Dental Implants
Will Change Your Life
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Monday: 8:30 am - 5 pm
Tuesday: 8:30 am - 5 pm
Wednesday: 12 noon- 5 pm
Thursday: 7:00 am - 3 pm
Friday: 8:30 am - 2 pm (varies)
Apex Medical Park
1021 W. Williams Street
Suite 101
Apex, NC 27502
New Patients Welcome

Our Services

What we do for your Comfort


Apex Dental Group is one of few dental implant practices in Apex, North Carolina. You will benefit from having all of your dental care with Dr. Kitzmiller and his team —from preventative care to surgical implants— done in one convenient Apex location.

What are implants?

Dental implants are used to replace missing teeth. They are made of Titanium and are surgically placed into bone. Implants often have specially treated surfaces and special designs that make them look and act like real teeth.

Over the last 20 years dental implants have become more and more predictable over time, and when compared to root canal therapy, they are beginning to be more predictable than root canal treatment. More consideration is now being given to implants as a treatment option, and they are now more frequently covered by insurance due to their long term success.

Patient Education Center
Visit our Patient Education Center to learn more on the "restoring teeth" tab.

Our Goals

  • Define what implants are and what they do for you
  • Review the dental implant options that are available to you
  • Provide a long-term stable tooth replacement
  • Single tooth replacement
  • Combined with a bridge
  • Combined with a partial denture
  • Combined with a full denture
  • Describe the advantages and disadvantages of dental implants
  • Explain the basis steps in implant placement


Implants Prevent the Loss of Bone and Gum tissue

  • Once a tooth is extracted, the bone and gums slowly dissolve over time.
  • The reason that the bone is around your teeth is because chewing on your teeth stimulate the formation of bone.
  • The gums are supported by the bone and diminish with it.
  • If a tooth is extracted, the dentist may place a bone graft to prevent the bone from dissolving so quickly after extraction.
  • It is more costly and time consuming to regrow the bone and gums later.
  • Early implant placement makes the teeth look more realistic and more esthetic.


What are the parts of an implant when completed?

  • Single tooth implants generally have three parts:
    • The implant is a titanium pin is placed into bone
    • The abutment is made of high-strength materials, attaches to the implant, and helps support the crown (cap).
    • The crown is cemented or glued to the abutment.


CEREC ® Implants Video

Dr. Kitzmiller specializes in CEREC ® dentistry. The videos below shows the implant procedure and a cerec crown.





Advantages and disadvantages of dental implant

There are many factors involved in evaluating whether dental implants are right for you. They are summarized below. If you are unsure, give us a call and we can help.

Implant Advantages

  • Increased long term success when compared to root canal therapy.
  • No need to damage adjacent healthy teeth.
  • Decrease chance of root canal therapy on prepared teeth
  • Better long term cost. On average, a bridge needs to be replaces every 10 to 12 years. One replacement will justify cost of a dental implant. See the price comparison below.

Treatment Scenario
Year Treatment Cost
1989 Bridge 2-4 $3,000
2001 Bridge 2-5 (lost tooth 4) $4,000
2010 Implant Crowns (3 & 4) $7,000
2010 Crown #5 (kept 3) $1,000
Total   $15,000.00
Compared to:    
Ideal (1989 Cost)

Implant & Crown #3


Cost Savings   $11,500.00
  • Keeps bone in area
  • When properly planned, implants are esthetic and result in a beautiful smile
  • When combined with full dentures, implants fit more snugly
  • When combined with partial dentures, clasps can be removed and are not visible
  • No cavities can form on implants

Implant Disadvantages

  • High initial cost, but lower long term cost
  • May take more time to achieve final result
  • There is no “feeling” with an implant
  • Less insurance coverage for implants, although this is improving
  • Additional bone grafting may be needed to replace missing bone or fill in an underlying sinus
  • Soft tissue (gums) may need to be developed (grown) around the teeth to achieve a more natural look
  • Implants require surgical intervention
  • With poor home care, loss of bone around dental implants may occur

How long does it take to get an implant?

  • It depends on your own circumstances, including:
    • how much bone is present,
    • the need to avoid nerves, blood vessels and sinus in the area,
    • if there is enough gum.
  • Following dental implant surgery you will need an average of 3 to 4 months for healing before a crown can be safely placed on the implant. Occasionally, patients need a full year to heal.
  • Once the bone and gum around the implant has healed, your dentist will take an impression of the implant and surrounding teeth. Your crown may be made, in the office, the same day; or it may be made in our referral lab and will be ready in  in about two weeks. (See Crowns for "Crowns in day" or Cerec Crowns.)
  • Some dental implants can be placed immediately after tooth removal and a temporary crown attached on the day of surgery. This type of placement is at greater risk for failure. Certain factors must be present before you and your dentist consider this option.
  • Because the time required to heal varies, plan on receiving your implant crown in 4 months (best case) to 1 year (worst case).

Safe placement with the use of Cone Beam X-rays (See our Dental Cone Beam)

  • Dentistry has developed its own “dental CT”
  • Aids our dentist in diagnosis, treatment planning and dental implant placement
  • Lower radiation exposure than medical “CT”
  • Three-dimensional (3D) image of bone, nerves and structures
  • Helps avoid damage to nerves, blood vessels and other structures during implant surgery
  • Aids in proper orientation and placement of the implant in bone

We may be able to make your implant crown in one visit: CEREC / CAD CAM Technology

This is the newest technology where your crowns are designed and milled in the office. It is very similar to 3D printing.

It can’t be used every time, but in many instances, we can make a digital impression through a video capture. The computer transforms the video into a 3D representation of your teeth. The crown can be made in the office or sent to a lab electronically.

  • No more sticky, gagging impressions!
  • A second appointment is not needed, and is completed on the same day.
  • There are no temporary crowns to fall off.

Download this PDF to learn more:
PDF fileCerec Patient Technology

Planning and design for implant crowns can be tied together with cone beam. This allows for well-planned and thought out restorations that are designed specifically for you.

Typical scenario for implant placement (most ideal, may have other factors)

  1. Diagnosis that tooth cannot be fixed or requires too much time and expense to keep.
  2. Models of your teeth are taken to plan for the implant.
  3. Dental cone beam x-ray taken to evaluate surgical site.
  4. Severely damage tooth extracted, bone graft placed, temporary tooth covers space.
  5. After 3 to 4 months of healing, final impression for abutment and crown taken.
  6. Same day to two weeks later, placement of abutment and crown.

Other considerations

  • Cost
  • All other treatment (cavities, gum disease etc.) must be completed first.
  • Orthodontics / Braces
    • Braces MUST be put on before dental implants.
    • Implants don’t move like teeth.
    • If an implant is placed before braces, the other teeth will have to be moved around the implant. Your final smile may look misaligned.
  • Implant placement is usually the final step of most dental treatment plans.
  • Implants require more planning when there are more dental problems.

What are my options?

    1. Root Canal Therapy
      1. Removes infection and keeps tooth
      2. Preserves bone
      3. Holds space
    2. Bridge
      1. 2 crowns connected together to close space.
      2. Does not preserve bone
      3. Prevents teeth from moving, preserving your bite
      4. Average bridge lasts 13 years. Bridges fail because
        • #1 – cavity around bridge.
        • #2 – tooth splits.
    3. Partial denture
      1. Plastic and metal piece taken in and out at night.
      2. Does not preserve bone
      3. Prevents teeth from moving, preserving your bite
    4. No treatment
      1. Does not preserve bone
      2. Teeth begin to drift
      3. Your bite collapses and can lead to potential joint problems
      4. With the loss of your teeth, your cheeks and lips will sink in

Key Point: Implants act like teeth! They stimulate and keep your bone in place. Therefore, early dental implant placement leads to better esthetics and more affordable treatment if done early.


  • Patient Education Center
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