Told you are not a candidate
Bone loss is the single most common reason a patient is turned away. Between wedge implants for narrow ridges, bone augmentation, and sinus lifts, there is usually a route. It starts with a scan, not an opinion.
Implant dentistry since 1996 / White Plains NY
Dr. Jeffrey B. Schoengold has placed dental implants since 1996. If you have been told there is not enough bone, or you want a second opinion on a treatment plan you were handed somewhere else, that is the conversation we have here every week.
Measured in millimeters
When a tooth has been missing for years, the jawbone narrows. Below roughly five millimeters of width, a standard round implant no longer fits, and most offices will tell you the same thing: graft first, wait months, then come back.
There is a second route. REX PiezoImplants are wedge shaped rather than round, only 1.8mm thick, and placed with piezoelectric instruments that shape bone without a drill. They are designed to go into a narrow ridge as it already is.
One honest caveat. A wedge implant solves a ridge that is too narrow. It does not solve a ridge that is too short, or one sitting too close to the sinus. Those still call for grafting or a sinus lift, both of which we do here. A 3D scan is what tells us which situation you are actually in, and that is the first thing we do.
Cross section, not to scale. Figures reflect a seven year multicenter study of wedge shaped implants placed in horizontally narrowed ridges without bone augmentation. Individual candidacy is determined by 3D scan.
What comes through our door
Many general offices place straightforward implants and send anything complicated to a specialist across town. We handle the diagnosis, the surgery, and the final restoration under one roof on North Street.
Bone loss is the single most common reason a patient is turned away. Between wedge implants for narrow ridges, bone augmentation, and sinus lifts, there is usually a route. It starts with a scan, not an opinion.
Failing teeth or dentures that never sat right. A fixed arch anchored on implants removes the adhesive, the slipping, and the food you have quietly stopped ordering.
Bring the quote and the scan. We will tell you plainly whether the plan makes sense, including when the answer is that the other office got it right and you should stay put.
Implants placed elsewhere that have loosened, become infected, or lost bone around them. Assessment, removal where needed, and a plan to restore the site properly.
If avoidance is the reason this has waited years, sedation makes the appointment something you can get through. Tell the front desk when you call so we plan for it.
Diabetes, blood thinners, bisphosphonates, prior radiation. These change the plan rather than end it, and they are worked through before anything is scheduled.
The dentist doing the work
The goal was never to fix your teeth for today. It is to give you something that is still working in twenty years.
Plenty of dentists added implants to the menu after a weekend course. Dr. Schoengold started placing them in 1996 and has spent the three decades since on the cases that are not straightforward: severe resorption, full arch reconstruction, medically complex patients, and people who arrived having already been told no somewhere else.
Begins practicing dentistry in New York.
Begins placing dental implants, and shifts the practice toward implant reconstruction.
Certified in REX PiezoImplant placement for narrow ridge cases, with two offices serving Westchester and the north Bronx.
Treatment options
Different problems, different hardware. Which one applies is decided from the scan, not from a brochure.
Replaces one missing tooth on its own root. Nothing is ground down on either side, which is the main reason it beats a traditional bridge long term.
Two or more implants carry a bridge across a gap. The load sits on titanium rather than on the neighboring teeth.
A fixed arch on four to six implants. It does not come out at night and it does not need adhesive.
A removable denture that snaps onto implants instead of resting on gum. The lower cost route to stability.
What actually happens
Timelines below are typical. Grafting, healing speed, and your own medical history move them.
A CBCT scan shows the bone you actually have. You see it on screen and get told what it means.
Scope, sequence, and the full number in writing. Insurance benefits checked before you decide anything.
Position planned digitally in advance. Local anesthesia as standard, sedation if you want it.
Bone fuses to the implant surface. You are checked along the way, with a temporary in place where needed.
The crown, bridge, or arch is fitted and adjusted until the bite is right and it disappears in the mirror.
Rated 4.8 from 130 Google reviews
He explained every step clearly and made me feel comfortable from beginning to end. The implant looks and feels amazing.
They took me as an emergency. There was no pain, and he talked me through the whole thing.
He made sure to tell me I had significant bone loss, then found an implant system that worked for it.
Who we see on North Street
The office sits on North Street on the east side of White Plains, a short drive from the Hutchinson River Parkway and the Bronx River Parkway, with parking on site. Patients travel in from across the county, and a number come up from the Bronx.
Ten to fifteen minutes door to door for most of these.
Straight run across on the Hutch or Route 22.
Worth the drive for a complex case, and most patients only make it a handful of times.
Coming from the Bronx, our second office at 3800 Independence Avenue in Riverdale is open Tuesday, Thursday and Sunday. Same dentist, same implant systems.
Find us
Two offices
Dr. Schoengold divides his week between White Plains and Riverdale in the Bronx. If the other office is closer to you, or its days fit your schedule better, you are seeing the same dentist either way.
435 North St, White Plains, NY 10605
Westchester County, parking on site
3800 Independence Ave, Bronx, NY 10463
Northwest Bronx, near the 1 at 231 St
Before you call
Often it is not. There are three separate situations that all get described the same way. If the ridge is too narrow, a wedge shaped implant may fit without any grafting. If the ridge is too short, grafting can rebuild it. If the upper back jaw has thinned toward the sinus, a sinus lift creates the height. What you need is a 3D scan to establish which one you are dealing with, because they have different answers.
There is no single figure, because the honest answer depends on what your scan shows. Whether grafting is needed, how many teeth are involved, and which restoration goes on top all move the number substantially. What we can promise is the process: you get the full cost in writing before you commit to anything, your insurance benefits are checked first, and the number does not move afterwards. Monthly payment plans are available.
Usually part of it. Few plans cover the implant fixture itself, but many cover the extraction, the graft, or the crown that sits on top. We check your specific benefits before treatment and tell you the real out of pocket number, not an estimate. Monthly payment plans are available for the balance.
Yes, and a good number of our patients arrive that way. Bring the plan, the quote, and the scan if you have it. You will get a straight assessment, including the times when the honest answer is that the original plan was sound and you should go ahead with it.
For a straightforward single implant, roughly three to six months from placement to final crown, most of which is healing rather than appointments. Grafting adds months on the front end. Full arch cases using immediate loading protocols can leave the office with fixed temporary teeth the same day as surgery.
Most patients report less discomfort than they expected, and frequently less than the extraction that preceded it. The procedure itself is done under local anesthesia. Afterwards, over the counter medication handles it for the majority of people.
Say so when you call and it gets planned around. Sedation is available, and for a lot of people it is the reason a problem they have avoided for years finally gets dealt with. There is no lecture about why you waited.
They are designed to be permanent, and with good hygiene and regular checkups many last decades. The crown on top may need replacing at some point, which is normal wear. What matters most for longevity is that the implant was planned and positioned properly in the first place, which is where the scan and the digital planning earn their keep.
Request a consultation
Tell us what is going on and the front desk will call you back to arrange a time. If you were told no somewhere else, mention it, because those get looked at closely.