You are tired of hiding a missing tooth when you smile, or an old bridge or denture just is not holding up anymore. Maybe you are facing the loss of several teeth and want to understand your options before committing to anything. If you live or work in Manhattan and you want a replacement that looks, feels, and functions like natural teeth, dental implants are likely the solution you keep hearing about, and full arch options like All-on-4 can restore an entire smile. At Core Smiles in NoMad, implant treatment is led by a specialist team including prosthodontist Dr. Michael Gulizio, implant specialist Dr. Steven Cordoves, and periodontist Dr. Kristina Rodriguez Salaverry. This guide walks you through how implants and All-on-4 work, how long treatment takes, what it costs in NYC, and how to know which option is right for you.
The right starting point is a thorough evaluation by a team that looks at the full picture: your jawbone, your gums, your bite, and your long term goals. Core Smiles uses advanced digital imaging to plan each case precisely before anything begins. Book your implant consultation in NYC to see what is possible.
What are dental implants and how do they work?
A dental implant is a small titanium post that acts as a replacement root for a missing tooth. The post is placed into your jawbone, where it fuses with the bone over a few months in a process called osseointegration. Once it has healed, a custom crown is attached on top, matched to the color and shape of your natural teeth.
The result is a replacement tooth that stands on its own without relying on the teeth next to it. It looks natural, functions like a real tooth when you eat, and can last for decades with good care.
Core Smiles provides implant and advanced prosthetic solutions in New York City, from single tooth implants to full arch restorations. Having prosthodontic, implant, and periodontal expertise under one roof means your surgical and restorative care stays coordinated from planning through the final result.
Three things make implants different from other tooth replacements. They stand alone, so healthy neighboring teeth are not ground down to support a bridge. They preserve the jawbone, because the post stimulates the bone the way a natural root does and helps prevent the bone loss that follows a missing tooth. And they are built to last, often for the rest of your life, rather than needing replacement every several years.
What is All-on-4 and who is it for?
All-on-4 is a full arch solution that replaces an entire upper or lower set of teeth using just four strategically placed implants to support a full, fixed bridge. Instead of one implant per missing tooth, the four posts are angled to make the most of your available bone, which often means you can avoid or reduce the need for bone grafting.
All-on-4 is designed for people who are missing most or all of their teeth in an arch, or who are facing the loss of a full arch, and who want a permanent, non removable alternative to traditional dentures. Unlike a denture that sits on the gums and can slip, an All-on-4 bridge is anchored to the implants, so it stays put when you eat and talk.
One of the biggest advantages is speed. In many cases, a temporary set of fixed teeth can be placed the same day as surgery, so you leave with a full smile while the implants heal underneath. Core Smiles offers same-day full arch dental implants for eligible patients.
How long does the implant process take?
A single dental implant typically takes three to six months from placement to final crown, because the implant needs time to fuse with your jawbone before the crown goes on. Cases that need an extraction or bone grafting first take longer.
For All-on-4, many patients receive a temporary fixed set of teeth the same day as surgery, then return a few months later, once healing is complete, for the final bridge. So while the full process still spans several months, you are not without teeth during that time.
Your exact timeline depends on your bone health, whether any preparatory work is needed, and how your body heals. At your consultation, the team reviews your 3D imaging and gives you a realistic schedule before you commit.
How much do dental implants cost in NYC?
A single dental implant typically ranges from $3,000 to $6,000 nationally, including the post, abutment, and crown, and full arch solutions like All-on-4 generally range from $20,000 to $35,000 or more per arch. In a major market like New York City, costs often sit toward the higher end, and the final price depends on your case, the materials used, and any preparatory work needed.
At Core Smiles, the team is transparent about planning and helps make treatment manageable:
- HSA and FSA funds are eligible for implant treatment, which saves you the tax on what you spend.
- Financing options are available so you can spread the cost over an agreed timeline rather than paying all at once.
- The team verifies your insurance benefits before treatment, so you understand your coverage upfront.
You can review the options on the Core Smiles financing page or check your plan on the insurance page. Because full arch cases in particular are quoted individually, a consultation is the best way to get an accurate number for your situation.
What's the difference between implants, bridges, and dentures?
Implants, bridges, and dentures all replace missing teeth, but they work very differently, and the right choice depends on your situation.
A dental implant replaces a single tooth or several teeth without affecting the ones nearby. It is the closest thing to a natural tooth, preserves the jawbone, and lasts the longest, though it involves minor surgery and a healing period.
A bridge fills a gap by anchoring a false tooth to the healthy teeth on either side. It is faster than an implant and does not involve surgery, but it means reshaping those neighboring teeth, and it does not stop the bone loss under the missing tooth.
Dentures replace many teeth or a full arch and are the most affordable option upfront. Traditional dentures are removable and can shift or feel less stable over time. All-on-4 bridges this gap by anchoring a full, fixed set of teeth to implants, giving the stability of implants with the full arch coverage of a denture. Core Smiles also offers custom dentures for patients who prefer a removable option.
At your consultation, the team walks you through which option fits your case best based on how many teeth are missing, the condition of your jaw, and your goals.
What to expect during implant treatment
Core Smiles uses a clear step by step process for every implant and All-on-4 case:
- Consultation and 3D imaging. The team examines your mouth, checks your bone and gum health, and captures detailed digital images to plan placement precisely.
- Treatment plan. You get a clear, transparent explanation of the steps, timeline, and cost, including any preparatory work.
- Implant placement. The implant specialist places the posts into your jawbone. Comfort and sedation options are available.
- Temporary teeth if applicable. For All-on-4, a temporary fixed set of teeth is often placed the same day, so you leave with a full smile.
- Healing and final restoration. Once the implants have fused with the bone, your final crown or full arch bridge is placed and refined for fit, function, and appearance.
Because Core Smiles combines prosthodontic, implant, and periodontal expertise, complex cases and gum or bone concerns can be managed in house.
Are dental implants right for everyone?
Dental implants work for most adults missing one or more teeth, but they are not the right tool for every situation. They are an excellent fit if you have good general health, healthy gums, and enough jawbone to support the posts, or if any missing bone can be rebuilt with a graft first. All-on-4 in particular is designed to work well even when bone is limited, thanks to the angled placement.
They may not be the best option if you have untreated gum disease, uncontrolled health conditions that slow healing, or bone loss that cannot be addressed. Because Core Smiles has a periodontist on staff, gum and bone health can be treated in house before implant work begins, which improves your odds of long term success.
Implants also require healthy habits afterward. They do not decay, but the gum and bone around them still need daily care and regular checkups to stay healthy. The team gives every patient a candid, evidence based assessment rather than promising a result that is not realistic.
Why NYC patients choose Core Smiles
Core Smiles brings together prosthodontists, implant specialists, and a periodontist under one roof, which means your implant care stays coordinated instead of being referred out across the city. The practice pairs deep clinical expertise with advanced technology, from digital imaging to precision planning, so treatment is accurate, comfortable, and built to last.
The NoMad office at 1182 Broadway is convenient for patients across Manhattan, and the team is known for transparent planning that walks you through every option before you decide. Patients describe an experience that feels personalized and carefully managed from consultation to final result.
Whether you are replacing a single tooth or restoring a full arch with All-on-4, Core Smiles is set up to guide you through the process with precision.
Ready to start implant treatment in NYC?
Dental implants and All-on-4 give you a natural looking, long lasting way to replace missing teeth, and Core Smiles makes the process precise and transparent from your first consultation to your final result. With an in house team of specialists, advanced 3D planning, and flexible financing, there is no guesswork involved. Book your consultation online or call (212) 251-0044 to talk through your options with the Core Smiles team.