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Dr. Binyahya Dental Clinic
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Immediate dental implants in Dhahran

A fixed replacement for a missing tooth: an implant takes the place of the root in the jawbone, and in suitable cases it is placed at the same visit as the extraction. Implant surgery is carried out by oral and dental surgeon Dr. Ziyad Abdulkarim.

+1,000implant surgeries supervised by Dr. Ziyad Abdulkarim
Illustration of the parts of a dental implant: the threaded post, the metal abutment and the white crown above them

In short

A dental implant replaces a missing tooth with a post set in the jawbone to take the place of the root, with a crown fitted over it. Dr. Binyahya Dental Clinic in Hajer District, Dhahran, provides dental implants, including immediate implants placed right after extraction for suitable cases. They are placed by Dr. Ziyad Abdulkarim, an oral and dental surgeon with about 20 years’ experience who has supervised more than 1,000 implant surgeries, planned on in-clinic digital panoramic X-rays and carried out under local anaesthetic.

A dental implant replaces a missing tooth with a fixed restoration: a small post is set in the jawbone to take the place of the root, and a crown matched in shape and shade to the natural teeth is fitted over it, without grinding down the neighbouring teeth as a conventional bridge requires. Replacing a missing tooth has a clinical purpose: over time the neighbouring teeth may tilt into the gap, the load of chewing shifts to the other side, and the bone at the site recedes because the root that used to carry chewing forces into it is gone.

Whether an implant is suitable, and when, is decided only after an examination. The dentist reviews the patient’s general health and medicines, examines the gums and teeth, and assesses the amount and quality of the bone on a digital panoramic X-ray taken in the clinic. Implants suit many patients whose diabetes is well controlled; uncontrolled diabetes is usually brought under control first, because it slows healing. Smoking weakens the bond between implant and bone and raises the risk of complications, and gum inflammation is usually treated before an implant is placed. Where an implant does not suit the patient at the time, the dentist may propose another replacement, such as a bridge or a removable denture, or postpone the implant until the case allows it.

With an immediate implant, the implant is placed at the same visit as the extraction, instead of waiting weeks or months for the socket to heal and returning for a second surgery, which means fewer surgeries and a shorter treatment. It does not suit every case: it needs enough bone around the tooth, healthy gums and no active infection at the site. Whether a temporary tooth can be fitted on the same day depends on how stable the implant is, and the dentist decides that when the implant is placed, not before.

Implants are placed by Dr. Ziyad Abdulkarim, an oral and dental surgeon with about 20 years of experience who has supervised more than 1,000 implant surgeries. He also provides fixed prosthetics, so the implant and the crown above it are planned as one treatment. Treatment usually runs 3 to 6 months while the bone bonds to the implant, before the final crown is fitted. After that, an implant needs the same care as a natural tooth, meaning brushing, flossing and check-up visits, because gum inflammation can affect the tissue around an implant as it affects the teeth.

The clinic's imaging room with a panoramic dental X-ray unit
The clinic's imaging room with a panoramic dental X-ray unit

Dental implants

Treatment at the clinic

Immediate implants for suitable cases

When the bone and gums allow, the tooth is removed and the implant placed in the same visit, which means fewer surgeries and a shorter treatment. Immediate implants do not suit every case; the dentist decides after the examination and X-ray whether a case is one of them.

Implant surgery by an oral and dental surgeon

Implants are placed by Dr. Ziyad Abdulkarim, who has about 20 years’ experience and has supervised more than 1,000 implant surgeries.

Extraction, implant and prosthetics at the same clinic

Dr. Ziyad Abdulkarim’s work covers surgical and impacted-tooth extraction, implant surgery and fixed prosthetics, and he has completed more than 10,000 dental prostheses, so every stage of treatment is planned in the same clinic.

Assessing the bone on a panoramic X-ray

A digital panoramic X-ray is taken in the clinic during the visit. It shows both jaws and all the teeth in one image, helping the dentist assess the bone and decide where the implant goes.

Dedicated sterilization room

Instruments are prepared and sterilized in a dedicated sterilization room inside the clinic before they reach the treatment room, because sterilization is fundamental to any surgical procedure.

Follow-up visits before the final crown

The bone bonds to the implant over about 3 to 6 months, depending on the bone and the position of the tooth, with follow-up visits at which the dentist checks the healing before impressions are taken for the final crown.

When is this treatment advised?

  • A single missing tooth to be replaced without grinding down the teeth next to it.
  • Several missing teeth, on one side or in different parts of the jaw.
  • A damaged tooth that cannot be saved with a root canal or a crown and that the dentist has recommended removing, where an immediate implant may be an option.
  • A tooth lost some time ago: an implant is often still possible if there is enough bone, which the dentist checks with an examination and X-ray.
  • Difficulty chewing on one side of the mouth because of a gap.
  • A gap in the front teeth that affects the appearance of the smile or the clarity of speech.
  • An old bridge or a removable denture that is no longer comfortable, where a fixed alternative is wanted and the case allows it.

Treatment steps

  1. 1

    Examination and medical history

    The dentist reviews the patient’s medical history and medications, and asks about diabetes and smoking because both affect healing, then examines the gums, the teeth and the site of the missing tooth or the tooth to be removed.

  2. 2

    X-ray and bone assessment

    A digital panoramic X-ray is taken in the clinic to assess the bone around the implant site. Some cases need additional imaging, which the dentist will advise on.

  3. 3

    Treatment plan and timing

    The dentist explains the option that suits the case, an immediate implant at the time of extraction or an implant once the site has healed, along with the number of implants and the expected timeline. The cost is set out after the examination.

  4. 4

    Placing the implant

    The implant is placed in the jawbone under local anaesthetic. For an immediate implant, the tooth is first removed carefully to preserve the surrounding bone, and the implant goes into its place in the same visit. Stitches may be used to close the gum.

  5. 5

    Temporary tooth or healing cap

    If the implant is stable enough, a temporary tooth may be fitted for appearance; otherwise a small cap protects the implant while the tissue around it heals. The dentist decides this during the procedure.

  6. 6

    Bone healing around the implant

    The bone bonds with the implant gradually, usually over 3 to 6 months depending on the bone and the position of the tooth, with follow-up visits at which the dentist checks the healing.

  7. 7

    Fitting the final crown

    Once the implant has bonded, precise impressions are taken and the final crown is fixed on the implant abutment, matched in shade and shape to the rest of the teeth.

Aftercare instructions

  • Bite gently on the gauze for 30 to 60 minutes afterwards, or as the dentist instructs, to help the bleeding stop. Light bleeding or blood-tinged saliva on the first day is normal.
  • Apply a cold pack to the outside of your cheek on and off during the first 24 hours to help with swelling.
  • Do not eat until the numbness wears off, so you do not bite your cheek or tongue; then stick to soft, not-too-hot foods for a few days and avoid chewing on the implant side, so it is not loaded while it heals.
  • Avoid vigorous rinsing, spitting and drinking through a straw on the first day, so the bleeding does not restart; after that, use warm salt-water rinses or a mouthwash as the dentist advises.
  • Take any medication the dentist prescribes on schedule, and if you are given an antibiotic, do not stop it early on your own, because stopping early can allow the infection to return.
  • Avoid smoking as much as possible, especially in the first days and weeks, because it slows gum healing and the bonding of bone to the implant.
  • Brush your other teeth as usual and clean gently around the implant as the dentist shows you. Once the crown is fitted, keep up brushing, flossing and regular check-ups, because an implant can be affected by gum inflammation just as natural teeth are.
  • Contact the clinic on 0538588580 if bleeding becomes heavy, swelling increases after the third day, pain gets worse and the prescribed painkillers do not help, you develop a fever, or the temporary tooth feels loose.

Frequently asked questions

Can an implant be placed right after an extraction (immediate implant)?

Yes, in suitable cases: an immediate implant means the implant is placed at the same visit as the extraction. It needs enough bone around the tooth, healthy gums and no active infection at the site, which Dr. Ziyad Abdulkarim assesses with an examination and an in-clinic panoramic X-ray. If an immediate implant does not suit the case, he may advise waiting until the site heals before placing it.

Are dental implants suitable for every patient?

No, and Dr. Ziyad Abdulkarim decides after an examination and X-ray; it usually depends on the amount and quality of the bone, gum health and general health. Gum inflammation is usually treated before an implant, smoking weakens the bond between implant and bone and raises the risk of complications, and some conditions and medications call for extra precautions, so share your full medical history and never stop a prescribed medicine without consulting the doctor who prescribed it. Implants are usually placed once the jaws have finished growing.

Are dental implants suitable for people with diabetes?

In many cases, yes: implants can suit a patient whose diabetes is well controlled, and the dentist decides after examining the patient and reviewing their health. Uncontrolled diabetes slows healing and raises the risk of infection and of the implant not bonding with the bone, so it is usually advisable to bring it under control first, in coordination with the treating physician. A recent HbA1c (average blood sugar) test may be requested before the implant is planned.

Are dental implants painful?

Implant surgery is done under local anaesthetic, and the dentist takes care to keep the patient as comfortable as possible. Pressure or vibration may be felt during the procedure. Once the anaesthetic wears off, some soreness and mild swelling for a few days is normal, and it usually eases with the painkillers the dentist prescribes and cold compresses. Nitrous-oxide (laughing-gas) sedation is available, and the dentist decides on its use according to the patient’s health and level of anxiety.

How long does the implant process take, and how many visits?

Implant treatment usually takes about 3 to 6 months from placing the implant to the final crown, and Dr. Ziyad Abdulkarim sets out the timeline for the case after the examination. It is spread over several visits: the examination and X-ray, the implant procedure, follow-up, then one or two visits for the crown. It can take longer if the site needs to heal first or the case needs extra steps, while an immediate implant, in suitable cases, removes the wait between extraction and implant placement.

How long do dental implants last?

With good care, an implant can last many years, but its lifespan varies from person to person, so no fixed number of years is promised. How long it lasts depends on oral hygiene, gum health, smoking, diabetes control, heavy biting forces such as teeth grinding, and keeping up with check-ups. The crown on the implant may need replacing over time through normal wear, and Dr. Ziyad Abdulkarim explains what helps to look after it.

When can I eat after a dental implant, and what is the aftercare?

Eating is fine once the numbness has worn off, choosing soft, not-too-hot foods for the first few days and chewing away from the implant side. On the first day, avoid vigorous rinsing, spitting and straws so the bleeding does not restart, use a cold pack on the cheek for swelling, take any medication as prescribed and avoid smoking. The dentist says when to return to a normal diet, depending on the case and particularly if a temporary tooth was fitted.

Who places the implants at the clinic, and what equipment is used?

Dr. Ziyad Abdulkarim places them; he is an oral and dental surgeon with about 20 years’ experience, during which he has supervised more than 1,000 implant surgeries. High-quality implants are used, the surgery is planned on digital panoramic X-rays taken in the clinic, and instruments are sterilized in a dedicated sterilization room. His work also covers surgical and impacted-tooth extraction, fixed prosthetics and laser gum surgery.

How much do dental implants cost?

The cost is determined after an examination; contact us on 0538588580. It depends on the number of implants, whether an extraction is needed, the condition of the bone and the type of final crown, and it is set out for the patient after the examination and X-ray, before treatment begins.

Does insurance cover dental implants?

For insurance questions, contact us on 0538588580 by phone or WhatsApp. What insurance covers for dental implants varies between insurers and between policies, so it is also advisable to check the details of the policy with the provider.

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