Multiple Dental Implants
Multiple Dental Implants Procedure is a specialized dental service provided by the board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Strategic placement of two or more implants in a single surgical session to restore several missing teeth.
Placing Multiple Implants in One Procedure — Efficiency Without Compromise
When two or more teeth need to be replaced with implants, Dr. Ostovar plans and places them in a single surgical session whenever possible. This consolidated approach means one round of anesthesia, one recovery period, and one osseointegration timeline — saving you months compared to staging each implant separately. The CBCT scan maps every implant position in advance, accounting for bone density variations, nerve proximity, and the prosthetic requirements of the final restoration.
The surgical technique for multiple implants follows the same precision protocol as single placement, but with additional considerations for inter-implant spacing and parallel alignment. Implants placed too close together (less than 3 millimeters apart) can cause crestal bone loss between them. Implants that are significantly non-parallel complicate prosthetic connections. Dr. Ostovar uses surgical guides for multi-implant cases to ensure each osteotomy hits its target position within fractions of a millimeter.
Patients are often surprised that recovering from four implants is not dramatically harder than recovering from one. The bone has minimal nerve supply, so additional osteotomies do not proportionally increase pain. Swelling may be slightly more pronounced and may last a day or two longer, but the soft-tissue discomfort is localized to each site. IV sedation is recommended for procedures involving three or more implants, as it keeps you comfortable during the longer appointment and eliminates any anxiety associated with an extended procedure.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for seamless continuity of care from start to finish.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Inter-Implant Spacing and Crestal Bone Preservation
When multiple implants are placed in close proximity, the blood supply to the crestal bone between them becomes the limiting factor for bone preservation. Research by Tarnow et al. demonstrated that inter-implant distances of less than 3 millimeters result in a predictable 1.04 mm of vertical bone loss between the implants, while distances of 3 mm or greater maintain crestal bone height. This finding drives surgical planning: Dr. Ostovar uses CBCT measurements to ensure adequate spacing, selecting implant diameters that leave at least 3 mm of bone between fixtures. In areas where anatomy limits spacing, platform-switching implant designs help preserve peri-implant bone by shifting the inflammatory cell infiltrate away from the crestal region.
Why Choose a Specialist?
Planning multiple implants is exponentially more complex than planning one. Each additional implant introduces variables — angulation relationships, prosthetic path of insertion, load distribution across the bridge, and the interplay between implant positions and soft-tissue aesthetics. Dr. Ostovar manages these variables daily. His digital planning workflow integrates CBCT data with prosthetic design, allowing him to visualize the final restoration before the first drill touches bone. This "restoration-driven" approach to multiple implant placement ensures that the surgery serves the prosthetic outcome — not the other way around.
Your Multiple Dental Implants Procedure Treatment Steps
- Consultation & Exam: Comprehensive multiple dental implants procedure evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist discusses your multiple dental implants procedure options, timeline, and costs. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for optimal healing.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
From Dr. Ostovar: What I Tell My Implant Patients
“In my experience placing thousands of dental implants, I’ve found that the patients who do best are the ones who understand what they’re getting into. It’s not a painful procedure — most people tell me it was easier than the extraction. But it is a process. You’re looking at 3-6 months from implant placement to final crown, sometimes longer if we need to build bone first.
I won’t sugarcoat it: not every patient is a candidate right away. If you’ve had teeth missing for years, you’ve likely lost bone. That doesn’t mean you can’t get implants — it means we may need a bone graft or sinus lift first. I’d rather take the time to build a solid foundation than rush and risk failure.
The materials matter too. We use Nobel Biocare and Straumann titanium implants — these are the systems with the best long-term research behind them. For the crown, I typically recommend zirconia or e.max porcelain depending on the location in your mouth. Front teeth get a different material consideration than molars.
If you’re comparing costs, a single implant at our Beaverton office runs $3,500-$5,500 including the crown. That’s competitive for the Portland metro area, and we offer CareCredit 0% financing. Most PPO dental insurance plans now cover a portion of implant costs — our team will verify your benefits before we start.”
— Dr. Merat Ostovar, DDS | Board-Certified Implant Specialist
I know the idea of multiple dental implants procedure might sound intimidating. Many patients at our Beaverton office felt the same way — until they experienced how comfortable the process actually is.
Are You a Candidate for Multiple Dental Implants Procedure?
Most patients in good general health are candidates for multiple dental implants procedure. However, certain factors may affect your eligibility or require modifications to the treatment plan:
- Medical conditions: Uncontrolled diabetes, autoimmune disorders, or blood-thinning medications may require coordination with your physician before treatment.
- Bone quality: For multiple dental implants procedure involving the jawbone, adequate bone density is essential. A CBCT 3D scan during your consultation determines this precisely.
- Smoking: Tobacco use significantly impairs healing. We strongly recommend quitting 2-4 weeks before and after any surgical procedure.
- Age: There is generally no upper age limit. What matters is your overall health, not your age. We have successfully treated patients in their 80s and 90s.
The only way to know for certain is a consultation with our board-certified specialists. Call (503) 822-0096 to schedule your evaluation — we’ll tell you honestly whether this is the right treatment for your situation.
Typical Healing Timeline:
Days 1-3: Initial healing, mild swelling managed with ice and medication. Days 4-7: Swelling subsides, gradual return to normal diet. Weeks 2-4: Soft tissue heals completely. Months 2-6: Bone remodeling and full integration (for surgical procedures). Individual recovery varies — we provide detailed post-op instructions specific to your procedure.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Related Dental Services
Frequently Asked Questions
Is it safe to place multiple implants at the same time?
Yes. Placing multiple implants in a single session is standard practice and well-supported by clinical evidence. The body heals multiple osteotomies simultaneously just as it would heal multiple extraction sites. The bone is not aware of how many implants it is integrating — each site heals independently.
How many implants can be placed in one appointment?
There is no strict upper limit. We routinely place four to eight implants in a single session for full-arch cases. The practical limit is determined by the patient's health, bone availability, and the length of time they can comfortably be under sedation. For most patients, treating everything at once is preferable.
Does placing multiple implants take a lot longer?
Each additional implant adds roughly 15 to 20 minutes to the surgical time. A four-implant procedure might take 90 minutes total, compared to 30 to 45 minutes for a single implant. Under IV sedation, the time difference is irrelevant to the patient experience.
Is the recovery harder with multiple implants?
Recovery is modestly more involved. Swelling may be slightly greater and persist a day or two longer. Some patients need prescription pain medication for the first two or three days rather than just ibuprofen. However, the difference between recovering from two implants versus one is much smaller than most patients expect.
Will I have temporary teeth while multiple implants heal?
Yes. Depending on the location and number of implants, we provide temporary restorations — either a temporary bridge, a flipper (removable partial), or in some cases, immediately loaded provisional crowns. You will not have visible gaps at any point during treatment.
Can multiple implants be placed in different areas of the mouth at once?
Absolutely. It is common for patients to need implants in different quadrants — for example, one in the upper right and two in the lower left. Placing them all in one session is more efficient and results in a single, consolidated recovery period.
What is the cost advantage of placing multiple implants at once?
You save on shared costs like surgical facility time, sedation fees, and appointment logistics. The per-implant cost may also be lower when multiple implants are part of a comprehensive treatment plan. We itemize each component so you can see exactly where the savings apply.
Do multiple implants need to be parallel to each other?
Ideally, yes, especially when they will support a fixed bridge. Parallel implants simplify the prosthetic path of insertion and reduce stress on the components. Modern abutment systems can correct for angulation differences of up to 30 degrees, but planning for parallelism from the start produces the cleanest result.
What happens if one of the multiple implants fails to integrate?
If one implant in a multi-implant case fails, the others typically integrate successfully. The failed implant is removed, the site is allowed to heal (usually six to eight weeks), and a replacement implant is placed. The provisional restoration may need adjustment during this period but treatment continues.
Are surgical guides used for all multiple implant cases?
Dr. Ostovar uses surgical guides for virtually all multi-implant cases. The guide ensures that each implant is placed in the digitally planned position with the correct angulation and depth. For cases involving three or more implants, guided surgery is particularly valuable for maintaining inter-implant parallelism.
How is bone quality assessed for each implant site?
CBCT imaging provides bone density data in Hounsfield units at each planned site. Dr. Ostovar also assesses bone quality tactilely during the osteotomy — the resistance felt during drilling indicates whether the bone is dense cortical, moderate D2/D3, or soft D4 trabecular. This real-time assessment may lead to protocol adjustments like wider implants or modified drilling sequences.
Can implants be placed on both the upper and lower jaw in one visit?
Yes, and we do this routinely. When both arches need treatment, completing everything in one surgical session under IV sedation is often the most efficient approach. The total procedure time is longer, but the single-recovery advantage makes it worthwhile for most patients.
What if I need bone grafting at some sites but not others?
Mixed-condition cases are common. Implants can be placed at sites with adequate bone during the same session that grafting is performed at deficient sites. The grafted sites heal for four to six months, after which implants are placed there in a second, shorter procedure. Dr. Ostovar stages these cases to minimize total treatment time.
How long until all the implants are fully restored with crowns or bridges?
The overall timeline depends on whether all sites have adequate bone or some need grafting. In a best-case scenario where all implants are placed at once and integrate on schedule, final restorations are delivered at four to six months. Cases requiring staged grafting may take eight to twelve months total.
Do multiple implants have different success rates than single implants?
No. Individual implant success rates are the same whether one or several are placed in the same session. Each implant integrates independently with the surrounding bone. The overall case success rate is high because even if one implant requires retreatment, the others continue to function normally.
Several Teeth to Replace? One Surgery Can Handle All of Them
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026