A lab in the building
Crowns, bridges and full arches are designed and milled in the Alexandria office, as at Tysons Corner, so shade and fit are settled in person.

Rebuilt to one design, on Duke Street.
Board-certified prosthodontist Dr. Esam Nahlah plans the whole mouth at 2855 Duke Street, and the office's own lab makes the teeth.

Most patients who come to Duke Street for a reconstruction have several of these problems together, and they are often linked: a lost tooth lets the bone beneath it recede and the teeth beside it drift.
Whether the whole mouth needs rebuilding, or only one arch, is settled by the examination and the scan at your first visit.

A reconstruction is priced from your own mouth, so the first consultation in Alexandria is where the plan and its price are worked out.
Bring any plan, quote or X-rays from another practice: a second opinion here costs nothing.
Crowns, bridges and full arches are designed and milled in the Alexandria office, as at Tysons Corner, so shade and fit are settled in person.
Each implant is planned on the cone-beam scan of both jaws and placed through a guide printed from it, at the planned angle and depth.
Nitrous oxide or oral sedation, given by the practice's own team, for the longer surgical appointments. IV sedation is not offered.
Dr. Nahlah and the same team treat patients at both offices, so the care on Duke Street is the care at Tysons Corner.

A reconstruction is built in the sequence the design sets.
Implants take about four months to fuse before the teeth that go on them are fitted. With All-on-4, most patients leave surgery wearing fixed provisional teeth while the implants heal.

BeforeAfter
BeforeAfter
Prosthodontists train for three years after dental school in replacing and restoring teeth, and rebuilding a whole mouth is the core of that work.
At Duke Street, Dr. Nahlah plans each reconstruction, places the implants and fits the final teeth, so no part of the case is handed to someone else.
An examination, a cone-beam scan of both jaws and a free preview of the result. New patients call (571) 617-7245, or book online with the Duke Street office.