Frequently Asked Questions (FAQs)


Dental Implants


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    What is a dental implant?

    A dental implant is a substitute tooth root that serves the same function as a natural tooth root. It preserves bone and provides a stable foundation for a replacement tooth that looks, feels and functions like a natural tooth. Dental implants are made of titanium, which is a biocompatible material.

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    Why are dental implants better than bridges, partials and dentures?

    Dental implants can last a lifetime, unlike bridges, partials and dentures that may need to be replaced several times. Since dental implants prevent the bone resorption that occurs when teeth are missing, the natural appearance of the smile is preserved. With implant treatment, there is no compromise to adjacent teeth; they are not cut down to place a bridge, or loosened by the hooks on removable partials. Dentures and partials have the added disadvantage of accelerating the bone resorption process, which causes the appearance of premature aging.

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    Will my new teeth look natural?

    Your new replacement teeth will look, feel and function like natural teeth. And since implant treatment is the only solution that prevents bone resorption, which can cause your smile to look unnatural, the long-term esthetics will be superior to any other treatment option.

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    Who is a candidate for dental implant treatment?

    Nearly everyone who is missing one or more teeth and in general good health is a candidate for dental implant treatment. There are a few medical conditions and habits, such as smoking, that can reduce the success of implant treatment. Quality and quantity of available bone for implant placement are the most important factors in qualifying for dental implants. However, even people with a significant amount of bone loss can be a candidate for dental implant treatment with the aid of bone regeneration procedures.

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    Is anyone ever considered too old for dental implants?

    Any person in generally good health and a desire to improve the quality of life can undergo implant treatment. The procedures are typically minimally invasive and can usually be accomplished in one short treatment visit. We treat many individuals in their 90s.

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    How long do implants last?

    Documented clinical research demonstrates that implant supported replacement teeth have been successful for over fifty years from the date of treatment. Our belief, based upon our experience over the past thirty years, is that the vast majority of implants will last a lifetime. Sometimes, the tooth restoration on top of the implant “root” will wear down just like a restoration on a natural tooth, and will require repair or replacement. Important factors that contribute to the long-term success of implant treatment include good home care and regular maintenance visits with the restorative dentist or periodontist.

All-On-4 Dental Implant Procedure


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    What is “All-on-4®” ?

    The All-on-4® treatment concept is a cost-efficient treatment option that provides patients with a non-removable, fixed prosthesis which replaces all of the teeth in one dental appointment. Typically, only four dental implants are required to support the overlying teeth, but sometimes one or two more implants are required. Patients who undertake this procedure are suffering from ill-fitting complete or partial dentures, or are living with severely diseased natural teeth, gum and bone that has resulted in pain, poor function and appearance.

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    How do I know if I am a candidate for All-on-4®?

    Drs. Feuerman and Castellucci will use state of the art 3D imaging to evaluate your teeth and jawbone to determine if All-on-4® is right for you. Our team of doctors and experienced lab technicians will expertly analyze the computer-generated images to plan the most ideal implant positions that will result in the most beautiful and functional teeth for an improved quality of life.

General Questions


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    Why should I choose Drs. Feuerman and Castellucci for my dental implant treatment?

    Cary Feuerman, DMD, CAGS and Giovanni Castellucci, BChD, DMD, CAGS, are the ideal choice for high quality, patient centered dental implant treatment. As certified and highly skilled surgical specialists, each with over thirty years of experience in implant dentistry, our periodontists are experts in solving your dental problems. There are no substitutes for experience and expertise! We have consistently improved the quality of life for thousands of our patients by restoring ideal dental health and function, and creating beautiful smiles for the past three decades. Drs. Feuerman and Castellucci can restore your natural smile with replacement teeth that look, feel and function like natural teeth.

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    What sets Periodontal Associates apart?

    Periodontal Associates has an experienced team of doctors and staff, personalized “full service” office, state of the art diagnostics, treatment and equipment, teeth in one appointment, comprehensive examination and consultation, financing options, two offices conveniently located in Framingham and Newton, MA, patient success stories and more. To schedule an appointment or for more information please contact one of our offices and we will respond as quickly as possible.