Yesterday, Rene Ghotanian, DDS, extracted my top, right, front tooth, which was broken and he inserted a titanium implant. He used a local anesthetic and I was awake for the entire procedure. We chatted and listened to music while he worked. Everything went exceedingly smooth and afterwards I even went back to work. Today, I have minor, expected, swelling and I'm doing great. If you need an implant, Dr Rene Ghotanian is an expert and totally on top of his game. You can't find a better dentist.