Full Arch Implants
A permanent fixed replacement for a full upper or lower set of teeth.
- Surgical and prosthetic planning under one roof
- CBCT and digital smile planning before any incision is made
- IV sedation and full sleep state available
St. Louis | Creve Coeur | Festus
Nova Arch. Full arch implants and oral surgery, planned by a dual-trained surgeon and physician.
A regional institute for complex implant and reconstructive cases. Led by Dr. William A. Gray, DMD, MD, MBA, FACS. A residency training site for advanced implantology.
No judgment.
You will not be lectured. You will not be pressured.
Honest answers.
Including when waiting, staging, or doing less is the right call.
Medical and dental together.
A dual-trained oral surgeon and physician coordinates your care.
- DMD, University of Florida
- MD, Oregon Health and Science University
- MBA, Kellogg School of Management
- Board Certified, American Board of Oral and Maxillofacial Surgery
- Fellow, American College of Surgeons
- Site Director, Implant Residency Training
What we do
A complete surgical and prosthetic menu, planned end to end.
Most patients arrive thinking about one missing tooth or a failing arch. The right plan often turns out to be more conservative, more staged, or simpler than they expected. We tell you which is which before any treatment begins.
Single Implants and Multi-Tooth Bridges
Replacement for a single missing tooth or a short span of missing teeth.
- In-house surgical placement and prosthetic finishing
- Premium implant systems from leading manufacturers
- Bone grafting and sinus lifts when indicated
Implant Supported Dentures
A more stable alternative when full dentures slip, click, or pinch.
- Fewer implants required than a fixed full arch
- More chewing function than a traditional denture
- Lower total cost than a full fixed restoration
Oral and Maxillofacial Surgery
The full scope of surgical care beyond implants.
- Dual-trained oral surgeon and physician
- Comfortable with medically complex patients
- Hospital privileges at Missouri Baptist and Mercy South
Conservative planning
We place fewer implants when biology allows it and stage care when biology demands it. The right plan beats the fast plan.
Medical oversight
Diabetes, anticoagulation, sleep apnea, cardiovascular history, and immune profile are reviewed and coordinated, not waived.
In-house lab
Surgical and prosthetic planning happen under one roof, with digital workflows for predictable bite, fit, and aesthetics.
Sedation that fits the case
Local, nitrous, IV sedation, and full sleep state are available. The protocol is chosen for the patient, not the schedule.
Residency training site
Our protocols are designed to be teachable and repeatable. Other doctors learn here, which keeps our standards calibrated.
Long term support
Lab partner warranties up to ten years, structured follow up, and a single point of contact for the life of your restoration.
For medically complex patients
Diabetes, anticoagulation, sleep apnea, prior radiation. We plan around all of it.
Dr. Gray is licensed as both an oral surgeon and a physician. That means medical clearance happens here, not as an afterthought. We coordinate directly with your cardiologist, endocrinologist, primary care physician, or sleep specialist to keep the surgical plan safe.
If you were told you were not a candidate elsewhere
Many of our full arch patients were declined by another practice because of bone loss, medical history, or case complexity. A second opinion here is information only. You leave with a written plan, not a deposit ask.
- Free consultation and CBCT review
- Written treatment plan with inclusions listed
- Total cost range provided in writing
- No pressure to schedule the day of the visit
Patient stories
People who chose Nova Arch.
“If you need dental implants, Dr. Gray is the person to see. I am extremely satisfied with the outcome.”
“Dr. Gray is an absolute expert in his field. The entire process was smooth and the results are phenomenal.”
“I was in a lot of pain when I came to Dr. Gray. He extracted my teeth and placed my implants the same day. Incredible experience.”
“I went from having no teeth to a full smile in one day. Dr. Gray’s technique is life changing.”
Individual outcomes vary. Stories are shared with patient permission.
Referring providers
A referral track built for clear handoffs, predictable scheduling, and respectful collaboration.
We co-plan with your restorative team. We send updates at planned milestones. We send patients back to you when our part is done.