Smiling older man and woman on couch.

All Inclusive Dental Implants

Restoring healthy smiles that last for over 40 years.

Diplomate, Board Certified Oral Implantologist.
Implant Surgery. Implant Prosthodontics. Implant Periodontics.

International Congress of Oral Implantologists logo
All-Inclusive Dental Implants 2018-02-11T11:23:43+00:00

Cosmetic, Restorative, Orthopedic and Dental Implant Dentistry.

“All-Inclusive Dental Implants.” If you have one or more missing teeth and are considering dental implants, Artistic Dentistry simplifies the process. Our “All-Inclusive” Dental Implants means all dental implant related procedures are done right here in our office. From single tooth replacement to complex cases involving multiple teeth to be replaced, our patients have expressed the joy and satisfaction that comes with the freedom to smile and chew with teeth that feel like their own. Come transform your life by replacing your missing teeth with dental implants.

Why Choose Artistic Dentistry for Your Dental Implants?

Trust. Expertise. Experience. Dr. Peter J. Pagano began practicing dentistry in 1975 and has never stopped advancing his skills. Always curious and never content with being unable to help a patient with a complex case, he’s continued studies in Orthopedic, Restorative Cosmetic and Implant Dentistry. The breadth of his practice has evolved as he’s integrated each layer of newly acquired skill into practice. In 1999 he began offering all dental implant related procedures and is board certified in Oral Implantology. He’s earned a Fellowship and Diplomate in Oral Implantology, symbolizing the highest level of competence in implant dentistry.

Forty-three years of extensive clinical experience performing surgery, placing bridges and crowns, straightening teeth with braces, correcting jaw joint imbalances with TMJ treatment and nearly twenty years placing dental implant systems gives Dr. Pete unique insight into the art and science of successful implant placement. Combined with a forty year track record of standing by his work, Dr. Pete has earned the reputation as a trusted dental implant provider to St Louis area patients. Learn more about Dr. Pete’s background.

Portrait of Dr. Peter Pagano
Dr. Pagano at work with assistant
Dr. Pagano performing dentistry on a patient

Start Smiling!

Artistic Dentistry provides the expertise to restore your smile.

Schedule Your First Visit

Call (314) 576-3000 or Contact Us

What to Expect: A Quick Guide to Our Process

We simplify the process of tooth replacement with dental implants by offering all procedures in our office. The steps are:

1.Your 15-Minute Complimentary Consultation. If new to our practice, this visit allows you to meet Dr Pete and discuss your expectations, health history and any lifestyle habits that may determine if you’re a candidate for dental implants.

2. If you decide to move ahead your next step is a New Patient Visit. In this visit, Dr Pete can provide a Comprehensive Exam and a CT Scan. If you haven’t had a recent cleaning, Dr Pete will have you see Delilah, our Hygienist. You may be able to have these steps completed during your Initial Consultation or the same day.

3A. Replacing just one or two missing teeth. A treatment plan with fees will be presented that will include the procedures you’ll need to get your new single tooth dental implants:

  • surgical extraction of existing tooth or teeth to be replaced;
  • bone graft, if necessary;
  • implant(s), abutment(s) and crown(s).

4. Schedule Treatment.

When a case involves more than a few teeth, the following additional steps are taken before treatment is scheduled:

3B. Multiple missing teeth and/or Full Mouth Rehabilitation. Diagnostics are essential to successful case planning and outcome. If you were building a new home, you’d need to have surveys done in order to create an architectural rendering. The builder would need to find out what type of home you wanted to build. When many teeth need to be restored, Dr. Pete will need additional information. This is collected in a “Workup,” which is comparable to conducting surveys in our house analogy. This allows Dr. Pete to put together an “Ideal Smile Design” prior to moving forward, which is comparable to the architectural rendering in our house analogy. The Ideal Smile Design is based on your desired appearance and how you chew and allows Dr. Pete to prescribe a treatment program.

4. Treatment Presentation Consultation. The purpose of this visit is to review what your diagnostics indicate about individual teeth, how your teeth come together when you chew, your level of bone and stability of your jaw. Dr. Pete recommended an approach to treatment that he feels will ensure the best outcome. There may be more than one option, based on your previously expressed desires and budget limitations.

5. Schedule Treatment.

As a long-time practitioner of Orthopedic Dentistry, Dr. Pete plans every case for optimal chewing function and ensuring the bite comes together evenly so your new dental work can last as long as it should. All restorative and cosmetic dentistry should be built on a balanced foundation so that it lasts.

Before and After Gallery

Click the button above to see some before and after images of patients who have had their smiles restored at Artistic Dentistry with cosmetic and restorative dentistry, including dental implants.

What is a Dental Implant?

A dental implant is an artificial root surgically placed into the jawbone beneath your gumline. Once in place, a crown is positioned on top. This system replaces a lost tooth. The result is a tooth or teeth that feel, fit and function like your own.

A dental implant typically has three parts:

  1. The implant: A screw that’s permanently attached to your jawbone and
    serves as a root for your new tooth.
  2. The abutment: A connector that supports and holds the crown.
  3. The crown: This is custom made to match the color and shape of your
    natural teeth.

Dental implants can replace one or multiple teeth or a full upper and/or lower set of teeth.

Why Are Dental Implants the Best Option for Missing Teeth?

Consider that when multiple lost teeth are lost and not replaced, the underlying jawbone no longer has a purpose and begins to shrink (called “resorption”). Thus follows a progression of events that eventually affect your dental health and appearance. Dental implants prevent or halt this process. Without a dental implant(s):

  1. Underlying bone begins to shrink;
  2. Within 1-2 years, the bone width in the site of missing teeth will decrease by 40%;
  3. Adjacent teeth drift into the space where the tooth once was. Typically these teeth will tilt, affecting the chewing function;
  4. The burden of chewing is assumed by other teeth, causing premature wear;
  5. With several missing teeth, the mouth area takes on a collapsed appearance, narrowing the distance between the chin and nose, creating sagging and a more aged look.

Back Teeth. Some patients believe that a missing tooth in the back of the mouth and is not important to replace with a dental implant. Back teeth bear the brunt of the force of chewing. This places the burden of chewing on adjacent teeth and causes them to wear prematurely.

Benefits of Dental Implants

  • A dental implant system replaces a missing tooth so that it feels and functions like a natural tooth.
  • Dental implants are the most cost-effective tooth replacement option over the long-term. Dental bridges can last for about 10 years and will then need to be replaced. Dental implants can last a lifetime when placed correctly. A board-certified dental implant dentist like Dr. Pete has the training in Oral Implantology to achieve a high success rate.
  • Dental implants eliminate the worry that comes with temporary tooth replacement options. Your smile will look natural and there’s no worry about teeth loosening or falling out.
  • Dental implants prevent the cascade of effects set in motion when teeth are lost. While the bone that supports teeth begins to shrink after the loss of teeth, adjacent teeth can also begin to shift into the gap left by missing teeth. As bone shrinks and chewing places an extra burden on remaining teeth and causes them to lose height, the distance between the chin and nose shortens. Skin around the mouth eventually wrinkles and sags. Since a dental implant is the only tooth replacement option that acts like a natural tooth, it halts this process of premature aging caused by missing teeth.
  • Dental implants don’t interfere with your natural ability to speak. It can become a struggle to pronounce words as you acclimate to removable dentures. Since dental implants function like natural teeth your speech pattern isn’t compromised.
  • Dental implants allow you to eat without effort. Chewing is the primary role of dentistry and dental implants don’t interfere with this activity like other tooth replacement options that can create embarrassment or difficulty.
  • Dental implants don’t affect your ability to enjoy the taste of your food. With a denture, the acrylic plate that rests in the roof of the mouth can affect taste.
  • Dental implant systems help other teeth maintain their position. Dental implants fuse with your jawbone, keeping it strong. The implant crown maintains the space left by the lost tooth so adjacent teeth won’t drift.
  • Dental implants don’t involve reducing healthy teeth like a bridge does. The teeth adjacent to the gap where teeth (or a tooth) is lost must act as anchors for a bridge. Dental implants don’t require this, as they’re placed in the jawbone where the root of a missing tooth once was.
  • Dental implants are more reliable than other repair and restoration methods. Dental implants provide a more stable, predictable outcome than other tooth replacement options.

Implant Types

Immediate or Same Day Implants. It makes sense to get a single tooth dental implant when a tooth is extracted or lost. It’s embarrassing to smile with a tooth missing, even if its in the back of the mouth. A dental implant is the best way to guarantee the preservation of the underlying bone. Waiting to decide whether or not to get an implant carries the risk of requiring additional procedures, such as a bone graft, or other complications.

If you’ve recently lost a tooth or need to get a tooth extracted, you may be eligible for immediate implant placement. This means the implant is placed right after Dr. Pete extracts the tooth. This can be finished with the abutment and temporary crown in the same visit. This is not ideal for everyone, and each patient is evaluated for suitability factors, such as the level of existing bone and health history.

before and after photo of keith after receiving his implant and crown

Keith flew to St. Louis in the morning for a surgical extraction of his front tooth and left the same day with an implant and crown.

Traditional Implants. The traditional implant involves a series of visits and is much more common than the immediate implant. The implant, usually made of medical-grade titanium, is surgically placed in the bone. It will then be given anywhere from three to six months for it to become integrated into the jawbone (called “osseointegration”). When completely healed, an abutment – which attaches to the implant and protrudes above the gum line – can be placed. At this point the tooth restoration that’s matched to your natural teeth can be secured to the abutment.

The type of tooth restoration depends on the number of teeth involved and can be:

  • A crown;
  • bridge; or
  • implant-retained denture.

What Patients Say About Their Experience with All-Inclusive Dental Implants

Portrait of Debra

Debra received two implants.

Debra J. says:

“Getting all the procedures I needed for my dental implants at Artistic Dentistry saved so much time. My implants look and feel so natural, I sometimes forget which teeth they are!”

Portrait of Jeremy

Jeremy has one dental implant.

From J.S:

“I was in a car accident and with the damage done to the nerve in my tooth, it had to be extracted. Dr Pete explained the different tooth replacement options he could do for me. The implant appealed to me the most because it’s the more permanent option. Dr. Pete extracted the original tooth, placed the membrane, implant and the crown. It feels like my own tooth. I highly recommend it.”

Portrait of Susan

Susan received a bridge that lasted 35 years and then replaced the bridge with a dental implant.

Susan S. says:

“I WISH THERE HAD BEEN IMPLANTS BACK IN 1978. I’d cracked a tooth in college and had a bridge put in by another dentist. It needed to be replaced and that’s when I got my three tooth bridge from Dr. Pete. The bridge he did lasted 35 years. They usually don’t last that long. It was a great bridge but it needed to be replaced.

Dr. Pete offered me the choice: I could replace my bridge or get an implant. He keeps up with technology so he’s able to present all options. I’m grateful to have good teeth and I take care of them. My smile is something worth hanging onto. I chose the implant. I was able to have all the procedures in Dr Pete’s office. That was two years ago. I’m really happy with the implant. It’s so easy to clean and it feels more like a part of my mouth than the bridge did. When I bite down it feels like a real tooth – not a thing suspended between two other teeth, which is how a bridge feels. The implant doesn’t feel cosmetic. The implant tooth engages with the other teeth. It just feels more natural than the bridge. It’s connected to me. It feels secure. The whole process was simple. That’s how Dr. Pete does dentistry. I’m very pleased with all the care and follow-up I have received from Dr. Pete and his staff… for over 37 years.”

Artistic Dentistry Logo

St. Louis / Creve Coeur, Mo.

12334 Olive Boulevard
Creve Coeur, MO 63141

Frequently Asked Questions About Dental Implants

What happens if missing teeth aren’t replaced?

Missing teeth can lead to a host of other problems, including loss of adjacent teeth. Adjacent teeth can also drift into the gap left behind by the missing tooth. It’s not difficult to predict that such shifting can lead to food getting stuck in between teeth that are now in different positions and hard to clean. This increases the likelihood of cavities. The once smooth chewing function can eventually be compromised and pain in the jaw joints can ensue. Gum disease becomes more prevalent as well.

Aren’t dental implants more costly that other tooth replacement options?

Only a dental implant is a true tooth replacement. Other options, such as a tooth supported bridge or removable partial denture, aren’t replacing the tooth root – They’re restoring the lost tooth with a prosthetic. Studies show these other tooth replacement options carry the risk of adjacent tooth loss which, of course, leads to additional cost. Over the span of twenty years, dental implants last longer than any other tooth replacement or restoration option, don’t harm other teeth and stop the bone loss that is triggered when a tooth is lost. They typically average about $5,000 a tooth. Compare the lifespan of a bridge or removable partial denture (average 7-10 years and 5 years, respectively), and it becomes clear that the dental implant is the most stable, attractive, functional and economical in the long run.

Am I a Candidate for Dental Implants?

If you’re in good health you’re likely a candidate for dental implants.

My missing tooth is in the back of my mouth. Why should I invest in an implant when no one can see the missing space?

It’s true that many people think they don’t need to replace a missing tooth that’s in the back of their mouth. For the reasons described in our Missing Tooth page, you can see that whether the tooth is in the front or back of the mouth, it’s serving a vital role in your chewing function and its loss will affect other teeth and underlying bone.

Am I too old for dental implants?

Age is not a factor. An 80 year old likes to chew and smile as much as a 30 year old and in fact, we’ve had many patients over 80 who’ve restored their teeth with several dental implants. Dental implants are a lifestyle choice, as they affect appearance, eating, confidence, smiling and overall health.

Will a dental implant be as strong as my natural teeth?

Yes, they’re often stronger.

How long will it take to receive my dental implants?

With an immediate implant, the entire tooth replacement can be completed in one day. You’ll leave with a high-quality temporary crown and just make one return visit to have it seated. If you get the traditional implants, there is healing time of about 4-6 months after the placement of the implant. Doc will make you a temporary tooth(teeth) during this time.

How successful are dental implants?

Very. 98%.

More Dental Implant Patients

“Painless Dr. Pete” has been my dentist for the past ten years. At age 63 I lost my first tooth. I opted for a state-of-the-art IMPLANT. “PAINLESS PETE” has made the whole experience a pleasant venture.
Larry S.
Today was a happy day for me. My implant work has been completed. Dr. Pete and his assistants worked very hard and long to get my implants just right. Peter explained to me how important it is to floss and brush and keep everything clean. Even thought I am not a very good flosser, I am trying real hard to do a good job because I know how important it is. Now that this has been completed, my mouth feels really good and comfortable. I am very pleased with all the work devoted to me. Also I looking forward now to eating on both sides of my mouth and enjoying all my favorite foods. Thank you Dr. Pete!
Ruth A.

I had an implant put in and the experience was great. I was very apprehensive about the whole procedure, but Dr. Pagano was very patient with me and took it slow which I appreciated. The whole process went great and very smooth no problems at all. The thing I most appreciated was that I was told what the next step would be at every point , it helped ease my anxiety. Now that I’ve had my implant for awhile , I can’t even tell the difference.

Krishna S.
My dental implant surgery was a total success. Doctor Pagano & his staff were marvelous in handling my procedure which was complicated by an allergic reaction to a medication prescribed by a different doctor. Dr. Pagano rushed into his office on a Sunday afternoon and stopped bleeding that had occurred. His service has always been exemplary.
Tony B.

Free 15-Minute Consultation

Call us at 314-576-3000 or contact us to schedule your free 15-minute consultation.