Dental Implants in St. Augustine, FL

Restore your smile and confidence with permanent tooth replacement that looks and feels natural.

Don't let missing teeth hold you back from living life to the fullest. Rediscover the joy of smiling, eating, and speaking with confidence!

When you’re dealing with extensive tooth loss or multiple failing teeth, you’re facing a decision about your quality of life. Generic dentists might patch individual problems. Some oral surgeons focus on single tooth replacements. At St. Augustine Oral & Facial Surgical Center, we focus on what truly transforms lives: full-mouth restoration that gives you back everything you’ve been missing.

Dr. Douglas L. Johnson handles complete smile transformations from consultation to final teeth, all in our AAAHC-accredited facility. Dental implants offer permanent solutions whether you’re missing one tooth or need a complete arch replaced. Our practice excels at full-mouth cases using advanced techniques like teeth-in-a-day and all-on-four procedures. No waiting for dentist coordination. No bouncing between offices. Just comprehensive care that can transform your smile in a single appointment, performed under IV sedation for your comfort.

Dental Implants Presentation

To provide you with a better understanding of dental implants, we have provided the following multimedia presentation. Many common questions pertaining to dental implants are discussed.

Our Focus: Full-Mouth Transformations

While general dentists handle single tooth implants, our practice focuses on complex full-arch reconstruction. This is where oral surgery training and experience make the biggest difference. Dr. Johnson completed specialized training in facial cosmetics and reconstruction following his residency at the University of Florida. He handles cases involving multiple implants, extensive extractions, and complete smile rehabilitation.

If you’re facing the loss of most or all of your teeth, teeth-in-a-day procedures offer same-day transformation. You walk into our office with failing teeth and leave the same day with a complete set of functional teeth. The all-on-four methodology uses four to six strategically placed implants per arch to support a full prosthesis, often eliminating the need for extensive bone grafting.

This approach works because we handle your complete care. Dr. Johnson, who is board certified by both the American Board of Oral & Maxillofacial Surgeons and the National Dental Board of Anesthesiology, removes any remaining problematic teeth, places your implants, and attaches your temporary teeth during one surgical appointment. You never have to coordinate between multiple providers or wait months between procedures.

Teeth in a Day: Same-Day Smile Transformation

The teeth-in-a-day process represents our most advanced full-mouth solution. During one surgical appointment under IV sedation, we extract any remaining teeth, place your implants, and secure your temporary prosthesis. You leave with a complete smile that functions immediately.

Traditional implant treatments require multiple appointments spread over months. You visit for extractions, wait for healing, return for implant placement, heal again, and finally receive your teeth. This fragmented timeline means extended periods without teeth or relying on uncomfortable temporary dentures. Approximately 40 million Americans are missing all of their teeth, and many don’t realize same-day options exist.

Our streamlined approach changes this experience. We use 3D imaging technology to plan your implant placement before surgery. If you need bone grafting to support your implants, we often perform this during the same appointment. Our team of certified surgical assistants and registered APRN work alongside Dr. Johnson throughout your procedure, ensuring focused attention from start to finish.

Dr. Douglas L. Johnson, DMD

With over 25 years of specialized experience, Dr. Johnson provides exceptional care using the latest techniques and technology.

Dr. Johnson is a board-certified oral and maxillofacial surgeon who completed his education at the University of Pittsburgh School of Dental Medicine and advanced training through fellowships at prestigious institutions. His extensive training and experience allow him to perform complex procedures with precision and care.

At our state-of-the-art facility, we prioritize your comfort and results. Dr. Johnson and his specially trained staff are committed to providing you with the highest standard of care in a welcoming environment.

Understanding Your Full-Arch Options

Full-arch replacement comes in several forms, each with different benefits depending on your needs and budget. Fixed full-arch prosthetics attach permanently to your implants. You care for them like natural teeth with brushing and flossing. Implant-supported overdentures snap onto fewer implants and remain removable for cleaning, offering a more affordable middle ground.

The right choice depends on your jawbone density, overall health, budget, and personal preferences. During your consultation, Dr. Johnson will evaluate your specific situation and explain which options suit your case. We’ll be transparent about costs, timeline, and realistic expectations. You’ll leave understanding exactly what each approach involves and what results you can expect.

For patients needing individual tooth replacement, we also provide single tooth solutions. However, most single implants come to us through dentist referrals for cases requiring oral surgery expertise. Our practice truly excels at full-mouth transformations where we can work independently to handle your complete care.

Being Honest About Success Factors

We believe in transparency about what affects your treatment outcomes. Dental implants have a success rate of 95% when performed by trained oral surgeons in accredited facilities, but certain factors influence your individual success.

If you smoke, we need to discuss how tobacco use impacts implant integration. Smoking restricts blood flow to your gums and bone, which affects osseointegration. This matters for all implant cases but becomes especially important in full-arch procedures where multiple implants need to heal successfully. We won’t lecture you, but we won’t downplay the risks either. You deserve accurate information to make informed decisions.

We’ll also discuss your overall health, medications, and any conditions that affect healing. Many common health issues can be managed during treatment. Controlled diabetes, heart conditions managed with medication, and other concerns don’t automatically disqualify you. They simply shape how we approach your care and what precautions we take during surgery.

Your Treatment Journey With Us

We handle your care differently than most practices. You don’t need dentist referrals to start treatment with us. If you’re dealing with failing teeth and want to explore full-arch replacement, contact us directly. We’ll evaluate your case, create your treatment plan, and handle the surgical phase completely.

Your consultation involves comprehensive evaluation including 3D imaging to assess bone density and plan precise implant placement. Dr. Johnson will discuss your medical history, explain your options, and answer questions about recovery and realistic expectations. We’ll provide detailed cost information and discuss financing options. We work with most PPO dental plans and third-party financing companies.

If you proceed with treatment, your surgical appointment typically involves several key steps:

Extractions: Any remaining problematic teeth are removed
Implant placement: Four to six implants per arch are positioned strategically in your jawbone
Prosthesis attachment: Your temporary teeth are secured to the implants the same day

Most patients return home the same day and manage recovery with prescribed pain medication. You’ll wear your temporary teeth while your implants integrate with your bone over three to six months. During this healing period, you’ll have periodic checkups so Dr. Johnson can monitor your progress.

Once integration is complete, you’ll work with a restorative dentist to create your permanent prosthesis. These final teeth look and function remarkably like natural teeth. With proper maintenance, dental implants can last for decades, making this a smart long-term investment in your quality of life.

Our Reviews

Why Patients Choose Us

Care and Commitment

From the front office to the exam room, our practice is made up of professionals who take your oral health very seriously. Using state-of-the-art equipment designed with safety and efficiency in mind, we are able to offer top-notch care. As you walk through our office, you will notice that everything is clean, comfortable and thoroughly sterilized. Your safety and comfort are our priority.

Honesty and Affordability

We know that the cost of care can be confusing. In addition to offering a number of in-office payment options to fit your budget, we also give you up-front cost information on your treatment ahead of time. We are in network with a variety of insurance plans, and we offer dental financing with credit available in time frames that fit your needs. We are happy to help you navigate your dental insurance and alternative payment options.

Comprehensive Oral Surgery Care in One Location

At our practice, we are qualified to handle all aspects of your oral and maxillofacial care, so you are always surrounded by people that you trust. If we must refer out, we promise to send you to carefully vetted colleagues who apply the same professional principles in their office that we do in ours.

Frequently Asked Questions

Am I a Candidate for Dental Implants?

Most adults with missing teeth are candidates for dental implants. The primary requirement is adequate jawbone volume to support the implants. Even if you’ve been told you lack sufficient bone, Dr. Johnson’s expertise in bone grafting techniques often makes implants possible for patients previously considered poor candidates. Health factors like uncontrolled diabetes or certain medications may affect healing, so a thorough evaluation is essential to determine your specific situation.

Is the Dental Implant Procedure Painful?

Most patients are pleasantly surprised by how comfortable the implant process is. The procedure is typically performed under IV sedation, so you’ll be asleep and comfortable throughout. Any post-operative discomfort is usually mild and manageable with over-the-counter pain medications. Many patients report they returned to work or normal activities the day after their procedure with minimal disruption to their routine.

How Long Do Dental Implants Last?

With proper care and maintenance, dental implants can last a lifetime. The implant posts themselves have a success rate of over 95% at 20+ years. The visible portions (crowns, bridges, or dentures attached to the implants) may need replacement after 10-15 years due to normal wear, but the integrated implants typically remain stable for life, making them a permanent solution to tooth loss.

Schedule Your Consultation at St. Augustine Oral & Facial Surgical Center

If you’re ready to explore full-mouth transformation options, the first step is scheduling your consultation. Dr. Johnson will evaluate your specific situation, explain which implant solutions best suit your needs, and provide clear information about costs and timeline. Whether you’re interested in teeth-in-a-day procedures, all-on-four restoration, or other full-arch options, we’ll help you understand exactly what’s involved and what results you can expect for your case.

Our practice focuses on complex oral surgery and full-mouth reconstruction. From consultation through final teeth, everything happens in our St. Augustine office with a team that handles these transformations regularly. You’ll know from day one who’s handling each step, what the timeline looks like, and what outcomes you can expect. No confusion about coordinating multiple providers. No waiting for offices to communicate. Just comprehensive care focused on your complete smile transformation. Contact us today to schedule your consultation and take the first step toward reclaiming your confidence with a complete, functional smile.