Referring Doctors · Washington, DC
Full-arch and complex implant support for restorative teams.
Terminal dentition, staged grafting, esthetic-zone tissue, struggling arches — the cases where surgical planning and prosthetic planning have to move together. Here is how that collaboration runs.
Candidate triage you can hand off
Failing-dentition patients arrive with more questions than records. We take the triage from you: comprehensive periodontal evaluation, CBCT imaging of bone volume and anatomy, and an honest sort of which teeth are stable, which are treatable, and which belong in the replacement plan.
You get the findings and the recommended pathway — fixed full-arch, overdenture, or a preservation-leaning hybrid — before anything irreversible happens.
Site development and sequencing
Complex implant cases are won in the sequencing: what gets extracted when, where ridge preservation happens, which sites need lateral augmentation or a sinus lift, and how healing windows stack against the patient's restorative timeline.
We build that sequence with your prosthetic end-point fixed first, then work the surgery backwards from it — and we put the sequence in writing for both offices.
Tissue management around the final prosthesis
Full-arch outcomes live or die on tissue: keratinized tissue around implant platforms, papilla expectations in the esthetic zone, and the transition line under a fixed bridge. We manage the soft tissue as deliberately as the bone, so the prosthesis you deliver seats against a stable, cleansable foundation.
Provisional and restorative coordination
When restorative collaboration is involved, treatment planning stays aligned around tissue, implant, and final-prosthesis goals. That means direct coordination on impressions and scan bodies, abutment selection, provisional design and timing, and the handoff schedule for the definitive restoration.
Your patient comes back to you for the restoration — by design. If your office wants a different division of labor on a given case, say so at submission and we plan around it.
When an existing full-arch case is struggling
Peri-implant inflammation under a fixed arch, a failing terminal abutment, or bone loss around strategic implants — send it early. Salvage options narrow as bone goes; evaluation with imaging tells everyone where the case actually stands.
Patient-facing context your office can share: full-arch dental implants · failing teeth: full-mouth options · peri-implantitis treatment
Referring-office questions
- Do you place implants for restorative dentists routinely?
- Yes. The periodontists place the implant in the position the restoration requires, and the restorative dentist creates the final prosthesis. That division is standard practice here, not an exception.
- How early should I involve you in a full-arch case?
- At the triage stage — before extractions if possible. Extraction order and socket management change the bone available later, so the earlier the surgical plan is set against your prosthetic goal, the more options the patient keeps.
- What records help most on complex cases?
- Recent radiographs or CBCT if you have them, periodontal charting, your restorative goal, urgency notes, and relevant medical history. The case submission checklist page lists the full set — but do not hold a referral waiting on perfect records.
Send the case with confidence.
Secure referral submission, findings back to your office, and your patient returned to you for the restorative phase — by design.