Section 1
Why replace a missing tooth?
When a tooth is lost, the consequences are not merely aesthetic. Gradually, the absence of a tooth can lead to:
- a shifting of adjacent teeth
- a reduction in chewing efficiency
- progressive bone loss
- difficulty eating certain foods
- a change in the overall balance of the mouth
Many patients believe they can live without replacing a missing molar. However, preserving the balance of your dentition often helps to prevent future complications.
Section 2
What is a dental implant?

A dental implant is an artificial root placed into the bone to replace the root of a missing tooth.
Once integrated into the bone, it serves as a support for a custom-made crown.
The aim is to restore:
- a fixed tooth
- comfortable chewing
- a harmonious smile
- a sensation close to a natural tooth
Titanium artificial root integrated into the bone
Connector between the implant and the crown
Custom-made ceramic restoration
Section 3
Replace a single tooth without affecting neighbouring teeth
One of the main advantages of a dental implant is that it allows for the replacement of a missing tooth without having to rely on adjacent teeth.
This approach allows for the preservation of more natural dental tissue and aligns perfectly with the practice's conservative philosophy.

An implant may be indicated to replace:
- a missing molar
- a missing premolar
- a missing incisor
- a missing canine
Section 4
Replacing several teeth
When several teeth are missing, different solutions can be considered. Implants can support:
- several individual crowns on implants
- an implant-supported bridge
- a more extensive restoration

Each project is studied individually to determine the most appropriate solution based on the patient's anatomy, bone volume, and expectations.
Section 5
Dental implant or bridge?
Both options allow for the replacement of a missing tooth. The choice depends on the clinical situation, available bone volume, the health of adjacent teeth, and the patient's expectations.
| Criterion | Dental implant | Bridge |
|---|---|---|
| Preservation of adjacent teeth | No intervention necessary | Preparation of adjacent teeth |
| Daily comfort | Sensation akin to a natural tooth | Generally good comfort |
| Aesthetics | Excellent (ceramic crown) | Excellent (ceramic) |
| Stability | Direct bone anchorage | Support from adjacent teeth |
| Maintenance | Brushing + interdental brushes / floss | Specific hygiene under the bridge |
| Bone preservation | Stimulates the bone like a tooth root | No bone stimulation in the area of the missing tooth |
Implants and bridges are not mutually exclusive: they are two complementary solutions. At Dr Gary Murciano's practice in Le Chesnay, the indication is determined after a comprehensive clinical and radiological assessment.
Section 6
Digitally guided implantology
The practice is equipped with a 3D CBCT scanner and an 3Shape optical scanner allowing for precise planning of each implant treatment.
Three-dimensional anatomical visualisation
Digital impression without paste
Guided and precise implant placement
The advantages:
- better anatomical visualisation
- personalised treatment planning
- improved patient comfort
- precision of restorations
- better communication with the laboratory
Section 7
Why choose Dr Gary Murciano?
Implantology is not just about replacing a tooth. It requires a holistic analysis of the mouth, bone, occlusion, smile, and the patient's expectations.
Each treatment is carried out using a personalised approach aimed at achieving a natural, functional, and aesthetic result.
