if they are interested in the proces
– The procedure is done with local anesthesia, Nitrous Oxide, light moderate or deep sedation, or General 


What do dental implants look like ? 
– Implants are titanium threaded screws with a surface that has been treated to allow bone to heal and fuse to them. 
– At Facial and Oral Surgery Specialists, we have multiple different implant options that we select depending on each patient’s individual characteristics. 
– We use the best implant systems on the market, sometimes use ceramic implants, or different brands to cater to each patient’s needs.
– The main systems we use are: Straumann, Nobel, and Neodent.


Why should I replace my teeth ? 
– Although missing one or multiple teeth will not have immediate detrimental effects on your health, it will affect your health negatively long term.
– A decreased in function will lead to poor nutrition, and the need to consume more caloric dense, fiber poor foods. This can lead to a worse overall health.
– The teeth adjacent to missing can have periodontal disease or other issues, which can lead to more extractions.


What are “full mouth implants” ? 
– Some patients have multiple decayed teeth or heavily restored teeth that require extensive repair, or are missing all or almost all teeth in the upper or lower jaw
– For these patients, it is sometimes better to remove all teeth and place strategic implants in the stronger areas of bone.
– These implants will anchor a complete prosthesis that is custom made based on your specific anatomy, scans and imaging. 
– This technique is sometimes called All-on-X, or other names. But it simply refers to the ability to have a prosthesis that spans multiple teeth, with fewer implants, without the need for individual implants for each tooth.


What is better, fixed or removable ? 
– Although some patients might elect for a removable system, the benefits are always  better with fixed teeth. 
– Fixed teeth are a custom prosthesis made specifically on your anatomy which is screwed into multiple implants
– A fixed prosthesis is more stable, more functional and more comfortable then a removable system
– The only advantages to removable teeth is that they  requires less implants, sometimes less surgery, and are usually less expensive
-At Facial and Oral Surgery Specialists, thanks to our technology and advanced training , we are almost always able to provide a fixed system for our patients with the least invasive procedures .


How many implants will I need ?
 – Our consultation and evaluation will determine how many implants are best for you. 
– The initial evaluation includes an examination with our board-certified surgeons, CT imaging, xray imaging if needed, and sometimes intra-oral 3D scans. 
– We will offer a treatment plan that is individualized and which gives you the best long term success rate. . –
– For full mouth implants, we usually like to place as many implants as possible and you are not charged per individual implants but rather for the complete treatment. We find this treatment to be best for our patients, so we can treat each patient in an optimal way. 


What are zygomatic implants ?
– Some patient do not have sufficient bone in the upper jaw for traditional implants. This can be due to osteoporosis, trauma, or other reasons.
– For these patients, the traditional treatment options were to perform bone grafting procedures to increase the bone levels, and after healing for a few months, to have implants placements.
– A new treatment option called zygomatic implants are longer implants which anchor in the more superior bone which almost never tends to atrophy, and offers immediate stability. 
– At Facial and Oral Surgery Specialists, thanks to our training and the level of certification of our facility, we are able to provide this safe treatment option to our patients if needed.


What is guided surgery?
– At Facial and Oral Surgery Specialists we use a CT 3D virtual plan to determine where the best location, angulation and depth of the implants should be. 
– This plan is always done before hand, using the most sophisticated technology in the field. This includes ICAT CBCT imaging technology, intra-oral 3D scanners, and thorough physical examination, as well as coordination with the restorative dentist or prosthodontist. 
– Sometimes traditional guides are also used, which are printed plastic or metal guides that help angulate the procedure. 
– This makes a difference because studies show that even the most experienced surgeon, who sometimes feel that they have so much experience that they are able to do these procedures “free-hand”, are always less accurate then they think they are. We prefer to use this technology even though we have extensive training and experience, because we believe it makes a difference for our patients. 


How do dental implants work ? 
– Through a process called “osteointegration”, your bone will heal in a union with the titanium or ceramic implant.
– This process typically takes between 2-3 months, but is sometimes even faster. 
– We use the best implants on the market which sometimes allow for final prosthesis placements after only one to two months. 


Will I need bone grafting ? 

– Your evaluation and imaging will help determine the need for simultaneous bone grafting at the time of implant placements. 
– We can usually place the implants simultaneously with the bone grafting procedure.
– At Facial and Oral Surgery Specialists, we use various options for bone grafting including your own bone (autogenous), allografts or xenografts, and PRP / PRF technology, and BMP Infuse.


What to expect with full mouth implants

– The full mouth implant procedure involves surgically placing multiple dental implants into the jawbone to provide a secure foundation for the restorations and prosthesis. Implants look and act just like your natural teeth.

– The implants integrate with your jawbone, fusing with the living bone cells and helping to prevent bone loss. This safeguards and preserves your bone structure and appearance. 

– Full arch dental implants provide a more stable and natural-looking alternative to traditional dentures which can slip or shift during eating or speaking.

– When patients experience extensive tooth loss, they may find it to be difficult to choose an affordable solution that offers a high-quality tooth replacement that is comfortable for daily wear while restoring both function and aesthetics to the mouth.

– Individual dental implants to restore an entire upper or lower arch of teeth can be an extremely expensive process that requires a drawn-out restoration timeline and recovery process for the patient.

– Removable dentures or a fixed bridge are also options for tooth replacement; however, they are not considered long-lasting, durable solutions. In order to be properly placed, they often rely on the support of adjacent teeth to carry their burden, which typically involves the grinding down of healthy teeth for placement.


Am I a Candidate to Receive Full Mouth Implant Treatment?


– The process begins with a consultation, exam, and imaging which usually includes a 3D CBCT imaging, intra-oral 3D scans or impressions, and sometimes facial photography. We then have a discussion regarding your diagnosis and determine if you are a candidate. We present options and discuss costs, and we will explain details and answer any questions you may have. 

– On the day of the procedure, incisions are made in the gums to expose the bone and a hole is drilled for the implant. The implant is then inserted and covered with a temporary tooth or temporary cap and left for a healing period of several months. During this time the implants and bone will bond together to create the foundation for a strong and beautiful smile.

– During the healing period patients typically follow a soft-food-diet. Once healed, the temporary teeth or cap are replaced with your new teeth.

– Patients should practice good oral hygiene and regular checkups with your surgeons and your restorative dentists or prosthodontists to ensure the longevity of their implants and restorations.


The numerous benefits of Full Arch Dental Implant Surgical Treatment include: 

– Increased Functionality: The technique anchors the implants at an angle, this style of Full Arch Dental Implant Surgery provides the highest ratio of implant-to-bone contact, ensuring that the replacement teeth are secure and supported, offering an excellent long-term solution 

– Improved Clinical Results: Full Arch Dental Implant Surgery utilizes minimally invasive techniques for implant placement, which offers patients the best possible results from their treatment.
The dental implants support the weight and function of the replacement set of teeth, which means no grinding down of healthy teeth as part of the restoration. This full-arch replacement does not require any support of neighboring teeth to cement a bridge or the need for existing teeth to carry the burden of a bridge.

– Increased Accessibility: A temporary set of replacement teeth can be attached to the base of four dental implants during the same appointment so the patient can enjoy the benefits of a new arch of teeth the same day of their surgery.

 

Our patients say it best !

– See our reviews 

– See our testimonials 

–  Zygomatic Implant page 

Bone grafting for implants page 

Ceramic implants page