Dental Implants

Whether you are missing a single tooth or multiple teeth, implant dentistry is typically the very best solution for tooth replacement. Implants also provide a welcome alternative for patients young and old who may be facing the loss of a badly damaged tooth. There’s no alternative that more closely resembles your natural teeth, is more universally accepted, and more likely to improve your overall health.

Benefits of Implants Instead of Bridges for Missing Teeth

Patients have a number of options for tooth replacement, and it’s important to consider a number of factors as you make that decision, particularly those aspects of tooth replacement that will have long-term ramifications.

For most patients in Manhattan, the choices come down to dental implants and dental bridges. The latter can seem appealing initially based on its lower cost and quicker treatment timeframe. However, the longevity of dental implants gives those devices a significant advantage over a dental bridge.

Dental implants are unique among tooth replacement methods because they are the only treatment that replaces the missing tooth’s root structure in addition to the visible crown. The surrounding jawbone is able to bond with the titanium implant, making the implant a fixture in the jaw. In comparison, a dental bridge has no physical connection to the jaw.

Dental Implants Function Like the Tooth’s Root

We often take the tooth’s root for granted since it lies below the gum’s surface and just out of sight.  But even though we can’t see the root, it plays an essential role in maintaining the stability of the tooth.  Dental implants are best at emulating the stabilizing function of the natural root.

The root-like dental implant helps to preserve the integrity of the jawbone tissue, which deteriorates in the absence of a root.  Dental implants are placed in, and fused with, the jawbone.  This insures that the implant is secure, stable and that there will be no further loss of tissue.   Conversely, a dental bridge has no such structure that extends into the jaw, so bone tissue will continue to erode and the bridge can lose its fit over time.  If this occurs, the patient will need to have the bridge replaced and refitted.

The average dental bridge life expectancy is about 10 years.  By comparison, dental implants can last for decades when patients take good care of them.

Dental Implant Advantages

Dental implants also help to reduce the risk of further tooth loss, which can lead to additional expense on the patient’s part. Another advantage of dental implants is their ability to stand alone without support from surrounding teeth, unlike bridges, which requires that the healthy remaining teeth be fitted with crowns to anchor the pontic.

Therefore, the placement of dental implants does not require the removal of healthy enamel material. Furthermore, dental implants are able to withstand average chewing forces, limiting the amount of excess force that biological teeth must absorb.

Titanium implants also are not susceptible to decay, which eliminates the risk of decay that will encroach on the neighboring biological teeth.

Dental implants offer patients a remarkably lifelike and aesthetically pleasing tooth replacement. We encourage patients who are deciding between dental implants and a dental bridge to schedule a consultation with our Manhattan office to learn more about implants. Contact our office today to set up your appointment.

Replacing Individual/Multiple Teeth

If ever there were a Gold Standard in dentistry, the honor would be awarded to the dental implant. Since the implant gained widespread acclaim more than 30 years ago, it has garnered unprecedented success both clinically and commercially.

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Replacing All Teeth

All-on-4® & Overdentures

In response to the ongoing challenges of life with traditional dentures, Dr. Karabin and Dr. Gottesman offer tooth replacement alternatives that are more in line with what nature intended. A full set of teeth that can be anchored to the bone for stability and customized just for you can completely change your denture experience.


Patients who have lost a tooth or an entire arch of them rarely want to wait for weeks while an appliance is designed to replace their missing pearly whites. Dr. Gottesman and Dr. Karabin of Manhattan can use a technique that reduces that wait time to one hour!

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Extraction Socket Grafting

Minimally Traumatic Extraction

Significant bone loss occurs when a tooth is extracted. At the time of the extraction, a portion of the surrounding bone may be removed along with the tooth. Additional bone loss occurs in the months and years following an extraction, as the bone may continue to resorb in the absence of the tooth’s roots.

Socket Grafting/Ridge Preservation

To minimize the loss of bone, Dr. Karabin and Dr. Gottesman will take great care to protect the surrounding bone during the initial extraction. Removing the tooth with meticulous precision allows us to “preserve” the ridge of bone that will support your future implant.

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Jaw Bone Grafting

When you trust your dental implant procedure to the experts at Manhattan’s PerioNYC, you can be assured that every perceivable detail of your treatment has been considered. We want what’s best for you and we’ll recommend the treatment and procedures that are necessary to accomplish that goal.

Ridge Augmentation

Significant bone loss may occur after a tooth is lost or extracted. Bone loss happens because the jawbone is no longer holding a tooth (or teeth) in place and, like an under-used muscle in the body, begins to recede.

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Sinus Elevation (Lift)

As a normal part of the human anatomy, there is an open pocket of space that is located in the upper jaw, just above the back teeth. With normal aging this sinus cavity expands downward leaving less bone to support an implant in the area of the upper back teeth.

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Dental Implants: Frequently Asked Questions

How do dental implants work?
Because dental implants are made of titanium, human bone – such as that found in the jaw – is capable of forming a bond with them. After the dental implants are placed in the jaw, that bond forms over the course of the next several months in a process known as osseointegration, which renders the implant a permanent fixture in the patient’s jaw.

Are dental implants structurally similar to biological teeth?
With its connection to the jaw, the implant is a root-like structure that is topped with a prosthetic crown (or bridge or denture). Therefore, dental implants are more structurally similar to a biological tooth than any other tooth replacement currently available.

What does dental implant placement entail?
Drs. Gottesman and Karabin place dental implants in an outpatient surgical procedure performed right in our state-of-the-art office. Patients may choose some form of sedation for a more comfortable experience.

Can dental implants be used to replace a single tooth? Multiple teeth?
Dental implants can be used in nearly any type of tooth loss to replace any number of missing teeth. They may support a single crown, a dental bridge or even a complete prosthetic arch of teeth.

How long does a dental implant last?
With proper care – including the good oral hygiene and professional dental care necessary to prevent the oral disease that caused the initial tooth loss – dental implants can last for decades.

What factors influence long-term dental implant success?
The quality of available jawbone material is essential to dental implant longevity. If there is not enough bone to support osseointegration, the dental implant faces an increased risk of failure. Additionally, future gum disease or tooth decay that threatens the stability of the bone can also compromise the dental implant’s integrity, so it’s important to do everything possible to prevent those outcomes if you get dental implants.

Am I a good candidate for dental implants?
Schedule a consultation with Drs. Karabin and Gottesman to learn more about whether dental implants would be a good treatment for your particular case.

Dental Implants Gallery