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Restorative · Henderson, NV

Implant Restoration
in Henderson

Dr. Goh restores dental implants; the surgical step happens elsewhere. A titanium post goes into the jawbone, and an oral surgeon or a periodontist does that part. Dr. Goh refers you to one and works alongside them. Everything above the bone is his: the connector, the crown, and the bite.

What happens here
The abutment, the crown, the bite
The surgical step
An oral surgeon or a periodontist
Already have one?
A post put in at another office can be restored here
See the full menu of restorative care →
What an implant actually is

Three parts, and they are not all the same job.

Knowing which part is which tells you who you are seeing, and for what.

01 · The post

Titanium, in the bone

The implant is a small titanium post set into the jawbone, and that is the only surgical part. Bone grows onto it over three to six months, so nothing final goes on top straight away. Dr. Goh refers that step to an oral surgeon or a periodontist.

Referred out · months to integrate
02 · The abutment

The connector nobody mentions

An abutment is the short piece bridging the post below your gum and the crown above it. It is shaped to your own tissue height, so the gum closes in a collar rather than a shelf where food sits. Each system has its own thread, so Dr. Goh matches it to the post in your jaw.

Matched to the system in your jaw
03 · The crown

The tooth you see, and the bite it takes

The crown is scanned, designed and fitted here. An implant has no ligament to give under load, so its contact sits a fraction shy of its neighbours. That is deliberate, and it is why the bite check matters.

Scanned, designed, fitted here
A chairside design station at Smiles by Goh with a restoration being shaped on screen
Designed to your bite
Why the restoration is not the easy half

A natural tooth is suspended. An implant is fused on.

Your own teeth do not sit rigidly in bone. Each hangs in a thin ligament that lets it give slightly under a bite. That ligament is full of nerve endings, which is how you feel a popcorn husk before you break something.

An implant has none of that. Bone knits straight onto metal, so there is no give and no early warning. Force your own tooth would have absorbed goes into the bone instead. That is why the contact is set light.

Who this page is for

Whether this is the right room for your case.

This is about which stage you are at, not about whether you qualify for anything.

If no post is in yet, or the bone still has to heal, your first appointment is with a surgeon.

  • A post is already in and needs its tooth

    Whether it went in last spring or six years ago, the abutment and the crown are made and fitted here.

  • An old implant crown that loosened, chipped or came off

    Bring the piece if you still have it. Which part gave out — the screw, the cement seal or the ceramic — changes the repair.

  • Sore or bleeding gum around an implant you already have

    That gets examined here and treated alongside the periodontal side of the practice. It is not something to wait out.

  • Anything surgical

    The post, bone grafting and gum surgery go to an oral surgeon or a periodontist. Dr. Goh restores; he does not operate.

Nobody can honestly say how long yours will last, and the metal is not what decides it. Three things do: the gum seal around the abutment, the bone underneath, and whether your bite lands evenly. That is what the follow-ups look at.

Who does which part
The three parts of a restored implant, and who places each oneA crown sits above the gumline, joined by an abutment that passes through the gum, onto a titanium post set in the jawbone. An oral surgeon or a periodontist places the post. Dr. Goh makes and fits the abutment and the crown.GUMLINEThe crownDR. GOHscanned, designed, fittedThe abutmentDR. GOHmatched to the post belowThe postORAL SURGEONOR PERIODONTISTtitanium, set in the bone

An oral surgeon or a periodontist sets the post in bone. Everything above it is Dr. Goh's.

The honest answers.

10 questions
No. The surgical step goes to an oral surgeon or a periodontist, and Dr. Goh refers you to one he works with. Everything after that happens here: the abutment, the crown, the bite and the follow-up. Splitting a case that way is ordinary, and you should hear it plainly rather than find out halfway through.
Usually, yes, and it is a common reason people come here. Each system has its own geometry, so the first job is working out which one is in your jaw. An X-ray normally shows it, and the surgeon's report settles anything unclear. After that the matching abutment is ordered and the crown is built onto it.
Roughly three to six months, and the bone sets that schedule rather than anyone's diary. The post has to knit to living bone before it can carry a chewing load. Loading it early is one of the main ways an implant is lost. Your surgeon says when it is ready, and Dr. Goh takes it from there.
Because it is set up to. A natural tooth hangs in a ligament and sinks about a tenth of a millimetre when you bite down. An implant does not move at all. Matched to the same contact as its neighbours, it would take the first and hardest hit every time. So it is left fractionally shy, then re-checked once your other teeth settle around it.
Shade is the easy half. The harder half is the gum, because tissue sits differently around an abutment than around a natural root. The shape of that connector decides whether the crown comes out of a natural collar or a flat shelf. Dr. Goh shapes it against the matching tooth on the other side, and you see it before anything is final.
It can lose the bone around it, and that has its own name: peri-implantitis. It moves faster than gum disease around a natural tooth, and the reason is the attachment. Around your own tooth, fibres insert into the root surface and act like a gasket. Around an implant they run parallel instead, so the seal against bacteria is weaker. That is why gum care is part of implant follow-up here.
Yes, and around it more than through it. Plaque sitting where the abutment meets the gum is what starts peri-implantitis. A water flosser, an interdental brush or floss threaded around the collar all do the job. An implant cannot decay, which is exactly why people relax about cleaning it and then lose it to the gum instead.
Call the office and bring it in. A screw-retained crown that has worked loose usually needs the screw torqued again and the hole re-sealed, which is a short visit. A cemented one that came off needs the fit checked first. Do not glue it back yourself, because over-the-counter cement in that gap is hard to clear out afterwards.
Not always, and that is worth hearing from someone who does not perform the surgery or bill for it. A bridge uses the two teeth either side of the gap and finishes in two visits. An implant leaves those teeth alone, but it needs surgery and months of healing first. Dr. Goh lays both out with your own scan on the screen.
Smiles by Goh does not publish prices, and with an implant part of the cost is not ours at all. The oral surgeon or periodontist bills the surgical step separately, so a figure from this office covers the abutment, the crown and the visits. The recommendation gets written down and itemised before anything starts, and the office checks what your plan covers.
Book an implant consult

Bring the post you already have, and let's finish it.

Twenty unhurried minutes with the imaging that matters. You leave knowing which system is in your jaw and what the crown involves. Written down, itemised, and no pressure to start the same day.

Hours rotate every two weeks — call to confirm today's hours.

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Consults only · Henderson, NV

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