Board-certified oral & maxillofacial surgeons with over 35 years of combined experience and 7,000+ patients treated annually — serving Union City, Elizabeth, and Staten Island.
Most patients who are missing more than one tooth already know they should do something about it. What tends to hold them back is not reluctance. There is uncertainty about where to start, what to expect, and whether the process will be worth it. The answers to those questions become much clearer once an experienced oral surgeon has evaluated your specific situation, because the right solution is rarely one-size-fits-all.
At Legacy Oral Surgery Group in Union City, New Jersey, we guide patients through that process every day. With more than 35 years of combined experience and over 7,000 patients treated annually across our three locations, our team has the depth of experience to recommend the most appropriate path for each patient’s unique anatomy and goals. If you are dealing with multiple missing teeth and are not sure where to begin, here is what the process for oral surgery services in Union City looks like, from evaluation through restoration.
Replacing missing teeth is about more than appearance. When a tooth is lost, the jawbone beneath it no longer receives the stimulation it needs from chewing, and the bone begins to shrink over time. For patients considering dental implants, this is one reason timing matters. Starting the conversation earlier helps preserve more bone, keeps more treatment options available, and often makes the overall process less involved.
When multiple teeth are missing at once, the effect on the surrounding bone and remaining teeth compounds. Adjacent teeth begin to drift toward the open spaces, bite alignment shifts, and the face can take on a sunken appearance over time. Replacement addresses all of these consequences at once, and implant-based solutions do so while also stimulating the bone the way natural tooth roots once did.
Before any treatment is recommended, your surgeon will conduct a thorough assessment of your oral health. This includes panoramic imaging to evaluate bone volume and density across the jaw, a review of your remaining teeth and gum health, and a discussion of your goals and preferences. The number of missing teeth, their location in the arch, the space between opposing teeth, and the condition of surrounding bone all factor into which solution is the most appropriate fit.
A 2024 case report in PubMed Central on full-arch implant-supported prosthetic rehabilitation highlights how digital planning tools have made this evaluation process significantly more precise, enabling surgeons to map implant placement before a single incision is made virtually. Our Union City team uses this same level of planning technology to improve both accuracy and predictability for patients undergoing multiple-tooth replacement.
Not every patient missing multiple teeth needs the same solution. The approach that works best scales with the extent of tooth loss, the location of the gaps, and what remains of the underlying bone. One of the goals of an initial consultation is to match the right level of intervention to what your situation actually calls for, rather than defaulting to the most extensive option available.
For patients with a defined gap of two or more adjacent teeth, an implant-supported bridge is often the most efficient and conservative option. Two implants anchor the bridge at either end of the gap, preserving neighboring teeth and maintaining bone volume beneath the restoration. The result is fixed, non-removable, and functions like natural dentition.
Patients who have lost the majority of teeth in one arch may be well-suited for implant-supported overdentures. A small number of strategically placed implants anchor a full arch prosthesis, delivering the stability and function that traditional removable dentures cannot match. Patients who make this transition frequently describe meaningful improvements in eating, speaking, and everyday comfort.
All-on-4 dental implants are designed for complete arch replacement using just four implants positioned at angles to maximize contact with available bone. This makes the procedure viable for patients who have already experienced some bone loss and may not qualify for conventional implant placement. The outcome is a permanent, non-removable set of teeth built to last. In cases of significant bone loss, a preparatory bone grafting procedure may be recommended before implant placement to ensure a stable foundation.
Legacy Oral Surgery Group brings together the surgical precision, advanced technology, and provider coordination that multiple-tooth replacement demands. Our surgeons bring more than 35 years of combined experience in oral and maxillofacial surgery. They work closely with referring and restorative dentists to ensure that every phase of treatment is sequenced correctly and executed with care. Our Union City team serves patients of all ages, and we bring the same standard of precision to every case, regardless of scope or complexity.
If you are ready to explore your options for replacing multiple missing teeth, we are here to help you take the first step. We accept most major dental insurance plans and offer flexible financing options to help make treatment more accessible. Reach out through our contact page to schedule a consultation at our Union City location.
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