01Dental implants
One missing tooth or several, planned on a cone-beam scan and placed through a printed guide, with the crown made in the lab.
Implants in Alexandria
The specialist, on Duke Street.
Board-certified prosthodontist Dr. Esam Nahlah plans and rebuilds missing, worn and failing teeth at 2855 Duke Street.
A general dentist looks after everyday care and refers the harder restorative cases on. A prosthodontist is the specialist those cases go to, with three more years of training after dental school in replacing and rebuilding teeth, from a single implant or crown to dentures and a whole mouth, lab work included. The finished teeth are designed first, and the treatment is planned back from them.




At Duke Street you are seen by Dr. Nahlah himself. He is a Diplomate of the American Board of Prosthodontics and a Fellow of the American College of Prosthodontists, and he teaches the residents of Virginia Commonwealth University's prosthodontics program.
Each is planned and carried out by Dr. Nahlah at the Duke Street office, with the restorations made in its own lab.
01One missing tooth or several, planned on a cone-beam scan and placed through a printed guide, with the crown made in the lab.
Implants in Alexandria
02A fixed arch on four implants for a failing or missing jaw, with provisional teeth fitted the same day in most cases.
All-on-4 in Alexandria
03A denture that clips onto implants rather than resting on the gum, for a denture that will not stay put.
04For a tooth too broken to fill or the gap a missing one leaves, designed and milled in the building.
Crowns & bridges
05Shells shaped by hand in the Duke Street lab, for chipped, gapped or stained front teeth.
06When most of the teeth need work: one plan for all of them, designed from the finished smile backwards.
Duke Street has its own dental laboratory, as the Tysons Corner office does, so your teeth are made where you are treated.
01Your teeth are recorded with an intraoral scanner instead of a tray of putty, which is easier on a strong gag reflex, and become a 3D model to design on.
02Crowns, bridges, veneers and implant teeth are designed in the office, so a shade or a shape is settled with you in person.
03The design is milled and fired in the building rather than posted to an outside lab, so a restoration that seats a fraction high or misses the shade is corrected within days.
2855 Duke Street, Alexandria, VA 22314. The office is open Monday to Thursday from 8 am to 5 pm and on Fridays from 8 am to 2 pm, and closed at weekends.
New patients book on (571) 617-7245. If you are already a patient of the practice, the Alexandria line is (703) 940-5410.
Your insurance card, a list of the medicines you take, and any X-rays, scans or treatment plan you have from another dentist.
An examination and a cone-beam scan with Dr. Nahlah, then a plain account of what your teeth need, the options and what each costs, before you commit to anything.

BeforeAfter
BeforeAfterNew patients call (571) 617-7245, or book a consultation online with the Duke Street office. Second opinions on implant surgery are free.