Frequently Asked Questions

Real Answers, From Years of Real Patient Questions

Everything Metro Detroit patients ask us most — about implants, the procedure, recovery, and cost — answered directly, without the jargon.

The Basics

Understanding Dental Implants

What is a dental implant?
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A dental implant is a titanium alloy replacement for a tooth root, inserted into the jaw bone to anchor a restoration. Depending on how many implants are placed, they can support anything from a single crown to a full arch of fixed teeth.
What implant services does Amazing Smiles offer?
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We offer the full range of implant treatment, from single tooth implant crowns to multi-tooth bridges to full arch (All-on-X) implant restorations. We don't offer mini implants — the clinical evidence shows they don't hold up to the same functional demands as traditional root-form implants.
Why choose dental implants over other tooth-replacement options?
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Implants are the closest thing to your natural teeth. Unlike a traditional bridge, they don't require grinding down healthy neighboring teeth. Unlike a removable partial or denture, they're fixed in place so you're not relying on clasps or adhesive. And because implants are titanium, they can't develop a cavity the way a natural tooth can.
Why are implants a better option than removable dentures?
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Dentures are bulky and cover the roof of the mouth; implant-supported teeth are closer to the size and feel of natural teeth and leave the palate open. Dentures rest on the gum and accelerate bone loss over time — implants are anchored in bone and don't put the same pressure on the gum tissue. Patients with implant-supported teeth also tend to see meaningfully better chewing function and nutrition than denture wearers.
How long do dental implants last?
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With proper care and regular maintenance visits, dental implants can last a lifetime.
How successful are dental implants?
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Dental implants have one of the highest success rates in dentistry, generally cited in the 95–97% range across clinical studies. It's best to think of implant treatment as an investment in long-term health, not simply an expense.
Am I a candidate for dental implants?
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Anyone with one or more missing teeth is a potential candidate, whether that's a single tooth, several teeth, or a full arch. Every case is different, and candidacy is determined after a thorough evaluation, including a free CBCT 3D scan.
What is immediate implant placement?
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Immediate implant placement means an implant is inserted at the same time a hopeless tooth is extracted, rather than waiting for the extraction site to heal first. When the extraction can be done carefully, this saves patients a separate healing period and a second surgical visit. Whether it's the right approach for a given tooth is determined case by case.
What is All-on-X, and how is it different from a fixed “All-on-4” protocol?
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“All-on-4” refers to a protocol using exactly four implants to support a full arch of fixed teeth. We don't believe in a one-size-fits-all implant count. Instead, we follow an anatomy-driven approach — All-on-X — where the number of implants placed is whatever gives that specific patient's jaw the strongest, most durable result. Most patients with adequate bone receive 5–6 implants per arch; some receive 4, others more, depending on anatomy.
What does the term “arch” mean?
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“Arch” is dental terminology for jaw. Upper arch means the upper jaw, lower arch means the lower jaw. A full arch means every tooth in that one jaw is being replaced; a double arch means both the upper and lower jaw are being treated.
Does smoking affect implant success?
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Smoking is associated with higher complication rates after implant surgery. Implants can still be placed in smokers, but we strongly recommend avoiding smoking during healing to give the implants the best chance to integrate successfully.
I have diabetes. Can I still have the procedure?
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In most cases, yes. The procedure can be safely performed on well-controlled diabetic patients, and we'll coordinate with your physician or endocrinologist to confirm you're a good candidate — generally looking for an HbA1c around or below 7. Treating chronic dental infection can also help improve overall diabetic control.
Surgery Day

The Procedure & Same-Day Fixed Teeth

How long does the procedure take?
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Typically one to three hours, depending on whether extractions are needed and whether one or both arches are being treated.
Will I be sedated?
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Yes. We use IV sedation with full monitored anesthesia care during the surgical portion of full arch procedures, combined with local anesthesia, so the experience is as comfortable as possible.
Is the procedure painful?
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You'll be asleep for the surgical portion and won't feel it happening. Afterward, there's manageable discomfort once the numbing wears off, which is controlled with prescribed pain medication.
What actually happens on surgery day?
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Any hopeless teeth are removed along with any infected tissue. Implants are placed in healthy, strategic areas of bone. We then take scans and bite measurements, and our In-House Digital Lab designs and fabricates your same-day fixed teeth right on site.
Will I have teeth the same day as my surgery?
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For full arch cases, yes — you leave surgery with a fixed, non-removable set of teeth made from high-density, zirconia-filled nano-hybrid resin. This is not your final restoration. Your final zirconia teeth are custom-made and delivered after your mouth has fully healed, typically 4–6 months later. We don't rush that step, because delivering final teeth too early risks a poor long-term fit as healing tissue continues to change shape.
What are the benefits of having everything under one roof?
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A single point of care and responsibility, instead of bouncing between a surgeon's office, an imaging center, and an outside lab. Our In-House Digital Lab means your case is designed, milled, and adjusted on site — which means faster turnaround, tighter quality control, and one team accountable for your entire outcome.
Should I have failing teeth extracted before my consultation?
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No — it's best if we see you before anything is extracted. Teeth removed without a treatment plan often lead to unnecessary bone loss, and your remaining teeth give us valuable information for designing the shape and size of your new smile.
What if I've been told I don't have enough bone for implants?
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Many of our patients were told exactly that elsewhere. With a CBCT 3D scan and careful anatomy-driven planning, the full arch approach often opens up options — placing implants in strategic areas of available healthy bone — that can avoid the need for bone grafting altogether.
Is there a warranty on the implants and restoration?
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Yes. Full arch cases include a 10-year warranty on the implants, abutments, screws, and final zirconia restoration, conditional on keeping up with recommended maintenance — twice-yearly professional cleanings, annual imaging, and consistent use of an occlusal guard. Full terms are provided in your written warranty agreement at treatment.
How do I care for my bridge over the long term?
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Twice-yearly maintenance visits with Dr. Jandali or his team, including a professional cleaning. At home: routine brushing, flossing, a water flosser, and nightly use of your bite guard. Some patients are recommended a third annual visit depending on their individual health history. Keeping up with this schedule is what keeps your warranty coverage active.
Healing

What to Expect During Recovery

Will I be in pain after the procedure?
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As with any dental surgery, expect manageable discomfort for the first few days, which is well controlled with prescribed pain medication.
What medications will I be prescribed?
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Most patients are prescribed antibiotics, pain medication, and an antiseptic mouth rinse. You may also receive supportive medication through your IV on surgery day to ease early recovery.
How long is the recovery period?
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Initial recovery is about a week, at which point we'll see you for a follow-up visit and remove sutures if needed. Healing continues gradually over the following weeks as osseointegration progresses.
What can I eat after my procedure?
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A soft or liquid diet for the first several days — smoothies, protein shakes, scrambled eggs, and similar foods. After about two weeks, you can gradually progress to more solid foods. We recommend avoiding hard or chewy foods throughout the healing phase while your same-day fixed teeth are in place.
Will I need to take time off work?
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We generally recommend one to two days off for maximum comfort, though this varies by individual and by the scope of treatment.
How do I care for my same-day teeth while healing?
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For the first two weeks, gentle salt-water rinses and any prescribed mouth wash. After that, gentle brushing with a soft toothbrush and a water flosser. We'll monitor your healing at follow-up visits and adjust guidance as needed.
Planning Ahead

Cost, Financing & Logistics

I've heard 5 or 6 implants is better than 4 — is that true?
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It depends entirely on the individual's jaw anatomy, bone volume, and the location of structures like the sinuses and nerves. That's exactly why we don't limit every patient to a fixed 4-implant protocol. Some patients do well with 4; many do better with 5 or 6. We place as many implants as your anatomy calls for to give you the strongest, most successful outcome — at one all-inclusive fee, regardless of implant count.
What do the same-day and final teeth actually feel like?
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Both are fixed and permanently secured to your implants — unlike a denture, nothing comes out at night, and the upper arch doesn't cover the roof of your mouth. Your same-day teeth are a durable nano-hybrid resin; your final restoration is a premium multi-layered zirconia, milled in our own lab, designed to look and feel like natural teeth.
How is Amazing Smiles different from a corporate dental chain?
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Many corporate implant centers operate on a franchise or network model, sending lab work out to a third party and answering to an out-of-state ownership structure. Amazing Smiles is fully owned and operated by Dr. Jandali. Because we handle imaging, design, and milling entirely in-house through our own Digital Lab, we have tighter control over quality, turnaround, and cost — with one specialist personally overseeing your case from start to finish.
Why was I referred to a separate imaging center or specialist somewhere else?
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Full arch treatment is a complex, highly specialized procedure that requires training and equipment — like in-house CT/CBCT imaging — that many general dental offices don't have. That's often why patients are sent elsewhere for scans or a second provider. At Amazing Smiles, imaging, planning, surgery, and fabrication all happen under one roof, which avoids that back-and-forth.
How will I know what my new smile will look like before treatment?
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We use AI-assisted smile design as part of your planning — merging a 3D scan of your face with your CBCT scan to preview your result before surgery. During healing, we also use your feedback on your same-day teeth to fine-tune the final design before your permanent restoration is made.
Will my photos or videos be used publicly?
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No, not without your explicit permission. We do document treatment with photos and scans as a routine part of care, but you're never expected or required to appear in any public video, testimonial, or marketing material.
What if I have dental anxiety?
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You're far from alone — many of our patients delayed care for years because of dental anxiety before coming to see us. IV sedation is standard for full arch procedures specifically to make treatment comfortable and worry-free.
What's the full treatment timeline?
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Typically: a free consultation and CBCT scan; AI-assisted smile design, usually the same or next visit; surgery day, when implants are placed and same-day fixed teeth are delivered; roughly 2–3 months of healing (osseointegration); a prototype fitting and approval; and final zirconia delivery 2–4 weeks later. Total time is typically 4–6 months, with an extended payment option available up to 12–18 months for financial reasons — not clinical ones.
Why does full arch treatment sometimes take other providers 12–24 months?
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That's often the case when bone grafting or sinus lifts are required before implants can be placed at all. Our anatomy-driven approach is designed to work within a patient's existing healthy bone wherever possible, which can meaningfully shorten the timeline compared to a graft-heavy plan — though every case is different, and grafting is sometimes genuinely necessary.
What does full arch treatment cost?
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Our all-inclusive price is $27,500 per arch ($50,000 for both arches), covering surgery, sedation, same-day fixed temporary teeth, your final zirconia restoration, a bite guard, and your first maintenance visit. Most patients choose this option: it moves you from temporary to final teeth in about 3–4 months, without an extended stretch in a transitional restoration. If you'd rather spread the investment out, we also offer a phased option at $18,500 per arch — covering everything through your same-day fixed temporary teeth — with the final zirconia restoration added any time within 18 months for an additional $10,500. Your exact plan and cost are confirmed at your free consultation.
What payment options are available?
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We work with several financing partners — Proceed Finance, Cherry, and CareCredit — as well as in-house payment plans. Our financial coordinators will walk you through which option fits your situation at your consultation.
Can I use HSA or FSA funds?
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Yes, full arch treatment can typically be paid for using Flexible Spending Account (FSA) or Health Savings Account (HSA) funds. Our financial coordinators can help you navigate this at your consultation.
Can I use IRA funds or claim a tax deduction?
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In some cases the IRS allows penalty-free IRA hardship withdrawals for qualified medical expenses, and dental implant treatment can qualify as a deductible medical expense once it exceeds a set percentage of your adjusted gross income. Rules here change and depend on your personal financial picture, so this isn't financial or tax advice — please confirm specifics with your accountant, financial advisor, or IRA custodian before making a decision.
Can I send my x-rays or CT scan ahead of time for review?
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Yes — if you have recent imaging, we're happy to review it to get a head start on evaluating your candidacy. If more detailed imaging is needed, you'll receive a complimentary 3D CBCT scan at your consultation.
What material is used for the final restoration?
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We use a premium, multi-layered zirconia material for final restorations, milled on precision equipment in our own In-House Digital Lab — which keeps design, fabrication, and quality control entirely under one roof. This is a different, more durable material than the acrylic-reinforced bridges some practices use, which tend to wear and require replacement sooner.
Do you offer any help for out-of-town patients?
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We don't provide hotel accommodations directly, but we've built relationships with nearby hotels that offer discounted rates for our patients, and our team can help with recommendations. Travel arrangements, including airfare, are on the patient's own itinerary — most out-of-town patients fly into Detroit Metropolitan Wayne County Airport (DTW).
This page is intended for general educational purposes and reflects typical cases at Amazing Smiles Dental Implant Center. It is not a substitute for a personalized evaluation, and it is not legal, financial, or tax advice — for questions about insurance, IRA withdrawals, HSA/FSA eligibility, or tax deductibility specific to your situation, please consult your own advisor. Your exact treatment plan and cost are determined at a free consultation with Dr. Jandali.
Still Have Questions?

Let’s Talk. No Pressure, No Sales Team.

Your consultation and CBCT 3D scan are free, with no obligation — and Dr. Jandali personally reviews every case.