Dental implants are the most durable, functional solution for replacing missing teeth — and at Ocean Breeze Implant & Esthetic Dentistry Prosthodontics, they’re planned and placed by Dr. Nicholas Goetz, a fellowship-trained maxillofacial prosthodontist and one of approximately 150 of his specialty in the United States. Every implant case in our Boynton Beach office begins with a CBCT-guided evaluation and a prosthetically-driven plan — meaning the final crown or restoration is designed before the implant position is determined, not the reverse.
Missing teeth do more than affect your smile. When a tooth root is no longer present, the jawbone beneath it begins to resorb — losing density and volume over time. Adjacent teeth drift toward the gap, altering your bite. Chewing becomes restricted, often shifting load to areas of the jaw not designed for it. A dental implant replaces not just the visible tooth but the root itself — stimulating the bone, stabilizing adjacent teeth, and restoring full chewing function. According to the American Dental Association, dental implants are considered the standard of care for replacing missing teeth when bone volume and health support placement.
Most general dentists who place implants focus on the surgical step — getting the titanium post into the bone. What distinguishes a prosthodontist is that the restoration comes first. Dr. Goetz designs the final crown, bridge, or denture before determining implant position, angle, and depth. That sequence ensures the implant lands exactly where it needs to be to support the restoration long-term — not just where the bone happens to be available. Explore our full range of dental services in Boynton Beach.
Dental implants at Ocean Breeze Implant & Esthetic Dentistry are planned and placed by Dr. Goetz — a specialist who handles both the surgical and restorative phases of treatment under one roof. The right implant approach depends on how many teeth are missing, the condition of your bone, and the type of restoration that will be placed on top. The four most common scenarios are outlined below, each of which Dr. Goetz evaluates during your initial CBCT-guided consultation in Boynton Beach.
Every implant case at Ocean Breeze Implant & Esthetic Dentistry is guided by a CBCT scan — giving Dr. Goetz a 3D view of your bone density, bone volume, nerve positions, and sinus proximity before a single incision is made. Surgical guides fabricated from this data ensure the implant is placed at precisely the planned angle and depth, protecting adjacent structures and ensuring the final crown seats exactly as designed.
Patients who don’t have adequate bone for implant placement aren’t necessarily ruled out. Bone grafting can rebuild bone volume before implant surgery, and sinus lifts create space for upper jaw implants when the sinus sits too close to the implant site. Dr. Goetz evaluates both options during your consultation and includes any preparatory procedures in your full treatment plan from the start.
From a single missing tooth to a complete arch, Dr. Goetz matches the implant approach to your specific clinical picture and goals. Each option below is available at our Boynton Beach office.
A single implant replaces one missing tooth with a titanium post topped by a custom porcelain crown — no alteration of adjacent teeth required, unlike a bridge. Dr. Goetz plans every single-tooth implant case with CBCT imaging and a surgical guide to ensure the crown emergence profile looks natural and the implant is positioned to support long-term bone health around the site.
When two or more adjacent teeth are missing, an implant-supported bridge restores the gap with a fixed prosthetic anchored by implants on either end — no healthy tooth reduction required. This approach distributes bite load across implants rather than natural teeth, making it a more biomechanically sound option than a tooth-supported bridge for spans of two or more missing teeth.
For patients missing most or all teeth in an arch, implant-supported dentures offer a stable, secure alternative to conventional removable dentures. Both removable snap-on dentures and fixed All-on-X restorations are available. Dr. Goetz determines which approach fits your bone volume, lifestyle, and goals during your initial consultation. Learn more about implant-supported dentures in Boynton Beach.
All-on-4 and All-on-X replace a complete arch of teeth using only 4–6 strategically placed implants, reducing the need for bone grafting in many cases and allowing same-day temporaries. Dr. Goetz designs the final prosthetic before placing a single implant — ensuring the arch restoration functions correctly and distributes bite load evenly across all implant positions. Learn more about full arch implants in Boynton Beach.
Dental implants require a clinician who understands both the surgical placement and the restorative outcome. Dr. Nicholas Goetz is a fellowship-trained maxillofacial prosthodontist — one of approximately 150 board-certified in the United States — who handles the complete implant process in one office. He designs your final crown, bridge, or prosthetic before determining implant position, ensuring the placement is driven by the restoration, not just by bone availability.
Dr. Goetz holds a DMD and MS from the University of Florida, where he completed his Prosthodontic Residency, and went on to earn a Maxillofacial Prosthodontics Fellowship at UCLA. His background includes clinical work with the U.S. Army and VA Medical Center — settings that demanded specialist-level implant planning under complex conditions. For Boynton Beach patients, that depth of training means the implant is placed to serve the final restoration, with the same specialist handling everything from CBCT imaging through crown delivery.
Dr. Goetz takes a full Cone Beam CT scan at your first visit — a 3D image capturing your bone density, bone volume, sinus position, and nerve locations. This data is the foundation of your entire implant plan. He also performs a complete clinical exam to assess your gum health and evaluate which teeth can be preserved versus which need extraction.
Working from the CBCT data, Dr. Goetz designs the final crown, bridge, or prosthetic first — then determines the ideal implant position, angle, and depth to support that restoration. A surgical guide is fabricated from this plan. Every preparatory step needed (bone grafting, periodontal treatment, extractions) is mapped out with timeline and cost at this stage so there are no surprises.
Dr. Goetz places your implant through the custom surgical guide, following the exact position, angle, and depth mapped in your plan. For qualifying cases, flapless surgery is used — eliminating the need to cut and reflect gum tissue, which reduces post-operative swelling and shortens recovery. Most patients receive temporary teeth the same day and leave the office with a functional, esthetic result.
After placement, the implant integrates with the surrounding bone over 3–6 months through osseointegration. Once stability is confirmed, Dr. Goetz takes impressions for your final crown, bridge, or prosthetic — the same restoration he designed at the start of your plan. Final delivery includes bite verification, shade check, and any chairside adjustments needed before you leave.
Smile Transformations
Dental implant results at Ocean Breeze Implant & Esthetic Dentistry speak for themselves — patients who couldn’t eat certain foods, felt self-conscious about gaps in their smile, or struggled with loose dentures regain full confidence and function. Browse our gallery to see what specialist-level implant planning produces.
FAQs
Whether you’re missing one tooth or facing full arch replacement, Dr. Goetz offers the specialist-level planning and execution that complex implant cases require — one office, one specialist, from CBCT imaging through final crown delivery in Boynton Beach. Schedule your consultation today or call us at (561) 265-1998.
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