Dental Implants

Dental Implants Can Make You Look AND Feel AMAZING

You know you want to smile. And, sometimes that is hard if your teeth aren’t exactly the way you would wish they were. If you have lost teeth based on injury, accident or disease, then dental implants may be a great solution. Dr. Bondar and his team at Smile Design Center will help make sure that your smile is as beautiful, strong and long lasting as possible. We use the very best technology – some of which Dr. Bondar invented himself – to make sure that the results are exactly what you wished.

Dental Implants are an alternative to dentures or bridge work for replacing your damaged or missing teeth.
The dental implant is made from strong materials like titanium and is implanted in the jaw bone.
Dental implants function like the roots of your missing teeth.
Implants are typically placed with only a local anesthetic.
Generally, there is minimal post-operative pain or discomfort.

Dental implants are teeth that look and feel just like your own! When a tooth is removed, it’s best to replace it with a dental implant as promptly as possible, preferably same visit. After you lose a tooth the load and work that each remaining tooth has to take is increased because there are fewer of them.

Dental implants are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. If you have missing teeth, dental implants can help you regain the ability to eat virtually anything and you can smile with confidence.

The Smile Design team will also make sure that the entire procedure is as pain free as possible so that after the entire procedure is done you will be not only happy with the result but also with the process!!

Dr. Bondar is the inventor of patented KAT Implants System, he holds three US and one EU patents for dental implants. KAT implants received FDA approval in 2009 and have been placed in most of the states in US. KAT implants are stronger than traditional hollow implants due to a unique solid body design. Superior strength allows for smaller diameter implants to be used in narrow ridges to minimize the need for costly bone grafts.

Visit www.katimplants.com for more information on KAT Implants System.

Dental Implants and veneers helped this patient to improve her smile.

Smile rejuvenated with dental implants and veneers. Dentistry and lab work by Vitali Bondar, DDS - Portsmouth NH dentist.

Stronger Dental Implants are Better!

Why are stronger implants good for you?
Stronger implants are less likely to fracture. The Implant Strength Diagram on the left shows the strength of KAT 3.1mm diameter implant compared to other leading manufacturer’s 3.0 – 3.5mm diameter implants.
KAT 3.1mm implant has twice the strength! That’s because of a unique solid body design of KAT implants.

The x-ray below shows a fractured implant that required implant removal. When choosing implants, go with the stronger option!

Smaller diameter implants can be placed without bone grafting if there isn’t sufficient bone width present for standard size implants. KAT implants is a logical choice for limited bone width treatments because of an added strength of a solid body design.

$Dental implants can fracture$

Dental Implants Prices at the Smile Design Center located in Portsmouth, NH are:

Single Implant Treatment in Healed Sites

Treatment tiers	Budget All teeth, except upper central incisor.	Premier All teeth, except upper central incisor.
Final crown material	Solid zirconia	Solid zirconia
First visit consultation	– Free of charge – 3D x-ray included – Done by a dental assistant – Treatment plan emailed within 2 business days	– Free of charge – 3D x-ray included – Done by the dentist – Treatment plan emailed within 2 business days
Crown scan	– Done at the time of implant placement	– Done 3 months after implant placement – Waiting 3 months to scan for a crown allows more precise contouring of the crown to get better esthetics
Post-operative appointment	– Done over the phone by staff member 1-2 weeks after the surgery	– Done in-person by the dentist 1-2 weeks after the surgery
Warranty	1 year, covers implant or crown failure	5 years, covers implant or crown failure
Cost	– $2,750 for a single implant in a healed site – $2,500 for the second implant placed and restored at the same time – $2,000 for each additional implant placed and restored at the same time Cost includes implants and crowns	– $3,500 for a single implant in a healed site – $2,500 for the second implant placed and restored at the same time – $2,000 for each additional implant placed and restored at the same time Cost includes implants and crowns
Ideal for	– Patients who are looking primarily for function and are less concerned with appearance. Some metal may show next to gum line at the time of crown delivery	– Patients whose appearance standards are high – Patients who value longer warranty

Single implant to replace upper central incisor – $4,500. Includes custom abutment and zirconia crown. Upper central incisors are the most challenging teeth to restore in regards to the shape and color match. Additional appointment are frequently required to achieve pleasing result.

The following are Bone Grafting Procedures that are charged separately:

Sinus Grafting, side window (lateral) approach, when bone height is <5 mm – $2,200.

Sinus Grafting, vertical approach, can be done the same time with implant placement if minimum bone height is 5-6 mm – $700.

Cortical Bone Graft (bone plate attached to the side of jaw bone with screws, done when bone width is minimal) – $3,000.

Guided Bone Regeneration (placement of membrane over bone graft if outside bone plate is missing due to infection) – $500.

The following treatment options are given to patients who are ready to replace all of their teeth. Highest quality materials (made in USA, Germany or Japan) are used for temporary and final restorations. Costs are given per arch.

Option 1 – Full denture without implants – $5,500

Extraction of all teeth, bone grafting of all extraction sockets;
Immediate denture delivered same visit with extractions;
Two soft tissue relines to improve fit of denture during healing time of 5 months;
Permanent reline after gums stop changing shape rapidly. Usually done 5 months after extractions.
All denture adjustments within 6 months from denture delivery.

Upper denture without support from dental implants.

Option 2 – Full denture with four implants – $12,000

Extraction of all teeth, bone grafting of all extraction sockets;
Immediate denture delivered same visit with extractions;
Placement 4 implants;
Two soft tissue relines to improve the fit of denture during healing time of 5 months;
Permanent reline after gums stop changing shape rapidly. Usually done 5 months after extractions.
Placement of abutments over implants and attachments inside denture. This step is done on the same day with permanent reline.
All denture adjustments within 6 months from denture delivery.

Dental implants placed same visit with full arch extractions.

Upper denture with support from implants.

Option 3 – Fixed 10 – 12 teeth zirconia bridge on 4 – 6 implants.

Treatment tiers	Budget	Premier
Final bridge material	Solid zirconia layered with gum colored porcelain	Solid zirconia layered with gum colored porcelain
Temporary and proof bridges to fine-tune appearance of the final bridge	None. Final bridge is made within 48 hours. If surgery is done on Monday, the Final bridge is delivered on Wednesday. Final bridge is designed based on shape/position of the existing teeth and pictures/scans taken prior to beginning of treatment.	One or two. Temporary bridge is inserted at the time of teeth removal appointment after implants are placed in. Typically, one, sometimes two proof acrylic bridges are made after implants heal and gums stop shrinking (takes 3-4 months). Proof bridge allows patients to test the function and esthetics prior to committing to a final bridge.
Length of treatment	3 days. Final bridge may have to be removed in order to add gum-colored porcelain if there is large amount of gum tissue loss under the bridge.	4-5 months. Final bridge is made after gum tissue change stabilizes.
Warranty	1 year, covers implant or bridge failure.	5 years, covers implant or bridge failure.
Cost	$16,000 for one arch treatment.	$20,000 for one arch treatment.
Ideal for	– Patients who are looking primarily for function and are less concerned with appearance – Lower teeth replacement	– Patients who want absolute certainty in the final bridge appearance – Upper teeth replacement

Fixed Upper Teeth Bridge on Dental Implants

Close-up view of fixed bridge on 8 dental implants

Close-up view of fixed bridge on dental implants

Eight KAT dental implants and a permanent fixed bridge

Full arch fixed zirconia dental implant bridge

Upper fixed bridge on 5 implants

Full upper and lower implant bridges

Upper and lower fixed implant zirconia bridges

Upper and lower fixed implant bridges

Upper and lower fixed implant bridges x-ray

Before the treatment

Zirconia bridge on 4 implants

Layered zirconia bridge on 4 implants

Panoramic x-ray at time of extractions and implant placement

Upper right back angled implant

X-ray of front right implant

X-ray of front left implant

Upper left back angled implant

Upper fixed bridge on 5 implants

Upper fixed bridge on 5 implants x-ray

Smile image

Finished bridge

X-ray of finished bridge

Milled zirconia bridge

Colored zirconia bridge

Upper and lower screw-retained fixed bridges on implants

Fixed screw-retained upper and lower bridges on implants

Upper cemented and lower screw-retained bridges

Upper full arch cemented bridge on four implants

Upper cemented full arch bridge on six implants

Upper and lower fixed zirconia bridges

Upper and lower fixed bridges on implants

Upper fixed bridge on 5 implants

Lower screw-retained bridge on implants

Upper and lower fixed zirconia bridges

Upper and lower fixed bridges

Upper fixed bridge on 5 implants

Upper and lower fixed bridges on implants

Upper fixed bridge on implants

Upper and lower fixed zirconia bridges

Upper all-on-four bridge

Upper fixed bridge on 5 implants

Lower fixed bridge on implants

All-on-four upper fixed bridge

Upper and lower fixed zirconia bridges

Upper all-on-four bridge

Upper and lower fixed zirconia bridges on implants

Upper fixed zirconia bridge on 5 implants

Upper 12 teeth zirconia bridge on 4 implants

10 teeth zirconia bridge on 5 implants

Upper and lower fixed zirconia bridges on four implants

Upper and lower fixed zirconia bridges on implants

Broken, missing, decayed teeth

Upper and lower fixed zirconia bridges on implants

Upper and lower fixed zirconia bridges

Upper bridge retracted view

Lower bridge retracted view

Lower zirconia bridge on four implants

Lower zirconia bridge on six implants

Lower zirconia bridge on five implants

Upper fixed bridge on 4 implants

Lower fixed bridge on 5 implants

Upper fixed bridges on 7 implants

Upper fixed bridge on 4 implants

Upper fixed bridge on 5 implants

Upper and lower fixed bridges on implants

Upper all-on-four zirconia bridge

Upper and lower fixed zirconia bridges on implants

Upper fixed bridge on 6 implants

Lower all-on-4 fixed zirconia bridge

Upper fixed bridge on 5 implants

Upper all-on-four zirconia bridge

Before treatment

Upper all-on-four zirconia bridge

Upper fixed bridge on 4 implants

Kori Schlieder

Upper fixed bridge on 4 implants

Upper and lower fixed zirconia bridges on implants

Upper fixed bridge on 7 implants

Upper fixed bridge on 5 implants

Lower fixed bridge on implants

Upper fixed bridge on 4 implants

Before

Upper fixed bridge on 4 implants

What about “Permanent Bridges Same Day” advertisements?

We can make a “permanent” acrylic bridge and cement it the same day on implants in most cases. We just call it a TEMPORARY. One can’t really call a bridge permanent unless it is made from metal with overlaid porcelain or a solid zirconia. Acrylic is prone to fractures, discoloration and will wear fast. Zirconia requires 8 hours of sintering time in an oven, porcelain to metal bridge requires even more in-lab time. Adding porcelain to permanent bridges to close gaps caused by shrinking gums and bone (we prefer to call it “soft and hard tissue remodeling”) would be a big project too. Our on-site lab can make bridges and crowns as fast as any commercial lab, but we recommend to get through the healing stage with the temporary bridge and not to rush into a permanent one. Usually it takes 3 – 5 months for bone and gums to settle in after extractions and implants placement. This way the spacing between the bridge and gums will be ideal (if it’s too large – food will accumulate easily, and if it’s too small – you will not be able to clean under the bridge). The final result will be so much better!

Let us at the Smile Design Center recommend the best option for your dental implants treatment!

We are so confident that our experience (>300 implants placed and restored annually) combined with excellent customer care, flat fee schedule and complete integration of the entire process (in-house manufacturing of implants, abutments, crowns, permanent and temporary bridges and dentures) allows us to provide extremely competitive treatment pricing, that we will give you 10% off a comparable printed treatment plan/cost estimate from any other provider.

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