Frequently Asked Questions
About All Star Implants
What makes All Star Implants different from other dental implant providers?
All Star Implants is a specialized implant center dedicated exclusively to providing the highest quality dental implant solutions in Garner, NC. Unlike general dental offices that occasionally place implants, implant dentistry is what we do best. Our doctors, Dr. Hamid Rouhani and Dr. Valerie Hartman, have extensive advanced training in implant placement and restoration. We offer comprehensive implant solutions from single teeth to full-arch replacements, all performed in our state-of-the-art facility with cutting-edge 3D imaging technology.
Are you part of a corporate chain?
No, we’re a locally-owned practice built on trust and long-term relationships with our patients. We’re not interested in transactional dentistry – we view each implant case as a unique, long-term opportunity to provide excellent care that results in a lifetime of healthy, beautiful smiles. Our doctors make all treatment decisions based on what’s best for you, not corporate quotas or profit margins.
Do you only do dental implants?
While dental implants are our specialty and passion, we offer comprehensive services related to implant dentistry and tooth replacement, including:- Single tooth implants- Multiple tooth implants- All-on-4 dental implants- All-on-6 dental implants- Implant-supported dentures (snap-on dentures)- Immediate implants (same-day tooth replacement)- Full-mouth reconstruction- Bone grafting and sinus lifts- Tooth extractions- Traditional dentures- Emergency dental services.
Where are you located?
We’re conveniently located at 801 US-70, Suite #102, Garner, NC 27529, and proudly serve patients from Garner, Raleigh, Clayton, Cary, Fuquay-Varina, Holly Springs, Apex, Knightdale, and throughout the Triangle area.
How do I schedule a consultation?
Scheduling is easy. You can call us at (919) 205-4666, visit our website to book an appointment online 24/7, or stop by our office in person. We offer free or low-cost consultations to discuss your implant options and create a personalized treatment plan tailored to your needs.
What is a dental implant?
A dental implant is a titanium post that acts as an artificial tooth root. It fuses with the jawbone to provide a strong foundation for crowns, bridges, or dentures, looking and functioning like natural teeth.
How long do dental implants last?
With proper care, dental implants can last 20–25 years or even a lifetime. Usually, only the crown or restoration may need updating over time.
Are dental implants safe?
Yes. Dental implants have been safely used for over 40 years, with a 95–98% success rate. Made of biocompatible titanium, they integrate naturally with the jawbone.
Will dental implants look natural?
Absolutely. Crowns and restorations are custom-made to match your teeth in color, shape, and size, blending seamlessly with your smile.
How much do dental implants cost?
Costs vary: single-tooth implants typically range from $3,000 to $6,000, All-on-4 around $20,000–$30,000 per arch, and All-on-6 $25,000–$35,000 per arch. Flexible financing is available.
Does insurance cover dental implants?
Many plans cover part of the cost, often up to 50% of your annual maximum. We’ll verify your benefits and offer financing or membership discounts if needed.
Safety, Technology & Procedures
What technology do you use?
We invest in the latest dental technology to ensure optimal results. Our advanced tools include 3D CBCT imaging for precise visualization of bone structure, digital impressions that are more comfortable and accurate than traditional putty, and computer-guided implant surgery for enhanced precision and predictability. We also use digital X-rays, which expose patients to 90% less radiation than traditional X-rays, and intraoral cameras that allow you to see exactly what we see on the screen.
How do 3D scans improve implant placement?
Our 3D CBCT scans provide detailed, three-dimensional images of your jawbone, allowing us to assess exact bone density and quality, identify optimal implant positions, avoid nerves and sinuses, plan implant angulation with precision, and create surgical guides for greater accuracy. This technology helps reduce complications and recovery time. Many patients who were previously told they were not candidates for implants based on traditional X-rays have discovered through our 3D imaging that they actually have excellent implant sites.
Is the implant procedure painful?
Most patients are pleasantly surprised by how comfortable implant surgery can be. Local anesthesia ensures you feel no pain during the procedure, and sedation options—including safe sleep dentistry—are available for anxious patients. Precision surgical techniques minimize tissue trauma, and post-operative pain management helps keep you comfortable during healing. Most patients report minimal discomfort, often less than a standard tooth extraction, and over-the-counter pain medication is usually sufficient after surgery.
What's the recovery like after implant surgery?
Most patients recover quickly after dental implant surgery. During the first 24 to 48 hours, some swelling and minor discomfort are normal but can be easily managed with medication, and ice packs can help reduce swelling. A soft diet and rest are recommended during this period. Between days three and seven, swelling typically decreases, patients can gradually return to normal activities, and slowly transition back to a regular diet. By weeks two to four, most patients feel completely normal, although implant healing continues beneath the surface. Over the course of three to six months, the implant fully integrates with the bone and is ready for the final restoration.
How do I know if my implant is successful?
Signs of successful implant integration include stability with no movement or looseness, absence of pain or discomfort, healthy surrounding gums, proper appearance on X-rays, and the implant feeling like a natural part of your mouth. We carefully monitor your healing during regular follow-up appointments. Dental implants have a success rate of approximately 95–98%, and any issues are typically identified early and addressed promptly.
What happens if an implant fails?
While rare, occurring in only 2–5% of cases, implant failure can happen due to infection, insufficient bone integration, excessive force or trauma, or habits such as smoking or poor oral hygiene. If an implant fails, we can often replace it once the site has healed, and in many cases, the replacement implant is successful. We stand behind our work and will discuss all available options if any issues arise.
Insurance & Financing
Do you accept dental insurance?
Yes, we are in-network with all major dental insurance providers, including Cigna, Aetna, United Healthcare, MetLife, Delta Dental, and many more. We verify your coverage and help you maximize your benefits. Even if we are out-of-network with your plan, we can still file claims on your behalf and assist you in receiving out-of-network reimbursement.
What financing options do you offer?
We work with several financing companies to provide flexible payment plans. Options include Sunbit, which offers fast approval and convenient monthly payments; CareCredit, a healthcare-specific financing solution; and third-party lenders with competitive rates. Many patients choose to finance their implants with manageable monthly payments. You can apply online or in our office, and approval usually takes just a few minutes.
Do you offer membership plans for patients without insurance?
Yes, our All Star Implants membership plans provide benefits such as discounts of 10% or more on implant services, reduced fees for consultations and exams, priority scheduling, and predictable costs. Plans start at $44 per month for adults. Call us to learn more about membership options and how they can make dental implants more affordable.
Can I use my FSA or HSA for dental implants?
Yes, dental implants are considered a qualified medical expense and can be paid for using FSA (Flexible Spending Account) or HSA (Health Savings Account) funds. Using these accounts allows you to pay with pre-tax dollars, effectively giving you a discount on your treatment.
Do you offer payment plans?
Yes, we offer in-house payment plans for certain procedures and also work with third-party lenders to provide flexible financing. Options may include 0% interest for qualified applicants, low monthly payments, and extended terms of up to 60 months or more. Our team will help you find a payment solution that fits your budget and makes your dental care more accessible.
All-on-4 Dental Implants
What are All-on-4 dental implants?
All-on-4 replaces a full arch of teeth using just four strategically placed implants. These implants support a fixed, permanent set of teeth that look, feel, and function like natural teeth. Unlike dentures, they stay in your mouth permanently and are cared for like natural teeth.
How is All-on-4 different from traditional dentures?
Traditional dentures rest on the gums, can slip, and require adhesives and soaking. All-on-4 implants are permanently secured, do not move, feel and function like natural teeth, preserve jawbone, and typically last 20+ years.
Can I really get new teeth in one day?
Yes. Four implants are placed using 3D imaging in the morning, and temporary teeth are provided by the afternoon. After 3–6 months of healing, your permanent, custom teeth are placed—so you’re never without teeth.
Am I a candidate for All-on-4?
Most people missing all or most teeth in an arch are candidates. This includes denture wearers, those with failing teeth, and even patients with some bone loss. A consultation with 3D imaging confirms suitability.
What if I don’t have enough bone for implants?
All-on-4 is designed to work with existing bone by angling the implants strategically, often avoiding bone grafting. If grafting is needed, it can be done in-office.
How long does the All-on-4 treatment take?
The process usually takes 6–8 months from consultation to final restoration. You receive temporary, functional teeth on the day of surgery and permanent teeth after 3–6 months of healing.
What can I eat with All-on-4 implants?
Once your permanent teeth are in place, you can eat virtually anything, including apples, corn on the cob, steak, crunchy vegetables, and nuts. During the initial healing period with temporary teeth, a softer diet is recommended.
How do I care for All-on-4 implants?
Care is similar to natural teeth: brush twice daily, floss daily using implant-specific tools, use a water flosser, attend dental checkups every six months, and avoid smoking. With proper care, All-on-4 restorations can last 20+ years.
All-on-6 Dental Implants
What’s the difference between All-on-4 and All-on-6?
All-on-6 uses six implants instead of four to support a full arch of teeth. The extra implants provide enhanced stability, more even bite distribution, and can be better for certain bone conditions. Your doctor will recommend the best option based on your anatomy and needs.
Is All-on-6 better than All-on-4?
Not necessarily. All-on-6 offers extra stability, which can be useful for patients with sufficient bone or those seeking maximum long-term support. Many patients achieve excellent results with All-on-4, which has a proven track record.
Does All-on-6 cost more than All-on-4?
Yes, All-on-6 typically costs $5,000–$10,000 more due to the additional implants. Your doctor will review costs and benefits so you can make an informed decision.
How long does All-on-6 last?
With proper care, All-on-6 can last 20+ years, similar to All-on-4. The extra implants may provide even greater longevity in some cases.
Same-Day Tooth Replacement
What are immediate implants?
Immediate implants are placed on the same day as a tooth extraction. In many cases, a temporary crown can also be attached, so you’re never without a tooth.
What are the benefits of immediate implants?
They combine extraction and implant placement in one procedure, reducing overall treatment time. Immediate implants help preserve bone, may allow a same-day temporary tooth, require fewer appointments, and often cause less overall discomfort.
Am I a candidate for immediate implants?
Candidates typically have healthy gums, sufficient bone at the extraction site, no active infection, and good overall health. Your dentist will assess suitability during your consultation.
What’s the success rate of immediate implants?
Success is excellent—about 95–98%—comparable to traditional implants. Success depends on bone quality, oral hygiene, overall health, and following post-operative instructions.
How long does the procedure take?
The procedure usually takes 1–2 hours, including extraction, site preparation, implant placement, and, if appropriate, a temporary crown. You leave the office with your implant in place the same day.
Is the procedure painful?
No—local anesthesia ensures you feel no pain. Many patients find it less uncomfortable than expected, since there’s only one healing period. Sedation options are also available for anxious patients.
Safe Sleep Dentistry with CRNA & Anesthesiologist
What is safe sleep dentistry?
Safe sleep dentistry allows you to undergo dental procedures while comfortably sedated by a CRNA or anesthesiologist. You sleep peacefully through treatment with no anxiety or discomfort, making it the safest, most controlled form of dental sedation.
Why use a CRNA or anesthesiologist instead of dentist-administered sedation?
CRNAs and anesthesiologists provide maximum safety and comfort. They continuously monitor your vital signs, manage your airway, adjust sedation levels, and handle emergencies. This allows dentists to focus entirely on your procedure, reduces patient movement, and often enables multiple procedures in one visit with minimal stress.
What’s the difference between a CRNA and an anesthesiologist?
- CRNA: Advanced practice nurse with 2–3 years of specialized anesthesia training, licensed to administer all types of anesthesia independently.
- Anesthesiologist: A medical doctor specializing in anesthesia with residency training, capable of managing complex medical cases.
Both are equally qualified for safe dental sedation.
Is safe sleep dentistry safe?
Yes. Your provider reviews your medical history, continuously monitors your vital signs, adjusts sedation as needed, manages your airway, and stays with you until fully recovered. Emergency equipment and medications are immediately available.
Who is a good candidate?
Ideal for patients with dental anxiety, sensitive gag reflex, complex procedures, time constraints, past trauma, special needs, or certain medical conditions that make standard sedation insufficient.
What happens during the procedure?
- Before: Medical screening, pre-op instructions, and a driver arranged for after.
- Day of: Arrival, review with CRNA/anesthesiologist, IV sedation, procedure while asleep.
- After: Monitored recovery, post-op instructions, release to responsible adult.
Will I remember anything?
No. Safe sleep dentistry provides complete amnesia of the procedure, which is especially helpful for anxious patients.
How long does recovery take?
Most feel groggy for a few hours. You’ll rest at home the same day, avoid driving, and resume light activities the next day. Healing at the surgical site continues according to the implant timeline.
Does insurance cover it?
Some dental and medical plans may provide partial coverage. We verify benefits before your procedure.
Is it more expensive than regular sedation?
Yes, but the benefits—maximum safety, complete comfort, fewer appointments, and peace of mind—often outweigh the cost for patients.
Snap-On Dentures (Implant-Supported Overdentures)
What are snap-on dentures?
Snap-on dentures, or implant-supported overdentures, are removable dentures that securely attach to 2–4 dental implants. They provide stability like implants while remaining removable for easy cleaning.
How are they different from regular dentures?
Traditional dentures rest on gums, can slip, need adhesives, and may cause discomfort or bone loss. Snap-on dentures attach to implants, stay stable while eating and speaking, are more comfortable, help preserve bone, and look and function better.
How many implants are needed?
- Lower arch: 2–4 implants (2 minimum, 4 for max stability)
- Upper arch: 4–6 implants
The number depends on your bone, budget, and desired stability.
Are snap-on dentures better than All-on-4?
They serve different needs. Snap-on dentures are removable, easier to clean, and more affordable. All-on-4 is permanent, fixed, and offers maximum stability and chewing power. The best option depends on your lifestyle and goals.
How do I clean snap-on dentures?
- Unsnap the denture from the implants.
- Brush the denture with cleaner.
- Brush implants and gums.
- Rinse and snap the denture back in place.
- Remove at night for cleaning and gum rest; brush implants daily like natural teeth.
How long do snap-on dentures last?
Implants last 20+ years with proper care. The denture typically needs replacement every 5–10 years, but attachments can be replaced to extend denture life.
How much do snap-on dentures cost?
- Lower arch: $8,000–$15,000
- Upper arch: $12,000–$20,000
Includes implants, abutments, and a custom denture. Financing options are available.
Single Tooth Implants
When do I need a single tooth implant?
A single tooth implant is recommended if you:
- Lost a tooth due to injury, decay, or infection
- Have a tooth that cannot be saved and needs extraction.
- Have a congenitally missing tooth.
- Want the best long-term replacement option.n
Why choose an implant instead of a bridge?
Single implants:
- Preserve adjacent teeth (bridges require grinding them down)
- Preserve the jawbone where the tooth is missing
Are easier to clean - Last 20+ years (bridges last 10–15)
- Look and feel like a natural tooth.
Bridges:
- Less expensive initially
- No surgery required
- Faster treatment since no healing is needed
How long does treatment take?
- Consultation: 1 hour
- Implant placement: 1–2 hours
- Healing/fusion: 3–6 months
Crown placement: 2 weeks after impressions
Total: 4–7 months (add 4–6 months if bone grafting is needed)
Can I get a temporary tooth?
Yes! Temporary crowns or removable partial dentures are provided so you never go without a tooth.
How much does a single tooth implant cost?
$3,000–$6,000 (includes implant, abutment, crown, placement, and follow-up). Exact cost is provided during consultation.
Full-Mouth Reconstruction
What is full-mouth reconstruction?
Full-mouth reconstruction restores all or nearly all of your teeth using dental implants and other restorative procedures. It is a comprehensive treatment plan designed to rehabilitate your mouth when most or all teeth are damaged, decayed, or missing.
Who needs full-mouth reconstruction?
Full-mouth reconstruction is recommended for patients who have most or all teeth damaged beyond repair, suffer from severe decay affecting multiple teeth, have experienced significant trauma to the mouth, have long-term dental neglect, suffer from severe TMJ issues or bite problems, or can no longer use their current dentures effectively.
What’s involved in the process?
The treatment plan may include dental implants such as single implants or All-on-4/All-on-6, tooth extractions, bone grafting or sinus lifts, crowns and bridges, gum treatments, and bite adjustment or TMJ therapy. Each plan is personalized to restore function, health, and aesthetics.
How long does it take?
The timeline varies depending on the complexity of the case. Simple cases typically take six to nine months, more complex cases can take twelve to eighteen months, and cases requiring extensive bone grafting may take eighteen to twenty-four months. Many procedures can be performed under safe sleep dentistry, which minimizes the number of appointments and ensures a more comfortable experience.
How much does it cost?
Costs vary based on individual needs. All-on-4 treatment for both arches generally ranges from $40,000 to $60,000. All-on-6 for both arches ranges from $50,000 to $70,000, and a combination of individual implants and restorations may range from $30,000 to $80,000. Flexible financing options and phased treatment plans are available to make this investment more manageable.
Bone Grafting & Sinus Lifts
What is bone grafting?
Bone grafting rebuilds or adds bone where it’s insufficient for implants. Graft material is placed, and over months, your body replaces it with natural bone, creating a stable foundation for implants.
When is bone grafting needed?
It’s needed if teeth have been missing long time, after gum disease, before extractions without socket preservation, naturally thin bone, or long-term denture use, causing bone loss.
What is a sinus lift?
A sinus lift adds bone in the upper back jaw between the jaw and sinus, creating enough height for implants and preventing sinus penetration.
Is it painful?
Performed under anesthesia or sedation, pain during the procedure is minimal. Post-op discomfort is usually mild and manageable with medication.
Can bone grafting be avoided?
Sometimes. Techniques like All-on-4, zygomatic implants, or short implants can work with less bone. 3D imaging helps determine the best option.
Tooth Extractions
When is extraction recommended instead of saving a tooth?
Extraction may be needed if a tooth is too damaged, infected, fractured below the gum, affected by advanced gum disease, or if saving it is not cost-effective or could compromise treatment. Drs. Rouhani and Hartman discuss all options before recommending extraction.
Can an implant be placed on the same day as extraction?
Yes! Immediate implants can be placed right after extraction, reducing surgeries, preserving bone, and keeping you tooth-free. Suitability depends on bone quality and infection status.
What’s included in your extraction service?
The service includes exam and X-rays, local anesthesia, gentle extraction, socket preservation if needed, post-op instructions, medications, and follow-up care. Multiple extractions can be done under safe sleep dentistry for comfort.
How long does healing take?
Soft tissue usually heals in 1–2 weeks. Bone healing takes 3–6 months. Implant placement is generally ready 3–6 months after extraction if not immediate.
Emergency Services
Do you see emergency patients?
Yes! Call (919) 205-4666 for severe tooth pain, abscesses, knocked-out or broken teeth, facial swelling, uncontrolled bleeding, or jaw/teeth trauma. We aim to see emergencies the same day.
What qualifies as a dental emergency?
Severe/persistent toothaches, broken/chipped teeth, knocked-out or loose teeth, lost fillings/crowns, abscesses, swelling, uncontrolled bleeding, or jaw injuries. Unsure? Call us for guidance.
What should I do if I knock out a tooth?
Handle by the crown only, rinse gently, and avoid scrubbing. Try reinserting it if possible, or keep it in milk/saliva. Seek care immediately—treatment within 30–60 minutes gives the best chance to save the tooth.
Do you accept walk-ins?
Yes, but calling ahead helps us prepare and reduce wait time. Severe emergencies are prioritized.
About Our Doctors
Tell me about Dr. Rouhani's implant training.
Dr. Hamid Rouhani brings extensive experience in implant dentistry. He earned his DDS from the University of North Carolina at Chapel Hill in 2006 and completed a one-year Advanced Education in General Dentistry residency at the VA in Fayetteville, NC. With nearly 20 years of implant experience and hundreds of successful cases, Dr. Rouhani continues to advance his skills through regular courses and seminars. He is trained in advanced surgical techniques, including bone grafting, sinus lifts, and full-arch rehabilitation. His passion for implant dentistry, combined with a caring approach, ensures that every patient receives expert care in a comfortable environment.
Tell me about Dr. Hartman's background.
Dr. Valerie Hartman brings exceptional skill and dedication to implant dentistry. She earned her BS in Integrative Physiology and Neurobiology with honors from North Carolina State University and her DDS from the UNC Chapel Hill Adams School of Dentistry. She further advanced her training through an Advanced General Dentistry Residency at the University of Texas Health Science Center in San Antonio and has extensive experience in implant placement and restoration. Known for her gentle and precise technique, Dr. Hartman provides comfortable, thorough care while taking the time to understand each patient’s goals and concerns. Her expertise and compassionate approach make her an ideal partner in your implant journey.
How many dental implant procedures have you performed?
Our doctors have collectively placed thousands of dental implants over their nearly 20 combined years of experience. This extensive experience means:- We’ve seen and successfully treated a wide variety of cases- We can anticipate and prevent potential complications- We’ve refined our techniques for optimal results- You benefit from our accumulated knowledge and skill.
What continuing education do your doctors pursue?
Both Dr. Rouhani and Dr. Hartman are committed to staying at the forefront of implant dentistry. They regularly attend conferences and seminars on implant techniques, advanced surgical procedures, 3D imaging, digital dentistry, bone grafting, sinus lifts, and full-arch rehabilitation. This ongoing education ensures that every patient receives the most advanced, evidence-based care available.
Patient Testimonials & Results
Dr. Rouhani’s implant training
Dr. Hamid Rouhani earned his DDS from UNC Chapel Hill in 2006 and completed a one-year Advanced General Dentistry residency at the VA in Fayetteville, NC. With nearly 20 years of implant experience, he’s trained in advanced surgical techniques, including bone grafting, sinus lifts, and full-arch rehabilitation, and continually updates his skills through courses and seminars.
Dr. Hartman’s background
Dr. Valerie Hartman holds a BS in Integrative Physiology and Neurobiology from NC State and a DDS from UNC Chapel Hill. She completed an Advanced General Dentistry Residency in San Antonio, TX, and has extensive experience in implant placement and restoration. Known for her gentle, precise technique, she prioritizes patient comfort and personalized care.
How many dental implant procedures have you performed?
Together, Drs. Rouhani and Hartman have placed thousands of dental implants, giving them the experience to handle a wide variety of cases, prevent complications, and achieve optimal results.
Continuing education
Both doctors regularly attend seminars and conferences on implant techniques, 3D imaging, digital dentistry, bone grafting, sinus lifts, and full-arch rehabilitation to ensure patients receive advanced, evidence-based care.
Additional Questions
What areas do you serve?
While we are located in Garner, we proudly serve patients from throughout the Triangle, including Raleigh, Clayton, Cary, Fuquay-Varina, Holly Springs, Apex, Knightdale, and surrounding areas. Many patients choose to drive 30–45 minutes to receive our specialized implant care—and we believe it’s well worth the trip!
Do you offer free consultations?
We offer affordable initial consultations, typically $99 or less, depending on complexity. Your consultation includes a comprehensive exam, a 3D CBCT scan, a discussion of your goals and concerns, a personalized treatment plan, and a transparent cost breakdown. There is no pressure—just education and options. In many cases, the consultation fee is applied toward your treatment if you decide to proceed.
How do I get started?
Getting started is easy. Simply call us at (919) 205-4666 to schedule a convenient consultation. During your visit, you’ll meet our team, receive a 3D evaluation, and review your personalized treatment plan. We’ll explain all your options and answer any questions so you can make an informed decision. There is no obligation—we want you to feel completely confident in your choice.
What if I'm nervous about dental implants?
Many patients feel nervous about dental procedures, and that’s completely normal. We help by offering safe sleep dentistry, allowing you to sleep through the entire procedure under the care of a CRNA or anesthesiologist. Our team provides clear communication, explaining every step so you know what to expect. With thousands of anxious patients successfully treated and a 95–98% success rate, our caring team has proven results. You can also hear from other patients who were nervous but had excellent experiences. Don’t let fear prevent you from the smile you deserve—we strive to make every visit comfortable and stress-free.