Wait too long to replace a missing tooth, and you risk losing jawbone density, shifting teeth, and confidence in your smile. At Roman Dental, we replace missing teeth with dental implants built to last 35+ years and placed from start to finish in our dental clinic office.
Dr. Roman Kotlarek, DDS, has cared for West Houston families since 1999, with more than 25 years of experience in implant and restorative dentistry. He is a Master of the Academy of General Dentistry (MAGD) and a Fellow of the International Congress of Oral Implantologists (FICOI), with memberships in the American Dental Society of Anesthesia and the American Board of Dental Aesthetics. He pairs that training with a gentle, patient-first approach, so every implant is planned and placed with precision and comfort.
Dr. Kotlarek places and restores every implant himself, from surgery to final crown, so you’re never referred to an outside specialist mid-treatment.
Before any procedure, you’ll receive a written treatment plan and cost estimate, so you know exactly what to expect and how much it will cost before you commit.
See the space for yourself before your first visit on our office tour.
Dental implants are titanium posts placed below the gumline and into the jawbone to replace the root of a missing tooth, providing a stable, permanent foundation for a crown, bridge, or denture. They have a 95.6% survival rate after 38 to 40 years in function, among the longest-tracked outcomes in implant dentistry. That stability comes from osseointegration, the process by which titanium fuses directly with the jawbone to create a foundation as strong as a natural tooth root.
Most patients with healthy gums and enough jawbone density are candidates for dental implants, regardless of age. Dr. Kotlarek checks your X-rays and oral health at a consultation to confirm candidacy, then completes the entire process, from placement to final restoration, in our West Houston office.
Schedule a consultation to find out if you’re a candidate. We’ll review your X-rays, discuss your goals, and outline a treatment plan built around your case.
Getting a dental implant involves four stages, from your initial consultation to the placement of your final restoration. Here’s what to expect at each step:
Dr. Kotlarek reviews your X-rays, examines your teeth and gums, and develops a treatment plan tailored to your goals.
Dr. Kotlarek places your implant in the office, so one dentist handles every stage of your treatment.
Your implant fuses with the jawbone over three to six months. Once that's complete, we attach the abutment.
When your permanent crown, bridge, or denture arrives from the lab, we secure it to the abutment.
Dental implants replace missing teeth with a permanent, natural-feeling solution that protects your jawbone and functions like real teeth. Here’s what that means day to day:
Dental implants can replace a single tooth, several teeth, or a full arch, as long as you have healthy gums and enough jawbone density. If you don’t, we may recommend a preparatory procedure first. Here are the three options:
For a single missing tooth, we place one implant below the gumline. Once it fuses with the bone, we attach an abutment and secure a custom crown to fill the gap.
For multiple missing teeth, we place two implants on either side of the gap and secure a bridge to them, without altering your healthy adjacent teeth.
For a full arch of missing teeth, we place four to eight implants along the jaw to anchor a denture that won't slip or shift.
You need enough jawbone density for an implant to fuse properly. Without it, the implant can fail to bond, and the restoration can shift. If you’ve been missing a tooth for years, bone loss in that area may mean you need a bone graft first to rebuild enough density to support the implant.
Your cost depends on three factors: how many implants you need, the type of restoration (crown, bridge, or denture), and whether you need a bone graft first.
At your consultation, Dr. Kotlarek examines your mouth and gives you a written cost estimate before you commit to treatment. We also offer financing plans and accept most dental insurance.
There’s no upper age limit for dental implants. Once your jawbone has finished growing, age alone doesn’t affect your candidacy, though some seniors have medical conditions or medications that increase the risk of surgery or recovery. Dr. Kotlarek examines your mouth and jaw at your West Houston consultation to confirm candidacy and build a treatment plan around your health history.
Yes. Chewing forces travel through your tooth roots to stimulate your jawbone, and losing that stimulation after tooth loss causes the jawbone to shrink, sinking in your face and adding years to your appearance. Dental implants restore that stimulation, which is why many of our West Houston patients choose them over dentures for long-term facial support.
No. A well-restored implant looks and feels like your natural tooth, and because it’s fused directly into your jawbone, it won’t shift the way a removable denture can. Dr. Kotlarek partners with the same ceramists on every West Houston case, so crowns, bridges, and dentures placed on implants match your remaining teeth.
Yes, dental implant surgery is safe for most patients in good general health when performed by a qualified provider such as Dr. Kotlarek, a Fellow of the International Congress of Oral Implantologists, who treats patients at our West Houston office. Before treatment, he examines your mouth and gums to rule out gum disease and reviews conditions like diabetes that could affect healing.
With proper care, dental implants can last 35+ years, and documented cases show implants still functioning after 38 to 40 years with a 95.6% survival rate. Regular brushing, flossing, and checkups at our West Houston office are what keep that timeline realistic.
Most patients have mild swelling and soreness for a few days after implant placement, manageable with over-the-counter pain relief, and can return to normal activities within a day or two. Full healing at the implant site continues for several months while osseointegration is completed. Dr. Kotlarek gives West Houston patients specific aftercare instructions based on their procedure.
For most patients, yes, implants are the only option that preserves the jawbone and doesn’t rely on your remaining natural teeth for support, like a bridge, or risk slipping, like a removable denture. Bridges and dentures can still be the right call for certain budgets or health situations, which is why we cover all three options in a consultation. Ask Dr. Kotlarek to compare them for your case at our West Houston office.
The same routine that protects your natural teeth protects your implants too: brush twice a day for two minutes, floss daily, and keep your biannual cleanings. At our West Houston office, we also use Airflow therapy to clear plaque and tartar around your implants, reducing the risk of infection, and glycine powder to help calm inflammation near the implant post.
Monday - Thursday: 8am - 5pm
Friday: 8am - 2pm
Monday - Thursday: 8am - 5pm
Friday: 8am - 2pm
14535 Memorial Dr, Houston, TX 77079
Monday - Thursday: 8am - 5pm
Friday: 8am - 2pm
