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Advanced Dental Implant Procedures

Knowledge of Human Occlusion and Surgical Adeptness

Dental Implant ProceduresDental implant placement requires extensive knowledge of the human occlusion or bite as well as technical skill in implant placement combined with years of surgical training. Emily M. Sabbagh M.D., D.D.S. is an Oral and Maxillofacial Surgeon. Her formal training at Columbia University and University of Pennsylvania included the placement and theory of dental implants.

Dr. Sabbagh has placed thousands of implants from systems such as Branemark, Biomet 3I, Nobel Biocare, and BioHorizons. Years of formal training in proper implant placement is very important because the angle, anatomical location, and depth of the implant placement for good aesthetics and function is of utmost importance.

The use of imaging techniques including CT scan or traditional radiographs may be necessary for customized placement along with the surgical stent which is fabricated by the restorative dentist.

A team approach between the restorative dentist and the oral surgeon is key to the success of the dental implant placement. Dr. Sabbagh will work closely with the patient and the restorative dentist every step along the way.


The All-On-Four system by Nobel Biocare is an implant system with unique angles enabling the implants to be placed in areas of the top and bottom jaw with minimum bone. When a person cannot wear a denture due to loss of bone, this implant system allows the patient to walk out of the office with a new set of teeth and an implant prosthesis in place. This implant prosthesis or bar system allows for a denture to sit on top of the implants. The All-On-Four technique restores a patients function and aesthetics in one day. Call Dr. Sabbagh today or simply request an appointment online with our always secure appointment request form.

Immediate Implant Loading

The single tooth implant is one which is placed at the same time as the dental extraction and the crown is placed at the same time as well. This is called immediate implant placement and loading. Depending on the location and amount of missing bone at the time, this may not be possible. If there is not enough bone, then a bone graft is placed first at the extraction site. The implant is then placed four to six months after the bone graft is placed.

Once the implant is placed it is important for the patient to let it integrate with the jawbone before applying total chewing force on the area. Premature chewing or occlusal forces can leads to implant failure. If you have any questions about implants or implant post operative care do not hesitate to call our office or make an appointment to see if dental implants are right for you.

Why does a dental implant require a bone graft?

Sometimes there is not enough bone in an area of the jaw and the implant if placed, would not be stable. In this case a bone graft is placed in the area and after waiting for this to heal, an implant can be placed into the regenerated area. The bone graft can either be an autogenous graft (from a cadaver) or from another area of the same patient (autologous). The bone graft can also be from another species such as a cow (xenograft). Often a membrane is placed over the newly grafted areas to prevent the overlying tissue from growing into the area. Dr. Sabbagh's vast fund of knowledge on advanced bone grafting techniques allows her to customize the graft that is right for your situation.

Does it hurt to get an implant?

Once you and your oral and maxillofacial surgeon decide on the treatment, you will receive local anesthesia to the area and be given IV anesthesia for added comfort and relaxation. Most patients just doze and wake up with minimal or no recollection of the surgery.