Dental Implants

Dr. Nicole G. Nalbandian (DDS, MS)

Dental implants have become a valuable tool dentists have at their disposal to replace missing or non-restorable teeth. Dr. Nalbandian is committed to staying up to date with the most current advancements in dental implants to make this therapy accessible to her patients at the highest standard of care. We routinely use implants in our practice to replace single missing teeth, replace multiple teeth, or to anchor removable dentures. 

What is a Dental Implant?

Dental implants are a prosthetic, known as a fixture, that anchors itself into the jaw bone to support dental restorations in the process of replacing missing teeth, or in more complex cases, full mouth rehabilitation restorations. They are both functional and cosmetic in that they improve a patient’s chewing capacity while appearing natural and fitting in the patient’s mouth. The implant fixture is an artificial root, which is typically made of titanium or zirconia. In the months following implant placement within the jaw bone, bone naturally tends to form around the implant through a process known as osseointegration holding the implant firmly into the jaw bone.  An implant has three main components: the implant fixture that goes into the jawbone, the abutment that connects the post to the replacement tooth, and the prosthetic tooth which has a custom shape and color to achieve a highly esthetic result. 

Meet Our Doctor

Dr. Nalbandian is a general dentist focused on delivering the highest quality cosmetic and restorative dentistry to her patients. She believes that exceptional dental care begins with the doctor-patient relationship and customizing treatment to meet the needs of each individual patient. 

In an ever-changing world of dental technology and techniques, Dr. Nalbandian is an avid learner. She is committed to continuing education courses which allow her to offer patients the most advanced care. Her goal is to bridge long-lasting solutions with the most conservative treatment. 

Since completing her dental training, Dr. Nalbandian has embraced a rewarding career as an exceptional dental clinician. She has also returned to her alma mater, UCLA School of Dentistry, to teach future generations of dentists and currently serves as a faculty member at the WEST Los Angeles Dental Hygiene program.

Those who know Dr. Nalbandian quickly come to realize that dentistry truly is one of her greatest passions. When she is not in the clinic or teaching, Dr. Nalbandian enjoys practicing yoga and getting outdoors. 

The Dental Implant Process

The process of dental implant placement can often take several months to complete in order to achieve the best results. The entire process is painless and completed under local anesthetic.

Step 1: Consultation and planning 

Schedule your consultation. During this visit your dentist will complete an oral assessment which would include x-rays and an evaluation of the space available for a potential implant. 3D imaging may also be required to better visualize position of critical structures and quantity of bone present. Your doctor will also discuss any relevant medical history which may affect the possible success of implant placement.

Step 2: Preparing for implant placement 

In preparation for a dental implant placement, the implant site may need to have a bone graft placed prior to implant placement so that there will be adequate bone present to hold the future implant fixture. If there is a tooth present, this tooth would be extracted and a bone graft would be placed allowing the void where the previous tooth root was to fill with natural bone. After this step is complete, patients are usually asked to allow for healing anywhere from 3-6mo before placing the implant itself. (In some cases this step can be skipped and we can jump to step 3)

Step 3: Implant placement 

After healing has been completed from any extractions or bone grafting that needs to be done, you will be ready to have your implant placed. It is during this time that the implant fixture is placed within the jaw bone and covered to allow for the jaw bone to integrate around the implant fixture (osseointegration). This healing period will take another 3-6mo.

Step 4: Restoration 

After successful healing, the implant will be ready to have a final restoration placed on it. This restoration is a crown (or artificial tooth) that attaches to the implant and is designed to custom fit the other natural teeth around it. For our patients with complete dentures, implants can also be used during this step to attach to anchor dentures so that they are more stable offering improved chewing function. 

Step 5: Lifetime care and maintenance 

Implants, just like teeth, require lifetime care and maintenance. You will need to continue to see your dentist every 6 months for routine cleanings and check-ups to prevent bone loss or complications which would compromise the longevity of your implant. 

How to care for dental implants?

Proper care and maintenance of dental implants are essential to the long-term longevity and success of your implant. Some tips to maintaining your dental implants are as follows: 

  • Basic hygiene: Brush 2x/d with a soft bristle toothbrush. Use a waterpik to get debris out from around the implant fixture. Floss with un-waxed or implant specific dental floss.
  • Type of Toothbrush: Soft bristle, electric, toothbrush always works best.
  • Routine Dental Care: Regularly visit your dentist to check and professionally clean your dental implant. At Nalbandian Dentistry, we recommend check-ups and cleanings every 6 months to proactively catch and treat early signs of implant disease known as peri-implantitis. 
  • Prevent clenching: Clenching or grinding your teeth while you sleep at night can be detrimental to the bone support around your implant. If you notice that this may be an issue, talk to your dentist about having a night guard made.
  • Avoid Smoking: Smoking is one of the key risk factors in periodontitis and peri-implantitis. It could drastically increase your risk for bone loss and compromise the long term success of your implant. 
How to care for dental implants?

Appointments

Please reach us at [email protected] if you have any questions.

New Patient Exam

1 Hr


Emergency Visit

1 Hr


Consultation

30 Mins


Benefits of Dental Implants

Benefits of Dental Implants

Dental implant therapy has a wide range of benefits when compared to other dental restorations. When appropriate, they offer superior comfort, functionality, esthetics, and durability compared to alternative treatment options.  Some of these benefits are explained below: 

Comfort

When it comes to single teeth that need to be replaced, implants can be a great option that anchor directly into the jaw bone as a normal tooth root would. Patients are able to floss and clean around the implant as they would a natural tooth.

An implant could also be used to hold down a loose denture offering increased stability and improved chewing function. This reduces the chance for gum irritation and eliminates the need for messy denture adhesives. 

Function

Missing teeth can often impact speech and chewing function negatively. It also unevenly distributed forces to the remaining teeth which then become worn down due to excessive function distributed over a smaller area. This loss of function can often cause patients to limit the variety of foods they are able to eat or hinder their progress in social or professional endeavors due to speech limitations. 

Long-term oral health 

Implants also help maintain long-term oral health since they prevent bone loss that often occurs after losing a tooth. They also do not require alteration to neighboring healthy teeth like bridges do.

Esthetic 

Dental implant crowns are fabricated with such cosmetic precision that it is often difficult to differentiate an implant crown from the remaining teeth in the mouth. 

Permanent

When well cared for, dental implants offer a long-term solution to tooth loss providing patients confident and functional smiles for decades.  

When Do We Use Dental Implants?

When Do We Use Dental Implants?

Implants are an exceptional tool for people looking to replace missing teeth or improve functionality of a prosthesis. Here are some conditions where dental implants could be utilized as a restorative option: 

  • Tooth loss due to decay or fracture 
  • Replacement of multiple teeth
  • Jaw bone preservation
  • Anchoring loose dentures 

Who is a Good Candidate for Dental Implants?

At Nalbandian Dentistry we take pride in treating not just the mouth but looking at our patients well-being as a whole. Having a doctor that understands and takes into consideration your medical and social history when determining if a dental implant is an appropriate treatment option for you is critical to the long term success of an implant restoration. Here are some factors that could impact the success of an implant restoration, if any of these apply to you please be sure to discuss this further with your provider: 

  • Smoking 
  • Diabetes 
  • History or concurrent chemotherapy/radiation treatment 
  • History or concurrent treatment for osteoporosis/osteopenia 
  • Severe periodontal disease
  • Severe clenching/grinding
Who is a Good Candidate for Dental Implants?

Appointments

Please reach us at [email protected] if you have any questions.

New Patient Exam

1 Hr | Prices Vary


Emergency Visit

1 Hr | Prices Vary


Consultation

30 Mins | Prices Vary


How Long Will Your Dental Implant Last?

The average lifespan of a dental implant ranges anywhere from 10-30 years. The longevity of an implant is subject to many factors such as oral hygiene, overall patient health, and routine dental check-ups. Certain social factors such as smoking can also dramatically decrease the lifespan of a dental implant. Given proper hygiene and care, dental implants serve as a reliable and long term solution to treating tooth loss and improving dental function. 

Contact Us

WE LOOK FORWARD TO HEARING FROM YOU

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DR. NICOLE G. NALBANDIAN

Call Us: +1 (818) 262 3043

[email protected]

916 w. Burbank Boulevard, Suite A (BB Dental Care), Burbank, California 91506