Dr. James Andrews provides comprehensive dental services for a lifetime of healthy smiles.

For those who need tooth replacement, options include:

Dental Implants

An implant is a tooth root replacement held by your jawbone just as a natural tooth. Implants are made of titanium, a biologically compatible material, and come in shapes to fit specific needs. Replacement teeth are attached to the implant, giving the stability of natural teeth.

Implants restore the ability to chew all types of food and speak confidently. Implants also halt bone loss that occurs when tooth roots are missing in the jaw. Bone loss contributes to changes in facial shape, such as a sunken-in appearance and deep wrinkling around the mouth.

“All On 4” Dental Implants

An excellent option for patients with a limited amount of bone and or limited budget, this non-removable option is designed to maximize the use of available bone on just 4 implants with teeth attached immediately.

In this process, Dr. Andrews angles the insertion of the back implants to allow for placing longer implants. This gives better stability to support immediate placement of teeth.

After the four implants are placed, a new or existing denture is attached as a temporary set of teeth so patients leave with teeth in place … ready to smile, laugh, and eat. Typically, in 3-4 months, the implants are secured by the bone and temporary teeth are replaced with a new, flattering, final set of teeth that are permanently attached.


A fixed bridge is held by teeth on both sides of the area where a natural tooth or teeth are missing. After adjacent teeth are prepared for crowns, a ‘bridge’ (a replacement tooth or teeth) is affixed to the crowns, restoring appearance and chewing ability. In some instances, the bordering teeth can serve as anchors for a bridge without crowns. Instead, the replacement tooth or bridge is held by adjacent teeth with the help of metal brackets. With the brackets attached to the back of natural teeth, they are typically not visible.


A Partial Denture fills spaces of missing teeth to give chewing ability and halt shifting of remaining teeth. Partial dentures usually consist of replacement teeth attached to gum-colored bases, connected by metal framework. Removable partial dentures attach to natural teeth with metal clasps or devices called precision attachments, which are not visible and more esthetic than clasps.

A Full Denture is typically removable and replaces all teeth as well as gums that have diminished in height. New denture wearers need time to get accustomed to their new “teeth” because even the best fitting denture can feel awkward at first. Some have difficulty eating for several days or weeks and may notice a slight change in facial appearance, increased salivary flow, or minor speech difficulty.