Full Arch Restoration Gaithersburg MD

Missing Lower Teeth

Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.

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Ball Attachment Denture

One option is to have two dental implants placed in your lower jaw and a denture made that snaps onto these implants. This option allows your lower denture to be more stable while chewing than without implants. However, there will still be movement of your lower denture, and sore spots will occur if any food particles, especially seeds, are caught under it. As with all removable replacement teeth, you still will need periodic appointments for denture adjustment.

A mouth with the lower jaw missing all of its teeth
1. Before
A mouth with the lower jaw with two dental implants and no bottom teeth
2. Implants Placed
Denture Attached, lower teeth
3. Denture Attached

Bar Attachment Denture

Another option involves placing four to six implants, depending on your jaw size or shape, into your lower jaw. After healing is complete, the implants are connected with a custom-made support bar. Your denture will be made with special internal retention clips that attach onto the support bar, enabling the denture to snap firmly into place. This is called an “overdenture.” The advantage of this option is that it is much more stable than the first option and allows very little denture movement. Your denture is still removable for easy cleaning and maintenance.

A mouth that has all teeth missing on its lower jaw
1. Before
A mouth without teeth and four implants connected by a metal bar on its lower jaw
2. Implants Placed
A mouth with a Bar Attachment Denture secured onto the lower jaw by four dental implants
3. Denture Attached

Screw Retained Denture

A third option involves placing five or more implants in your jaw and attaching a permanent denture. Your denture is held in place by screws or clasps that secure it to the support posts or bar. It doesn’t touch the gum tissue, which allows you to clean under the denture without removing it. This denture will replace all your missing lower teeth and will not be removed except at maintenance visits. Although cleaning under your denture without removing it is more time consuming and requires more dexterity, many patients who want a permanent denture prefer this option.

A mouth that has all lower jaw teeth missing
1. Before
A mouth that has six dental implants and no teeth on its lower jaw
2. Implants Placed
A mouth with a Screw Attachment Denture affixed onto the lower jaw by six implants
3. Denture Attached

Individual Dental Implants

The final option is to have all your teeth individually replaced so that they will appear to be growing out of your gum tissue and will most closely resemble the appearance of your natural teeth. This option usually requires eight or more dental implants. Separate abutments or support posts for each one of these implants will be made and crowns for each missing tooth will be placed. The teeth are often joined together for sinus grafting to replace bone height strength and support. Overall, this is the most costly option, because it requires the most implants and individual replacement tooth fabrication. Your replacement options may also be limited by the current size and shape of your jaw bone.

A digital representation of the lower jaw missing all of its teeth
1. Before
A mouth showing the lower jaw with all the teeth as individual implants
2. Implants Placed
A mouth showing the healed lower jaw after individual dental implants were placed
3. Healing Completed

Missing Upper Teeth

What if I’m missing all of my upper teeth?

A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more dental implants to support their new replacement teeth.

An Implant Retained Upper Denture with its implants attached

Implant Retained Upper Denture

Depending upon the number of dental implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.

Individual Upper Dental Implants

Individual Upper Implants

If you want a restoration that is similar to your natural teeth and therefore not removable, you probably will need eight-to-ten individual dental implants placed. This is followed after healing by the placement of the abutments and new replacement crowns.

Aesthetic Laser Periodontics & Dental Implants

5 out of 5 stars based on 88 Implant Supported Overdenture reviews

Patient Testimonial

I had been having some gum recession along my "upper right quadrant", and I found Dr. Hadeed because he is in the same office as my regular dentist. After meeting with Dr. Hadeed, he recommended the Pinhole Surgery Technique. I didn't get a second opinion and moved forward with the procedure with Dr. Hadeed after putting it off for several months. During that time Tracie and Dr. Hadeed answered all my questions and were so patient and understood why I was hesitant. It turns out I had nothing to fear. Dr. Hadeed and Tracie are such a professional, caring and compassionate team. During the procedure each of them was so communicative, and Tracie is an excellent hand holder! 🙂 Once the procedure was over Dr. Hadeed took much time in going over the post-surgical recommendations and making sure I knew I could call him at any time. It's been one week since I've had the procedure, and the recovery has been excellent. I'm feeling great, except for minimal swelling. And I mean minimal. I highly recommend Dr. Hadeed and Tracie to anyone looking to correct gum recession. They are lovely to work with and beyond caring. After the procedure Dr. Hadeed checked in with me via text multiple times a day for several days. I sent him several pictures of the surgical area so he could see how I was recovering. Love this team so much! Thank you for an excellent experience. I truly wouldn't go to any other periodontist for this type of treatment.

- Judy S

5 out of 5 stars on

Patient Testimonial

After an old root canal got infected, I began searching for an oral surgeon. In the following months I consulted a few surgeons and never really felt comfortable. Then I met Dr. Hadeed and his wife/assistant Tracie, My positive first impressions proved out. I met Dr. Hadeed and Tracie on a Wednesday at my Dentist's office, Dr. Greenbaum. I felt confident enough to have the extensive surgery two days later. I don't think it's possible to have made me any more comfortable during the surgery. Dr. Hadeed and Tracie kept me in great spirits during the operation, showing warmth and empathy. In the following days, Dr Hadeed and Tracie stayed in frequent contact with me to make sure I was okay and that I was following post operative instructions. It's been five days and I saw Dr. Hadeed today. All looks great I'm having no pain. I'm looking forward to getting the implant in a few months.

- Ben B

5 out of 5 stars on

Patient Testimonial

I came into Dr Hadeed's office feeling overwhelmed, knowing that I needed advance work done because of my periodontal disease diagnosis. I was a nervous wreck because periodontal disease is something that I have been dealing with for a while. I use to receive treatment at another dental office, but felt neglected as a patient and lost hope of ever getting well. On my first, day when I walked in I was greeted with smiling faces all excited to see me; my nerves were eased because of the warm welcome I received. Even booking my appointment was a smooth process. Tracy was so understanding, helpful and patient on the phone as she worked with my schedule to make my appointment. I am simply overwhelm because of the amazing care I have received. Dr Hadeed and Tracy truly care for the whole person; mind, body and spirit. Not once did I feel as if I was just another patient that they had to get through. They took their time to explain everything to me to make sure I understood all that was going on. I received phone calls and text messages over the weekends (when they weren't in the office and didn't have to take time out of their schedule) regarding my care and what the next stages were. As I began my laser treatment, I was at peace because I knew that I was in the best hands. The level of pain I have experienced since beginning my treatment has been so low that I forget that I'm at the dentist. Throughout my laser treatment they made sure I was comfortable and at ease. When I had a concern they stopped and addresses my concern before proceeding. I never thought I would say this, but for the first time in my life, I do not dread going to the dentist. In fact I look forward to going to Dr Hadeed's office because I know that they truly care about me and will do everything in their power to make sure that I am getting world class assistance in my fight with periodontal disease. I'm so thankful that I have found Dr Hadeed and Tracy and their amazing staff. Thank you so much for your smiles, love, expertise, and care. No where else would I have received such amazing care like I have with you all. Thank you from the bottom of my heart.

- Joanna T

5 out of 5 stars on

Patient Testimonial

First things first I thank the lord for guiding me to Dr Hadeed and his wonderful wife Tracy.I had never been a fan of going to the dentist,but today I had an osseous surgery and bone grafting done whilst i listened to the Beatles,this was done with much love,care and perfection. May the good lord bless and keep you both:) Thank you so much for making me feel at home.

- Sidney Hayford

5 out of 5 stars on

Patient Testimonial

This was my first procedure with Dr Hadeed and his assistant Tracie. I was hoping to only have gum lenthening done but found that two teeth had to be extracted due to severe decay deep into the roots. One tooth was a wisdom tooth. I was very concerned and nervous of the thought of it all, but honestly I must say that this team made me feel comfortable the whole time and it was literally pain free, very important for me. I admit Im saddened to have lost two teeth but feel much better knowing that I’ll never be bothered by these two bad teeth and will soon be welcoming a bright shiny implant!

- Brian B

5 out of 5 stars on

Patient Testimonial

I was referred to Dr. Hadeed by my general dentist because of my advanced periodontal disease. After an in depth thorough examination and diagnosis, Dr. Hadeed performed several periodontal surgical procedures involving bone grafting to help save my teeth and bring my gums back to health. My mother had periodontal disease and I strongly feel that her untreated gum disease was a direct contributing risk factor to her demise from heart disease, as the medical and dental profession did not understand the link between them in the past the way they do now! So, needless to say, I in essence feel that my overall general health has drastically improved due to my periodontal treatment. Dr. Hadeed is an exceptionally skilled and kind periodontist. I might also add that his surgical assistant Tracie, who is also my dental hygienist, is remarkable as well. What a pleasure it is to be taken care of by a compassionate and dedicated team!

- Marilyn L

5 out of 5 stars on

Patient Testimonial

Dr. Hadeed has been my periodontist for over 10 years and has performed multiple procedures, most recently dental implants. Through every one of these surgeries, Dr. Hadeed has demonstrated the meticulous planning and execution needed to obtain the very best possible outcome. The breadth of his knowledge and training is exceptional and gives me complete confidence that he can handle the most complex situations. Just as important, Dr. Hadeed operates his practice with the highest level of individualized patient care and with genuine empathy and love for his patients. He is assisted by his wife Tracie, a remarkably attentive and observant hygienist, and by Frieda who keeps everything in the office running smoothly. Together, they create a true family atmosphere. Although it can't exactly be said that it's a pleasure to visit the periodontist, it is certainly true that Dr. Hadeed and his team can always be counted on to bring comfort, inspire confidence, and help in every possible way..

- Carol F

5 out of 5 stars on

Patient Testimonial

I have had significant periodontal issues for years, and have had a number of bad experiences with different periodontists. So you can imagine my reluctance and trepidation when I first met Dr. Hadeed and Tracie (the two of them are truly team, and their partnership is a differentiator). Dr. Hadeed and Tracie put me at ease from the very beginning. Dr. Hadeed is analytical, thorough, and precise. He explained to me what he was thinking at every step of the process, and always had time to answer my questions and address my concerns. The procedure (a pin-hole procedure) went flawlessly, and Dr. Hadeed and Tracie were as warm and accessible during the recovery period as they were during the analysis and planning period. Ultimately, the procedure was a success. Dr. Hadeed is a skilled practitioner and Tracie is his able partner and technician. The two of them are caring, empathetic, and communicative. I wholeheartedly recommend the two of them without hesitation. (In fact, when the time is right, I will return to have them perform the procedure on the other side of my mouth!)

- Brian L

5 out of 5 stars on

Patient Testimonial

Dr. Hadeed performed osseous surgery to treat a large infection and bone loss due to a failed implant by another dentist. When I was making the appointment, Dr. Hadeed and Tracie were really thorough in explaining what the procedure involved in order to access the infected site, the debriding process, the direct application of antibiotics to the site, and the process to regenerate the bone in the infected site. Tracie even went over some of the discharge instructions. All of his information really helped drop my anxiety level. The procedure was done using local anesthetic and was painless! Throughout the procedure, Dr. Hadeed was telling me what he saw and what he was going to do based on that (the implant was removed) and Tracie was letting me know what each step would feel like (tugging, a lot of tugging, possible sensations in neighboring teeth). He contacted me several times on the day of the procedure, as well as the following days to see how I was doing. Dr. Hadeed and Tracie are not just really great health professionals, they are very caring people. I absolutely recommend them!

- RITA B

5 out of 5 stars on

Patient Testimonial

I went to see Dr. Hadeed for the implant. Prior to my visit, I watched an online animation of how the implant was done. When my implant was done by Dr. Hadeed, I was amazed when he showed me the X-ray image. The end result looked exactly like what I saw in the animation! I was very grateful to Dr. Hadeed and his wonderful assistant Tracie for the beautiful job they have done. They made me feel very comfortable and relaxed during the procedure. And they both checked on me that evening and the following days to make sure I was recovering well. I will definitely go back to them if needed in the future.

- Fan Y

5 out of 5 stars on

Patient Testimonial

When I came to see Dr. Hadeed I was quite on the brink of desperation. Being in really bad shape, including a broken tooth, Dr. Hadeed started by explaining and designing a comprehensive plan to get back my smile. He said we'll work on this together, it will take some steps but we are going to work it together. Needless to say I was reassured from minute one. Him and his incredible assistant Tracy make such a great team that you can not feel other than a lot of gratitude and feel rewarded for having met with them. I didn't mention it but I do need several implants and a lot of work, I was consulting Dr. Hadeed about Teeth Xpress but he said: "wait a minute, we don't need to destroy what you have", I was thinking, "wow, Dr. Hadeed seems to care for me more than I care for me myself.." I would not end today if I start describing the whole surgical procedure, and all the care involved from him and from Tracy, let me just say that when Dr. Hadeed was following up with me every day for a week afterwards, checking how I was recovering, I was and I am really impressed. Dr. Hadeed is not just good, he is excellent!

- Mario A

5 out of 5 stars on

Patient Testimonial

I have undergone several oral osseous surgeries, both with Dr. Hadeed and elsewhere. For my most recent procedure, Dr. Hadeed recommended a LANAP procedure, which uses a laser. LANAP is considerably easier for the the patient than traditional osseous surgery, involving significantly less pain both during and after the procedure. In addition, I noticed less tissue shrinkage with the LANAP, something Dr. Hadeed verified was normal with LANAP. I highly recommend LANAP surgery when a skilled practionner recommends it. Dr. Hadeed and his staff are expert in the use of this leading edge technology. Highly recommended!

- Sook M

5 out of 5 stars on

Patient Testimonial

Dr. Hadeed is an excellent Periodontist! He is extremely knowledgeable, gentle and explains the procedure in detail, so that you are comfortable. Tracy is amazing very knowledgeable and provides lots of information on how the procedure will be performed. After my surgery, Dr. Hadeed text me to check in and see how I was doing. I can't praise and thank Dr. Hadeed and Tracy enough! I was extremely satisfied with my procedure and will definitely go Dr. Hadeed if needed in the future.

- Mary H

5 out of 5 stars on

Patient Testimonial

I started going to Dr. Hadeed about 25 years ago. He was referred to me by a friend for TMJ. After X-rays, molds and an exam he made me a mouth guard which I still have and continue to wear every single night, even when I nap. After my TMJ got under control I just went in for check ups until I had a gum recession that seemed to occur overnight. I went in for an exam was told gum grafting was needed. Dr. Hadeed and his hygienist Tracey actually came in on a Saturday to do a 3 hour gum grafting procedure on me. This was probably 5 or so years ago. Its amazing that whenever I go to a dentist now they can't even tell I had gum grafting Dr. Hadeed's job was so good!!! Recently I went to him to have my much loved night guard adjusted due to a few additional crowns. I will always recommend Dr. Hadeed and he will always be my go to doctor for gum grafting or TMJ. I'm sure if I need anything else done that he does I wouldn't hesitate to use him for that either. He is in one word EXCELLENT!

- Mindy B

5 out of 5 stars on

Patient Testimonial

Dr. Hadeed is my general dentist’s own periodontist. The doctor that the doctor trusts must be good, right? No, he is superb. Dr. Hadeed and his assistant Tracie did a great job of surgical extraction, and bone grafting for me. I am very happy about the result and would definitely recommend Dr. Hadeed.

- Audrey Y

5 out of 5 stars on

Patient Testimonial

Dr. Hadeed and his wife Tracie are a sincere, caring team, who go way above and beyond to provide exceptional medical care, from my initial consultation and now during treatment, I feel blessed to have been referred to them. After years of failing teeth they have made me confident that I will again have healthy teeth and new Smile. I’m extremely pleased to be their client and now friend. Harvey N.

- Harvey N

5 out of 5 stars on

Patient Testimonial

Dr.Hadeed provided me with a spectacular demonstration of superb dentistry.He's great!

- Alan D

5 out of 5 stars on

Patient Testimonial

My Dr. Hadeed is the most caring, gentle, and expert that I have ever experienced. I endured absolutely no pain during the surgery and implants. I would recommend him to anyone of my family or friends as they would do well to put themselves in his expert hands. It is to his benefit and credit that he is works along side his wonderful and expert, assistant - his wife, Tracy. Together, they treat each patient as though they are their only ones - plus they make a wonderful team (like no other). hadeed

- Adele C

5 out of 5 stars on

Patient Testimonial

Dr Peter Hadeed and Dental Assistant Tracie are a unique team, in perfect tune with the patient, each exceptionally skilled at his/her profession. Peter consulted unstintingly with my 82 year old husband's cardiologist prior to the surgery, acquainted himself with every aspect of his other health needs, patiently explained (and re-explained to two nervous elderly people!) articulately the details and reasons for the work that was required to a bring a full quadrant of dead root, bone damaged, gum decayed teeth and tissue back to health.. And then performed this delicate 2-1/2 hour surgery with compassion; excellence; state of the art equipment; PAINLESSLY without drugs, just numbing as he went; and when finished, carefully detailed an easy to follow typed, aftercare program. But my husband claims the best part was Tracie's tender ministering to his mouth, throat and lip comfort while both of them regaled him with humorous stories and warmth. It is 2 days later and amazingly, no pain! Dr Hadeed is a talented periodontist and together with Tracie, examples of two fine people dedicated to their service to their patients.

- Lois & Jerry P

5 out of 5 stars on

Patient Testimonial

I cannot say enough kind things about Dr. Hadeed, Tracie, and Freda. I sought out help from Dr. Hadeed after learning I would need extensive periodontal work to be medically cleared for hip replacement surgery. They got me in the day after I called and conducted a thorough examination and explained the options. Once a decision was made, they got me in quickly. We did one side of the mouth at a time. I was nervous about the process before the first session. Tracie let me pick the music and she and Dr. Hadeed carefully explained each step as it was happening. Dr. Hadeed made sure I had enough numbing medication to be comfortable and he gladly supplemented it as needed. It was far less painful than I had thought. The best part was the follow up. I got texts throughout the evening and into the weekend from both Dr. Hadeed and Tracie to make sure I was ok. Dr. Hadeed was also very fair in his fee structure and mindful of the fact that my insurance covered next to none of the work. I cannot thank Dr. Hadeed, Tracie and Freda enough for making what could have been a terrible experience as professional and pleasant as possible.

- Alec L

5 out of 5 stars on