A Downtown Dental Group
Dental implants
in Honolulu
One office. A plan built around you.
Replace one tooth or several with care centered on your comfort, goals, and budget. Dr. David Miyasaki provides implant placement and restoration, with most treatment completed in our downtown office.
Free implant consultations & second opinions

Most care in one office
From implant planning to the final tooth.
Clear, personalized estimates
Understand your options before treatment.
Support for anxious patients
Ask about oral sedation and nitrous oxide.
Start with what you need
A solution for your missing teeth.
You do not need to know which treatment to choose. We will explain the options that fit your mouth and your priorities.
01 / ONE MISSING TOOTH
Single-tooth implants
An implant and custom crown replace one missing tooth. We plan the position, bite, and appearance together, from the start.
A fixed replacement for an individual gap.
02 / SEVERAL MISSING TEETH
Multiple-tooth implants
Individual implants or an implant-supported bridge may replace several teeth. The right approach depends on the spacing, bone, and bite.
A plan tailored to the teeth you are missing.
03 / A LOOSE DENTURE
Implants for denture stability
Locator attachments can help a removable denture snap onto implants. We evaluate whether your existing denture can be adapted or a new one is needed.
A removable option with added retention.
Need to replace a full arch? We can also discuss fixed full-arch options. Explore full-arch implants.
A patient treatment example
An implant bridge, before and after.
An implant-supported bridge replaced upper teeth that could not be saved because of gum disease.
Before

After

Individual treatment needs and results vary.
A more connected experience
From planning to your final smile.
We plan the surgical and restorative steps together. Most patients can have implant placement, restoration, and follow-up coordinated by our team in the same office.
When needed and appropriate, Dr. David also performs bone grafting and sinus procedures in-house. If specialist care is the better choice for your situation, we will explain why and help coordinate it.
What that means for you
- A team familiar with your overall treatment plan
- Clear communication between each stage of care
- One office to contact with questions about treatment and costs
Meet your dentist
Dr. David Miyasaki
A Honolulu dentist with a focus on implant care, restorative dentistry, and helping patients feel comfortable with their decisions.
Dr. David takes time to hear what matters to you, explain the options in plain language, and develop a plan you understand.
Education & implant training
Thoughtful planning.
Ongoing education.
- DMD, Tufts University School of Dental Medicine
- Advanced Education in General Dentistry residency, UCLA
- AAID Vancouver/Hawaii MaxiCourse
- Pikos Institute sinus grafting training
Member, American Academy of Implant Dentistry
Know what to expect
Start with a conversation.
01
Talk through your goals
Tell us what bothers you, what you want to change, and any concerns about time, cost, or comfort.
02
Understand your options
We evaluate your needs and discuss any imaging required, treatment alternatives, and a personalized estimate.
03
Plan the next steps
If you choose treatment, we explain the sequence, healing time, and follow-up before you begin.
Ask our team what the free consultation includes and whether any additional diagnostic records carry a separate fee.
Costs & payment options
Your plan. Your estimate.
No guessing.
Implant care is not one-size-fits-all. The number of implants, type of replacement teeth, and any preparatory treatment affect the total cost.
We will walk you through your options and provide a personalized estimate before you commit. Ask about available payment arrangements and financing; eligibility and terms apply.
What goes into your estimate?
- The implant or implants
- The abutment and crown, bridge, or denture attachments
- Any extractions, grafting, or sinus treatment
- Diagnostic imaging and comfort options, if needed
Insurance benefits vary by plan. We can help review the benefits available to you.
Feeling nervous?
We can take this
one step at a time.
Let us know if dental visits make you anxious. We can explain each step, discuss local anesthesia, and review whether oral sedation or nitrous oxide is appropriate for you.
We will also discuss what to expect afterward and how to manage discomfort during healing.
A few common questions
Let’s make things clearer.
Am I a candidate for dental implants?
That depends on your oral health, bone support, medical history, and goals. An evaluation helps us determine whether implants are appropriate and whether any treatment is needed first.
Will I need to visit another office?
Most implant care is completed here, including placement and restoration. Dr. David also provides grafting and sinus procedures when appropriate. Some situations benefit from specialist care; we will discuss that with you if it applies.
How long does implant treatment take?
Treatment often involves several stages and months of healing. Extractions, grafting, and your individual healing response can change the schedule. We will explain your expected timeline and any temporary-tooth options before treatment.
How are Locator dentures different from fixed implant teeth?
A Locator denture snaps onto attachments and is removed by you for daily cleaning. Fixed implant teeth are attached to implants and are not routinely removed by you. Both require home care and professional maintenance.
Can my existing denture be used?
Sometimes. We need to assess its fit, condition, design, and the space available for attachments. Some dentures can be adapted; others need replacement.
What maintenance and risks should I know about?
Implants need daily cleaning and regular professional care. Crowns and denture attachments may need repair or replacement over time. Risks include infection, implant failure, and injury to nearby structures. We will discuss the risks relevant to your treatment.
Can I get a second opinion?
Yes. We welcome implant consultations and second opinions. Bring any treatment plan or recent records you already have so we can discuss your options and any additional information needed.
Your next step
Find out what is possible
for your smile.
Request a free implant consultation or second opinion at A Downtown Dental Group.
1139 Bethel Street · Downtown Honolulu