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In-house 3D CBCT imaging
CQC registered clinic
General Anaesthetic available
Regulated by CQC
BAPRAS – British Association of Plastic, Reconstructive and Aesthetic Surgeons member
BAAPS – British Association of Aesthetic Plastic Surgeons member
Dentistry Awards Finalist 2025
General Dental Council Registered
General Medical Council Registered
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Dental Implants

Dental Implants in Nottingham: Under Local or General Anaesthetic

A long lasting, clinically supported way to replace one tooth, several teeth or a full arch. Dental implants are designed to look, feel and function just like natural teeth. At Zenith, implant treatment is led by Dr Karan Maini, BDS, Dip OS, supported by Dr Karamvir Takhar, BDS, PGCert Implantology. Treatment is available under local anaesthetic or, for nervous patients and complex cases, under general anaesthetic with a qualified consultant anaesthetist present throughout.

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What are dental implants?

A dental implant is a small titanium post placed into the jawbone where a tooth is missing. Over three to six months, it fuses with the surrounding bone through a process called osseointegration, then supports a custom made crown, bridge or denture that looks and functions like a natural tooth.

Because the implant replaces the root as well as the visible crown, it works independently of neighbouring teeth. It does not rely on adjacent teeth for support, as a dental bridge does, and it does not move under load, as a denture can. Implants also help preserve the jawbone, which begins to shrink when a tooth is missing.

At Zenith, every implant assessment begins with a full consultation and in house 3D CBCT scan, so Dr Karan Maini can plan your treatment with precision before any surgery takes place.

Zenith Cosmetic Dental treatment room with a dental chair, overhead light, cabinetry and X ray unit
1.

Pre Treatment

Before treatment begins, you will attend a detailed consultation with Dr Karan Maini, including a clinical examination, medical history review and an in house 3D CBCT scan of your jaw. You will leave with a written treatment plan, a personalised quote and a clear discussion of anaesthetic options including local anaesthetic, sedation or general anaesthetic.

2.

Treatment

Implant surgery is carried out under your chosen anaesthetic at our Nottingham clinic. A titanium post is placed into the jawbone, where it gradually fuses with the bone over three to six months. Under local anaesthetic, placement typically takes 30 to 90 minutes per implant. Where general anaesthetic is chosen, multiple implants are often placed in a single planned session.

3.

Post Treatment

After your implant is placed, you will receive personalised aftercare guidance and a schedule of healing reviews. Mild swelling and tenderness for two to three days is common and managed with over the counter pain relief. Most patients return to work the day after local anaesthetic surgery. After a general anaesthetic session, one full day of rest is recommended.

4.

Your New Tooth

Once the implant has fully integrated, the abutment is fitted and your custom made crown is placed. Your final tooth is made in a specialist laboratory and matched to the colour and shape of your natural teeth. Peer reviewed studies report 10 year implant survival rates above 95% in suitable patients, with many implants remaining functional for two decades or more.

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Dental Implant Results at Zenith
At Zenith Dental Clinic, Dr Karan Maini and our experienced implant team deliver results with a personalised, clinically led approach focused on natural looking, long lasting outcomes, while guiding you through every stage of your treatment with honesty, care and full transparency.

Before & After

    * Individual results vary. Images shown with explicit patient consent. Outcomes depend on bone quality, oral health, implant system, technique and adherence to aftercare.
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    "Today I had a extraction and bone graft procedure to enable a future tooth implant Dr Karan Maini explained each step of procedure which was very reassuring and put me at ease - though out the procedure Dr Karan Maini explained the next the steps which gave me reassurance everything was going to…"

    Why Choose Dental Implants?

    Leaving a gap after tooth loss has real consequences. Over time, the surrounding bone begins to shrink, neighbouring teeth can shift, and your bite, speech and facial structure may all be affected. Dental implants address the root cause by replacing both the missing tooth and its root, preserving bone and restoring function. For many patients, they are the most long lasting way to treat missing teeth, and a thorough consultation with Dr Karan Maini will confirm whether they are right for you.

    Implant treatment while you sleep

    Many UK dental practices only offer implant placement under local anaesthetic. Zenith is one of a small number with the team and facilities to offer treatment under general anaesthetic, with a qualified consultant anaesthetist present throughout.

    For the right patient, GA changes what's possible; opening implant treatment to people who have previously found it intolerable, and allowing complex full-arch work to be completed in a single planned session.

    Suitability is confirmed at consultation including pre-anaesthetic medical screening. Local anaesthetic — with or without sedation — remains available and is the most common choice for straightforward single-implant cases.

    Missing Teeth. What Are Your Options?

    Dental implants may be suitable whether you are missing one tooth, several teeth or a full arch, and whether loss is due to decay, gum disease, injury or a tooth that could not be saved. For patients with inadequate bone volume, bone grafting can often prepare the site for implant placement. Our honest clinical approach means that if implants are not the right option for your case, Dr Karan Maini will explain the alternatives clearly and without pressure.

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    Expert Implant Dentistry in Nottingham

    Zenith Dental Clinic is a CQC registered private practice in Nottingham, led by Principal Dentist Dr Karan Maini. Our implant team holds postgraduate qualifications in oral surgery and implantology, with 120 or more years of collective clinical experience across the practice. We are General Dental Council registered, Dentistry Awards finalists, and committed to honest, evidence based care from your first consultation through to long term review.

    Postgraduate qualified

    Your implant dentists

    Your treatment is led by Dr Karan Maini, BDS, Dip OS (GDC 272548), and Dr Karamvir Takhar, BDS, PGCert Implantology, PGCert Adv Rest Dent (GDC 267084). Both dentists hold postgraduate implant qualifications and plan every case using in house 3D CBCT imaging, matching the implant system to your bone and anatomy rather than fitting your case to a single supplier.
    Independently inspected

    CQC registered clinic

    Zenith Dental Clinic is registered with and inspected by the Care Quality Commission. CQC registration means our facilities, processes and patient care standards meet regulatory requirements.

    Rare among UK dental clinics

    General Anaesthetic available

    Zenith is one of a small number of UK dental practices able to offer implant treatment under general anaesthetic, with a qualified consultant anaesthetist present throughout. This pathway is particularly suited to patients with significant dental anxiety, a severe gag reflex, complex multi implant cases, or full arch rehabilitation such as All on 4.
    Precise planning on site

    In house 3D CBCT imaging

    Three dimensional scanning of your jaw is carried out on site as part of every implant assessment. Our in house 3D CBCT imaging allows precise planning of implant position, angle and depth before any surgery is performed, reducing risk and improving predictability of your outcome.
    Your case. Your system.

    Multi system, not single supplier

    We work with multiple leading implant systems, allowing us to match the right system to your bone quality, anatomy and case. All the systems we use are made by established manufacturers with long term published clinical data and worldwide regulatory clearance, giving you confidence in your treatment choice.
    No sell consultation

    Honest assessment, or nothing at all

    If, at your consultation, Dr Karan Maini believes implants are not the right option for your case, he will say so and explain the alternatives, including bridges, dentures, or doing nothing if the gap is not causing concern.

    Frequently
    Asked
    Questions

    We want you to feel confident at every stage of your journey, so here are answers to the most common questions about dental implants.
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    Can I have my dental implants under general anaesthetic?

    Yes. Zenith is one of a small number of UK dental practices able to offer implant treatment under general anaesthetic, with a qualified consultant anaesthetist present throughout. This pathway is particularly suited to patients with significant dental anxiety, a severe gag reflex, complex multi implant cases, or full arch rehabilitation. Suitability is assessed at consultation including a pre anaesthetic medical review. Local anaesthetic, with or without sedation, remains available and is the most common choice for straightforward single implant cases.

    How long does the whole dental implant process take?

    From consultation to final crown, most single implant cases take three to six months. The surgery itself is a single appointment of around an hour under local anaesthetic, or longer where multiple implants are placed in one session. The remaining time is healing and osseointegration, during which most patients carry on with normal daily life.

    Am I suitable for dental implant treatment?

    Most adults with good general and oral health are suitable for dental implants. You will need healthy gums, adequate jawbone volume (or be suitable for bone grafting), and a commitment to routine dental care. A full consultation including an in house 3D CBCT scan will confirm your suitability and identify whether any preparatory treatment is needed first.

    How long do dental implants last?

    In suitable patients with good oral health and regular maintenance, dental implants are designed to last many years. Peer reviewed studies report 10 year implant survival rates above 95% for single tooth implants, with many remaining functional for two decades or more. The crown fitted on top typically lasts ten to fifteen years before replacement. Long term success depends on daily brushing, cleaning between teeth and routine dental check ups.

    Is dental implant surgery painful?

    Implant surgery is carried out under local anaesthetic, so you should not feel pain during the procedure. Some discomfort, mild swelling and tenderness for two to three days afterwards is normal and can usually be managed with over the counter pain relief. Most patients return to desk based work the next day. After a general anaesthetic session, one full day of rest is recommended before normal activities resume.

    How do I care for my dental implants?

    Daily brushing, flossing and regular dental check ups are essential for long term implant health. Implants should be cleaned in much the same way as natural teeth. Peri implantitis, which is inflammation around the implant, is the main long term risk, and is significantly reduced by consistent home care and professional hygiene visits. Your care team will provide personalised aftercare guidance after your treatment.

    Can dental implants fail? What happens if they do?

    Implant failure is uncommon in suitable patients with good care, with peer reviewed studies reporting 10 year survival above 95%. Where failure does occur, the implant can usually be removed and, after a healing period, a replacement implant placed. Potential risks including infection, temporary discomfort or implant failure will be discussed in full at your consultation before any treatment begins.

    How much do dental implants cost?

    A single dental implant with crown starts from £2,400 (standard price £3,400; saving £1,000 on current offer). Implant treatment is bespoke to your case, and a personalised quote is given only after a full consultation and 3D scan. Multi tooth bridges and full arch treatment including All on 4 are priced per case at consultation. A clear, written quote is provided with no pressure and no obligation.

    0% dental implant finance options available.
    Credit Card*
    Debit Card*
    Cash
    Bank Transfer

    *charges may apply for certain cards

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    What's Included with Your Implant at Zenith

    From £2,400

    Starting price for a single implant with crown. Multi tooth bridges, full arch treatment and bone grafting are priced per case. Your final quote is confirmed at consultation after your 3D CBCT scan.

    • Consultation and clinical assessment by Dr Karan Maini or Dr Karamvir Takhar
    • In house 3D CBCT scan as part of every implant assessment
    • Custom made crown, bridge or denture fitted by your implant dentist
    • Structured healing reviews and follow up appointments
    • Personalised written aftercare guidance
    • Finance available via Tabeo, subject to status
    • Honest recommendation. We will tell you if implants are not right for you

    Your Private Dentists in Nottingham

    Your implant treatment at Zenith is led by Dr Karan Maini (BDS, Dip OS, GDC 272548) and Dr Karamvir Takhar (BDS, PGCert Implantology, PGCert Adv Rest Dent, GDC 267084). Both dentists hold postgraduate qualifications and plan every case with your long term oral health and comfort in mind.

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    Prefer to Chat?
      A dentist examining a patient's teeth using a mouth mirror and dental probe during a check up.
      Step 1

      Book Your Consultation

      Book a confidential consultation with Dr Karan Maini or Dr Karamvir Takhar. We will carry out a full clinical examination, take an in house 3D CBCT scan, discuss your goals and anaesthetic options, and provide a written treatment plan with a personalised quote. No referral is needed.

      A person fitting a clear dental aligner over their teeth, smiling at the camera.
      Step 2

      Receive Expert Care

      Your implant is placed under your chosen anaesthetic at our Nottingham clinic. Under local anaesthetic, placement takes around 30 to 90 minutes. With general anaesthetic, multiple implants can often be placed in a single planned session. The implant then fuses with your bone over three to six months.

      Close up of a person smiling, showing upper teeth with some yellowing at the edges.
      Step 3

      Enjoy Renewed Confidence

      Once your implant has healed, your custom made crown is fitted. We ensure your smile receives dedicated aftercare and scheduled reviews, so your implant remains healthy and stable for many years to come.

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      Expert Care.
      Always.

      Dr Karan Maini smiling with arms crossed, wearing branded scrubs
      Zenith Dental Clinic is CQC registered and led by Principal Dentist Dr Karan Maini, BDS, Dip OS. We are General Dental Council registered, Dentistry Awards finalists, and a Platinum Elite Invisalign Provider. The dentist who assesses you is the dentist who plans and places your implant and carries out your follow up reviews.
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      Start Your Journey

      Find out if dental implants are right for you
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      Clinical references & evidence base
      1. Pjetursson BE, Asgeirsson AG, Zwahlen M, Sailer I. Improvements in implant dentistry over the last decade. International Journal of Oral and Maxillofacial Implants. 2014;29 Suppl:308 24. pubmed.ncbi.nlm.nih.gov/24660206
      2. Howe MS, Keys W, Richards D. Long term (10 year) dental implant survival: systematic review and meta analysis. Journal of Dentistry. 2019;84:9 21. pubmed.ncbi.nlm.nih.gov/30904559
      3. Moraschini V, Poubel LA, Ferreira VF, Barboza ES. Evaluation of survival and success rates of dental implants reported in longitudinal studies with at least 10 years follow up: systematic review. International Journal of Oral and Maxillofacial Surgery. 2015;44(3):377 388. pubmed.ncbi.nlm.nih.gov/25467739
      4. Branemark PI, Hansson BO, Adell R, et al. Osseointegrated implants in the treatment of the edentulous jaw. Scandinavian Journal of Plastic and Reconstructive Surgery. Supplementum. 1977;16:1 132.
      5. Naujokat H, Kunzendorf B, Wiltfang J. Dental implants and diabetes mellitus: systematic review. International Journal of Implant Dentistry. 2016;2(1):5. pubmed.ncbi.nlm.nih.gov/27747697
      6. Pjetursson BE, Tan WC, Zwahlen M, Lang NP. Systematic review of the success of sinus floor elevation and implant survival. Journal of Clinical Periodontology. 2008;35(8 Suppl):216 240. pubmed.ncbi.nlm.nih.gov/18724852
      7. Derks J, Tomasi C. Peri implant health and disease: systematic review of current epidemiology. Journal of Clinical Periodontology. 2015;42(Suppl 16):S158 S171. pubmed.ncbi.nlm.nih.gov/25495683
      8. Malo P, de Araujo Nobre M, Lopes A, Ferro A, Botto J. The All on 4 treatment concept: longitudinal study with 10 to 18 years follow up. Clinical Implant Dentistry and Related Research. 2019;21(4):565 577. pubmed.ncbi.nlm.nih.gov/31168959
      9. Care Quality Commission. Standards for dental services. CQC, 2024. cqc.org.uk
      10. General Dental Council. The Standards for the Dental Team. GDC, latest revision. gdcuk.org