Dental Implants

1What are dental Implants?
Dental implants are the best long-term solution for tooth loss, and the best choice if you wish to return to an active, healthy lifestyle. Medical-grade titanium posts are permanently anchored to your jaw,functioning like the root of a tooth. Prosthetic crowns are then placed onto the posts to replace the tooth visible above the gums. The result is permanent teeth that look, feel, and function like natural teeth. They are virtually immune to infection, damage, and decay, which prevents both continued gum disease and bone loss. Dental implants are your guaranteed for 5 years, and designed to last a lifetime.
2Am I a candidate for full mouth dental implants?
If you have missing or damaged teeth, suffer from severe gum disease, or have endured trauma to the mouth, you’re a good candidate for dental implants. Even if you’ve already suffered extensive bone loss, you can benefit from dental implants.
3Will anyone know that I have implants?
Nobody will suspect a thing. Your dental implants will look just like natural teeth. You’ll be able to smile, eat, and live with confidence and comfort.
4What are the different tooth replacement options?
Use the front page chart on this topic (full mouth teeth replacement options)
5How is the CascadesONE implant system different?
Use the first chart from the front page.
6How is CascadesONE different from from All-on-4s®?
Our full mouth dental implant system typically use six implants, while All-on-4s® use only four. Using six dental implants provides a more even load distribution and reduces the stress placed on each individual implant. In our experience, our six-implant procedure has consistently led to more long-term stability and success.
7 How much are Full Mouth Dental Implants?
At other offices, dental implants can cost you over $25,000 per arch, and even more with additional costs that are not included! Some offices charge extra for things that Cascades considers standard - like prosthetics, sedation, and after-care, and they have up-charges if you want the highest-quality materials. Shop around, and make sure to compare apples to apples. When you do, you’ll find that Cascades really does offer the best quality and the best price at the same time. The CascadesONE system is priced at $21,500 per arch, which is an amazing value when compared to most other offices. Our “One Price” promise means that your up-front quote will include the highest quality work and materials, prosthetics, sedation, after-care, and everything else, including a 5-year guarantee.
8Why is the Cascades ONE so much more affordable than other implant options?

The number of doctors you see, the offices you visit, and the skill of your practitioners can all affect your total cost. Dr. Ruparelia is a very experienced implant dentist. His skill and his excellent relationships with implant and prosthetic companies keep your cost down. The entire procedure is also done in one office with one doctor, so there are minimal overhead expenses to cover.

Perhaps most importantly, Dr. Ruparelia cares deeply about his patients. He knows how important dental implants can be to creating a full life, and he always ensures that his dental implant procedures are as affordable as possible for his patients. And, since we promise not to change your initial quote, you’ll never be surprised with hidden fees and expenses.

9What is the success rate of dental implants?
Dental Implants are extremely successful. Most studies show that dental implants have 97-98% success rate – much higher than any other procedure in medicine. For example, the success rate of an experienced surgeon like Dr. Ruparelia is even higher than average, at 98-99%.
10How long will my implants last?
Our full mouth dental implants are designed to last a lifetime, and we offer a 5-year guarantee on our procedures. As long as you keep your regularly scheduled hygiene appointments up to date, we fully guarantee our dental implants for 5 years.
11Are there any risks?
As with any major surgery, there are risks involved with dental implant procedures. However, these risks are extremely rare. Dr. Ruparelia has the experience and knowledge to take care of any complications that do arise. Plus, once the treatment is completed, our 5-year guarantee means that you’ll have nothing to worry about. You’ll be able to discuss all of the specifics of your procedure with Dr. Ruparelia before you begin.
12How much does my initial consultation cost?
Your initial consultation with Dr. Ruparelia is complimentary. You’ll just pay for any CT scans or X-rays we take.
13 Do I really get new teeth in just a day?
On the day of your procedure, you’ll leave our office with fixed teeth that look, feel, and function like natural teeth. Your permanent implants will be in place, and you’ll have temporary prosthesis fixed to the implants. Once you’ve fully healed from your surgery, you’ll come back in for your permanent prosthesis.
14Is the procedure painful?
We’ll do everything possible to make your experience as comfortable as possible. Dr. Ruparelia is certified in sedation dentistry, so you have the option of not feeling anything. Our practice also has an anesthesiologist on staff, which is a unique benefit for you. Most patients choose general anesthesia; however local anesthesia is also an option. Patients are usually very surprised at how little discomfort they feel following the procedure.
15 How long will it take to recover?
Recovery is generally very quick, though you’ll have some discomfort after your procedure. Most patients are able to eat normally and return to work after 4-5 days.
16 How do I care for my implants?
You will care for your implants as you would natural teeth. Dr. Ruparelia and the rest of the team will advise you on how to best brush, floss, and generally take care of your new teeth.
17 Will this get rid of my periodontal disease and bone loss?

In a word, yes. During your procedure, all of the bacteria that causes your periodontal disease will be removed and your new dental implants will prevent it from ever coming back.

Bone loss will also be stabilized, since your dental implants will bear the load normally taken on by your natural teeth. This load-bearing allows your jaw to do what it’s designed for, which strengthens and maintains natural bone health.

18 How many people will I be working with? Will I need to visit several offices?

You will be working exclusively with Dr. Ruparelia and his team. At many dental centers, patients need to go to one office for their prosthetic consultations, another for the surgery, with a whole array of different assistants and hygienists.

You’ll meet with your doctor, Dr. Ruparelia, during your initial consultation and he will continue to work with you during every step of your treatment. He will be the only ones handling the treatment. You will be supported by one highly trained team, and all the treatment will take place in one location.

19 What makes Dr. Ruparelia qualified to do dental implant procedures?

Your dentist, Dr. Ruparelia, is a highly trained implant dentist. For example, Dr. Ruparelia is skilled in both the prosthetic and surgical aspects of dental implant procedures. While other dentists may be proficient in one area or the other, few are able to do both, and even fewer with Dr. Ruparelia’s expertise and success rates.

In addition to achieving extremely high success rates, Dr. Ruparelia has the extensive knowledge base and considerable experience to allow him to continually innovate newer, better, and more efficient ways of performing dental implant procedures.

Dr. Ruparelia has trained with the best in the field of modern dentistry. He continues to seek out opportunities to expand his knowledge and improve his patients’ experiences.


1How does the CascadesONE procedure begin?
The first step toward your new smile is to schedule a consultation with Dr. Ruparelia. The consultation is complimentary and during which. you will learn what you can expect as well as if this mode of treatment is right for you. If you have decided to follow through with our CascadesONE Procedure, the next step is to undergo pre-procedure examination.
2What is the pre-procedure exam like for CascadesONE?
During the pre-procedure exam, you’ll meet with Dr. Ruparelia who will help you determine your implant needs. You and Dr. Ruparelia will discuss what you’d like your new teeth to look and feel like. At this step, your treatment plan for your CascadesONE procedure will be finalized.
3What can I expect following the CascadesONE procedure?
After your CascadesONE procedure, you’ll be able to leave our office with a brand new, natural-looking smile! These full mouth dental implants will look, feel, and function like authentic teeth. Dr. Ruparelia recommends that you take a few days following your procedure to take things easy. You’ll be able to return to your normal lifestyle after this brief period of ease.
4What can I expect in regards to recovery?

Most patients will be able to resume eating normally and return to work within a few days after their procedure. Over the next couple of weeks, your gum tissues will heal, enabling you to see how you feel with your new teeth. Dr. Ruparelia a few weeks after your surgery, and he will personally make sure everything is healing just as it should.

A follow-up appointment will be scheduled with Dr. Ruparelia a few weeks after your surgery to check on the status of your recovery.

5When can I expect permanent teeth from the CascadesONE procedure?
Once you’ve given your mouth the proper time to heal and your dental implants have stabilized, it’s time to receive your new, permanent teeth! The appearance and functionality of these implants will resemble that of natural teeth.
6How do I care for my new teeth?
You will take care of your new teeth just as you would with your natural teeth! No specialty care instructions are necessary!

It can be easy to feel discomforted with your smile if a part of your smile is missing. Dr. Ruparelia and his team can help you feel confident in your smile once again. With our full mouth dental implants streamlined system, you’ll be able to leave our practice with a brighter, healthier-looking smile!

At Cascades Center for Dental Health, our team of dental experts aims to give you the best possible experience, complemented with expertise that can further your dental wellness. Schedule your first consultation with us today to find out if our CascadesONE program can help give you a picture-perfect smile.

Sedation Dentistry

1What is sedation dentistry?
Sedation dentistry uses safe and effective medications to help you relax during your dental visit. There are a number of methods and medications to produce this effect, and a few different levels of sedation, so you can find the solution that’s perfect for you. Learn about our different sedation options here.
2What is general anesthesia, or sleep dentistry?
General anesthesia, or sleep dentistry, is a term sometimes used to describe the deepest level of sedation. During your sleep dentistry appointment, a board-certified anesthesiologist will administer medication and continually monitor your safety and comfort. You can just sleep comfortably through the whole appointment and wake up to find years of dental problems have been treated while you slept.
3How do I know if sedation is right for me?
Sedation dentistry is for anyone who wants to be comfortable and relaxed throughout their whole dental visit. Read more here.
4What is an appointment like?
A sedation appointment feels calm and peaceful, and is probably completely unlike any other experience you’ve had at the dentist. Learn more here.
5Will I really sleep through the appointment?
Many patients choose to be asleep for the whole dental procedure. This level of sedation is often referred to as sleep dentistry. Dr. Ruparelia will perform all the dentistry while a certified anesthesiologist provides the sedative medications and monitors you. This is all done right in our office at Cascades Dental, so there’s no need for an extra appointment or to go to another office.
6Is it safe?
Yes. The medications that we use are extremely safe. To ensure safety and comfort, our whole team has been trained to take care of sedation patients, and we will be monitoring you the entire time you are in the office. Dr. Ruparelia has sedation permits by the Virginia Dental Board.
7What if I’m embarrassed?
There is no need to be embarrassed anymore. We see people like you every day. Many good people are unable to get the care they need, for one reason or another. No one here will criticize you or give you a lecture about the condition of your teeth. We’re just glad you found us.

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