Every case is planned from the final result backward — and every patient is treated like the outcome depends on how they feel today.

No. Most patients arrive through their dentist, but you can request a consultation directly. Either way, Dr. Misch coordinates closely with your regular dentist, who typically completes the final crown or restoration.

That's up to you. Procedures are routinely done under local anesthetic alone, and Dr. Misch is certified in moderate IV sedation for patients who prefer to remember nothing. You'll choose together at your consultation.

Some teeth can be replaced the same day; cases that need bone rebuilt are staged over several months so the result lasts decades. You'll leave your first visit with the full sequence — every step, every timeline — mapped from the final tooth backward.

When a tooth is lost, the bone that held it shrinks. Grafting rebuilds that foundation so an implant can be placed in the right position — not just where bone happens to remain. Your 3-D scan at the consultation answers whether you need it.

Gentler than most people fear. Most patients are back to normal routines within a day or two, with written instructions, appropriate medication, and a direct line to the office. Efficient, minimally traumatic surgery is the best pain control there is.

Always. Your dentist receives a report after every milestone and usually completes the final restoration. You keep one dental home — Dr. Misch handles the surgical chapter.