If you’re missing one or more teeth, you’ve probably heard of dental implants. They look natural, feel secure, are the gold standard for replacement, and can last a lifetime with proper care.
But most patients don’t realize there’s more than one type of dental implant. Several approaches exist, and the right one depends on how many teeth you’re missing, where they’re missing, and the health of your jawbone and gums.
Dr. Mark Hagigi at Montgomery Dental Associates & Implantology Center has been placing implants for patients across Rockville and Montgomery County for over 20 years. He’ll evaluate your situation and recommend the approach that fits your needs. Here’s a look at the types of dental implants we offer.

Single Tooth Replacement
If you’re missing one tooth, you have a few options.
- A Traditional Dental Bridge: It involves preparing the teeth on either side of the gap and anchoring a false tooth between them. Bridges work, but they require grinding down healthy teeth to make room for the crowns. That’s a permanent change to teeth that weren’t damaged in the first place.
- A Single Dental Implant: A better option for most patients. Instead of relying on neighboring teeth, the implant replaces the tooth root itself. Dr. Hagigi places a small titanium post into your jawbone. Over the next three to six months, the post fuses with the bone through a process called osseointegration. Once it’s stable, he attaches an abutment and a custom-made crown that matches your natural teeth.
The result is a tooth that looks, feels, and functions like it was always there. Because the implant replaces the root, it helps preserve the jawbone and doesn’t affect the healthy teeth next to it.
Multiple Missing Teeth Solutions
If you’re missing several teeth, the approach depends on how they’re distributed. Options include:
- Implant-Supported Bridge: When you’re missing a row of consecutive teeth, an implant-supported bridge can replace them without affecting the healthy teeth on either side. Instead of anchoring to natural teeth, the bridge attaches to implants placed in the jawbone. That means no grinding down of healthy teeth, and the restoration is more stable than a traditional bridge.
- Individual Implant Crowns: If your missing teeth are spread out, Dr. Hagigi may recommend individual implant crowns for each gap. This approach gives you the most natural result and preserves the health of the teeth between the gaps.
- Combination Approach: Sometimes the best solution is a mix of implant-supported bridges and individual crowns. This depends on where the missing teeth are and what the surrounding teeth look like.
In every case, you don’t need to replace every missing tooth with its own implant. A few strategically placed implants can support a larger restoration.
Full Arch Replacement
If you’re missing all the teeth in one arch, you have a few options, including:
- Traditional Dentures: They’re removable, affordable, and don’t require surgery. But they also have drawbacks. They can slip, they don’t preserve jawbone, and they require daily maintenance.
- Implant-supported Dentures: A more stable, durable option. Instead of resting on your gums, they snap onto implants placed in your jawbone. That means no slipping, no adhesives, and much more chewing power.
- The All-on-4 Technique: The most popular full-arch solution. It uses just four strategically placed implants to support an entire arch of teeth. The back implants are angled to make the most of your available bone, which often eliminates the need for bone grafting. Many patients can have their new teeth placed the same day.
Dr. Hagigi has helped hundreds of patients in Rockville and the surrounding communities restore their smiles with implant-supported dentures. If you’ve been told you’re not a candidate for implants, or if your current dentures are loose and uncomfortable, come in for a consultation.
What About Bone Grafting?
Sometimes the jawbone isn’t dense enough to support an implant. That can happen after a tooth has been missing for a while, since the bone shrinks without the stimulation of a tooth root.
If you need more bone, Dr. Hagigi can perform a bone graft to build up the area before placing the implant. This adds time to the treatment plan, but it makes implants possible for patients who might otherwise be told no. Dr. Hagigi uses advanced 3D cone beam imaging to evaluate your bone structure and plan the graft precisely.
How Do I Know Which Type Is Right for Me?
The type of implant you need depends on several factors:
- How many teeth you’re missing
- Where those teeth are located
- The health of your gums and jawbone
- Your overall health and any medications you take
- Your goals, timeline, and budget
There’s no one-size-fits-all answer. During your consultation, Dr. Hagigi will examine your mouth, take 3D imaging, and discuss your options. Then he’ll create a personalized treatment plan that fits your situation.
Patient Review
Frequently Asked Questions
How do I know if I need a single implant or a full-arch solution?
It depends on how many teeth you’re missing and how they’re distributed. If you’re missing one tooth, a single implant is usually the right approach. If you’re missing a row of consecutive teeth, an implant-supported bridge can replace them without grinding down healthy neighbors.
If you’re missing all or most of the teeth in an arch, a full-arch solution like All-on-4 is often the best fit. Dr. Hagigi will evaluate your situation with 3D imaging before making a recommendation.
What’s the difference between an implant-supported bridge and a traditional bridge?
A traditional bridge anchors to the teeth on either side of the gap, so those teeth must be ground down to make room for crowns. An implant-supported bridge anchors to implants placed in the jawbone instead. That means your healthy teeth stay untouched, and the restoration is more stable because it has its own foundation. For patients who want to preserve their natural teeth, the implant-supported approach is usually the better long-term choice.
Can I get a full arch of implants if I’ve been told I don’t have enough bone?
Often, yes. The All-on-4 technique uses angled implants that make the most of your available bone, often eliminating the need for bone grafting. If you do need more bone, Dr. Hagigi can perform a bone graft or refer you to an oral surgeon to build up the area before placing implants. Many patients who’ve been told they’re not candidates elsewhere are surprised to find that implants are still possible.
How many implants do I need for a full arch of teeth?
Most full-arch solutions use four to six implants per arch. The All-on-4 technique uses exactly four, placed strategically to support a full row of teeth. The right number depends on your bone quality, arch size, and the type of restoration you choose. Dr. Hagigi will plan the exact placement based on your anatomy.
Are implant-supported dentures removable?
They can be either fixed or removable, depending on what you choose. Fixed implant-supported dentures stay in place permanently, and your dentist removes them only for cleaning and maintenance. Removable implant-supported dentures snap onto the implants and can be taken out at night. Both options are more stable than traditional dentures, but they offer different levels of convenience.
What happens if I need an implant in the front of my mouth?
Front teeth require more attention to aesthetics than back teeth. The implant is placed the same way, but the crown must precisely match the color, shape, and translucency of your natural teeth. Dr. Hagigi considers facial proportions, lip line, and gum display when designing front-tooth restorations. The goal is a result that looks completely natural, not like dental work.
Can I combine different types of implants in one treatment plan?
Yes, and it’s more common than you might think. Some patients need a single implant in one area and an implant-supported bridge in another. Others might have a full-arch restoration on top and individual implants on the bottom. Dr. Hagigi builds a custom plan around your specific pattern of tooth loss rather than forcing your case into a single category.
What if my existing partial denture could be stabilized with implants?
In many cases, we can retrofit an existing partial denture to snap onto new implants. This improves fit, prevents shifting, and reduces pressure on your gums. Sometimes we can modify the existing denture; other times, you need a new one. Dr. Hagigi will evaluate your current appliance and let you know whether it’s a good candidate for implant support.
Serving Rockville and Montgomery County
Montgomery Dental Associates & Implantology Center is at 15200 Shady Grove Rd., Ste. 208, in Rockville, MD. We proudly serve patients from Rockville, Potomac, North Bethesda, Gaithersburg, Bethesda, Shady Grove, and throughout Montgomery County.
If you’re missing teeth and want to explore your options, visit Dr. Hagigi. Dr. Hagigi will evaluate your situation, explain your implant options, and create a plan to fit your needs.
Call our new patient line at (301) 679-7786 to schedule your consultation. You can also request an appointment online.