Plans and restores missing teeth. Residency in prosthodontics at the University of Washington School of Dentistry; diplomate of the American Board of Prosthodontics.
Replacing teeth · Bremerton, Washington
Replacing teeth starts with a plan you can read
Durham Restorative Dental replaces and repairs teeth, from one tooth to a full arch. You get the steps, the visits and the fee in writing before anything begins.
How many teeth are you thinking about?
Cases
Start with how many teeth
Most cases fall into one of three groups. This is what each involves, in outline. Your own plan comes after an exam and a scan.
One tooth
A gap where one tooth was, or a tooth that can't be saved. The usual choices are an implant with a crown, a bridge anchored to the teeth on either side, or leaving the gap. Dr. Durham shows you each and what it asks of the teeth beside it. An implant crown usually takes three to five visits over several months, because the bone needs time to heal.
Several teeth
Two or more missing teeth in one area, or a bridge or partial denture that no longer fits. The choices include a few implants carrying a bridge, a fixed bridge from your own teeth, or a removable partial denture. Planning starts with a scan of the bone and your bite. Plan on four to eight visits over several months.
A full arch
All the upper or lower teeth are missing or can't be kept. The choices include a removable denture, a denture that snaps onto a few implants, or a fixed bridge on several implants. It involves surgery, and Dr. Durham goes through the risks with you at the planning visit. Plan on six to ten visits over six to twelve months.
Who plans the work
Dr. Mabel Durham plans each case, then makes the teeth
Dr. Durham completed a three-year residency in prosthodontics at the University of Washington School of Dentistry and is a diplomate of the American Board of Prosthodontics.
Prosthodontics is the part of dentistry that plans and makes replacement teeth. She looks at the whole mouth, writes the plan, and makes the final crown, bridge or denture herself. Dr. Ganguly and Dr. Zeidan, general dentists, look after checkups and repairs.
How she works
The whole case planned before surgery
Final teeth made and fitted by her
An oral surgeon or periodontist when a case needs one
What we do
Replacing, restoring and repairing teeth
Five kinds of care. Each has a page that says what happens, what you might feel, and how it is billed.
Dental implants
A post in the jaw that holds a replacement tooth, planned from a scan.
Read moreCrowns and bridges
Covering a damaged tooth, or filling a gap from the teeth beside it.
Read moreFull-arch replacement
All the teeth in the upper or lower jaw, replaced on several implants.
Read moreDentures and partials
Teeth you can take out and clean, for a whole arch or a few teeth.
Read moreImplant care and repairs
Checkups for replacement teeth, and fixing what has come loose or chipped.
Read more
A case in order
From the first visit to the final teeth
The steps are the same for one tooth or a full arch. Only the number of visits changes.
A talk, an exam and a scan
You say what you want. Dr. Durham examines your mouth and takes a 3D scan of your jaw, then tells you what is and isn't possible.
The plan, in writing
Each step, who does it, how many visits and what each costs. You take it home and decide, with no pressure in the chair.
Surgery and healing
Done with the area numbed, by Dr. Durham or an oral surgeon or periodontist she works with, and you hear who before the day. Then the bone and the implants join over a few months, and you wear a temporary tooth or denture if the plan calls for one.
The final teeth, and after
She makes the teeth, checks your bite, and shows you how to clean them. Checkups keep them in order.
One missing tooth
Three ways to replace it
Each can be the right one. This is how they differ, so the conversation can start from what matters to you.
| Implant and crown | Fixed bridge | Removable denture | |
|---|---|---|---|
| What holds it | Implant and crownA post in the jawbone | Fixed bridgeCrowns on the teeth either side | Removable dentureResting on the gums, with clasps or an adhesive |
| Neighboring teeth | Implant and crownLeft as they are | Fixed bridgeShaped down to carry the crowns | Removable dentureMay carry clasps |
| Surgery | Implant and crownYes, with the area numbed | Fixed bridgeNo | Removable dentureNo |
| Visits | Implant and crownSeveral, over months of healing | Fixed bridgeUsually two or three, over a few weeks | Removable dentureSeveral fittings over a month or two |
| Daily care | Implant and crownCleaned like a natural tooth, with extra attention at the gumline | Fixed bridgeCleaned under the false tooth with a threader or brush | Removable dentureTaken out and cleaned each day |
The dentists
Three dentists, one plan for each patient
Dr. Durham plans the work. Dr. Ganguly and Dr. Zeidan see you for checkups and repairs, and you meet whoever will treat you first.
Checkups, fillings, crowns and repairs, and the care that keeps replacement teeth in order.
Dentures and partials, crowns and bridges, and repairs.
In patients' words
What patients say about the plan
“Dr. Durham drew the whole plan out on paper and sat with me until I understood it. Then she gave me the fee for each step.”
Walter H.Implant patient
“I'd worn a denture that never sat right. Hearing every option, including doing nothing, made the choice mine.”
Lina K.Denture patient
“Anabel went through what my plan listed before I came in, so there were no surprises at the front desk.”
Casey M.Bridge patient
Sample reviews.
Ask for a visit, and a plan in writing
Send a request and Anabel will call, text or email you back with a time. Please leave out health details; for anything urgent, call us.