Missing teeth shouldn’t hold you back. Our Durham dental implant specialists help restore your smile and confidence with permanent, natural-looking solutions.
Multiple Tooth Replacement Durham, NC
Restore Your Smile
- 20+ years of experience
- 5.0 ★ Google Rating with over 200 reviews
- One of only five U.S. practices to receive the ACP Private Practice Award.
- Among just 1,200 board-certified prosthodontists worldwide.
- Only board-certified prosthodontists in private practice serving Durham–Chapel Hill.
or call 919-489-8661
Award-Winning Care Recognized Nationally
Specialists in Complex Smile Restoration & Dental Implants
Trusted by Thousands of Patients with a 5.0 ★ Google Rating
20+ Years Helping Patients Smile and Live Confidently
Multiple Tooth Replacement
Replacing multiple missing teeth is essential for maintaining a healthy bite, preserving jawbone structure, and restoring your ability to eat and speak comfortably. At Durham Dental Implants & Cosmetic Dentistry, we offer a variety of implant-supported solutions designed to improve stability, function, and appearance while meeting your unique needs and goals.
Whether you are missing several teeth or an entire arch, our board-certified prosthodontists will recommend a personalized treatment plan based on your oral health, jawbone anatomy, and lifestyle preferences.
Treatment Options for Multiple Missing Teeth
Implant-Retained Denture with Ball Attachments
A removable implant-retained denture can be secured using two dental implants placed in the lower jaw. The denture snaps onto the implants, providing greater stability than a traditional denture while remaining easy to remove for cleaning. Although some movement is still possible, this option offers improved comfort and chewing ability.
Bar-Retained Overdenture
Another option uses four to six dental implants connected by a custom support bar. The denture attaches securely to the bar with special retention clips, significantly reducing movement while remaining removable for maintenance and hygiene.
Fixed Screw-Retained Prosthesis
For patients seeking a more permanent solution, five or more implants can support a fixed, screw-retained restoration. This prosthesis remains securely attached and is only removed by your dental provider during maintenance visits. Many patients appreciate the stability and natural feel of this long-term option.
Individual Implant-Supported Teeth
The most comprehensive approach is to replace each missing tooth with its own dental implant and custom restoration. This option most closely mimics natural teeth in appearance and function and may require eight or more implants depending on your individual treatment plan.
Options for the Upper Jaw
Similar implant-supported solutions are available for patients missing all upper teeth. Because the upper jaw generally has softer bone than the lower jaw, additional implants may be recommended to provide optimal support.
In many cases, implant-retained restorations can eliminate the need for a denture that covers the roof of the mouth, improving taste sensation, comfort, and the overall natural feel of the restoration while still allowing for easy cleaning.
Patients who prefer a non-removable solution may be candidates for a full-arch restoration supported by eight to ten individual implants, creating a smile that closely resembles natural teeth.
We’re accepting new patients. Give us a call or request an appointment online.
or call 919-489-8661
Meet Your Team of Dentists
We're a team of gentle and compassionate dentists dedicated to the highest standards of care, combining specialized expertise with a compassionate approach.

Originally from West Virginia, Dr. Cunningham was fortunate to be raised in a small town where his dad practiced general dentistry and his mother was a stay-at-home mom.
In 2015, Dr Cunningham achieved his dream of private practice ownership becoming the owner of Durham Dental Implants & Cosmetic Dentistry. Also in 2015, Dr. Cunningham achieved his board certification, an achievement that only a small percentage of prosthodontists in the world attain.
In 2018, Dr. Cunningham was extremely honored to be awarded the Private Practice Award by the American College of Prosthodontics. This award is given out to only four practitioners in the United States annually. Dr. Cunningham is published in multiple peer-reviewed journals, lectures for world renowned implant companies nationally, serves as an expert witness, and provides dental industry consultation services. He is honored to be named as Durham Magazine’s Top Dentist by his peers, year after year.
Simply put, Dr. Cunningham loves the art and science of dentistry and is very passionate about the pursuit of clinical excellence. The decision to specialize in Prosthodontics is based on this passion and the yearning to have the ability to treat more complex multidisciplinary cases, a skill that is not taught in the general dentistry realm. He is also has many local and out of state dentists come to him for their own dental care.
Dr. Cunningham is married to his wife, Karen Cunningham. They have two daughters, Annalee and Audrey. When he isn’t working to improve your smile, Dr. Cunningham enjoys outdoor sports, reading, watching documentaries, and spending time with family.

A native of North Carolina, Dr. Gazdeck grew up the oldest of four siblings in Lincolnton, NC. After graduating Summa Cum Laude and a Valedictorian from North Carolina State University in 2009 he went on to receive his Doctor of Dental Surgery (DDS) with Honors from the University of North Carolina at Chapel Hill in 2014.
He continued his education by completing a 3-year specialty residency in Prosthodontics at the University of Illinois at Chicago, obtaining a certificate in Prosthodontics and a Master of Science (MS) in Oral Sciences in 2017. A year later in 2018 he completed his formal education after a fellowship in Maxillofacial Prosthetics, a subspecialty of prosthodontics involving head and neck cancer, at Memorial Sloan Kettering Cancer Center in New York City.
Following his training, Dr. Gazdeck decided to return home and join Durham Dental Implants & Cosmetic Dentistry in the Summer of 2018. Soon after, Dr. Gazdeck attained Diplomate status from the American Board of Prosthodontics, and together he and Dr. Cunningham are the only two Board Certified Prosthodontists in Private Practice within Durham-Chapel Hill.
Dr. Gazdeck holds an appointment at the UNC Chapel Hill School of Dentistry as an Adjunct Assistant Professor within the Department of Prosthodontics. He utilizes his additional head and neck cancer training to lead and oversee the maxillofacial prosthetics course and clinic each week with the prosthodontic residents. Dr. Gazdeck lectures locally and nationally on current topics in cancer treatment, dental implants, advanced restorative dentistry, and is published in the Journal of Oral Diseases.
He is a Diplomate of the American Board of Prosthodontics, Fellow of the American College of Prosthodontics, Associate Fellow of the American Academy of Maxillofacial Prosthetics, Member of the American Dental Association, and is involved with local dental societies and study clubs.
Dr. Gazdeck is married to his wife Leslie, who he met while in dental school. Leslie is a pediatric dentist in the triangle area and together they have three sons named Nate, Matt, and Will. Outside of the office, Dr. Gazdeck values family time and loves to travel, golf, and explore the outdoors.
Financial & Pricing
Transparent Pricing
We always focus on clearly communicating the cost of treatments so you know exactly what to expect.
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No Insurance, No Problem
Many of our patients pay out of pocket with cash, credit card, debit etc. We also offer third party financing through CareCredit.
