Yolanda holding a framed photograph of her smile before treatment
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Dental Implants near Herndon, VA

Several teeth gone? Not always one implant each.

When two or more teeth are missing in a row, each space does not automatically need its own implant. At his Tysons Corner office, about 20 minutes from Herndon without traffic, Dr. Esam Nahlah reads your scan and decides between separate implants and a bridge carried on implants.

Book a consultationCompare the options
11.3 miHerndon to Jones Branch Drive
20 minWithout traffic, on the Dulles Toll Road
2Implants can hold a whole span of teeth
For Several Teeth

Two ways to fill a row of gaps, and two for more.

Which fits depends on how many teeth are gone, where they were, and what the bone under them can carry.

Single dental implant with a titanium post, abutment and white crown on a plain white background01

One implant per tooth

Each missing tooth gets its own post and its own crown, and the teeth beside each space are left untouched.

Underside of a full-arch implant bridge, showing its metal framework and four screw-access channels02

Implant-supported bridge

Two posts hold a bridge across a span of missing teeth, so the chewing load goes into the jaw rather than onto the natural teeth next to it.

Lab model of an implant-supported denture clipped onto implant posts, mounted on an articulator03

Snap-in denture

When most of an arch is gone, a removable denture can clip onto two or more implants instead of sitting loose on the gum.

Snap-in or fixed?
Illustration of implant-supported bridges lowered onto implant posts in a lower jaw model04

A fixed full arch

Every tooth in one jaw on four to eight implants, in zirconia that stays in at night.

How a full arch is built
Weighing It Up

A conventional bridge, or implants under the span?

A conventional bridge hangs replacement teeth from crowns on the teeth at each end of the gap. Those two teeth usually have to be reshaped to carry it, however healthy they are. It stays a sensible fallback for anyone who would rather wait on implants.

An implant-supported bridge takes the same span and rests it on posts in the jawbone. The neighboring teeth stay untouched, and the bone beneath the gap keeps receiving load, which slows the recession that follows tooth loss.

Separate implants give every lost tooth a root of its own. More posts, and each crown stands alone.

How crowns and bridges compare
Why A Specialist

Several gaps are a prosthodontist's kind of case.

Replacing a run of teeth depends as much on the teeth on top as on the posts underneath, and that design work is exactly what the specialty trains for.

A tooth model used to explain an extraction01 · The plan

Teeth first, posts second

Dr. Nahlah designs the finished teeth, then places the implants where those teeth need support.

A jaw model showing implant sites in the bone02 · The lab

Made in the building

The bridge or crowns are designed and then cut in the lab inside the practice, so shade and shape can be settled face to face.

An implant post held before placement03 · The bite

Balanced across the span

Several new teeth have to meet the opposite jaw evenly, so the same specialist adjusts the bite at the fitting.

Meet Dr. Nahlah
The glass entrance to the practice's building at 7901 Jones Branch Drive
From Herndon

11.3 miles, most of them on the Dulles Toll Road.

Without traffic the drive takes about 20 minutes. Leave the toll road for Westpark Drive and you are a short way from the building on Jones Branch Drive.

  • Address: 7901 Jones Branch Drive, Suite 220, McLean, VA 22102
  • Use the parking beneath the building; the suite is on the second floor
  • Appointments Monday through Friday, with Friday a short day ending at 2 pm
  • Call (571) 702-9832, whether you are new or already a patient
  • No weekend appointments
Before And After

Teeth rebuilt on implants here.

Case 29, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 29, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Double-arch All-on-4 · case 29
Case 41, single-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 41, single-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Single-arch All-on-4 · case 41

More results in the gallery

Questions

Herndon patients ask about replacing several teeth.

How far is Dr. Nahlah's office from Herndon?
About 11.3 miles, or roughly 20 minutes without traffic by way of the Dulles Toll Road. The office is Suite 220, 7901 Jones Branch Drive, McLean.Directions from Herndon →
Do I need one implant for every missing tooth?
Not necessarily. Two implants can carry a bridge across a span of missing teeth. Whether that or separate implants suits you depends on the bone your scan shows.
Is an implant bridge better than a regular bridge?
It leaves the neighboring teeth alone. A conventional bridge is anchored to crowns on the teeth either side, which usually means reshaping them; an implant bridge rests on posts in the bone instead, and keeps the bone under the gap loaded.Crowns and bridges →
What if most of my teeth are missing?
Then the choice becomes a whole arch: a snap-in denture on two or more implants, or fixed teeth on four to eight implants, such as All-on-4.Full-mouth options →
Does the cost depend on how many teeth are missing?
Yes, along with how long they have been gone, the materials, and whether any teeth must come out or bone be grafted beforehand. Your figure is set in writing once the scan has been read.What drives the price →
Are the new teeth made at the office?
Yes. They are designed in the practice's own lab and cut on its milling machine, so a remake takes days rather than weeks.

Next steps.

Plan the span with a specialist.

Book a consultation at the Tysons Corner office on (571) 702-9832; the scan shows how many implants your gaps need.