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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.

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  • Certified Digital Smile Design provider
  • Top Dentist, Las Vegas
  • 27 years in practice
The three parts of a restored implant, and who places and who restoresA titanium post is set in the jawbone, an abutment passes up through the gum, and a crown sits on top. The parts arrive in that order. An oral surgeon or a periodontist places the post. Dr. Goh restores the implant: he makes and fits the abutment and the crown.GUMLINEBONEThe crownDR. GOH RESTORESscanned, designed, fittedThe abutmentDR. GOH RESTORESmatched to the post belowThe postORAL SURGEONOR PERIODONTISTplaces it, set in the bone
Cost
A crown on an implant is $2,758, abutment included. New patient visit $100 without insurance.
Time
A visit first to check the post and plan the crown.
Insurance
Some PPO plans pay part of an implant crown. We check your plan for you. Insurance and payment
What
Dr. Goh fits the crown on top of a dental implant. An oral surgeon or a gum specialist places the post.
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

A small titanium post in the jawbone, the only surgical part. An oral surgeon or periodontist places it, and bone grows onto it over three to six months.

Referred out · months to integrate
02 · The abutment

The connector nobody mentions

The short piece joining the post to the crown. Dr. Goh shapes it to your gum, so the tissue closes in a collar, and matches it to the post's thread.

Matched to the system in your jaw
03 · The crown

The tooth you see, and the bite it takes

Dr. Goh scans, designs and fits the crown here. An implant has no ligament to cushion a bite, so its contact sits a touch lighter than its neighbours.

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.

Dr. Irwan Goh, who plans Implant Restoration care at Smiles by Goh in Henderson
Dr. Irwan Goh, DDS
27 years in practice · solo in Henderson by choice
Your dentist

Dr. Goh plans your care himself.

  • Dental degree, UCSFDoctor of Dental Surgery
  • Certified Digital Smile Design providerSmile plans start from your face
  • At least four more dentists review itEvery Digital Smile Design plan
  • LVI Global graduateAdvanced cosmetic training
  • Academy of Facial EstheticsFace and smile together
  • Top Dentist, Las VegasDesert Companion
Digital dentistry in the office
  • iTero 3D scans
  • CBCT 3D imaging
  • 3D-printed smile previews
  • Invisalign Outcome Simulator

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.
More questions (4)
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.
A crown on an implant is $2,758 without insurance, and that includes the abutment that joins it to the implant. Part of the cost is not ours at all: the oral surgeon or periodontist bills the surgical step separately. The recommendation gets written down and itemised before anything starts, and the office checks what your plan covers.
Book a visit

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

An unhurried visit 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.

Usually open Tuesday to Thursday, plus some Mondays and Fridays, 8 AM to about 4:30 PM. No evening or weekend appointments. Hours shift every two weeks, so call to confirm.

Financing available: CareCredit · Cherry · VIP Savings Plan (in-house membership)

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