Multiple Tooth Dental Implants
in Marlton, NJ
 Multiple tooth dental implants in Marlton, NJ replace two or more missing teeth with titanium implants and custom crowns that look and function like natural teeth.
Periodontal Health Professionals plans and places multi-tooth implant cases at our Marlton office, with the planning, surgery, and follow-up handled by a board-certified periodontist who's been doing implant work in South Jersey and the Greater Philadelphia area for 30 years.
When you're missing more than one tooth, the path forward depends on which teeth are missing, where they are in your mouth, and what the surrounding bone looks like. Sometimes the right answer is one implant for each missing tooth. Sometimes it's two implants supporting a small bridge between them. Sometimes it's a few implants strategically placed to support a larger restoration. The consultation walks through the options before any decisions are made.
This page covers what's involved when you're missing two or more teeth. For patients missing only one tooth, our overview of single tooth dental implants covers that scenario specifically. For patients missing most or all of their teeth in an arch, full mouth dental implants is the relevant overview. Our broader dental implants page covers the practice-wide approach.
On This Page
What Is Multiple Tooth Dental Implant Treatment?
Multi-tooth implant treatment refers to any case where two or more missing teeth are being replaced with implants. The specifics depend on the gap, the bone, and what you want from the end result. A board-certified periodontist plans the case after a CBCT 3D scan of the area, which is the only reliable way to see what bone is available and where the implants can be placed.
 Individual Implants vs. an Implant-Supported Bridge
For patients missing two or three adjacent teeth, there are two common approaches.
- One implant per missing tooth – each missing tooth gets its own implant and crown. This treats each tooth as independent and is generally the longest-lasting option, but it requires placing more implants and is typically the most expensive up front.
- Two implants supporting a bridge – instead of one implant per tooth, two implants are placed at the ends of the gap and support a small bridge between them. This is called an implant-supported dental bridge, and it replaces three or more teeth with fewer implants. It's often the more cost-efficient choice when three teeth are missing in a row.
The decision comes down to bone availability, how many teeth are missing, where they are in your mouth, and what makes sense over the long term. We walk through the trade-offs at consultation rather than defaulting to one approach.
How Many Implants You'll Need
The number of implants doesn't always equal the number of missing teeth. For two adjacent missing teeth, the answer is usually two implants. For three teeth in a row, it's often either three implants or two implants with a bridge, depending on the case. For four teeth in a row, the options expand again. For cases where five or more teeth are missing, the conversation often shifts toward a full-arch solution like All-on-4.
The CBCT 3D scan at consultation answers the question definitively. Bone height, width, and density at each potential implant site dictate how many implants the case will support and where they can go.
What If My Missing Teeth Aren't All in a Row?
Many patients are missing teeth in multiple parts of the mouth (an upper molar on one side, a lower premolar on the other, a back tooth in the opposite corner). In these cases, each missing tooth is typically treated as its own implant. The surgeries can be staged across multiple visits or combined into a single longer visit, depending on what's most convenient for you and what makes clinical sense.
For patients with active gum issues, gum disease treatment has to come first before any implants are placed. Implants can fail in compromised tissue, so we treat the foundation before building on it.
Your Multiple Tooth Implant Periodontist in Marlton
Dr. Gail Childers, DMD, plans and places multi-tooth implant cases at our Marlton office. He's a dual board-certified periodontist and dental implant specialist with 30 years of experience in Southern New Jersey and the Greater Philadelphia area, a Diplomate of the American Board of Periodontology, a Fellow of the International Team of Implantology (ITI), and the founder of the Southern New Jersey ITI Study Club.
Multi-tooth cases involve more planning than single-tooth work. Two or three adjacent implants have to be spaced precisely so the soft tissue between them looks natural and so each crown has room to be its own tooth. Three decades of work on these specific cases is what makes that spacing predictable. The same applies to scattered missing teeth in different quadrants, where the planning question becomes how to sequence and combine multiple surgical sites efficiently.
Dr. Childers also teaches at the University of Pennsylvania Department of Periodontology and Periodontal Prosthesis and at his alma mater, Temple University, where younger periodontists learn the planning steps that make multi-tooth implant cases predictable. More on his bio.
The Multi-Tooth Implant Process in Marlton
 A multi-tooth case generally runs four to nine months from consultation to final restoration, with the exact timeline depending on how many implants are placed, whether any sites need bone grafting first, and whether the implants are staged or placed in a single surgical visit.
1. Consultation and CBCT imaging
Your first visit covers the clinical exam, a review of your medical and dental history, and a CBCT 3D scan that maps the bone at every potential implant site. The CBCT shows bone height, width, and density across the upper and lower jaw, which is what lets us plan the number, position, and angle of every implant.
2. Treatment plan with all options laid out
We share the scan, explain what's possible, and lay out two or three viable approaches to your specific case (one implant per tooth, implant-supported bridge, staged versus combined surgeries, with or without sedation). For each approach, we cover the time investment, the surgical steps, and the long-term picture. You leave the consultation with a written plan.
3. Bone grafting if needed
If one or more implant sites need a bone graft, the graft happens before placement. Grafted sites heal for three to six months before implants are placed. Sites that don't need grafting are placed directly. Cases that combine both (some sites needing grafts, others ready for immediate placement) are sometimes sequenced so the ready sites are placed first while the grafted sites heal.
4. Implant placement with X-Guide navigation
The placement visit happens at our Marlton office. We use X-Guide computer-guided implant navigation, which takes the CBCT-based treatment plan and overlays it on the live surgical field in real time. This matters more on multi-implant cases than single-tooth cases because the spacing and angle between implants has to be precise. Multi-tooth surgeries typically run 60 to 150 minutes depending on the number of implants. Local anesthesia keeps the area fully numb; patients who prefer to be relaxed beyond local can choose oral sedation.
5. Osseointegration (healing)
Over the next three to six months, your jawbone grows into each titanium post in a process called osseointegration. There are no scheduled appointments during this period unless something feels off. For visible front-tooth gaps, we work with you on a temporary restoration during healing.
6. Abutments, digital impression, and final restoration
Once the implants have integrated, we attach the abutments and take a digital impression with the TRIOS intraoral scanner. The restoring dentist or our office fabricates the final crowns or bridge from that scan. At the final visit, we bond the new teeth in. For cases involving an implant-supported bridge, this final piece spans the implants and replaces the missing teeth as one unit.
Benefits of Replacing Multiple Teeth with Implants
Replacing multiple missing teeth with implants delivers several advantages over partial dentures and traditional bridges. Many of the long-term benefits of dental implants apply to all implant cases, but multi-tooth cases get a few advantages of their own.
- Each missing tooth replaced independently – one implant per tooth means each tooth functions on its own, with no load transferred between teeth. For multi-tooth cases, this arrangement holds up well over the long term.
- Bone preservation at every implant site – each titanium post acts as an artificial root, slowing the bone resorption that follows tooth loss. For patients missing multiple teeth, that bone preservation across multiple sites matters even more than in a single-tooth case.
- No partial denture to remove and clean – implant-supported restorations stay in your mouth permanently, and you brush them like natural teeth. At consultation we map the daily experience of implants against partial-denture alternatives so you can compare both directly.
- Precise multi-site placement from X-Guide navigation – computer-guided placement based on the CBCT scan is what makes the spacing between multiple adjacent implants accurate. Off-angle placement on a single tooth is recoverable; off-angle placement across three adjacent teeth creates cascading restoration problems.
- Surgeries combined or staged based on your schedule – for patients with scattered missing teeth across the mouth, we can combine sites into one longer surgical visit or stage them across multiple shorter visits, depending on what fits your life.
- Long-term value over repeated bridge replacements – traditional bridges generally need replacement every 10 to 15 years. Across a 30-year horizon, two or three rounds of bridge replacement add up. Implant posts can last indefinitely; only the crowns need eventual replacement.
The improvement patients most often report is the ability to chew normally on both sides of the mouth again, without thinking about a gap, and without any of the daily workarounds that come with a partial denture.
Why Choose Our Marlton Office for Multiple Tooth Implants
Periodontal Health Professionals is a two-location specialty practice focused entirely on periodontics and dental implants. We don't do general restorative dentistry, we don't do cosmetic veneers, we don't do orthodontics. Multi-tooth implant cases sit squarely in the work this practice does every clinical day.
Our periodontist holds board certification in periodontology (Diplomate of the American Board of Periodontology) and is a Fellow of the International Team of Implantology. For multi-tooth cases, that depth of experience matters more than it does on a straightforward single-tooth case, because the planning has to coordinate multiple implant sites and the final restoration has to look and function as a connected unit.
For surgical planning, we use CBCT 3D imaging and X-Guide computer-guided implant navigation across both office locations, with the rest of our advanced technology stack supporting the rest of the workflow. For cases that need bone grafting at one or more sites, the in-office PRGF-Endoret system can produce PRP and PRF from your own blood to support graft healing across multiple surgical areas.
Cost and Insurance for Multiple Tooth Implants
The cost of a multi-tooth implant case depends on several factors: how many implants are placed, whether any sites need bone grafting, whether the restoration involves individual crowns or an implant-supported bridge, the type of implant and crown material chosen, and whether you opt for sedation beyond local anesthesia.
Compared to traditional alternatives, multi-tooth implants typically cost more up front than a partial denture or a traditional bridge, but the math often reverses over the long term. Partial dentures need adjustment and eventual replacement; traditional bridges generally need replacement every 10 to 15 years. The implant posts themselves last indefinitely with healthy surrounding tissue, and only the crowns need eventual replacement (typically 10 to 20 years on average).
Most dental insurance plans cover a portion of multi-tooth implant treatment. The percentage varies by plan and by which components are billed (diagnostic, surgical, restorative). For cases where the implant count is higher (four or more), some plans cap the total annual benefit and patients have to coordinate the work across multiple benefit years. We verify your benefits before treatment begins so you know your estimated out-of-pocket portion. More on our insurance and financing options.
Schedule Your Multi-Tooth Implant Consultation
Call us at (856) 702-4340 to set up a multi-tooth implant consultation. We're at 48 South Maple Ave in Marlton, NJ 08053. Marlton office hours are Monday 8am to 5pm, Wednesday 9am to 5pm, and Friday 9am to 1pm. If those days don't work, our Turnersville office covers Tuesday and Thursday with the same doctor and the same records. You can also request an appointment online or reach us through our Contact page with questions before scheduling.
Frequently Asked Questions
Should I get individual implants or an implant-supported bridge?
It depends on how many teeth are missing, where they are, and what bone you have. For two missing teeth in a row, individual implants are usually preferred because each tooth functions independently and the long-term outlook is best. For three or more teeth in a row, an implant-supported bridge often makes more sense because it replaces more teeth with fewer implants. The CBCT scan at consultation lets us compare both approaches side by side for your specific case before any commitment is made.
How long does multi-tooth implant treatment take from start to finish?
Four to nine months for most cases, with the longer end of that range reserved for cases that need bone grafting at one or more sites. The placement surgery itself typically takes 60 to 150 minutes depending on how many implants you're getting. The longest portion of the timeline isn't the surgery; it's the three-to-six-month healing period during which the implants integrate with the bone.
Will I need bone grafting at multiple sites?
It depends on what the CBCT scan shows at each site. Patients who lost their teeth recently often have enough bone at each site to skip grafting entirely. Patients whose teeth have been missing for years usually have some bone resorption at some sites, and a small graft is added at those locations before placement. The scan answers this site by site, so you'll know exactly which sites (if any) need grafting before any surgical decisions are made.
Are multi-tooth implants more invasive than single-tooth treatment?
The surgical visit itself is longer (60 to 150 minutes instead of 45 to 90 for a single implant), but the experience is similar. You're numb the entire time, the post-surgical recovery looks the same across two to four days, and the steps for each implant site are the same as a single-tooth case. Patients who've had a single implant placed previously often describe the multi-tooth experience as nearly identical, just longer in the chair.
Will the replacement teeth match my natural teeth?
Yes, when planned and placed well. Each crown is custom-fabricated from a digital scan of your other teeth, matched in color, shape, and translucency. For multi-tooth cases involving adjacent implants, the crowns are designed as a connected set so they look proportional to each other and to the natural teeth on either side of the restoration. We send you the proposed crown designs for review before fabrication.
What if my missing teeth aren't all in a row?
That's common, and it doesn't change the treatment approach much. Each missing tooth is typically treated as its own implant. Surgeries at separate sites can be combined into one longer visit or staged across two visits depending on what works for your schedule and what makes clinical sense. The combined approach saves total appointment time; staging gives you shorter individual recovery periods.
Are implants worth it compared to a partial denture for multiple teeth?
For long-term value, almost always. A partial denture is removable, less stable when chewing, can affect speech, and needs periodic replacement and adjustment as your mouth changes shape. For patients who are missing many teeth across an arch but want something more stable than a traditional partial, implant-supported dentures are a middle option. Standard implants stay permanently, function like natural teeth, and preserve the bone underneath each missing-tooth site, which a partial denture does not.
What happens if one of multiple implants fails?
Failure of one implant in a multi-implant case is treated as its own event. We evaluate the cause using our standard failing implants workup, remove and replace just the failing implant after a healing period, and leave the other implants in place. The surrounding implants don't have to be removed because one failed. |
