Patient Resources & Payment Options

When you submit a consultation request or call (617) 356-0860, our team responds within one business day during office hours (Monday–Friday, 9:00 AM – 4:00 PM). We will ask a few brief questions about what brings you to us — a specific concern, a recommendation from another patient, or a second opinion you are seeking — and schedule your consultation, usually within the following week.

There is no obligation at this stage. The initial call is simply about understanding your situation well enough to make your first visit efficient.

Your first in-office visit is the most important. Plan for 60 to 90 minutes so we have time to do this properly. You will meet Dr. Alex Fedorenko directly — not a hygienist or assistant standing in — for a complete evaluation.

What is included:

• Full clinical exam of your teeth, gums, bite, and soft tissues
• CBCT 3D scan that maps your bone, nerve positions, and sinus anatomy in high resolution
• Intra-oral photography that lets us document your starting point and plan aesthetic changes precisely
• Bite analysis to check for grinding, uneven wear, or occlusal problems that need to be factored into any long-term plan
• Conversation about your goals — what has been bothering you, what you want your smile to look like, what you can and cannot commit to in terms of time and investment

You will leave this visit with a clear picture of what is realistic, what is not, and what options exist. No pressure to proceed the same day.

After your consultation, Dr. Fedorenko reviews the imaging and clinical notes, then prepares a written treatment plan that covers:

• Phased sequence of care — exactly what happens first, second, third
• Timeline expectations for each phase, including healing periods
• Line-item cost estimate with each procedure priced individually
• Financing walk-through showing CareCredit and Proceed Finance monthly payment options for your specific case
• Alternatives — if multiple treatment paths are reasonable, we describe both and recommend one

You receive the plan by email or can pick it up in the office. This is your document to review, share with family, and ask questions about before any treatment begins.

Not every case needs this phase, but complex implant and full-mouth reconstruction cases usually do. Preparatory work may include:

• Periodontal therapy to bring active gum disease under control before any restorative work
• Extractions of failing teeth that cannot be saved
• Bone grafting to rebuild jawbone volume where long-term tooth loss has caused resorption
• Sinus lift surgery to create vertical bone space for upper-back-tooth implants
• Gum grafting to correct recession before cosmetic restoration

Because Dr. Fedorenko is a board-eligible periodontist, these procedures happen in our office — no referrals out, no cross-office handoffs. Healing periods between phases are planned into your overall timeline, and we monitor progress with periodic follow-up imaging.

For implant cases, the surgical phase places titanium implants into the prepared bone under local anesthesia. Oral sedation is available for anxious patients or longer procedures. Most patients drive themselves home after single-implant placements; sedated patients need a designated driver.

For 3-on-6™ and All-on-X full-arch cases, we often place a temporary bridge the same day as surgery, so you leave with functional, presentable teeth while the implants heal.

Post-operative care is managed at our office. You will receive detailed written instructions, prescriptions if needed, and direct contact information for questions during your recovery. A follow-up visit the next week confirms proper healing.

Dental implants require osseointegration — a biological process where the titanium surface fuses with your natural bone. This takes 3 to 6 months depending on your bone quality, smoking status (smoking significantly slows healing), and overall health.

During this phase you visit us every 6 to 8 weeks for brief check-ins. We confirm proper healing with clinical exam and, when indicated, follow-up imaging. If a temporary bridge is in place, we monitor its stability and adjust as needed.

This is the least eventful phase of treatment — and a sign things are going well.

Once osseointegration is confirmed, we place the final restoration — a custom porcelain crown, bridge, or the three 3-on-6™ porcelain bridges. This phase typically takes two visits: precision impressions and lab fabrication, then placement, bite adjustment, and final polish.

Long-term care begins immediately:

• Routine cleanings every 3 to 6 months depending on your case
• Annual exams with updated imaging to monitor implant health
• Maintenance of the 3-on-6™ Limited Lifetime Guarantee requires meeting routine cleaning and follow-up expectations
• Same-doctor continuity — you continue to see Dr. Fedorenko for all follow-up visits, not a rotating associate

With proper maintenance, dental implants themselves often last 20 years or more. The crowns or bridges on top may be maintained or replaced over that period, but the titanium foundation below typically remains stable for the rest of your life.