Dental Implants in Agoura Hills, CA

Dental Implants


“Dental implants are here to stay”. At Hilltop Dental Dr. Apelian provides placement and restoration of dental implants. Since 1990 Dental implants have become a vital part of his profession. Dr. Apelian has completed a Hospital Residency program at the UCLA affiliated V.A. Hospital, where he participated in research programs of Implantology as it was evolving as the new breakthrough in Dentistry.

Over the years many manufacturers of dental implants have researched to ease the placement and to increase the longevity of implants. The various designs and surface textures of dental implants vary from one manufacturer to another. Its main composition is surgical grade Titanium. Implant surfaces are mainly etched Titanium or are coated with calcium triphosphate products. Implant success rates are over 95%. There is no other known material more biocompatible to the human body (bone) than titanium. Alveolar (Jaw) bone quality (density) and the quantity (the ridge width and height) often dictate the choice of an implant’s type and size.


  • Heavy Smokers.
  • Uncontrolled Diabetes.
  • Poor oral Hygiene.
  • Individuals with suppressed immune systems.
  • Chronic infections of the jawbone.
  • Post-menopausal women who have undergone recent hormone therapies (ex. Fosomax).
  • Severe untreated bruxers and clenchers.


  • To replace a single missing tooth.
  • To replace multiple missing teeth.
  • To stabilize unstable (floating) full or partial dentures.
  • To anchor a fixed and a removable hybrid bridge on the ridge of an edentulous jaw. (ex. All on 4 or All on 6 Dental Implants).

Overall Design of Implants

  • Cylindrical.
  • Tapering (screw) type – The screw type implant has the advantage of being placed between two converging roots of the two adjacent natural teeth. It also condenses soft jaw bones as it gets screwed in.
  • Sizes:
    Length in mm: 6, 8, 10, 11.5, 13, and 16.
    Width in mm: 3.0, 3.2, 3.5, 3.75, 4.2, 4.5, 5.0, 6.0

Techniques and Terminologies

  • Flapless – no need to expose the jaw bone.
    At Hilltop Dental, often dental implants are placed with the flapless techniques. This assures minimal post-surgical pain and faster healing.
  • With Flap – the gum tissue flapped open and the jaw bone is exposed.
  • Submerged (covered) – Implant is kept below the gum tissue. Invisible during the healing period.
  • Uncovered – A healing collar is placed that protrudes above the gum tissue.
  • Immediate Implants – placement of implants at the same time the natural tooth (teeth) is extracted.
  • Immediate loading – a provisional (temporary) crown or even prosthesis is placed on a single or multiple implants shortly following placement of the implant(s), even on the same day/visit.

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