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Long Island Dental Implants      


Branemark – Nobel Biocare – The Gold Standard


A dental implant replaces the root of a lost tooth. Implants have come a long way since
their beginnings in the early 1960s. Dr. P-I Brånemark created the first modern dental implants and developed what is considered to be the “Gold Standard” of implantology. He founded Nobel Biocare, which is the system Long Island Dental Implant Dentist, Dr. Koeppel uses in his office today. Implantology has really become the most permanent way to restore teeth. Implants cannot decay like teeth because they are made of titanium and are built to last. There are many different shapes and sizes of implants, and also many different brands.


Nobel Biocare Implant

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Loosing a front tooth challeging situation

INVISABLE Porcelain Restoration on Implant


Predictable Rock Solid Endurance Design

Managing a case from the extraction to the implant to the restoration could be the difference between success and failure.  Here a patient had to loose their upper front right central incisor tooth, it was extracted and immediate implant placement.   The bone was healthy and


Long Island Dental Implant Dentist, Dr. Koeppel was able to give her a screwed in immediate temporary. Dr. Koeppel then waited for complete implant integration and tissue maturation and proceeded with final restoration.  Here we could truly say this is an invisible




 Immediate Extraction and
Nobel Bicoare Implant Placement

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Same Day Temporary Screwed Into Implant
6 Months Later Final Restoration Invisible
1 implant crown 1 porcelain veneer




                    Zimmer Implant                                   Slactive Straumann                                            


Dr. Koeppel has attachment pieces to almost every brand out there; this is beneficial to patients because he is able to restore implants done outside of his office as well.


Why Would I Need A Dental Implant?


Nothing compares to the endurance and support of dental implants when restoring dental function and maintaining jawbone and tissue integrity. Implants are a very crucial improvement to dentistry. We are now able to give people back what they have lost or what wasn’t there in the first place. Teeth that are so severely decayed that they cannot be saved can now be replaced! Implants are also used to anchor hybrid cosmetic dentures into place, anchor fixed bridges, reconstruct the smiles of trauma victims who have lost teeth, replace genetically missing laterals, and to fill spaces of missing teeth from numerous untreated extractions. Replacement of failed implants from previous treatments can also be done.




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The bone and tissue structure in human jaws will resorb (dissolve away) if left untreated. Suffolk County Dental Implant Dentist, Dr. Koeppel recommends the use of implant-supported devices to help counteract the process caused from untreated tooth loss or edentulous patients. Text Box:  When dentures are the final treatment plan for a patient, we are able to do 2 or more implants to anchor on the denture. This will stimulate jawbone tissue health, and make wearing dentures an enjoyable experience instead of a bother.

Nobel Guide and Simplant Software





Nobel Biocare has created a device to make implantology an exact science. The Nobelguide is a surgical template that creates incomparable perfection. This surgical guide creates so many new opportunities in the world of implantology for patients with compromised bone structure.


In the past, bone structure could not be completely determined until the doctor uncovered the bone during surgery. This could clearly cause problems because surgeons were not sure what they were going in to. If a surgeon was to find that the bone was not adequate for the implant, he had two options. The first being closing the patient up and informing them there was a lack of bone. Or placing the implant anyways, and possibly causing an implant to fail or be restored inadequately leading to massive issues in the future. When necessary, Dr. Koeppel uses these surgical guides because they allow for no surprise when the surgery takes place.

I-Cat Cone Beam Scanner

https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSyA2lqFu-vop1GdUn0fT_Olm0e3PTku2s4g8yNmy8N4YDqqeOGDr. Koeppel uses the I-Cat scanner to measure the width and height of bone mass previously unknown without this technology. The scanner uses many 3-D images of an implant area to measure the bone height and width in that specific area with astounding accuracy. This is unmatched by previous 2-D capabilities. Now patients are able to see their situations, understand, and comprehend the treatment being planned. With this critical imaging we are able to see accurate placing of nerve pathways, sinus cavities, bone masses, and the health of gum tissue surrounding the area, making the actual procedure safer than ever before.



https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcRU_g2rttLe2KztRPTvusoKqHRU9_tO0Z93yqhPZ1ksP9T9kEjCThe I-Cat, Kodak 9000 3D, and NobelGuide cohesively work hand in hand. The data from the I-Cat, and/or Kodak 9000 3D, scan is used to fabricate the customized surgical guide used in surgery.







Implant Planning Software


Long Island Dental Implant Dentist, Dr. Koeppel works with the patients to create a treatment plan right for them, not only technically, but budget wise as well. With all this new technology the patient is actually able to influence their treatment plans by participating and understanding the selection of implant sizes, devices, and types of implant. With 3-D video imaging systems the whole procedure is virtually ran through many times before it even begins, bringing ease to the patient. Blue printing and fine tuning treatment exactly to that patient.

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The actual surgery should not take much longer than an hour. All planning is previously drawn out and completed on the computer. Bone grafts and bone augmentation are also completed at Dr. Koeppels office if needed, to assure in proper implant placement and success. Dr. Koeppel does everything possible to make sure his patients are totally comfortable, and prepares them for a quick and pain free recovery. After the implants are placed, the patients are given immediate ice packs and explained home care instructions. Patients leave the office feeling totally confident in the implant and comfortable with the experience.


With implants the usual healing time is 3-6 months. This time is crucial so that the tissue can recover and it prevents further trauma to the area. This also gives enough time for proper osseointegration (implant fusing to bone) to take place. During this interim process the patient will be wearing a healing abutment or cover screw. This not only allows for no bacteria to reach the implant, but also allows the tissue to be maintained in the exact position Dr. Koeppel prescribes. A space maintainer is also worn to hold the exact position of the space to give the implant-abutted crown or bridge enough room. Sometimes “teeth in a day” cases are able to go home the day of surgery, 1-2 days later with teeth.

Implant Restoration

Restoration is the process of creating an artificial tooth or teeth and attaching it to the implant. After 3-6 months, patients return to the office to be custom fitted for the implant supported device. Impressions are taken and a crown, bridge, partial or full denture is fabricated.
The healing abutment is removed and a new custom abutment is placed on the implant, as seen in this photo.    These custom abutments are then torque in with a special torque wrench.  This custom abutment is a metal cylinder that the restoration is cemented on.  





Call our office at (631) 318-0000 to arrange a consult with Koeppel Dental Group to learn how easy it is to replace missing teeth with dental implants. You can also use our Consult Request form to arrange an appointment.


Patients seeking specific answers or information related to the material on this page can also choose to contact the Doctors at Koeppel Dental Group directly with our Ask The Dentist form. Dr. Koeppel will reply to you directly with the information you are seeking.




Interview of Multiple Implant Patients

Front Tooth Implant Patient

Krazy Glued Bridge – Unsound Bridge Gone Bad


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Multiple Implants for One Bridge