Dental Implants in Staten Island

What are dental implants?

Victor Terranova, DMD, MS, PhD is a Queens based periodontist and oral surgeon who has undergone significant training in dental implants throughout his careers and is presently working on stem cell research  to assist in the dental implant process. He performs dental implants in Queens at Implants and Periodontics of Astoria which is the periodontic and oral surgery department of Steinway Family Dental Center.  Dr Terranova has performed thousands of dental implant for Queens patient that needed dental implant  procedures. Mostly these patients had experienced significant tooth loss due to extensive periodontal disease. Some had multiple dental implants and some had single dental implants or fixed bridges that they had become tired off. If you are worried about tooth loss, periodontal disease or a looking to get dental implants or need a second opinion then we are here to help. Call Implants and Periodontics of Astoria on 347-708-1815. Dr. Terranova offers free consultations for those in the Queens area looking for dental implants. It is a hard to find a more qualified oral surgeon or periodontist in Queens.


What are my options for dental  implants?

When  a patient has multiple teeth that are missing or failing there are a number of treatment options available. They may include:


- A removable partial dentures 
- A multiple tooth supported fixed bridge
- An implant-supported bridge

What is a Removable Partial Denture

A removable partial denture is a device that
 utilizes clasps which grabs onto adjacent, healthy teeth keeping  denture in place. These clasps, that are designed to fit tightly onto the healthy teeth exert pressure on the underlying gums and  the natural teeth that  attach onto. The  issie here is that it weakens the patients jawbone and causes the supporting teeth to loosen.  This can lead to additional tooth loss due to the fact that because there is no root system for the missing teeth. Therefore the integrity of the patients jawbone becomes compromised, and subsequently the deterioration of the bone (atrophy) speeds up. The end result resulting is more bone deterioration.

What is a Multiple Tooth Supported Fixed Bridge

A multiple tooth-supported fixed bridge is a common tooth replacement option used today. Howver that is not to say it does not have  all the complications  and risks of using a single tooth bridge. There will be problems of decay, the possibilty of root canal infections and unavoidable  periodontal bone loss. The  bone atrophy can sometimes  be worsedue to the fact that there are more teeth involved. It is unfortunate that larger bridges will fail faster than a patient who has a single tooth bridges placed. 

What is an implant-supported bridge.

An implant-supported bridge is a much  superior dental  implant device than removable partials dentures or the use of a  multiple tooth supported fixed bridge. This is for the following reasons:

The placing of dental implants can virtually stop the process of bone resorption  (deterioration) 
Dental Implants are a much comfortable and stable implant device than partial dentures
The patient can maintain the integrity of their facial structure  (the jaw line does not sag)
The gum line stays intact as it is not eaten away by claps.
The patient can chew or bite naturally
The integrity of the adjacent teeth are preserved
Patients can eat virtually anything they want
The dental implants look exactly like real teeth.
There is no need for adhesives. The dental implants are permanent.

Single Tooth Dental Implants

The most common dental implant procedure in the US today is the SINGLE TOOTH DENTAL IMPLANT which is done to replace a 'gap' due to a missing tooth. A person’s first  impressions is always their last impression and smiling without a tooth can be embarrassing. Having healthy teeth is an essential part of life. 

Patients may lose or have missing teeth for an abundance of reasons. They can be caused by congenital defects, unfortunate accidents, trauma, dental caries, severe gum disease, or their teeth may just wear down with age. These days having a missing tooth is an embarrassing problem which may leave a patient self-conscious and too embarrassed to even  smile or talk. 

Luckily advancements in dental implant technology make it possible to fit an absent tooth with a dental implant  that looks so natural patients might even  forget that they ever lost one. 

  In the past the  traditional methods for replacing a missing tooth involved placing  a bridge that is anchored onto adjacent teeth.  The drawback is that this requires grinding down those two other teeth so that the bridge can be placed onto them.

Nowadays a more sensible and effective way is the  single tooth implant which can replace  a missing tooth without it damaging the neighboring teeth. The other method of placing a bridge appears outdated now compared to a dental implant that acts as  a full replacement. 

 There are a number of issues solved at once using this process:

- There is no need to grind down adjacent healthy teeth
- The placing of an implant encourages bone growth around the titanium root
- The crown can be placed onto the implant that looks and functions like a regular tooth

This has proven to be a safe and permanent solution for a missing tooth with the single tooth implant being placed directly into the bone. It acts as an anchor and becomes rigid as the process of osseo-integration ( bone becoming fused to titanium) takes place. It  eventually behaves as a root onto which the ceramic crown can be placed. Once the this last step has been done it will look and feel just like a natural tooth.  Your single-tooth replacement will begin by ascertaining the need for replacement with an examination. It may also include an X-ray or CT scan to make sure that you have enough remaining bone to anchor the implant and to determine exactly where the implant should be located.The placement of the implant is a two-stage process. In the first stage, a small pilot hole will first be drilled in the bone where your tooth was. It will then be carefully widened to allow placement of a titanium implant that looks like a small screw. This screw will stay there for 2-6 months to give it time to bond with the bone, creating a secure anchor.

During this process, called osseo-integration, you will wear a temporary replacement crown. In addition to covering the unattractive screw, this also helps it to heal faster and provides a model tooth for the gum to shape itself around.After the osseo-integration process is complete, a new ceramic crown will be created to precisely fit the gap. It will be attached using a small metal post called an abutment. After a brief adjustment period, this new crown will feel so natural that you may forget you ever lost a tooth.

In addition to this normal two-stage process, it may also be possible to do a one-stage procedure that puts the entire replacement tooth in at once using an implant with a pre-attached extension piece. The viability of this varies based on the exact situation, so it will depend on the results of  initial examination.


just as with one missing tooth, several missing teeth can be easily treated with dental implants. Implant supported teeth are permanently fixed in the mouth, unlike removable appliances like dentures. They don’t slip or click, and there is no worry about them moving or falling out when speaking, eating, or participating in activities. And because dental implants are placed directly into the bone, they help preserve the jawbone and prevent bone deterioration. If the implants will be placed next to natural teeth, the natural teeth and surrounding gums must be in good health. If you don't have enough bone to place and support the dental implants, the supporting bone can be built up using bone augmentation or grafting before the actual implant procedure begins.

More information about dental implants:

Ready to Schedule an Appointment