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Dental Implants in
Johnson City, TN
Permanent, natural-looking tooth replacement from a single tooth to a full arch. Dr. John Nauss places and restores implants under one roof, with advanced training in bone grafting, sinus lifts, and All-on-X for patients who’ve been told implants weren’t an option.
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Implant results
Real patients.
Permanent results.
Implant cases from Dr. Nauss’s chair. Drag the slider to compare.



What a dental implant actually is.
A dental implant is a small titanium post placed in the jaw where a tooth root used to be. Once the bone heals around it, it becomes a permanent anchor for a crown, a bridge, or a full arch of teeth.
Unlike a traditional bridge, an implant doesn't lean on neighboring teeth. Unlike a denture, it doesn't slip, rub, or come out at night. It's the closest thing modern dentistry has to growing a new tooth.
Why patients in Johnson City choose implants
Most people come to us for one of three reasons: a single missing tooth that's affecting how they chew or smile, several missing teeth that a bridge or partial isn't handling well, or a full arch that's failing and a denture that's become a daily frustration. Implants solve all three, and the right approach depends on how much healthy bone you have to work with.
Placed and restored in one office
Many practices place the implant and send you elsewhere for the final crown, or the reverse. Dr. Nauss does both. That means one team, one plan, and no gap in accountability between the surgery and the teeth you end up with.
If you've been told you're not a candidate
Bone loss used to close the door on implants. It doesn't anymore. Bone grafting, sinus lifts, and angled-implant techniques like All-on-X let us work with jaws that other offices have turned away. A 3D CBCT scan tells us exactly what you have. It's worth a second look.
Every kind of implant, one office.
From a single tooth to a full arch, and the grafting that makes difficult cases possible.
One post, one crown. Replaces a missing tooth without touching the teeth beside it.
Learn more → 02Implant BridgesTwo or more implants supporting a fixed bridge for several missing teeth in a row.
Learn more → 03All-on-4A full arch of fixed teeth on four implants. The classic full arch solution.
Learn more → 04All-on-XFull arch on the number of implants your bone actually needs, often the answer when All-on-4 isn't enough.
Learn more → 05Implant-Supported DenturesSnap-in dentures that lock onto implants. No slipping, no adhesive.
Learn more → 06Bone GraftingRebuilds jawbone that's thinned after tooth loss so an implant has something solid to hold.
Learn more → 07Sinus LiftAdds bone height in the upper back jaw where the sinus sits close to the ridge.
Learn more → 08Full Mouth ReconstructionImplants, crowns, and grafting combined into one plan when everything needs rebuilding.
Learn more →Five steps from consult to final teeth.
- 01Consult and 3D scan
A CBCT scan maps your bone, nerves, and sinuses. We talk through options and give you a real plan with real numbers, not a sales pitch.
- 02Plan
Implant positions are planned digitally before anything happens in your mouth. If you need grafting first, this is where we schedule it.
- 03Same-day placement
Dr. Nauss routinely places the implant the same day your tooth is removed, right into the extraction site. No separate surgery, no waiting for the socket to heal first.
- 04Heal with teeth in
Many of his implants get a temporary crown the same day they're placed, so you leave with a tooth, not a gap. The bone fuses to the implant over the next 3 to 6 months while you go about your life.
- 05Restore
Your final crown, bridge, or arch is made and fitted here. Same office, same doctor who placed the implant.
Who implants are for.
Most adults with a missing tooth are candidates. A few things change the plan, not whether it's possible.
- Are missing one tooth, several teeth, or a full arch
- Want a fixed solution instead of a removable one
- Have a bridge or partial that's failing or uncomfortable
- Are tired of denture adhesive, slipping, or sore spots
- Have healthy gums, or gum disease that's being treated
- Are done growing (implants wait until the jaw is mature)
- Have been told you've lost too much bone (grafting often fixes this)
- Smoke or use tobacco (slows healing, doesn't rule you out)
- Have uncontrolled diabetes or take certain bone medications
- Have had radiation to the jaw
- Grind or clench heavily (we'll plan for it with a night guard)
- Have active, untreated gum disease (we treat that first)

Dr. John Nauss, DMD
A general dentist with a passion for surgery and implant dentistry. Dr. Nauss has trained across the full range of implant work, from single-tooth placement to full arch All-on-X, sinus lifts, bone grafting, and techniques for patients with significant bone loss. He places and restores every implant himself, so the person who plans your case is the one who finishes it.
Let's get it right.
Tell us a little about what you need and we'll be in touch to find a time that works. New patients of every age are welcome, and if it's been a while, that's fine too.
Call (423) 282-5208 Accepting new patientsFriday to Sunday: Closed
Questions, answered.
What patients ask most before an implant consultation in Johnson City.
How much do dental implants cost in Johnson City, TN?
It depends on how many implants you need and whether grafting is part of the plan, so we don't quote a number until we've seen a scan. What we can promise is a written, itemized estimate at your consultation, financing options, and no surprise charges between placement and your final teeth.
Does getting a dental implant hurt?
Placement is done under local anesthesia and most patients say it was easier than having the tooth pulled. Expect a few days of soreness managed with over-the-counter medication. Sedation is available if you'd rather not be aware of the procedure.
Can I get an implant the same day my tooth is removed?
Often, yes. Dr. Nauss routinely places implants directly into the extraction site the same day the tooth comes out, and many patients leave with a temporary crown on the implant that day too. It saves a separate surgery and months of waiting. Your 3D scan at the consultation tells us if your case is a fit.
What's the difference between All-on-4 and All-on-X?
All-on-4 is a full arch on exactly four implants. All-on-X uses however many your bone needs, often five or six, for more support and more flexibility if you've lost bone. Dr. Nauss recommends based on your scan, not a package name.
I was told I don't have enough bone. Can I still get implants?
Usually, yes. Bone grafting and sinus lifts rebuild what's missing, and angled-implant techniques can use bone you still have. Dr. Nauss has specific training in these cases and would like a second look at yours.
Do you place and restore implants in the same office?
Yes. Dr. Nauss handles the surgery and the final crown, bridge, or arch here at Apex. You won't be referred to another office partway through treatment.
Have a different question? Call Apex at (423) 282-5208.